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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 long acting benzodiazepines
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
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years

2. What class of drugs will lower LDL the most
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN

3. What are the ages for the inactivated poliovirus
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Tricyclics

4. What are the ages for the Hib vaccine
Vistaril (hydroxyzine)
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

5. What is the max creatinine clearance level for metformin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics

6. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
STOP THE METFORMIN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

7. name the SSRI's
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)

8. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

9. Name the short acting benzodiazepines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam

10. How do you treat low magnesium and low potassium in the hospital setting
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)

11. What needs to be considered when treating a patient long term with lasics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)

12. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

13. What are some options for pain control
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

14. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Debrox (carbamide peroxide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zofran (Ondansetron) Reglam (metoclopromide)

15. What is the duration of short acting benzo's
2-8 hours
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)

16. What can be used to relax muscles associated with tension head aches
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

17. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

18. What is the benefit of Welchol
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

19. What are the ages for the pneumococcal vaccine
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

20. Withdrawal symptoms
Vistaril (hydroxyzine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

21. What are anticoagulation treatment options
1. 12-15 months 2. 4-6 years
Proscar (finasteride)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

22. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)

23. Name the fibric acids
Vistaril (hydroxyzine)
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

24. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin
Debrox (carbamide peroxide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. What is the effect of the statins
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Cholestyramine Colestipol Colesevalam

26. Name the tetracyclines
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline

27. High blood pressure
LDL (reduced 5-20%) HDL (reduce 10-20%) 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
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

28. When should the varicella virus vaccine be administered
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

29. IBS
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose

30. Pediatric Hepatitis vaccinations should be given when?
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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

31. What is used to clean ears
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)

32. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)
Debrox (carbamide peroxide)

33. What can be used to treat against C-difference in addition to parasites and other bacteria.
Pregabalin
Flagyl (Metronidazole)
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

34. What can be used to increase WBC counts
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

35. What are the ages that the measles mumps and rubella vaccine administered
1. DTaP 2. PCV
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What drug is used to tx narcolepsy
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

37. What are the effects of the bile acid sequestrants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flecanide. Not to be used with LV insufficiency
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

38. What are the effects of nicotinic acid
Statins (18-55% reduction)
SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

39. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

40. What is the first line treatment for depression

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41. What is a severe side effect of metformin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

42. Drug addiction and withdrawal
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Suboxone (Buprenorphine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

43. Name the intermediate acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

44. Name the bile acid sequestrants
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam
Pregabalin
2-8 hours

45. What can be used for cough suppression
Provigil (modafinil)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 12-15 months

46. What can be used to prevent coagulation
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Erythromycin Clarithromycin Azithromycin

47. What are some causes of pitting edema
Erythromycin Clarithromycin Azithromycin
1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

48. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin

49. What are the effects of fibric acids
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)

50. Name the macrolides
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)