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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 is the mechanism of action of the 3rd generation heterocyclic anti depressants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine

2. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)
STOP THE METFORMIN

3. What is a severe side effect of metformin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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
Flecanide. Not to be used with LV insufficiency

4. What are the ages for the Hib vaccine
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

5. Pediatric Hepatitis vaccinations should be given when?
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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

6. What are the 6 month pediatric vaccines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
Provigil (modafinil)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

7. Name the aminoglycoside
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
1. DTaP 2. PCV
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

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

9. name the SSRI's
Dannitol (Phenobarbital +Atropine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

10. What is the first line treatment for depression

11. What are the 2 month pediatric vaccines
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)

12. What can be used to treat against C-difference in addition to parasites and other bacteria.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)

13. Withdrawal symptoms
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)

14. What can be used for nausea
1. 2 months 2. 4 months 3. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)

15. When should the varicella virus vaccine be administered
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

16. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

17. What is the duration of short acting benzo's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours

18. What needs to be considered when treating a patient long term with lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

19. Name the intermediate acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
2 months 4 months

20. What can be used for BPH
Pregabalin
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

21. 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
Statins (18-55% reduction)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

22. Name the macrolides
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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
Erythromycin Clarithromycin Azithromycin

23. What are some options for pain control
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

24. Name the short acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

25. Name the statins
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

26. What class of drugs will lower LDL the most
2 months 4 months
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine

27. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Statins (18-55% reduction)

28. What drug can be used to cardiovert AF of short duration
Suboxone (Buprenorphine)
1. DTaP 2. PCV
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flecanide. Not to be used with LV insufficiency

29. What are the ages that the measles mumps and rubella vaccine administered
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years

30. What are some causes of pitting edema
Neurogen (Filgastim)
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

31. IBS
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. What are anticoagulation treatment options
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

33. What ages are the Hep B vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 months 3. 6-18 months

34. What is the duration action of intermediate acting benzo's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
10-20 hours
Zanaflex (tizanidine)

35. Name the tetracyclines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin

36. What are the 4 month pediatric vaccines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours
1. 12-24 months 2. 6-18 months after initial dose

37. What is used to clean ears
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 12-15 months

38. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

39. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months

40. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline
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%)

41. Name the fibric acids
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

42. name a central acting muscle relaxant
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)

43. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months

44. What are the effects of nicotinic acid
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

45. What drug is used to tx narcolepsy
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Provigil (modafinil)
2-8 hours
2 months 4 months

46. When should the HEP A vaccine be administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-24 months 2. 6-18 months after initial dose
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function

47. Erythematous Nodosum
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

48. What can be used to increase WBC counts
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)

49. Name the long acting benzodiazepines
Debrox (carbamide peroxide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

50. Neuropathic Pain management
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)