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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 are the 3rd generation heterocyclic Anti depressants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Temazepam (Reston) Lorazepam (Ativan)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)

2. What is used to clean ears
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)

3. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

4. What are the 6 month pediatric vaccines
Erythromycin Clarithromycin Azithromycin
Gemofibrozil Fenofibrate Clofibrate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV

5. Name the macrolides
Flagyl (Metronidazole)
Erythromycin Clarithromycin Azithromycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Debrox (carbamide peroxide)

6. What are the effects of fibric acids
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

7. 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
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

8. Name the tetracyclines
Dannitol (Phenobarbital +Atropine)
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate

9. What are the first generation anti depressants
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tricyclics
Tessalon (benzonate)

10. When should the varicella virus vaccine be administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years

11. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)

12. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

13. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Statins (18-55% reduction)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

14. What ages the are the DTaP vaccine given
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

15. What drug can be used for cardioversion with structural heart disease
Neurogen (Filgastim)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. Name the fibric acids
Vistaril (hydroxyzine)
Gemofibrozil Fenofibrate Clofibrate
Neurontin (gabapentin) Lyrica (Pregabalin)
Tetracycline Doxycycline Demeclocycline Minocycline

17. What drug is used to tx narcolepsy
Provigil (modafinil)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Suboxone (Buprenorphine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

18. Name the bile acid sequestrants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

19. Name the short acting benzodiazepines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)

20. Problems with welchol and diabetes
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

21. What is the duration of short acting benzo's
1.5
SSRI's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours

22. Treatment for pre-diabetes
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

23. What ages are the Hep B vaccine given
2-8 hours
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 months 3. 6-18 months

24. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

25. name the SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

26. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pregabalin
1.5
Flecanide. Not to be used with LV insufficiency

27. What is the benefit of Welchol
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

28. What can be used to increase WBC counts
Dannitol (Phenobarbital +Atropine)
Tessalon (benzonate)
Neurogen (Filgastim)
1. DTaP 2. PCV

29. What can be used to treat ADHD
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

30. Name the statins
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

31. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Proscar (finasteride)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

32. What can be used for cough suppression
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dolgic (Acetamenaphen + butabital)
1. DTaP 2. PCV

33. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

34. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin
10-20 hours

35. Erythematous Nodosum
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vistaril (hydroxyzine)

36. What class of drugs will lower LDL the most
1. DTaP 2. PCV
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)
STOP THE METFORMIN

37. What can be used to improve memory
Cholestyramine Colestipol Colesevalam
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
Nomanda (memantine) Exelon (Rivastigmine)

38. What is Pradaxa
Proscar (finasteride)
Tetracycline Doxycycline Demeclocycline Minocycline
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2-8 hours

39. What are some causes of pitting edema
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months

40. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

41. What are the ages that the measles mumps and rubella vaccine administered
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
Suboxone (Buprenorphine)

42. How do you treat low magnesium and low potassium in the hospital setting
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

43. name a central acting muscle relaxant
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)

44. Withdrawal symptoms
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. DTaP 2. PCV
Vistaril (hydroxyzine)

45. What are the effects of nicotinic acid
1. 12-24 months 2. 6-18 months after initial dose
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Suboxone (Buprenorphine)

46. What are the 2 month pediatric vaccines
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. What are the effects of the bile acid sequestrants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

48. Name the long acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vistaril (hydroxyzine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

49. Name the intermediate acting benzodiazepines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)

50. What is the first line treatment for depression