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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 is the benefit of Welchol
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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
10-20 hours

2. What are the 6 month pediatric vaccines
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. DTaP 2. PCV

3. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)

4. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)
Cholestyramine Colestipol Colesevalam

5. Name the statins
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. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

6. Name the bile acid sequestrants
Dolgic (Acetamenaphen + butabital)
1. DTaP 2. PCV
2 months 4 months
Cholestyramine Colestipol Colesevalam

7. Erythematous Nodosum
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV
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

8. What can be used to relax muscles associated with tension head aches
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Pregabalin

9. What are the 2 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

10. Drug addiction and withdrawal
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
SSRI's
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin

11. What is the first line treatment for depression

12. What is used to clean ears
Neurontin (gabapentin) Lyrica (Pregabalin)
Debrox (carbamide peroxide)
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 months 3. 6-18 months

13. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

14. What is the duration action of intermediate acting benzo's
1.5
10-20 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

15. What ages are the Rotavirus vaccine given
2 months 4 months
Vyvanse (lisdexamphetamine)
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval

16. Name the short acting benzodiazepines
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

17. What is the effect of the statins
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Debrox (carbamide peroxide)
STOP THE METFORMIN

18. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Flagyl (Metronidazole)

19. What is the duration of short acting benzo's
2-8 hours
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Block serotonin and Nor epinephrine

20. When should the varicella virus vaccine be administered
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

21. What is an FDA approved prescription weight loss drug
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

22. Name the tetracyclines
Vyvanse (lisdexamphetamine)
1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Nomanda (memantine) Exelon (Rivastigmine)

23. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flagyl (Metronidazole)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What can be used to treat against C-difference in addition to parasites and other bacteria.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)

25. Neuropathic Pain management
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
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate

26. What can be used for BPH
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurontin (gabapentin) Lyrica (Pregabalin)

27. name the SSRI's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

28. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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
SSRI's

29. IBS
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin

30. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Ibutilide (IV Only). It prolongs repolarization and the QT interval

31. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Block serotonin and Nor epinephrine

32. Name the fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours
Gemofibrozil Fenofibrate Clofibrate

33. What are the ages for the Hib vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months

34. What drug is used to tx narcolepsy
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
Provigil (modafinil)

35. What ages are the Hep B vaccine given
Flagyl (Metronidazole)
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
1. Birth 2. 1-2 months 3. 6-18 months

36. 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
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin

37. What are anticoagulation treatment options
Vistaril (hydroxyzine)
2 months 4 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Birth 2. 1-2 months 3. 6-18 months

38. name a central acting muscle relaxant
Zanaflex (tizanidine)
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flagyl (Metronidazole)

39. What is Pradaxa
Flecanide. Not to be used with LV insufficiency
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Proscar (finasteride)
Vistaril (hydroxyzine)

40. When should the HEP A vaccine be administered
Block serotonin and Nor epinephrine
Tessalon (benzonate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose

41. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Proscar (finasteride)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Block serotonin and Nor epinephrine

42. How do you treat low magnesium and low potassium in the hospital setting
Flecanide. Not to be used with LV insufficiency
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

43. What needs to be considered when treating a patient long term with lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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
Dolgic (Acetamenaphen + butabital)

44. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)

45. What can be used to treat ADHD
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency

46. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose

47. What is a severe side effect of metformin
Neurontin (gabapentin) Lyrica (Pregabalin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

48. What are some causes of pitting edema
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

49. Name the intermediate acting benzodiazepines
Dannitol (Phenobarbital +Atropine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Temazepam (Reston) Lorazepam (Ativan)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

50. What is the max creatinine clearance level for metformin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
SSRI's
1.5