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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. Erythematous Nodosum
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Suboxone (Buprenorphine)
Flecanide. Not to be used with LV insufficiency

2. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Block serotonin and Nor epinephrine
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. Name the long acting benzodiazepines
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vistaril (hydroxyzine)

4. What are the 2 month pediatric vaccines
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

5. What ages are the Hep B vaccine given
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

6. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)

7. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
2-8 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

8. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)

9. What are the ages for the Hib vaccine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

10. What can be used to prevent coagulation
10-20 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

11. What ages the are the DTaP vaccine given
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)

12. Pediatric Hepatitis vaccinations should be given when?
2 months 4 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

13. What can be used to increase WBC counts
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)

14. Name the short acting benzodiazepines
1. DTaP 2. PCV
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 12-15 months

15. What are the effects of the bile acid sequestrants
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)
Block serotonin and Nor epinephrine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

17. Neuropathic Pain management
1. DTaP 2. PCV
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5

18. Treatment for pre-diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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

19. name a central acting muscle relaxant
Vyvanse (lisdexamphetamine)
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

20. What are the 3rd generation heterocyclic Anti depressants
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)

21. What are the ages for the pneumococcal vaccine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurontin (gabapentin) Lyrica (Pregabalin)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

22. What needs to be considered when treating a patient long term with lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

23. What drug is used to tx narcolepsy
Provigil (modafinil)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)

24. What drug can be used for cardioversion with structural heart disease
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

25. What are some causes of pitting edema
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
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

26. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dannitol (Phenobarbital +Atropine)
Provigil (modafinil)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

27. What's the difference between CMP and BMP
SSRI's
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

28. What is the duration of short acting benzo's
Dolgic (Acetamenaphen + butabital)
2-8 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. 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 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurogen (Filgastim)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

30. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam

31. Name the intermediate acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Temazepam (Reston) Lorazepam (Ativan)

32. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years

33. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

34. What ages are the Rotavirus vaccine given
2 months 4 months
Debrox (carbamide peroxide)
SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

35. What drug can be used to cardiovert AF of short duration
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
Vyvanse (lisdexamphetamine)

36. What is the benefit of Welchol
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

37. What are the first generation anti depressants
Tricyclics
Zanaflex (tizanidine)
2 months 4 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

38. What are some options for pain control
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

39. When should the varicella virus vaccine be administered
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years

40. What is used to clean ears
Erythromycin Clarithromycin Azithromycin
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Provigil (modafinil)

41. When should the HEP A vaccine be administered
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 12-15 months

42. High blood pressure
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)
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

43. What can be used for cough suppression
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tessalon (benzonate)
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-24 months 2. 6-18 months after initial dose

44. IBS
Statins (18-55% reduction)
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

45. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

46. Problems with welchol and diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

47. Withdrawal symptoms
Vistaril (hydroxyzine)
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)

48. Name the aminoglycoside
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

49. What is the first line treatment for depression

50. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)