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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. When should the HEP A vaccine be administered
1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-24 months 2. 6-18 months after initial dose
Nomanda (memantine) Exelon (Rivastigmine)

2. What can be used for BPH
10-20 hours
1. 2 months 2. 4 months 3. 12-15 months
Tricyclics
Proscar (finasteride)

3. name a central acting muscle relaxant
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Provigil (modafinil)
Gemofibrozil Fenofibrate Clofibrate

4. What are the 2 month pediatric vaccines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

5. What drug can be used to cardiovert AF of short duration
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)

6. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1.5

7. What's the difference between CMP and BMP
1. DTaP 2. PCV
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin

8. What are the ages for the Hib vaccine
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 12-15 months

9. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Block serotonin and Nor epinephrine

10. What drug is used to tx narcolepsy
Statins (18-55% reduction)
Provigil (modafinil)
Dolgic (Acetamenaphen + butabital)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

11. High blood pressure
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 12-15 months
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

12. What can be used to increase WBC counts
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin

13. Name the macrolides
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 months 3. 6-18 months
Erythromycin Clarithromycin Azithromycin

14. Pediatric Hepatitis vaccinations should be given when?
Gemofibrozil Fenofibrate Clofibrate
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

15. What are the first generation anti depressants
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
10-20 hours

16. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

17. What are the 6 month pediatric vaccines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV

18. What are the effects of nicotinic acid
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months
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%)

19. What are the effects of the bile acid sequestrants
STOP THE METFORMIN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

20. What ages are the Hep B vaccine given
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

21. What is used to clean ears
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Debrox (carbamide peroxide)
SSRI's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

22. Name the short acting benzodiazepines
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dolgic (Acetamenaphen + butabital)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

23. Name the tetracyclines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Statins (18-55% reduction)
Tetracycline Doxycycline Demeclocycline Minocycline
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

24. What are some options for pain control
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zanaflex (tizanidine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

25. IBS
Neurontin (gabapentin) Lyrica (Pregabalin)
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)

26. Name the statins
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

27. What can be used to treat against C-difference in addition to parasites and other bacteria.
Proscar (finasteride)
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)

28. Name the bile acid sequestrants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam

29. What needs to be considered when treating a patient long term with lasics
10-20 hours
Zofran (Ondansetron) Reglam (metoclopromide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

30. What are anticoagulation treatment options
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

31. What are the 4 month pediatric vaccines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. Name the aminoglycoside
Erythromycin Clarithromycin Azithromycin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics
Tessalon (benzonate)

33. What is Pradaxa
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pregabalin
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. Withdrawal symptoms
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

35. What are the ages for the inactivated poliovirus
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)

36. Name the fibric acids
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate
Zanaflex (tizanidine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

37. What are the ages for the pneumococcal vaccine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

38. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Gemofibrozil Fenofibrate Clofibrate

39. What is the duration action of intermediate acting benzo's
1. DTaP 2. PCV
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)

40. What is the benefit of Welchol
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

41. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

42. name the SSRI's
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)
Nomanda (memantine) Exelon (Rivastigmine)

44. What is the first line treatment for depression

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45. What class of drugs will lower LDL the most
Gemofibrozil Fenofibrate Clofibrate
Neurontin (gabapentin) Lyrica (Pregabalin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)

46. Treatment for pre-diabetes
Zanaflex (tizanidine)
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

47. What are the effects of fibric acids
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)

48. When should the varicella virus vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)

49. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

50. Problems with welchol and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV
10-20 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM