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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 can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

2. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Tricyclics
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

3. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flagyl (Metronidazole)
Provigil (modafinil)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

4. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

5. What are the first generation anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

6. IBS
1.5
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

7. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Statins (18-55% reduction)
Tricyclics
10-20 hours
STOP THE METFORMIN

8. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months
Statins (18-55% reduction)
SSRI's

9. Name the tetracyclines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zanaflex (tizanidine)

10. Problems with welchol and diabetes
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

11. 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
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)

12. What are the 2nd generation heterocyclic Anti depressants
Cholestyramine Colestipol Colesevalam
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)

13. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

14. What can be used to relax muscles associated with tension head aches
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dolgic (Acetamenaphen + butabital)
10-20 hours

15. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Statins (18-55% reduction)
1.5

16. What ages the are the DTaP vaccine given
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. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Debrox (carbamide peroxide)

17. Name the macrolides
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
Erythromycin Clarithromycin Azithromycin
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

18. When should the varicella virus vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

19. What can be used to increase WBC counts
Neurogen (Filgastim)
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose

20. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Zanaflex (tizanidine)
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pregabalin

21. What drug is used to tx narcolepsy
Neurogen (Filgastim)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

22. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
Provigil (modafinil)
Flagyl (Metronidazole)

23. name a central acting muscle relaxant
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin
Zanaflex (tizanidine)
Flagyl (Metronidazole)

24. Treatment for pre-diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

25. What are anticoagulation treatment options
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tessalon (benzonate)
Statins (18-55% reduction)

26. What is the effect of the statins
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
SSRI's

27. What is Pradaxa
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

28. What are the ages for the pneumococcal vaccine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

29. What is the benefit of Welchol
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

30. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
2 months 4 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

31. What are some causes of pitting edema
Tricyclics
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

32. What are the ages for the Hib vaccine
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

33. What can be used to improve memory
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Nomanda (memantine) Exelon (Rivastigmine)

34. What are the ages for the inactivated poliovirus
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

35. High blood pressure
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

36. What is the first line treatment for depression

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37. What drug can be used for cardioversion with structural heart disease
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

38. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

39. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

40. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

41. What ages are the Rotavirus vaccine given
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 months 4 months
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

42. What are the effects of nicotinic acid
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

43. What is a severe side effect of metformin
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

44. What are the 3rd generation heterocyclic Anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate
Tetracycline Doxycycline Demeclocycline Minocycline

45. Drug addiction and withdrawal
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)

46. What can be used for nausea
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN

47. What is the max creatinine clearance level for metformin
Flecanide. Not to be used with LV insufficiency
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

48. How do you treat low magnesium and low potassium in the hospital setting
STOP THE METFORMIN
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

49. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline

50. Name the intermediate acting benzodiazepines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zanaflex (tizanidine)
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)