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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 needs to be considered when treating a patient long term with lasics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zanaflex (tizanidine)

2. What is the duration of short acting benzo's
Erythromycin Clarithromycin Azithromycin
2-8 hours
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

3. Withdrawal symptoms
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Debrox (carbamide peroxide)

4. What are some causes of pitting edema
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

5. What are the 2nd generation heterocyclic Anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)

7. 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
Tetracycline Doxycycline Demeclocycline Minocycline
10-20 hours
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

8. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
Dannitol (Phenobarbital +Atropine)

9. What are the 3rd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
1. DTaP 2. PCV
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months

10. What are anticoagulation treatment options
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Temazepam (Reston) Lorazepam (Ativan)

11. What can be used for cough suppression
Tessalon (benzonate)
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)

12. IBS
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)
Suboxone (Buprenorphine)
Flecanide. Not to be used with LV insufficiency

13. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zanaflex (tizanidine)

14. What is an FDA approved prescription weight loss drug
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years

15. What are the effects of the bile acid sequestrants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

17. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)

18. What are the ages for the inactivated poliovirus
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months

19. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

20. What class of drugs will lower LDL the most
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Statins (18-55% reduction)

21. What are the 2 month pediatric vaccines
Dolgic (Acetamenaphen + butabital)
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

22. name the SSRI's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
10-20 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
Temazepam (Reston) Lorazepam (Ativan)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine

24. What are the 6 month pediatric vaccines
Tricyclics
Provigil (modafinil)
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)

25. Name the macrolides
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
1.5
Tricyclics

26. Name the intermediate acting benzodiazepines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)

27. Drug addiction and withdrawal
Zanaflex (tizanidine)
Suboxone (Buprenorphine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Temazepam (Reston) Lorazepam (Ativan)

28. What is the max creatinine clearance level for metformin
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
Pregabalin

29. What can be used to prevent coagulation
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months

30. What is Pradaxa
1. DTaP 2. PCV
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

31. What can be used for nausea
Cholestyramine Colestipol Colesevalam
Suboxone (Buprenorphine)
Zofran (Ondansetron) Reglam (metoclopromide)
Flecanide. Not to be used with LV insufficiency

32. What is used to clean ears
Debrox (carbamide peroxide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

33. Name the aminoglycoside
Gemofibrozil Fenofibrate Clofibrate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

34. What ages the are the DTaP vaccine given
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

35. What are some options for pain control
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

36. Name the tetracyclines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Block serotonin and Nor epinephrine

37. What is the duration action of intermediate acting benzo's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours

38. Name the short acting benzodiazepines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

39. What is a severe side effect of metformin
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours

40. High blood pressure
Dolgic (Acetamenaphen + butabital)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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
Neurontin (gabapentin) Lyrica (Pregabalin)

41. What can be used to treat against C-difference in addition to parasites and other bacteria.
2 months 4 months
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

42. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose

43. When should the varicella virus vaccine be administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)

44. What are the first generation anti depressants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tricyclics

45. What ages are the Hep B vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months

46. What are the effects of fibric acids
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

47. What are the ages for the pneumococcal vaccine
Debrox (carbamide peroxide)
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

48. Name the fibric acids
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)

49. What drug can be used for cardioversion with structural heart disease
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

50. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
10-20 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5