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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 the antibiotic spectrum of tetracycline
Zoloft (Sertraline) or Xanax (Alprazolam)
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
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

2. Name the long acting benzo's (1-3 days)
Methimazole - PropylThioUracil - Tapazole
Topamax (Topiramate)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

3. 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
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
Imipenem (Primaxin) Meropenem (merrem)

4. What labs are needed when admitting a new patient
Atrial septal Appendage
Topical against gram +
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
CMP - CBC - Chest Xray - EKG - Sed Rate

5. What are the averse effects of macrolides
PAT (Paroxysmal Atrial Tachycardia)
Neurontin (Gabipentin) Lyrica (Pregabalin)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Great than 500

6. How to treat anxiety
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Symptomatic and when the colony count is greater than 100 -000
1. soy products 2. SSRI
Zoloft (Sertraline) or Xanax (Alprazolam)

7. What are the bugs associated with community acquired pneumonia
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Gemcitabine either alone or in combination with erlotinib
1. Strep Pneumo 2. Mycoplasma
PAT (Paroxysmal Atrial Tachycardia)

8. Cycloserine is used against what?
Mycobacterium Tuberculosis that are resistant to first line drugs.
Piperacillin (zosyn)
Zoloft (Sertraline) or Xanax (Alprazolam)
BNP of 100

9. Name the antipseudomonal penicillins
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
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Piperacillin (zosyn)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

10. What additional benefit my statins serve to the male population
Prostate protective (finnish study)
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
Cefepine (maxipine) - IV Only
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

11. What is Beyes theorem
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Prostate protective (finnish study)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
MRSA and Severe infections. IV Only

12. What is the cutoff value for determination of COPD vs CHF?
Zoloft (Sertraline) or Xanax (Alprazolam)
BNP of 100
MRSA and Severe infections. IV Only
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

13. Where do the majority of blood clots in the heart form
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Piperacillin (zosyn)
Atrial septal Appendage
Pseudomonas

14. What may dig toxicity induce
PAT (Paroxysmal Atrial Tachycardia)
BNP of 100
MRSA and Severe infections. IV Only
1. Strep Pneumo 2. Mycoplasma

15. Treatment protocol for gall bladder issues
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
1. Ultrasound 2. Hidascan 3. Endoscopy
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

16. Scoring system of AFIB
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Block serotonin and nor epinephrine
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
MRSA and Severe infections. IV Only

17. Name the second generation cephalosporin
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
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
All patients with a fall hazard potential.

18. What is the Common bacteria associated with hospital acquired pneumonia
1. soy products 2. SSRI
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Pseudomonas
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

19. Name three examples of B-lactamase inhibitors
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Clavulonic acid Sulbactam Tazobactam
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
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

20. How to treat depression
Celexa (Citalopram)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
BNP of 100
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

21. Name the extended spectrum penicillins
Amoxicillin Ampicillin
1. Strep Pneumo 2. Mycoplasma
Zoloft (Sertraline) or Xanax (Alprazolam)
Atrial septal Appendage

22. What is the therapeutic use for aminoglycosides
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
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)

23. Name the aminoglycosides
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
MRSA and Severe infections. IV Only
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Topical against gram +

24. What is a good cocktail for a steroid injection?
Block serotonin and nor epinephrine
WBC>HG/HCT<pH
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture

25. What organisms with Carbapenems treat agains
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
1. Flouroquine 2. Zosyn 3. Vancomycin
MRSA and Severe infections. IV Only

26. What are the major causes of microhematuria
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
1. Strep Pneumo 2. Mycoplasma
NSAIDs (add others here)
MRSA and Severe infections. IV Only

27. What is the clinical Use of clindamycin
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Oh yea
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
1. Strep Pneumo 2. Mycoplasma

28. How to treat chronic pain
PAT (Paroxysmal Atrial Tachycardia)
Methimazole - PropylThioUracil - Tapazole
WBC>HG/HCT<pH
Exalga (Hydromorphone)

29. Name the tetracyclines
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture

30. How are all carbapenems administered
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
IV only
Nephrotoxicity - Ototoxicity - NMB
1. Strep Pneumo 2. Mycoplasma

31. Name the first generation cephalosporins
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

32. What are the key drugs excreted by the kidneys
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Imitrex (Naratriptin) Amerge (Sumatriptin)
NSAIDs (add others here)
MRSA and Severe infections. IV Only

33. What is natural penicillin used to treat
WBC>HG/HCT<pH
Cefepine (maxipine) - IV Only
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

34. What is the bruce protocol?
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Inflammation of the eye follicles
Mycobacterium Tuberculosis that are resistant to first line drugs.
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

35. 1st gen cephalosporins treat what organisms
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Atrial septal Appendage
BNP of 100
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES

36. What organisms can be treated by 2nd Generation cephalosporins
WBC>HG/HCT<pH
Inflammation of the eye follicles
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 (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

37. What large group of people is blood thinners contra-indicated
IV only
All patients with a fall hazard potential.
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO

38. What is the mechanism of the 3rd generation heterolytic anti depressants
All patients with a fall hazard potential.
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Block serotonin and nor epinephrine
1. soy products 2. SSRI

39. Treatment of Migraines
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Imitrex (Naratriptin) Amerge (Sumatriptin)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Inflammation of the eye follicles

40. When should you use Vancomycin
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. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
MRSA and Severe infections. IV Only
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

41. prevention of migraines
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Topamax (Topiramate)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything

42. What is the treatment for HAP
Topical against gram +
1. Flouroquine 2. Zosyn 3. Vancomycin
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
1. soy products 2. SSRI

43. Name the intermediate acting benzo's (10-20 hours)
Zoloft (Sertraline) or Xanax (Alprazolam)
Symptomatic and when the colony count is greater than 100 -000
1. Flouroquine 2. Zosyn 3. Vancomycin
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

44. 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
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Trazodone (desyrel) Buproprion (wellbutrin)
Topamax (Topiramate)

45. Can an atypical antipsychotic be used for anxiety
OH YEA; Seraquel (quetiapine)
Oh yea
Methimazole - PropylThioUracil - Tapazole
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

46. What is a good chemotherapy treatment option for pancreatic cancer
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
IV only
Gemcitabine either alone or in combination with erlotinib

47. Name the short acting benzo's (2-8 hours)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
WBC>HG/HCT<pH
Pseudomonas
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

48. How does testosterone correlate to CAD
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Low testosterone may increase risk
1. Strep Pneumo 2. Mycoplasma

49. What are the toxicity associated with aminoglycosides
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Nephrotoxicity - Ototoxicity - NMB
1. Flouroquine 2. Zosyn 3. Vancomycin

50. Can Amiodarone lead to a complete loss of thyroid function
1. Strep Pneumo 2. Mycoplasma
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Oh yea
IV only