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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. Treatment for pre-diabetes
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
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

2. When should the HEP A vaccine be administered
2-8 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-24 months 2. 6-18 months after initial dose

3. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

4. What are the effects of fibric acids
Dolgic (Acetamenaphen + butabital)
2-8 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years

5. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Proscar (finasteride)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

6. What is the max creatinine clearance level for metformin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Nomanda (memantine) Exelon (Rivastigmine)
1.5
Zofran (Ondansetron) Reglam (metoclopromide)

7. 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
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years

8. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2-8 hours
Flagyl (Metronidazole)

9. What is Pradaxa
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

10. What drug can be used to cardiovert AF of short duration
1. 12-15 months 2. 4-6 years
Pregabalin
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function

11. What can be used to treat ADHD
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

12. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vyvanse (lisdexamphetamine)
STOP THE METFORMIN

13. What can be used for nausea
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
Zofran (Ondansetron) Reglam (metoclopromide)

14. What can be used for cough suppression
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 months 4 months

15. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)

16. What are some options for pain control
Zanaflex (tizanidine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

17. Problems with welchol and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)
STOP THE METFORMIN

18. What is the duration action of intermediate acting benzo's
10-20 hours
Zanaflex (tizanidine)
Neurogen (Filgastim)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

19. High blood pressure
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics
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
1.5

20. What is used to clean ears
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 months 3. 6-18 months
Debrox (carbamide peroxide)

21. What class of drugs will lower LDL the most
Statins (18-55% reduction)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

22. name a central acting muscle relaxant
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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
Zanaflex (tizanidine)

23. What are the 6 month pediatric vaccines
Debrox (carbamide peroxide)
Pregabalin
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

24. What can be used to increase WBC counts
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
Neurontin (gabapentin) Lyrica (Pregabalin)

25. What are the ages for the inactivated poliovirus
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)
Suboxone (Buprenorphine)

26. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dolgic (Acetamenaphen + butabital)
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

27. Name the fibric acids
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

28. What drug is used to tx narcolepsy
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

29. What's the difference between CMP and BMP
Neurontin (gabapentin) Lyrica (Pregabalin)
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years

30. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vistaril (hydroxyzine)

31. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

32. Name the tetracyclines
Zanaflex (tizanidine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline

33. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

34. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

35. Name the long acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

36. IBS
Proscar (finasteride)
1. 2 months 2. 4 months 3. 12-15 months
Suboxone (Buprenorphine)
Dannitol (Phenobarbital +Atropine)

37. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)

38. What drug can be used for cardioversion with structural heart disease
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval

39. What is the first line treatment for depression

40. What can be used to treat against C-difference in addition to parasites and other bacteria.
2-8 hours
Flagyl (Metronidazole)
Block serotonin and Nor epinephrine
Dannitol (Phenobarbital +Atropine)

41. Erythematous Nodosum
Statins (18-55% reduction)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years

42. What ages are the Rotavirus vaccine given
2 months 4 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

43. name the SSRI's
Zanaflex (tizanidine)
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months

44. Pediatric Hepatitis vaccinations should be given when?
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

45. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours
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
Vyvanse (lisdexamphetamine)

46. What is the duration of short acting benzo's
2-8 hours
Zanaflex (tizanidine)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

47. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flagyl (Metronidazole)
Suboxone (Buprenorphine)
10-20 hours

48. What are the 4 month pediatric vaccines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
Dolgic (Acetamenaphen + butabital)

49. Withdrawal symptoms
Cholestyramine Colestipol Colesevalam
Vistaril (hydroxyzine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin

50. What is the benefit of Welchol
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes