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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 increase WBC counts
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

2. What are the 6 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV

3. Treatment for pre-diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

4. Pediatric Hepatitis vaccinations should be given when?
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
Nomanda (memantine) Exelon (Rivastigmine)

5. What class of drugs will lower LDL the most
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Statins (18-55% reduction)

6. What drug can be used for cardioversion with structural heart disease
Pregabalin
Neurogen (Filgastim)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

7. Name the bile acid sequestrants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Cholestyramine Colestipol Colesevalam
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
10-20 hours

8. What drug can be used to cardiovert AF of short duration
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam

9. What is the max creatinine clearance level for metformin
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)
1.5
1. Birth 2. 1-2 months 3. 6-18 months

10. What ages the are the DTaP vaccine given
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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
10-20 hours

11. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

12. What are some causes of pitting edema
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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
Dolgic (Acetamenaphen + butabital)

13. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
2-8 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

14. What is used to clean ears
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Neurogen (Filgastim)
Debrox (carbamide peroxide)

15. What is the effect of the statins
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Debrox (carbamide peroxide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. What is an FDA approved prescription weight loss drug
2 months 4 months
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

17. When should the varicella virus vaccine be administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Pregabalin
1. 12-15 months 2. 4-6 years

18. What can be used for cough suppression
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV
Block serotonin and Nor epinephrine
Tessalon (benzonate)

19. Name the aminoglycoside
Statins (18-55% reduction)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam

20. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate
Ibutilide (IV Only). It prolongs repolarization and the QT interval

21. Erythematous Nodosum
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
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

22. What are the 2nd generation heterocyclic Anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)

23. What needs to be considered when treating a patient long term with lasics
Debrox (carbamide peroxide)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

24. What ages are the Hep B vaccine given
Statins (18-55% reduction)
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

25. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pregabalin

26. What are the ages for the Hib vaccine
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)

27. What is a severe side effect of metformin
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

28. What can be used to relax muscles associated with tension head aches
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency

29. What drug is used to tx narcolepsy
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

30. Drug addiction and withdrawal
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
Suboxone (Buprenorphine)

31. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

32. Name the macrolides
1.5
Erythromycin Clarithromycin Azithromycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)

33. What ages are the Rotavirus vaccine given
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

34. Withdrawal symptoms
Temazepam (Reston) Lorazepam (Ativan)
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

35. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)

36. IBS
2 months 4 months
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years

37. High blood pressure
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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
Provigil (modafinil)

38. What are the first generation anti depressants
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years
1. 12-15 months 2. 4-6 years
Tricyclics

39. What can be used to improve memory
Vyvanse (lisdexamphetamine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)
Neurogen (Filgastim)

40. What is the duration action of intermediate acting benzo's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours

41. What is Pradaxa
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

42. Problems with welchol and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

43. What can be used to treat ADHD
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

44. What are the 4 month pediatric vaccines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

45. What are the effects of fibric acids
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
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

46. What is the first line treatment for depression

47. What are the effects of nicotinic acid
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Proscar (finasteride)
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

49. Name the long acting benzodiazepines
2-8 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

50. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM