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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. name the SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)

2. What are the 2 month pediatric vaccines
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 months 3. 6-18 months

3. What can be used to treat ADHD
Flagyl (Metronidazole)
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Cholestyramine Colestipol Colesevalam

4. What is the duration of short acting benzo's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tessalon (benzonate)
2-8 hours
Nomanda (memantine) Exelon (Rivastigmine)

5. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

6. High blood pressure
Tessalon (benzonate)
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
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

7. What's the difference between CMP and BMP
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
Tessalon (benzonate)

8. What are the effects of fibric acids
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. Name the macrolides
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Erythromycin Clarithromycin Azithromycin

10. What can be used to prevent coagulation
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

11. What are the 6 month pediatric vaccines
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV

12. Name the tetracyclines
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)

13. What is an FDA approved prescription weight loss drug
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Provigil (modafinil)

14. How do you treat low magnesium and low potassium in the hospital setting
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

15. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 hours

16. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

17. Name the aminoglycoside
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. What are some causes of pitting edema
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months

19. What is the max creatinine clearance level for metformin
Pregabalin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1.5
Dolgic (Acetamenaphen + butabital)

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Neurontin (gabapentin) Lyrica (Pregabalin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years

21. Name the bile acid sequestrants
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV

22. name a central acting muscle relaxant
Zanaflex (tizanidine)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

23. What ages are the Hep B vaccine given
Zanaflex (tizanidine)
Flecanide. Not to be used with LV insufficiency
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 months 3. 6-18 months

24. What is Pradaxa
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

25. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)

26. What is the duration action of intermediate acting benzo's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Cholestyramine Colestipol Colesevalam
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
10-20 hours

27. What are the ages for the inactivated poliovirus
1. 12-24 months 2. 6-18 months after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

28. What can be used for cough suppression
Pregabalin
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. DTaP 2. PCV

29. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN

30. What are anticoagulation treatment options
Block serotonin and Nor epinephrine
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

31. What drug is used to tx narcolepsy
Provigil (modafinil)
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. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months

32. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Dannitol (Phenobarbital +Atropine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vistaril (hydroxyzine)
Pregabalin

33. What can be used to treat against C-difference in addition to parasites and other bacteria.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flagyl (Metronidazole)
Block serotonin and Nor epinephrine

34. What are the effects of the bile acid sequestrants
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

35. What is the benefit of Welchol
Debrox (carbamide peroxide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Proscar (finasteride)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

36. 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
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 months 3. 6-18 months

37. 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
Tessalon (benzonate)
Proscar (finasteride)
1. 2 months 2. 4 months 3. 12-15 months

38. When should the varicella virus vaccine be administered
Tessalon (benzonate)
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

39. What class of drugs will lower LDL the most
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Statins (18-55% reduction)

40. What can be used for BPH
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5
Pregabalin
Proscar (finasteride)

41. What are the 3rd generation heterocyclic Anti depressants
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

42. What is used to clean ears
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Temazepam (Reston) Lorazepam (Ativan)
Debrox (carbamide peroxide)

43. What are the ages for the pneumococcal vaccine
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

44. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics

45. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

47. What ages are the Rotavirus vaccine given
2 months 4 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

48. What are the 4 month pediatric vaccines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Provigil (modafinil)

49. What is the first line treatment for depression

50. Treatment for pre-diabetes
2-8 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flecanide. Not to be used with LV insufficiency