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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. 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
Proscar (finasteride)
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

2. What can be used for nausea
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. What can be used to increase WBC counts
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

4. Erythematous Nodosum
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2-8 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

5. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Suboxone (Buprenorphine)
Pregabalin
Tetracycline Doxycycline Demeclocycline Minocycline

6. What is the max creatinine clearance level for metformin
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5
1. 12-24 months 2. 6-18 months after initial dose

7. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

8. Name the aminoglycoside
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2-8 hours

9. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)

10. Name the bile acid sequestrants
Zofran (Ondansetron) Reglam (metoclopromide)
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

11. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)

12. What are the 6 month pediatric vaccines
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

13. Name the macrolides
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

14. What can be used to treat against C-difference in addition to parasites and other bacteria.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)

15. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
SSRI's
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. What are some causes of pitting edema
Temazepam (Reston) Lorazepam (Ativan)
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

17. What ages are the Hep B vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 months 3. 6-18 months
SSRI's
Flagyl (Metronidazole)

18. What's the difference between CMP and BMP
Zofran (Ondansetron) Reglam (metoclopromide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flagyl (Metronidazole)

19. Withdrawal symptoms
Vistaril (hydroxyzine)
Debrox (carbamide peroxide)
Proscar (finasteride)
Neurontin (gabapentin) Lyrica (Pregabalin)

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

21. Pediatric Hepatitis vaccinations should be given when?
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)

22. When should the varicella virus vaccine be administered
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

24. What can be used to relax muscles associated with tension head aches
Tetracycline Doxycycline Demeclocycline Minocycline
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Gemofibrozil Fenofibrate Clofibrate
Dolgic (Acetamenaphen + butabital)

25. What is an FDA approved prescription weight loss drug
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

26. What are some options for pain control
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

27. Drug addiction and withdrawal
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

28. Name the short acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zofran (Ondansetron) Reglam (metoclopromide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin

29. What ages the are the DTaP vaccine given
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

30. What is the benefit of Welchol
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

31. name a central acting muscle relaxant
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Gemofibrozil Fenofibrate Clofibrate
10-20 hours

32. What needs to be considered when treating a patient long term with lasics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

33. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

34. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline

35. What can be used to improve memory
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zofran (Ondansetron) Reglam (metoclopromide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Nomanda (memantine) Exelon (Rivastigmine)

36. What drug can be used for cardioversion with structural heart disease
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

37. Name the tetracyclines
Neurontin (gabapentin) Lyrica (Pregabalin)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

38. What can be used for cough suppression
1. DTaP 2. PCV
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tessalon (benzonate)
STOP THE METFORMIN

39. Name the statins
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vyvanse (lisdexamphetamine)

40. What are the effects of fibric acids
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

41. What can be used to treat ADHD
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

42. What is the duration of short acting benzo's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. DTaP 2. PCV
2-8 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

43. Neuropathic Pain management
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

44. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)
Statins (18-55% reduction)

45. name the SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

46. What are the ages for the inactivated poliovirus
Debrox (carbamide peroxide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)

47. What are the effects of nicotinic acid
1. DTaP 2. PCV
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. What is the first line treatment for depression

49. What are the 2nd generation heterocyclic Anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)

50. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)