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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

Instructions:

Answer 50 questions in 15 minutes.
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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 effects of the bile acid sequestrants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

2. What can be used to increase WBC counts
Cholestyramine Colestipol Colesevalam
Neurogen (Filgastim)
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

3. Name the fibric acids
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

4. name the SSRI's
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

5. What is the first line treatment for depression

6. What can be used for cough suppression
1. 12-24 months 2. 6-18 months after initial dose
Tessalon (benzonate)
Neurogen (Filgastim)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

7. What are anticoagulation treatment options
Nomanda (memantine) Exelon (Rivastigmine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

8. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months

10. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

11. What is the duration action of intermediate acting benzo's
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
Gemofibrozil Fenofibrate Clofibrate
10-20 hours

12. What are the ages for the pneumococcal vaccine
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5

13. What is an FDA approved prescription weight loss drug
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

14. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

15. Treatment for pre-diabetes
Debrox (carbamide peroxide)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1.5

16. What is used to clean ears
Proscar (finasteride)
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Debrox (carbamide peroxide)

17. What are some causes of pitting edema
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dannitol (Phenobarbital +Atropine)

18. Drug addiction and withdrawal
1. Birth 2. 1-2 months 3. 6-18 months
Suboxone (Buprenorphine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

19. What's the difference between CMP and BMP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flecanide. Not to be used with LV insufficiency

20. When should the HEP A vaccine be administered
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)
1. 12-24 months 2. 6-18 months after initial dose

21. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pregabalin
Tessalon (benzonate)

22. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

23. IBS
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dannitol (Phenobarbital +Atropine)

24. What drug is used to tx narcolepsy
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tetracycline Doxycycline Demeclocycline Minocycline

25. What ages are the Rotavirus vaccine given
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 months 4 months
1. 12-24 months 2. 6-18 months after initial dose

26. What can be used to relax muscles associated with tension head aches
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. DTaP 2. PCV
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dolgic (Acetamenaphen + butabital)

27. Name the bile acid sequestrants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam
1.5

28. What are the 2nd generation heterocyclic Anti depressants
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate
Trazodone (Desyrel) Buproprion (Wellbutrin)

29. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

30. What ages are the Hep B vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months
Gemofibrozil Fenofibrate Clofibrate

31. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

32. What can be used to improve memory
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)
2 months 4 months

33. Name the tetracyclines
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

34. What are the 4 month pediatric vaccines
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

35. What can be used for BPH
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

36. name a central acting muscle relaxant
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

37. What are the 6 month pediatric vaccines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV
Proscar (finasteride)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

38. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Temazepam (Reston) Lorazepam (Ativan)
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
1.5

39. High blood pressure
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure

40. What drug can be used for cardioversion with structural heart disease
10-20 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours

41. Name the aminoglycoside
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dolgic (Acetamenaphen + butabital)

42. What is the benefit of Welchol
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

43. Withdrawal symptoms
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What are the effects of fibric acids
Suboxone (Buprenorphine)
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

45. What are the first generation anti depressants
SSRI's
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)
Tricyclics

46. What needs to be considered when treating a patient long term with lasics
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

47. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5

48. What are some options for pain control
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)

49. Name the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)

50. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tricyclics
Dannitol (Phenobarbital +Atropine)