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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 are the effects of the bile acid sequestrants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

3. Withdrawal symptoms
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

4. What can be used for BPH
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

5. Pediatric Hepatitis vaccinations should be given when?
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vyvanse (lisdexamphetamine)

6. Problems with welchol and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5

7. What can be used to increase WBC counts
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Statins (18-55% reduction)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurogen (Filgastim)

8. Name the bile acid sequestrants
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function

9. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)

10. Drug addiction and withdrawal
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 months 4 months

11. Name the tetracyclines
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)
Vistaril (hydroxyzine)
Tetracycline Doxycycline Demeclocycline Minocycline

12. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Debrox (carbamide peroxide)
Tessalon (benzonate)
Dannitol (Phenobarbital +Atropine)

13. How do you treat low magnesium and low potassium in the hospital setting
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dolgic (Acetamenaphen + butabital)

14. What are the 3rd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

15. IBS
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
2 months 4 months

16. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin

17. Name the aminoglycoside
Flecanide. Not to be used with LV insufficiency
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

18. 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. Not before 24 Weeks and not after 16 weeks after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
10-20 hours

19. What is a severe side effect of metformin
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 months 3. 6-18 months

20. What are the ages that the measles mumps and rubella vaccine administered
Pregabalin
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline

21. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1.5
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

22. What is the duration action of intermediate acting benzo's
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours
Tetracycline Doxycycline Demeclocycline Minocycline

23. name the SSRI's
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

24. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Provigil (modafinil)
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

25. What are the ages for the Hib vaccine
1.5
10-20 hours
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency

26. What drug can be used for cardioversion with structural heart disease
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months

27. High blood pressure
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
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
Flecanide. Not to be used with LV insufficiency
2-8 hours

28. Neuropathic Pain management
2-8 hours
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

29. What are some causes of pitting edema
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

30. What ages are the Rotavirus vaccine given
1.5
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 months 4 months

31. Name the fibric acids
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)

32. What can be used to prevent coagulation
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

33. What needs to be considered when treating a patient long term with lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

34. What is Pradaxa
Nomanda (memantine) Exelon (Rivastigmine)
Provigil (modafinil)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Cholestyramine Colestipol Colesevalam

35. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
Trazodone (Desyrel) Buproprion (Wellbutrin)

36. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Trazodone (Desyrel) Buproprion (Wellbutrin)
Proscar (finasteride)
STOP THE METFORMIN
Flecanide. Not to be used with LV insufficiency

37. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

38. What can be used for cough suppression
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tessalon (benzonate)

39. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

40. What is used to clean ears
Debrox (carbamide peroxide)
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate

41. What is the duration of short acting benzo's
10-20 hours
Tessalon (benzonate)
2-8 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

42. What are the 2nd generation heterocyclic Anti depressants
1. DTaP 2. PCV
Trazodone (Desyrel) Buproprion (Wellbutrin)
STOP THE METFORMIN
Vistaril (hydroxyzine)

43. What ages the are the DTaP vaccine given
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

44. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years

45. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vistaril (hydroxyzine)

46. What can be used for nausea
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zofran (Ondansetron) Reglam (metoclopromide)
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

47. What ages are the Hep B vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months

48. Name the statins
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Statins (18-55% reduction)

49. name a central acting muscle relaxant
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)

50. What are the 2 month pediatric vaccines
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics