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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. Name the aminoglycoside
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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

2. What are some causes of pitting edema
Neurogen (Filgastim)
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

3. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Statins (18-55% reduction)
1.5
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

4. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. What is an FDA approved prescription weight loss drug
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

6. Name the bile acid sequestrants
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin

7. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

8. What are the first generation anti depressants
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics

9. What ages the are the DTaP vaccine given
Neurogen (Filgastim)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

10. What is the max creatinine clearance level for metformin
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
Flecanide. Not to be used with LV insufficiency
1.5

11. What are the ages for the inactivated poliovirus
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

12. What can be used to increase WBC counts
Nomanda (memantine) Exelon (Rivastigmine)
Neurogen (Filgastim)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

13. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)

14. Name the macrolides
Pregabalin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

15. Erythematous Nodosum
Zanaflex (tizanidine)
Block serotonin and Nor epinephrine
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

16. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam
Pregabalin

17. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Erythromycin Clarithromycin Azithromycin
Neurogen (Filgastim)
10-20 hours

18. What are the effects of the bile acid sequestrants
STOP THE METFORMIN
10-20 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

19. 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
Block serotonin and Nor epinephrine
Statins (18-55% reduction)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

20. Pediatric Hepatitis vaccinations should be given when?
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
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

21. What ages are the Hep B vaccine given
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
1. Birth 2. 1-2 months 3. 6-18 months
Suboxone (Buprenorphine)

22. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Temazepam (Reston) Lorazepam (Ativan)

23. Name the fibric acids
1. 12-24 months 2. 6-18 months after initial dose
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
Tetracycline Doxycycline Demeclocycline Minocycline
Gemofibrozil Fenofibrate Clofibrate

24. What is the first line treatment for depression

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25. What can be used to treat against C-difference in addition to parasites and other bacteria.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)

26. What drug is used to tx narcolepsy
Nomanda (memantine) Exelon (Rivastigmine)
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months
Proscar (finasteride)

27. What are the effects of fibric acids
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dannitol (Phenobarbital +Atropine)
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

28. What is Pradaxa
1. Birth 2. 1-2 months 3. 6-18 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

29. What are the 2nd generation heterocyclic Anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Trazodone (Desyrel) Buproprion (Wellbutrin)

30. Withdrawal symptoms
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

31. What is the duration action of intermediate acting benzo's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
10-20 hours

32. What can be used for cough suppression
Dannitol (Phenobarbital +Atropine)
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Vistaril (hydroxyzine)

33. name a central acting muscle relaxant
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years

34. What can be used for BPH
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
Nomanda (memantine) Exelon (Rivastigmine)

35. IBS
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

36. What are the 2 month pediatric vaccines
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin
Flecanide. Not to be used with LV insufficiency

37. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

38. What are the 6 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. DTaP 2. PCV
Neurogen (Filgastim)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

39. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months
Neurontin (gabapentin) Lyrica (Pregabalin)

40. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)

41. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

42. Name the tetracyclines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline

43. What are the 3rd generation heterocyclic Anti depressants
Suboxone (Buprenorphine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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

44. What is used to clean ears
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

45. Problems with welchol and diabetes
1.5
1. DTaP 2. PCV
Proscar (finasteride)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

46. Treatment for pre-diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dolgic (Acetamenaphen + butabital)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours

47. Drug addiction and withdrawal
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)

48. When should the HEP A vaccine be administered
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose

49. What are anticoagulation treatment options
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

50. What is the effect of the statins
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN