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Family Medicine Tips Tricks And Treatments

Subjects : health-sciences, family-medicine

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. Blepharitis
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Inflammation of the eye follicles
Celexa (Citalopram)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

2. Treatment for neuropathic pain
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Neurontin (Gabipentin) Lyrica (Pregabalin)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
1. Ultrasound 2. Hidascan 3. Endoscopy

3. What is the antibiotic spectrum of tetracycline
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

4. What additional benefit my statins serve to the male population
BNP of 100
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Prostate protective (finnish study)

5. What organisms can be treated by 3rd generation cephalosporins
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Topamax (Topiramate)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

6. Scoring system of AFIB
Protocol used for an echo stress test. Treadmill is increased 2 degrees. Max heart rate is 220-age. The target on a stress test is 85% of max
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Trazodone (desyrel) Buproprion (wellbutrin)

7. What is azithromycin used for
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
WBC>HG/HCT<pH
Blood is digested in the GI tract forming Urea

8. Name the extended spectrum penicillins
Exalga (Hydromorphone)
Amoxicillin Ampicillin
Low testosterone may increase risk
WBC>HG/HCT<pH

9. Can Amiodarone lead to a complete loss of thyroid function
Block serotonin and nor epinephrine
WBC>HG/HCT<pH
Oh yea
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

10. What is the lab short hand for electrolytes
PAT (Paroxysmal Atrial Tachycardia)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

11. What is Beyes theorem
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Topamax (Topiramate)
Piperacillin (zosyn)

12. What organisms can be treated by 2nd Generation cephalosporins
Protocol used for an echo stress test. Treadmill is increased 2 degrees. Max heart rate is 220-age. The target on a stress test is 85% of max
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Piperacillin (zosyn)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

13. What large group of people is blood thinners contra-indicated
Laboratory studies have demonstrated that cranberry juice inhibits adherence of uropathogens to uroepithelial cells. The mediators of this anti-adherence effect may be fructose - which could interfere with adhesion of type 1 fimbriated E. coli to uro
Inflammation of the eye follicles
Trazodone (desyrel) Buproprion (wellbutrin)
All patients with a fall hazard potential.

14. What are the bugs associated with community acquired pneumonia
1. Strep Pneumo 2. Mycoplasma
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Topical against gram +

15. What is a good cocktail for a steroid injection?
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Symptomatic and when the colony count is greater than 100 -000
Topical against gram +

16. Name three examples of B-lactamase inhibitors
Clavulonic acid Sulbactam Tazobactam
Topamax (Topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

17. Name the long acting benzo's (1-3 days)
1. Flouroquine 2. Zosyn 3. Vancomycin
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
IV only

18. Can an atypical antipsychotic be used for anxiety
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
WBC>HG/HCT<pH
OH YEA; Seraquel (quetiapine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

19. What is the determination of a liver transplant
Low testosterone may increase risk
Amoxicillin Ampicillin
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Laboratory studies have demonstrated that cranberry juice inhibits adherence of uropathogens to uroepithelial cells. The mediators of this anti-adherence effect may be fructose - which could interfere with adhesion of type 1 fimbriated E. coli to uro

20. What may dig toxicity induce
Celexa (Citalopram)
PAT (Paroxysmal Atrial Tachycardia)
Blood is digested in the GI tract forming Urea
Low testosterone may increase risk

21. How do you treat hyponatremia in the elderly
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Methimazole - PropylThioUracil - Tapazole
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

22. What is natural penicillin used to treat
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
BNP of 100
Nephrotoxicity - Ototoxicity - NMB
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides

23. What is the treatment options for reducing prostate size
Imipenem (Primaxin) Meropenem (merrem)
Celexa (Citalopram)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)

24. When should you use bacitracin
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
PAT (Paroxysmal Atrial Tachycardia)
Piperacillin (zosyn)
Topical against gram +

25. Treatment of Migraines
Mycobacterium Tuberculosis that are resistant to first line drugs.
Imitrex (Naratriptin) Amerge (Sumatriptin)
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Clavulonic acid Sulbactam Tazobactam

26. When should you use Vancomycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Piperacillin (zosyn)
MRSA and Severe infections. IV Only
1. Ultrasound 2. Hidascan 3. Endoscopy

27. What is the mechanism of the 3rd generation heterolytic anti depressants
Methimazole - PropylThioUracil - Tapazole
Block serotonin and nor epinephrine
IV only
Mycobacterium Tuberculosis that are resistant to first line drugs.

28. Name the macrolides
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
OH YEA; Seraquel (quetiapine)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Exalga (Hydromorphone)

29. Name the 4th generation cephalosporin
Cefepine (maxipine) - IV Only
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Oh yea
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

30. What are treatment options for menopause
1. soy products 2. SSRI
Imitrex (Naratriptin) Amerge (Sumatriptin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
All patients with a fall hazard potential.

31. What are the averse effects of macrolides
Protocol used for an echo stress test. Treadmill is increased 2 degrees. Max heart rate is 220-age. The target on a stress test is 85% of max
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Neurontin (Gabipentin) Lyrica (Pregabalin)

32. What are the clinical indications of aztreonam (azactam)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)

33. How does testosterone correlate to CAD
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Low testosterone may increase risk
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

34. Name the 3rd generation heterolytic anti depressants
MRSA and Severe infections. IV Only
All patients with a fall hazard potential.
Trazodone (desyrel) Buproprion (wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

35. What is the therapeutic use for aminoglycosides
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Topical against gram +
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
MRSA and Severe infections. IV Only

36. What organisms with Carbapenems treat agains
Methimazole - PropylThioUracil - Tapazole
Great than 500
Inflammation of the eye follicles
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

37. How to treat depression
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Trazodone (desyrel) Buproprion (wellbutrin)
CMP - CBC - Chest Xray - EKG - Sed Rate
Celexa (Citalopram)

38. How to treat chronic pain
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Exalga (Hydromorphone)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

39. Name the 3rd generation cephalosporin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Trazodone (desyrel) Buproprion (wellbutrin)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

40. 1st gen cephalosporins treat what organisms
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Amoxicillin Ampicillin

41. What is the glucose to A1C conversion estimates
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Methimazole - PropylThioUracil - Tapazole

42. prevention of migraines
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Nephrotoxicity - Ototoxicity - NMB
Topamax (Topiramate)

43. What are the 2nd generation heterolytic antidepressants
Oh yea
Neurontin (Gabipentin) Lyrica (Pregabalin)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Trazodone (desyrel) Buproprion (wellbutrin)

44. Name the SSRI's
Great than 500
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Cefepine (maxipine) - IV Only
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

45. Cycloserine is used against what?
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Nephrotoxicity - Ototoxicity - NMB
Mycobacterium Tuberculosis that are resistant to first line drugs.
Blood is digested in the GI tract forming Urea

46. What is a good chemotherapy treatment option for pancreatic cancer
Prostate protective (finnish study)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Gemcitabine either alone or in combination with erlotinib

47. What are the toxicity associated with aminoglycosides
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Nephrotoxicity - Ototoxicity - NMB
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything

48. What is the treatment for HAP
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
1. Flouroquine 2. Zosyn 3. Vancomycin
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

49. Treatment options for hyperthyroidism
Methimazole - PropylThioUracil - Tapazole
Neurontin (Gabipentin) Lyrica (Pregabalin)
Nephrotoxicity - Ototoxicity - NMB
Mycobacterium Tuberculosis that are resistant to first line drugs.

50. How to treat anxiety
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Zoloft (Sertraline) or Xanax (Alprazolam)
Celexa (Citalopram)