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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. Withdrawal symptoms
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months

2. What can be used for nausea
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
1. DTaP 2. PCV

3. What is the duration of short acting benzo's
10-20 hours
2-8 hours
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

4. What is the duration action of intermediate acting benzo's
Vyvanse (lisdexamphetamine)
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 months 3. 6-18 months

5. What can be used to treat ADHD
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)

6. Drug addiction and withdrawal
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

7. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Cholestyramine Colestipol Colesevalam
Block serotonin and Nor epinephrine
Tricyclics

8. High blood pressure
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. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)

9. What are the 4 month pediatric vaccines
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin

10. What drug is used to tx narcolepsy
Provigil (modafinil)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

11. What needs to be considered when treating a patient long term with lasics
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

12. Name the short acting benzodiazepines
Flagyl (Metronidazole)
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. DTaP 2. PCV

13. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

14. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

15. What is a severe side effect of metformin
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)

16. Name the tetracyclines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)

17. When should the varicella virus vaccine be administered
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years
1.5

18. What can be used for cough suppression
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)
Tessalon (benzonate)

19. Name the fibric acids
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

20. What can be used to improve memory
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)

21. What's the difference between CMP and BMP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

22. How do you treat low magnesium and low potassium in the hospital setting
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)

23. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

24. What drug can be used to cardiovert AF of short duration
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)

25. What are the 2nd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Trazodone (Desyrel) Buproprion (Wellbutrin)

26. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)

27. What is used to clean ears
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)
Block serotonin and Nor epinephrine
Neurontin (gabapentin) Lyrica (Pregabalin)

28. Name the macrolides
1. Birth 2. 1-2 months 3. 6-18 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency

29. What ages are the Rotavirus vaccine given
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2 months 4 months

30. What are the 3rd generation heterocyclic Anti depressants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurogen (Filgastim)

31. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV
STOP THE METFORMIN
Nomanda (memantine) Exelon (Rivastigmine)

32. Name the statins
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

33. Pediatric Hepatitis vaccinations should be given when?
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
Pregabalin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

34. Name the long acting benzodiazepines
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

35. Problems with welchol and diabetes
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. Name the bile acid sequestrants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
SSRI's
Cholestyramine Colestipol Colesevalam
1.5

37. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Flagyl (Metronidazole)
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)

38. What can be used to relax muscles associated with tension head aches
Tricyclics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)

39. What can be used to increase WBC counts
Tricyclics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)
Suboxone (Buprenorphine)

40. What drug can be used for cardioversion with structural heart disease
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline
Ibutilide (IV Only). It prolongs repolarization and the QT interval

41. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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.

42. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1.5
Provigil (modafinil)

43. name a central acting muscle relaxant
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)

44. What are some causes of pitting edema
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vyvanse (lisdexamphetamine)

45. Name the aminoglycoside
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

46. What are the effects of fibric acids
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
Tessalon (benzonate)

47. When should the HEP A vaccine be administered
Zofran (Ondansetron) Reglam (metoclopromide)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

48. name the SSRI's
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

49. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)
Zanaflex (tizanidine)
2 months 4 months

50. What are the ages for the pneumococcal vaccine
Cholestyramine Colestipol Colesevalam
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months