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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 relax muscles associated with tension head aches
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years

2. What are some causes of pitting edema
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

3. What drug is used to tx narcolepsy
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

4. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)

5. High blood pressure
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
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 delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

6. What can be used for cough suppression
Neurontin (gabapentin) Lyrica (Pregabalin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Statins (18-55% reduction)
Tessalon (benzonate)

7. What's the difference between CMP and BMP
Dolgic (Acetamenaphen + butabital)
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

8. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's
Temazepam (Reston) Lorazepam (Ativan)
Statins (18-55% reduction)

9. What are the ages for the Hib vaccine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

10. What needs to be considered when treating a patient long term with lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Statins (18-55% reduction)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

11. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Nomanda (memantine) Exelon (Rivastigmine)

12. What is the duration of short acting benzo's
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours
1. DTaP 2. PCV

13. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Provigil (modafinil)
Flagyl (Metronidazole)
Tricyclics

14. IBS
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 12-15 months

15. Name the fibric acids
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zofran (Ondansetron) Reglam (metoclopromide)
Gemofibrozil Fenofibrate Clofibrate

16. What are the first generation anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Tricyclics

17. What ages the are the DTaP vaccine given
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. Name the short acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine

19. What is the effect of the statins
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2-8 hours

20. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)
STOP THE METFORMIN

21. What are the 2 month pediatric vaccines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

22. What class of drugs will lower LDL the most
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

23. When should the varicella virus vaccine be administered
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

24. What is the first line treatment for depression

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25. When should the HEP A vaccine be administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

26. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
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
Trazodone (Desyrel) Buproprion (Wellbutrin)

27. What are the 6 month pediatric vaccines
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

28. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

29. What ages are the Hep B vaccine given
Neurogen (Filgastim)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Birth 2. 1-2 months 3. 6-18 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

30. What are the effects of fibric acids
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

31. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

32. name a central acting muscle relaxant
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

33. What are the ages that the measles mumps and rubella vaccine administered
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Flecanide. Not to be used with LV insufficiency
Vyvanse (lisdexamphetamine)

34. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN

35. What drug can be used to cardiovert AF of short duration
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flecanide. Not to be used with LV insufficiency

36. Withdrawal symptoms
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
SSRI's
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)

37. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
1. 12-15 months 2. 4-6 years

38. Pediatric Hepatitis vaccinations should be given when?
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years

39. Drug addiction and withdrawal
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Suboxone (Buprenorphine)
Proscar (finasteride)

40. Name the tetracyclines
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tetracycline Doxycycline Demeclocycline Minocycline
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV

41. What is Pradaxa
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

42. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

43. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Block serotonin and Nor epinephrine
1. DTaP 2. PCV
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

44. What can be used to increase WBC counts
Erythromycin Clarithromycin Azithromycin
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

45. What can be used for nausea
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zofran (Ondansetron) Reglam (metoclopromide)

46. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin

47. What are the 3rd generation heterocyclic Anti depressants
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

48. Name the statins
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)

49. What are the effects of the bile acid sequestrants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline

50. What ages are the Rotavirus vaccine given
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses