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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. What are the effects of fibric acids
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)

2. What drug is used to tx narcolepsy
Debrox (carbamide peroxide)
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Gemofibrozil Fenofibrate Clofibrate

3. What are the ages for the pneumococcal vaccine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

4. What can be used to increase WBC counts
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurogen (Filgastim)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

5. What are the 2nd generation heterocyclic Anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 months 3. 6-18 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

6. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

7. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

8. What needs to be considered when treating a patient long term with lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

9. When should the varicella virus vaccine be administered
Neurontin (gabapentin) Lyrica (Pregabalin)
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

10. High blood pressure
Debrox (carbamide peroxide)
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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

11. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)

12. What drug can be used for cardioversion with structural heart disease
SSRI's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

13. What can be used for cough suppression
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV
Tessalon (benzonate)
10-20 hours

14. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Gemofibrozil Fenofibrate Clofibrate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

15. Drug addiction and withdrawal
Erythromycin Clarithromycin Azithromycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)

16. name the SSRI's
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Cholestyramine Colestipol Colesevalam
2-8 hours

17. What are the effects of nicotinic acid
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

18. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
2-8 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin

19. What class of drugs will lower LDL the most
Neurogen (Filgastim)
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Statins (18-55% reduction)

20. Name the aminoglycoside
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

21. What is the first line treatment for depression

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22. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

23. Pediatric Hepatitis vaccinations should be given when?
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

24. What are the ages that the measles mumps and rubella vaccine administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function

25. Name the fibric acids
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. What is used to clean ears
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
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

27. What is the duration of short acting benzo's
2-8 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Suboxone (Buprenorphine)
2 months 4 months

28. What drug can be used to cardiovert AF of short duration
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Flagyl (Metronidazole)
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency

29. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

30. Treatment for pre-diabetes
2 months 4 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

31. Name the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

32. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)
10-20 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

33. What can be used to treat against C-difference in addition to parasites and other bacteria.
STOP THE METFORMIN
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months
Flagyl (Metronidazole)

34. Name the bile acid sequestrants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Provigil (modafinil)
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam

35. What's the difference between CMP and BMP
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

36. What are the 2 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Statins (18-55% reduction)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

37. What are some options for pain control
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose

38. What is the effect of the statins
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

39. When should the HEP A vaccine be administered
Dolgic (Acetamenaphen + butabital)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-24 months 2. 6-18 months after initial dose
SSRI's

40. Withdrawal symptoms
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vistaril (hydroxyzine)

41. What is the max creatinine clearance level for metformin
1.5
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months

42. What are some causes of pitting edema
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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
Flagyl (Metronidazole)

43. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 12-15 months

44. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

45. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months

46. What are the ages for the Hib vaccine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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
STOP THE METFORMIN

47. How do you treat low magnesium and low potassium in the hospital setting
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

48. IBS
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN

49. Name the long acting benzodiazepines
Dannitol (Phenobarbital +Atropine)
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years

50. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)