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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. IBS
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
SSRI's
Nomanda (memantine) Exelon (Rivastigmine)

2. What's the difference between CMP and BMP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

3. What drug is used to tx narcolepsy
Provigil (modafinil)
Statins (18-55% reduction)
2 months 4 months
Pregabalin

4. What drug can be used to cardiovert AF of short duration
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

5. What are the first generation anti depressants
Statins (18-55% reduction)
Tricyclics
STOP THE METFORMIN
Zanaflex (tizanidine)

6. What is an FDA approved prescription weight loss drug
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
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
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

7. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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

8. What are the effects of nicotinic acid
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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
Cholestyramine Colestipol Colesevalam
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

9. What is the duration of short acting benzo's
2-8 hours
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

10. What can be used to treat ADHD
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)

11. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
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
1.5

12. High blood pressure
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

13. Problems with welchol and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 months 4 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

14. Erythematous Nodosum
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 months 4 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Suboxone (Buprenorphine)

15. What is Pradaxa
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. How do you treat low magnesium and low potassium in the hospital setting
Tetracycline Doxycycline Demeclocycline Minocycline
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
10-20 hours

17. What ages are the Rotavirus vaccine given
2 months 4 months
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. What are the 6 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. DTaP 2. PCV

19. What are some causes of pitting edema
Dannitol (Phenobarbital +Atropine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)

20. Name the aminoglycoside
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

21. Name the macrolides
1. 12-24 months 2. 6-18 months after initial dose
1.5
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

22. Neuropathic Pain management
Block serotonin and Nor epinephrine
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)

23. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tricyclics

24. Name the long acting benzodiazepines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

25. Withdrawal symptoms
Flecanide. Not to be used with LV insufficiency
Provigil (modafinil)
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

26. What is the first line treatment for depression

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27. What can be used to relax muscles associated with tension head aches
Debrox (carbamide peroxide)
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

28. What is the max creatinine clearance level for metformin
1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
Temazepam (Reston) Lorazepam (Ativan)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. When should the HEP A vaccine be administered
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. 15-18 months 5. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

30. Drug addiction and withdrawal
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

31. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

32. What are some options for pain control
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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%)

33. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Statins (18-55% reduction)
STOP THE METFORMIN
Zanaflex (tizanidine)

34. What can be used for cough suppression
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)

35. What are the 3rd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)

36. What drug can be used for cardioversion with structural heart disease
1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

37. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

38. When should the varicella virus vaccine be administered
Neurogen (Filgastim)
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years

39. What ages the are the DTaP vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5

40. name a central acting muscle relaxant
Zanaflex (tizanidine)
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

41. What can be used for nausea
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

42. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tricyclics
1.5
Erythromycin Clarithromycin Azithromycin

43. Name the statins
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

44. What can be used for BPH
Zanaflex (tizanidine)
Tetracycline Doxycycline Demeclocycline Minocycline
Statins (18-55% reduction)
Proscar (finasteride)

45. Pediatric Hepatitis vaccinations should be given when?
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

46. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours
Zanaflex (tizanidine)

48. What are the 4 month pediatric vaccines
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Birth 2. 1-2 months 3. 6-18 months

49. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Cholestyramine Colestipol Colesevalam

50. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)