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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 the 3rd generation heterocyclic Anti depressants
Flecanide. Not to be used with LV insufficiency
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)

2. What is the duration action of intermediate acting benzo's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
10-20 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

3. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency

4. How do you treat low magnesium and low potassium in the hospital setting
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Cholestyramine Colestipol Colesevalam

5. What can be used to prevent coagulation
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

6. Withdrawal symptoms
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)

7. What drug can be used to cardiovert AF of short duration
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam

8. What are the effects of fibric acids
Zanaflex (tizanidine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

10. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate

11. What can be used to relax muscles associated with tension head aches
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN

12. Erythematous Nodosum
2-8 hours
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

13. Problems with welchol and diabetes
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

14. When should the varicella virus vaccine be administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

15. What are anticoagulation treatment options
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-24 months 2. 6-18 months after initial dose

16. High blood pressure
1. 12-15 months 2. 4-6 years
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)
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

17. Name the long acting benzodiazepines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurogen (Filgastim)
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. name the SSRI's
Flagyl (Metronidazole)
Tessalon (benzonate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

19. What is the first line treatment for depression

20. When should the HEP A vaccine be administered
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

21. What ages are the Rotavirus vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 months 4 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

22. What are the 2 month pediatric vaccines
Statins (18-55% reduction)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

23. What can be used to increase WBC counts
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurogen (Filgastim)
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval

24. Name the fibric acids
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
1.5

25. What is a severe side effect of metformin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
SSRI's

26. What ages are the Hep B vaccine given
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 months 3. 6-18 months

27. What can be used for nausea
Temazepam (Reston) Lorazepam (Ativan)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zofran (Ondansetron) Reglam (metoclopromide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

28. What are the ages for the Hib vaccine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency
SSRI's

29. Name the aminoglycoside
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2 months 4 months

30. What can be used for cough suppression
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 12-15 months
Tessalon (benzonate)

31. Treatment for pre-diabetes
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zofran (Ondansetron) Reglam (metoclopromide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. What are some causes of pitting edema
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. What is Pradaxa
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. Name the short acting benzodiazepines
Neurontin (gabapentin) Lyrica (Pregabalin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

35. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)

36. What can be used for BPH
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Proscar (finasteride)

37. What is used to clean ears
Debrox (carbamide peroxide)
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
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

38. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)
Erythromycin Clarithromycin Azithromycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

39. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. DTaP 2. PCV
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

40. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours

41. What are the first generation anti depressants
Tricyclics
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

42. What can be used to treat ADHD
Temazepam (Reston) Lorazepam (Ativan)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
Statins (18-55% reduction)

43. Name the bile acid sequestrants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Cholestyramine Colestipol Colesevalam

44. Name the tetracyclines
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

45. What's the difference between CMP and BMP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

46. What class of drugs will lower LDL the most
Provigil (modafinil)
Tricyclics
Neurogen (Filgastim)
Statins (18-55% reduction)

47. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Vistaril (hydroxyzine)
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months
Pregabalin

48. What is the max creatinine clearance level for metformin
1. 12-15 months 2. 4-6 years
1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

49. What are the 2nd generation heterocyclic Anti depressants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin

50. What are the ages for the inactivated poliovirus
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Cholestyramine Colestipol Colesevalam