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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 a central acting muscle relaxant
Statins (18-55% reduction)
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

2. When should the varicella virus vaccine be administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years
Provigil (modafinil)

3. Problems with welchol and diabetes
Block serotonin and Nor epinephrine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurontin (gabapentin) Lyrica (Pregabalin)

4. What are the ages for the pneumococcal vaccine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose

5. name the SSRI's
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

6. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
STOP THE METFORMIN
SSRI's
Vistaril (hydroxyzine)

7. Pediatric Hepatitis vaccinations should be given when?
Vistaril (hydroxyzine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dolgic (Acetamenaphen + butabital)
2 months 4 months

8. When should the HEP A vaccine be administered
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-24 months 2. 6-18 months after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1.5

9. What can be used for cough suppression
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)
Tessalon (benzonate)

10. Name the long acting benzodiazepines
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

11. Treatment for pre-diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months

12. What is Pradaxa
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zofran (Ondansetron) Reglam (metoclopromide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

13. What ages are the Hep B vaccine given
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
2-8 hours
1. Birth 2. 1-2 months 3. 6-18 months

14. 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
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

15. What can be used to improve memory
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. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

16. Neuropathic Pain management
1. 12-24 months 2. 6-18 months after initial dose
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

17. What can be used to increase WBC counts
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tricyclics
1. DTaP 2. PCV
Neurogen (Filgastim)

18. What is the benefit of Welchol
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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

19. What can be used to treat against C-difference in addition to parasites and other bacteria.
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

20. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

21. What are the 4 month pediatric vaccines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

22. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years

23. IBS
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

24. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

25. Drug addiction and withdrawal
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

26. What is the max creatinine clearance level for metformin
1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine
Vyvanse (lisdexamphetamine)

27. What is an FDA approved prescription weight loss drug
Temazepam (Reston) Lorazepam (Ativan)
Block serotonin and Nor epinephrine
Erythromycin Clarithromycin Azithromycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

28. What are the 2nd generation heterocyclic Anti depressants
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline

29. What are the effects of the bile acid sequestrants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

30. What is the duration action of intermediate acting benzo's
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)

31. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

32. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

33. Erythematous Nodosum
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tessalon (benzonate)
Gemofibrozil Fenofibrate Clofibrate

34. What is the first line treatment for depression

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35. What is the effect of the statins
1. DTaP 2. PCV
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)

36. Name the statins
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years

37. What are the 6 month pediatric vaccines
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years

38. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2-8 hours
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate

39. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vyvanse (lisdexamphetamine)

40. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

41. What drug is used to tx narcolepsy
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tricyclics
Neurontin (gabapentin) Lyrica (Pregabalin)

42. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1.5
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

43. What ages the are the DTaP vaccine given
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)

44. Name the intermediate acting benzodiazepines
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years

45. Name the short acting benzodiazepines
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

46. What ages are the Rotavirus vaccine given
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tessalon (benzonate)
2 months 4 months

47. What are the ages for the inactivated poliovirus
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

48. Withdrawal symptoms
Provigil (modafinil)
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)

49. What can be used to treat ADHD
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)

50. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5