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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 a severe side effect of metformin
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics
Dolgic (Acetamenaphen + butabital)

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

3. What ages the are the DTaP vaccine given
Flecanide. Not to be used with LV insufficiency
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

4. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months

5. What is the duration of short acting benzo's
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

6. Erythematous Nodosum
SSRI's
Proscar (finasteride)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

7. What are the ages for the inactivated poliovirus
Proscar (finasteride)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

8. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)

9. name the SSRI's
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. Name the aminoglycoside
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

11. What ages are the Rotavirus vaccine given
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
2 months 4 months
1. DTaP 2. PCV

12. What are the effects of nicotinic acid
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

13. What are the ages for the pneumococcal vaccine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pregabalin

14. What are the effects of fibric acids
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Suboxone (Buprenorphine)

15. What are the 2nd generation heterocyclic Anti depressants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
Suboxone (Buprenorphine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

16. High blood pressure
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

17. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years

18. Neuropathic Pain management
2 months 4 months
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)

19. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1.5
Pregabalin
Flagyl (Metronidazole)

20. What is Pradaxa
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

21. What can be used to increase WBC counts
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-24 months 2. 6-18 months after initial dose

22. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

23. What are some options for pain control
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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

24. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Provigil (modafinil)

25. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

26. Name the intermediate acting benzodiazepines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

27. What is the max creatinine clearance level for metformin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)

28. Treatment for pre-diabetes
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months

29. What are anticoagulation treatment options
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

30. Name the long acting benzodiazepines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

31. What can be used to treat ADHD
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)

32. What are the first generation anti depressants
Tricyclics
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

33. What is the first line treatment for depression

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34. What is an FDA approved prescription weight loss drug
Zanaflex (tizanidine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline

35. What is the duration action of intermediate acting benzo's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Gemofibrozil Fenofibrate Clofibrate
10-20 hours

36. What is the benefit of Welchol
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)

37. What is used to clean ears
Statins (18-55% reduction)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)
Dannitol (Phenobarbital +Atropine)

38. IBS
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dannitol (Phenobarbital +Atropine)
2-8 hours
2 months 4 months

39. What are the 6 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)
1. DTaP 2. PCV

40. 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
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
1.5

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
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

42. Name the tetracyclines
Flagyl (Metronidazole)
Tetracycline Doxycycline Demeclocycline Minocycline
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years

43. When should the varicella virus vaccine be administered
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 12-15 months

44. Withdrawal symptoms
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)
1.5

45. name a central acting muscle relaxant
Zanaflex (tizanidine)
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

46. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

47. How do you treat low magnesium and low potassium in the hospital setting
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
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

48. Name the short acting benzodiazepines
1. 12-24 months 2. 6-18 months after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

49. Name the macrolides
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years

50. What can be used to relax muscles associated with tension head aches
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)