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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. What class of drugs will lower LDL the most
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
Nomanda (memantine) Exelon (Rivastigmine)
Statins (18-55% reduction)

2. What are the 4 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics

3. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Proscar (finasteride)
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)

4. What are the ages for the pneumococcal vaccine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

5. Name the macrolides
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Suboxone (Buprenorphine)

6. What ages are the Rotavirus vaccine given
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
Vistaril (hydroxyzine)

7. What are the ages for the Hib vaccine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
SSRI's
1. 2 months 2. 4 months 3. 12-15 months

8. What can be used for BPH
Trazodone (Desyrel) Buproprion (Wellbutrin)
Proscar (finasteride)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

9. What are the 2nd generation heterocyclic Anti depressants
Block serotonin and Nor epinephrine
Neurogen (Filgastim)
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)

10. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
Block serotonin and Nor epinephrine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

11. What are the first generation anti depressants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

12. Name the bile acid sequestrants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Cholestyramine Colestipol Colesevalam
1.5
Zofran (Ondansetron) Reglam (metoclopromide)

13. High blood pressure
1. Birth 2. 1-2 months 3. 6-18 months
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
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

14. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin

15. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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. DTaP 2. PCV

16. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

17. When should the varicella virus vaccine be administered
Statins (18-55% reduction)
Tricyclics
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

18. What are some causes of pitting edema
2 months 4 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

19. What can be used to improve memory
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
2 months 4 months
Flecanide. Not to be used with LV insufficiency

20. What drug is used to tx narcolepsy
Provigil (modafinil)
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

21. What is used to clean ears
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

22. What is the max creatinine clearance level for metformin
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2-8 hours

23. What can be used to treat against C-difference in addition to parasites and other bacteria.
2-8 hours
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flagyl (Metronidazole)

24. When should the HEP A vaccine be administered
Suboxone (Buprenorphine)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 months 4 months

25. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

26. What drug can be used to cardiovert AF of short duration
SSRI's
Tricyclics
Flecanide. Not to be used with LV insufficiency
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

27. What is an FDA approved prescription weight loss drug
Zofran (Ondansetron) Reglam (metoclopromide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)

28. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

29. What's the difference between CMP and BMP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
A CMP is a BMP (kidney - electrolytes) PLUS liver function

30. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)
Block serotonin and Nor epinephrine
10-20 hours

31. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurogen (Filgastim)

32. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dannitol (Phenobarbital +Atropine)

33. Name the fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
STOP THE METFORMIN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

34. What can be used to relax muscles associated with tension head aches
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)

35. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

36. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

37. Neuropathic Pain management
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 12-15 months

38. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 2 months 2. 4 months 3. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
SSRI's
STOP THE METFORMIN

39. What is the first line treatment for depression

40. Drug addiction and withdrawal
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin

41. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)

42. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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
Suboxone (Buprenorphine)

43. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

44. What are some options for pain control
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)

45. What is the duration of short acting benzo's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin
2-8 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

46. Name the statins
1. Birth 2. 1-2 months 3. 6-18 months
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)

47. What ages the are the DTaP vaccine given
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Statins (18-55% reduction)

48. Erythematous Nodosum
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

49. What are the ages that the measles mumps and rubella vaccine administered
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tricyclics
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)

50. What are the 2 month pediatric vaccines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP