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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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1. When should the varicella virus vaccine be administered
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
10-20 hours

2. What are the 2 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

3. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Block serotonin and Nor epinephrine
1. DTaP 2. PCV
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

4. Pediatric Hepatitis vaccinations should be given when?
Tricyclics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

5. High blood pressure
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
STOP THE METFORMIN
Flagyl (Metronidazole)
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

6. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

7. Name the aminoglycoside
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

8. What is used to clean ears
Flagyl (Metronidazole)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vyvanse (lisdexamphetamine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine

10. What drug can be used to cardiovert AF of short duration
Vistaril (hydroxyzine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years
Flecanide. Not to be used with LV insufficiency

11. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)

12. Problems with welchol and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

13. What is the benefit of Welchol
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
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

14. When should the HEP A vaccine be administered
Gemofibrozil Fenofibrate Clofibrate
Dolgic (Acetamenaphen + butabital)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

15. Treatment for pre-diabetes
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

16. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose

17. What drug is used to tx narcolepsy
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

18. Name the macrolides
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin
Pregabalin
SSRI's

19. What can be used to improve memory
Vistaril (hydroxyzine)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

20. Name the tetracyclines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

21. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)

22. What can be used to treat against C-difference in addition to parasites and other bacteria.
10-20 hours
Flagyl (Metronidazole)
Debrox (carbamide peroxide)
1. DTaP 2. PCV

23. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
Proscar (finasteride)

24. IBS
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dannitol (Phenobarbital +Atropine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Provigil (modafinil)

25. What is Pradaxa
Dannitol (Phenobarbital +Atropine)
2 months 4 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

26. What is an FDA approved prescription weight loss drug
Neurontin (gabapentin) Lyrica (Pregabalin)
Debrox (carbamide peroxide)
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

27. What is the first line treatment for depression

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28. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

29. What are the first generation anti depressants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

30. What's the difference between CMP and BMP
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function

31. What are the effects of the bile acid sequestrants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)

32. Name the fibric acids
Provigil (modafinil)
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics

33. Name the statins
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)

34. What ages are the Hep B vaccine given
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 months 3. 6-18 months

35. What is the effect of the statins
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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

36. What are some options for pain control
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

37. What ages are the Rotavirus vaccine given
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

38. Erythematous Nodosum
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine

39. What can be used for nausea
Temazepam (Reston) Lorazepam (Ativan)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zofran (Ondansetron) Reglam (metoclopromide)

40. What can be used to relax muscles associated with tension head aches
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
Zofran (Ondansetron) Reglam (metoclopromide)

41. What is the max creatinine clearance level for metformin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1.5
Nomanda (memantine) Exelon (Rivastigmine)
Neurontin (gabapentin) Lyrica (Pregabalin)

42. What is the duration of short acting benzo's
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2-8 hours
Vistaril (hydroxyzine)

43. What are the 2nd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours
Vyvanse (lisdexamphetamine)

44. Withdrawal symptoms
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)

45. What drug can be used for cardioversion with structural heart disease
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurontin (gabapentin) Lyrica (Pregabalin)

46. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
10-20 hours
Flagyl (Metronidazole)

47. Name the long acting benzodiazepines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)

48. name a central acting muscle relaxant
Block serotonin and Nor epinephrine
Zanaflex (tizanidine)
Tricyclics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

49. What can be used for cough suppression
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
Tessalon (benzonate)

50. What needs to be considered when treating a patient long term with lasics
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

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