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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. Erythematous Nodosum
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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

2. Name the macrolides
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
1. 12-24 months 2. 6-18 months after initial dose

3. What can be used for cough suppression
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

4. 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
10-20 hours
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

5. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 months 4 months
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

6. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Dolgic (Acetamenaphen + butabital)
1. DTaP 2. PCV
Cholestyramine Colestipol Colesevalam
Pregabalin

7. What ages the are the DTaP vaccine given
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

8. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

9. What drug is used to tx narcolepsy
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

10. What are the effects of the bile acid sequestrants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

11. Name the bile acid sequestrants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam
2-8 hours

12. What class of drugs will lower LDL the most
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)

13. What is an FDA approved prescription weight loss drug
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

14. What are the first generation anti depressants
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
Provigil (modafinil)

15. What are the effects of fibric acids
Tessalon (benzonate)
1. DTaP 2. PCV
Provigil (modafinil)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

16. What is the first line treatment for depression

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17. What is used to clean ears
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency
Zofran (Ondansetron) Reglam (metoclopromide)
Cholestyramine Colestipol Colesevalam

18. Name the statins
Flecanide. Not to be used with LV insufficiency
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

19. What are the effects of nicotinic acid
1. DTaP 2. PCV
Dolgic (Acetamenaphen + butabital)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

20. What is the benefit of Welchol
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

21. How do you treat low magnesium and low potassium in the hospital setting
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

22. What are some options for pain control
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Cholestyramine Colestipol Colesevalam

23. What can be used to treat ADHD
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

24. What can be used to treat against C-difference in addition to parasites and other bacteria.
Provigil (modafinil)
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)

25. What drug can be used to cardiovert AF of short duration
Vyvanse (lisdexamphetamine)
Flecanide. Not to be used with LV insufficiency
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function

26. What ages are the Rotavirus vaccine given
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
2 months 4 months
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)

27. What are the 3rd generation heterocyclic Anti depressants
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose

28. Neuropathic Pain management
1. DTaP 2. PCV
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

29. What ages are the Hep B vaccine given
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. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zanaflex (tizanidine)

30. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)

31. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
2 months 4 months
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)

33. What's the difference between CMP and BMP
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%)
1. 2 months 2. 4 months 3. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

34. Problems with welchol 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
1. 2 months 2. 4 months 3. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

35. What is the duration action of intermediate acting benzo's
10-20 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. Name the tetracyclines
Temazepam (Reston) Lorazepam (Ativan)
Tetracycline Doxycycline Demeclocycline Minocycline
Provigil (modafinil)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. What is the max creatinine clearance level for metformin
Erythromycin Clarithromycin Azithromycin
1.5
1. 12-24 months 2. 6-18 months after initial dose
Zanaflex (tizanidine)

38. Name the aminoglycoside
Flagyl (Metronidazole)
1. 12-24 months 2. 6-18 months after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

39. What is the effect of the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose

40. What are the ages that the measles mumps and rubella vaccine administered
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

41. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Suboxone (Buprenorphine)

42. What can be used to increase WBC counts
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

43. What can be used for BPH
Proscar (finasteride)
Flagyl (Metronidazole)
Provigil (modafinil)
SSRI's

44. What is the duration of short acting benzo's
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

45. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Statins (18-55% reduction)

46. Treatment for pre-diabetes
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

47. Drug addiction and withdrawal
Vyvanse (lisdexamphetamine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

48. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

49. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Suboxone (Buprenorphine)

50. What are anticoagulation treatment options
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A CMP is a BMP (kidney - electrolytes) PLUS liver function