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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 first line treatment for depression

2. What can be used to improve memory
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam

3. How do you treat low magnesium and low potassium in the hospital setting
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

4. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate

5. Problems with welchol and diabetes
1. DTaP 2. PCV
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

6. name a central acting muscle relaxant
SSRI's
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

7. What are the first generation anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics
Zanaflex (tizanidine)

8. What are the 4 month pediatric vaccines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Provigil (modafinil)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. Name the tetracyclines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Tricyclics
Erythromycin Clarithromycin Azithromycin

10. What is the duration action of intermediate acting benzo's
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
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

11. Erythematous Nodosum
1. DTaP 2. PCV
Tessalon (benzonate)
10-20 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

12. What is the duration of short acting benzo's
Neurogen (Filgastim)
2-8 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

13. What can be used to relax muscles associated with tension head aches
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)
Dolgic (Acetamenaphen + butabital)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

14. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Proscar (finasteride)
Tricyclics
Dannitol (Phenobarbital +Atropine)

15. Name the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam

16. What can be used for cough suppression
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tessalon (benzonate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

17. What are the 3rd generation heterocyclic Anti depressants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

18. What can be used to increase WBC counts
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
Block serotonin and Nor epinephrine

19. What are the effects of nicotinic acid
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dolgic (Acetamenaphen + butabital)

20. What are the 2 month pediatric vaccines
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

21. Name the macrolides
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. DTaP 2. PCV
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin

22. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin

23. What needs to be considered when treating a patient long term with lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. When should the varicella virus vaccine be administered
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

25. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV

26. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

27. What ages are the Rotavirus vaccine given
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 months 4 months
1.5
Nomanda (memantine) Exelon (Rivastigmine)

28. Pediatric Hepatitis vaccinations should be given when?
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

29. What can be used for BPH
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)

30. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dolgic (Acetamenaphen + butabital)
SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

31. What are some causes of pitting edema
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

32. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Pregabalin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zofran (Ondansetron) Reglam (metoclopromide)

33. Name the aminoglycoside
Tetracycline Doxycycline Demeclocycline Minocycline
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

34. Name the fibric acids
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

35. Name the long acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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

36. What are the ages for the Hib vaccine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

37. name the SSRI's
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

38. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours

39. IBS
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 12-15 months
Dannitol (Phenobarbital +Atropine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

40. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

41. What is an FDA approved prescription weight loss drug
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

42. What class of drugs will lower LDL the most
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
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

43. What is the max creatinine clearance level for metformin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vyvanse (lisdexamphetamine)

44. What are the effects of fibric acids
Debrox (carbamide peroxide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurogen (Filgastim)
Tessalon (benzonate)

45. What is used to clean ears
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)
Gemofibrozil Fenofibrate Clofibrate

46. What drug can be used for cardioversion with structural heart disease
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

47. What drug is used to tx narcolepsy
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
Pregabalin

48. Name the intermediate acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

49. What can be used to prevent coagulation
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
SSRI's

50. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin