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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 are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)

2. What can be used to increase WBC counts
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Statins (18-55% reduction)

3. Name the statins
Erythromycin Clarithromycin Azithromycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

4. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Flecanide. Not to be used with LV insufficiency

5. Neuropathic Pain management
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics
Flagyl (Metronidazole)

6. What are the ages for the pneumococcal vaccine
Erythromycin Clarithromycin Azithromycin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Debrox (carbamide peroxide)

7. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam

8. Name the bile acid sequestrants
2-8 hours
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

9. What are anticoagulation treatment options
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. DTaP 2. PCV
Neurogen (Filgastim)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

10. High blood pressure
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. Pediatric Hepatitis vaccinations should be given when?
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
Neurontin (gabapentin) Lyrica (Pregabalin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

12. What are the 3rd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 months 4 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

13. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Suboxone (Buprenorphine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years

14. What can be used for nausea
Suboxone (Buprenorphine)
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)

15. What ages the are the DTaP vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

16. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Block serotonin and Nor epinephrine
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

17. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Tessalon (benzonate)
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

18. What are the 4 month pediatric vaccines
SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

19. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN

20. What are the ages for the Hib vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 12-15 months

21. What is used to clean ears
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months

22. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Proscar (finasteride)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Block serotonin and Nor epinephrine

23. What can be used to treat ADHD
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)

24. What are the 2 month pediatric vaccines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)

25. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV
Ibutilide (IV Only). It prolongs repolarization and the QT interval

26. What is the first line treatment for depression

27. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years

28. What ages are the Rotavirus vaccine given
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months

29. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

30. What is the duration of short acting benzo's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2-8 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

31. What can be used to relax muscles associated with tension head aches
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)

32. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Nomanda (memantine) Exelon (Rivastigmine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

33. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin

34. What are the ages that the measles mumps and rubella vaccine administered
1.5
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)
Dolgic (Acetamenaphen + butabital)

35. name a central acting muscle relaxant
Temazepam (Reston) Lorazepam (Ativan)
Flecanide. Not to be used with LV insufficiency
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zanaflex (tizanidine)

36. What is a severe side effect of metformin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
Suboxone (Buprenorphine)

37. What drug can be used for cardioversion with structural heart disease
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

38. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Proscar (finasteride)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

39. IBS
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin
Pregabalin

40. What are the ages for the inactivated poliovirus
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

41. Name the fibric acids
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)

42. What are the first generation anti depressants
Tricyclics
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

43. Drug addiction and withdrawal
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
STOP THE METFORMIN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

44. Name the intermediate acting benzodiazepines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin

45. What class of drugs will lower LDL the most
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin
Statins (18-55% reduction)

46. What is the max creatinine clearance level for metformin
1.5
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

47. What can be used for cough suppression
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tessalon (benzonate)

48. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A CMP is a BMP (kidney - electrolytes) PLUS liver function
SSRI's

49. Erythematous Nodosum
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)
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%)

50. Name the aminoglycoside
Tricyclics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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