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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)
Dolgic (Acetamenaphen + butabital)

2. What is used to clean ears
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Debrox (carbamide peroxide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

3. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Statins (18-55% reduction)

4. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin
Cholestyramine Colestipol Colesevalam

5. What ages are the Rotavirus vaccine given
2 months 4 months
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Zanaflex (tizanidine)

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

7. What drug is used to tx narcolepsy
STOP THE METFORMIN
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
Provigil (modafinil)

8. What is Pradaxa
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. What is the duration action of intermediate acting benzo's
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

10. What is the effect of the statins
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
10-20 hours

11. name a central acting muscle relaxant
Zanaflex (tizanidine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours
Flecanide. Not to be used with LV insufficiency

12. What is the duration of short acting benzo's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Erythromycin Clarithromycin Azithromycin
2-8 hours

13. What are the 2 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

14. Pediatric Hepatitis vaccinations should be given when?
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

15. What drug can be used for cardioversion with structural heart disease
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tricyclics

16. When should the varicella virus vaccine be administered
Zanaflex (tizanidine)
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years

17. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)

18. Name the fibric acids
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate

19. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

20. What's the difference between CMP and BMP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

21. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

22. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 months 3. 6-18 months

23. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

24. What is the first line treatment for depression

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25. 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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

26. 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
Provigil (modafinil)
Tricyclics
Flagyl (Metronidazole)

27. Name the intermediate acting benzodiazepines
2 months 4 months
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)

28. What can be used for nausea
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

29. What are anticoagulation treatment options
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

30. What are the ages for the pneumococcal vaccine
1.5
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours

31. What are the 4 month pediatric vaccines
Dolgic (Acetamenaphen + butabital)
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. Withdrawal symptoms
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

33. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)
Suboxone (Buprenorphine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

34. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
Pregabalin

35. What are the effects of fibric acids
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)

36. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)
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
2-8 hours

37. What is the max creatinine clearance level for metformin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
Zanaflex (tizanidine)

38. What can be used to treat ADHD
Debrox (carbamide peroxide)
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)

39. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours
Neurontin (gabapentin) Lyrica (Pregabalin)

40. What drug can be used to cardiovert AF of short duration
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

41. Problems with welchol and diabetes
2-8 hours
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

42. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

43. What is a severe side effect of metformin
Cholestyramine Colestipol Colesevalam
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years

44. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
10-20 hours
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

45. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

46. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
SSRI's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

47. Name the statins
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

48. What are the effects of nicotinic acid
SSRI's
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

49. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

50. What can be used for BPH
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

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Family Medicine Treatment Options

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