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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. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)
10-20 hours

2. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
SSRI's
Proscar (finasteride)

3. What is the effect of the statins
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

4. What are the effects of fibric acids
Trazodone (Desyrel) Buproprion (Wellbutrin)
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

5. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
A CMP is a BMP (kidney - electrolytes) PLUS liver function
STOP THE METFORMIN
Statins (18-55% reduction)

6. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
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
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine

7. What can be used to treat ADHD
Block serotonin and Nor epinephrine
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)
Debrox (carbamide peroxide)

8. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

9. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)

10. Problems with welchol and diabetes
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

11. Name the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. DTaP 2. PCV

12. name the SSRI's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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
Flagyl (Metronidazole)

13. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

14. What are the 2nd generation heterocyclic Anti depressants
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

15. What drug is used to tx narcolepsy
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dannitol (Phenobarbital +Atropine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

17. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)

18. What are the 2 month pediatric vaccines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

19. Name the fibric acids
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
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate

20. What is a severe side effect of metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

21. What can be used for nausea
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tetracycline Doxycycline Demeclocycline Minocycline

22. What is used to clean ears
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)
2-8 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

23. Treatment for pre-diabetes
Tessalon (benzonate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Suboxone (Buprenorphine)

24. What drug can be used to cardiovert AF of short duration
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency

25. Pediatric Hepatitis vaccinations should be given when?
Trazodone (Desyrel) Buproprion (Wellbutrin)
Cholestyramine Colestipol Colesevalam
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

26. What are the first generation anti depressants
Provigil (modafinil)
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)

27. What is the max creatinine clearance level for metformin
2-8 hours
1. DTaP 2. PCV
1.5
Block serotonin and Nor epinephrine

28. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours
Provigil (modafinil)

29. What can be used to prevent coagulation
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

30. What can be used to improve memory
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Nomanda (memantine) Exelon (Rivastigmine)
2 months 4 months

31. What are the ages for the pneumococcal vaccine
Flagyl (Metronidazole)
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

32. Erythematous Nodosum
Dolgic (Acetamenaphen + butabital)
Block serotonin and Nor epinephrine
1. 12-24 months 2. 6-18 months after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

33. What class of drugs will lower LDL the most
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tetracycline Doxycycline Demeclocycline Minocycline

34. What is the first line treatment for depression

35. name a central acting muscle relaxant
Zanaflex (tizanidine)
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose

36. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
STOP THE METFORMIN
Flagyl (Metronidazole)
Provigil (modafinil)

37. What can be used for cough suppression
Flagyl (Metronidazole)
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. DTaP 2. PCV

38. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
SSRI's

39. What are some causes of pitting edema
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin

40. Name the intermediate acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Neurogen (Filgastim)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)

41. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

42. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Proscar (finasteride)
Trazodone (Desyrel) Buproprion (Wellbutrin)

43. What's the difference between CMP and BMP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Provigil (modafinil)

44. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tessalon (benzonate)
2 months 4 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

45. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
SSRI's

46. What is the benefit of Welchol
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

47. When should the varicella virus vaccine be administered
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

48. What is the duration of short acting benzo's
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)
Dolgic (Acetamenaphen + butabital)
2-8 hours

49. Name the aminoglycoside
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

50. What are the 3rd generation heterocyclic Anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's
Statins (18-55% reduction)