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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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1. What is Pradaxa
10-20 hours
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

2. Treatment for pre-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
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

3. Name the bile acid sequestrants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
Cholestyramine Colestipol Colesevalam
Debrox (carbamide peroxide)

4. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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
STOP THE METFORMIN

5. What are anticoagulation treatment options
Provigil (modafinil)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

6. IBS
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN

7. What can be used to prevent coagulation
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

8. Name the statins
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

9. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Suboxone (Buprenorphine)
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

10. What are some options for pain control
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

11. What are the first generation anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics
Dolgic (Acetamenaphen + butabital)

12. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tetracycline Doxycycline Demeclocycline Minocycline

13. What are the 2 month pediatric vaccines
Pregabalin
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency

14. What can be used for cough suppression
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-24 months 2. 6-18 months after initial dose
Tessalon (benzonate)

15. What ages are the Hep B vaccine given
SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 months 3. 6-18 months

16. Problems with welchol and diabetes
Flecanide. Not to be used with LV insufficiency
2 months 4 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

17. What is the first line treatment for depression

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18. What are the 2nd 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
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

19. Name the fibric acids
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Gemofibrozil Fenofibrate Clofibrate
Tessalon (benzonate)

20. Drug addiction and withdrawal
Dannitol (Phenobarbital +Atropine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)

21. What is the effect of the statins
Cholestyramine Colestipol Colesevalam
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

22. What can be used to relax muscles associated with tension head aches
Vyvanse (lisdexamphetamine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

23. What can be used for nausea
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)

24. Name the intermediate acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

25. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years

26. Pediatric Hepatitis vaccinations should be given when?
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Provigil (modafinil)

27. What is a severe side effect of metformin
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dolgic (Acetamenaphen + butabital)

28. What drug is used to tx narcolepsy
Provigil (modafinil)
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flecanide. Not to be used with LV insufficiency

29. Name the aminoglycoside
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

30. How do you treat low magnesium and low potassium in the hospital setting
SSRI's
1. Birth 2. 1-2 months 3. 6-18 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

31. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zanaflex (tizanidine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)

32. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What needs to be considered when treating a patient long term with lasics
Flecanide. Not to be used with LV insufficiency
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours
Neurogen (Filgastim)

34. What can be used to treat ADHD
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)

35. Name the long acting benzodiazepines
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)

37. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

38. What can be used to increase WBC counts
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)

39. name the SSRI's
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tessalon (benzonate)
1.5

40. Withdrawal symptoms
Dannitol (Phenobarbital +Atropine)
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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

41. What can be used to improve memory
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

42. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

43. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. Name the short acting benzodiazepines
Zanaflex (tizanidine)
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

45. What are the ages for the inactivated poliovirus
Flagyl (Metronidazole)
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

46. What is the duration of short acting benzo's
2-8 hours
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
Erythromycin Clarithromycin Azithromycin

47. High blood pressure
1. 12-24 months 2. 6-18 months after initial dose
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. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

48. What is the duration action of intermediate acting benzo's
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours

49. What are the 4 month pediatric vaccines
Dannitol (Phenobarbital +Atropine)
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

50. Name the tetracyclines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline