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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

2. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose

3. What can be used to treat against C-difference in addition to parasites and other bacteria.
Temazepam (Reston) Lorazepam (Ativan)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

4. What is the effect of the statins
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. DTaP 2. PCV

5. Name the aminoglycoside
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1.5

6. What are the 3rd generation heterocyclic Anti depressants
1. 12-24 months 2. 6-18 months after initial dose
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

7. Treatment for pre-diabetes
Gemofibrozil Fenofibrate Clofibrate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

8. What can be used to improve memory
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Nomanda (memantine) Exelon (Rivastigmine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Block serotonin and Nor epinephrine

9. What are the 2 month pediatric vaccines
2-8 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
Dannitol (Phenobarbital +Atropine)

10. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

11. What is the max creatinine clearance level for metformin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5

12. What are anticoagulation treatment options
1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

13. What ages are the Rotavirus vaccine given
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Temazepam (Reston) Lorazepam (Ativan)
2 months 4 months

14. What can be used to treat ADHD
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
SSRI's
Vyvanse (lisdexamphetamine)
STOP THE METFORMIN

15. What's the difference between CMP and BMP
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)

16. What is the duration action of intermediate acting benzo's
10-20 hours
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval

17. What can be used to relax muscles associated with tension head aches
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)

18. What are some options for pain control
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years
SSRI's

19. Name the fibric acids
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)

20. What are the ages for the pneumococcal vaccine
10-20 hours
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
STOP THE METFORMIN

21. What are the effects of fibric acids
Debrox (carbamide peroxide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)

22. Name the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vistaril (hydroxyzine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

23. IBS
Statins (18-55% reduction)
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency
Debrox (carbamide peroxide)

24. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tessalon (benzonate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

25. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)
2 months 4 months
1. 12-24 months 2. 6-18 months after initial dose

26. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

27. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline

28. What is used to clean ears
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1.5

29. What is the first line treatment for depression

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30. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tessalon (benzonate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

31. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 12-15 months
Cholestyramine Colestipol Colesevalam
Proscar (finasteride)

32. What are the 4 month pediatric vaccines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)

33. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5
Proscar (finasteride)

34. Withdrawal symptoms
1. Birth 2. 1-2 months 3. 6-18 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

35. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)
1.5

36. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vistaril (hydroxyzine)
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

37. What are the effects of the bile acid sequestrants
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN

38. What are the first generation anti depressants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics

39. Name the macrolides
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
2-8 hours
Erythromycin Clarithromycin Azithromycin

40. Problems with welchol and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

42. What class of drugs will lower LDL the most
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency
Tricyclics

43. What drug can be used to cardiovert AF of short duration
Zanaflex (tizanidine)
SSRI's
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. name a central acting muscle relaxant
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)

45. What can be used for BPH
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate
Tricyclics

46. What can be used for nausea
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zofran (Ondansetron) Reglam (metoclopromide)
Gemofibrozil Fenofibrate Clofibrate

47. What is Pradaxa
1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

48. What ages are the Hep B vaccine given
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months

49. What are the ages for the Hib vaccine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months

50. What can be used to increase WBC counts
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months

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