How important are antibiotics for Step 1

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surfdevl02

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How important are antibiotics for Step 1? I don't think i learned them the first time and it's tough getting everything organized now...any suggestions on a good source for them? Thanks!
 
surfdevl02 said:
How important are antibiotics for Step 1? I don't think i learned them the first time and it's tough getting everything organized now...any suggestions on a good source for them? Thanks!

Mechanism of action and side effects. First Aid works.
 
if you listened to kaplan lectures, the teacher said that 1/6 of pharm qs come from antibiotics
 
I didn't have that many ABX ?s on my exam. What was important to know for what I did have were the big classes (quinolones, cephalosporins, etc.,) the important adverse reactions (Red Man syndrome, Stevens-Johnson, kernicterus,) and contraindications (not in kids, not in babies or expectant moms<6 weeks out, etc).

Know the anti-pseudomonal drugs.

Also, many of the questions were almost dependent - here's the vignette, what bug are you thinking, now what drug? Except that one answer woul be missing - i.e., the anti-viral was there, the anti-fungal was there, the gram + was there, but no anti-pseudomonal.
 
electra said:
I didn't have that many ABX ?s on my exam. What was important to know for what I did have were the big classes (quinolones, cephalosporins, etc.,) the important adverse reactions (Red Man syndrome, Stevens-Johnson, kernicterus,) and contraindications (not in kids, not in babies or expectant moms<6 weeks out, etc).

Know the anti-pseudomonal drugs.

Also, many of the questions were almost dependent - here's the vignette, what bug are you thinking, now what drug? Except that one answer woul be missing - i.e., the anti-viral was there, the anti-fungal was there, the gram + was there, but no anti-pseudomonal.


red man - vancomycin
stevens johnson - sulfas, phenytoin, barbituates, cox-2
kernicterus -
 
caribsun said:
red man - vancomycin
stevens johnson - sulfas, phenytoin, barbituates, cox-2
kernicterus -

-Sulfonamides--- they bind like mad to albumin and knock off bilirubin-- bili goes to brain, very bad indeed.
 
Doc Ivy said:
-Sulfonamides--- they bind like mad to albumin and knock off bilirubin-- bili goes to brain, very bad indeed.

i think of it this way..
Sulfonamides "Stick"
Bili is "Bumped"
it also bumps oral sulfonaureas, and the usual phenytoin, warfarin...blah blah
i can't wait to study pharm...biochem blows
streetdoc
can we start an "i love pharm" thread 😉 ?
 
surfdevl02 said:
How important are antibiotics for Step 1? I don't think i learned them the first time and it's tough getting everything organized now...any suggestions on a good source for them? Thanks!

our pharm prof (at a school that you didn't want to attend if i'm remembering correctly 😉 ) is the kaplan guy and seems to think it is HY to know SE and MOA , as stinger said, as well as Pcn allergy back ups. that's about as detailed as i'm going to go
streetdoc
 
streetdoc said:
i think of it this way..
Sulfonamides "Stick"
Bili is "Bumped"
it also bumps oral sulfonaureas, and the usual phenytoin, warfarin...blah blah
i can't wait to study pharm...biochem blows
streetdoc
can we start an "i love pharm" thread 😉 ?

So my question is this-- if you have a pt nicely titrated on a sulfonurea drug for Type 2 DM, and you add say TMP-SMX for a nasty bladder infection-- do you get hypogycemia as a side effect???

Pharm geeks unite 😛
 
Doc Ivy said:
So my question is this-- if you have a pt nicely titrated on a sulfonurea drug for Type 2 DM, and you add say TMP-SMX for a nasty bladder infection-- do you get hypogycemia as a side effect???

Pharm geeks unite 😛

Hmm...I doubt it--they're both sulfa drugs, but I doubt the sulfonamide will cause an insulin release.
 
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