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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 is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

2. What can be used to improve memory
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
Nomanda (memantine) Exelon (Rivastigmine)

3. What are some options for pain control
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)

4. name a central acting muscle relaxant
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
Provigil (modafinil)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

5. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

6. What can be used to increase WBC counts
Block serotonin and Nor epinephrine
SSRI's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)

7. What are the ages for the pneumococcal vaccine
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
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)

8. What is the duration action of intermediate acting benzo's
10-20 hours
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)
Gemofibrozil Fenofibrate Clofibrate

9. What is the max creatinine clearance level for metformin
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

10. What can be used for BPH
Debrox (carbamide peroxide)
Proscar (finasteride)
Suboxone (Buprenorphine)
1. DTaP 2. PCV

11. What are the 4 month pediatric vaccines
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
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What can be used to treat ADHD
Tessalon (benzonate)
Proscar (finasteride)
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

13. Treatment for pre-diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

14. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

15. What ages are the Hep B vaccine given
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
1.5
1. Birth 2. 1-2 months 3. 6-18 months

16. What are some causes of pitting edema
1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose

17. Problems with welchol and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. What can be used for nausea
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

19. What is the first line treatment for depression

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20. How do you treat low magnesium and low potassium in the hospital setting
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)

21. What are the ages for the Hib vaccine
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate

22. Name the macrolides
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin

23. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

24. Neuropathic Pain management
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV
Flagyl (Metronidazole)
Neurontin (gabapentin) Lyrica (Pregabalin)

25. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

26. What is a severe side effect of metformin
Suboxone (Buprenorphine)
Dannitol (Phenobarbital +Atropine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin

27. What are the 3rd generation heterocyclic Anti depressants
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tessalon (benzonate)

28. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Neurontin (gabapentin) Lyrica (Pregabalin)
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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

29. Name the statins
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
Provigil (modafinil)

30. Withdrawal symptoms
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

31. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Statins (18-55% reduction)

32. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

33. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

34. What are the ages for the inactivated poliovirus
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Block serotonin and Nor epinephrine

35. What drug can be used to cardiovert AF of short duration
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

36. Name the short acting benzodiazepines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vyvanse (lisdexamphetamine)
1. DTaP 2. PCV
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. What is used to clean ears
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. What drug is used to tx narcolepsy
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Provigil (modafinil)

39. What ages are the Rotavirus vaccine given
Debrox (carbamide peroxide)
Proscar (finasteride)
Dolgic (Acetamenaphen + butabital)
2 months 4 months

40. What ages the are the DTaP vaccine given
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

41. Name the fibric acids
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

42. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

43. IBS
Flecanide. Not to be used with LV insufficiency
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dannitol (Phenobarbital +Atropine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

44. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Block serotonin and Nor epinephrine
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

45. What are the 2nd generation heterocyclic Anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tessalon (benzonate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

46. What drug can be used for cardioversion with structural heart disease
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

47. What are anticoagulation treatment options
Pregabalin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

48. What is an FDA approved prescription weight loss drug
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flagyl (Metronidazole)

49. Erythematous Nodosum
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vyvanse (lisdexamphetamine)

50. What is the benefit of Welchol
Dolgic (Acetamenaphen + butabital)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes