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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 treat ADHD
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)

2. What are some options for pain control
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
10-20 hours

3. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
10-20 hours
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years

4. What can be used to relax muscles associated with tension head aches
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
Dolgic (Acetamenaphen + butabital)
STOP THE METFORMIN
Proscar (finasteride)

5. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months

6. What is the first line treatment for depression

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7. What are the first generation anti depressants
Tricyclics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate

8. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
10-20 hours

9. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
10-20 hours

10. High blood pressure
Tricyclics
2-8 hours
Flecanide. Not to be used with LV insufficiency
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

11. What can be used to improve memory
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)

12. What is the max creatinine clearance level for metformin
1.5
Tessalon (benzonate)
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate

13. What are the 2nd generation heterocyclic Anti depressants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

14. What is the benefit of Welchol
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
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics

15. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)

16. What needs to be considered when treating a patient long term with lasics
Zofran (Ondansetron) Reglam (metoclopromide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)

17. What ages the are the DTaP vaccine given
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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
Trazodone (Desyrel) Buproprion (Wellbutrin)

18. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

19. Withdrawal symptoms
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)

20. What is the duration of short acting benzo's
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval

21. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5

22. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tricyclics
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
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
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

24. Drug addiction and withdrawal
Tessalon (benzonate)
Flagyl (Metronidazole)
Suboxone (Buprenorphine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

25. What are the 2 month pediatric vaccines
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)

26. IBS
Dannitol (Phenobarbital +Atropine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)

27. name a central acting muscle relaxant
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)
Statins (18-55% reduction)

28. What class of drugs will lower LDL the most
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
Debrox (carbamide peroxide)
Statins (18-55% reduction)

29. What are the effects of fibric acids
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency

30. Name the intermediate acting benzodiazepines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pregabalin
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years

31. What drug is used to tx narcolepsy
2 months 4 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
Provigil (modafinil)

32. What are the effects of the bile acid sequestrants
Statins (18-55% reduction)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 months 3. 6-18 months

33. Neuropathic Pain management
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurontin (gabapentin) Lyrica (Pregabalin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

34. What ages are the Hep B vaccine given
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months

35. What are the 4 month pediatric vaccines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam
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

37. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

38. What drug can be used to cardiovert AF of short duration
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
SSRI's

39. Erythematous Nodosum
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%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency

40. What is an FDA approved prescription weight loss drug
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

41. What are the ages for the pneumococcal vaccine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)

42. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

43. What's the difference between CMP and BMP
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
STOP THE METFORMIN

44. What is used to clean ears
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Debrox (carbamide peroxide)
1.5

45. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)
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

46. What can be used for nausea
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
2-8 hours

47. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
10-20 hours
Pregabalin

48. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

49. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)

50. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5