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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 class of drugs will lower LDL the most
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Statins (18-55% reduction)
2-8 hours

2. What are the effects of the bile acid sequestrants
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

3. What can be used to improve memory
Suboxone (Buprenorphine)
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Nomanda (memantine) Exelon (Rivastigmine)

4. 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
Zanaflex (tizanidine)
Tessalon (benzonate)
Dannitol (Phenobarbital +Atropine)

5. What ages the are the DTaP vaccine given
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. What is an FDA approved prescription weight loss drug
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

7. What's the difference between CMP and BMP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline

8. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

9. What is the first line treatment for depression

10. What can be used to treat ADHD
Provigil (modafinil)
1. 2 months 2. 4 months 3. 12-15 months
Vyvanse (lisdexamphetamine)
10-20 hours

11. IBS
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

12. What are the effects of nicotinic acid
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

13. What can be used to prevent coagulation
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)
Zofran (Ondansetron) Reglam (metoclopromide)

14. What can be used for cough suppression
STOP THE METFORMIN
Tessalon (benzonate)
Suboxone (Buprenorphine)
2 months 4 months

15. Treatment for pre-diabetes
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

16. When should the HEP A vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours

17. What are the 4 month pediatric vaccines
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

18. How do you treat low magnesium and low potassium in the hospital setting
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

19. What is the max creatinine clearance level for metformin
1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
1. DTaP 2. PCV
Ibutilide (IV Only). It prolongs repolarization and the QT interval

20. What is the duration of short acting benzo's
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Nomanda (memantine) Exelon (Rivastigmine)
2-8 hours

21. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

22. Name the short acting benzodiazepines
Zanaflex (tizanidine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. What is used to clean ears
Vyvanse (lisdexamphetamine)
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)

24. What are anticoagulation treatment options
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

25. High blood pressure
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

26. What can be used to increase WBC counts
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)

27. What are the ages for the pneumococcal vaccine
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

28. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Tetracycline Doxycycline Demeclocycline Minocycline

29. Withdrawal symptoms
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)

30. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months

31. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
Debrox (carbamide peroxide)

32. Name the long acting benzodiazepines
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

33. What is the benefit of Welchol
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurontin (gabapentin) Lyrica (Pregabalin)

34. Name the macrolides
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)

35. What ages are the Rotavirus vaccine given
2 months 4 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

36. Name the intermediate acting benzodiazepines
Trazodone (Desyrel) Buproprion (Wellbutrin)
Temazepam (Reston) Lorazepam (Ativan)
2 months 4 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

37. Name the aminoglycoside
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dannitol (Phenobarbital +Atropine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

38. What drug can be used for cardioversion with structural heart disease
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval

39. What is Pradaxa
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

40. Erythematous Nodosum
Flagyl (Metronidazole)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

41. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

42. What are the first generation anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline

43. What can be used for BPH
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
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)

44. What are the 2nd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. DTaP 2. PCV
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

45. What is a severe side effect of metformin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

46. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

47. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Suboxone (Buprenorphine)
Cholestyramine Colestipol Colesevalam

48. What drug is used to tx narcolepsy
Statins (18-55% reduction)
Provigil (modafinil)
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

49. What can be used to treat against C-difference in addition to parasites and other bacteria.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zofran (Ondansetron) Reglam (metoclopromide)
Tessalon (benzonate)
Flagyl (Metronidazole)

50. name the SSRI's
Cholestyramine Colestipol Colesevalam
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2 months 4 months