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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. Drug addiction and withdrawal
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

2. What can be used to treat ADHD
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)
SSRI's

3. What class of drugs will lower LDL the most
1. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Statins (18-55% reduction)

4. Withdrawal symptoms
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 months 4 months

5. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. High blood pressure
2 months 4 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6-18 months 4. 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

7. Problems with welchol and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
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
Gemofibrozil Fenofibrate Clofibrate

8. Treatment for pre-diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

10. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

11. What is Pradaxa
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

12. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
2-8 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)

13. What are some options for pain control
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

14. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

15. When should the varicella virus vaccine be administered
2-8 hours
1. 12-15 months 2. 4-6 years
Proscar (finasteride)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

16. What are some causes of pitting edema
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
Tetracycline Doxycycline Demeclocycline Minocycline
Nomanda (memantine) Exelon (Rivastigmine)

17. Name the long acting benzodiazepines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years

19. What are the effects of fibric acids
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)

20. What are the first generation anti depressants
STOP THE METFORMIN
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurogen (Filgastim)

21. What is the benefit of Welchol
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
Tricyclics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

22. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

23. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Statins (18-55% reduction)

24. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

25. Name the short acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

26. IBS
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dannitol (Phenobarbital +Atropine)

27. What are the 2 month pediatric vaccines
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin
Vyvanse (lisdexamphetamine)

28. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Proscar (finasteride)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's

29. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
Trazodone (Desyrel) Buproprion (Wellbutrin)

30. How do you treat low magnesium and low potassium in the hospital setting
Vyvanse (lisdexamphetamine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

31. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Cholestyramine Colestipol Colesevalam

32. Erythematous Nodosum
Suboxone (Buprenorphine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)

33. 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
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pregabalin
Block serotonin and Nor epinephrine

34. What drug is used to tx narcolepsy
Provigil (modafinil)
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics

35. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 months 3. 6-18 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN

36. What ages are the Rotavirus vaccine given
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 months 4 months
Dannitol (Phenobarbital +Atropine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

37. What drug can be used for cardioversion with structural heart disease
Pregabalin
10-20 hours
Tricyclics
Ibutilide (IV Only). It prolongs repolarization and the QT interval

38. What are the 3rd generation heterocyclic Anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline
Block serotonin and Nor epinephrine

39. What is an FDA approved prescription weight loss drug
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Cholestyramine Colestipol Colesevalam

40. Name the aminoglycoside
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours

41. What is a severe side effect of metformin
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Suboxone (Buprenorphine)

42. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2-8 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

43. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Provigil (modafinil)
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

44. Neuropathic Pain management
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurontin (gabapentin) Lyrica (Pregabalin)
2-8 hours

45. What drug can be used to cardiovert AF of short duration
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
Neurogen (Filgastim)
Flecanide. Not to be used with LV insufficiency

46. What ages the are the DTaP vaccine given
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

47. What can be used for BPH
Tessalon (benzonate)
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
Proscar (finasteride)

48. What are the 4 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years

49. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Gemofibrozil Fenofibrate Clofibrate
Proscar (finasteride)

50. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Suboxone (Buprenorphine)
SSRI's