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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. name a central acting muscle relaxant
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

2. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine

3. Drug addiction and withdrawal
1. DTaP 2. PCV
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)

4. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline

5. IBS
Tessalon (benzonate)
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)

6. What is the max creatinine clearance level for metformin
Vistaril (hydroxyzine)
Vyvanse (lisdexamphetamine)
1.5
Pregabalin

7. What are the ages that the measles mumps and rubella vaccine administered
Vistaril (hydroxyzine)
Pregabalin
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

8. What's the difference between CMP and BMP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

9. What drug can be used to cardiovert AF of short duration
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

10. What are the 6 month pediatric vaccines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

11. What can be used to treat ADHD
STOP THE METFORMIN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)

12. What drug is used to tx narcolepsy
SSRI's
Proscar (finasteride)
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)

13. Neuropathic Pain management
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)

14. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zanaflex (tizanidine)
Flagyl (Metronidazole)

15. What needs to be considered when treating a patient long term with lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Nomanda (memantine) Exelon (Rivastigmine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5

16. What ages are the Hep B vaccine given
Provigil (modafinil)
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 months 3. 6-18 months

17. What are the ages for the inactivated poliovirus
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. Name the fibric acids
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate

19. What can be used to increase WBC counts
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours

20. Name the long acting benzodiazepines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
Cholestyramine Colestipol Colesevalam

21. What are the effects of fibric acids
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

22. High blood pressure
Neurontin (gabapentin) Lyrica (Pregabalin)
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
Gemofibrozil Fenofibrate Clofibrate

23. What drug can be used for cardioversion with structural heart disease
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
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 months 4 months

24. Withdrawal symptoms
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)
Vyvanse (lisdexamphetamine)

25. What is the effect of the statins
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline

26. Name the short acting benzodiazepines
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

27. What is the duration action of intermediate acting benzo's
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
10-20 hours
1. DTaP 2. PCV

28. What are the ages for the Hib vaccine
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

29. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

30. What is the benefit of Welchol
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

31. What class of drugs will lower LDL the most
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 12-15 months
Statins (18-55% reduction)

32. What are the effects of the bile acid sequestrants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

33. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

34. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

35. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Cholestyramine Colestipol Colesevalam

36. What is the first line treatment for depression

37. Name the bile acid sequestrants
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Proscar (finasteride)

38. Name the tetracyclines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)

39. What are some causes of pitting edema
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. What can be used to improve memory
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
Nomanda (memantine) Exelon (Rivastigmine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

41. What are the 2nd generation heterocyclic Anti depressants
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

42. Name the aminoglycoside
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. DTaP 2. PCV
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zofran (Ondansetron) Reglam (metoclopromide)

44. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

45. What is used to clean ears
Erythromycin Clarithromycin Azithromycin
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
Cholestyramine Colestipol Colesevalam
Debrox (carbamide peroxide)

46. What are the 2 month pediatric vaccines
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)

47. When should the HEP A vaccine be administered
Erythromycin Clarithromycin Azithromycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years

48. What are some options for pain control
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine
Tessalon (benzonate)

49. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Debrox (carbamide peroxide)
Zanaflex (tizanidine)

50. What are anticoagulation treatment options
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurogen (Filgastim)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose