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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 drug can be used for cardioversion with structural heart disease
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

2. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. Pediatric Hepatitis vaccinations should be given when?
Flecanide. Not to be used with LV insufficiency
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Statins (18-55% reduction)

4. Name the short acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

5. Name the statins
Dannitol (Phenobarbital +Atropine)
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

6. What needs to be considered when treating a patient long term with lasics
Zanaflex (tizanidine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV

7. High blood pressure
1. 12-15 months 2. 4-6 years
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. 12-15 months
2-8 hours

8. What is the first line treatment for depression

9. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tessalon (benzonate)

10. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years

11. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)

12. What can be used for nausea
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

13. Drug addiction and withdrawal
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
2-8 hours

14. Name the bile acid sequestrants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 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
Cholestyramine Colestipol Colesevalam

15. What are the first generation anti depressants
1. 2 months 2. 4 months 3. 12-15 months
Zanaflex (tizanidine)
Erythromycin Clarithromycin Azithromycin
Tricyclics

16. What is Pradaxa
Vyvanse (lisdexamphetamine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

17. What can be used to increase WBC counts
Neurontin (gabapentin) Lyrica (Pregabalin)
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
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)

18. What are the ages for the inactivated poliovirus
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

19. What is the duration of short acting benzo's
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours
Block serotonin and Nor epinephrine
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

20. What are the ages for the Hib vaccine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

21. Withdrawal symptoms
Vistaril (hydroxyzine)
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)

22. What is a severe side effect of metformin
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. What are some causes of pitting edema
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

24. What are the 2nd generation heterocyclic Anti depressants
Temazepam (Reston) Lorazepam (Ativan)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tessalon (benzonate)

25. What can be used to improve memory
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

26. What can be used for cough suppression
Statins (18-55% reduction)
Vistaril (hydroxyzine)
2-8 hours
Tessalon (benzonate)

27. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Vyvanse (lisdexamphetamine)
Pregabalin
2-8 hours
Vistaril (hydroxyzine)

28. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Zanaflex (tizanidine)
Vistaril (hydroxyzine)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 12-15 months

29. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline

30. What can be used for BPH
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
STOP THE METFORMIN
Zanaflex (tizanidine)

31. name a central acting muscle relaxant
Zanaflex (tizanidine)
1. 12-24 months 2. 6-18 months after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

32. What are anticoagulation treatment options
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

33. Erythematous Nodosum
Debrox (carbamide peroxide)
Suboxone (Buprenorphine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

34. What is used to clean ears
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
2 months 4 months

35. Name the long acting benzodiazepines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tessalon (benzonate)
Vistaril (hydroxyzine)

36. What can be used to treat ADHD
Flagyl (Metronidazole)
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)

37. Name the fibric acids
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)
Gemofibrozil Fenofibrate Clofibrate

38. What's the difference between CMP and BMP
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

39. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years

40. Name the aminoglycoside
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

41. name the SSRI's
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours

42. Neuropathic Pain management
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

43. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

44. What drug is used to tx narcolepsy
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
Tessalon (benzonate)

45. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
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
Zofran (Ondansetron) Reglam (metoclopromide)

46. What are the effects of fibric acids
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

47. What drug can be used to cardiovert AF of short duration
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flecanide. Not to be used with LV insufficiency

48. What are the ages that the measles mumps and rubella vaccine administered
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years

49. What is the duration action of intermediate acting benzo's
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
10-20 hours

50. IBS
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)