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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 needs to be considered when treating a patient long term with lasics
10-20 hours
Cholestyramine Colestipol Colesevalam
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)

2. What drug can be used to cardiovert AF of short duration
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flecanide. Not to be used with LV insufficiency
Pregabalin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

3. Pediatric Hepatitis vaccinations should be given when?
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 12-15 months

4. What is the duration of short acting benzo's
2-8 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

5. What is an FDA approved prescription weight loss drug
Flagyl (Metronidazole)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
1.5

6. What are some causes of pitting edema
STOP THE METFORMIN
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

7. Treatment for pre-diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vyvanse (lisdexamphetamine)

8. What's the difference between CMP and BMP
1. 12-24 months 2. 6-18 months after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

9. What are the ages for the Hib vaccine
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 12-15 months
Dolgic (Acetamenaphen + butabital)

10. What ages are the Hep B vaccine given
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

11. Withdrawal symptoms
2 months 4 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
Zanaflex (tizanidine)
Vistaril (hydroxyzine)

12. What ages are the Rotavirus vaccine given
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months

13. When should the HEP A vaccine be administered
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zofran (Ondansetron) Reglam (metoclopromide)

14. What is Pradaxa
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)
10-20 hours

15. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

16. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

17. What are the effects of fibric acids
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

18. What can be used to relax muscles associated with tension head aches
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Zanaflex (tizanidine)
Neurogen (Filgastim)

19. Name the long acting benzodiazepines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
SSRI's

20. What are the ages for the pneumococcal vaccine
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2-8 hours
Flecanide. Not to be used with LV insufficiency

21. What are anticoagulation treatment options
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Block serotonin and Nor epinephrine

22. High blood pressure
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
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

23. What class of drugs will lower LDL the most
10-20 hours
Statins (18-55% reduction)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What are the effects of the bile acid sequestrants
Statins (18-55% reduction)
Provigil (modafinil)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

25. What can be used to increase WBC counts
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Neurogen (Filgastim)

26. What can be used for BPH
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months

27. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
10-20 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

28. What are the 6 month pediatric vaccines
2-8 hours
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

29. What is the first line treatment for depression

30. Name the intermediate acting benzodiazepines
Erythromycin Clarithromycin Azithromycin
Tricyclics
1.5
Temazepam (Reston) Lorazepam (Ativan)

31. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. What ages the are the DTaP vaccine given
Pregabalin
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval

33. What can be used to prevent coagulation
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-24 months 2. 6-18 months after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

34. What is used to clean ears
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)

35. What are the 2nd generation heterocyclic Anti depressants
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

36. When should the varicella virus vaccine be administered
Dannitol (Phenobarbital +Atropine)
Pregabalin
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

37. Name the statins
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. What drug can be used for cardioversion with structural heart disease
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

39. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
10-20 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

40. name the SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
10-20 hours
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

41. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pregabalin
Vyvanse (lisdexamphetamine)

42. Name the macrolides
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

43. What are the 4 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. Name the tetracyclines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years

45. What are the first generation anti depressants
10-20 hours
Vyvanse (lisdexamphetamine)
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

46. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

47. Problems with welchol and diabetes
Proscar (finasteride)
Provigil (modafinil)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

48. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

49. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
SSRI's
Suboxone (Buprenorphine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

50. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)