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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. name a central acting muscle relaxant
Zanaflex (tizanidine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)

2. Problems with welchol and diabetes
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

3. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. What are the effects of fibric acids
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

5. Name the statins
2 months 4 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

6. What are the ages for the inactivated poliovirus
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Proscar (finasteride)
Debrox (carbamide peroxide)

7. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Pregabalin
Dolgic (Acetamenaphen + butabital)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate

8. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Suboxone (Buprenorphine)

9. Name the macrolides
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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)

10. IBS
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Temazepam (Reston) Lorazepam (Ativan)

11. What is the benefit of Welchol
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

12. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

13. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

14. 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
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

15. What ages are the Rotavirus vaccine given
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months
Tessalon (benzonate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

16. What can be used to improve memory
1. Birth 2. 1-2 months 3. 6-18 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)

17. What is used to clean ears
10-20 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)

18. What is the max creatinine clearance level for metformin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

19. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

20. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)

21. What drug can be used for cardioversion with structural heart disease
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

22. Name the bile acid sequestrants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. What are the effects of the bile acid sequestrants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function

24. name the SSRI's
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

25. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
1. 12-24 months 2. 6-18 months after initial dose

26. What are the ages for the Hib vaccine
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 12-15 months
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

27. What is a severe side effect of metformin
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years

28. What can be used to relax muscles associated with tension head aches
10-20 hours
Dolgic (Acetamenaphen + butabital)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years

29. Name the long acting benzodiazepines
Tessalon (benzonate)
Cholestyramine Colestipol Colesevalam
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

30. What are the 3rd generation heterocyclic Anti depressants
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

31. Treatment for pre-diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)

32. What are the 6 month pediatric vaccines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

33. What can be used for nausea
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency

34. Drug addiction and withdrawal
2-8 hours
Proscar (finasteride)
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

35. What can be used for cough suppression
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)

36. What are anticoagulation treatment options
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam

37. What can be used to treat ADHD
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)
10-20 hours

38. What ages the are the DTaP vaccine given
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours

39. Withdrawal symptoms
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

40. What can be used to prevent coagulation
Cholestyramine Colestipol Colesevalam
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 months 4 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

42. What are the ages for the pneumococcal vaccine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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
Block serotonin and Nor epinephrine

43. What are the 2nd generation heterocyclic Anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam
Trazodone (Desyrel) Buproprion (Wellbutrin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

44. 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
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

45. What are the ages that the measles mumps and rubella vaccine administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Nomanda (memantine) Exelon (Rivastigmine)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years

46. Pediatric Hepatitis vaccinations should be given when?
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-24 months 2. 6-18 months after initial dose

47. What is the first line treatment for depression

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48. Name the aminoglycoside
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)

49. What drug is used to tx narcolepsy
Statins (18-55% reduction)
Vistaril (hydroxyzine)
Provigil (modafinil)
Flagyl (Metronidazole)

50. What is the effect of the statins
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
SSRI's