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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. How do you treat low magnesium and low potassium in the hospital setting
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)
Erythromycin Clarithromycin Azithromycin

2. What are the effects of fibric acids
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

3. What can be used to increase WBC counts
Flagyl (Metronidazole)
Neurogen (Filgastim)
SSRI's
Suboxone (Buprenorphine)

4. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Cholestyramine Colestipol Colesevalam

5. Name the short acting benzodiazepines
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

6. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
STOP THE METFORMIN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

7. Problems with welchol and diabetes
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
SSRI's

8. What needs to be considered when treating a patient long term with lasics
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

9. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin

10. What can be used to treat against C-difference in addition to parasites and other bacteria.
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Cholestyramine Colestipol Colesevalam
Tessalon (benzonate)
Flagyl (Metronidazole)

11. What are the effects of the bile acid sequestrants
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

12. Name the bile acid sequestrants
1.5
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

13. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)

14. Treatment for pre-diabetes
Tricyclics
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months

15. What can be used for BPH
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)

16. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

17. IBS
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dannitol (Phenobarbital +Atropine)

18. What are the 2 month pediatric vaccines
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
1. 12-15 months 2. 4-6 years

19. What are the ages that the measles mumps and rubella vaccine administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Flecanide. Not to be used with LV insufficiency
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

20. What drug is used to tx narcolepsy
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)

21. What is the benefit of Welchol
Flecanide. Not to be used with LV insufficiency
Gemofibrozil Fenofibrate Clofibrate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam

22. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 12-15 months

23. High blood pressure
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
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

24. Withdrawal symptoms
Suboxone (Buprenorphine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)

25. What is the max creatinine clearance level for metformin
Temazepam (Reston) Lorazepam (Ativan)
1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

26. What are the ages for the pneumococcal vaccine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

27. What ages are the Hep B vaccine given
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
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.

28. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV

29. What drug can be used for cardioversion with structural heart disease
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval

30. Name the intermediate acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam

31. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

32. What class of drugs will lower LDL the most
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Nomanda (memantine) Exelon (Rivastigmine)
Statins (18-55% reduction)

33. What are the ages for the inactivated poliovirus
1. 12-24 months 2. 6-18 months after initial dose
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

34. What are the ages for the Hib vaccine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

35. What ages the are the DTaP vaccine given
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. Name the macrolides
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

37. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

38. What is the effect of the statins
Zofran (Ondansetron) Reglam (metoclopromide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

39. Name the statins
2 months 4 months
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline

40. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. What is the duration action of intermediate acting benzo's
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

42. What are the 3rd generation heterocyclic Anti depressants
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's

43. What are some options for pain control
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)

44. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Flecanide. Not to be used with LV insufficiency

45. What can be used for cough suppression
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tessalon (benzonate)
1. Birth 2. 1-2 months 3. 6-18 months
STOP THE METFORMIN

46. What's the difference between CMP and BMP
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

47. Name the fibric acids
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
1.5

48. What are the first generation anti depressants
Tricyclics
10-20 hours
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

49. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

50. What is used to clean ears
Statins (18-55% reduction)
Debrox (carbamide peroxide)
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)

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Family Medicine Treatment Options

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