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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 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
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
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

2. Pediatric Hepatitis vaccinations should be given when?
2 months 4 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

3. When should the varicella virus vaccine be administered
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

4. If a patient is on metformin and about to undergo contrast imaging - what must be done.
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
STOP THE METFORMIN
Provigil (modafinil)

5. What can be used for cough suppression
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years

6. Name the short acting benzodiazepines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

7. Name the macrolides
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)

8. What are the effects of nicotinic acid
1. 2 months 2. 4 months 3. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)

9. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tetracycline Doxycycline Demeclocycline Minocycline
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam

10. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 12-15 months

11. What ages are the Hep B vaccine given
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

12. What is the duration action of intermediate acting benzo's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
10-20 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

13. name the SSRI's
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years

14. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)

15. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

16. What are the ages for the inactivated poliovirus
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

17. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Provigil (modafinil)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2 months 4 months
Block serotonin and Nor epinephrine

18. When should the HEP A vaccine be administered
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

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

20. What is an FDA approved prescription weight loss drug
Tricyclics
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

21. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

22. What drug can be used for cardioversion with structural heart disease
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
Vistaril (hydroxyzine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

23. Drug addiction and withdrawal
Proscar (finasteride)
Tessalon (benzonate)
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

24. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Suboxone (Buprenorphine)
Pregabalin
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)

25. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
Zofran (Ondansetron) Reglam (metoclopromide)

26. What are some causes of pitting edema
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Cholestyramine Colestipol Colesevalam

27. What needs to be considered when treating a patient long term with lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)

28. Name the fibric acids
Vistaril (hydroxyzine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Gemofibrozil Fenofibrate Clofibrate

29. What can be used to improve memory
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
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

30. What can be used to relax muscles associated with tension head aches
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
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
Dolgic (Acetamenaphen + butabital)

31. What can be used for BPH
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

32. What can be used to increase WBC counts
Neurogen (Filgastim)
Provigil (modafinil)
Block serotonin and Nor epinephrine
Debrox (carbamide peroxide)

33. What are the ages for the pneumococcal vaccine
Tricyclics
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)

34. What are some options for pain control
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

35. Name the statins
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

36. What are the first generation anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
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

37. What can be used to prevent coagulation
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pregabalin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1.5

38. What class of drugs will lower LDL the most
10-20 hours
Zanaflex (tizanidine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Statins (18-55% reduction)

39. Problems with welchol and diabetes
Vyvanse (lisdexamphetamine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam

40. What can be used for nausea
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zofran (Ondansetron) Reglam (metoclopromide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

41. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Debrox (carbamide peroxide)

42. What ages the are the DTaP vaccine given
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

43. name a central acting muscle relaxant
10-20 hours
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
2-8 hours

44. What is used to clean ears
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Debrox (carbamide peroxide)

45. What are anticoagulation treatment options
Erythromycin Clarithromycin Azithromycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

46. What is the benefit of Welchol
Cholestyramine Colestipol Colesevalam
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
Block serotonin and Nor epinephrine

47. What are the effects of the bile acid sequestrants
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%)
Suboxone (Buprenorphine)
Flagyl (Metronidazole)

48. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. DTaP 2. PCV
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Cholestyramine Colestipol Colesevalam

49. Treatment for pre-diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

50. What is the first line treatment for depression

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