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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 are the 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zanaflex (tizanidine)

2. What are the effects of the bile acid sequestrants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurogen (Filgastim)
Zanaflex (tizanidine)

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

4. What is the duration of short acting benzo's
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)
2-8 hours

5. What class of drugs will lower LDL the most
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)

6. What can be used for nausea
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

7. What are the effects of fibric acids
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

8. 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
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 months 3. 6-18 months

9. Treatment for pre-diabetes
1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 months 4 months

10. What are the 2nd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)

11. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 months 4 months

12. What are some causes of pitting edema
1. 12-24 months 2. 6-18 months after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

13. What can be used to improve memory
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

14. name the SSRI's
Cholestyramine Colestipol Colesevalam
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

15. Name the bile acid sequestrants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 months 3. 6-18 months

16. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin

17. Name the long acting benzodiazepines
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)

18. What ages the are the DTaP vaccine given
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

19. What is a severe side effect of metformin
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

20. name a central acting muscle relaxant
Zanaflex (tizanidine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

21. Erythematous Nodosum
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

22. What can be used for BPH
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose

23. What can be used for cough suppression
Ibutilide (IV Only). It prolongs repolarization and the QT interval
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
Tessalon (benzonate)

24. What is the benefit of Welchol
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)
Neurontin (gabapentin) Lyrica (Pregabalin)

25. Name the aminoglycoside
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)
Debrox (carbamide peroxide)

26. What needs to be considered when treating a patient long term with lasics
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

27. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dolgic (Acetamenaphen + butabital)
Pregabalin
Erythromycin Clarithromycin Azithromycin

28. High blood pressure
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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

29. Name the intermediate acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose

30. Name the fibric acids
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

31. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months

32. When should the HEP A vaccine be administered
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose
1. DTaP 2. PCV

33. What are the ages that the measles mumps and rubella vaccine administered
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years

34. What are some options for pain control
Pregabalin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Proscar (finasteride)

35. What are the 3rd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline

36. Withdrawal symptoms
Temazepam (Reston) Lorazepam (Ativan)
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)

37. Name the statins
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. What is the effect of the statins
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam
Suboxone (Buprenorphine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

39. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

40. What can be used to treat ADHD
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)
Zanaflex (tizanidine)

41. What is Pradaxa
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Suboxone (Buprenorphine)

42. What is the max creatinine clearance level for metformin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 12-15 months
1.5
Proscar (finasteride)

43. What can be used to treat against C-difference in addition to parasites and other bacteria.
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
A CMP is a BMP (kidney - electrolytes) PLUS liver function

44. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
10-20 hours

45. Neuropathic Pain management
1. 12-15 months 2. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-24 months 2. 6-18 months after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)

46. What drug is used to tx narcolepsy
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Provigil (modafinil)

47. What are the effects of nicotinic acid
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. What are the first generation anti depressants
Tricyclics
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

49. Name the tetracyclines
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tetracycline Doxycycline Demeclocycline Minocycline

50. Drug addiction and withdrawal
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.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)