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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. When should the varicella virus vaccine be administered
Vyvanse (lisdexamphetamine)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

2. Name the fibric acids
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2-8 hours
1. 12-24 months 2. 6-18 months after initial dose
Gemofibrozil Fenofibrate Clofibrate

3. What ages the are the DTaP vaccine given
Suboxone (Buprenorphine)
Flagyl (Metronidazole)
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

4. What are the 2nd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

5. Name the tetracyclines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5

6. Problems with welchol and diabetes
1. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurogen (Filgastim)

7. name the SSRI's
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

8. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pregabalin

9. What class of drugs will lower LDL the most
1. DTaP 2. PCV
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)

10. How do you treat low magnesium and low potassium in the hospital setting
Vistaril (hydroxyzine)
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)

11. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Provigil (modafinil)
Pregabalin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

12. Name the aminoglycoside
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

13. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)

14. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN
Tessalon (benzonate)

15. What drug is used to tx narcolepsy
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
Provigil (modafinil)

16. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

17. Treatment for pre-diabetes
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zanaflex (tizanidine)
Neurontin (gabapentin) Lyrica (Pregabalin)

18. Withdrawal symptoms
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)

19. Pediatric Hepatitis vaccinations should be given when?
2-8 hours
Statins (18-55% reduction)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

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

21. name a central acting muscle relaxant
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)
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

22. Name the long acting benzodiazepines
Flecanide. Not to be used with LV insufficiency
Tessalon (benzonate)
1. Birth 2. 1-2 months 3. 6-18 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

23. IBS
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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

24. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Block serotonin and Nor epinephrine
Suboxone (Buprenorphine)
Proscar (finasteride)
STOP THE METFORMIN

25. What can be used to increase WBC counts
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

26. What ages are the Hep B vaccine given
2-8 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 months 3. 6-18 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

27. What can be used to treat ADHD
STOP THE METFORMIN
Tessalon (benzonate)
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

28. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

29. What can be used to prevent coagulation
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

30. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

31. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years

32. What ages are the Rotavirus vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 months 4 months

33. What is the duration of short acting benzo's
2-8 hours
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

34. What can be used to relax muscles associated with tension head aches
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)

35. What is used to clean ears
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

36. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What are the 4 month pediatric vaccines
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

38. What can be used for BPH
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)
Vistaril (hydroxyzine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

39. What are the 3rd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zofran (Ondansetron) Reglam (metoclopromide)

40. What are the 6 month pediatric vaccines
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

41. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

42. What is the max creatinine clearance level for metformin
1.5
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

43. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose

44. What can be used to improve memory
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

45. What's the difference between CMP and BMP
Vistaril (hydroxyzine)
Proscar (finasteride)
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

46. What are the effects of fibric acids
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

47. Name the bile acid sequestrants
2 months 4 months
Cholestyramine Colestipol Colesevalam
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)

48. 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
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
SSRI's

49. Name the statins
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

50. What are the ages for the pneumococcal vaccine
STOP THE METFORMIN
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)

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