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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 the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

2. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 2 months 2. 4 months 3. 12-15 months
Block serotonin and Nor epinephrine
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

3. Problems with welchol and diabetes
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

4. What are the 2 month pediatric vaccines
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)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

5. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)

6. What are the 4 month pediatric vaccines
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

7. Drug addiction and withdrawal
Tessalon (benzonate)
2 months 4 months
Suboxone (Buprenorphine)
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

8. Name the aminoglycoside
1. 2 months 2. 4 months 3. 12-15 months
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)

9. What can be used for BPH
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)
1. 12-15 months 2. 4-6 years

10. What is the benefit of Welchol
Vistaril (hydroxyzine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

11. What are the first generation anti depressants
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years

12. Name the bile acid sequestrants
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 12-15 months
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

13. What is a severe side effect of metformin
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

14. What are the 6 month pediatric vaccines
2 months 4 months
Dolgic (Acetamenaphen + butabital)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. DTaP 2. PCV

15. What are anticoagulation treatment options
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

16. What can be used to prevent coagulation
2 months 4 months
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

17. What can be used to treat ADHD
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)

18. What is the first line treatment for depression

19. What are the effects of fibric acids
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)

20. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1.5
Provigil (modafinil)

21. Withdrawal symptoms
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)

22. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years

23. What can be used to increase WBC counts
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
SSRI's

24. What is the duration action of intermediate acting benzo's
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.
Zofran (Ondansetron) Reglam (metoclopromide)
10-20 hours

25. What are the ages for the pneumococcal vaccine
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)

26. What are the ages for the Hib vaccine
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

27. What ages the are the DTaP vaccine given
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

28. What are the 2nd generation heterocyclic Anti depressants
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)

29. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

30. What is Pradaxa
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

31. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. Name the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)

33. What are the 3rd generation heterocyclic Anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

34. Neuropathic Pain management
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)

35. What is an FDA approved prescription weight loss drug
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

36. What are some options for pain control
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV

37. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

38. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

39. How do you treat low magnesium and low potassium in the hospital setting
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours

40. What can be used to improve memory
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)

41. What's the difference between CMP and BMP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam

42. What are some causes of pitting edema
Suboxone (Buprenorphine)
2-8 hours
10-20 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

43. What are the effects of nicotinic acid
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

44. Name the macrolides
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin

45. What drug is used to tx narcolepsy
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Provigil (modafinil)
STOP THE METFORMIN

46. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
Tessalon (benzonate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Temazepam (Reston) Lorazepam (Ativan)

47. What are the ages for the inactivated poliovirus
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
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

48. What is used to clean ears
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)
Suboxone (Buprenorphine)

49. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 months 4 months

50. What can be used to treat against C-difference in addition to parasites and other bacteria.
2-8 hours
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin
Flagyl (Metronidazole)