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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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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. Erythematous Nodosum
Block serotonin and Nor epinephrine
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

2. Name the fibric acids
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate

3. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN
Pregabalin
Neurogen (Filgastim)

4. How do you treat low magnesium and low potassium in the hospital setting
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

5. Name the intermediate acting benzodiazepines
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)

6. What class of drugs will lower LDL the most
Dolgic (Acetamenaphen + butabital)
Proscar (finasteride)
Statins (18-55% reduction)
Flagyl (Metronidazole)

7. What drug is used to tx narcolepsy
Suboxone (Buprenorphine)
Zanaflex (tizanidine)
Provigil (modafinil)
Pregabalin

8. 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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

9. When should the HEP A vaccine be administered
Flecanide. Not to be used with LV insufficiency
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

10. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

11. IBS
SSRI's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

12. What can be used for BPH
STOP THE METFORMIN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)

13. What can be used to increase WBC counts
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurogen (Filgastim)
Suboxone (Buprenorphine)
Zofran (Ondansetron) Reglam (metoclopromide)

14. What ages are the Hep B vaccine given
1. 2 months 2. 4 months 3. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

15. name the SSRI's
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
Nomanda (memantine) Exelon (Rivastigmine)
Flagyl (Metronidazole)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. What are the 4 month pediatric vaccines
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Neurogen (Filgastim)

17. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-15 months 2. 4-6 years

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

19. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

20. Name the tetracyclines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
2 months 4 months

21. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years

22. Problems with welchol and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
10-20 hours

23. Name the short acting benzodiazepines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

24. name a central acting muscle relaxant
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zanaflex (tizanidine)
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

25. What can be used to treat against C-difference in addition to parasites and other bacteria.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)

26. What are the first generation anti depressants
2 months 4 months
1. 12-15 months 2. 4-6 years
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

27. Name the long acting benzodiazepines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

28. What can be used to improve memory
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years

29. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)

30. What are the effects of nicotinic acid
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Pregabalin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

31. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

32. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

33. High blood pressure
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What can be used for cough suppression
Pregabalin
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency

35. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Tricyclics
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

36. What are the 2nd generation heterocyclic Anti depressants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 12-15 months

37. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin

38. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

39. Pediatric Hepatitis vaccinations should be given when?
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

40. Drug addiction and withdrawal
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

41. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

42. What is the effect of the statins
Vyvanse (lisdexamphetamine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

43. What is the max creatinine clearance level for metformin
Tricyclics
Erythromycin Clarithromycin Azithromycin
Zanaflex (tizanidine)
1.5

44. Name the macrolides
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

45. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

46. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

47. What is used to clean ears
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin
Debrox (carbamide peroxide)

48. What are anticoagulation treatment options
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)

49. Name the bile acid sequestrants
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

50. What is Pradaxa
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin

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