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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. Treatment options for hyperthyroidism
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Methimazole - PropylThioUracil - Tapazole

2. Name the short acting benzo's (2-8 hours)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Topical against gram +
Neurontin (Gabipentin) Lyrica (Pregabalin)
Blood is digested in the GI tract forming Urea

3. When should you begin treating a UTI
Clavulonic acid Sulbactam Tazobactam
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Symptomatic and when the colony count is greater than 100 -000

4. Name the carbapenems
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Atrial septal Appendage
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Imipenem (Primaxin) Meropenem (merrem)

5. Where do the majority of blood clots in the heart form
Atrial septal Appendage
Pseudomonas
Exalga (Hydromorphone)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

6. What is the treatment for HAP
1. Flouroquine 2. Zosyn 3. Vancomycin
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Zoloft (Sertraline) or Xanax (Alprazolam)
Gemcitabine either alone or in combination with erlotinib

7. Why is BUN elevated in GI bleeds
Inflammation of the eye follicles
Blood is digested in the GI tract forming Urea
Nephrotoxicity - Ototoxicity - NMB
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

8. What is a good cocktail for a steroid injection?
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
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

9. What is the lab shorthand for blood
Pseudomonas
Symptomatic and when the colony count is greater than 100 -000
WBC>HG/HCT<pH
Blood is digested in the GI tract forming Urea

10. What is the glucose to A1C conversion estimates
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
CMP - CBC - Chest Xray - EKG - Sed Rate
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Prostate protective (finnish study)

11. What large group of people is blood thinners contra-indicated
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Topamax (Topiramate)
Imitrex (Naratriptin) Amerge (Sumatriptin)
All patients with a fall hazard potential.

12. Name the aminoglycosides
WBC>HG/HCT<pH
Great than 500
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Methimazole - PropylThioUracil - Tapazole

13. What additional benefit my statins serve to the male population
Prostate protective (finnish study)
Inflammation of the eye follicles
Blood is digested in the GI tract forming Urea
Block serotonin and nor epinephrine

14. prevention of migraines
Topamax (Topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
BNP of 100

15. What are the key drugs excreted by the kidneys
NSAIDs (add others here)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
BNP of 100
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

16. What are the adverse affects of tetracyclines
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Block serotonin and nor epinephrine
Imipenem (Primaxin) Meropenem (merrem)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

17. What organisms can be treated by 3rd generation cephalosporins
Topical against gram +
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
MRSA and Severe infections. IV Only

18. Name the intermediate acting benzo's (10-20 hours)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
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
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Neurontin (Gabipentin) Lyrica (Pregabalin)

19. Name the macrolides
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Amoxicillin Ampicillin
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

20. What is the antibiotic spectrum of tetracycline
Block serotonin and nor epinephrine
Prostate protective (finnish study)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Blood is digested in the GI tract forming Urea

21. What are the bugs associated with community acquired pneumonia
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Blood is digested in the GI tract forming Urea
1. Strep Pneumo 2. Mycoplasma
Methimazole - PropylThioUracil - Tapazole

22. What are treatment options for menopause
1. soy products 2. SSRI
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

23. Can Amiodarone lead to a complete loss of thyroid function
Imitrex (Naratriptin) Amerge (Sumatriptin)
Oh yea
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
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

24. Name the extended spectrum penicillins
Atrial septal Appendage
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Amoxicillin Ampicillin
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

25. What are the toxicity associated with aminoglycosides
Nephrotoxicity - Ototoxicity - NMB
Inflammation of the eye follicles
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Oh yea

26. Name the SSRI's
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

27. What is the Common bacteria associated with hospital acquired pneumonia
Clavulonic acid Sulbactam Tazobactam
Pseudomonas
Topamax (Topiramate)
Exalga (Hydromorphone)

28. Scoring system of AFIB
Prostate protective (finnish study)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Oh yea

29. What labs are needed when admitting a new patient
1. Flouroquine 2. Zosyn 3. Vancomycin
Imipenem (Primaxin) Meropenem (merrem)
CMP - CBC - Chest Xray - EKG - Sed Rate
Trazodone (desyrel) Buproprion (wellbutrin)

30. What is the bruce protocol?
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
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
Pseudomonas
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

31. What is Beyes theorem
Block serotonin and nor epinephrine
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
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
PAT (Paroxysmal Atrial Tachycardia)

32. When should you use bacitracin
Topical against gram +
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Prostate protective (finnish study)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

33. What are the major causes of microhematuria
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Imitrex (Naratriptin) Amerge (Sumatriptin)

34. What is azithromycin used for
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.
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Pseudomonas

35. What organisms with Carbapenems treat agains
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Piperacillin (zosyn)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

36. What is the mechanism of the 3rd generation heterolytic anti depressants
CMP - CBC - Chest Xray - EKG - Sed Rate
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Block serotonin and nor epinephrine

37. Name the 4th generation cephalosporin
Symptomatic and when the colony count is greater than 100 -000
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Cefepine (maxipine) - IV Only
Great than 500

38. How to treat depression
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Celexa (Citalopram)
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Trazodone (desyrel) Buproprion (wellbutrin)

39. How does testosterone correlate to CAD
WBC>HG/HCT<pH
1. Ultrasound 2. Hidascan 3. Endoscopy
Low testosterone may increase risk
NSAIDs (add others here)

40. Name the 3rd generation cephalosporin
Topical against gram +
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Zoloft (Sertraline) or Xanax (Alprazolam)
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO

41. Name the first generation cephalosporins
Piperacillin (zosyn)
Methimazole - PropylThioUracil - Tapazole
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

42. How are all carbapenems administered
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
All patients with a fall hazard potential.
WBC>HG/HCT<pH
IV only

43. How to treat anxiety
Symptomatic and when the colony count is greater than 100 -000
Topical against gram +
Blood is digested in the GI tract forming Urea
Zoloft (Sertraline) or Xanax (Alprazolam)

44. Name the antipseudomonal penicillins
Piperacillin (zosyn)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides

45. 1st gen cephalosporins treat what organisms
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Low testosterone may increase risk
Piperacillin (zosyn)

46. Treatment of Migraines
Imitrex (Naratriptin) Amerge (Sumatriptin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Symptomatic and when the colony count is greater than 100 -000
Pseudomonas

47. Name the tetracyclines
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Gemcitabine either alone or in combination with erlotinib

48. What is a good chemotherapy treatment option for pancreatic cancer
Gemcitabine either alone or in combination with erlotinib
Cefepine (maxipine) - IV Only
CMP - CBC - Chest Xray - EKG - Sed Rate
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

49. What are the averse effects of macrolides
Clavulonic acid Sulbactam Tazobactam
MRSA and Severe infections. IV Only
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

50. What may dig toxicity induce
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
PAT (Paroxysmal Atrial Tachycardia)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Methimazole - PropylThioUracil - Tapazole