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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. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Ibutilide (IV Only). It prolongs repolarization and the QT interval
STOP THE METFORMIN
1.5
1. 12-24 months 2. 6-18 months after initial dose

2. What can be used to improve memory
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)

3. name a central acting muscle relaxant
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

4. What needs to be considered when treating a patient long term with lasics
1. 12-15 months 2. 4-6 years
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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

5. What is the max creatinine clearance level for metformin
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's
1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

6. What are some causes of pitting edema
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours

7. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
Block serotonin and Nor epinephrine

8. What ages are the Rotavirus vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 months 4 months
Pregabalin
Gemofibrozil Fenofibrate Clofibrate

9. IBS
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)
Statins (18-55% reduction)

10. What drug can be used to cardiovert AF of short duration
Proscar (finasteride)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency

11. High blood pressure
Vyvanse (lisdexamphetamine)
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
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

12. What are the 3rd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
1.5
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

13. What is the benefit of Welchol
Neurontin (gabapentin) Lyrica (Pregabalin)
1.5
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

14. When should the varicella virus vaccine be administered
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years

15. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

16. What are the 4 month pediatric vaccines
10-20 hours
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

17. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Block serotonin and Nor epinephrine
Flecanide. Not to be used with LV insufficiency

18. What is a severe side effect of metformin
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

19. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Tricyclics

20. Name the long acting benzodiazepines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

21. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN

22. What can be used for nausea
Neurontin (gabapentin) Lyrica (Pregabalin)
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%)
Zofran (Ondansetron) Reglam (metoclopromide)

23. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

24. What drug is used to tx narcolepsy
Debrox (carbamide peroxide)
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)

25. What are the ages for the Hib vaccine
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

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

27. What is the duration action of intermediate acting benzo's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)
10-20 hours
1. 12-15 months 2. 4-6 years

28. What is the first line treatment for depression

29. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics

30. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

31. Name the bile acid sequestrants
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam

32. What is used to clean ears
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tricyclics
Debrox (carbamide peroxide)

33. What ages are the Hep B vaccine given
Pregabalin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years

34. Pediatric Hepatitis vaccinations should be given when?
SSRI's
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

35. Drug addiction and withdrawal
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

36. Name the intermediate acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)

37. What are the first generation anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tricyclics

38. What are the ages for the inactivated poliovirus
SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tessalon (benzonate)

39. What are the 2nd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
Trazodone (Desyrel) Buproprion (Wellbutrin)
10-20 hours

40. What are the ages that the measles mumps and rubella vaccine administered
Cholestyramine Colestipol Colesevalam
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin

41. What can be used for BPH
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 hours

42. What's the difference between CMP and BMP
Provigil (modafinil)
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years

43. What ages the are the DTaP vaccine given
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

44. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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. 12-15 months 2. 4-6 years

45. Name the statins
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency

46. Name the tetracyclines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tetracycline Doxycycline Demeclocycline Minocycline
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tessalon (benzonate)

47. What is the duration of short acting benzo's
2-8 hours
1. DTaP 2. PCV
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

48. Name the macrolides
Erythromycin Clarithromycin Azithromycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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

49. What is an FDA approved prescription weight loss drug
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV

50. What can be used for cough suppression
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tessalon (benzonate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
SSRI's