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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 are anticoagulation treatment options
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
10-20 hours
Tessalon (benzonate)

2. 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
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)

3. What can be used to relax muscles associated with tension head aches
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 months 3. 6-18 months

5. What are the first generation anti depressants
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)

6. What can be used for nausea
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

7. Drug addiction and withdrawal
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
10-20 hours
STOP THE METFORMIN

8. What drug can be used to cardiovert AF of short duration
10-20 hours
Neurogen (Filgastim)
Flecanide. Not to be used with LV insufficiency
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. IBS
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

10. Problems with welchol and diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

11. Name the long acting benzodiazepines
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

12. Withdrawal symptoms
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vistaril (hydroxyzine)
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

13. What are the effects of the bile acid sequestrants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

14. What's the difference between CMP and BMP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Gemofibrozil Fenofibrate Clofibrate

15. What ages are the Hep B vaccine given
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

16. Name the short acting benzodiazepines
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tricyclics
Debrox (carbamide peroxide)

17. Neuropathic Pain management
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Debrox (carbamide peroxide)

18. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Block serotonin and Nor epinephrine

19. What is the duration of short acting benzo's
2-8 hours
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)

20. What is the effect of the statins
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)

21. What are the ages that the measles mumps and rubella vaccine administered
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

22. What class of drugs will lower LDL the most
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Zanaflex (tizanidine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Statins (18-55% reduction)

23. How do you treat low magnesium and low potassium in the hospital setting
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

24. What ages are the Rotavirus vaccine given
2 months 4 months
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)

25. What drug is used to tx narcolepsy
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
10-20 hours
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)

26. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

27. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tricyclics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

28. When should the HEP A vaccine be administered
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose
Zanaflex (tizanidine)
2-8 hours

29. name a central acting muscle relaxant
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zanaflex (tizanidine)

30. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin

31. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

32. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

33. What are the ages for the pneumococcal vaccine
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)

34. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
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 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pregabalin
1. DTaP 2. PCV

35. What can be used to treat ADHD
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

36. What are some options for pain control
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

37. What is the benefit of Welchol
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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

38. Name the fibric acids
2-8 hours
Gemofibrozil Fenofibrate Clofibrate
2 months 4 months
1. 12-15 months 2. 4-6 years

39. Erythematous Nodosum
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

40. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

41. What can be used to increase WBC counts
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

42. What are the effects of nicotinic acid
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1.5
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

43. Name the aminoglycoside
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

44. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)

45. name the SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

46. What are the 6 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zanaflex (tizanidine)
SSRI's
1. DTaP 2. PCV

47. If a patient is on metformin and about to undergo contrast imaging - what must be done.
10-20 hours
STOP THE METFORMIN
Tessalon (benzonate)
Suboxone (Buprenorphine)

48. What are the 2nd generation heterocyclic Anti depressants
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours
Dannitol (Phenobarbital +Atropine)

49. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

50. What are the 2 month pediatric vaccines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)