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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 a central acting muscle relaxant
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tessalon (benzonate)
Zanaflex (tizanidine)

2. IBS
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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)

3. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Tricyclics
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 12-15 months

4. Erythematous Nodosum
Proscar (finasteride)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. Name the long acting benzodiazepines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)

6. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

7. What can be used to relax muscles associated with tension head aches
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency
Nomanda (memantine) Exelon (Rivastigmine)

8. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

9. What is the effect of the statins
Cholestyramine Colestipol Colesevalam
SSRI's
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

10. What can be used for BPH
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose
Flecanide. Not to be used with LV insufficiency
Tessalon (benzonate)

11. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

12. What ages the are the DTaP vaccine given
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
10-20 hours
1. DTaP 2. PCV

13. What class of drugs will lower LDL the most
Tricyclics
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

14. What ages are the Rotavirus vaccine given
2 months 4 months
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Suboxone (Buprenorphine)

15. 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
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

16. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

17. What is the duration action of intermediate acting benzo's
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
1. 12-15 months 2. 4-6 years

18. What are the effects of the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

19. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pregabalin

20. What can be used to increase WBC counts
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)

21. What are the 6 month pediatric vaccines
Nomanda (memantine) Exelon (Rivastigmine)
1. DTaP 2. PCV
Block serotonin and Nor epinephrine
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

22. What ages are the Hep B vaccine given
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 months 3. 6-18 months

23. Drug addiction and withdrawal
1. 2 months 2. 4 months 3. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin

24. What is the duration of short acting benzo's
Pregabalin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours

25. Withdrawal symptoms
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)

26. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
Zanaflex (tizanidine)
Proscar (finasteride)

27. What can be used for nausea
Gemofibrozil Fenofibrate Clofibrate
1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Zofran (Ondansetron) Reglam (metoclopromide)

28. What can be used to prevent coagulation
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. When should the HEP A vaccine be administered
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose

30. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vistaril (hydroxyzine)

31. Pediatric Hepatitis vaccinations should be given when?
Block serotonin and Nor epinephrine
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Erythromycin Clarithromycin Azithromycin

32. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months

33. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Statins (18-55% reduction)
10-20 hours
STOP THE METFORMIN

34. What is the first line treatment for depression

35. What is Pradaxa
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What are the effects of fibric acids
Vyvanse (lisdexamphetamine)
Tricyclics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

38. What can be used to improve memory
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Nomanda (memantine) Exelon (Rivastigmine)
Tessalon (benzonate)
Debrox (carbamide peroxide)

39. Name the bile acid sequestrants
1. DTaP 2. PCV
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

40. Name the aminoglycoside
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

41. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
10-20 hours
Dolgic (Acetamenaphen + butabital)

42. High blood pressure
Tricyclics
Provigil (modafinil)
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
Neurontin (gabapentin) Lyrica (Pregabalin)

43. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years

44. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

45. What are the first generation anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)

46. Problems with welchol and diabetes
Flecanide. Not to be used with LV insufficiency
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
1. 12-15 months 2. 4-6 years

47. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. Name the macrolides
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
2-8 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

49. What is an FDA approved prescription weight loss drug
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)

50. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years