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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. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Tricyclics
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
1.5

2. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Cholestyramine Colestipol Colesevalam
Block serotonin and Nor epinephrine
2 months 4 months

3. What can be used to relax muscles associated with tension head aches
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
SSRI's

4. What can be used to treat against C-difference in addition to parasites and other bacteria.
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate

5. What are the ages for the Hib vaccine
10-20 hours
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)

6. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

7. What are the 6 month pediatric vaccines
Tessalon (benzonate)
1. DTaP 2. PCV
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

8. Withdrawal symptoms
Pregabalin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vistaril (hydroxyzine)
Gemofibrozil Fenofibrate Clofibrate

9. Name the macrolides
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)

10. When should the HEP A vaccine be administered
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months

11. What can be used for BPH
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 12-15 months

12. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Gemofibrozil Fenofibrate Clofibrate
Dannitol (Phenobarbital +Atropine)

13. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Nomanda (memantine) Exelon (Rivastigmine)

14. What are the 4 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

15. Name the short acting benzodiazepines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Block serotonin and Nor epinephrine
Tricyclics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

16. What ages are the Hep B vaccine given
Proscar (finasteride)
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 months 3. 6-18 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

17. What are the effects of fibric acids
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

18. What drug is used to tx narcolepsy
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)

19. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

20. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Gemofibrozil Fenofibrate Clofibrate

21. What is Pradaxa
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

22. What can be used to increase WBC counts
2 months 4 months
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurogen (Filgastim)

23. When should the varicella virus vaccine be administered
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

24. What are the effects of nicotinic acid
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

25. What ages the are the DTaP vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

26. 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
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

27. What is the duration action of intermediate acting benzo's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours

28. What can be used for nausea
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline
Zofran (Ondansetron) Reglam (metoclopromide)

29. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. DTaP 2. PCV
Gemofibrozil Fenofibrate Clofibrate
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN

30. What is the first line treatment for depression

31. What is a severe side effect of metformin
1. Birth 2. 1-2 months 3. 6-18 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

32. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

33. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

34. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

35. How do you treat low magnesium and low potassium in the hospital setting
SSRI's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

36. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine
1. 12-24 months 2. 6-18 months after initial dose

37. IBS
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)

38. Name the statins
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)

39. What can be used for cough suppression
Zanaflex (tizanidine)
Tessalon (benzonate)
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

40. What are the ages that the measles mumps and rubella vaccine administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
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. 12-15 months 2. 4-6 years

41. What are the ages for the pneumococcal vaccine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

42. What is used to clean ears
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years

43. What can be used to improve memory
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 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
Nomanda (memantine) Exelon (Rivastigmine)

44. 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
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

45. What are the first generation anti depressants
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
Vyvanse (lisdexamphetamine)
Tricyclics
1.5

46. What's the difference between CMP and BMP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function

47. Name the intermediate acting benzodiazepines
Vyvanse (lisdexamphetamine)
Temazepam (Reston) Lorazepam (Ativan)
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)

48. Name the bile acid sequestrants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate

49. What are the 2nd generation heterocyclic Anti depressants
Provigil (modafinil)
10-20 hours
Vyvanse (lisdexamphetamine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

50. What is the max creatinine clearance level for metformin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
1. 2 months 2. 4 months 3. 12-15 months