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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. What can be used to improve memory
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

2. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)

3. What are the ages for the Hib vaccine
1.5
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)

4. What is the duration action of intermediate acting benzo's
Tessalon (benzonate)
Gemofibrozil Fenofibrate Clofibrate
Suboxone (Buprenorphine)
10-20 hours

5. What are the ages that the measles mumps and rubella vaccine administered
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

6. What are the effects of the bile acid sequestrants
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

7. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

8. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

9. What are the ages for the pneumococcal vaccine
1.5
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

10. What can be used to prevent coagulation
Pregabalin
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zofran (Ondansetron) Reglam (metoclopromide)

11. Treatment for pre-diabetes
SSRI's
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam

12. name the SSRI's
SSRI's
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dolgic (Acetamenaphen + butabital)

13. What is the benefit of Welchol
SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
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

14. What drug can be used to cardiovert AF of short duration
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam

15. Name the aminoglycoside
1. DTaP 2. PCV
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1.5

16. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)

17. What is a severe side effect of metformin
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)

18. Name the statins
1.5
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years

19. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
10-20 hours

20. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics
2-8 hours

21. What can be used to treat ADHD
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

22. Name the macrolides
Proscar (finasteride)
2-8 hours
Dolgic (Acetamenaphen + butabital)
Erythromycin Clarithromycin Azithromycin

23. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What can be used for cough suppression
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tessalon (benzonate)
STOP THE METFORMIN
Neurogen (Filgastim)

25. What ages are the Rotavirus vaccine given
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
Pregabalin
2 months 4 months

26. What class of drugs will lower LDL the most
Tricyclics
Trazodone (Desyrel) Buproprion (Wellbutrin)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

27. What can be used to increase WBC counts
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

28. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 hours
Debrox (carbamide peroxide)

29. What's the difference between CMP and BMP
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate

30. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)

31. Withdrawal symptoms
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
2-8 hours
Vistaril (hydroxyzine)

32. What can be used for BPH
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

33. What is Pradaxa
2-8 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What is the first line treatment for depression

35. When should the HEP A vaccine be administered
SSRI's
Nomanda (memantine) Exelon (Rivastigmine)
1.5
1. 12-24 months 2. 6-18 months after initial dose

36. What are the ages for the inactivated poliovirus
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN

37. What is the effect of the statins
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

38. What ages the are the DTaP vaccine given
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
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%)

39. What are some options for pain control
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

40. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)
Neurogen (Filgastim)

41. Pediatric Hepatitis vaccinations should be given when?
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
2 months 4 months
SSRI's

42. What needs to be considered when treating a patient long term with lasics
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

43. Drug addiction and withdrawal
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)

44. What is an FDA approved prescription weight loss drug
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Cholestyramine Colestipol Colesevalam
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

45. What can be used to treat against C-difference in addition to parasites and other bacteria.
STOP THE METFORMIN
Statins (18-55% reduction)
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

46. name a central acting muscle relaxant
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

47. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)
Proscar (finasteride)

48. 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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

49. What are the first generation anti depressants
Tricyclics
Tessalon (benzonate)
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

50. What are anticoagulation treatment options
SSRI's
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP