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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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Answer 50 questions in 15 minutes.
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1. What is the max creatinine clearance level for metformin
Suboxone (Buprenorphine)
1.5
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

2. When should the HEP A vaccine be administered
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose

3. What is the duration of short acting benzo's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics
2-8 hours

4. What are the first generation anti depressants
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

5. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

6. What are the ages for the pneumococcal vaccine
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

7. What drug can be used for cardioversion with structural heart disease
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

8. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. DTaP 2. PCV
Provigil (modafinil)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

9. Neuropathic Pain management
1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)

10. Name the short acting benzodiazepines
Vyvanse (lisdexamphetamine)
2-8 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam

11. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)

12. What is the duration action of intermediate acting benzo's
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)
Block serotonin and Nor epinephrine
10-20 hours

13. What can be used to improve memory
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)

14. Name the long acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zofran (Ondansetron) Reglam (metoclopromide)

15. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. What is used to clean ears
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
Tessalon (benzonate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

17. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics
1. 12-15 months 2. 4-6 years

18. What can be used to relax muscles associated with tension head aches
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2-8 hours
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)

19. name a central acting muscle relaxant
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate
Zanaflex (tizanidine)
1.5

20. What ages are the Hep B vaccine given
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months

21. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pregabalin
Gemofibrozil Fenofibrate Clofibrate

22. What are some causes of pitting edema
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

23. What class of drugs will lower LDL the most
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2 months 4 months
Statins (18-55% reduction)
1. Birth 2. 1-2 months 3. 6-18 months

24. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Provigil (modafinil)
Pregabalin
Tricyclics
Vistaril (hydroxyzine)

25. What is the first line treatment for depression

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26. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Block serotonin and Nor epinephrine
Pregabalin

27. Name the tetracyclines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months
Tetracycline Doxycycline Demeclocycline Minocycline

28. Name the bile acid sequestrants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

29. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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
Tessalon (benzonate)

30. Name the aminoglycoside
Temazepam (Reston) Lorazepam (Ativan)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Nomanda (memantine) Exelon (Rivastigmine)

31. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

32. What are some options for pain control
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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

33. What ages are the Rotavirus vaccine given
2 months 4 months
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

34. What is an FDA approved prescription weight loss drug
Statins (18-55% reduction)
Neurogen (Filgastim)
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
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

35. What can be used for cough suppression
Tessalon (benzonate)
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin

36. What are the 4 month pediatric vaccines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval

37. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. DTaP 2. PCV
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

38. Name the statins
Erythromycin Clarithromycin Azithromycin
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)

39. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

40. 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
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Proscar (finasteride)

41. name the SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
10-20 hours

42. What can be used to increase WBC counts
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

43. What are the 6 month pediatric vaccines
Block serotonin and Nor epinephrine
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
Provigil (modafinil)

44. Erythematous Nodosum
Flagyl (Metronidazole)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

45. What are the 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. What is the effect of the statins
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

47. Name the macrolides
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin

48. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 months 3. 6-18 months

49. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

50. Problems with welchol and diabetes
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

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