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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 first generation anti depressants
STOP THE METFORMIN
Tricyclics
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

2. What are the effects of the bile acid sequestrants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

3. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)

4. Treatment for pre-diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tessalon (benzonate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

5. What needs to be considered when treating a patient long term with lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)

6. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)

7. What is Pradaxa
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flecanide. Not to be used with LV insufficiency
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months

8. Name the fibric acids
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate

9. What is the duration of short acting benzo's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. DTaP 2. PCV
2-8 hours
Neurogen (Filgastim)

10. Name the aminoglycoside
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

11. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

12. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

13. What can be used to increase WBC counts
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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
Neurogen (Filgastim)

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

15. Withdrawal symptoms
Statins (18-55% reduction)
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours

16. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
10-20 hours

17. What can be used to prevent coagulation
Cholestyramine Colestipol Colesevalam
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-24 months 2. 6-18 months after initial dose
Flagyl (Metronidazole)

18. When should the varicella virus vaccine be administered
Vyvanse (lisdexamphetamine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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. 12-15 months 2. 4-6 years

19. What are the 4 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

20. What are some causes of pitting edema
SSRI's
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)

21. When should the HEP A vaccine be administered
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zofran (Ondansetron) Reglam (metoclopromide)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

22. What are the ages that the measles mumps and rubella vaccine administered
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

23. What is the effect of the statins
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)

24. What are the ages for the Hib vaccine
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
Suboxone (Buprenorphine)

25. What ages are the Rotavirus vaccine given
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

26. What drug is used to tx narcolepsy
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Provigil (modafinil)
Neurogen (Filgastim)
Vistaril (hydroxyzine)

27. Name the macrolides
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Erythromycin Clarithromycin Azithromycin
Suboxone (Buprenorphine)
Provigil (modafinil)

28. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

29. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics

30. What can be used for cough suppression
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin
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
Tessalon (benzonate)

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

32. What are the 6 month pediatric vaccines
10-20 hours
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

33. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Debrox (carbamide peroxide)
STOP THE METFORMIN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin

34. What is used to clean ears
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)
Cholestyramine Colestipol Colesevalam
Trazodone (Desyrel) Buproprion (Wellbutrin)

35. What are the 2nd generation heterocyclic Anti depressants
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Block serotonin and Nor epinephrine

36. Pediatric Hepatitis vaccinations should be given when?
Vistaril (hydroxyzine)
Tricyclics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What class of drugs will lower LDL the most
Zofran (Ondansetron) Reglam (metoclopromide)
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Statins (18-55% reduction)

38. Name the long acting benzodiazepines
Suboxone (Buprenorphine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

39. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Block serotonin and Nor epinephrine
Pregabalin
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. What drug can be used for cardioversion with structural heart disease
Dolgic (Acetamenaphen + butabital)
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

41. name the SSRI's
SSRI's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

42. What can be used for nausea
2-8 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)

43. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years

44. IBS
Dannitol (Phenobarbital +Atropine)
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

45. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Suboxone (Buprenorphine)

46. What can be used to improve memory
Neurogen (Filgastim)
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vistaril (hydroxyzine)

47. Name the tetracyclines
Provigil (modafinil)
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline

48. What drug can be used to cardiovert AF of short duration
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency

49. What is the duration action of intermediate acting benzo's
Provigil (modafinil)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
10-20 hours

50. What is the first line treatment for depression