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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 max creatinine clearance level for metformin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5

2. What are the effects of the bile acid sequestrants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurogen (Filgastim)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine

3. What are the 4 month pediatric vaccines
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose

4. IBS
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. What can be used to prevent coagulation
Zofran (Ondansetron) Reglam (metoclopromide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

6. What is the duration of short acting benzo's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pregabalin
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

7. What are some causes of pitting edema
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

8. What can be used to relax muscles associated with tension head aches
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin
Proscar (finasteride)
Dolgic (Acetamenaphen + butabital)

9. Withdrawal symptoms
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours
Vistaril (hydroxyzine)

10. name a central acting muscle relaxant
Zanaflex (tizanidine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)

11. Name the intermediate acting benzodiazepines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 months 3. 6-18 months

12. Pediatric Hepatitis vaccinations should be given when?
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)
1.5

13. What are the ages for the inactivated poliovirus
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

14. What is used to clean ears
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine

15. What is an FDA approved prescription weight loss drug
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years

16. What are the 2nd generation heterocyclic Anti depressants
Tricyclics
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

17. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

18. What are anticoagulation treatment options
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)

19. What are the ages that the measles mumps and rubella vaccine administered
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

20. What are the ages for the Hib vaccine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 12-15 months
1.5
Pregabalin

21. What is the effect of the statins
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

22. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Flecanide. Not to be used with LV insufficiency
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

23. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin

24. Name the long acting benzodiazepines
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

25. What can be used for nausea
Suboxone (Buprenorphine)
Vyvanse (lisdexamphetamine)
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)

26. When should the HEP A vaccine be administered
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-24 months 2. 6-18 months after initial dose

27. What drug can be used to cardiovert AF of short duration
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
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency

28. Treatment for pre-diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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
Neurogen (Filgastim)

29. Name the statins
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

30. Name the bile acid sequestrants
1. DTaP 2. PCV
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

31. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Cholestyramine Colestipol Colesevalam
Suboxone (Buprenorphine)

32. Problems with welchol and diabetes
Cholestyramine Colestipol Colesevalam
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
1. 12-15 months 2. 4-6 years

33. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Tessalon (benzonate)
1. DTaP 2. PCV
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

34. What are the 6 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV

35. What drug can be used for cardioversion with structural heart disease
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

36. What can be used to improve memory
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

37. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-24 months 2. 6-18 months after initial dose

38. Erythematous Nodosum
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Cholestyramine Colestipol Colesevalam
2 months 4 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

39. Name the fibric acids
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years

40. What is the duration action of intermediate acting benzo's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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

41. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

42. What are the ages for the pneumococcal vaccine
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years

43. What can be used for BPH
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)
Flecanide. Not to be used with LV insufficiency
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

44. When should the varicella virus vaccine be administered
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
1.5
Zofran (Ondansetron) Reglam (metoclopromide)

45. What ages the are the DTaP vaccine given
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)
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%)

46. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)

47. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)

48. High blood pressure
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
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics

49. What is a severe side effect of metformin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1.5
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

50. What can be used to increase WBC counts
Neurogen (Filgastim)
Tricyclics
SSRI's
Temazepam (Reston) Lorazepam (Ativan)