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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 drug is used to tx narcolepsy
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)

2. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)
Flecanide. Not to be used with LV insufficiency

3. When should the HEP A vaccine be administered
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

4. What can be used for nausea
Tricyclics
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

5. What can be used to improve memory
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)

6. What are the effects of fibric acids
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

7. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tricyclics
1. Birth 2. 1-2 months 3. 6-18 months

8. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. What's the difference between CMP and BMP
Proscar (finasteride)
Debrox (carbamide peroxide)
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

10. Name the fibric acids
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

11. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

12. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate

13. What is the benefit of Welchol
Erythromycin Clarithromycin Azithromycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

14. What can be used to increase WBC counts
Tetracycline Doxycycline Demeclocycline Minocycline
Neurogen (Filgastim)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam

15. What are anticoagulation treatment options
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. What ages are the Rotavirus vaccine given
Pregabalin
Gemofibrozil Fenofibrate Clofibrate
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

17. Name the intermediate acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

18. What can be used for BPH
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tricyclics
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)

19. What drug can be used for cardioversion with structural heart disease
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Pregabalin

20. Name the tetracyclines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

21. What class of drugs will lower LDL the most
Statins (18-55% reduction)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flecanide. Not to be used with LV insufficiency
Neurogen (Filgastim)

22. Name the short acting benzodiazepines
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

23. Name the long acting benzodiazepines
Block serotonin and Nor epinephrine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

24. Withdrawal symptoms
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

25. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pregabalin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)

26. What are the ages that the measles mumps and rubella vaccine administered
2 months 4 months
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam

27. What are the first generation anti depressants
1.5
10-20 hours
Tricyclics
Neurogen (Filgastim)

28. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 months 3. 6-18 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

29. What are the effects of nicotinic acid
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurogen (Filgastim)

30. What ages the are the DTaP vaccine given
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

31. name a central acting muscle relaxant
Nomanda (memantine) Exelon (Rivastigmine)
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

32. What can be used to treat ADHD
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)

33. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 12-15 months
Pregabalin

34. Pediatric Hepatitis vaccinations should be given when?
Suboxone (Buprenorphine)
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

35. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. Neuropathic Pain management
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

38. What is the effect of the statins
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

39. What are some options for pain control
1. 12-15 months 2. 4-6 years
SSRI's
Vyvanse (lisdexamphetamine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

40. What are some causes of pitting edema
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

41. How do you treat low magnesium and low potassium in the hospital setting
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

42. name the SSRI's
Debrox (carbamide peroxide)
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.
2 months 4 months

43. What is a severe side effect of metformin
1.5
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

44. Name the macrolides
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours

45. What is the duration action of intermediate acting benzo's
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
10-20 hours
2-8 hours

46. What are the 2nd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Trazodone (Desyrel) Buproprion (Wellbutrin)

47. IBS
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN

48. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
10-20 hours
Vyvanse (lisdexamphetamine)
Zanaflex (tizanidine)

49. What is used to clean ears
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)

50. What can be used for cough suppression
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)
Tessalon (benzonate)