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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. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

2. What are the 3rd generation heterocyclic Anti depressants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months

3. Name the short acting benzodiazepines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

4. Name the aminoglycoside
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

5. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tessalon (benzonate)
SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

6. What is the duration action of intermediate acting benzo's
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pregabalin

7. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

8. IBS
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

9. What drug can be used to cardiovert AF of short duration
1.5
Flecanide. Not to be used with LV insufficiency
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours

10. What are some options for pain control
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)

11. What are the effects of the bile acid sequestrants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose

12. What are the first generation anti depressants
STOP THE METFORMIN
Tricyclics
Dannitol (Phenobarbital +Atropine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

13. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)

14. What are the 6 month pediatric vaccines
Statins (18-55% reduction)
1. DTaP 2. PCV
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurogen (Filgastim)

15. Erythematous Nodosum
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Gemofibrozil Fenofibrate Clofibrate

16. What drug is used to tx narcolepsy
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's
Neurogen (Filgastim)

17. Drug addiction and withdrawal
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
Flecanide. Not to be used with LV insufficiency

18. Name the bile acid sequestrants
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Cholestyramine Colestipol Colesevalam
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

19. What is used to clean ears
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1.5
Debrox (carbamide peroxide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

20. What is the duration of short acting benzo's
2-8 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)

21. What are the ages that the measles mumps and rubella vaccine administered
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours

22. What are the ages for the inactivated poliovirus
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. 6-18 months 4. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

23. What drug can be used for cardioversion with structural heart disease
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5

24. What ages are the Hep B vaccine given
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

25. What is the effect of the statins
Neurogen (Filgastim)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

26. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-24 months 2. 6-18 months after initial dose

27. What are the 2 month pediatric vaccines
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

28. What is a severe side effect of metformin
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Block serotonin and Nor epinephrine

29. What is Pradaxa
1. Birth 2. 1-2 months 3. 6-18 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin

30. What ages are the Rotavirus vaccine given
Statins (18-55% reduction)
Flagyl (Metronidazole)
Tessalon (benzonate)
2 months 4 months

31. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tricyclics

32. Problems with welchol and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What are the ages for the pneumococcal vaccine
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

34. What is the max creatinine clearance level for metformin
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

35. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

36. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-24 months 2. 6-18 months after initial dose
Suboxone (Buprenorphine)
1. DTaP 2. PCV

37. Withdrawal symptoms
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vistaril (hydroxyzine)
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

38. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pregabalin

39. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Dolgic (Acetamenaphen + butabital)
2 months 4 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

40. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
SSRI's
Temazepam (Reston) Lorazepam (Ativan)

42. Name the long acting benzodiazepines
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vyvanse (lisdexamphetamine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

43. Treatment for pre-diabetes
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
SSRI's

44. name the SSRI's
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Statins (18-55% reduction)
Flagyl (Metronidazole)

45. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine

46. What can be used to improve memory
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)
SSRI's
Nomanda (memantine) Exelon (Rivastigmine)

47. Name the macrolides
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Erythromycin Clarithromycin Azithromycin
10-20 hours
1. 12-24 months 2. 6-18 months after initial dose

48. What is an FDA approved prescription weight loss drug
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
SSRI's

49. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

50. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

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