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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. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months

2. High blood pressure
Dannitol (Phenobarbital +Atropine)
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)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

3. What is the first line treatment for depression

4. What are anticoagulation treatment options
1. 12-24 months 2. 6-18 months after initial dose
SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

5. What can be used for BPH
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Proscar (finasteride)

6. When should the HEP A vaccine be administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

7. What drug can be used to cardiovert AF of short duration
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%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Flecanide. Not to be used with LV insufficiency

8. Drug addiction and withdrawal
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 hours

9. 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
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam

10. What are the 2nd generation heterocyclic Anti depressants
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zofran (Ondansetron) Reglam (metoclopromide)

11. What's the difference between CMP and BMP
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
Debrox (carbamide peroxide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

12. What ages the are the DTaP vaccine given
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years

13. What class of drugs will lower LDL the most
2 months 4 months
Statins (18-55% reduction)
Dannitol (Phenobarbital +Atropine)
Temazepam (Reston) Lorazepam (Ativan)

14. What can be used to increase WBC counts
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)

15. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)

16. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
2 months 4 months
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

17. What can be used to treat ADHD
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin

18. What is Pradaxa
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

19. What is the benefit of Welchol
Tessalon (benzonate)
1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

20. What are the first generation anti depressants
1. Birth 2. 1-2 months 3. 6-18 months
SSRI's
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics

21. What are the effects of nicotinic acid
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
Suboxone (Buprenorphine)

22. What can be used for cough suppression
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

23. What is the duration action of intermediate acting benzo's
Ibutilide (IV Only). It prolongs repolarization and the QT interval
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

24. Withdrawal symptoms
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
Proscar (finasteride)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

25. What can be used to relax muscles associated with tension head aches
Zanaflex (tizanidine)
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)
2-8 hours

26. Name the fibric acids
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Gemofibrozil Fenofibrate Clofibrate

27. name a central acting muscle relaxant
Statins (18-55% reduction)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)
Zofran (Ondansetron) Reglam (metoclopromide)

28. When should the varicella virus vaccine be administered
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

29. 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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
Vistaril (hydroxyzine)

30. What are some causes of pitting edema
Neurogen (Filgastim)
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's

31. Name the short acting benzodiazepines
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

32. What are the effects of the bile acid sequestrants
Neurontin (gabapentin) Lyrica (Pregabalin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

33. IBS
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)

34. What is the effect of the statins
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

35. What are the 4 month pediatric vaccines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. Erythematous Nodosum
Gemofibrozil Fenofibrate Clofibrate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2-8 hours
Nomanda (memantine) Exelon (Rivastigmine)

37. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

38. Name the intermediate acting benzodiazepines
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flagyl (Metronidazole)

39. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Zanaflex (tizanidine)
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
Pregabalin

40. Name the bile acid sequestrants
Tessalon (benzonate)
Pregabalin
Flagyl (Metronidazole)
Cholestyramine Colestipol Colesevalam

41. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)
Nomanda (memantine) Exelon (Rivastigmine)

42. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Debrox (carbamide peroxide)
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

43. Name the tetracyclines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline

44. What needs to be considered when treating a patient long term with lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)

45. What is used to clean ears
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Debrox (carbamide peroxide)

46. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
Neurontin (gabapentin) Lyrica (Pregabalin)

47. What is the max creatinine clearance level for metformin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1.5
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

48. What is the duration of short acting benzo's
Proscar (finasteride)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours
Debrox (carbamide peroxide)

49. What are the 3rd generation heterocyclic Anti depressants
10-20 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

50. What is a severe side effect of metformin
10-20 hours
STOP THE METFORMIN
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