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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. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years

2. Name the statins
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. What ages are the Rotavirus vaccine given
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months

4. What's the difference between CMP and BMP
1. DTaP 2. PCV
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

5. What is used to clean ears
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pregabalin
Provigil (modafinil)
Debrox (carbamide peroxide)

6. What are the effects of fibric acids
Tricyclics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

7. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin
Proscar (finasteride)
Provigil (modafinil)

8. How do you treat low magnesium and low potassium in the hospital setting
Pregabalin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

9. What is the duration of short acting benzo's
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Block serotonin and Nor epinephrine

10. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

11. What are anticoagulation treatment options
Vyvanse (lisdexamphetamine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

12. Neuropathic Pain management
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)

13. What drug can be used for cardioversion with structural heart disease
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

14. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dannitol (Phenobarbital +Atropine)

15. What can be used for nausea
1. Birth 2. 1-2 months 3. 6-18 months
Dannitol (Phenobarbital +Atropine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zofran (Ondansetron) Reglam (metoclopromide)

16. Drug addiction and withdrawal
Zofran (Ondansetron) Reglam (metoclopromide)
Zanaflex (tizanidine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)

17. Withdrawal symptoms
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)

18. What ages the are the DTaP vaccine given
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

19. What is Pradaxa
Dannitol (Phenobarbital +Atropine)
Tetracycline Doxycycline Demeclocycline Minocycline
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

20. High blood pressure
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
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Debrox (carbamide peroxide)

21. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

22. What is the effect of the statins
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)

23. What are the ages for the Hib vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 12-15 months
Debrox (carbamide peroxide)

24. What are the 2 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

25. Name the short acting benzodiazepines
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

26. name a central acting muscle relaxant
2-8 hours
10-20 hours
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate

27. Name the bile acid sequestrants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

28. If a patient is on metformin and about to undergo contrast imaging - what must be done.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN
Tetracycline Doxycycline Demeclocycline Minocycline
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

29. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

30. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

31. Name the fibric acids
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)

32. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2 months 4 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

33. What can be used to treat ADHD
SSRI's
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)

34. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)

35. What is the max creatinine clearance level for metformin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1.5
Statins (18-55% reduction)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

36. What is the benefit of Welchol
Flagyl (Metronidazole)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

37. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)

38. Problems with welchol and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

39. What needs to be considered when treating a patient long term with lasics
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

40. Name the macrolides
1. DTaP 2. PCV
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

41. What can be used to prevent coagulation
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vyvanse (lisdexamphetamine)

42. What can be used to improve memory
Flecanide. Not to be used with LV insufficiency
Dolgic (Acetamenaphen + butabital)
1.5
Nomanda (memantine) Exelon (Rivastigmine)

43. Name the intermediate acting benzodiazepines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)
SSRI's
1. Birth 2. 1-2 months 3. 6-18 months

44. What can be used for cough suppression
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
Tessalon (benzonate)

45. What can be used to increase WBC counts
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months

46. What are the effects of nicotinic acid
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

47. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
Pregabalin

48. What is the duration action of intermediate acting benzo's
2 months 4 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 hours
Pregabalin

49. When should the varicella virus vaccine be administered
STOP THE METFORMIN
10-20 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years

50. What are some options for pain control
Pregabalin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)