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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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. Drug addiction and withdrawal
1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

2. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval

3. Problems with welchol and diabetes
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1.5

4. What is used to clean ears
Debrox (carbamide peroxide)
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. What can be used for BPH
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
SSRI's

6. What are the ages for the pneumococcal vaccine
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

7. High blood pressure
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Statins (18-55% reduction)
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

8. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurogen (Filgastim)
SSRI's
Pregabalin

9. What can be used for nausea
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)

10. Neuropathic Pain management
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

11. What can be used to increase WBC counts
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Debrox (carbamide peroxide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

12. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-24 months 2. 6-18 months after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

13. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

14. What is Pradaxa
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 months 4 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

15. What are some options for pain control
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

16. Name the macrolides
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline

17. What drug can be used for cardioversion with structural heart disease
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

18. What can be used to improve memory
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flagyl (Metronidazole)
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-24 months 2. 6-18 months after initial dose

19. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

20. Name the long acting benzodiazepines
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

21. Pediatric Hepatitis vaccinations should be given when?
Statins (18-55% reduction)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

22. What is the effect of the statins
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
STOP THE METFORMIN

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

24. What ages are the Hep B vaccine given
1.5
Gemofibrozil Fenofibrate Clofibrate
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months

25. What drug is used to tx narcolepsy
Tessalon (benzonate)
SSRI's
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. Erythematous Nodosum
Tricyclics
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

27. What ages are the Rotavirus vaccine given
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months

28. Name the intermediate acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
2-8 hours
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

29. What are the 6 month pediatric vaccines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. DTaP 2. PCV
SSRI's

30. What are the effects of 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)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

31. What is the max creatinine clearance level for metformin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

32. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Provigil (modafinil)
Flagyl (Metronidazole)

33. What is the duration action of intermediate acting benzo's
10-20 hours
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)

34. How do you treat low magnesium and low potassium in the hospital setting
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

35. name a central acting muscle relaxant
STOP THE METFORMIN
Zanaflex (tizanidine)
Neurogen (Filgastim)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

36. Withdrawal symptoms
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vistaril (hydroxyzine)

37. What's the difference between CMP and BMP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

38. 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
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Proscar (finasteride)

39. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. What is a severe side effect of metformin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)

41. What are the effects of nicotinic acid
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN
Dolgic (Acetamenaphen + butabital)

42. IBS
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
SSRI's
1. 12-15 months 2. 4-6 years

43. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN

44. What are the 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)

45. What are the ages for the Hib vaccine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate

46. What is the benefit of Welchol
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

47. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)
Flecanide. Not to be used with LV insufficiency

48. When should the varicella virus vaccine be administered
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

49. What ages the are the DTaP vaccine given
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

50. What are some causes of pitting edema
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

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