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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. When should you use Vancomycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
MRSA and Severe infections. IV Only
Blood is digested in the GI tract forming Urea
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

2. How are all carbapenems administered
IV only
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Prostate protective (finnish study)

3. Name the 4th generation cephalosporin
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Cefepine (maxipine) - IV Only
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

4. What is the Common bacteria associated with hospital acquired pneumonia
Pseudomonas
Gemcitabine either alone or in combination with erlotinib
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

5. What is the determination of a liver transplant
MRSA and Severe infections. IV Only
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

6. Name the intermediate acting benzo's (10-20 hours)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Low testosterone may increase risk
Exalga (Hydromorphone)
WBC>HG/HCT<pH

7. Treatment protocol for gall bladder issues
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
1. Ultrasound 2. Hidascan 3. Endoscopy
1. Flouroquine 2. Zosyn 3. Vancomycin
Imitrex (Naratriptin) Amerge (Sumatriptin)

8. Why is BUN elevated in GI bleeds
Blood is digested in the GI tract forming Urea
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
CMP - CBC - Chest Xray - EKG - Sed Rate

9. Treatment options for hyperthyroidism
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
IV only
Methimazole - PropylThioUracil - Tapazole
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

10. What is the treatment for HAP
1. Ultrasound 2. Hidascan 3. Endoscopy
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Atrial septal Appendage
1. Flouroquine 2. Zosyn 3. Vancomycin

11. Treatment for neuropathic pain
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Clavulonic acid Sulbactam Tazobactam
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Neurontin (Gabipentin) Lyrica (Pregabalin)

12. What are the major causes of microhematuria
Prostate protective (finnish study)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
PAT (Paroxysmal Atrial Tachycardia)

13. Name the aminoglycosides
Inflammation of the eye follicles
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

14. Where do the majority of blood clots in the heart form
Atrial septal Appendage
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Exalga (Hydromorphone)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

15. What are the averse effects of macrolides
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Cefepine (maxipine) - IV Only
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything

16. What organisms can be treated by 3rd generation cephalosporins
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
1. Strep Pneumo 2. Mycoplasma

17. Name the SSRI's
1. Strep Pneumo 2. Mycoplasma
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Cefepine (maxipine) - IV Only
Amoxicillin Ampicillin

18. What organisms can be treated by 2nd Generation cephalosporins
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Prostate protective (finnish study)
Amoxicillin Ampicillin

19. What may dig toxicity induce
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
PAT (Paroxysmal Atrial Tachycardia)
Block serotonin and nor epinephrine
Oh yea

20. When should you use bacitracin
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Methimazole - PropylThioUracil - Tapazole
Gemcitabine either alone or in combination with erlotinib
Topical against gram +

21. What is a good chemotherapy treatment option for pancreatic cancer
Gemcitabine either alone or in combination with erlotinib
Blood is digested in the GI tract forming Urea
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

22. How to treat chronic pain
Exalga (Hydromorphone)
Gemcitabine either alone or in combination with erlotinib
1. Flouroquine 2. Zosyn 3. Vancomycin
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

23. Can an atypical antipsychotic be used for anxiety
Blood is digested in the GI tract forming Urea
NSAIDs (add others here)
OH YEA; Seraquel (quetiapine)
WBC>HG/HCT<pH

24. prevention of migraines
Symptomatic and when the colony count is greater than 100 -000
Topamax (Topiramate)
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
Prostate protective (finnish study)

25. 1st gen cephalosporins treat what organisms
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Oh yea
Mycobacterium Tuberculosis that are resistant to first line drugs.
CMP - CBC - Chest Xray - EKG - Sed Rate

26. How does testosterone correlate to CAD
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
MRSA and Severe infections. IV Only
Low testosterone may increase risk
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

27. What is the clinical Use of clindamycin
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Imipenem (Primaxin) Meropenem (merrem)
NSAIDs (add others here)

28. Cycloserine is used against what?
Methimazole - PropylThioUracil - Tapazole
Oh yea
Mycobacterium Tuberculosis that are resistant to first line drugs.
IV only

29. 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
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Pseudomonas

30. At what interval is the QT considered prolonged
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Block serotonin and nor epinephrine
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Great than 500

31. Scoring system of AFIB
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Oh yea
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

32. What are the key drugs excreted by the kidneys
NSAIDs (add others here)
Methimazole - PropylThioUracil - Tapazole
Trazodone (desyrel) Buproprion (wellbutrin)
1. Strep Pneumo 2. Mycoplasma

33. Name the 3rd generation cephalosporin
Zoloft (Sertraline) or Xanax (Alprazolam)
Cefepine (maxipine) - IV Only
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Neurontin (Gabipentin) Lyrica (Pregabalin)

34. What are treatment options for menopause
Exalga (Hydromorphone)
Methimazole - PropylThioUracil - Tapazole
1. soy products 2. SSRI
Piperacillin (zosyn)

35. Name the first generation cephalosporins
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
WBC>HG/HCT<pH

36. What are the adverse affects of tetracyclines
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Atrial septal Appendage
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

37. What is the mechanism for using cranberry juice for a UTI
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
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; Seraquel (quetiapine)
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

38. What is the treatment for CAP
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Imipenem (Primaxin) Meropenem (merrem)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

39. Name the short acting benzo's (2-8 hours)
1. soy products 2. SSRI
1. Flouroquine 2. Zosyn 3. Vancomycin
IV only
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

40. How do you treat hyponatremia in the elderly
OH YEA; Seraquel (quetiapine)
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)

41. Treatment of Migraines
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Imitrex (Naratriptin) Amerge (Sumatriptin)

42. Name the carbapenems
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
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
Imipenem (Primaxin) Meropenem (merrem)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.

43. What are the bugs associated with community acquired pneumonia
MRSA and Severe infections. IV Only
1. Strep Pneumo 2. Mycoplasma
1. Flouroquine 2. Zosyn 3. Vancomycin
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

44. When should you begin treating a UTI
IV only
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Symptomatic and when the colony count is greater than 100 -000

45. What is the treatment options for reducing prostate size
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Oh yea

46. What is azithromycin used for
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Mycobacterium Tuberculosis that are resistant to first line drugs.
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.

47. How to treat anxiety
Blood is digested in the GI tract forming Urea
Oh yea
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Zoloft (Sertraline) or Xanax (Alprazolam)

48. Name the macrolides
WBC>HG/HCT<pH
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

49. How to treat depression
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Celexa (Citalopram)
Nephrotoxicity - Ototoxicity - NMB
IV only

50. What additional benefit my statins serve to the male population
CMP - CBC - Chest Xray - EKG - Sed Rate
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Prostate protective (finnish study)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)