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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 are the clinical indications of aztreonam (azactam)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)

2. Can an atypical antipsychotic be used for anxiety
Piperacillin (zosyn)
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
CMP - CBC - Chest Xray - EKG - Sed Rate
OH YEA; Seraquel (quetiapine)

3. What is the treatment for CAP
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

4. How to treat anxiety
Zoloft (Sertraline) or Xanax (Alprazolam)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

5. How to treat depression
Celexa (Citalopram)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Topical against gram +

6. What large group of people is blood thinners contra-indicated
All patients with a fall hazard potential.
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
Trazodone (desyrel) Buproprion (wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

7. What is azithromycin used for
Exalga (Hydromorphone)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
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

8. Name the SSRI's
Low testosterone may increase risk
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Symptomatic and when the colony count is greater than 100 -000
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

9. What organisms with Carbapenems treat agains
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Clavulonic acid Sulbactam Tazobactam
Gemcitabine either alone or in combination with erlotinib
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

10. Name the 3rd generation cephalosporin
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
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
CMP - CBC - Chest Xray - EKG - Sed Rate

11. What is the lab shorthand for blood
WBC>HG/HCT<pH
Imitrex (Naratriptin) Amerge (Sumatriptin)
Amoxicillin Ampicillin
Symptomatic and when the colony count is greater than 100 -000

12. Name the aminoglycosides
Pseudomonas
All patients with a fall hazard potential.
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

13. What is the glucose to A1C conversion estimates
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Mycobacterium Tuberculosis that are resistant to first line drugs.

14. Treatment of Migraines
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
Trazodone (desyrel) Buproprion (wellbutrin)
Imitrex (Naratriptin) Amerge (Sumatriptin)

15. How are all carbapenems administered
IV only
BNP of 100
Imitrex (Naratriptin) Amerge (Sumatriptin)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)

16. How to treat chronic pain
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Exalga (Hydromorphone)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

17. Name the macrolides
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Imipenem (Primaxin) Meropenem (merrem)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

18. What is a good cocktail for a steroid injection?
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
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
OH YEA; Seraquel (quetiapine)

19. What is the Common bacteria associated with hospital acquired pneumonia
Amoxicillin Ampicillin
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Pseudomonas
Gemcitabine either alone or in combination with erlotinib

20. Name the carbapenems
Symptomatic and when the colony count is greater than 100 -000
Imipenem (Primaxin) Meropenem (merrem)
Block serotonin and nor epinephrine
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

21. Name the first generation cephalosporins
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

22. Name the extended spectrum penicillins
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Clavulonic acid Sulbactam Tazobactam
Amoxicillin Ampicillin
Imipenem (Primaxin) Meropenem (merrem)

23. What are the toxicity associated with aminoglycosides
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Nephrotoxicity - Ototoxicity - NMB
MRSA and Severe infections. IV Only

24. Name the 4th generation cephalosporin
Cefepine (maxipine) - IV Only
Nephrotoxicity - Ototoxicity - NMB
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
NSAIDs (add others here)

25. What is the treatment options for reducing prostate size
Oh yea
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
CMP - CBC - Chest Xray - EKG - Sed Rate
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

26. What additional benefit my statins serve to the male population
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Prostate protective (finnish study)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

27. What is the bruce protocol?
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
Piperacillin (zosyn)
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)

28. What requires more energy: Diastole or Systole
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
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
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Inflammation of the eye follicles

29. What is the therapeutic use for aminoglycosides
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Prostate protective (finnish study)
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES

30. What is a good chemotherapy treatment option for pancreatic cancer
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
IV only
Piperacillin (zosyn)
Gemcitabine either alone or in combination with erlotinib

31. What is the mechanism of the 3rd generation heterolytic anti depressants
Pseudomonas
Trazodone (desyrel) Buproprion (wellbutrin)
Block serotonin and nor epinephrine
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

32. Why is BUN elevated in GI bleeds
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
IV only
Blood is digested in the GI tract forming Urea
BNP of 100

33. Name the tetracyclines
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Amoxicillin Ampicillin
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Oh yea

34. What is the clinical Use of clindamycin
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
1. soy products 2. SSRI
Topamax (Topiramate)
1. Flouroquine 2. Zosyn 3. Vancomycin

35. Name the long acting benzo's (1-3 days)
Great than 500
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

36. What are the key drugs excreted by the kidneys
NSAIDs (add others here)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Imitrex (Naratriptin) Amerge (Sumatriptin)
Celexa (Citalopram)

37. What labs are needed when admitting a new patient
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Neurontin (Gabipentin) Lyrica (Pregabalin)
Imitrex (Naratriptin) Amerge (Sumatriptin)
CMP - CBC - Chest Xray - EKG - Sed Rate

38. What is the treatment for HAP
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
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
1. Flouroquine 2. Zosyn 3. Vancomycin
BNP of 100

39. Cycloserine is used against what?
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Clavulonic acid Sulbactam Tazobactam
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Mycobacterium Tuberculosis that are resistant to first line drugs.

40. Treatment protocol for gall bladder issues
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
1. Ultrasound 2. Hidascan 3. Endoscopy
Methimazole - PropylThioUracil - Tapazole
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

41. Name the short acting benzo's (2-8 hours)
Exalga (Hydromorphone)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
IV only

42. Scoring system of AFIB
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Zoloft (Sertraline) or Xanax (Alprazolam)

43. What are the bugs associated with community acquired pneumonia
1. Strep Pneumo 2. Mycoplasma
Prostate protective (finnish study)
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Imipenem (Primaxin) Meropenem (merrem)

44. At what interval is the QT considered prolonged
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
Great than 500
1. Strep Pneumo 2. Mycoplasma
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

45. Treatment options for hyperthyroidism
Methimazole - PropylThioUracil - Tapazole
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
1. Ultrasound 2. Hidascan 3. Endoscopy
NSAIDs (add others here)

46. What are treatment options for menopause
1. soy products 2. SSRI
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
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
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

47. Name the 3rd generation heterolytic anti depressants
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
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
NSAIDs (add others here)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

48. prevention of migraines
Zoloft (Sertraline) or Xanax (Alprazolam)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Oh yea
Topamax (Topiramate)

49. What are the adverse affects of tetracyclines
Imipenem (Primaxin) Meropenem (merrem)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Piperacillin (zosyn)
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox

50. What is the lab short hand for electrolytes
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Mycobacterium Tuberculosis that are resistant to first line drugs.
Methimazole - PropylThioUracil - Tapazole