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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. 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
Atrial septal Appendage
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Great than 500

2. What is a good chemotherapy treatment option for pancreatic cancer
Imipenem (Primaxin) Meropenem (merrem)
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Gemcitabine either alone or in combination with erlotinib
1. soy products 2. SSRI

3. What are the bugs associated with community acquired pneumonia
MRSA and Severe infections. IV Only
1. Strep Pneumo 2. Mycoplasma
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.

4. Name the 3rd generation heterolytic anti depressants
WBC>HG/HCT<pH
Atrial septal Appendage
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)

5. Name the 4th generation cephalosporin
Neurontin (Gabipentin) Lyrica (Pregabalin)
Cefepine (maxipine) - IV Only
PAT (Paroxysmal Atrial Tachycardia)
Nephrotoxicity - Ototoxicity - NMB

6. Treatment for neuropathic pain
Pseudomonas
Neurontin (Gabipentin) Lyrica (Pregabalin)
Piperacillin (zosyn)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

7. What is the treatment for HAP
WBC>HG/HCT<pH
1. Flouroquine 2. Zosyn 3. Vancomycin
IV only
Imitrex (Naratriptin) Amerge (Sumatriptin)

8. What may dig toxicity induce
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
PAT (Paroxysmal Atrial Tachycardia)
Atrial septal Appendage
Neurontin (Gabipentin) Lyrica (Pregabalin)

9. What requires more energy: Diastole or Systole
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
All patients with a fall hazard potential.
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Block serotonin and nor epinephrine

10. 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
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Topical against gram +
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

11. prevention of migraines
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
BNP of 100
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Topamax (Topiramate)

12. What organisms can be treated by 3rd generation cephalosporins
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Celexa (Citalopram)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

13. What is the lab short hand for electrolytes
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Low testosterone may increase risk
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

14. What large group of people is blood thinners contra-indicated
All patients with a fall hazard potential.
Trazodone (desyrel) Buproprion (wellbutrin)
Blood is digested in the GI tract forming Urea
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides

15. What is the lab shorthand for blood
Imipenem (Primaxin) Meropenem (merrem)
WBC>HG/HCT<pH
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Piperacillin (zosyn)

16. How to treat anxiety
PAT (Paroxysmal Atrial Tachycardia)
Zoloft (Sertraline) or Xanax (Alprazolam)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Exalga (Hydromorphone)

17. Name the macrolides
1. Strep Pneumo 2. Mycoplasma
Trazodone (desyrel) Buproprion (wellbutrin)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Topical against gram +

18. Name the first generation cephalosporins
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Neurontin (Gabipentin) Lyrica (Pregabalin)
PAT (Paroxysmal Atrial Tachycardia)
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

19. Blepharitis
Inflammation of the eye follicles
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
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. What is natural penicillin used to treat
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
1. soy products 2. SSRI
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

21. 1st gen cephalosporins treat what organisms
Mycobacterium Tuberculosis that are resistant to first line drugs.
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
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

22. What is the cutoff value for determination of COPD vs CHF?
BNP of 100
Exalga (Hydromorphone)
Prostate protective (finnish study)
Low testosterone may increase risk

23. Treatment of Migraines
Topamax (Topiramate)
Pseudomonas
1. Strep Pneumo 2. Mycoplasma
Imitrex (Naratriptin) Amerge (Sumatriptin)

24. Scoring system of AFIB
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
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
1. Strep Pneumo 2. Mycoplasma

25. What is Beyes theorem
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Celexa (Citalopram)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything

26. What is the clinical Use of clindamycin
Neurontin (Gabipentin) Lyrica (Pregabalin)
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Blood is digested in the GI tract forming Urea

27. What is the mechanism for using cranberry juice for a UTI
Celexa (Citalopram)
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
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
Prostate protective (finnish study)

28. When should you use bacitracin
Topical against gram +
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Zoloft (Sertraline) or Xanax (Alprazolam)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

29. Cycloserine is used against what?
NSAIDs (add others here)
Oh yea
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Mycobacterium Tuberculosis that are resistant to first line drugs.

30. When should you begin treating a UTI
Symptomatic and when the colony count is greater than 100 -000
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Block serotonin and nor epinephrine
Prostate protective (finnish study)

31. How are all carbapenems administered
IV only
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Symptomatic and when the colony count is greater than 100 -000
Blood is digested in the GI tract forming Urea

32. What labs are needed when admitting a new patient
Great than 500
CMP - CBC - Chest Xray - EKG - Sed Rate
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
Clavulonic acid Sulbactam Tazobactam

33. What are the averse effects of macrolides
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Zoloft (Sertraline) or Xanax (Alprazolam)

34. Name the intermediate acting benzo's (10-20 hours)
Topical against gram +
Nephrotoxicity - Ototoxicity - NMB
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

35. What is the therapeutic use for aminoglycosides
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
1. Flouroquine 2. Zosyn 3. Vancomycin
Mycobacterium Tuberculosis that are resistant to first line drugs.
All patients with a fall hazard potential.

36. Can an atypical antipsychotic be used for anxiety
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
OH YEA; Seraquel (quetiapine)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

37. What is the antibiotic spectrum of tetracycline
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Mycobacterium Tuberculosis that are resistant to first line drugs.
Exalga (Hydromorphone)

38. Name the extended spectrum penicillins
Cefepine (maxipine) - IV Only
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
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
Amoxicillin Ampicillin

39. Name the carbapenems
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Exalga (Hydromorphone)
Methimazole - PropylThioUracil - Tapazole
Imipenem (Primaxin) Meropenem (merrem)

40. Name the long acting benzo's (1-3 days)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Piperacillin (zosyn)

41. What are the 2nd generation heterolytic antidepressants
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
CMP - CBC - Chest Xray - EKG - Sed Rate
Great than 500
Trazodone (desyrel) Buproprion (wellbutrin)

42. What are the adverse affects of tetracyclines
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox

43. How does testosterone correlate to CAD
Nephrotoxicity - Ototoxicity - NMB
Piperacillin (zosyn)
Low testosterone may increase risk
NSAIDs (add others here)

44. What is the mechanism of the 3rd generation heterolytic anti depressants
IV only
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
Block serotonin and nor epinephrine
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

45. Where do the majority of blood clots in the heart form
Topamax (Topiramate)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Atrial septal Appendage
Celexa (Citalopram)

46. What is the bruce protocol?
MRSA and Severe infections. IV Only
Imitrex (Naratriptin) Amerge (Sumatriptin)
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

47. Why is BUN elevated in GI bleeds
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Blood is digested in the GI tract forming Urea
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
OH YEA; Seraquel (quetiapine)

48. Name the short acting benzo's (2-8 hours)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
WBC>HG/HCT<pH
Cefepine (maxipine) - IV Only

49. What organisms can be treated by 2nd Generation cephalosporins
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

50. What are the toxicity associated with aminoglycosides
Nephrotoxicity - Ototoxicity - NMB
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Neurontin (Gabipentin) Lyrica (Pregabalin)