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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 SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
10-20 hours

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

3. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam

4. Name the statins
SSRI's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

5. What are some options for pain control
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)
Temazepam (Reston) Lorazepam (Ativan)

6. What are anticoagulation treatment options
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

7. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
10-20 hours
2 months 4 months

8. What ages are the Rotavirus vaccine given
2 months 4 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flecanide. Not to be used with LV insufficiency

9. What drug can be used for cardioversion with structural heart disease
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-24 months 2. 6-18 months after initial dose

10. What are the 3rd generation heterocyclic Anti depressants
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

11. What can be used to relax muscles associated with tension head aches
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

12. What are the ages that the measles mumps and rubella vaccine administered
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine

13. How do you treat low magnesium and low potassium in the hospital setting
STOP THE METFORMIN
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 months 3. 6-18 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

14. Withdrawal symptoms
1. 2 months 2. 4 months 3. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)
Vistaril (hydroxyzine)

15. What can be used for cough suppression
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Proscar (finasteride)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tessalon (benzonate)

16. What can be used for BPH
Proscar (finasteride)
Block serotonin and Nor epinephrine
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate

17. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

18. Neuropathic Pain management
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

19. What needs to be considered when treating a patient long term with lasics
2 months 4 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flagyl (Metronidazole)

20. What drug is used to tx narcolepsy
Provigil (modafinil)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

21. What are the ages for the pneumococcal vaccine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin

22. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years

23. name a central acting muscle relaxant
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

24. Name the macrolides
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Block serotonin and Nor epinephrine
Erythromycin Clarithromycin Azithromycin
Nomanda (memantine) Exelon (Rivastigmine)

25. Name the short acting benzodiazepines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

26. What is the max creatinine clearance level for metformin
1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

27. Name the aminoglycoside
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

28. What are some causes of pitting edema
10-20 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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

29. What are the effects of nicotinic acid
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

30. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

31. What can be used to treat ADHD
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

32. What are the 2 month pediatric vaccines
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate

33. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function

34. Drug addiction and withdrawal
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2 months 4 months
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)

35. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

36. What are the 2nd generation heterocyclic Anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Block serotonin and Nor epinephrine
10-20 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)

37. Name the bile acid sequestrants
Vyvanse (lisdexamphetamine)
1. DTaP 2. PCV
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN

38. What is the duration of short acting benzo's
2-8 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Birth 2. 1-2 months 3. 6-18 months
Statins (18-55% reduction)

39. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years

40. What is an FDA approved prescription weight loss drug
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. IBS
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)

42. What is the effect of the statins
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 months 4 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

43. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months

44. Name the fibric acids
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2-8 hours

45. Problems with welchol and diabetes
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

46. What ages are the Hep B vaccine given
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN
1. Birth 2. 1-2 months 3. 6-18 months

47. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
Flagyl (Metronidazole)

48. What class of drugs will lower LDL the most
Zanaflex (tizanidine)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

49. What is the benefit of Welchol
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

50. What are the 6 month pediatric vaccines
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. DTaP 2. PCV
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)