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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 SSRI's
Great than 500
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
1. Flouroquine 2. Zosyn 3. Vancomycin
Mycobacterium Tuberculosis that are resistant to first line drugs.

2. Name three examples of B-lactamase inhibitors
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Atrial septal Appendage
Clavulonic acid Sulbactam Tazobactam

3. Can an atypical antipsychotic be used for anxiety
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Low testosterone may increase risk
OH YEA; Seraquel (quetiapine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

4. What organisms with Carbapenems treat agains
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Clavulonic acid Sulbactam Tazobactam
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)

5. What are treatment options for menopause
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Piperacillin (zosyn)
1. soy products 2. SSRI
Mycobacterium Tuberculosis that are resistant to first line drugs.

6. Name the carbapenems
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Imipenem (Primaxin) Meropenem (merrem)
Low testosterone may increase risk
CMP - CBC - Chest Xray - EKG - Sed Rate

7. Treatment for neuropathic pain
Methimazole - PropylThioUracil - Tapazole
1. soy products 2. SSRI
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Neurontin (Gabipentin) Lyrica (Pregabalin)

8. Where do the majority of blood clots in the heart form
PAT (Paroxysmal Atrial Tachycardia)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Atrial septal Appendage

9. How to treat anxiety
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Zoloft (Sertraline) or Xanax (Alprazolam)
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
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

10. What may dig toxicity induce
PAT (Paroxysmal Atrial Tachycardia)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
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

11. When should you use bacitracin
Topical against gram +
MRSA and Severe infections. IV Only
Topamax (Topiramate)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

12. What is the clinical Use of clindamycin
PAT (Paroxysmal Atrial Tachycardia)
Atrial septal Appendage
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

13. What is a good chemotherapy treatment option for pancreatic cancer
Gemcitabine either alone or in combination with erlotinib
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Low testosterone may increase risk
OH YEA; Seraquel (quetiapine)

14. Name the second generation cephalosporin
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
MRSA and Severe infections. IV Only
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

15. What are the key drugs excreted by the kidneys
Oh yea
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
NSAIDs (add others here)

16. What is the antibiotic spectrum of tetracycline
PAT (Paroxysmal Atrial Tachycardia)
Cefepine (maxipine) - IV Only
Symptomatic and when the colony count is greater than 100 -000
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

17. Name the 3rd generation heterolytic anti depressants
Cefepine (maxipine) - IV Only
Atrial septal Appendage
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)

18. What are the averse effects of macrolides
Block serotonin and nor epinephrine
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Topamax (Topiramate)
All patients with a fall hazard potential.

19. When should you begin treating a UTI
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Symptomatic and when the colony count is greater than 100 -000
All patients with a fall hazard potential.

20. Name the macrolides
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Prostate protective (finnish study)
Amoxicillin Ampicillin
Topical against gram +

21. At what interval is the QT considered prolonged
Great than 500
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
1. Flouroquine 2. Zosyn 3. Vancomycin

22. Treatment protocol for gall bladder issues
1. Ultrasound 2. Hidascan 3. Endoscopy
Neurontin (Gabipentin) Lyrica (Pregabalin)
Nephrotoxicity - Ototoxicity - NMB
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

23. Name the 4th generation cephalosporin
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
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
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

24. Why is BUN elevated in GI bleeds
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Blood is digested in the GI tract forming Urea
1. Ultrasound 2. Hidascan 3. Endoscopy
Inflammation of the eye follicles

25. What organisms can be treated by 3rd generation cephalosporins
Nephrotoxicity - Ototoxicity - NMB
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Blood is digested in the GI tract forming Urea
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

26. Name the intermediate acting benzo's (10-20 hours)
1. Ultrasound 2. Hidascan 3. Endoscopy
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Methimazole - PropylThioUracil - Tapazole

27. Blepharitis
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Inflammation of the eye follicles

28. What labs are needed when admitting a new patient
BNP of 100
Piperacillin (zosyn)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
CMP - CBC - Chest Xray - EKG - Sed Rate

29. Name the tetracyclines
Oh yea
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
1. Strep Pneumo 2. Mycoplasma
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

30. What is the cutoff value for determination of COPD vs CHF?
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Symptomatic and when the colony count is greater than 100 -000
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
BNP of 100

31. What is the therapeutic use for aminoglycosides
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Great than 500

32. Treatment of Migraines
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Block serotonin and nor epinephrine
Imitrex (Naratriptin) Amerge (Sumatriptin)
1. soy products 2. SSRI

33. What is the glucose to A1C conversion estimates
NSAIDs (add others here)
PAT (Paroxysmal Atrial Tachycardia)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

34. What is the Common bacteria associated with hospital acquired pneumonia
IV only
Pseudomonas
CMP - CBC - Chest Xray - EKG - Sed Rate
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

35. How are all carbapenems administered
IV only
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
NSAIDs (add others here)
Atrial septal Appendage

36. What are the 2nd generation heterolytic antidepressants
Trazodone (desyrel) Buproprion (wellbutrin)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Amoxicillin Ampicillin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

37. What is a good cocktail for a steroid injection?
Clavulonic acid Sulbactam Tazobactam
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Neurontin (Gabipentin) Lyrica (Pregabalin)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture

38. What is natural penicillin used to treat
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
WBC>HG/HCT<pH

39. What additional benefit my statins serve to the male population
Amoxicillin Ampicillin
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
BNP of 100
Prostate protective (finnish study)

40. What is the bruce protocol?
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
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
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

41. What are the bugs associated with community acquired pneumonia
Zoloft (Sertraline) or Xanax (Alprazolam)
IV only
1. Strep Pneumo 2. Mycoplasma
Neurontin (Gabipentin) Lyrica (Pregabalin)

42. How do you treat hyponatremia in the elderly
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
PAT (Paroxysmal Atrial Tachycardia)
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

43. What large group of people is blood thinners contra-indicated
1. Ultrasound 2. Hidascan 3. Endoscopy
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
All patients with a fall hazard potential.
Symptomatic and when the colony count is greater than 100 -000

44. What are the clinical indications of aztreonam (azactam)
OH YEA; Seraquel (quetiapine)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Block serotonin and nor epinephrine
MRSA and Severe infections. IV Only

45. Treatment options for hyperthyroidism
Methimazole - PropylThioUracil - Tapazole
Mycobacterium Tuberculosis that are resistant to first line drugs.
Block serotonin and nor epinephrine
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

46. Name the first generation cephalosporins
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
1. Ultrasound 2. Hidascan 3. Endoscopy
Atrial septal Appendage
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

47. What is the treatment options for reducing prostate size
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
MRSA and Severe infections. IV Only

48. What organisms can be treated by 2nd Generation cephalosporins
Topical against gram +
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
CMP - CBC - Chest Xray - EKG - Sed Rate

49. What are the major causes of microhematuria
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
WBC>HG/HCT<pH
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
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

50. How to treat chronic pain
Neurontin (Gabipentin) Lyrica (Pregabalin)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Nephrotoxicity - Ototoxicity - NMB
Exalga (Hydromorphone)