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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. Name the 4th generation cephalosporin
Atrial septal Appendage
Cefepine (maxipine) - IV Only
BNP of 100
Imipenem (Primaxin) Meropenem (merrem)

2. At what interval is the QT considered prolonged
Great than 500
PAT (Paroxysmal Atrial Tachycardia)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)

3. What are the 2nd generation heterolytic antidepressants
Trazodone (desyrel) Buproprion (wellbutrin)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
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
Methimazole - PropylThioUracil - Tapazole

4. Treatment for neuropathic pain
Topamax (Topiramate)
Neurontin (Gabipentin) Lyrica (Pregabalin)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43

5. What large group of people is blood thinners contra-indicated
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
All patients with a fall hazard potential.
Topical against gram +

6. What is the clinical Use of clindamycin
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
CMP - CBC - Chest Xray - EKG - Sed Rate

7. When should you use Vancomycin
MRSA and Severe infections. IV Only
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
OH YEA; Seraquel (quetiapine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

8. How to treat anxiety
Atrial septal Appendage
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
Zoloft (Sertraline) or Xanax (Alprazolam)
Blood is digested in the GI tract forming Urea

9. What is natural penicillin used to treat
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
NSAIDs (add others here)
Blood is digested in the GI tract forming Urea

10. When should you use bacitracin
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
1. Flouroquine 2. Zosyn 3. Vancomycin
Topical against gram +

11. What is the glucose to A1C conversion estimates
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
PAT (Paroxysmal Atrial Tachycardia)
Mycobacterium Tuberculosis that are resistant to first line drugs.
Piperacillin (zosyn)

12. Name the 3rd generation heterolytic anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Low testosterone may increase risk
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

13. What requires more energy: Diastole or Systole
Diastole requires more energy. Systole (contraction) is a downhill gradient while diastole requires ATP - ST Segment changes on an EKG is due to diastolic changes - 1st symptoms of an MI is due to diastolic dysfunction
1. Ultrasound 2. Hidascan 3. Endoscopy
1. soy products 2. SSRI
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43

14. Blepharitis
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
BNP of 100
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES

15. Name the carbapenems
All patients with a fall hazard potential.
Imipenem (Primaxin) Meropenem (merrem)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Mycobacterium Tuberculosis that are resistant to first line drugs.

16. Can Amiodarone lead to a complete loss of thyroid function
Amoxicillin Ampicillin
Oh yea
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
CMP - CBC - Chest Xray - EKG - Sed Rate

17. What are the clinical indications of aztreonam (azactam)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Oh yea
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43

18. Name the tetracyclines
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Gemcitabine either alone or in combination with erlotinib
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

19. 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.
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)

20. What is the determination of a liver transplant
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

21. How do you treat hyponatremia in the elderly
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
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
Oh yea
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

22. What is the mechanism for using cranberry juice for a UTI
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
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Diastole requires more energy. Systole (contraction) is a downhill gradient while diastole requires ATP - ST Segment changes on an EKG is due to diastolic changes - 1st symptoms of an MI is due to diastolic dysfunction
Mycobacterium Tuberculosis that are resistant to first line drugs.

23. What is the antibiotic spectrum of tetracycline
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Diastole requires more energy. Systole (contraction) is a downhill gradient while diastole requires ATP - ST Segment changes on an EKG is due to diastolic changes - 1st symptoms of an MI is due to diastolic dysfunction
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose

24. Can an atypical antipsychotic be used for anxiety
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
OH YEA; Seraquel (quetiapine)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Cefepine (maxipine) - IV Only

25. Treatment protocol for gall bladder issues
1. Ultrasound 2. Hidascan 3. Endoscopy
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Great than 500

26. Treatment options for hyperthyroidism
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Topamax (Topiramate)
Methimazole - PropylThioUracil - Tapazole
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides

27. What is a good chemotherapy treatment option for pancreatic cancer
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Gemcitabine either alone or in combination with erlotinib
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Methimazole - PropylThioUracil - Tapazole

28. What are the toxicity associated with aminoglycosides
Oh yea
1. Strep Pneumo 2. Mycoplasma
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Nephrotoxicity - Ototoxicity - NMB

29. What are the averse effects of macrolides
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
BNP of 100
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

30. What are the bugs associated with community acquired pneumonia
1. Strep Pneumo 2. Mycoplasma
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

31. What is the lab shorthand for blood
Methimazole - PropylThioUracil - Tapazole
WBC>HG/HCT<pH
Gemcitabine either alone or in combination with erlotinib
CMP - CBC - Chest Xray - EKG - Sed Rate

32. How are all carbapenems administered
MRSA and Severe infections. IV Only
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
OH YEA; Seraquel (quetiapine)
IV only

33. Treatment of Migraines
Celexa (Citalopram)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Imitrex (Naratriptin) Amerge (Sumatriptin)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

34. 1st gen cephalosporins treat what organisms
CMP - CBC - Chest Xray - EKG - Sed Rate
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
All patients with a fall hazard potential.

35. Cycloserine is used against what?
Oh yea
Mycobacterium Tuberculosis that are resistant to first line drugs.
All patients with a fall hazard potential.
Neurontin (Gabipentin) Lyrica (Pregabalin)

36. How to treat depression
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Celexa (Citalopram)
Great than 500
Clavulonic acid Sulbactam Tazobactam

37. What organisms with Carbapenems treat agains
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Topical against gram +
Mycobacterium Tuberculosis that are resistant to first line drugs.
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

38. What is the treatment for CAP
Topical against gram +
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
1. soy products 2. SSRI
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

39. What are treatment options for menopause
1. soy products 2. SSRI
1. Strep Pneumo 2. Mycoplasma
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox

40. What may dig toxicity induce
PAT (Paroxysmal Atrial Tachycardia)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Celexa (Citalopram)

41. Where do the majority of blood clots in the heart form
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Atrial septal Appendage
Low testosterone may increase risk
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose

42. What is the therapeutic use for aminoglycosides
Pseudomonas
Piperacillin (zosyn)
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

43. What is a good cocktail for a steroid injection?
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

44. When should you begin treating a UTI
1. Strep Pneumo 2. Mycoplasma
1. Flouroquine 2. Zosyn 3. Vancomycin
Celexa (Citalopram)
Symptomatic and when the colony count is greater than 100 -000

45. Name the 3rd generation cephalosporin
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
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

46. How does testosterone correlate to CAD
Exalga (Hydromorphone)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Low testosterone may increase risk

47. What organisms can be treated by 3rd generation cephalosporins
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
BNP of 100
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

48. What are the key drugs excreted by the kidneys
NSAIDs (add others here)
1. Ultrasound 2. Hidascan 3. Endoscopy
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
OH YEA; Seraquel (quetiapine)

49. What is the mechanism of the 3rd generation heterolytic anti depressants
Methimazole - PropylThioUracil - Tapazole
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Block serotonin and nor epinephrine
BNP of 100

50. What is the lab short hand for electrolytes
NSAIDs (add others here)
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
Trazodone (desyrel) Buproprion (wellbutrin)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose