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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. Drug addiction and withdrawal
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

2. What are the 4 month pediatric vaccines
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

3. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

4. What are the 3rd generation heterocyclic Anti depressants
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tricyclics

5. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

6. What are anticoagulation treatment options
Block serotonin and Nor epinephrine
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. DTaP 2. PCV
Trazodone (Desyrel) Buproprion (Wellbutrin)

7. Name the intermediate acting benzodiazepines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Temazepam (Reston) Lorazepam (Ativan)
STOP THE METFORMIN

8. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1.5
Block serotonin and Nor epinephrine
Statins (18-55% reduction)

9. What is the duration action of intermediate acting benzo's
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)
10-20 hours

10. What is the benefit of Welchol
Nomanda (memantine) Exelon (Rivastigmine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

11. What are the ages for the inactivated poliovirus
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

12. What ages the are the DTaP vaccine given
Tricyclics
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

13. What are the effects of nicotinic acid
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

14. What's the difference between CMP and BMP
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

15. Name the long acting benzodiazepines
1. 12-15 months 2. 4-6 years
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Proscar (finasteride)

16. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN
Tetracycline Doxycycline Demeclocycline Minocycline

17. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. What are some causes of pitting edema
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)

19. IBS
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

20. When should the HEP A vaccine be administered
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

21. What are the first generation anti depressants
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin

22. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

23. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)

24. What can be used to prevent coagulation
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

25. Problems with welchol and diabetes
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

26. What can be used for cough suppression
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
10-20 hours

27. Neuropathic Pain management
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-24 months 2. 6-18 months after initial dose
1. DTaP 2. PCV

28. What are the effects of the bile acid sequestrants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

29. Name the statins
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)

30. What are some options for pain control
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurogen (Filgastim)

31. What ages are the Rotavirus vaccine given
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months

32. What are the 2nd generation heterocyclic Anti depressants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)

33. Name the aminoglycoside
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

34. What are the 2 month pediatric vaccines
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

35. How do you treat low magnesium and low potassium in the hospital setting
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Trazodone (Desyrel) Buproprion (Wellbutrin)
SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

36. Withdrawal symptoms
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vistaril (hydroxyzine)

37. What drug is used to tx narcolepsy
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Statins (18-55% reduction)

38. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Neurogen (Filgastim)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vistaril (hydroxyzine)
Pregabalin

39. What is an FDA approved prescription weight loss drug
1.5
SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

40. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam

41. What can be used to treat against C-difference in addition to parasites and other bacteria.
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

42. What can be used for BPH
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)
Proscar (finasteride)
Gemofibrozil Fenofibrate Clofibrate

43. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

44. What is the max creatinine clearance level for metformin
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

45. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)

46. What is Pradaxa
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

47. What are the effects of fibric acids
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)

48. name a central acting muscle relaxant
Zanaflex (tizanidine)
1.5
Nomanda (memantine) Exelon (Rivastigmine)
SSRI's

49. What is the first line treatment for depression

50. What class of drugs will lower LDL the most
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Statins (18-55% reduction)
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam