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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. High blood pressure
Tessalon (benzonate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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

2. Name the fibric acids
2 months 4 months
Dolgic (Acetamenaphen + butabital)
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

3. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. Problems with welchol and diabetes
Cholestyramine Colestipol Colesevalam
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

5. What are the effects of the bile acid sequestrants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

6. Name the intermediate acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
SSRI's
Temazepam (Reston) Lorazepam (Ativan)

7. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

8. What is the effect of the statins
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

9. Treatment for pre-diabetes
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurontin (gabapentin) Lyrica (Pregabalin)
Erythromycin Clarithromycin Azithromycin

10. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate
Pregabalin
Tetracycline Doxycycline Demeclocycline Minocycline

11. Pediatric Hepatitis vaccinations should be given when?
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
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

12. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 months 3. 6-18 months

13. Erythematous Nodosum
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tricyclics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

14. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)

15. What are the 2nd generation heterocyclic Anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose

16. What can be used to treat ADHD
SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam

17. What are the 3rd generation heterocyclic Anti depressants
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 hours

18. What are the effects of nicotinic acid
Vyvanse (lisdexamphetamine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

19. Drug addiction and withdrawal
2-8 hours
Neurontin (gabapentin) Lyrica (Pregabalin)
Suboxone (Buprenorphine)
Pregabalin

20. What ages are the Rotavirus vaccine given
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)

21. What ages the are the DTaP vaccine given
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

22. What drug is used to tx narcolepsy
Provigil (modafinil)
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)

23. What needs to be considered when treating a patient long term with lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

24. What is the first line treatment for depression

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25. How do you treat low magnesium and low potassium in the hospital setting
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
10-20 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

26. What drug can be used to cardiovert AF of short duration
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)
SSRI's

27. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours
2 months 4 months
STOP THE METFORMIN

28. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

29. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

30. What is the max creatinine clearance level for metformin
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)
Erythromycin Clarithromycin Azithromycin

31. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate

32. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
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
Block serotonin and Nor epinephrine
1. 12-24 months 2. 6-18 months after initial dose

33. What drug can be used for cardioversion with structural heart disease
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)

34. name a central acting muscle relaxant
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
2-8 hours

35. What is used to clean ears
STOP THE METFORMIN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

36. What are the 2 month pediatric vaccines
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

37. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

38. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
Proscar (finasteride)
2-8 hours

39. What class of drugs will lower LDL the most
Suboxone (Buprenorphine)
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)
1. DTaP 2. PCV

40. What are the ages for the pneumococcal vaccine
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-24 months 2. 6-18 months after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)

42. What are the first generation anti depressants
STOP THE METFORMIN
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2-8 hours

43. What are some options for pain control
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

44. Name the macrolides
Flecanide. Not to be used with LV insufficiency
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
SSRI's
Erythromycin Clarithromycin Azithromycin

45. What can be used to increase WBC counts
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)

46. Name the long acting benzodiazepines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)

47. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

48. What is an FDA approved prescription weight loss drug
Erythromycin Clarithromycin Azithromycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV

49. IBS
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 12-15 months

50. name the SSRI's
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 months 3. 6-18 months

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Family Medicine Treatment Options

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