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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. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
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
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV

2. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zofran (Ondansetron) Reglam (metoclopromide)

3. What can be used to treat ADHD
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)

4. What are anticoagulation treatment options
Pregabalin
Zofran (Ondansetron) Reglam (metoclopromide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

5. What is the duration of short acting benzo's
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

6. What can be used to improve memory
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

7. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

8. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam

9. What class of drugs will lower LDL the most
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
SSRI's
Temazepam (Reston) Lorazepam (Ativan)
Statins (18-55% reduction)

10. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)

11. What is the duration action of intermediate acting benzo's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
10-20 hours

12. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years

13. What are some causes of pitting edema
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vyvanse (lisdexamphetamine)
2 months 4 months

14. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV
STOP THE METFORMIN

15. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
STOP THE METFORMIN
Neurontin (gabapentin) Lyrica (Pregabalin)

16. What are the effects of nicotinic acid
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

17. name the SSRI's
Flecanide. Not to be used with LV insufficiency
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

18. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 12-15 months

19. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
SSRI's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

20. What can be used to prevent coagulation
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

21. What can be used for cough suppression
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Block serotonin and Nor epinephrine

22. What is used to clean ears
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

23. What are the effects of fibric acids
1. Birth 2. 1-2 months 3. 6-18 months
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

24. What needs to be considered when treating a patient long term with lasics
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
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

25. Name the intermediate acting benzodiazepines
Proscar (finasteride)
Temazepam (Reston) Lorazepam (Ativan)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)

26. What are the ages that the measles mumps and rubella vaccine administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years

27. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

28. 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
Erythromycin Clarithromycin Azithromycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)

29. Erythematous Nodosum
Proscar (finasteride)
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

30. Drug addiction and withdrawal
Zofran (Ondansetron) Reglam (metoclopromide)
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Suboxone (Buprenorphine)

31. What are the ages for the inactivated poliovirus
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Block serotonin and Nor epinephrine

32. What can be used for BPH
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Proscar (finasteride)

33. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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

34. Name the statins
Nomanda (memantine) Exelon (Rivastigmine)
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
STOP THE METFORMIN

35. What is the first line treatment for depression

36. IBS
Dannitol (Phenobarbital +Atropine)
1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tessalon (benzonate)

37. Problems with welchol and diabetes
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
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

38. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flagyl (Metronidazole)

39. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
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
1. 12-15 months 2. 4-6 years

40. Name the macrolides
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin

41. When should the varicella virus vaccine be administered
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years

42. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

43. Withdrawal symptoms
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

44. High blood pressure
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 CMP is a BMP (kidney - electrolytes) PLUS liver function
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

45. What's the difference between CMP and BMP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

46. Pediatric Hepatitis vaccinations should be given when?
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. What are the first generation anti depressants
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
10-20 hours
Tricyclics

48. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Temazepam (Reston) Lorazepam (Ativan)

49. name a central acting muscle relaxant
Tessalon (benzonate)
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)

50. What are the 2 month pediatric vaccines
10-20 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP