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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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 for nausea
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin
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

2. Drug addiction and withdrawal
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)
Dannitol (Phenobarbital +Atropine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

3. What ages are the Rotavirus vaccine given
Provigil (modafinil)
2 months 4 months
Vistaril (hydroxyzine)
Tricyclics

4. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pregabalin
Cholestyramine Colestipol Colesevalam

5. What are the 2 month pediatric vaccines
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

6. Neuropathic Pain management
Flagyl (Metronidazole)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Cholestyramine Colestipol Colesevalam
Neurontin (gabapentin) Lyrica (Pregabalin)

7. What ages are the Hep B vaccine given
SSRI's
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)

8. name a central acting muscle relaxant
Tetracycline Doxycycline Demeclocycline Minocycline
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

9. What is Pradaxa
1. 12-24 months 2. 6-18 months after initial dose
SSRI's
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

10. Name the intermediate acting benzodiazepines
Nomanda (memantine) Exelon (Rivastigmine)
Temazepam (Reston) Lorazepam (Ativan)
Vistaril (hydroxyzine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

11. What class of drugs will lower LDL the most
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)
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

12. Name the short acting benzodiazepines
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

13. What ages the are the DTaP vaccine given
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function

14. What can be used to treat ADHD
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)
Debrox (carbamide peroxide)

15. What can be used to prevent coagulation
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

16. Pediatric Hepatitis vaccinations should be given when?
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

17. Name the bile acid sequestrants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Cholestyramine Colestipol Colesevalam
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

18. What are the 6 month pediatric vaccines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. DTaP 2. PCV
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

19. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's

20. Erythematous Nodosum
1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

21. What is the duration of short acting benzo's
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)
2-8 hours
10-20 hours

22. What are anticoagulation treatment options
Tricyclics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Statins (18-55% reduction)

23. Name the statins
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)
Pregabalin

24. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

25. What are the effects of nicotinic acid
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)

26. What can be used to improve memory
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)

27. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate
A CMP is a BMP (kidney - electrolytes) PLUS liver function

28. What is the effect of the statins
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months

29. What is the max creatinine clearance level for metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
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
1.5
Block serotonin and Nor epinephrine

30. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

31. What are the effects of fibric acids
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
10-20 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

32. What are the first generation anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

33. Name the fibric acids
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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

34. What are the ages that the measles mumps and rubella vaccine administered
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

35. What is used to clean ears
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 12-15 months
Tessalon (benzonate)

36. What is a severe side effect of metformin
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Provigil (modafinil)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

37. What drug can be used to cardiovert AF of short duration
Tessalon (benzonate)
2 months 4 months
Neurogen (Filgastim)
Flecanide. Not to be used with LV insufficiency

38. How do you treat low magnesium and low potassium in the hospital setting
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
2-8 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

39. What drug is used to tx narcolepsy
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)

40. High blood pressure
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 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
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

41. What's the difference between CMP and BMP
Pregabalin
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Provigil (modafinil)

42. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

43. What is the duration action of intermediate acting benzo's
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam
10-20 hours

44. What can be used to treat against C-difference in addition to parasites and other bacteria.
Gemofibrozil Fenofibrate Clofibrate
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)

45. What can be used for cough suppression
Gemofibrozil Fenofibrate Clofibrate
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)

46. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
Vyvanse (lisdexamphetamine)

47. What can be used for BPH
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)
Proscar (finasteride)

48. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2-8 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

49. 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
Neurogen (Filgastim)
2-8 hours
Dannitol (Phenobarbital +Atropine)

50. Withdrawal symptoms
Gemofibrozil Fenofibrate Clofibrate
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

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