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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. Name the SSRI's
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)

2. What are the toxicity associated with aminoglycosides
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Methimazole - PropylThioUracil - Tapazole
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Nephrotoxicity - Ototoxicity - NMB

3. prevention of migraines
Topamax (Topiramate)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
1. soy products 2. SSRI
Oh yea

4. What is the treatment options for reducing prostate size
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
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
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Zoloft (Sertraline) or Xanax (Alprazolam)

5. What are the bugs associated with community acquired pneumonia
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
Great than 500
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
1. Strep Pneumo 2. Mycoplasma

6. What is a good chemotherapy treatment option for pancreatic cancer
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Imipenem (Primaxin) Meropenem (merrem)
Gemcitabine either alone or in combination with erlotinib
Amoxicillin Ampicillin

7. Name the second generation cephalosporin
Symptomatic and when the colony count is greater than 100 -000
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Atrial septal Appendage

8. Treatment protocol for gall bladder issues
1. Ultrasound 2. Hidascan 3. Endoscopy
WBC>HG/HCT<pH
Prostate protective (finnish study)
Topamax (Topiramate)

9. Cycloserine is used against what?
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Mycobacterium Tuberculosis that are resistant to first line drugs.
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
Neurontin (Gabipentin) Lyrica (Pregabalin)

10. What is the Common bacteria associated with hospital acquired pneumonia
Pseudomonas
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
1. Flouroquine 2. Zosyn 3. Vancomycin
Methimazole - PropylThioUracil - Tapazole

11. What organisms with Carbapenems treat agains
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

12. Can an atypical antipsychotic be used for anxiety
Exalga (Hydromorphone)
Imitrex (Naratriptin) Amerge (Sumatriptin)
OH YEA; Seraquel (quetiapine)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

13. Where do the majority of blood clots in the heart form
1. Strep Pneumo 2. Mycoplasma
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Atrial septal Appendage
MRSA and Severe infections. IV Only

14. When should you use Vancomycin
MRSA and Severe infections. IV Only
Atrial septal Appendage
Clavulonic acid Sulbactam Tazobactam
CMP - CBC - Chest Xray - EKG - Sed Rate

15. What is the glucose to A1C conversion estimates
Mycobacterium Tuberculosis that are resistant to first line drugs.
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

16. What requires more energy: Diastole or Systole
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Methimazole - PropylThioUracil - Tapazole
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

17. When should you begin treating a UTI
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
WBC>HG/HCT<pH
IV only
Symptomatic and when the colony count is greater than 100 -000

18. Name the antipseudomonal penicillins
Piperacillin (zosyn)
Oh yea
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
1. Flouroquine 2. Zosyn 3. Vancomycin

19. Name the macrolides
Blood is digested in the GI tract forming Urea
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
IV only

20. Name the short acting benzo's (2-8 hours)
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
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

21. What is the treatment for HAP
1. Flouroquine 2. Zosyn 3. Vancomycin
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
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

22. Scoring system of AFIB
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)

23. Name the 3rd generation cephalosporin
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Prostate protective (finnish study)
Trazodone (desyrel) Buproprion (wellbutrin)
OH YEA; Seraquel (quetiapine)

24. Name the intermediate acting benzo's (10-20 hours)
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
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Symptomatic and when the colony count is greater than 100 -000

25. Name three examples of B-lactamase inhibitors
Great than 500
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Clavulonic acid Sulbactam Tazobactam
Oh yea

26. What is the therapeutic use for aminoglycosides
Topical against gram +
Nephrotoxicity - Ototoxicity - NMB
IV only
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES

27. Can Amiodarone lead to a complete loss of thyroid function
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
1. Strep Pneumo 2. Mycoplasma
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Oh yea

28. Treatment of Migraines
1. Strep Pneumo 2. Mycoplasma
Imitrex (Naratriptin) Amerge (Sumatriptin)
1. soy products 2. SSRI
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox

29. What is a good cocktail for a steroid injection?
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Topamax (Topiramate)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture

30. What labs are needed when admitting a new patient
NSAIDs (add others here)
CMP - CBC - Chest Xray - EKG - Sed Rate
Oh yea
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

31. What is the determination of a liver transplant
Gemcitabine either alone or in combination with erlotinib
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)
CMP - CBC - Chest Xray - EKG - Sed Rate

32. At what interval is the QT considered prolonged
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
NSAIDs (add others here)
Great than 500
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything

33. What are the 2nd generation heterolytic antidepressants
IV only
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
Trazodone (desyrel) Buproprion (wellbutrin)

34. How to treat chronic pain
Exalga (Hydromorphone)
1. soy products 2. SSRI
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
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

35. What are the clinical indications of aztreonam (azactam)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
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
Methimazole - PropylThioUracil - Tapazole

36. What organisms can be treated by 3rd generation cephalosporins
Celexa (Citalopram)
1. Flouroquine 2. Zosyn 3. Vancomycin
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Amoxicillin Ampicillin

37. How to treat depression
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Celexa (Citalopram)
Imipenem (Primaxin) Meropenem (merrem)

38. How are all carbapenems administered
IV only
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

39. What are the key drugs excreted by the kidneys
Gemcitabine either alone or in combination with erlotinib
Imitrex (Naratriptin) Amerge (Sumatriptin)
Nephrotoxicity - Ototoxicity - NMB
NSAIDs (add others here)

40. Name the 4th generation cephalosporin
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
Cefepine (maxipine) - IV Only

41. What is the treatment for CAP
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Exalga (Hydromorphone)
IV only
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

42. When should you use bacitracin
Low testosterone may increase risk
Oh yea
MRSA and Severe infections. IV Only
Topical against gram +

43. What is Beyes theorem
Celexa (Citalopram)
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
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV

44. 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.
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
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

45. What is the mechanism for using cranberry juice for a UTI
Cefepine (maxipine) - IV Only
1. Strep Pneumo 2. Mycoplasma
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
1. Ultrasound 2. Hidascan 3. Endoscopy

46. How do you treat hyponatremia in the elderly
1. Flouroquine 2. Zosyn 3. Vancomycin
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose

47. Treatment options for hyperthyroidism
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Great than 500
Methimazole - PropylThioUracil - Tapazole
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

48. What are the adverse affects of tetracyclines
Amoxicillin Ampicillin
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV

49. Name the extended spectrum penicillins
Methimazole - PropylThioUracil - Tapazole
NSAIDs (add others here)
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
Amoxicillin Ampicillin

50. What large group of people is blood thinners contra-indicated
Trazodone (desyrel) Buproprion (wellbutrin)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
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