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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. What can be used for nausea
Flagyl (Metronidazole)
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

2. High blood pressure
1. 12-24 months 2. 6-18 months after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 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

3. What are the effects of the bile acid sequestrants
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

4. What is an FDA approved prescription weight loss drug
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

5. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
1.5
STOP THE METFORMIN

6. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin

7. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
STOP THE METFORMIN
Block serotonin and Nor epinephrine
2-8 hours
Neurogen (Filgastim)

8. name a central acting muscle relaxant
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zanaflex (tizanidine)
1.5

9. What can be used to treat ADHD
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
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)

10. Withdrawal symptoms
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. Name the aminoglycoside
Neurontin (gabapentin) Lyrica (Pregabalin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)

12. Name the bile acid sequestrants
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam

13. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)

14. What are some options for pain control
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Temazepam (Reston) Lorazepam (Ativan)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

15. What can be used for cough suppression
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. Drug addiction and withdrawal
Provigil (modafinil)
Tessalon (benzonate)
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

17. How do you treat low magnesium and low potassium in the hospital setting
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

18. What is the max creatinine clearance level for metformin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1.5

19. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin

20. What is the benefit of Welchol
Erythromycin Clarithromycin Azithromycin
Pregabalin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

21. What are the ages for the pneumococcal vaccine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

22. When should the varicella virus vaccine be administered
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Tricyclics

23. What are the 4 month pediatric vaccines
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency

24. Name the fibric acids
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate

25. What needs to be considered when treating a patient long term with lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. What are some causes of pitting edema
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

27. What ages are the Hep B vaccine given
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

28. Problems with welchol and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)

29. What are the effects of fibric acids
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

30. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months

31. Name the tetracyclines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)
Tetracycline Doxycycline Demeclocycline Minocycline
Gemofibrozil Fenofibrate Clofibrate

32. What ages the are the DTaP vaccine given
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

33. What are the ages for the Hib vaccine
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)
1. 2 months 2. 4 months 3. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

34. What is used to clean ears
Debrox (carbamide peroxide)
Cholestyramine Colestipol Colesevalam
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

35. What are the 2 month pediatric vaccines
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

36. IBS
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dannitol (Phenobarbital +Atropine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

37. What drug is used to tx narcolepsy
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. What is a severe side effect of metformin
SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)

39. Treatment for pre-diabetes
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

40. What is the first line treatment for depression

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41. What can be used to prevent coagulation
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)

42. When should the HEP A vaccine be administered
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-24 months 2. 6-18 months after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)

43. Neuropathic Pain management
Flagyl (Metronidazole)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

44. What are the 2nd generation heterocyclic Anti depressants
1. 12-24 months 2. 6-18 months after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)
SSRI's

45. What is Pradaxa
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

46. Name the macrolides
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Erythromycin Clarithromycin Azithromycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

47. What are the first generation anti depressants
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)
Tricyclics
Flagyl (Metronidazole)

48. What can be used to relax muscles associated with tension head aches
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pregabalin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dolgic (Acetamenaphen + butabital)

49. Name the intermediate acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

50. Name the long acting benzodiazepines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2-8 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)