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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. What can be used for cough suppression
Neurogen (Filgastim)
Tessalon (benzonate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)

2. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

3. Name the tetracyclines
Cholestyramine Colestipol Colesevalam
Suboxone (Buprenorphine)
Statins (18-55% reduction)
Tetracycline Doxycycline Demeclocycline Minocycline

4. What is the benefit of Welchol
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

5. Name the intermediate acting benzodiazepines
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.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)

6. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Provigil (modafinil)
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

7. name the SSRI's
2 months 4 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tetracycline Doxycycline Demeclocycline Minocycline
Zofran (Ondansetron) Reglam (metoclopromide)

8. What can be used for BPH
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. What are the 2nd generation heterocyclic Anti depressants
Neurogen (Filgastim)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. Withdrawal symptoms
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

11. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

12. What ages are the Rotavirus vaccine given
1. 12-15 months 2. 4-6 years
2 months 4 months
1. DTaP 2. PCV
Block serotonin and Nor epinephrine

13. What are the effects of nicotinic acid
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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%)

14. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

15. What is the effect of the statins
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

16. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2 months 4 months

17. What ages are the Hep B vaccine given
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 months 3. 6-18 months
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)

18. What are the ages for the Hib vaccine
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

19. What is the max creatinine clearance level for metformin
SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
1.5

20. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

21. What ages the are the DTaP vaccine given
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

22. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

23. What is the duration action of intermediate acting benzo's
10-20 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
SSRI's

24. What are some options for pain control
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 months 4 months

25. What can be used to increase WBC counts
1. Birth 2. 1-2 months 3. 6-18 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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

26. When should the HEP A vaccine be administered
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years

27. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

28. 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
SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

29. Name the fibric acids
Pregabalin
Gemofibrozil Fenofibrate Clofibrate
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

30. What is a severe side effect of metformin
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

31. Name the bile acid sequestrants
2-8 hours
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)

32. Name the aminoglycoside
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2-8 hours

33. What are the ages for the inactivated poliovirus
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years

34. What drug is used to tx narcolepsy
Provigil (modafinil)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
SSRI's

35. What are the effects of the bile acid sequestrants
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 12-15 months

36. When should the varicella virus vaccine be administered
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

37. Drug addiction and withdrawal
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)

38. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)

39. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
Tessalon (benzonate)
Tetracycline Doxycycline Demeclocycline Minocycline

40. Name the statins
Statins (18-55% reduction)
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

41. What are the effects of fibric acids
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

42. What is the first line treatment for depression

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43. What drug can be used to cardiovert AF of short duration
Zanaflex (tizanidine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)
Flecanide. Not to be used with LV insufficiency

44. Problems with welchol and diabetes
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)

45. What are the ages for the pneumococcal vaccine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dolgic (Acetamenaphen + butabital)
Tricyclics

46. name a central acting muscle relaxant
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Trazodone (Desyrel) Buproprion (Wellbutrin)

47. What is Pradaxa
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years

48. What can be used to treat ADHD
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vyvanse (lisdexamphetamine)

49. Name the long acting benzodiazepines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

50. What can be used for nausea
1. 12-24 months 2. 6-18 months after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
10-20 hours