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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 can be used to prevent coagulation
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

2. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
Flecanide. Not to be used with LV insufficiency

3. What can be used for cough suppression
Pregabalin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

4. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
Proscar (finasteride)

5. What is used to clean ears
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)

6. name a central acting muscle relaxant
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

7. What are the ages that the measles mumps and rubella vaccine administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

8. Name the macrolides
Gemofibrozil Fenofibrate Clofibrate
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months

9. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 2 months 2. 4 months 3. 12-15 months
Statins (18-55% reduction)
Suboxone (Buprenorphine)
Pregabalin

10. Neuropathic Pain management
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

11. Name the long acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

12. What ages the are the DTaP vaccine given
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

13. What are some causes of pitting edema
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

14. What can be used to improve memory
Gemofibrozil Fenofibrate Clofibrate
Pregabalin
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)

15. Name the statins
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

16. What are the 2 month pediatric vaccines
Tricyclics
Pregabalin
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

17. When should the HEP A vaccine be administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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
Tessalon (benzonate)

18. How do you treat low magnesium and low potassium in the hospital setting
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

19. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)

20. What are some options for pain control
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tricyclics
Vistaril (hydroxyzine)

21. What ages are the Hep B vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)

22. What are the effects of fibric acids
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flagyl (Metronidazole)

23. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin

24. What needs to be considered when treating a patient long term with lasics
Tessalon (benzonate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years

25. What are the 3rd generation heterocyclic Anti depressants
2-8 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

26. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

27. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

28. What can be used to increase WBC counts
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pregabalin

29. What drug can be used for cardioversion with structural heart disease
10-20 hours
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval

30. What are the 2nd generation heterocyclic Anti depressants
10-20 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)

31. High blood pressure
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
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

32. Erythematous Nodosum
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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

33. What is the duration action of intermediate acting benzo's
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours
Dolgic (Acetamenaphen + butabital)

34. What can be used to treat ADHD
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

35. Pediatric Hepatitis vaccinations should be given when?
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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

36. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months

37. What is the first line treatment for depression

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38. What ages are the Rotavirus vaccine given
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

39. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
10-20 hours
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine

40. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Pregabalin
1.5
Zofran (Ondansetron) Reglam (metoclopromide)

41. What is a severe side effect of metformin
Provigil (modafinil)
Zofran (Ondansetron) Reglam (metoclopromide)
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%)

42. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)

43. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

44. What can be used for BPH
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

45. What are the effects of the bile acid sequestrants
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
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

46. Name the tetracyclines
2-8 hours
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
1.5

47. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flagyl (Metronidazole)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)

48. Drug addiction and withdrawal
Temazepam (Reston) Lorazepam (Ativan)
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

49. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

50. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
Proscar (finasteride)
2 months 4 months