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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 duration of short acting benzo's
2-8 hours
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. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

2. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)

3. What ages are the Rotavirus vaccine given
2-8 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate

4. What is the max creatinine clearance level for metformin
1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)

5. What is the effect of the statins
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam

6. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN
Tricyclics
SSRI's

7. What are the first generation anti depressants
Tricyclics
Dannitol (Phenobarbital +Atropine)
1.5
Temazepam (Reston) Lorazepam (Ativan)

8. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline

9. What are the effects of the bile acid sequestrants
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

10. What are the ages for the pneumococcal vaccine
Temazepam (Reston) Lorazepam (Ativan)
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

11. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)

12. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 months 3. 6-18 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)

13. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)

14. Treatment for pre-diabetes
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

15. What are the 6 month pediatric vaccines
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
SSRI's
1. DTaP 2. PCV

16. Neuropathic Pain management
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

17. What can be used for cough suppression
Suboxone (Buprenorphine)
Zanaflex (tizanidine)
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

18. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Provigil (modafinil)
2 months 4 months
Vistaril (hydroxyzine)

19. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

20. How do you treat low magnesium and low potassium in the hospital setting
1. Birth 2. 1-2 months 3. 6-18 months
Dannitol (Phenobarbital +Atropine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)

21. What are the 2nd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-24 months 2. 6-18 months after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

22. What drug is used to tx narcolepsy
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Provigil (modafinil)
Erythromycin Clarithromycin Azithromycin

23. Drug addiction and withdrawal
1. Birth 2. 1-2 months 3. 6-18 months
Suboxone (Buprenorphine)
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years

24. What is Pradaxa
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Trazodone (Desyrel) Buproprion (Wellbutrin)
1.5

25. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

26. 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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

27. What are some options for pain control
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

28. What are the effects of nicotinic acid
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)

29. What are the ages that the measles mumps and rubella vaccine administered
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

30. Name the bile acid sequestrants
1.5
1. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam

31. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

32. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. What are the 2 month pediatric vaccines
Cholestyramine Colestipol Colesevalam
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)

34. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flagyl (Metronidazole)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

35. What can be used to increase WBC counts
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. Name the fibric acids
1. 2 months 2. 4 months 3. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

37. 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
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

38. What are the effects of fibric acids
Dolgic (Acetamenaphen + butabital)
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%)

39. Name the short acting benzodiazepines
Nomanda (memantine) Exelon (Rivastigmine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

40. What are anticoagulation treatment options
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate

41. What's the difference between CMP and BMP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

42. Name the statins
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

43. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin

44. What can be used for BPH
Proscar (finasteride)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1.5
1. DTaP 2. PCV

45. What are the ages for the Hib vaccine
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months
Zanaflex (tizanidine)

46. Name the long acting benzodiazepines
Flecanide. Not to be used with LV insufficiency
Temazepam (Reston) Lorazepam (Ativan)
Zofran (Ondansetron) Reglam (metoclopromide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

47. What class of drugs will lower LDL the most
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Cholestyramine Colestipol Colesevalam
Statins (18-55% reduction)

48. Erythematous Nodosum
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

49. What ages are the Hep B vaccine given
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

50. name a central acting muscle relaxant
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)