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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. Name the statins
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Suboxone (Buprenorphine)

2. What can be used for nausea
Erythromycin Clarithromycin Azithromycin
10-20 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zofran (Ondansetron) Reglam (metoclopromide)

3. What is the duration action of intermediate acting benzo's
1. DTaP 2. PCV
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flagyl (Metronidazole)

4. What drug is used to tx narcolepsy
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tetracycline Doxycycline Demeclocycline Minocycline
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months

5. When should the varicella virus vaccine be administered
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)

6. What are anticoagulation treatment options
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
2-8 hours

7. What needs to be considered when treating a patient long term with lasics
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tessalon (benzonate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

8. Pediatric Hepatitis vaccinations should be given when?
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

9. What are the effects of the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
2-8 hours
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

10. What are the effects of fibric acids
1. 12-15 months 2. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

11. What can be used to prevent coagulation
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)
Pregabalin

12. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin
Pregabalin

13. What ages the are the DTaP vaccine given
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)

14. Treatment for pre-diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

15. What can be used for BPH
Proscar (finasteride)
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. Erythematous Nodosum
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Ibutilide (IV Only). It prolongs repolarization and the QT interval

17. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1.5

18. What are some options for pain control
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurontin (gabapentin) Lyrica (Pregabalin)

19. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
2-8 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)

20. What is the effect of the statins
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin

21. What can be used to treat ADHD
Provigil (modafinil)
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)

22. name a central acting muscle relaxant
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

23. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5

24. What drug can be used for cardioversion with structural heart disease
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Provigil (modafinil)

25. What are the ages that the measles mumps and rubella vaccine administered
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

26. When should the HEP A vaccine be administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. What ages are the Rotavirus vaccine given
Trazodone (Desyrel) Buproprion (Wellbutrin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 months 4 months

28. Drug addiction and withdrawal
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

29. What can be used for cough suppression
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)

30. What can be used to increase WBC counts
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)

31. Name the macrolides
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Erythromycin Clarithromycin Azithromycin

32. Name the bile acid sequestrants
Dannitol (Phenobarbital +Atropine)
Cholestyramine Colestipol Colesevalam
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. What can be used to relax muscles associated with tension head aches
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)

34. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tetracycline Doxycycline Demeclocycline Minocycline
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)

35. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zofran (Ondansetron) Reglam (metoclopromide)
Tessalon (benzonate)

36. What is the benefit of Welchol
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tricyclics

37. IBS
SSRI's
Neurogen (Filgastim)
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. What is the duration of short acting benzo's
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)

39. Name the tetracyclines
Vistaril (hydroxyzine)
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

40. What is used to clean ears
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
10-20 hours
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

41. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Block serotonin and Nor epinephrine

42. What are the ages for the inactivated poliovirus
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

43. Name the short acting benzodiazepines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
Zanaflex (tizanidine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

44. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tessalon (benzonate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)

45. What's the difference between CMP and BMP
Provigil (modafinil)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function

46. What are the 6 month pediatric vaccines
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

47. Name the fibric acids
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate
Vyvanse (lisdexamphetamine)

48. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Zofran (Ondansetron) Reglam (metoclopromide)
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours

49. What are the effects of nicotinic acid
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

50. What is the max creatinine clearance level for metformin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5
Zofran (Ondansetron) Reglam (metoclopromide)