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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. Name the fibric acids
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

2. When should the varicella virus vaccine be administered
1. 2 months 2. 4 months 3. 12-15 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
1.5
1. 12-15 months 2. 4-6 years

3. What is Pradaxa
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

4. What drug can be used to cardiovert AF of short duration
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)

5. IBS
Statins (18-55% reduction)
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years

6. What is the duration of short acting benzo's
Tricyclics
2-8 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Cholestyramine Colestipol Colesevalam

7. What are the 3rd generation heterocyclic Anti depressants
Zanaflex (tizanidine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

8. What are the effects of fibric acids
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. Pediatric Hepatitis vaccinations should be given when?
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
SSRI's
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

10. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

11. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN

12. Name the statins
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline

13. Withdrawal symptoms
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-24 months 2. 6-18 months after initial dose

14. What are the ages for the Hib vaccine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months

15. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

16. What are the 2nd generation heterocyclic Anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Provigil (modafinil)
Vyvanse (lisdexamphetamine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

17. name the SSRI's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years

18. What ages are the Rotavirus vaccine given
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)
2 months 4 months

19. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. DTaP 2. PCV

20. What is an FDA approved prescription weight loss drug
Proscar (finasteride)
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

21. What is the duration action of intermediate acting benzo's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
10-20 hours
Dolgic (Acetamenaphen + butabital)
Erythromycin Clarithromycin Azithromycin

22. What is used to clean ears
Cholestyramine Colestipol Colesevalam
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months
Debrox (carbamide peroxide)

23. Name the aminoglycoside
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pregabalin
SSRI's

25. What are the first generation anti depressants
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tricyclics
Zofran (Ondansetron) Reglam (metoclopromide)

26. Name the tetracyclines
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
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline

27. What are the ages for the pneumococcal vaccine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate

28. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1.5

29. What can be used for nausea
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV

30. name a central acting muscle relaxant
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

31. What are the 4 month pediatric vaccines
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
STOP THE METFORMIN
Zanaflex (tizanidine)

32. What's the difference between CMP and BMP
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Suboxone (Buprenorphine)
Flecanide. Not to be used with LV insufficiency

33. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)
2-8 hours
STOP THE METFORMIN

34. What is the benefit of Welchol
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
A CMP is a BMP (kidney - electrolytes) PLUS liver function

35. When should the HEP A vaccine be administered
2 months 4 months
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

36. What are the 6 month pediatric vaccines
1. 12-15 months 2. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

37. What are some options for pain control
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

38. Problems with welchol and diabetes
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)

39. What drug is used to tx narcolepsy
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

40. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

41. How do you treat low magnesium and low potassium in the hospital setting
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)

42. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine
2-8 hours
1. 12-15 months 2. 4-6 years

43. What can be used for BPH
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

44. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. Neuropathic Pain management
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

46. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics

47. What is the first line treatment for depression

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48. What can be used to increase WBC counts
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

49. What needs to be considered when treating a patient long term with lasics
Cholestyramine Colestipol Colesevalam
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
Gemofibrozil Fenofibrate Clofibrate

50. High blood pressure
2 months 4 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
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-24 months 2. 6-18 months after initial dose

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