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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 additional benefit my statins serve to the male population
Prostate protective (finnish study)
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
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides

2. Why is BUN elevated in GI bleeds
Blood is digested in the GI tract forming Urea
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Mycobacterium Tuberculosis that are resistant to first line drugs.
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

3. How do you treat hyponatremia in the elderly
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
1. soy products 2. SSRI
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

4. Name the SSRI's
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
MRSA and Severe infections. IV Only
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

5. How to treat depression
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Celexa (Citalopram)
Zoloft (Sertraline) or Xanax (Alprazolam)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

6. What are the averse effects of macrolides
Imipenem (Primaxin) Meropenem (merrem)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Neurontin (Gabipentin) Lyrica (Pregabalin)

7. What is the glucose to A1C conversion estimates
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
Mycobacterium Tuberculosis that are resistant to first line drugs.
Prostate protective (finnish study)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

8. What are treatment options for menopause
Blood is digested in the GI tract forming Urea
Low testosterone may increase risk
1. soy products 2. SSRI
Methimazole - PropylThioUracil - Tapazole

9. What is the mechanism for using cranberry juice for a UTI
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)
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
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

10. Name the short acting benzo's (2-8 hours)
Clavulonic acid Sulbactam Tazobactam
Pseudomonas
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
1. Ultrasound 2. Hidascan 3. Endoscopy

11. What organisms can be treated by 2nd Generation cephalosporins
Neurontin (Gabipentin) Lyrica (Pregabalin)
Gemcitabine either alone or in combination with erlotinib
Exalga (Hydromorphone)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

12. When should you use Vancomycin
MRSA and Severe infections. IV Only
Methimazole - PropylThioUracil - Tapazole
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Great than 500

13. Name the tetracyclines
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
WBC>HG/HCT<pH
Atrial septal Appendage

14. What is a good chemotherapy treatment option for pancreatic cancer
Gemcitabine either alone or in combination with erlotinib
Block serotonin and nor epinephrine
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Piperacillin (zosyn)

15. 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
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Piperacillin (zosyn)
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)

16. What are the key drugs excreted by the kidneys
NSAIDs (add others here)
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Pseudomonas
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

17. Name the long acting benzo's (1-3 days)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
1. Strep Pneumo 2. Mycoplasma

18. What are the 2nd generation heterolytic antidepressants
MRSA and Severe infections. IV Only
Zoloft (Sertraline) or Xanax (Alprazolam)
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)

19. 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.
Clavulonic acid Sulbactam Tazobactam
Block serotonin and nor epinephrine
WBC>HG/HCT<pH

20. How are all carbapenems administered
Pseudomonas
IV only
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
1. Ultrasound 2. Hidascan 3. Endoscopy

21. What labs are needed when admitting a new patient
CMP - CBC - Chest Xray - EKG - Sed Rate
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

22. What is a good cocktail for a steroid injection?
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
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

23. How to treat anxiety
Zoloft (Sertraline) or Xanax (Alprazolam)
1. Strep Pneumo 2. Mycoplasma
Cefepine (maxipine) - IV Only
MRSA and Severe infections. IV Only

24. Name the 4th generation cephalosporin
Cefepine (maxipine) - IV Only
MRSA and Severe infections. IV Only
Low testosterone may increase risk
WBC>HG/HCT<pH

25. Can Amiodarone lead to a complete loss of thyroid function
Oh yea
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
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

26. Treatment for neuropathic pain
Trazodone (desyrel) Buproprion (wellbutrin)
Nephrotoxicity - Ototoxicity - NMB
Neurontin (Gabipentin) Lyrica (Pregabalin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

27. Name the antipseudomonal penicillins
1. soy products 2. SSRI
Piperacillin (zosyn)
Zoloft (Sertraline) or Xanax (Alprazolam)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

28. Scoring system of AFIB
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Amoxicillin Ampicillin
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
BNP of 100

29. At what interval is the QT considered prolonged
Imitrex (Naratriptin) Amerge (Sumatriptin)
Great than 500
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens

30. Treatment of Migraines
Great than 500
Imitrex (Naratriptin) Amerge (Sumatriptin)
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Low testosterone may increase risk

31. Where do the majority of blood clots in the heart form
Methimazole - PropylThioUracil - Tapazole
All patients with a fall hazard potential.
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Atrial septal Appendage

32. How does testosterone correlate to CAD
Mycobacterium Tuberculosis that are resistant to first line drugs.
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
Low testosterone may increase risk
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

33. Name the macrolides
IV only
Topical against gram +
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

34. Treatment protocol for gall bladder issues
Symptomatic and when the colony count is greater than 100 -000
1. Ultrasound 2. Hidascan 3. Endoscopy
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt

35. How to treat chronic pain
Block serotonin and nor epinephrine
NSAIDs (add others here)
Exalga (Hydromorphone)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

36. Treatment options for hyperthyroidism
Methimazole - PropylThioUracil - Tapazole
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Symptomatic and when the colony count is greater than 100 -000
Block serotonin and nor epinephrine

37. What is the treatment for CAP
Mycobacterium Tuberculosis that are resistant to first line drugs.
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

38. Name the carbapenems
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Imipenem (Primaxin) Meropenem (merrem)
Prostate protective (finnish study)
Low testosterone may increase risk

39. What is the cutoff value for determination of COPD vs CHF?
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
BNP of 100
Exalga (Hydromorphone)
Gemcitabine either alone or in combination with erlotinib

40. What is the lab short hand for electrolytes
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
Inflammation of the eye follicles
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
IV only

41. Cycloserine is used against what?
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
OH YEA; Seraquel (quetiapine)
Mycobacterium Tuberculosis that are resistant to first line drugs.
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

42. Name the second generation cephalosporin
Neurontin (Gabipentin) Lyrica (Pregabalin)
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.
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

43. What is the therapeutic use for aminoglycosides
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Amoxicillin Ampicillin

44. Name the 3rd generation heterolytic anti depressants
Celexa (Citalopram)
Inflammation of the eye follicles
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

45. What are the toxicity associated with aminoglycosides
Methimazole - PropylThioUracil - Tapazole
Nephrotoxicity - Ototoxicity - NMB
CMP - CBC - Chest Xray - EKG - Sed Rate
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

46. Name the intermediate acting benzo's (10-20 hours)
Amoxicillin Ampicillin
Gemcitabine either alone or in combination with erlotinib
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
All patients with a fall hazard potential.

47. Name three examples of B-lactamase inhibitors
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)
Clavulonic acid Sulbactam Tazobactam
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

48. What is the treatment options for reducing prostate size
1. Flouroquine 2. Zosyn 3. Vancomycin
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Topical against gram +
Nephrotoxicity - Ototoxicity - NMB

49. What is the clinical Use of clindamycin
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Piperacillin (zosyn)
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

50. Can an atypical antipsychotic be used for anxiety
OH YEA; Seraquel (quetiapine)
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
All patients with a fall hazard potential.
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