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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 are the effects of fibric acids
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate

2. What ages are the Rotavirus vaccine given
1. 12-15 months 2. 4-6 years
2 months 4 months
10-20 hours
1. Birth 2. 1-2 months 3. 6-18 months

3. What can be used to treat against C-difference in addition to parasites and other bacteria.
Vyvanse (lisdexamphetamine)
Flagyl (Metronidazole)
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

4. What ages are the Hep B vaccine given
Statins (18-55% reduction)
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam

5. Name the aminoglycoside
Proscar (finasteride)
Gemofibrozil Fenofibrate Clofibrate
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

6. What are the 2 month pediatric vaccines
Proscar (finasteride)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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

7. What are some causes of pitting edema
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

8. Name the tetracyclines
1. 12-15 months 2. 4-6 years
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

9. What can be used to relax muscles associated with tension head aches
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
1.5

10. name a central acting muscle relaxant
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tessalon (benzonate)

11. Name the long acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

12. Problems with welchol and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
10-20 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

13. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Nomanda (memantine) Exelon (Rivastigmine)

14. Drug addiction and withdrawal
Suboxone (Buprenorphine)
2 months 4 months
1. DTaP 2. PCV
Provigil (modafinil)

15. Name the macrolides
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

16. What class of drugs will lower LDL the most
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Statins (18-55% reduction)
2-8 hours

17. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam

18. What is a severe side effect of metformin
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

19. 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. 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

20. What needs to be considered when treating a patient long term with lasics
1. 12-24 months 2. 6-18 months after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A CMP is a BMP (kidney - electrolytes) PLUS liver function

21. What can be used for cough suppression
Tessalon (benzonate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

22. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours
STOP THE METFORMIN
2-8 hours

23. What are the effects of the bile acid sequestrants
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

24. Name the bile acid sequestrants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. High blood pressure
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
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

26. What are the ages that the measles mumps and rubella vaccine administered
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

27. Name the fibric acids
2-8 hours
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV

28. What is Pradaxa
Cholestyramine Colestipol Colesevalam
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)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

29. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function

30. What are the 2nd generation heterocyclic Anti depressants
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

31. What can be used to increase WBC counts
Neurogen (Filgastim)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

32. What is the first line treatment for depression

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33. When should the HEP A vaccine be administered
Gemofibrozil Fenofibrate Clofibrate
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-24 months 2. 6-18 months after initial dose

34. What are anticoagulation treatment options
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2-8 hours
Pregabalin

35. When should the varicella virus vaccine be administered
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
Pregabalin
Temazepam (Reston) Lorazepam (Ativan)

36. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Debrox (carbamide peroxide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate

37. What is the duration of short acting benzo's
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

38. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

39. What can be used to improve memory
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Nomanda (memantine) Exelon (Rivastigmine)

40. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years

41. What is the max creatinine clearance level for metformin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)
1.5

42. What are the ages for the pneumococcal vaccine
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam

43. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)

44. Name the short acting benzodiazepines
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

45. What drug can be used to cardiovert AF of short duration
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
Zofran (Ondansetron) Reglam (metoclopromide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

46. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. What can be used for nausea
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

48. What are the effects of nicotinic acid
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency

49. What's the difference between CMP and BMP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

50. What is used to clean ears
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pregabalin