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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. Problems with welchol and diabetes
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
SSRI's
Dolgic (Acetamenaphen + butabital)

2. What needs to be considered when treating a patient long term with lasics
Block serotonin and Nor epinephrine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
2 months 4 months

3. What can be used for BPH
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

4. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate

5. When should the HEP A vaccine be administered
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months

6. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

7. What is used to clean ears
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
10-20 hours
Suboxone (Buprenorphine)

8. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)

9. What is the duration action of intermediate acting benzo's
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dolgic (Acetamenaphen + butabital)
10-20 hours

10. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Ibutilide (IV Only). It prolongs repolarization and the QT interval

11. What drug can be used for cardioversion with structural heart disease
Dolgic (Acetamenaphen + butabital)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dannitol (Phenobarbital +Atropine)

12. What are the 4 month pediatric vaccines
1.5
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
Tricyclics

13. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)

14. What is the duration of short acting benzo's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2-8 hours
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

15. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

16. What are the 2nd generation heterocyclic Anti depressants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)

17. What are the first generation anti depressants
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tricyclics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

18. Name the tetracyclines
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Trazodone (Desyrel) Buproprion (Wellbutrin)

19. name a central acting muscle relaxant
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)

20. Treatment for pre-diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zofran (Ondansetron) Reglam (metoclopromide)
Vyvanse (lisdexamphetamine)

21. IBS
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

22. What is the benefit of Welchol
Statins (18-55% reduction)
Nomanda (memantine) Exelon (Rivastigmine)
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Block serotonin and Nor epinephrine

24. What are the ages that the measles mumps and rubella vaccine administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

25. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

26. Name the intermediate acting benzodiazepines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Temazepam (Reston) Lorazepam (Ativan)
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

27. Name the macrolides
Erythromycin Clarithromycin Azithromycin
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
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flecanide. Not to be used with LV insufficiency

28. What class of drugs will lower LDL the most
SSRI's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years

29. name the SSRI's
1. 2 months 2. 4 months 3. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dolgic (Acetamenaphen + butabital)

30. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN
2-8 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

31. What are the 3rd generation heterocyclic Anti depressants
Cholestyramine Colestipol Colesevalam
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's
Suboxone (Buprenorphine)

32. What is the first line treatment for depression

33. High blood pressure
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
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
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

34. Withdrawal symptoms
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

35. What can be used to treat against C-difference in addition to parasites and other bacteria.
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
Flagyl (Metronidazole)

36. What is the max creatinine clearance level for metformin
Vistaril (hydroxyzine)
1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)

37. What is an FDA approved prescription weight loss drug
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

38. What is the effect of the statins
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
10-20 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

39. What drug is used to tx narcolepsy
Erythromycin Clarithromycin Azithromycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)

40. Name the statins
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin

41. What are the effects of fibric acids
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Provigil (modafinil)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. DTaP 2. PCV

42. Erythematous Nodosum
Provigil (modafinil)
Pregabalin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

43. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

44. What ages are the Rotavirus vaccine given
Suboxone (Buprenorphine)
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)

45. 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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)

46. Name the fibric acids
Tessalon (benzonate)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. What is Pradaxa
Neurogen (Filgastim)
2-8 hours
1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

48. Name the aminoglycoside
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pregabalin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

49. When should the varicella virus vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

50. What are the 6 month pediatric vaccines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)