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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. Why is BUN elevated in GI bleeds
Cefepine (maxipine) - IV Only
1. Ultrasound 2. Hidascan 3. Endoscopy
BNP of 100
Blood is digested in the GI tract forming Urea

2. When should you use bacitracin
Gemcitabine either alone or in combination with erlotinib
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
All patients with a fall hazard potential.
Topical against gram +

3. Name the SSRI's
Nephrotoxicity - Ototoxicity - NMB
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

4. What are the averse effects of macrolides
1. Flouroquine 2. Zosyn 3. Vancomycin
CMP - CBC - Chest Xray - EKG - Sed Rate
Great than 500
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

5. What is the treatment for CAP
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Trazodone (desyrel) Buproprion (wellbutrin)
Prostate protective (finnish study)

6. What is the treatment for HAP
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Cefepine (maxipine) - IV Only
1. Flouroquine 2. Zosyn 3. Vancomycin
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox

7. Name the long acting benzo's (1-3 days)
Methimazole - PropylThioUracil - Tapazole
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Symptomatic and when the colony count is greater than 100 -000
Zoloft (Sertraline) or Xanax (Alprazolam)

8. What may dig toxicity induce
PAT (Paroxysmal Atrial Tachycardia)
1. soy products 2. SSRI
Methimazole - PropylThioUracil - Tapazole
1. Strep Pneumo 2. Mycoplasma

9. Name the tetracyclines
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
WBC>HG/HCT<pH
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43

10. What is azithromycin used for
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
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

11. Can an atypical antipsychotic be used for anxiety
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
PAT (Paroxysmal Atrial Tachycardia)
BNP of 100

12. Scoring system of AFIB
PAT (Paroxysmal Atrial Tachycardia)
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Pseudomonas

13. Name the 4th generation cephalosporin
Prostate protective (finnish study)
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Cefepine (maxipine) - IV Only
Low testosterone may increase risk

14. What is the bruce protocol?
PAT (Paroxysmal Atrial Tachycardia)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
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
WBC>HG/HCT<pH

15. What is the treatment options for reducing prostate size
Symptomatic and when the colony count is greater than 100 -000
OH YEA; Seraquel (quetiapine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

16. What is Beyes theorem
All patients with a fall hazard potential.
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Clavulonic acid Sulbactam Tazobactam

17. prevention of migraines
Topamax (Topiramate)
Symptomatic and when the colony count is greater than 100 -000
Exalga (Hydromorphone)
Clavulonic acid Sulbactam Tazobactam

18. What are the 2nd generation heterolytic antidepressants
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Trazodone (desyrel) Buproprion (wellbutrin)
Mycobacterium Tuberculosis that are resistant to first line drugs.

19. What is the lab shorthand for blood
Cefepine (maxipine) - IV Only
NSAIDs (add others here)
Gemcitabine either alone or in combination with erlotinib
WBC>HG/HCT<pH

20. Name the macrolides
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Neurontin (Gabipentin) Lyrica (Pregabalin)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

21. How to treat anxiety
Zoloft (Sertraline) or Xanax (Alprazolam)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Gemcitabine either alone or in combination with erlotinib
Topical against gram +

22. At what interval is the QT considered prolonged
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Great than 500

23. What additional benefit my statins serve to the male population
Piperacillin (zosyn)
1. soy products 2. SSRI
Atrial septal Appendage
Prostate protective (finnish study)

24. Name the 3rd generation heterolytic anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Nephrotoxicity - Ototoxicity - NMB
All patients with a fall hazard potential.
Amoxicillin Ampicillin

25. What labs are needed when admitting a new patient
Mycobacterium Tuberculosis that are resistant to first line drugs.
Celexa (Citalopram)
CMP - CBC - Chest Xray - EKG - Sed Rate
1. Ultrasound 2. Hidascan 3. Endoscopy

26. What large group of people is blood thinners contra-indicated
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
All patients with a fall hazard potential.

27. Name the extended spectrum penicillins
Amoxicillin Ampicillin
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
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
Celexa (Citalopram)

28. Name three examples of B-lactamase inhibitors
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
BNP of 100
Clavulonic acid Sulbactam Tazobactam

29. Name the first generation cephalosporins
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Methimazole - PropylThioUracil - Tapazole
Topamax (Topiramate)
Amoxicillin Ampicillin

30. How do you treat hyponatremia in the elderly
Blood is digested in the GI tract forming Urea
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
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)

31. Name the aminoglycosides
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Pseudomonas
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)

32. How to treat depression
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Celexa (Citalopram)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

33. What is the lab short hand for electrolytes
1. soy products 2. SSRI
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)

34. What organisms can be treated by 2nd Generation cephalosporins
Exalga (Hydromorphone)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Oh yea
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

35. What are the bugs associated with community acquired pneumonia
Trazodone (desyrel) Buproprion (wellbutrin)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
1. Strep Pneumo 2. Mycoplasma
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO

36. What is the antibiotic spectrum of tetracycline
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
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

37. What are the toxicity associated with aminoglycosides
Nephrotoxicity - Ototoxicity - NMB
Blood is digested in the GI tract forming Urea
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Inflammation of the eye follicles

38. 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
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
CMP - CBC - Chest Xray - EKG - Sed Rate
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

39. What are the clinical indications of aztreonam (azactam)
Symptomatic and when the colony count is greater than 100 -000
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
WBC>HG/HCT<pH

40. What is a good chemotherapy treatment option for pancreatic cancer
Neurontin (Gabipentin) Lyrica (Pregabalin)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Zoloft (Sertraline) or Xanax (Alprazolam)
Gemcitabine either alone or in combination with erlotinib

41. Treatment for neuropathic pain
Neurontin (Gabipentin) Lyrica (Pregabalin)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Prostate protective (finnish study)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

42. What is the Common bacteria associated with hospital acquired pneumonia
Prostate protective (finnish study)
Pseudomonas
OH YEA; Seraquel (quetiapine)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

43. What is the determination of a liver transplant
CMP - CBC - Chest Xray - EKG - Sed Rate
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Cefepine (maxipine) - IV Only

44. What is the clinical Use of clindamycin
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
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. Flouroquine 2. Zosyn 3. Vancomycin

45. What is a good cocktail for a steroid injection?
PAT (Paroxysmal Atrial Tachycardia)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Block serotonin and nor epinephrine
All patients with a fall hazard potential.

46. 1st gen cephalosporins treat what organisms
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Oh yea

47. What organisms with Carbapenems treat agains
1. Flouroquine 2. Zosyn 3. Vancomycin
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
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

48. Cycloserine is used against what?
Inflammation of the eye follicles
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Symptomatic and when the colony count is greater than 100 -000
Mycobacterium Tuberculosis that are resistant to first line drugs.

49. What is the therapeutic use for aminoglycosides
Methimazole - PropylThioUracil - Tapazole
Great than 500
IV only
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES

50. What are the adverse affects of tetracyclines
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Imipenem (Primaxin) Meropenem (merrem)
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
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)