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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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1. What are the 4 month pediatric vaccines
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

2. What are some options for pain control
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. DTaP 2. PCV
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

3. Name the macrolides
1. 12-24 months 2. 6-18 months after initial dose
Provigil (modafinil)
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin

4. What can be used to treat ADHD
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

5. Name the bile acid sequestrants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Debrox (carbamide peroxide)
Cholestyramine Colestipol Colesevalam
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

6. What can be used for BPH
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flagyl (Metronidazole)
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

7. IBS
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN

8. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tricyclics
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)

9. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics

10. What are the 2nd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-24 months 2. 6-18 months after initial dose

11. Name the aminoglycoside
2 months 4 months
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

12. What are the ages for the pneumococcal vaccine
Gemofibrozil Fenofibrate Clofibrate
Dannitol (Phenobarbital +Atropine)
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

13. How do you treat low magnesium and low potassium in the hospital setting
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

14. Drug addiction and withdrawal
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)

15. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN

16. What is the first line treatment for depression

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17. What is an FDA approved prescription weight loss drug
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

18. What can be used for cough suppression
SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)

19. High blood pressure
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tessalon (benzonate)
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

20. What class of drugs will lower LDL the most
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

21. What ages are the Rotavirus vaccine given
1.5
2 months 4 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Statins (18-55% reduction)

22. 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
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

23. What can be used to relax muscles associated with tension head aches
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)

24. When should the HEP A vaccine be administered
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
SSRI's

25. What are the effects of the bile acid sequestrants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Cholestyramine Colestipol Colesevalam
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

26. What are the ages for the inactivated poliovirus
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

27. What drug can be used to cardiovert AF of short duration
2-8 hours
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

28. Name the intermediate acting benzodiazepines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Temazepam (Reston) Lorazepam (Ativan)

29. name a central acting muscle relaxant
Zanaflex (tizanidine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1.5
2-8 hours

30. Withdrawal symptoms
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

31. What is the max creatinine clearance level for metformin
1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

32. What drug is used to tx narcolepsy
Proscar (finasteride)
Zofran (Ondansetron) Reglam (metoclopromide)
Provigil (modafinil)
Pregabalin

33. Name the tetracyclines
Dolgic (Acetamenaphen + butabital)
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)

34. Name the statins
Statins (18-55% reduction)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate

35. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline

36. What drug can be used for cardioversion with structural heart disease
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pregabalin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

37. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

38. What's the difference between CMP and BMP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

39. Name the fibric acids
STOP THE METFORMIN
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)

40. What are the first generation anti depressants
1.5
Dannitol (Phenobarbital +Atropine)
Tricyclics
Dolgic (Acetamenaphen + butabital)

41. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Debrox (carbamide peroxide)
Provigil (modafinil)
Gemofibrozil Fenofibrate Clofibrate

42. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years

43. Erythematous Nodosum
1. DTaP 2. PCV
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)

44. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
2 months 4 months
2-8 hours
Erythromycin Clarithromycin Azithromycin

45. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Debrox (carbamide peroxide)
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)

46. What is the benefit of Welchol
1. DTaP 2. PCV
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

47. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Tessalon (benzonate)
Flecanide. Not to be used with LV insufficiency
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN

48. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1.5
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)

49. What is the duration of short acting benzo's
Neurontin (gabapentin) Lyrica (Pregabalin)
2-8 hours
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

50. What are the 2 month pediatric vaccines
Temazepam (Reston) Lorazepam (Ativan)
SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP