Family Medicine Treatment Options

Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• 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 drug is used to tx narcolepsy
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)


2. High blood pressure
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Temazepam (Reston) Lorazepam (Ativan)


3. What drug can be used for cardioversion with structural heart disease
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tessalon (benzonate)


4. What class of drugs will lower LDL the most
Nomanda (memantine) Exelon (Rivastigmine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)
Tessalon (benzonate)


5. name the SSRI's
1.5
SSRI's
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)


6. What ages the are the DTaP vaccine given
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV


7. What's the difference between CMP and BMP
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
A CMP is a BMP (kidney - electrolytes) PLUS liver function


8. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
SSRI's


9. IBS
STOP THE METFORMIN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)


10. Name the short acting benzodiazepines
Erythromycin Clarithromycin Azithromycin
1.5
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)


11. What can be used for cough suppression
1.5
STOP THE METFORMIN
Tessalon (benzonate)
Flecanide. Not to be used with LV insufficiency


12. Name the tetracyclines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)


13. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years


14. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years


15. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)


16. name a central acting muscle relaxant
Zanaflex (tizanidine)
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN


17. What can be used to improve memory
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.


18. What is used to clean ears
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics


19. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP


20. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin


21. What can be used for nausea
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-24 months 2. 6-18 months after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
Neurogen (Filgastim)


22. Name the long acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)


23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5


24. What can be used for BPH
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years


25. What can be used to increase WBC counts
1. 2 months 2. 4 months 3. 12-15 months
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's


26. What is the max creatinine clearance level for metformin
Gemofibrozil Fenofibrate Clofibrate
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate


27. Name the bile acid sequestrants
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam


28. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP


29. What can be used to prevent coagulation
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2 months 4 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 12-15 months


30. What is Pradaxa
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years


31. What are the ages for the pneumococcal vaccine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Nomanda (memantine) Exelon (Rivastigmine)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months


32. If a patient is on metformin and about to undergo contrast imaging - what must be done.
SSRI's
STOP THE METFORMIN
1. Birth 2. 1-2 months 3. 6-18 months
1. DTaP 2. PCV


33. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin
1. Birth 2. 1-2 months 3. 6-18 months


34. What are the 2 month pediatric vaccines
Dannitol (Phenobarbital +Atropine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP


35. What are the ages for the Hib vaccine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Statins (18-55% reduction)


36. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurogen (Filgastim)
Proscar (finasteride)


37. Neuropathic Pain management
10-20 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
Neurontin (gabapentin) Lyrica (Pregabalin)


38. Pediatric Hepatitis vaccinations should be given when?
Zofran (Ondansetron) Reglam (metoclopromide)
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban


39. What ages are the Rotavirus vaccine given
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 months 4 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)


40. What are the 6 month pediatric vaccines
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV


41. Name the intermediate acting benzodiazepines
SSRI's
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin
Statins (18-55% reduction)


42. What needs to be considered when treating a patient long term with lasics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2-8 hours


43. What are the 2nd generation heterocyclic Anti depressants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban


44. What is the duration action of intermediate acting benzo's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours


45. Erythematous Nodosum
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV


46. What are the ages for the inactivated poliovirus
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)
1. DTaP 2. PCV


47. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dannitol (Phenobarbital +Atropine)


48. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)


49. What are some causes of pitting edema
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
SSRI's


50. Withdrawal symptoms
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years