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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 can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Statins (18-55% reduction)

2. What is an FDA approved prescription weight loss drug
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)

3. What ages are the Rotavirus vaccine given
Neurogen (Filgastim)
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 months 4 months

4. name a central acting muscle relaxant
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pregabalin
Zanaflex (tizanidine)

5. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. DTaP 2. PCV
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. name the SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

7. Name the intermediate acting benzodiazepines
Pregabalin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)

8. How do you treat low magnesium and low potassium in the hospital setting
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zofran (Ondansetron) Reglam (metoclopromide)

9. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)

10. Treatment for pre-diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
SSRI's
Suboxone (Buprenorphine)

11. What are some causes of pitting edema
Tessalon (benzonate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

12. What is a severe side effect of metformin
Zofran (Ondansetron) Reglam (metoclopromide)
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 12-15 months

13. Name the macrolides
Neurontin (gabapentin) Lyrica (Pregabalin)
Temazepam (Reston) Lorazepam (Ativan)
Erythromycin Clarithromycin Azithromycin
Neurogen (Filgastim)

14. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

15. What can be used to treat ADHD
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Provigil (modafinil)
Vyvanse (lisdexamphetamine)
Temazepam (Reston) Lorazepam (Ativan)

16. What needs to be considered when treating a patient long term with lasics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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
1. 12-15 months 2. 4-6 years

17. What are the first generation anti depressants
Tessalon (benzonate)
Tricyclics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

18. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Tessalon (benzonate)
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam
Gemofibrozil Fenofibrate Clofibrate

19. What are anticoagulation treatment options
Nomanda (memantine) Exelon (Rivastigmine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

20. Name the tetracyclines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dannitol (Phenobarbital +Atropine)
Tetracycline Doxycycline Demeclocycline Minocycline

21. What are the ages for the inactivated poliovirus
Provigil (modafinil)
Block serotonin and Nor epinephrine
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

22. What are the effects of the bile acid sequestrants
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

23. What are the 2 month pediatric vaccines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

24. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin

25. What can be used for cough suppression
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
Tessalon (benzonate)
Nomanda (memantine) Exelon (Rivastigmine)

26. What ages are the Hep B vaccine given
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months

27. Neuropathic Pain management
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
Dolgic (Acetamenaphen + butabital)
STOP THE METFORMIN

28. What are the ages for the Hib vaccine
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months

29. Pediatric Hepatitis vaccinations should be given when?
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. 6 months 4. 15-18 months 5. 4-6 years
1.5
Flagyl (Metronidazole)

30. What drug can be used to cardiovert AF of short duration
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency
Nomanda (memantine) Exelon (Rivastigmine)

31. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN

32. What is the first line treatment for depression

33. Name the aminoglycoside
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years

34. What are the 2nd generation heterocyclic Anti depressants
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate

35. What can be used to increase WBC counts
2-8 hours
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
Neurogen (Filgastim)

36. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flecanide. Not to be used with LV insufficiency

37. What can be used to treat against C-difference in addition to parasites and other bacteria.
STOP THE METFORMIN
Tricyclics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flagyl (Metronidazole)

38. Name the short acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

39. What is the duration of short acting benzo's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)

40. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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

41. What are the effects of nicotinic acid
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

42. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Zanaflex (tizanidine)
Pregabalin
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours

43. What drug is used to tx narcolepsy
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
STOP THE METFORMIN
Provigil (modafinil)

44. What can be used for BPH
Proscar (finasteride)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

45. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

47. What class of drugs will lower LDL the most
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5
Statins (18-55% reduction)
Pregabalin

48. What drug can be used for cardioversion with structural heart disease
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months

49. Problems with welchol and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

50. IBS
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zofran (Ondansetron) Reglam (metoclopromide)
Dannitol (Phenobarbital +Atropine)