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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. Name the intermediate acting benzodiazepines
SSRI's
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

2. What can be used to increase WBC counts
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

3. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

4. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flagyl (Metronidazole)

5. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

6. What is the first line treatment for depression

7. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

8. 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
Tessalon (benzonate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

9. What are the 6 month pediatric vaccines
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
1. DTaP 2. PCV

10. What are the ages for the pneumococcal vaccine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

11. What are the 2 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline

12. What ages are the Hep B vaccine given
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)

13. What are some causes of pitting edema
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
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

14. High blood pressure
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours

15. name the SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)

16. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

17. What are the 2nd generation heterocyclic Anti depressants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Trazodone (Desyrel) Buproprion (Wellbutrin)

18. What can be used to improve memory
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)

19. What can be used to relax muscles associated with tension head aches
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pregabalin

20. What can be used to prevent coagulation
Vyvanse (lisdexamphetamine)
Erythromycin Clarithromycin Azithromycin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

21. What are the 4 month pediatric vaccines
Trazodone (Desyrel) Buproprion (Wellbutrin)
Nomanda (memantine) Exelon (Rivastigmine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months

22. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

23. What needs to be considered when treating a patient long term with lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline

24. Name the bile acid sequestrants
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Cholestyramine Colestipol Colesevalam

25. What can be used for BPH
1. DTaP 2. PCV
Debrox (carbamide peroxide)
Proscar (finasteride)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

26. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)

27. What is the duration action of intermediate acting benzo's
10-20 hours
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

28. Name the statins
Proscar (finasteride)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

29. What are the first generation anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

30. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
Pregabalin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

31. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine
10-20 hours

32. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

33. Problems with welchol and diabetes
Proscar (finasteride)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

34. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2-8 hours
1. 2 months 2. 4 months 3. 12-15 months
SSRI's

35. Erythematous Nodosum
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

36. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN

37. What is an FDA approved prescription weight loss drug
Flecanide. Not to be used with LV insufficiency
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

38. What are the effects of nicotinic acid
Debrox (carbamide peroxide)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years

39. What ages the are the DTaP vaccine given
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

40. What ages are the Rotavirus vaccine given
Block serotonin and Nor epinephrine
2 months 4 months
Pregabalin
Dolgic (Acetamenaphen + butabital)

41. What are the ages that the measles mumps and rubella vaccine administered
Statins (18-55% reduction)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

42. When should the HEP A vaccine be administered
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose

43. What is a severe side effect of metformin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vyvanse (lisdexamphetamine)

44. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

45. When should the varicella virus vaccine be administered
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Flecanide. Not to be used with LV insufficiency

46. Withdrawal symptoms
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Vistaril (hydroxyzine)

47. Neuropathic Pain management
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A CMP is a BMP (kidney - electrolytes) PLUS liver function

48. What class of drugs will lower LDL the most
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

49. Name the aminoglycoside
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flecanide. Not to be used with LV insufficiency
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

50. Pediatric Hepatitis vaccinations should be given when?
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP