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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 are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam

2. What ages are the Hep B vaccine given
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)

3. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

4. What are some options for pain control
SSRI's
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

5. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flagyl (Metronidazole)

6. When should the HEP A vaccine be administered
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)

7. What are the ages that the measles mumps and rubella vaccine administered
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
SSRI's
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

8. Name the fibric acids
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate

9. What are the 4 month pediatric vaccines
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

11. 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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vyvanse (lisdexamphetamine)

12. 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
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

13. What can be used to relax muscles associated with tension head aches
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

14. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

15. Problems with welchol and diabetes
Zanaflex (tizanidine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

16. What is the first line treatment for depression

17. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline
Statins (18-55% reduction)
Neurogen (Filgastim)

18. What are the ages for the Hib vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

19. What needs to be considered when treating a patient long term with lasics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

20. What drug can be used for cardioversion with structural heart disease
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

21. What are the 3rd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zanaflex (tizanidine)

22. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine

23. Drug addiction and withdrawal
Tessalon (benzonate)
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency
Suboxone (Buprenorphine)

24. What is the duration of short acting benzo's
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2-8 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function

25. What is used to clean ears
Flecanide. Not to be used with LV insufficiency
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
Debrox (carbamide peroxide)

26. What ages the are the DTaP vaccine given
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

27. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

28. What is an FDA approved prescription weight loss drug
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
10-20 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

29. Withdrawal symptoms
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
1.5
Vistaril (hydroxyzine)

30. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

31. What is the duration action of intermediate acting benzo's
2 months 4 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
10-20 hours
Neurontin (gabapentin) Lyrica (Pregabalin)

32. What are the 6 month pediatric vaccines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
Zofran (Ondansetron) Reglam (metoclopromide)

33. What are the first generation anti depressants
Tricyclics
Debrox (carbamide peroxide)
2-8 hours
1. 12-15 months 2. 4-6 years

34. Name the macrolides
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN

35. What are the effects of fibric acids
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

36. What can be used to treat against C-difference in addition to parasites and other bacteria.
Statins (18-55% reduction)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose
Flagyl (Metronidazole)

37. What are the effects of the bile acid sequestrants
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
2 months 4 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

38. What are anticoagulation treatment options
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

39. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
2 months 4 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

40. What are the ages for the inactivated poliovirus
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years

41. What is a severe side effect of metformin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

42. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

43. What ages are the Rotavirus vaccine given
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tessalon (benzonate)
Tetracycline Doxycycline Demeclocycline Minocycline
2 months 4 months

44. What can be used for cough suppression
Flagyl (Metronidazole)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tessalon (benzonate)
Zanaflex (tizanidine)

45. name the SSRI's
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 months 4 months

46. Erythematous Nodosum
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Statins (18-55% reduction)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

47. What can be used for BPH
Block serotonin and Nor epinephrine
Provigil (modafinil)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)

48. IBS
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

49. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Statins (18-55% reduction)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

50. Name the long acting benzodiazepines
2 months 4 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)