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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 is the max creatinine clearance level for metformin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

2. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5

3. What are the 6 month pediatric vaccines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

4. What needs to be considered when treating a patient long term with lasics
Debrox (carbamide peroxide)
Tessalon (benzonate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years

6. Name the fibric acids
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)
Tricyclics

7. name the SSRI's
Dolgic (Acetamenaphen + butabital)
Statins (18-55% reduction)
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)

8. What can be used to treat ADHD
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Proscar (finasteride)
SSRI's
Vyvanse (lisdexamphetamine)

9. 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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)

10. What is the duration action of intermediate acting benzo's
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
10-20 hours

11. When should the varicella virus vaccine be administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

12. What are the ages for the Hib vaccine
Zofran (Ondansetron) Reglam (metoclopromide)
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months

13. What are the effects of fibric acids
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)

14. Name the bile acid sequestrants
Dannitol (Phenobarbital +Atropine)
Cholestyramine Colestipol Colesevalam
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months

15. Withdrawal symptoms
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2 months 4 months

16. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
SSRI's
Flagyl (Metronidazole)
Cholestyramine Colestipol Colesevalam

17. What drug can be used for cardioversion with structural heart disease
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flecanide. Not to be used with LV insufficiency

18. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

19. What can be used for BPH
2-8 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Proscar (finasteride)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

20. Name the intermediate acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Temazepam (Reston) Lorazepam (Ativan)
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

21. What ages the are the DTaP vaccine given
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

22. Treatment for pre-diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zanaflex (tizanidine)
Flagyl (Metronidazole)

23. What can be used to treat against C-difference in addition to parasites and other bacteria.
Debrox (carbamide peroxide)
Tessalon (benzonate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flagyl (Metronidazole)

24. Neuropathic Pain management
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
Neurontin (gabapentin) Lyrica (Pregabalin)
2 months 4 months

25. What is a severe side effect of metformin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

26. What can be used for cough suppression
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)

27. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

28. What ages are the Hep B vaccine given
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months

29. What is the duration of short acting benzo's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2-8 hours

30. name a central acting muscle relaxant
Flagyl (Metronidazole)
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

31. Drug addiction and withdrawal
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Suboxone (Buprenorphine)
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

32. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
10-20 hours
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

33. What is used to clean ears
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

34. What are the ages for the inactivated poliovirus
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)

35. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

36. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Tricyclics
Provigil (modafinil)
SSRI's

37. What is an FDA approved prescription weight loss drug
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)

38. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Provigil (modafinil)
Pregabalin
1. 12-15 months 2. 4-6 years

39. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics

40. What is the first line treatment for depression

41. What class of drugs will lower LDL the most
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Statins (18-55% reduction)
Flagyl (Metronidazole)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

42. What are some options for pain control
Proscar (finasteride)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

43. What ages are the Rotavirus vaccine given
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zanaflex (tizanidine)

44. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

45. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

46. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)

47. 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
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline

48. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

49. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pregabalin

50. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Suboxone (Buprenorphine)