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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. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin
Gemofibrozil Fenofibrate Clofibrate
Provigil (modafinil)

2. Name the short acting benzodiazepines
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zofran (Ondansetron) Reglam (metoclopromide)
Provigil (modafinil)

3. What are the effects of fibric acids
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)

4. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. What ages the are the DTaP vaccine given
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

6. What can be used to improve memory
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)

7. What can be used to prevent coagulation
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

8. What is the max creatinine clearance level for metformin
Tessalon (benzonate)
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
Erythromycin Clarithromycin Azithromycin

9. What are some options for pain control
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

10. What is the benefit of Welchol
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Proscar (finasteride)

11. What can be used to increase WBC counts
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
SSRI's

13. What are the first generation anti depressants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics

14. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

15. What drug can be used to cardiovert AF of short duration
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency

16. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

17. What is the first line treatment for depression

18. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months

19. What is used to clean ears
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Suboxone (Buprenorphine)

20. Name the tetracyclines
Tessalon (benzonate)
Provigil (modafinil)
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

21. What ages are the Hep B vaccine given
Neurogen (Filgastim)
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 months 3. 6-18 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

22. What ages are the Rotavirus vaccine given
2 months 4 months
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

23. What drug can be used for cardioversion with structural heart disease
Debrox (carbamide peroxide)
Zanaflex (tizanidine)
Tessalon (benzonate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

24. What is the effect of the statins
10-20 hours
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

25. What are the effects of nicotinic acid
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
STOP THE METFORMIN

26. Name the long acting benzodiazepines
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

27. Problems with welchol and diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
STOP THE METFORMIN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin

28. What is the duration of short acting benzo's
STOP THE METFORMIN
1. DTaP 2. PCV
Gemofibrozil Fenofibrate Clofibrate
2-8 hours

29. What is a severe side effect of metformin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Provigil (modafinil)
Suboxone (Buprenorphine)

30. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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
Vistaril (hydroxyzine)

31. What are the ages for the Hib vaccine
Neurogen (Filgastim)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 12-15 months
Tricyclics

32. What are anticoagulation treatment options
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. DTaP 2. PCV
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

33. What can be used for BPH
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Proscar (finasteride)

34. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

35. What are the 3rd generation heterocyclic Anti depressants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

36. Erythematous Nodosum
Suboxone (Buprenorphine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Erythromycin Clarithromycin Azithromycin

37. High blood pressure
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Statins (18-55% reduction)
Tessalon (benzonate)
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

38. Withdrawal symptoms
1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Provigil (modafinil)
Vistaril (hydroxyzine)

39. Drug addiction and withdrawal
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Suboxone (Buprenorphine)

40. When should the HEP A vaccine be administered
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

41. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

42. What are the 2nd generation heterocyclic Anti depressants
Zanaflex (tizanidine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

43. What can be used to treat ADHD
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline

44. How do you treat low magnesium and low potassium in the hospital setting
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
SSRI's

45. What are the ages for the inactivated poliovirus
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

46. What are the 2 month pediatric vaccines
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
Nomanda (memantine) Exelon (Rivastigmine)

47. What's the difference between CMP and BMP
Neurogen (Filgastim)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months

48. Treatment for pre-diabetes
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Ibutilide (IV Only). It prolongs repolarization and the QT interval

49. Name the macrolides
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)

50. What are the ages that the measles mumps and rubella vaccine administered
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months