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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. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months
2-8 hours
Nomanda (memantine) Exelon (Rivastigmine)

2. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Block serotonin and Nor epinephrine

3. Name the aminoglycoside
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

4. What's the difference between CMP and BMP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function
SSRI's

5. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine

6. Name the macrolides
Erythromycin Clarithromycin Azithromycin
2 months 4 months
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

7. When should the varicella virus vaccine be administered
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years

8. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline

9. What is a severe side effect of metformin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours
Flecanide. Not to be used with LV insufficiency

10. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. DTaP 2. PCV

11. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Tricyclics
Vyvanse (lisdexamphetamine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pregabalin

12. What can be used for cough suppression
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)
Vyvanse (lisdexamphetamine)

13. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Suboxone (Buprenorphine)

14. What are the 2 month pediatric vaccines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Suboxone (Buprenorphine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

15. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours
Gemofibrozil Fenofibrate Clofibrate

16. What are some options for pain control
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
A CMP is a BMP (kidney - electrolytes) PLUS liver function

17. Name the bile acid sequestrants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam

18. Erythematous Nodosum
Neurontin (gabapentin) Lyrica (Pregabalin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
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.

19. IBS
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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
Dannitol (Phenobarbital +Atropine)

20. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

21. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline

22. What class of drugs will lower LDL the most
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours
1. DTaP 2. PCV
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

24. What needs to be considered when treating a patient long term with lasics
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
Zanaflex (tizanidine)
Cholestyramine Colestipol Colesevalam

25. name a central acting muscle relaxant
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
2 months 4 months
Block serotonin and Nor epinephrine

26. What is the benefit of Welchol
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
10-20 hours

27. What drug can be used to cardiovert AF of short duration
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
Flecanide. Not to be used with LV insufficiency

28. What can be used to prevent coagulation
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. What is the duration action of intermediate acting benzo's
STOP THE METFORMIN
10-20 hours
Pregabalin
Zofran (Ondansetron) Reglam (metoclopromide)

30. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
SSRI's
Erythromycin Clarithromycin Azithromycin

31. What ages the are the DTaP vaccine given
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

32. What are the first generation anti depressants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
Flecanide. Not to be used with LV insufficiency
Tricyclics

33. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)

34. Withdrawal symptoms
Vistaril (hydroxyzine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

35. Name the tetracyclines
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)

36. What can be used for BPH
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)
1. DTaP 2. PCV

37. What are the ages that the measles mumps and rubella vaccine administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

38. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)

39. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Provigil (modafinil)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. What are the 3rd generation heterocyclic Anti depressants
Neurogen (Filgastim)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

41. What is the duration of short acting benzo's
1. 12-15 months 2. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2-8 hours

42. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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.

43. What are the 2nd generation heterocyclic Anti depressants
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)

44. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

45. What are anticoagulation treatment options
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

46. What are the ages for the Hib vaccine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

47. What is Pradaxa
1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

48. What is used to clean ears
SSRI's
2 months 4 months
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

49. Name the short acting benzodiazepines
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)

50. What are the effects of fibric acids
10-20 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)