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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 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)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. DTaP 2. PCV

2. Erythematous Nodosum
1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Nomanda (memantine) Exelon (Rivastigmine)

3. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam

4. Withdrawal symptoms
Pregabalin
Vistaril (hydroxyzine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

5. What can be used for cough suppression
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

6. Name the intermediate acting benzodiazepines
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)

7. What are the ages for the inactivated poliovirus
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
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

8. What are the first generation anti depressants
Flecanide. Not to be used with LV insufficiency
Statins (18-55% reduction)
1. DTaP 2. PCV
Tricyclics

9. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5

10. Pediatric Hepatitis vaccinations should be given when?
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin

11. Name the short acting benzodiazepines
Trazodone (Desyrel) Buproprion (Wellbutrin)
Nomanda (memantine) Exelon (Rivastigmine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Provigil (modafinil)

12. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

13. Name the macrolides
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

14. What drug can be used to cardiovert AF of short duration
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency

15. What is the duration action of intermediate acting benzo's
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. High blood pressure
Tetracycline Doxycycline Demeclocycline Minocycline
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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

17. What is Pradaxa
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

18. What can be used for nausea
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

19. What's the difference between CMP and BMP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

20. What class of drugs will lower LDL the most
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 months 3. 6-18 months
Flagyl (Metronidazole)
Statins (18-55% reduction)

21. 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
Zanaflex (tizanidine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

22. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin

23. Name the bile acid sequestrants
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Provigil (modafinil)

24. What are the ages that the measles mumps and rubella vaccine administered
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

25. What are the ages for the pneumococcal vaccine
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam

26. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)
Dannitol (Phenobarbital +Atropine)
Zofran (Ondansetron) Reglam (metoclopromide)

27. What can be used to relax muscles associated with tension head aches
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

28. What ages the are the DTaP vaccine given
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose

29. What are the effects of nicotinic acid
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1.5
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

30. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin

31. Name the fibric acids
Pregabalin
Gemofibrozil Fenofibrate Clofibrate
Erythromycin Clarithromycin Azithromycin
Neurogen (Filgastim)

32. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5

33. What drug is used to tx narcolepsy
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Provigil (modafinil)

34. name a central acting muscle relaxant
2 months 4 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zanaflex (tizanidine)
Pregabalin

35. What can be used to improve memory
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Nomanda (memantine) Exelon (Rivastigmine)

36. How do you treat low magnesium and low potassium in the hospital setting
SSRI's
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

37. Name the tetracyclines
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

38. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5

39. Drug addiction and withdrawal
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
Flagyl (Metronidazole)
Dannitol (Phenobarbital +Atropine)

40. What is the first line treatment for depression

41. What can be used for BPH
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

42. What is the benefit of Welchol
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose

43. What are some options for pain control
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurontin (gabapentin) Lyrica (Pregabalin)

44. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

45. What are anticoagulation treatment options
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

46. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)

47. Treatment for pre-diabetes
Debrox (carbamide peroxide)
1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

48. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose

49. What is a severe side effect of metformin
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1.5

50. What is the duration of short acting benzo's
2-8 hours
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vistaril (hydroxyzine)