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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 the effect of the statins
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

2. What can be used for nausea
Suboxone (Buprenorphine)
Zofran (Ondansetron) Reglam (metoclopromide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

3. What are the 6 month pediatric vaccines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

4. Name the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline

5. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Statins (18-55% reduction)
Provigil (modafinil)
Zofran (Ondansetron) Reglam (metoclopromide)

6. What can be used for BPH
Temazepam (Reston) Lorazepam (Ativan)
2 months 4 months
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

7. IBS
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)

8. What can be used for cough suppression
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

9. What is the benefit of Welchol
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)
Tetracycline Doxycycline Demeclocycline Minocycline

10. What is the first line treatment for depression

11. What are the ages for the inactivated poliovirus
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

12. What are the ages for the pneumococcal vaccine
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

13. What are the effects of nicotinic acid
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

14. What is a severe side effect of metformin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

15. Withdrawal symptoms
Vistaril (hydroxyzine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

16. Name the aminoglycoside
Neurontin (gabapentin) Lyrica (Pregabalin)
Suboxone (Buprenorphine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

17. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pregabalin
Dannitol (Phenobarbital +Atropine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

18. What ages are the Rotavirus vaccine given
Flecanide. Not to be used with LV insufficiency
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months

19. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flecanide. Not to be used with LV insufficiency

20. name a central acting muscle relaxant
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

21. What are some causes of pitting edema
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)
Temazepam (Reston) Lorazepam (Ativan)

22. Erythematous Nodosum
Debrox (carbamide peroxide)
Statins (18-55% reduction)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

23. What can be used to treat against C-difference in addition to parasites and other bacteria.
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)

24. When should the varicella virus vaccine be administered
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
Debrox (carbamide peroxide)

25. What are anticoagulation treatment options
Vyvanse (lisdexamphetamine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Cholestyramine Colestipol Colesevalam

26. What are the ages that the measles mumps and rubella vaccine administered
Block serotonin and Nor epinephrine
Provigil (modafinil)
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

27. 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
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
Debrox (carbamide peroxide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

28. Name the fibric acids
Proscar (finasteride)
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate
Temazepam (Reston) Lorazepam (Ativan)

29. What are the effects of fibric acids
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

30. What ages the are the DTaP vaccine given
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)

31. What is the duration action of intermediate acting benzo's
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 hours

32. What drug can be used to cardiovert AF of short duration
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin
Tessalon (benzonate)
Flecanide. Not to be used with LV insufficiency

33. What is the max creatinine clearance level for metformin
Gemofibrozil Fenofibrate Clofibrate
10-20 hours
1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

34. Name the tetracyclines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

35. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

37. Name the short acting benzodiazepines
1. 12-24 months 2. 6-18 months after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

38. What are the effects of the bile acid sequestrants
Tricyclics
Neurogen (Filgastim)
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

39. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months

40. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months

41. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

42. When should the HEP A vaccine be administered
Proscar (finasteride)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose

43. What ages are the Hep B vaccine given
Suboxone (Buprenorphine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Birth 2. 1-2 months 3. 6-18 months

44. What are the 2nd generation heterocyclic Anti depressants
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

45. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Flecanide. Not to be used with LV insufficiency
SSRI's
Gemofibrozil Fenofibrate Clofibrate

46. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Block serotonin and Nor epinephrine
STOP THE METFORMIN

47. What can be used to increase WBC counts
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Suboxone (Buprenorphine)
STOP THE METFORMIN
Neurogen (Filgastim)

48. What class of drugs will lower LDL the most
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Statins (18-55% reduction)
Pregabalin

49. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
STOP THE METFORMIN

50. What are some options for pain control
1. Birth 2. 1-2 months 3. 6-18 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)