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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. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

2. High blood pressure
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
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

4. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

5. What are the 2nd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. What are the effects of the bile acid sequestrants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

7. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

8. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN

9. What can be used to prevent coagulation
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

10. IBS
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 months 3. 6-18 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

11. When should the varicella virus vaccine be administered
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
Proscar (finasteride)
1. 2 months 2. 4 months 3. 12-15 months

12. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

13. What is the duration action of intermediate acting benzo's
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
10-20 hours
Vistaril (hydroxyzine)

14. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

15. What are anticoagulation treatment options
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval
10-20 hours

16. Name the tetracyclines
Block serotonin and Nor epinephrine
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline

17. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Suboxone (Buprenorphine)

18. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Neurogen (Filgastim)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vistaril (hydroxyzine)

19. Problems with welchol and diabetes
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)

20. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)
Neurogen (Filgastim)
Neurontin (gabapentin) Lyrica (Pregabalin)

21. What are the ages that the measles mumps and rubella vaccine administered
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vyvanse (lisdexamphetamine)

22. What can be used for cough suppression
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
10-20 hours

23. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Flecanide. Not to be used with LV insufficiency

24. What is the effect of the statins
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

25. What are some causes of pitting edema
Neurogen (Filgastim)
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

26. What drug can be used to cardiovert AF of short duration
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
Zanaflex (tizanidine)
Flecanide. Not to be used with LV insufficiency

27. What can be used to treat ADHD
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
Vyvanse (lisdexamphetamine)
Proscar (finasteride)

28. What are the 4 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

29. Pediatric Hepatitis vaccinations should be given when?
Ibutilide (IV Only). It prolongs repolarization and the QT interval
10-20 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics

30. What can be used for BPH
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
Proscar (finasteride)
10-20 hours

31. What ages are the Hep B vaccine given
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

32. What is the first line treatment for depression

33. What is the benefit of Welchol
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)

34. What are the ages for the pneumococcal vaccine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Debrox (carbamide peroxide)
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

35. What can be used to increase WBC counts
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)
Neurogen (Filgastim)

36. What can be used for nausea
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)

37. Name the statins
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

38. What are the 3rd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)

39. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. DTaP 2. PCV
Pregabalin
Dolgic (Acetamenaphen + butabital)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

40. Treatment for pre-diabetes
Vistaril (hydroxyzine)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

41. Name the intermediate acting benzodiazepines
Debrox (carbamide peroxide)
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)

42. What ages are the Rotavirus vaccine given
Gemofibrozil Fenofibrate Clofibrate
2 months 4 months
STOP THE METFORMIN
Zanaflex (tizanidine)

43. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
STOP THE METFORMIN
1. DTaP 2. PCV
Pregabalin

44. What is used to clean ears
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

45. What is a severe side effect of metformin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vyvanse (lisdexamphetamine)
Zanaflex (tizanidine)

46. What are the 2 month pediatric vaccines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. What can be used to relax muscles associated with tension head aches
1. DTaP 2. PCV
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Temazepam (Reston) Lorazepam (Ativan)

48. What is the duration of short acting benzo's
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2-8 hours

49. name the SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

50. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)