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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. High blood pressure
Neurogen (Filgastim)
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
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

2. What needs to be considered when treating a patient long term with lasics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

3. What is used to clean ears
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)

4. What is the first line treatment for depression

5. What is Pradaxa
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)
Suboxone (Buprenorphine)

6. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Tetracycline Doxycycline Demeclocycline Minocycline
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Block serotonin and Nor epinephrine

7. What is a severe side effect of metformin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

8. What can be used to improve memory
Dolgic (Acetamenaphen + butabital)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)

9. Problems with welchol and diabetes
Proscar (finasteride)
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

10. What class of drugs will lower LDL the most
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pregabalin
Statins (18-55% reduction)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

11. What is the duration action of intermediate acting benzo's
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
SSRI's
Nomanda (memantine) Exelon (Rivastigmine)

12. What ages are the Rotavirus vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 months 4 months
1. DTaP 2. PCV
Zanaflex (tizanidine)

13. How do you treat low magnesium and low potassium in the hospital setting
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

14. Name the aminoglycoside
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

15. What drug is used to tx narcolepsy
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)

16. What are the ages that the measles mumps and rubella vaccine administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

17. What can be used to treat against C-difference in addition to parasites and other bacteria.
Tricyclics
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

18. What is the max creatinine clearance level for metformin
1.5
Pregabalin
Tricyclics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

19. What are the effects of the bile acid sequestrants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

20. Withdrawal symptoms
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
Proscar (finasteride)

21. Drug addiction and withdrawal
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Temazepam (Reston) Lorazepam (Ativan)
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)

22. What can be used for BPH
2-8 hours
Proscar (finasteride)
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval

23. What drug can be used to cardiovert AF of short duration
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flecanide. Not to be used with LV insufficiency

24. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
STOP THE METFORMIN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

25. What are the 4 month pediatric vaccines
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

26. What can be used to relax muscles associated with tension head aches
Statins (18-55% reduction)
Provigil (modafinil)
Dolgic (Acetamenaphen + butabital)
Proscar (finasteride)

27. Name the short acting benzodiazepines
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine
2 months 4 months

28. Neuropathic Pain management
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zanaflex (tizanidine)
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)

29. What are the first generation anti depressants
Tricyclics
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

30. name a central acting muscle relaxant
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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
Flagyl (Metronidazole)
Zanaflex (tizanidine)

31. Name the fibric acids
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dannitol (Phenobarbital +Atropine)
Zofran (Ondansetron) Reglam (metoclopromide)
Gemofibrozil Fenofibrate Clofibrate

32. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
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

33. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flagyl (Metronidazole)
1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

34. What drug can be used for cardioversion with structural heart disease
Debrox (carbamide peroxide)
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

35. Erythematous Nodosum
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

36. When should the varicella virus vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years

37. 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
1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

38. What are some options for pain control
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)

39. What can be used to increase WBC counts
1. 12-24 months 2. 6-18 months after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)

40. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV

41. When should the HEP A vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

42. What is the benefit of Welchol
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Suboxone (Buprenorphine)

43. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

44. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tricyclics

45. What's the difference between CMP and BMP
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours

46. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)

47. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)

48. What are the 2nd generation heterocyclic Anti depressants
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Suboxone (Buprenorphine)

49. What can be used for nausea
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurontin (gabapentin) Lyrica (Pregabalin)

50. What are the effects of fibric acids
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses