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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Name the aminoglycoside
1.5
Gemofibrozil Fenofibrate Clofibrate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

2. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

3. What is the duration of short acting benzo's
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours

4. What is used to clean ears
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)

5. Name the intermediate acting benzodiazepines
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Temazepam (Reston) Lorazepam (Ativan)
Gemofibrozil Fenofibrate Clofibrate

6. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

7. What are some causes of pitting edema
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

8. What drug can be used to cardiovert AF of short duration
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flecanide. Not to be used with LV insufficiency
Temazepam (Reston) Lorazepam (Ativan)

9. What drug is used to tx narcolepsy
Provigil (modafinil)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
Dolgic (Acetamenaphen + butabital)

10. What ages are the Rotavirus vaccine given
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

11. Name the tetracyclines
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years

12. What are the ages for the pneumococcal vaccine
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

13. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. DTaP 2. PCV

14. What are the first generation anti depressants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)
Tricyclics
Neurogen (Filgastim)

15. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. Pediatric Hepatitis vaccinations should be given when?
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics

17. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

18. What are the 6 month pediatric vaccines
Vistaril (hydroxyzine)
1. DTaP 2. PCV
Gemofibrozil Fenofibrate Clofibrate
STOP THE METFORMIN

19. What is the effect of the statins
2-8 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

20. Withdrawal symptoms
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vistaril (hydroxyzine)
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

21. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
SSRI's
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)
Neurontin (gabapentin) Lyrica (Pregabalin)

22. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vyvanse (lisdexamphetamine)

23. What are the effects of the bile acid sequestrants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 12-15 months

24. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)

25. Name the short acting benzodiazepines
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

26. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Dolgic (Acetamenaphen + butabital)
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

27. What is the duration action of intermediate acting benzo's
10-20 hours
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

28. What is the max creatinine clearance level for metformin
Tessalon (benzonate)
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

29. What can be used to treat ADHD
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
10-20 hours
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam

30. Neuropathic Pain management
Statins (18-55% reduction)
Zofran (Ondansetron) Reglam (metoclopromide)
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine

31. What is a severe side effect of metformin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

32. High blood pressure
10-20 hours
2 months 4 months
Proscar (finasteride)
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure

33. What can be used to treat against C-difference in addition to parasites and other bacteria.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What can be used to relax muscles associated with tension head aches
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dolgic (Acetamenaphen + butabital)

35. Name the bile acid sequestrants
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam

36. When should the HEP A vaccine be administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours
Erythromycin Clarithromycin Azithromycin

37. What are the 2 month pediatric vaccines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam

38. What can be used to prevent coagulation
10-20 hours
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

39. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years

40. What is an FDA approved prescription weight loss drug
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Birth 2. 1-2 months 3. 6-18 months

41. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

42. Name the long acting benzodiazepines
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Statins (18-55% reduction)

43. What needs to be considered when treating a patient long term with lasics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tetracycline Doxycycline Demeclocycline Minocycline

44. What class of drugs will lower LDL the most
Suboxone (Buprenorphine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Statins (18-55% reduction)

45. Name the fibric acids
Cholestyramine Colestipol Colesevalam
Gemofibrozil Fenofibrate Clofibrate
Proscar (finasteride)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

46. How do you treat low magnesium and low potassium in the hospital setting
Dannitol (Phenobarbital +Atropine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

47. name a central acting muscle relaxant
Zanaflex (tizanidine)
2 months 4 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. What is the first line treatment for depression

49. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

50. What are the ages that the measles mumps and rubella vaccine administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours
1. 12-15 months 2. 4-6 years