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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's the difference between CMP and BMP
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
SSRI's

2. What can be used to prevent coagulation
2 months 4 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)

3. What are the 2 month pediatric vaccines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

4. What is an FDA approved prescription weight loss drug
10-20 hours
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)

5. What drug can be used for cardioversion with structural heart disease
Pregabalin
Vistaril (hydroxyzine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flecanide. Not to be used with LV insufficiency

6. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dannitol (Phenobarbital +Atropine)

7. How do you treat low magnesium and low potassium in the hospital setting
1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

8. What ages are the Rotavirus vaccine given
Statins (18-55% reduction)
Neurogen (Filgastim)
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. Name the bile acid sequestrants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
SSRI's
Zanaflex (tizanidine)
Cholestyramine Colestipol Colesevalam

10. Withdrawal symptoms
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

11. What needs to be considered when treating a patient long term with lasics
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin

12. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
STOP THE METFORMIN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pregabalin

13. name the SSRI's
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

14. What drug can be used to cardiovert AF of short duration
1. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 12-15 months

15. What can be used to relax muscles associated with tension head aches
Suboxone (Buprenorphine)
Dolgic (Acetamenaphen + butabital)
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. What drug is used to tx narcolepsy
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

17. What are the first generation anti depressants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Tricyclics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

18. High blood pressure
Proscar (finasteride)
Tricyclics
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

19. Name the aminoglycoside
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

20. What is used to clean ears
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

21. What class of drugs will lower LDL the most
SSRI's
Statins (18-55% reduction)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV

22. What can be used to improve memory
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics

23. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tessalon (benzonate)
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)

24. What are the effects of nicotinic acid
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

25. What ages the are the DTaP vaccine given
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

26. Problems with welchol and diabetes
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

27. What is the duration action of intermediate acting benzo's
10-20 hours
Erythromycin Clarithromycin Azithromycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

28. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine

29. What are the 4 month pediatric vaccines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months

30. Name the macrolides
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

31. What are the 6 month pediatric vaccines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. DTaP 2. PCV
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

32. IBS
Tricyclics
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)

33. Name the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

34. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)

35. Neuropathic Pain management
Nomanda (memantine) Exelon (Rivastigmine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate

36. What ages are the Hep B vaccine given
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. DTaP 2. PCV

37. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2-8 hours
1. 12-15 months 2. 4-6 years

38. What are some options for pain control
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

39. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
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. RV 2. DTaP 3. Hib 4. PCV 5. IP

40. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. What can be used for cough suppression
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

42. What are the 2nd generation heterocyclic Anti depressants
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years

43. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)

44. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam

45. What is the max creatinine clearance level for metformin
Vistaril (hydroxyzine)
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1.5

46. What is the first line treatment for depression

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47. Name the fibric acids
Dannitol (Phenobarbital +Atropine)
Pregabalin
Dolgic (Acetamenaphen + butabital)
Gemofibrozil Fenofibrate Clofibrate

48. What is the effect of the statins
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

49. Drug addiction and withdrawal
Tricyclics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

50. What is Pradaxa
10-20 hours
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

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