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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. What is Beyes theorem
Neurontin (Gabipentin) Lyrica (Pregabalin)
Inflammation of the eye follicles
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything

2. Where do the majority of blood clots in the heart form
Zoloft (Sertraline) or Xanax (Alprazolam)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Oh yea
Atrial septal Appendage

3. What is the cutoff value for determination of COPD vs CHF?
BNP of 100
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Imitrex (Naratriptin) Amerge (Sumatriptin)
Prostate protective (finnish study)

4. Name the 4th generation cephalosporin
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Cefepine (maxipine) - IV Only
MRSA and Severe infections. IV Only
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

5. What is the antibiotic spectrum of tetracycline
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
1. Ultrasound 2. Hidascan 3. Endoscopy
Imipenem (Primaxin) Meropenem (merrem)

6. What are the toxicity associated with aminoglycosides
All patients with a fall hazard potential.
1. Flouroquine 2. Zosyn 3. Vancomycin
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
Nephrotoxicity - Ototoxicity - NMB

7. What is the mechanism of the 3rd generation heterolytic anti depressants
Block serotonin and nor epinephrine
Mycobacterium Tuberculosis that are resistant to first line drugs.
Atrial septal Appendage
IV only

8. What are the key drugs excreted by the kidneys
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
NSAIDs (add others here)
Great than 500
Trazodone (desyrel) Buproprion (wellbutrin)

9. Name the antipseudomonal penicillins
Piperacillin (zosyn)
PAT (Paroxysmal Atrial Tachycardia)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
MRSA and Severe infections. IV Only

10. Treatment protocol for gall bladder issues
1. soy products 2. SSRI
1. Ultrasound 2. Hidascan 3. Endoscopy
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Cefepine (maxipine) - IV Only

11. Name the intermediate acting benzo's (10-20 hours)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Symptomatic and when the colony count is greater than 100 -000
Inflammation of the eye follicles
WBC>HG/HCT<pH

12. When should you begin treating a UTI
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Symptomatic and when the colony count is greater than 100 -000
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides

13. What requires more energy: Diastole or Systole
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
MRSA and Severe infections. IV Only
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
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

14. 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)
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
OH YEA; Seraquel (quetiapine)

15. What may dig toxicity induce
Nephrotoxicity - Ototoxicity - NMB
PAT (Paroxysmal Atrial Tachycardia)
1. Ultrasound 2. Hidascan 3. Endoscopy
Low testosterone may increase risk

16. Name the carbapenems
IV only
Gemcitabine either alone or in combination with erlotinib
1. soy products 2. SSRI
Imipenem (Primaxin) Meropenem (merrem)

17. What is the clinical Use of clindamycin
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Methimazole - PropylThioUracil - Tapazole
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)

18. What are the clinical indications of aztreonam (azactam)
Mycobacterium Tuberculosis that are resistant to first line drugs.
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Block serotonin and nor epinephrine
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

19. What is the glucose to A1C conversion estimates
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
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Methimazole - PropylThioUracil - Tapazole
Oh yea

20. What are the bugs associated with community acquired pneumonia
Blood is digested in the GI tract forming Urea
1. Strep Pneumo 2. Mycoplasma
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
Inflammation of the eye follicles

21. What organisms can be treated by 3rd generation cephalosporins
Low testosterone may increase risk
1. Ultrasound 2. Hidascan 3. Endoscopy
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Topical against gram +

22. What is the treatment for CAP
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
WBC>HG/HCT<pH
Imipenem (Primaxin) Meropenem (merrem)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

23. What is the lab short hand for electrolytes
Atrial septal Appendage
Trazodone (desyrel) Buproprion (wellbutrin)
Imitrex (Naratriptin) Amerge (Sumatriptin)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose

24. How are all carbapenems administered
Clavulonic acid Sulbactam Tazobactam
Oh yea
PAT (Paroxysmal Atrial Tachycardia)
IV only

25. Name the extended spectrum penicillins
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
1. Ultrasound 2. Hidascan 3. Endoscopy
Amoxicillin Ampicillin

26. Name three examples of B-lactamase inhibitors
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
1. Flouroquine 2. Zosyn 3. Vancomycin
Block serotonin and nor epinephrine
Clavulonic acid Sulbactam Tazobactam

27. What is a good cocktail for a steroid injection?
Nephrotoxicity - Ototoxicity - NMB
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)

28. What are the adverse affects of tetracyclines
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Pseudomonas
Zoloft (Sertraline) or Xanax (Alprazolam)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)

29. What is natural penicillin used to treat
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Blood is digested in the GI tract forming Urea
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES

30. What are the major causes of microhematuria
OH YEA; Seraquel (quetiapine)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
NSAIDs (add others here)
Topical against gram +

31. 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.
Pseudomonas
Gemcitabine either alone or in combination with erlotinib
All patients with a fall hazard potential.

32. How to treat chronic pain
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Exalga (Hydromorphone)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture

33. What are treatment options for menopause
1. soy products 2. SSRI
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Gemcitabine either alone or in combination with erlotinib
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

34. How to treat depression
Celexa (Citalopram)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
MRSA and Severe infections. IV Only
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

35. What are the 2nd generation heterolytic antidepressants
PAT (Paroxysmal Atrial Tachycardia)
CMP - CBC - Chest Xray - EKG - Sed Rate
MRSA and Severe infections. IV Only
Trazodone (desyrel) Buproprion (wellbutrin)

36. Name the SSRI's
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
IV only
Inflammation of the eye follicles
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

37. What is the lab shorthand for blood
Great than 500
1. Strep Pneumo 2. Mycoplasma
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
WBC>HG/HCT<pH

38. Name the aminoglycosides
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

39. What is the bruce protocol?
BNP of 100
OH YEA; Seraquel (quetiapine)
Cefepine (maxipine) - IV Only
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

40. Can an atypical antipsychotic be used for anxiety
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
OH YEA; Seraquel (quetiapine)
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

41. Why is BUN elevated in GI bleeds
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Blood is digested in the GI tract forming Urea
PAT (Paroxysmal Atrial Tachycardia)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.

42. How do you treat hyponatremia in the elderly
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

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

44. When should you use bacitracin
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Piperacillin (zosyn)
Prostate protective (finnish study)
Topical against gram +

45. What additional benefit my statins serve to the male population
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
WBC>HG/HCT<pH
Prostate protective (finnish study)
Nephrotoxicity - Ototoxicity - NMB

46. Scoring system of AFIB
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
1. soy products 2. SSRI
Piperacillin (zosyn)

47. What large group of people is blood thinners contra-indicated
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Topical against gram +
All patients with a fall hazard potential.
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

48. What labs are needed when admitting a new patient
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
CMP - CBC - Chest Xray - EKG - Sed Rate
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

49. Name the tetracyclines
1. soy products 2. SSRI
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)

50. How does testosterone correlate to CAD
Low testosterone may increase risk
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
OH YEA; Seraquel (quetiapine)