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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. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

2. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV

3. What can be used to treat against C-difference in addition to parasites and other bacteria.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Provigil (modafinil)
1. DTaP 2. PCV
Flagyl (Metronidazole)

4. What is Pradaxa
Block serotonin and Nor epinephrine
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

5. What ages the are the DTaP vaccine given
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Proscar (finasteride)

6. What needs to be considered when treating a patient long term with lasics
Nomanda (memantine) Exelon (Rivastigmine)
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dolgic (Acetamenaphen + butabital)

7. IBS
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)

8. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine
SSRI's
Neurogen (Filgastim)

9. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

10. What is the first line treatment for depression

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11. What can be used to improve memory
Erythromycin Clarithromycin Azithromycin
Nomanda (memantine) Exelon (Rivastigmine)
Pregabalin
1. 12-24 months 2. 6-18 months after initial dose

12. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours

13. name the SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

14. What is an FDA approved prescription weight loss drug
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

15. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
STOP THE METFORMIN

16. What are the ages for the inactivated poliovirus
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

17. What is used to clean ears
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zanaflex (tizanidine)

18. What are anticoagulation treatment options
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2-8 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

19. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
Provigil (modafinil)
2-8 hours

20. Treatment for pre-diabetes
Nomanda (memantine) Exelon (Rivastigmine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline
Neurogen (Filgastim)

21. Name the aminoglycoside
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)

22. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
Provigil (modafinil)
Proscar (finasteride)

23. Name the bile acid sequestrants
SSRI's
Cholestyramine Colestipol Colesevalam
Pregabalin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

24. High blood pressure
Temazepam (Reston) Lorazepam (Ativan)
2 months 4 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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 are the effects of fibric acids
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tricyclics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

26. Name the macrolides
1.5
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Provigil (modafinil)

27. What is the duration action of intermediate acting benzo's
1. DTaP 2. PCV
Cholestyramine Colestipol Colesevalam
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

28. What is a severe side effect of metformin
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

29. What are the ages for the Hib vaccine
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)

30. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

31. Withdrawal symptoms
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

32. What can be used to relax muscles associated with tension head aches
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1.5

33. What class of drugs will lower LDL the most
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function

34. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Cholestyramine Colestipol Colesevalam
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

35. What are the 4 month pediatric vaccines
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

37. What drug can be used to cardiovert AF of short duration
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

38. Erythematous Nodosum
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

39. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Vyvanse (lisdexamphetamine)
Pregabalin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

40. What are the effects of the bile acid sequestrants
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

41. Drug addiction and withdrawal
Provigil (modafinil)
Suboxone (Buprenorphine)
SSRI's
Vistaril (hydroxyzine)

42. What is the effect of the statins
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

43. What are the 2nd generation heterocyclic Anti depressants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
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

44. What can be used for BPH
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours

45. What can be used for nausea
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

47. Pediatric Hepatitis vaccinations should be given when?
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
STOP THE METFORMIN

48. Name the long acting benzodiazepines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

49. What are some causes of pitting edema
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

50. What are the 3rd generation heterocyclic Anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 months 3. 6-18 months
Dannitol (Phenobarbital +Atropine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)