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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. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

2. What is Pradaxa
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)

3. Treatment for pre-diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

4. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

5. What are the 6 month pediatric vaccines
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

6. How do you treat low magnesium and low potassium in the hospital setting
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate
Zanaflex (tizanidine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

7. What are some causes of pitting edema
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Statins (18-55% reduction)

8. Name the intermediate acting benzodiazepines
10-20 hours
Pregabalin
Temazepam (Reston) Lorazepam (Ativan)
Debrox (carbamide peroxide)

9. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)

10. What are some options for pain control
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)

11. What are the first generation anti depressants
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tricyclics
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)

12. What are the 4 month pediatric vaccines
Proscar (finasteride)
Dolgic (Acetamenaphen + butabital)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

13. What drug can be used for cardioversion with structural heart disease
Suboxone (Buprenorphine)
Gemofibrozil Fenofibrate Clofibrate
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

14. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)

15. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Flagyl (Metronidazole)
Pregabalin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
SSRI's

16. What are the effects of nicotinic acid
Statins (18-55% reduction)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

17. What drug is used to tx narcolepsy
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)

18. What are the ages for the inactivated poliovirus
Debrox (carbamide peroxide)
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

19. When should the varicella virus vaccine be administered
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years

20. name a central acting muscle relaxant
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)

21. What are the 3rd generation heterocyclic Anti depressants
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

22. Drug addiction and withdrawal
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Suboxone (Buprenorphine)

23. What are the 2nd generation heterocyclic Anti depressants
1.5
Gemofibrozil Fenofibrate Clofibrate
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours

24. Name the macrolides
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

25. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)

26. Name the statins
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

27. What ages are the Hep B vaccine given
STOP THE METFORMIN
1. Birth 2. 1-2 months 3. 6-18 months
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

28. What drug can be used to cardiovert AF of short duration
Proscar (finasteride)
Zanaflex (tizanidine)
Flecanide. Not to be used with LV insufficiency
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

29. IBS
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
10-20 hours
Dannitol (Phenobarbital +Atropine)

30. High blood pressure
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
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)

31. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)

32. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
SSRI's
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

33. 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
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function

34. Withdrawal symptoms
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)

35. What ages the are the DTaP vaccine given
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

36. What is the duration of short acting benzo's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2-8 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate

37. What needs to be considered when treating a patient long term with lasics
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 months 4 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

38. Problems with welchol and diabetes
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years

39. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
SSRI's

40. What are the ages for the Hib vaccine
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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.

41. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Birth 2. 1-2 months 3. 6-18 months
Block serotonin and Nor epinephrine
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
10-20 hours

42. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

43. When should the HEP A vaccine be administered
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose

44. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Provigil (modafinil)
Vyvanse (lisdexamphetamine)

45. What is the benefit of Welchol
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)

46. What are the ages that the measles mumps and rubella vaccine administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline

47. What is the first line treatment for depression

48. Neuropathic Pain management
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

49. What class of drugs will lower LDL the most
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)
SSRI's
Statins (18-55% reduction)

50. What is the max creatinine clearance level for metformin
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
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