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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 intermediate acting benzodiazepines
Zanaflex (tizanidine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)

2. What is Pradaxa
Flecanide. Not to be used with LV insufficiency
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

3. What are the 2 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

4. What drug can be used for cardioversion with structural heart disease
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

5. What are the ages that the measles mumps and rubella vaccine administered
2 months 4 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

6. What is the effect of the statins
Zanaflex (tizanidine)
2 months 4 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

7. What can be used for BPH
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Proscar (finasteride)

8. Name the fibric acids
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

9. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2-8 hours
1. Birth 2. 1-2 months 3. 6-18 months

10. What are some causes of pitting edema
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Statins (18-55% reduction)

11. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

12. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

13. What is the benefit of Welchol
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

14. What can be used for cough suppression
Tessalon (benzonate)
Block serotonin and Nor epinephrine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2-8 hours

15. Name the tetracyclines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline

16. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

17. What are some options for pain control
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate

18. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

19. What's the difference between CMP and BMP
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years

20. What are the effects of fibric acids
1.5
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

21. High blood pressure
Zanaflex (tizanidine)
Flecanide. Not to be used with LV insufficiency
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

22. How do you treat low magnesium and low potassium in the hospital setting
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

23. What ages are the Rotavirus vaccine given
1.5
2 months 4 months
SSRI's
Pregabalin

24. What are the 4 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zanaflex (tizanidine)
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

25. What drug can be used to cardiovert AF of short duration
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 12-15 months

26. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

27. What is the first line treatment for depression

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28. Name the macrolides
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

29. What are the 3rd generation heterocyclic Anti depressants
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

30. What are the effects of the bile acid sequestrants
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)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)

31. 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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

32. Withdrawal symptoms
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
1.5
1. Birth 2. 1-2 months 3. 6-18 months

33. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)

34. Treatment for pre-diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

35. Name the statins
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Suboxone (Buprenorphine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

36. What are the effects of nicotinic acid
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Debrox (carbamide peroxide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

37. What are the first generation anti depressants
Vyvanse (lisdexamphetamine)
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

38. name the SSRI's
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

39. What is the duration of short acting benzo's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

40. Neuropathic Pain management
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

41. When should the HEP A vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose

42. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Proscar (finasteride)
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
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

43. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose

44. IBS
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 12-15 months
Dannitol (Phenobarbital +Atropine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

45. 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. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

46. What can be used to improve memory
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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
Nomanda (memantine) Exelon (Rivastigmine)

47. Erythematous Nodosum
10-20 hours
Flecanide. Not to be used with LV insufficiency
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

48. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

49. What is the max creatinine clearance level for metformin
1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline

50. name a central acting muscle relaxant
Zanaflex (tizanidine)
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose