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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 is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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
Suboxone (Buprenorphine)
Tetracycline Doxycycline Demeclocycline Minocycline

2. What ages the are the DTaP vaccine given
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)

3. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)

4. What are the ages for the Hib vaccine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 12-15 months
Neurogen (Filgastim)

5. What drug can be used to cardiovert AF of short duration
Zofran (Ondansetron) Reglam (metoclopromide)
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

6. Erythematous Nodosum
Pregabalin
10-20 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zanaflex (tizanidine)

7. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
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

8. Problems with welchol and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. If a patient is on metformin and about to undergo contrast imaging - what must be done.
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
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

10. What are some options for pain control
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose

11. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

12. What are the 2 month pediatric vaccines
Tricyclics
1. DTaP 2. PCV
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

13. What can be used for nausea
Neurontin (gabapentin) Lyrica (Pregabalin)
2-8 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)

14. What is the duration of short acting benzo's
2-8 hours
Nomanda (memantine) Exelon (Rivastigmine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)

15. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

16. What is the benefit of Welchol
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

17. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. What are the effects of the bile acid sequestrants
Vistaril (hydroxyzine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

19. What are the 4 month pediatric vaccines
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

20. What are the ages that the measles mumps and rubella vaccine administered
2-8 hours
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

21. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)

22. What can be used for cough suppression
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

23. Name the fibric acids
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours

24. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
2-8 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

25. What can be used for BPH
Proscar (finasteride)
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 months 3. 6-18 months

26. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

27. What is the max creatinine clearance level for metformin
Zofran (Ondansetron) Reglam (metoclopromide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
1.5

28. What are anticoagulation treatment options
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

29. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

30. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

31. What are the effects of fibric acids
10-20 hours
Suboxone (Buprenorphine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

32. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam

33. What can be used to treat ADHD
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

34. High blood pressure
Zofran (Ondansetron) Reglam (metoclopromide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
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

35. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

36. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

37. Withdrawal symptoms
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)

38. name a central acting muscle relaxant
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

39. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

40. What can be used to treat against C-difference in addition to parasites and other bacteria.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flagyl (Metronidazole)
Suboxone (Buprenorphine)

41. What can be used to increase WBC counts
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 months 4 months

42. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

43. IBS
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
Neurogen (Filgastim)

44. What is Pradaxa
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

46. What can be used to prevent coagulation
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

47. What drug is used to tx narcolepsy
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Provigil (modafinil)

48. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vyvanse (lisdexamphetamine)

49. What is the first line treatment for depression

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50. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pregabalin