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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 are the ages that the measles mumps and rubella vaccine administered
10-20 hours
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

2. 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
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Erythromycin Clarithromycin Azithromycin

3. What are the 4 month pediatric vaccines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

4. What drug is used to tx narcolepsy
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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)

5. What are some causes of pitting edema
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years

6. How do you treat low magnesium and low potassium in the hospital setting
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Debrox (carbamide peroxide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

7. IBS
1. DTaP 2. PCV
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)
Dannitol (Phenobarbital +Atropine)

8. What class of drugs will lower LDL the most
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2 months 4 months
Suboxone (Buprenorphine)
Statins (18-55% reduction)

9. What can be used to increase WBC counts
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

10. What can be used for cough suppression
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 hours
Tessalon (benzonate)

11. What can be used to relax muscles associated with tension head aches
Tetracycline Doxycycline Demeclocycline Minocycline
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
Dolgic (Acetamenaphen + butabital)

12. What's the difference between CMP and BMP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

13. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

14. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)

15. Name the tetracyclines
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

16. What ages are the Hep B vaccine given
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
Vyvanse (lisdexamphetamine)

17. What can be used to treat against C-difference in addition to parasites and other bacteria.
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. What ages are the Rotavirus vaccine given
Erythromycin Clarithromycin Azithromycin
2 months 4 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
SSRI's

19. What can be used to improve memory
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)

20. Name the intermediate acting benzodiazepines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin
Vistaril (hydroxyzine)

21. What can be used to prevent coagulation
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

22. Name the macrolides
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Suboxone (Buprenorphine)

23. What can be used for nausea
1.5
1. 12-24 months 2. 6-18 months after initial dose
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

24. What ages the are the DTaP vaccine given
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

25. What are the 2nd generation heterocyclic Anti depressants
Provigil (modafinil)
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

26. What are the 3rd generation heterocyclic Anti depressants
Gemofibrozil Fenofibrate Clofibrate
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

27. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flecanide. Not to be used with LV insufficiency

28. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

29. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

30. What is used to clean ears
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
Trazodone (Desyrel) Buproprion (Wellbutrin)

31. Drug addiction and withdrawal
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Suboxone (Buprenorphine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN

32. What are the first generation anti depressants
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam

33. What is the duration action of intermediate acting benzo's
Statins (18-55% reduction)
Vistaril (hydroxyzine)
1.5
10-20 hours

34. What are the effects of the bile acid sequestrants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline

35. Treatment for pre-diabetes
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Ibutilide (IV Only). It prolongs repolarization and the QT interval

36. Withdrawal symptoms
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

37. What can be used for BPH
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
Trazodone (Desyrel) Buproprion (Wellbutrin)

38. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pregabalin

39. 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
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)

40. What is an FDA approved prescription weight loss drug
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

41. What is the duration of short acting benzo's
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours
Vistaril (hydroxyzine)

42. What are anticoagulation treatment options
1. Birth 2. 1-2 months 3. 6-18 months
Nomanda (memantine) Exelon (Rivastigmine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

43. Problems with welchol and diabetes
1.5
1. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

44. Name the fibric acids
Vistaril (hydroxyzine)
Flecanide. Not to be used with LV insufficiency
Gemofibrozil Fenofibrate Clofibrate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

45. What drug can be used to cardiovert AF of short duration
Cholestyramine Colestipol Colesevalam
SSRI's
Flecanide. Not to be used with LV insufficiency
Neurontin (gabapentin) Lyrica (Pregabalin)

46. What is the first line treatment for depression

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47. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Birth 2. 1-2 months 3. 6-18 months
Dannitol (Phenobarbital +Atropine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

48. Name the long acting benzodiazepines
Pregabalin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
SSRI's

49. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)

50. What are the ages for the Hib vaccine
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. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)