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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 BPH
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

2. High blood pressure
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1.5

3. Name the tetracyclines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Nomanda (memantine) Exelon (Rivastigmine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline

4. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 months 4 months
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

5. What drug is used to tx narcolepsy
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV

6. What are anticoagulation treatment options
1. Birth 2. 1-2 months 3. 6-18 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
10-20 hours

7. Name the statins
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

8. What are the 6 month pediatric vaccines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)

9. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

10. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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
10-20 hours

11. What are the ages for the inactivated poliovirus
2 months 4 months
SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

12. What can be used for nausea
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

13. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours

14. What can be used to increase WBC counts
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Block serotonin and Nor epinephrine
Tricyclics

15. What can be used to relax muscles associated with tension head aches
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

16. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
10-20 hours
Neurogen (Filgastim)
2-8 hours

17. What are some causes of pitting edema
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
Erythromycin Clarithromycin Azithromycin

18. What are the 4 month pediatric vaccines
Proscar (finasteride)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

19. What is the first line treatment for depression

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20. What ages are the Hep B vaccine given
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

21. What ages the are the DTaP vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

22. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Neurogen (Filgastim)
Statins (18-55% reduction)
Zanaflex (tizanidine)

23. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

24. What are some options for pain control
Nomanda (memantine) Exelon (Rivastigmine)
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

25. Name the bile acid sequestrants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval

26. What are the 3rd generation heterocyclic Anti depressants
Vistaril (hydroxyzine)
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

27. Neuropathic Pain management
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)

28. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
2 months 4 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

29. Name the fibric acids
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate

30. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN
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

31. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months

32. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. Name the long acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Cholestyramine Colestipol Colesevalam

34. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
Block serotonin and Nor epinephrine

35. What are the ages that the measles mumps and rubella vaccine administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years

36. What can be used for cough suppression
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)

37. What is an FDA approved prescription weight loss drug
10-20 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years

38. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

39. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

40. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)

41. What is the effect of the statins
Vistaril (hydroxyzine)
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurogen (Filgastim)

42. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. Birth 2. 1-2 months 3. 6-18 months
Vyvanse (lisdexamphetamine)
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)

43. When should the HEP A vaccine be administered
Gemofibrozil Fenofibrate Clofibrate
2-8 hours
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

44. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

45. name a central acting muscle relaxant
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
Zanaflex (tizanidine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

46. What is the benefit of Welchol
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin

47. Name the macrolides
Pregabalin
Erythromycin Clarithromycin Azithromycin
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

48. What is Pradaxa
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

49. What are the effects of fibric acids
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)

50. How do you treat low magnesium and low potassium in the hospital setting
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine