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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 a central acting muscle relaxant
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
Zanaflex (tizanidine)
STOP THE METFORMIN

2. What can be used to relax muscles associated with tension head aches
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Temazepam (Reston) Lorazepam (Ativan)
Dolgic (Acetamenaphen + butabital)

3. IBS
Dannitol (Phenobarbital +Atropine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

4. What needs to be considered when treating a patient long term with lasics
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-24 months 2. 6-18 months after initial dose

5. What can be used to increase WBC counts
Vyvanse (lisdexamphetamine)
1. DTaP 2. PCV
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurogen (Filgastim)

6. Treatment for pre-diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)

7. Erythematous Nodosum
Erythromycin Clarithromycin Azithromycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

8. What are the ages for the inactivated poliovirus
Tricyclics
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
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. What are the 3rd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

10. What is used to clean ears
Debrox (carbamide peroxide)
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Proscar (finasteride)

11. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Block serotonin and Nor epinephrine

12. What are the 2 month pediatric vaccines
Pregabalin
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

13. When should the varicella virus vaccine be administered
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval

15. High blood pressure
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)
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
Proscar (finasteride)

16. What can be used to prevent coagulation
Cholestyramine Colestipol Colesevalam
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

17. What is a severe side effect of metformin
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
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. What are the 2nd generation heterocyclic Anti depressants
Cholestyramine Colestipol Colesevalam
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Temazepam (Reston) Lorazepam (Ativan)

19. What are the ages that the measles mumps and rubella vaccine administered
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
Pregabalin
1. 12-15 months 2. 4-6 years

20. What can be used for BPH
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

21. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

22. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

23. What is the benefit of Welchol
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
10-20 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

24. What are anticoagulation treatment options
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

25. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

26. How do you treat low magnesium and low potassium in the hospital setting
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
1. DTaP 2. PCV
Tessalon (benzonate)

27. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Cholestyramine Colestipol Colesevalam
SSRI's

28. What are the first generation anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics

29. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Erythromycin Clarithromycin Azithromycin
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurontin (gabapentin) Lyrica (Pregabalin)

30. Drug addiction and withdrawal
Suboxone (Buprenorphine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

31. What's the difference between CMP and BMP
Tricyclics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dannitol (Phenobarbital +Atropine)

32. What is the duration action of intermediate acting benzo's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
10-20 hours

33. What is the effect of the statins
STOP THE METFORMIN
Flecanide. Not to be used with LV insufficiency
Suboxone (Buprenorphine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

34. What is the duration of short acting benzo's
2-8 hours
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

35. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
SSRI's
1.5

36. Withdrawal symptoms
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours

37. Name the macrolides
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
SSRI's
Proscar (finasteride)

38. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

39. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN
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

40. What are the 6 month pediatric vaccines
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV
2 months 4 months

41. Problems with welchol and diabetes
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

42. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vistaril (hydroxyzine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Cholestyramine Colestipol Colesevalam

43. What is an FDA approved prescription weight loss drug
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
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

44. What ages the are the DTaP vaccine given
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pregabalin
1. 12-15 months 2. 4-6 years

45. Neuropathic Pain management
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine

46. Name the aminoglycoside
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

47. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
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

48. What can be used to treat ADHD
Gemofibrozil Fenofibrate Clofibrate
Vyvanse (lisdexamphetamine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV

49. What is Pradaxa
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

50. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide