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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 6 month pediatric vaccines
Neurontin (gabapentin) Lyrica (Pregabalin)
1. DTaP 2. PCV
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function

2. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function

3. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 months 3. 6-18 months

4. What can be used to treat ADHD
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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
Vyvanse (lisdexamphetamine)

5. What can be used for BPH
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

6. What is the benefit of Welchol
10-20 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dannitol (Phenobarbital +Atropine)
1.5

7. What are the effects of the bile acid sequestrants
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

8. Name the tetracyclines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tricyclics

9. Problems with welchol and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-24 months 2. 6-18 months after initial dose

10. Pediatric Hepatitis vaccinations should be given when?
Neurogen (Filgastim)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
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

11. Treatment for pre-diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

12. What can be used to treat against C-difference in addition to parasites and other bacteria.
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)
10-20 hours
Tricyclics

13. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

14. Name the long acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

15. What can be used to increase WBC counts
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pregabalin

16. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
SSRI's
Cholestyramine Colestipol Colesevalam

17. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)
Proscar (finasteride)
SSRI's

18. What ages are the Rotavirus vaccine given
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate
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)

19. name a central acting muscle relaxant
Statins (18-55% reduction)
Flagyl (Metronidazole)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)

20. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 12-15 months

21. What are the effects of fibric acids
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

22. What is the max creatinine clearance level for metformin
1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)

23. Name the bile acid sequestrants
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Cholestyramine Colestipol Colesevalam

24. What is used to clean ears
Debrox (carbamide peroxide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)
Statins (18-55% reduction)

25. What are the ages for the pneumococcal vaccine
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

26. Name the aminoglycoside
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-24 months 2. 6-18 months after initial dose

27. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)

28. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)
Dolgic (Acetamenaphen + butabital)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

29. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)
Vistaril (hydroxyzine)

30. What are the 3rd generation heterocyclic Anti depressants
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

31. What is Pradaxa
10-20 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

32. Name the statins
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

33. Name the intermediate acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
Statins (18-55% reduction)

34. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Vyvanse (lisdexamphetamine)
Block serotonin and Nor epinephrine

35. What is the first line treatment for depression

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36. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

37. Name the short acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
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)

38. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tetracycline Doxycycline Demeclocycline Minocycline

39. What is the duration action of intermediate acting benzo's
10-20 hours
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
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

40. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

41. What can be used to improve memory
Proscar (finasteride)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

42. What are some options for pain control
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

43. What is the duration of short acting benzo's
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 hours
1. 12-15 months 2. 4-6 years

44. IBS
Nomanda (memantine) Exelon (Rivastigmine)
2-8 hours
Neurogen (Filgastim)
Dannitol (Phenobarbital +Atropine)

45. Erythematous Nodosum
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

46. What can be used for cough suppression
Proscar (finasteride)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)
Provigil (modafinil)

47. What is a severe side effect of metformin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Statins (18-55% reduction)

48. When should the varicella virus vaccine be administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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
1. 12-15 months 2. 4-6 years

49. What's the difference between CMP and BMP
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Erythromycin Clarithromycin Azithromycin

50. What are the first generation anti depressants
2 months 4 months
Tricyclics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)