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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 duration of short acting benzo's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours
Vyvanse (lisdexamphetamine)

2. 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
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)

3. What are the ages for the pneumococcal vaccine
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
Statins (18-55% reduction)

4. Name the macrolides
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)

5. What are the effects of the bile acid sequestrants
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dannitol (Phenobarbital +Atropine)

6. What are anticoagulation treatment options
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurogen (Filgastim)

7. Drug addiction and withdrawal
Block serotonin and Nor epinephrine
Suboxone (Buprenorphine)
Pregabalin
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. What can be used to treat ADHD
1. 2 months 2. 4 months 3. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)
SSRI's

9. Withdrawal symptoms
Flecanide. Not to be used with LV insufficiency
Gemofibrozil Fenofibrate Clofibrate
Vistaril (hydroxyzine)
Flagyl (Metronidazole)

10. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 12-15 months
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)

11. Name the short acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vistaril (hydroxyzine)

12. What ages are the Hep B vaccine given
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2-8 hours
1. Birth 2. 1-2 months 3. 6-18 months

13. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

14. What drug can be used to cardiovert AF of short duration
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)

15. What can be used for cough suppression
Block serotonin and Nor epinephrine
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurogen (Filgastim)

16. What are the 2nd generation heterocyclic Anti depressants
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

17. What drug can be used for cardioversion with structural heart disease
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Proscar (finasteride)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Ibutilide (IV Only). It prolongs repolarization and the QT interval

18. Name the aminoglycoside
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

19. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

21. Name the fibric acids
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
Gemofibrozil Fenofibrate Clofibrate
STOP THE METFORMIN

22. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)

23. What are the ages for the Hib vaccine
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Pregabalin

24. What are the effects of nicotinic acid
2-8 hours
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate

25. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

26. What are the 6 month pediatric vaccines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tessalon (benzonate)
1. DTaP 2. PCV

27. What is the benefit of Welchol
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

28. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

29. IBS
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
2 months 4 months
Dannitol (Phenobarbital +Atropine)

30. What can be used for BPH
Block serotonin and Nor epinephrine
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

31. What ages are the Rotavirus vaccine given
1.5
2 months 4 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)

32. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Erythromycin Clarithromycin Azithromycin

33. What can be used to increase WBC counts
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months
Dannitol (Phenobarbital +Atropine)

34. What is a severe side effect of metformin
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
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

35. When should the varicella virus vaccine be administered
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years

36. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam

37. 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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Proscar (finasteride)

38. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

39. Name the intermediate acting benzodiazepines
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)
Temazepam (Reston) Lorazepam (Ativan)

40. What is an FDA approved prescription weight loss drug
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
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. What can be used to treat against C-difference in addition to parasites and other bacteria.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

42. What is the first line treatment for depression

43. Erythematous Nodosum
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.
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

44. 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%)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years

45. What's the difference between CMP and BMP
Neurogen (Filgastim)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

46. What are the first generation anti depressants
Tetracycline Doxycycline Demeclocycline Minocycline
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

47. Name the tetracyclines
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. What class of drugs will lower LDL the most
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam
Statins (18-55% reduction)
2-8 hours

49. name the SSRI's
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tetracycline Doxycycline Demeclocycline Minocycline

50. What are the 3rd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)