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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 ages for the inactivated poliovirus
Suboxone (Buprenorphine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN

2. Name the bile acid sequestrants
Tricyclics
2-8 hours
Cholestyramine Colestipol Colesevalam
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

3. name the SSRI's
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

4. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin
Erythromycin Clarithromycin Azithromycin

5. What are the first generation anti depressants
10-20 hours
Tricyclics
Vistaril (hydroxyzine)
Pregabalin

6. What are the ages that the measles mumps and rubella vaccine administered
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2-8 hours

7. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)

8. Name the aminoglycoside
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

9. Name the macrolides
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

10. Name the long acting benzodiazepines
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

11. What is the benefit of Welchol
1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

12. What are the 2 month pediatric vaccines
Debrox (carbamide peroxide)
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

13. What can be used for BPH
Proscar (finasteride)
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

14. What can be used to treat against C-difference in addition to parasites and other bacteria.
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

15. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. What needs to be considered when treating a patient long term with lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)

17. What drug is used to tx narcolepsy
Zanaflex (tizanidine)
Debrox (carbamide peroxide)
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

18. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
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)
1. DTaP 2. PCV

19. What are the 2nd generation heterocyclic Anti depressants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

20. What can be used to prevent coagulation
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

21. How do you treat low magnesium and low potassium in the hospital setting
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

22. What is the max creatinine clearance level for metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

23. Treatment for pre-diabetes
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV

24. What can be used to treat ADHD
STOP THE METFORMIN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

25. Problems with welchol and diabetes
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)
Erythromycin Clarithromycin Azithromycin

26. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
Suboxone (Buprenorphine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

27. What are some options for pain control
Nomanda (memantine) Exelon (Rivastigmine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)
2-8 hours

28. What can be used for cough suppression
Tessalon (benzonate)
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)

29. What is Pradaxa
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Gemofibrozil Fenofibrate Clofibrate
Dolgic (Acetamenaphen + butabital)

30. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

31. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

32. What can be used for nausea
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What is the duration of short acting benzo's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

34. What is the first line treatment for depression

35. What are the 4 month pediatric vaccines
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. Name the short acting benzodiazepines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Gemofibrozil Fenofibrate Clofibrate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

37. What's the difference between CMP and BMP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zofran (Ondansetron) Reglam (metoclopromide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)

38. What is a severe side effect of metformin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

39. When should the varicella virus vaccine be administered
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)

40. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months
Block serotonin and Nor epinephrine

41. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
10-20 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)

42. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

43. name a central acting muscle relaxant
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pregabalin

44. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

45. IBS
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

46. 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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics

47. What can be used to increase WBC counts
1.5
Neurogen (Filgastim)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)

48. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

49. What ages are the Rotavirus vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
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. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
2 months 4 months

50. What ages are the Hep B vaccine given
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 months 3. 6-18 months
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)