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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 ages for the Hib vaccine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

2. What can be used to treat against C-difference in addition to parasites and other bacteria.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Flagyl (Metronidazole)
Statins (18-55% reduction)
Vistaril (hydroxyzine)

3. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. What is used to clean ears
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

5. High blood pressure
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam
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

6. Name the long acting benzodiazepines
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

7. What ages are the Hep B vaccine given
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years

8. What is the max creatinine clearance level for metformin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 months 3. 6-18 months
Erythromycin Clarithromycin Azithromycin
1.5

9. Name the macrolides
Zanaflex (tizanidine)
Erythromycin Clarithromycin Azithromycin
Suboxone (Buprenorphine)
Statins (18-55% reduction)

10. Name the intermediate acting benzodiazepines
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

11. What class of drugs will lower LDL the most
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
2 months 4 months

12. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 12-15 months

13. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine
2-8 hours

14. What is the benefit of Welchol
Vistaril (hydroxyzine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)

15. Withdrawal symptoms
Vistaril (hydroxyzine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
Suboxone (Buprenorphine)

16. What are the effects of fibric acids
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2-8 hours
STOP THE METFORMIN

17. What is the duration of short acting benzo's
Flagyl (Metronidazole)
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2-8 hours

18. What are some causes of pitting edema
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

19. When should the varicella virus vaccine be administered
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)

20. What are anticoagulation treatment options
Vyvanse (lisdexamphetamine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
Tessalon (benzonate)

21. What are the ages that the measles mumps and rubella vaccine administered
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
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)

22. What drug can be used to cardiovert AF of short duration
STOP THE METFORMIN
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

23. Name the bile acid sequestrants
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

24. Treatment for pre-diabetes
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

25. What is the effect of the statins
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

26. What can be used for cough suppression
Zanaflex (tizanidine)
STOP THE METFORMIN
Tessalon (benzonate)
Temazepam (Reston) Lorazepam (Ativan)

27. IBS
10-20 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

28. Neuropathic Pain management
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)

29. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

30. What's the difference between CMP and BMP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
10-20 hours
Dannitol (Phenobarbital +Atropine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

31. What are the 2 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What is an FDA approved prescription weight loss drug
Suboxone (Buprenorphine)
1. Birth 2. 1-2 months 3. 6-18 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours

34. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Cholestyramine Colestipol Colesevalam
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

35. What drug is used to tx narcolepsy
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Zanaflex (tizanidine)
Provigil (modafinil)

36. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

37. What can be used for BPH
Proscar (finasteride)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

38. Problems with welchol and diabetes
Dannitol (Phenobarbital +Atropine)
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. RV 2. DTaP 3. Hib 4. PCV 5. IP

39. What are the 3rd generation heterocyclic Anti depressants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

40. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

41. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)

42. What can be used to relax muscles associated with tension head aches
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
2-8 hours
Dannitol (Phenobarbital +Atropine)

43. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What is Pradaxa
1. DTaP 2. PCV
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. What ages are the Rotavirus vaccine given
Tricyclics
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 months 4 months

46. Drug addiction and withdrawal
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

47. What is the first line treatment for depression

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48. How do you treat low magnesium and low potassium in the hospital setting
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. DTaP 2. PCV
Temazepam (Reston) Lorazepam (Ativan)

49. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours

50. Name the short acting benzodiazepines
Tricyclics
2-8 hours
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

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