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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 is the max creatinine clearance level for metformin
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1.5

2. What can be used for BPH
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)
2 months 4 months
1. 12-15 months 2. 4-6 years

3. What can be used for nausea
Zanaflex (tizanidine)
Zofran (Ondansetron) Reglam (metoclopromide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flagyl (Metronidazole)

4. What is used to clean ears
Debrox (carbamide peroxide)
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN

5. What are the first generation anti depressants
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

6. Name the intermediate acting benzodiazepines
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

7. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)

8. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)

9. Neuropathic Pain management
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Block serotonin and Nor epinephrine
Neurontin (gabapentin) Lyrica (Pregabalin)

10. What is the benefit of Welchol
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

11. Withdrawal symptoms
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency

12. What drug is used to tx narcolepsy
Provigil (modafinil)
Suboxone (Buprenorphine)
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

13. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
SSRI's
Zanaflex (tizanidine)
Block serotonin and Nor epinephrine
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

14. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Block serotonin and Nor epinephrine
2 months 4 months

15. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. Name the long acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
Neurontin (gabapentin) Lyrica (Pregabalin)

17. What can be used to relax muscles associated with tension head aches
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)

18. 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
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)

19. What is the first line treatment for depression

20. High blood pressure
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
2 months 4 months
Flecanide. Not to be used with LV insufficiency
1.5

21. name a central acting muscle relaxant
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)
Zanaflex (tizanidine)

22. What is the duration action of intermediate acting benzo's
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
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dolgic (Acetamenaphen + butabital)

23. What is the effect of the statins
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

24. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

25. What can be used to treat ADHD
Debrox (carbamide peroxide)
Vyvanse (lisdexamphetamine)
Proscar (finasteride)
Zanaflex (tizanidine)

26. What ages are the Hep B vaccine given
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

27. What are the effects of nicotinic acid
SSRI's
Neurogen (Filgastim)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

28. IBS
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)

29. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

30. Treatment for pre-diabetes
Block serotonin and Nor epinephrine
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

31. What is the duration of short acting benzo's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2-8 hours

32. Name the tetracyclines
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
Tetracycline Doxycycline Demeclocycline Minocycline
Erythromycin Clarithromycin Azithromycin

33. Problems with welchol and diabetes
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
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

34. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

35. What are some causes of pitting edema
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

36. Name the aminoglycoside
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

37. What ages are the Rotavirus vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
2 months 4 months

38. What are the 6 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

39. What can be used for cough suppression
Vyvanse (lisdexamphetamine)
Erythromycin Clarithromycin Azithromycin
Provigil (modafinil)
Tessalon (benzonate)

40. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vyvanse (lisdexamphetamine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zofran (Ondansetron) Reglam (metoclopromide)

41. What are the ages for the pneumococcal vaccine
Suboxone (Buprenorphine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

42. What are the 3rd generation heterocyclic Anti depressants
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours

43. name the SSRI's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2-8 hours

44. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)

45. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

46. What needs to be considered when treating a patient long term with lasics
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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

47. What can be used to treat against C-difference in addition to parasites and other bacteria.
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2-8 hours
Flagyl (Metronidazole)

48. Drug addiction and withdrawal
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Flecanide. Not to be used with LV insufficiency
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

49. What are anticoagulation treatment options
10-20 hours
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

50. What are some options for pain control
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)