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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 are the ages for the Hib vaccine
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurogen (Filgastim)

2. Name the intermediate acting benzodiazepines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
Temazepam (Reston) Lorazepam (Ativan)

3. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)

4. What are some options for pain control
Statins (18-55% reduction)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

5. What is the max creatinine clearance level for metformin
Neurontin (gabapentin) Lyrica (Pregabalin)
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1.5

6. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)
SSRI's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

7. What is the duration action of intermediate acting benzo's
10-20 hours
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)

8. name the SSRI's
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. What are the 2 month pediatric vaccines
1.5
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)
Tetracycline Doxycycline Demeclocycline Minocycline

11. When should the varicella virus vaccine be administered
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
SSRI's
1. 12-15 months 2. 4-6 years
2-8 hours

12. What can be used for cough suppression
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV
Tessalon (benzonate)
Vyvanse (lisdexamphetamine)

13. When should the HEP A vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

14. What needs to be considered when treating a patient long term with lasics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

15. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN
Gemofibrozil Fenofibrate Clofibrate

16. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
1.5

17. What can be used to relax muscles associated with tension head aches
1.5
Dolgic (Acetamenaphen + butabital)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)

18. What can be used to treat against C-difference in addition to parasites and other bacteria.
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)
Flagyl (Metronidazole)
Dolgic (Acetamenaphen + butabital)

19. What ages the are the DTaP vaccine given
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Temazepam (Reston) Lorazepam (Ativan)
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

20. What are the effects of fibric acids
1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

21. What can be used to increase WBC counts
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)
Dannitol (Phenobarbital +Atropine)
Vistaril (hydroxyzine)

22. What is the duration of short acting benzo's
2-8 hours
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin
Provigil (modafinil)

23. Name the fibric acids
Debrox (carbamide peroxide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

24. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Block serotonin and Nor epinephrine

25. Pediatric Hepatitis vaccinations should be given when?
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. High blood pressure
Suboxone (Buprenorphine)
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
1. DTaP 2. PCV

27. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)
Tessalon (benzonate)
STOP THE METFORMIN

28. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
2 months 4 months
1. Birth 2. 1-2 months 3. 6-18 months

29. What are anticoagulation treatment options
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
SSRI's

30. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5

31. Name the long acting benzodiazepines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years

32. What are the effects of the bile acid sequestrants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

33. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics

34. What are the 6 month pediatric vaccines
2 months 4 months
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. DTaP 2. PCV

35. How do you treat low magnesium and low potassium in the hospital setting
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

36. What are the ages that the measles mumps and rubella vaccine administered
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

37. What are the first generation anti depressants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tricyclics
1. DTaP 2. PCV
Flagyl (Metronidazole)

38. What are the 3rd generation heterocyclic Anti depressants
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

39. What ages are the Rotavirus vaccine given
2 months 4 months
Nomanda (memantine) Exelon (Rivastigmine)
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

40. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
2-8 hours

41. name a central acting muscle relaxant
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
Statins (18-55% reduction)

42. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. Birth 2. 1-2 months 3. 6-18 months
Pregabalin
Provigil (modafinil)
Tricyclics

43. What are the 4 month pediatric vaccines
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN

44. What can be used for BPH
10-20 hours
Proscar (finasteride)
Pregabalin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

45. IBS
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

46. What class of drugs will lower LDL the most
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Cholestyramine Colestipol Colesevalam
Statins (18-55% reduction)

47. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin

48. What is used to clean ears
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
STOP THE METFORMIN

49. What is an FDA approved prescription weight loss drug
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

50. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline