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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 against C-difference in addition to parasites and other bacteria.
1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vistaril (hydroxyzine)
Flagyl (Metronidazole)

2. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. DTaP 2. PCV
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

3. When should the HEP A vaccine be administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

4. What is the max creatinine clearance level for metformin
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
1.5

5. What is the duration action of intermediate acting benzo's
SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
10-20 hours

6. What are some causes of pitting edema
Statins (18-55% reduction)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

7. What ages are the Rotavirus vaccine given
2 months 4 months
Pregabalin
Suboxone (Buprenorphine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

8. What are the first generation anti depressants
Erythromycin Clarithromycin Azithromycin
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

9. What's the difference between CMP and BMP
Vistaril (hydroxyzine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
Temazepam (Reston) Lorazepam (Ativan)

10. When should the varicella virus vaccine be administered
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

11. What can be used to increase WBC counts
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)

12. What can be used for BPH
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

13. What are the ages for the Hib vaccine
Tessalon (benzonate)
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months
Block serotonin and Nor epinephrine

14. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months

15. What is the first line treatment for depression

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16. What are the ages for the inactivated poliovirus
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 months 3. 6-18 months
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

17. Name the tetracyclines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)

18. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Provigil (modafinil)
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN

19. Erythematous Nodosum
Tricyclics
Statins (18-55% reduction)
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.

20. What are the effects of nicotinic acid
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

21. IBS
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)

22. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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

23. What can be used to relax muscles associated with tension head aches
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)
Vistaril (hydroxyzine)
Dolgic (Acetamenaphen + butabital)

24. What ages the are the DTaP vaccine given
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

25. Withdrawal symptoms
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

26. 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
Statins (18-55% reduction)
Gemofibrozil Fenofibrate Clofibrate
Block serotonin and Nor epinephrine

27. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurontin (gabapentin) Lyrica (Pregabalin)
Erythromycin Clarithromycin Azithromycin

28. Name the bile acid sequestrants
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam
Neurontin (gabapentin) Lyrica (Pregabalin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

29. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1.5
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

30. Name the aminoglycoside
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
10-20 hours

31. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. What can be used to treat ADHD
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)

33. Name the long acting benzodiazepines
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Flagyl (Metronidazole)

34. What can be used to improve memory
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam

35. What are the 2nd generation heterocyclic Anti depressants
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

36. High blood pressure
Dolgic (Acetamenaphen + butabital)
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

37. What are the ages for the pneumococcal vaccine
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

38. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

39. What drug can be used to cardiovert AF of short duration
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency

40. What are the ages that the measles mumps and rubella vaccine administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

41. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)

42. Name the intermediate acting benzodiazepines
Gemofibrozil Fenofibrate Clofibrate
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Temazepam (Reston) Lorazepam (Ativan)

43. name the SSRI's
Temazepam (Reston) Lorazepam (Ativan)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

44. Problems with welchol and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

45. 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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

46. What are the 4 month pediatric vaccines
Provigil (modafinil)
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency

47. What drug is used to tx narcolepsy
Block serotonin and Nor epinephrine
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)

48. What class of drugs will lower LDL the most
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

49. Name the fibric acids
Pregabalin
1. 12-24 months 2. 6-18 months after initial dose
Gemofibrozil Fenofibrate Clofibrate
Vistaril (hydroxyzine)

50. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM