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

2. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tricyclics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

3. What are the ages for the pneumococcal vaccine
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

4. What is the effect of the statins
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

5. What are the 2 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

6. What can be used to increase WBC counts
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

7. High blood pressure
1.5
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

8. What can be used to prevent coagulation
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

9. What are the first generation anti depressants
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's

10. What are some causes of pitting edema
Pregabalin
Zanaflex (tizanidine)
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

11. Name the tetracyclines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline
Neurogen (Filgastim)
Vyvanse (lisdexamphetamine)

12. What can be used to relax muscles associated with tension head aches
Tricyclics
Dolgic (Acetamenaphen + butabital)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

13. Name the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Erythromycin Clarithromycin Azithromycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

15. What can be used for BPH
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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
Proscar (finasteride)

16. What can be used to treat ADHD
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months

17. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
Zanaflex (tizanidine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. What are anticoagulation treatment options
Tessalon (benzonate)
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%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

19. Name the long acting benzodiazepines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 months 4 months
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

20. What ages are the Rotavirus vaccine given
2 months 4 months
Flecanide. Not to be used with LV insufficiency
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

21. What can be used to treat against C-difference in addition to parasites and other bacteria.
STOP THE METFORMIN
Statins (18-55% reduction)
Pregabalin
Flagyl (Metronidazole)

22. What is a severe side effect of metformin
2 months 4 months
Nomanda (memantine) Exelon (Rivastigmine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
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

23. Problems with welchol and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

24. What drug is used to tx narcolepsy
A CMP is a BMP (kidney - electrolytes) PLUS liver function
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Provigil (modafinil)
Tricyclics

25. What is the first line treatment for depression

26. Withdrawal symptoms
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

27. Neuropathic Pain management
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

28. Name the aminoglycoside
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

29. Name the macrolides
10-20 hours
Erythromycin Clarithromycin Azithromycin
2-8 hours
Temazepam (Reston) Lorazepam (Ativan)

30. What is used to clean ears
Proscar (finasteride)
Debrox (carbamide peroxide)
Block serotonin and Nor epinephrine
STOP THE METFORMIN

31. What needs to be considered when treating a patient long term with lasics
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

32. When should the varicella virus vaccine be administered
SSRI's
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function

33. What are the ages for the Hib vaccine
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

34. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Ibutilide (IV Only). It prolongs repolarization and the QT interval

35. IBS
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

36. name the SSRI's
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dolgic (Acetamenaphen + butabital)

37. What drug can be used for cardioversion with structural heart disease
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

38. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine

39. name a central acting muscle relaxant
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)
Zanaflex (tizanidine)

40. What are the 4 month pediatric vaccines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

41. What ages the are the DTaP vaccine given
STOP THE METFORMIN
Proscar (finasteride)
2 months 4 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

42. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) 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

43. What are the 6 month pediatric vaccines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. DTaP 2. PCV
Provigil (modafinil)
Dannitol (Phenobarbital +Atropine)

44. What is the duration action of intermediate acting benzo's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
STOP THE METFORMIN
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

45. Name the intermediate acting benzodiazepines
Flagyl (Metronidazole)
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years

46. What are the ages that the measles mumps and rubella vaccine administered
10-20 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

47. What can be used for cough suppression
Tessalon (benzonate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

48. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

49. What's the difference between CMP and BMP
Flecanide. Not to be used with LV insufficiency
Statins (18-55% reduction)
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function

50. What is Pradaxa
Block serotonin and Nor epinephrine
Flecanide. Not to be used with LV insufficiency
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

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