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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 are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

2. Name the intermediate acting benzodiazepines
Neurogen (Filgastim)
2 months 4 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Temazepam (Reston) Lorazepam (Ativan)

3. 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)
Tricyclics
Proscar (finasteride)

4. What is the duration action of intermediate acting benzo's
Suboxone (Buprenorphine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
Tricyclics

5. What can be used for nausea
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
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. What are the 2nd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

7. What is the first line treatment for depression

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8. What are the effects of the bile acid sequestrants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1.5
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

9. What's the difference between CMP and BMP
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin

10. What is the effect of the statins
Temazepam (Reston) Lorazepam (Ativan)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

11. name a central acting muscle relaxant
Flagyl (Metronidazole)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Zanaflex (tizanidine)

12. What drug can be used for cardioversion with structural heart disease
Flecanide. Not to be used with LV insufficiency
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-24 months 2. 6-18 months after initial dose

13. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
Tessalon (benzonate)
1. 12-24 months 2. 6-18 months after initial dose

14. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months

15. What is a severe side effect of metformin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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
Flecanide. Not to be used with LV insufficiency

16. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

17. What can be used for cough suppression
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

18. Name the statins
Temazepam (Reston) Lorazepam (Ativan)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Statins (18-55% reduction)
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

19. Drug addiction and withdrawal
Suboxone (Buprenorphine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

20. Name the long acting benzodiazepines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

21. IBS
Dannitol (Phenobarbital +Atropine)
Neurogen (Filgastim)
SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

22. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

23. How do you treat low magnesium and low potassium in the hospital setting
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

24. What can be used to increase WBC counts
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)
Suboxone (Buprenorphine)

25. What drug is used to tx narcolepsy
Tricyclics
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

26. 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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
STOP THE METFORMIN
1. DTaP 2. PCV

27. What ages are the Rotavirus vaccine given
2 months 4 months
Block serotonin and Nor epinephrine
Tricyclics
2-8 hours

28. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
Proscar (finasteride)

29. What needs to be considered when treating a patient long term with lasics
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurogen (Filgastim)
Zanaflex (tizanidine)

30. What are the ages for the Hib vaccine
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

31. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Nomanda (memantine) Exelon (Rivastigmine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose

32. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 months 3. 6-18 months
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)

33. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)

34. What are the ages that the measles mumps and rubella vaccine administered
Statins (18-55% reduction)
2 months 4 months
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

35. What can be used to prevent coagulation
Statins (18-55% reduction)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vyvanse (lisdexamphetamine)
Neurogen (Filgastim)

36. Name the short acting benzodiazepines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. What are the effects of fibric acids
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin

38. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Proscar (finasteride)
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

39. What is the max creatinine clearance level for metformin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

40. What is an FDA approved prescription weight loss drug
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. What are the first generation anti depressants
2-8 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Erythromycin Clarithromycin Azithromycin
Tricyclics

42. What can be used for BPH
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)
Pregabalin
Proscar (finasteride)

43. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dannitol (Phenobarbital +Atropine)
2 months 4 months
Temazepam (Reston) Lorazepam (Ativan)

44. Name the aminoglycoside
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Suboxone (Buprenorphine)

45. What is Pradaxa
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. Withdrawal symptoms
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

47. What is the duration of short acting benzo's
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
2-8 hours
Neurogen (Filgastim)

48. What class of drugs will lower LDL the most
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Statins (18-55% reduction)
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

49. What are the 4 month pediatric vaccines
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
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. RV 2. DTaP 3. Hib 4. PCV 5. IP

50. Name the tetracyclines
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline