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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 short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurontin (gabapentin) Lyrica (Pregabalin)

2. When should the varicella virus vaccine be administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

3. Neuropathic Pain management
SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

4. Drug addiction and withdrawal
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Debrox (carbamide peroxide)
Suboxone (Buprenorphine)

5. IBS
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin
Flagyl (Metronidazole)
Dannitol (Phenobarbital +Atropine)

6. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Block serotonin and Nor epinephrine
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline

7. What is the duration action of intermediate acting benzo's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Statins (18-55% reduction)

8. What drug is used to tx narcolepsy
Vyvanse (lisdexamphetamine)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

9. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)

10. What ages are the Hep B vaccine given
Neurogen (Filgastim)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 months 3. 6-18 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

11. What is a severe side effect of metformin
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

12. What are the 2 month pediatric vaccines
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours

13. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)

14. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

15. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)

16. What is the benefit of Welchol
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 12-15 months

17. What is the max creatinine clearance level for metformin
1.5
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

18. What's the difference between CMP and BMP
Tricyclics
Block serotonin and Nor epinephrine
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function

19. name the SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

20. Name the tetracyclines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
Tetracycline Doxycycline Demeclocycline Minocycline
Debrox (carbamide peroxide)

21. Withdrawal symptoms
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

22. What can be used to prevent coagulation
Zanaflex (tizanidine)
Tessalon (benzonate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

23. What ages the are the DTaP vaccine given
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

24. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

25. What are the ages for the pneumococcal vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
STOP THE METFORMIN
Debrox (carbamide peroxide)

26. name a central acting muscle relaxant
Provigil (modafinil)
Erythromycin Clarithromycin Azithromycin
Zanaflex (tizanidine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

27. What can be used to treat ADHD
Statins (18-55% reduction)
Tricyclics
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years

28. What is the duration of short acting benzo's
Dannitol (Phenobarbital +Atropine)
2-8 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's

29. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

30. What are the ages for the inactivated poliovirus
SSRI's
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

31. What class of drugs will lower LDL the most
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Statins (18-55% reduction)
STOP THE METFORMIN
10-20 hours

32. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)

33. What is used to clean ears
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months

34. What ages are the Rotavirus vaccine given
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)

35. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2-8 hours

37. What are the effects of nicotinic acid
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

38. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pregabalin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

39. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
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
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

40. How do you treat low magnesium and low potassium in the hospital setting
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
Vistaril (hydroxyzine)

41. Name the long acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)

42. Erythematous Nodosum
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

43. What can be used for nausea
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
Zofran (Ondansetron) Reglam (metoclopromide)
Zanaflex (tizanidine)

44. Name the intermediate acting benzodiazepines
Flecanide. Not to be used with LV insufficiency
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

45. What is the first line treatment for depression

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46. What can be used to relax muscles associated with tension head aches
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

47. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vyvanse (lisdexamphetamine)
SSRI's

48. What is the effect of the statins
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)

49. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Neurogen (Filgastim)
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)

50. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Gemofibrozil Fenofibrate Clofibrate