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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 for nausea
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
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months

2. What drug can be used to cardiovert AF of short duration
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)
Flecanide. Not to be used with LV insufficiency

3. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

4. IBS
Dannitol (Phenobarbital +Atropine)
Zofran (Ondansetron) Reglam (metoclopromide)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. DTaP 2. PCV

5. Erythematous Nodosum
1. 12-15 months 2. 4-6 years
10-20 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

6. What can be used to increase WBC counts
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Proscar (finasteride)

7. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)

8. What are the 4 month pediatric vaccines
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. Name the statins
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

10. Name the long acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

11. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. DTaP 2. PCV
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

12. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)

13. What are the 2nd generation heterocyclic Anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)

14. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)

15. What are some options for pain control
1. 12-24 months 2. 6-18 months after initial dose
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)

16. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

17. Treatment for pre-diabetes
Tessalon (benzonate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

18. What are the ages that the measles mumps and rubella vaccine administered
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

19. What is an FDA approved prescription weight loss drug
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin

20. Name the short acting benzodiazepines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)

21. What ages the are the DTaP vaccine given
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

22. What can be used to prevent coagulation
Pregabalin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Gemofibrozil Fenofibrate Clofibrate

23. What is the max creatinine clearance level for metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Statins (18-55% reduction)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

24. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

25. What is the first line treatment for depression

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26. What are anticoagulation treatment options
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

27. What is the duration action of intermediate acting benzo's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
Zanaflex (tizanidine)

28. What can be used for cough suppression
Tessalon (benzonate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flagyl (Metronidazole)

29. When should the HEP A vaccine be administered
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

30. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vyvanse (lisdexamphetamine)

31. What's the difference between CMP and BMP
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A CMP is a BMP (kidney - electrolytes) PLUS liver function

32. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

33. Problems with welchol and diabetes
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)

34. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months

35. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months

36. name a central acting muscle relaxant
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)

37. How do you treat low magnesium and low potassium in the hospital setting
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

38. What drug is used to tx narcolepsy
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

39. 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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

40. What are the 2 month pediatric vaccines
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. Neuropathic Pain management
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
Proscar (finasteride)

42. What are the ages for the inactivated poliovirus
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years

43. What is used to clean ears
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

44. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

45. Withdrawal symptoms
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vistaril (hydroxyzine)
SSRI's

46. Name the intermediate acting benzodiazepines
Provigil (modafinil)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)

47. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dolgic (Acetamenaphen + butabital)

48. What are the effects of fibric acids
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

49. What drug can be used for cardioversion with structural heart disease
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

50. Name the bile acid sequestrants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flecanide. Not to be used with LV insufficiency