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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. Name the fibric acids
Zofran (Ondansetron) Reglam (metoclopromide)
Dannitol (Phenobarbital +Atropine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate

2. Name the statins
2-8 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

3. What can be used to treat ADHD
1.5
Cholestyramine Colestipol Colesevalam
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)

4. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

5. What is the duration of short acting benzo's
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval

6. What can be used for cough suppression
Tessalon (benzonate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam
SSRI's

7. What is the duration action of intermediate acting benzo's
10-20 hours
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
STOP THE METFORMIN

8. What class of drugs will lower LDL the most
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
1. Birth 2. 1-2 months 3. 6-18 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

9. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

10. What can be used to improve memory
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. What is the max creatinine clearance level for metformin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Statins (18-55% reduction)
Block serotonin and Nor epinephrine
1.5

12. Name the long acting benzodiazepines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

13. What can be used for BPH
Flecanide. Not to be used with LV insufficiency
Vyvanse (lisdexamphetamine)
Proscar (finasteride)
2-8 hours

14. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV

15. High blood pressure
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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
Provigil (modafinil)
1. DTaP 2. PCV

16. IBS
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)

17. What can be used to increase WBC counts
Neurogen (Filgastim)
Provigil (modafinil)
Block serotonin and Nor epinephrine
Tetracycline Doxycycline Demeclocycline Minocycline

18. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine

19. What are the effects of nicotinic acid
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

20. What can be used to treat against C-difference in addition to parasites and other bacteria.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
Nomanda (memantine) Exelon (Rivastigmine)

21. What are the effects of fibric acids
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

22. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

23. What is an FDA approved prescription weight loss drug
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

24. What is Pradaxa
Gemofibrozil Fenofibrate Clofibrate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours

26. Name the tetracyclines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

27. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

28. What are the 6 month pediatric vaccines
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin

29. What are the ages for the Hib vaccine
Flagyl (Metronidazole)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
10-20 hours

30. What are the 2 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics

31. What can be used to relax muscles associated with tension head aches
Block serotonin and Nor epinephrine
10-20 hours
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)

32. What can be used for nausea
Statins (18-55% reduction)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
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

33. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

34. What are the effects of the bile acid sequestrants
Neurogen (Filgastim)
Dannitol (Phenobarbital +Atropine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)

35. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

36. Name the intermediate acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

37. Withdrawal symptoms
Nomanda (memantine) Exelon (Rivastigmine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

38. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
Statins (18-55% reduction)

39. When should the varicella virus vaccine be administered
1.5
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine

40. What is the first line treatment for depression

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41. Pediatric Hepatitis vaccinations should be given when?
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pregabalin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

42. What can be used to prevent coagulation
Provigil (modafinil)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)

43. How do you treat low magnesium and low potassium in the hospital setting
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Gemofibrozil Fenofibrate Clofibrate
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

44. What are anticoagulation treatment options
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

45. What is used to clean ears
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)
Provigil (modafinil)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

46. What are the 2nd generation heterocyclic Anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

47. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

48. Name the aminoglycoside
Debrox (carbamide peroxide)
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

49. Name the short acting benzodiazepines
Pregabalin
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tetracycline Doxycycline Demeclocycline Minocycline

50. What ages are the Hep B vaccine given
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Neurontin (gabapentin) Lyrica (Pregabalin)