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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 is an FDA approved prescription weight loss drug
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Cholestyramine Colestipol Colesevalam

2. What ages are the Rotavirus vaccine given
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2 months 4 months

3. What is the effect of the statins
2-8 hours
Dolgic (Acetamenaphen + butabital)
Erythromycin Clarithromycin Azithromycin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

4. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
Neurontin (gabapentin) Lyrica (Pregabalin)

5. What can be used to prevent coagulation
10-20 hours
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

6. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zanaflex (tizanidine)

7. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

8. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

9. Withdrawal symptoms
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

10. What class of drugs will lower LDL the most
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurogen (Filgastim)
Statins (18-55% reduction)

11. What can be used to improve memory
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

12. What can be used to treat ADHD
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose

13. Name the fibric acids
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. What can be used for nausea
Vistaril (hydroxyzine)
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)
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

15. Name the aminoglycoside
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Gemofibrozil Fenofibrate Clofibrate

17. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

18. What needs to be considered when treating a patient long term with lasics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

19. Problems with welchol and diabetes
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

20. What is the max creatinine clearance level for metformin
1. Birth 2. 1-2 months 3. 6-18 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5
Vistaril (hydroxyzine)

21. What can be used for BPH
2-8 hours
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)

22. What ages are the Hep B vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flagyl (Metronidazole)
STOP THE METFORMIN
1. Birth 2. 1-2 months 3. 6-18 months

23. What drug can be used to cardiovert AF of short duration
Block serotonin and Nor epinephrine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
Flecanide. Not to be used with LV insufficiency

24. What's the difference between CMP and BMP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function

25. What are some causes of pitting edema
STOP THE METFORMIN
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. DTaP 2. PCV

26. name a central acting muscle relaxant
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

27. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline
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
Tessalon (benzonate)

28. What is Pradaxa
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 months 3. 6-18 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

29. IBS
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
Zanaflex (tizanidine)

30. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flecanide. Not to be used with LV insufficiency

31. What are the ages for the inactivated poliovirus
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pregabalin

32. What are the 6 month pediatric vaccines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Nomanda (memantine) Exelon (Rivastigmine)
1. DTaP 2. PCV
Dolgic (Acetamenaphen + butabital)

33. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
STOP THE METFORMIN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin
Cholestyramine Colestipol Colesevalam

34. What are the ages that the measles mumps and rubella vaccine administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)

35. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)
SSRI's
Block serotonin and Nor epinephrine

37. What is the first line treatment for depression

38. What are the effects of fibric acids
10-20 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

39. What is used to clean ears
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurontin (gabapentin) Lyrica (Pregabalin)
Debrox (carbamide peroxide)

40. High blood pressure
1. DTaP 2. PCV
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)

41. When should the HEP A vaccine be administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

42. Pediatric Hepatitis vaccinations should be given when?
Vyvanse (lisdexamphetamine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

43. What are the first generation anti depressants
Tricyclics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)
STOP THE METFORMIN

44. What is the duration of short acting benzo's
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose

45. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zofran (Ondansetron) Reglam (metoclopromide)
Debrox (carbamide peroxide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

46. Neuropathic Pain management
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
Erythromycin Clarithromycin Azithromycin

47. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

48. What is the duration action of intermediate acting benzo's
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

49. Name the long acting benzodiazepines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours

50. What can be used for cough suppression
Gemofibrozil Fenofibrate Clofibrate
Tessalon (benzonate)
Statins (18-55% reduction)
Debrox (carbamide peroxide)