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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.
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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 drug is used to tx narcolepsy
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)
Suboxone (Buprenorphine)

2. What class of drugs will lower LDL the most
STOP THE METFORMIN
Pregabalin
Statins (18-55% reduction)
Nomanda (memantine) Exelon (Rivastigmine)

3. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam

4. When should the varicella virus vaccine be administered
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

5. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
STOP THE METFORMIN
Vistaril (hydroxyzine)
Cholestyramine Colestipol Colesevalam

6. How do you treat low magnesium and low potassium in the hospital setting
Zofran (Ondansetron) Reglam (metoclopromide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pregabalin

7. What are the first generation anti depressants
Tricyclics
Pregabalin
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

8. What can be used to increase WBC counts
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

9. What is the duration action of intermediate acting benzo's
10-20 hours
Flagyl (Metronidazole)
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

10. What are the 2nd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Block serotonin and Nor epinephrine

11. What can be used to improve memory
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years

12. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

13. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)

14. What can be used to relax muscles associated with tension head aches
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dolgic (Acetamenaphen + butabital)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

15. What is a severe side effect of metformin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. What are the 4 month pediatric vaccines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

17. What is the first line treatment for depression

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18. What are the 3rd generation heterocyclic Anti depressants
2-8 hours
Cholestyramine Colestipol Colesevalam
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)

19. What are the ages for the inactivated poliovirus
Pregabalin
Tricyclics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

20. name a central acting muscle relaxant
Provigil (modafinil)
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)

21. What ages are the Hep B vaccine given
Flecanide. Not to be used with LV insufficiency
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)

22. Problems with welchol and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

23. What are the effects of fibric acids
SSRI's
2-8 hours
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

24. name the SSRI's
Suboxone (Buprenorphine)
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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

25. What is Pradaxa
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

26. What ages the are the DTaP vaccine given
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

27. What drug can be used for cardioversion with structural heart disease
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

28. What is used to clean ears
10-20 hours
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
Debrox (carbamide peroxide)

29. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

30. What can be used to prevent coagulation
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

31. Name the tetracyclines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline
10-20 hours
Gemofibrozil Fenofibrate Clofibrate

32. What are anticoagulation treatment options
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)

33. IBS
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
Tessalon (benzonate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

34. Name the statins
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

35. What are the effects of the bile acid sequestrants
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

36. What are the effects of nicotinic acid
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

37. Drug addiction and withdrawal
Neurontin (gabapentin) Lyrica (Pregabalin)
Nomanda (memantine) Exelon (Rivastigmine)
2-8 hours
Suboxone (Buprenorphine)

38. Name the aminoglycoside
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-24 months 2. 6-18 months after initial dose

39. Pediatric Hepatitis vaccinations should be given when?
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 12-15 months

40. What are the ages for the Hib vaccine
2-8 hours
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

41. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam
Temazepam (Reston) Lorazepam (Ativan)

42. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

43. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pregabalin

44. Name the bile acid sequestrants
Tessalon (benzonate)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
Cholestyramine Colestipol Colesevalam

45. High blood pressure
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2-8 hours
1. 12-15 months 2. 4-6 years

46. What are some causes of pitting edema
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

47. Withdrawal symptoms
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
STOP THE METFORMIN
Vistaril (hydroxyzine)

48. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

49. Name the long acting benzodiazepines
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

50. What can be used to treat against C-difference in addition to parasites and other bacteria.
Suboxone (Buprenorphine)
Statins (18-55% reduction)
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)