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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. What are the 4 month pediatric vaccines
Nomanda (memantine) Exelon (Rivastigmine)
Zanaflex (tizanidine)
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

2. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

3. Neuropathic Pain management
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurontin (gabapentin) Lyrica (Pregabalin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

4. Pediatric Hepatitis vaccinations should be given when?
Proscar (finasteride)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

5. How do you treat low magnesium and low potassium in the hospital setting
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

6. What ages are the Hep B vaccine given
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

7. What is the effect of the statins
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

8. Name the bile acid sequestrants
Tessalon (benzonate)
Flagyl (Metronidazole)
Cholestyramine Colestipol Colesevalam
Gemofibrozil Fenofibrate Clofibrate

9. What are the 3rd generation heterocyclic Anti depressants
Suboxone (Buprenorphine)
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

10. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 12-15 months

11. What is the first line treatment for depression

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12. What drug can be used for cardioversion with structural heart disease
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)

13. What are the 2nd generation heterocyclic Anti depressants
Provigil (modafinil)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Trazodone (Desyrel) Buproprion (Wellbutrin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

14. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

15. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. DTaP 2. PCV
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. What ages the are the DTaP vaccine given
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

17. Name the intermediate acting benzodiazepines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Temazepam (Reston) Lorazepam (Ativan)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

18. Drug addiction and withdrawal
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)
STOP THE METFORMIN

19. What can be used for cough suppression
2 months 4 months
Tessalon (benzonate)
STOP THE METFORMIN
1. Birth 2. 1-2 months 3. 6-18 months

20. What is a severe side effect of metformin
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurontin (gabapentin) Lyrica (Pregabalin)

21. What's the difference between CMP and BMP
2-8 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

22. What is the max creatinine clearance level for metformin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years

23. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

24. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. Name the aminoglycoside
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

26. What ages are the Rotavirus vaccine given
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)

27. name a central acting muscle relaxant
Cholestyramine Colestipol Colesevalam
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zanaflex (tizanidine)

28. Name the statins
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

29. What is the duration action of intermediate acting benzo's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
10-20 hours
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)

30. What is used to clean ears
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

31. Withdrawal symptoms
Cholestyramine Colestipol Colesevalam
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
STOP THE METFORMIN

32. When should the HEP A vaccine be administered
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-24 months 2. 6-18 months after initial dose

33. Erythematous Nodosum
Tricyclics
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

34. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

35. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)

36. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zanaflex (tizanidine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

37. When should the varicella virus vaccine be administered
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years

38. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pregabalin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

39. What is the duration of short acting benzo's
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
SSRI's
2-8 hours

40. What are the first generation anti depressants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics

41. Name the short acting benzodiazepines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

42. What are the 6 month pediatric vaccines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
Gemofibrozil Fenofibrate Clofibrate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

43. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tessalon (benzonate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

44. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. DTaP 2. PCV

45. What can be used to increase WBC counts
Tessalon (benzonate)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
Block serotonin and Nor epinephrine

46. What are anticoagulation treatment options
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN

47. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

48. What drug is used to tx narcolepsy
2-8 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Provigil (modafinil)

49. Treatment for pre-diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

50. Name the long acting benzodiazepines
10-20 hours
Flagyl (Metronidazole)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

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