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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 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Suboxone (Buprenorphine)
Cholestyramine Colestipol Colesevalam

2. What are some causes of pitting edema
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
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

3. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pregabalin
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months

4. What is the duration action of intermediate acting benzo's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
10-20 hours
1.5
Debrox (carbamide peroxide)

5. What is the first line treatment for depression

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6. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)
Zanaflex (tizanidine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

7. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)

8. What can be used for nausea
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zofran (Ondansetron) Reglam (metoclopromide)

9. What are the 3rd generation heterocyclic Anti depressants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

10. What can be used to increase WBC counts
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurogen (Filgastim)

11. What can be used to improve memory
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurogen (Filgastim)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)

12. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)

13. What are the effects of fibric acids
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Block serotonin and Nor epinephrine
1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics
Debrox (carbamide peroxide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

15. name the SSRI's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. What are the 6 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

17. What are some options for pain control
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
Statins (18-55% reduction)

19. What needs to be considered when treating a patient long term with lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

20. What ages the are the DTaP vaccine given
Dannitol (Phenobarbital +Atropine)
Zanaflex (tizanidine)
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 used to clean ears
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
Suboxone (Buprenorphine)

22. What is an FDA approved prescription weight loss drug
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

23. Name the bile acid sequestrants
2-8 hours
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

24. Pediatric Hepatitis vaccinations should be given when?
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2-8 hours

25. What can be used for cough suppression
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tessalon (benzonate)
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

26. Name the macrolides
Flecanide. Not to be used with LV insufficiency
Erythromycin Clarithromycin Azithromycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years

27. What can be used to prevent coagulation
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
STOP THE METFORMIN
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

28. When should the HEP A vaccine be administered
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

29. Problems with welchol and diabetes
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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

30. What are the ages that the measles mumps and rubella vaccine administered
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

31. What drug can be used to cardiovert AF of short duration
Suboxone (Buprenorphine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency

32. Treatment for pre-diabetes
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. What drug is used to tx narcolepsy
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV
Provigil (modafinil)
Flagyl (Metronidazole)

34. What is the max creatinine clearance level for metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurogen (Filgastim)
1.5
Tessalon (benzonate)

35. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months

36. What is the benefit of Welchol
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-24 months 2. 6-18 months after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

37. High blood pressure
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
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months

38. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

39. What drug can be used for cardioversion with structural heart disease
1. 12-24 months 2. 6-18 months after initial dose
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

40. Name the fibric acids
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Gemofibrozil Fenofibrate Clofibrate
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

42. Name the tetracyclines
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours

43. What is the effect of the statins
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)

44. name a central acting muscle relaxant
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

45. What can be used to treat against C-difference in addition to parasites and other bacteria.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)

46. What can be used for BPH
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)

47. What is a severe side effect of metformin
Provigil (modafinil)
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours

48. Neuropathic Pain management
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Debrox (carbamide peroxide)

49. How do you treat low magnesium and low potassium in the hospital setting
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
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam

50. What are the effects of the bile acid sequestrants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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)
Vistaril (hydroxyzine)