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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 are the 2 month pediatric vaccines
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)

2. name the SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)

3. What are some causes of pitting edema
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

4. What can be used for cough suppression
2-8 hours
Tessalon (benzonate)
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin

5. What is a severe side effect of metformin
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

6. Name the fibric acids
1. 12-24 months 2. 6-18 months after initial dose
1. DTaP 2. PCV
Gemofibrozil Fenofibrate Clofibrate
10-20 hours

7. What are the ages for the Hib vaccine
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)

8. What is used to clean ears
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)
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

9. What are the 4 month pediatric vaccines
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)

10. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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
Dolgic (Acetamenaphen + butabital)

11. Name the intermediate acting benzodiazepines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
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
Temazepam (Reston) Lorazepam (Ativan)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

12. What drug can be used to cardiovert AF of short duration
Nomanda (memantine) Exelon (Rivastigmine)
Flecanide. Not to be used with LV insufficiency
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

13. What are the ages for the inactivated poliovirus
Cholestyramine Colestipol Colesevalam
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

14. What are the effects of fibric acids
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

15. Drug addiction and withdrawal
Suboxone (Buprenorphine)
2-8 hours
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years

16. What are the 3rd generation heterocyclic Anti depressants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5
Flecanide. Not to be used with LV insufficiency
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

17. Erythematous Nodosum
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 delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
SSRI's
1. 2 months 2. 4 months 3. 12-15 months

18. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-24 months 2. 6-18 months after initial dose

19. What ages are the Rotavirus vaccine given
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2 months 4 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

20. High blood pressure
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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

21. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Suboxone (Buprenorphine)

22. What are some options for pain control
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

23. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months

24. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. What drug can be used for cardioversion with structural heart disease
Suboxone (Buprenorphine)
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval

26. What can be used for BPH
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)

27. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

28. What is an FDA approved prescription weight loss drug
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

29. What are the ages that the measles mumps and rubella vaccine administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years

30. What is the max creatinine clearance level for metformin
Temazepam (Reston) Lorazepam (Ativan)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)
1.5

31. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Proscar (finasteride)
STOP THE METFORMIN
10-20 hours

32. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

33. Problems with welchol and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

34. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
SSRI's
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

35. What needs to be considered when treating a patient long term with lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5
Proscar (finasteride)

36. What are the ages for the pneumococcal vaccine
2-8 hours
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5

37. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 months 3. 6-18 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

38. What is the effect of the statins
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

39. What are the 6 month pediatric vaccines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
1. DTaP 2. PCV

40. When should the varicella virus vaccine be administered
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

41. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

42. IBS
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

43. What is the duration of short acting benzo's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)
2-8 hours

44. What's the difference between CMP and BMP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
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

45. What can be used to treat against C-difference in addition to parasites and other bacteria.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
STOP THE METFORMIN
Flagyl (Metronidazole)

46. What can be used for nausea
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)
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
1. 12-15 months 2. 4-6 years

47. What are the first generation anti depressants
2-8 hours
Zanaflex (tizanidine)
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics

48. Name the statins
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
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2-8 hours

49. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)

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