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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. Pediatric Hepatitis vaccinations should be given when?
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin

2. Drug addiction and withdrawal
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
Statins (18-55% reduction)
Suboxone (Buprenorphine)

3. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

4. What are the 2nd generation heterocyclic Anti depressants
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)

5. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency

6. IBS
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)

7. What ages are the Rotavirus vaccine given
2 months 4 months
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
STOP THE METFORMIN

8. Name the aminoglycoside
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

9. What are the 3rd generation heterocyclic Anti depressants
Erythromycin Clarithromycin Azithromycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

10. Name the macrolides
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours

11. name the SSRI's
Erythromycin Clarithromycin Azithromycin
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

12. Withdrawal symptoms
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)

13. What is Pradaxa
1. DTaP 2. PCV
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurogen (Filgastim)
Neurontin (gabapentin) Lyrica (Pregabalin)

14. What is used to clean ears
Debrox (carbamide peroxide)
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

15. What is the duration of short acting benzo's
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours
1. 12-24 months 2. 6-18 months after initial dose

16. Problems with welchol and diabetes
Temazepam (Reston) Lorazepam (Ativan)
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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)

17. What are the 6 month pediatric vaccines
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV

18. What are some causes of pitting edema
Tricyclics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months

19. What are the effects of fibric acids
Trazodone (Desyrel) Buproprion (Wellbutrin)
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

20. What are the effects of nicotinic acid
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
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

21. Neuropathic Pain management
Tetracycline Doxycycline Demeclocycline Minocycline
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
Neurontin (gabapentin) Lyrica (Pregabalin)

22. Name the tetracyclines
1. DTaP 2. PCV
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 months 3. 6-18 months

24. What is the max creatinine clearance level for metformin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

25. When should the varicella virus vaccine be administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

26. What class of drugs will lower LDL the most
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Statins (18-55% reduction)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

27. What are some options for pain control
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tricyclics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

28. What can be used for nausea
Flecanide. Not to be used with LV insufficiency
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

29. What can be used to prevent coagulation
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-24 months 2. 6-18 months after initial dose

30. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

31. What is a severe side effect of metformin
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. 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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

32. What can be used to increase WBC counts
2 months 4 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)

33. name a central acting muscle relaxant
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)

34. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)

35. What drug can be used to cardiovert AF of short duration
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency

36. What are the first generation anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics
2 months 4 months

37. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
STOP THE METFORMIN
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)

38. What ages are the Hep B vaccine given
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

39. What can be used for BPH
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)

40. What can be used for cough suppression
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)

41. What is the benefit of Welchol
1. 2 months 2. 4 months 3. 12-15 months
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
1. 12-15 months 2. 4-6 years

42. Erythematous Nodosum
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

43. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 months 4 months
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose

44. What can be used to relax muscles associated with tension head aches
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. What is an FDA approved prescription weight loss drug
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics

46. Name the statins
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline
Cholestyramine Colestipol Colesevalam

47. What are the 4 month pediatric vaccines
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

48. Name the fibric acids
10-20 hours
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

49. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)

50. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Debrox (carbamide peroxide)
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval