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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 can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
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

2. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
2 months 4 months

3. What are the effects of nicotinic acid
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

4. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

5. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

6. Problems with welchol and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

7. What class of drugs will lower LDL the most
Flecanide. Not to be used with LV insufficiency
Statins (18-55% reduction)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)

8. Name the tetracyclines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Nomanda (memantine) Exelon (Rivastigmine)
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

9. What are the first generation anti depressants
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

10. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

11. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

12. Drug addiction and withdrawal
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2-8 hours
Suboxone (Buprenorphine)

13. What needs to be considered when treating a patient long term with lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

14. Erythematous Nodosum
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flagyl (Metronidazole)

15. What can be used for nausea
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)

16. name the SSRI's
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months

17. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics

18. Name the macrolides
SSRI's
Erythromycin Clarithromycin Azithromycin
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
STOP THE METFORMIN

19. What can be used to treat ADHD
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

20. Name the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

21. If a patient is on metformin and about to undergo contrast imaging - what must be done.
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
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
STOP THE METFORMIN

22. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

23. What is Pradaxa
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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

24. What is the duration action of intermediate acting benzo's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours

25. 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
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)

26. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 12-24 months 2. 6-18 months after initial dose
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
SSRI's

27. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
10-20 hours
Tricyclics
Proscar (finasteride)

28. What are the 4 month pediatric vaccines
Neurogen (Filgastim)
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

29. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pregabalin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)

30. Pediatric Hepatitis vaccinations should be given when?
Temazepam (Reston) Lorazepam (Ativan)
Vyvanse (lisdexamphetamine)
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

31. What is the first line treatment for depression

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32. What ages are the Rotavirus vaccine given
Erythromycin Clarithromycin Azithromycin
2 months 4 months
Vistaril (hydroxyzine)
Zanaflex (tizanidine)

33. What are anticoagulation treatment options
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Block serotonin and Nor epinephrine

34. What drug can be used to cardiovert AF of short duration
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)

35. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
Dolgic (Acetamenaphen + butabital)
2-8 hours

36. What are the effects of the bile acid sequestrants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. DTaP 2. PCV
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)

37. What can be used for cough suppression
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)
1. DTaP 2. PCV
Tessalon (benzonate)

38. What are the ages for the Hib vaccine
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 12-15 months

39. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Statins (18-55% reduction)

40. What is used to clean ears
Debrox (carbamide peroxide)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)

41. What are the 3rd generation heterocyclic Anti depressants
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)

42. IBS
Gemofibrozil Fenofibrate Clofibrate
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)

43. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 12-15 months
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)

44. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

45. What ages the are the DTaP vaccine given
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)

46. What are some causes of pitting edema
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dannitol (Phenobarbital +Atropine)

47. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Pregabalin
Erythromycin Clarithromycin Azithromycin

48. What are the effects of fibric acids
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

49. What is a severe side effect of metformin
Suboxone (Buprenorphine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

50. What can be used to prevent coagulation
Pregabalin
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP