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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 effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
Proscar (finasteride)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

2. What can be used for cough suppression
Tessalon (benzonate)
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

3. What ages are the Rotavirus vaccine given
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)
2 months 4 months

4. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months
Flecanide. Not to be used with LV insufficiency
10-20 hours

5. What is the first line treatment for depression

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6. Withdrawal symptoms
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)

7. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

8. What can be used for BPH
1.5
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

9. High blood pressure
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months
Vyvanse (lisdexamphetamine)
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

10. What are the ages for the pneumococcal vaccine
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
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)

11. Name the aminoglycoside
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

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

13. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

14. What can be used to treat against C-difference in addition to parasites and other bacteria.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flagyl (Metronidazole)
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

15. What is used to clean ears
1. 12-15 months 2. 4-6 years
2 months 4 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Debrox (carbamide peroxide)

16. What is the benefit of Welchol
Suboxone (Buprenorphine)
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
Tetracycline Doxycycline Demeclocycline Minocycline

17. What are the 2 month pediatric vaccines
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. When should the HEP A vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

19. 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
Block serotonin and Nor epinephrine

20. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurogen (Filgastim)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

21. Erythematous Nodosum
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tessalon (benzonate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

22. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)
Flagyl (Metronidazole)
Provigil (modafinil)

23. What are the 2nd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

24. Treatment for pre-diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dannitol (Phenobarbital +Atropine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Provigil (modafinil)

25. When should the varicella virus vaccine be administered
1.5
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. Name the tetracyclines
Neurogen (Filgastim)
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline

27. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Block serotonin and Nor epinephrine

28. Drug addiction and withdrawal
Suboxone (Buprenorphine)
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
Zanaflex (tizanidine)

29. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dolgic (Acetamenaphen + butabital)
Proscar (finasteride)
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)

30. name a central acting muscle relaxant
Zanaflex (tizanidine)
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

31. Neuropathic Pain management
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)

32. name the SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

33. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline

34. What is the duration action of intermediate acting benzo's
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

35. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dannitol (Phenobarbital +Atropine)

36. What are some options for pain control
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

37. What ages the are the DTaP vaccine given
1. DTaP 2. PCV
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)

38. What is Pradaxa
1. DTaP 2. PCV
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

39. What can be used to increase WBC counts
Neurogen (Filgastim)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
Dolgic (Acetamenaphen + butabital)

40. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

41. What are the effects of nicotinic acid
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

42. What is the duration of short acting benzo's
2-8 hours
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

43. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval

44. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. Birth 2. 1-2 months 3. 6-18 months
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

45. What is a severe side effect of metformin
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

46. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Temazepam (Reston) Lorazepam (Ativan)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

47. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vistaril (hydroxyzine)
Statins (18-55% reduction)

48. What is the max creatinine clearance level for metformin
1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

49. What are the effects of fibric acids
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline

50. What can be used to treat ADHD
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)