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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's
1. 12-24 months 2. 6-18 months after initial dose

2. What ages are the Rotavirus vaccine given
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin
2 months 4 months
Tessalon (benzonate)

3. High blood pressure
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
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
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

4. Name the short acting benzodiazepines
1. DTaP 2. PCV
Statins (18-55% reduction)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zofran (Ondansetron) Reglam (metoclopromide)

5. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

6. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)

7. Name the macrolides
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin
2 months 4 months
Suboxone (Buprenorphine)

8. Drug addiction and withdrawal
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Suboxone (Buprenorphine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

9. What is used to clean ears
Tessalon (benzonate)
Tetracycline Doxycycline Demeclocycline Minocycline
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)

10. What is the first line treatment for depression

11. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
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%)
Nomanda (memantine) Exelon (Rivastigmine)

12. What can be used for cough suppression
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)

13. name a central acting muscle relaxant
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)
Zanaflex (tizanidine)

14. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

15. What are some options for pain control
SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)

16. Name the intermediate acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)

17. Problems with welchol and diabetes
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

18. What drug is used to tx narcolepsy
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV
SSRI's
Provigil (modafinil)

19. What drug can be used to cardiovert AF of short duration
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flecanide. Not to be used with LV insufficiency
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

20. What are the 3rd generation heterocyclic Anti depressants
Proscar (finasteride)
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

21. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

22. What is the duration action of intermediate acting benzo's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)
STOP THE METFORMIN
10-20 hours

23. When should the varicella virus vaccine be administered
2-8 hours
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Temazepam (Reston) Lorazepam (Ativan)

24. What can be used for nausea
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)
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years

25. 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
Tricyclics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

26. IBS
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

27. What are the effects of fibric acids
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

28. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Zofran (Ondansetron) Reglam (metoclopromide)
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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

29. What are the 4 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

30. What can be used to prevent coagulation
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flagyl (Metronidazole)

31. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

32. What are anticoagulation treatment options
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

33. What are the 6 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months

34. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)
Neurogen (Filgastim)
Gemofibrozil Fenofibrate Clofibrate

35. What drug can be used for cardioversion with structural heart disease
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

36. What's the difference between CMP and BMP
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A CMP is a BMP (kidney - electrolytes) PLUS liver function

37. What can be used to improve memory
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months
Debrox (carbamide peroxide)
Nomanda (memantine) Exelon (Rivastigmine)

38. What are the 2 month pediatric vaccines
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)

39. What can be used for BPH
Proscar (finasteride)
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

40. What ages are the Hep B vaccine given
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months

41. What is a severe side effect of metformin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

42. What is the max creatinine clearance level for metformin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years
1.5

43. What are the ages for the inactivated poliovirus
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

44. Name the tetracyclines
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours
Tetracycline Doxycycline Demeclocycline Minocycline

45. What can be used to increase WBC counts
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurogen (Filgastim)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

46. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1.5
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)

47. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency

48. What are the ages for the Hib vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

49. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

50. Withdrawal symptoms
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)