Step I pharm advice

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crzyloulou

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i have two weeks to go until my test and pharm is def my weakest subject - just have a hard time keeping the names and tox straight. besides doing a little bit every day, does anybody have any advice on what the most high-yield approach to pharm is? which classes of drugs are an absolute MUST and which are more obscure? any advice/tips appreciated.
 
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make sure you know everything about autonomic drugs and the effects they would have together (you know, alpha blocker-this, beta agonist-that, etc). that's huge. next, know antibiotics. also, know other common drugs like HTN meds and statins. personally, i think those are the big ones--but then again, i ended up with at least 3 anti-arrythmic questions that i wasn't ready for, so you never know.

good luck!
 
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Know the anti-microbial drugs and know pharmacodynamics. I had quite a few pharmacodynamics questions that I thought were pretty tough.
 
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Were there also enzyme kinetic questions as well as competitive inhibition questions? ALso, did you have alot of calculation questions too? These are my weak points in pharm. 🙁

How did you guys prepare for these types of questions?
 
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I did have enzyme kinetic questions --- understand all the graphs in First Aid and be able to predict what happens to Km and Vmax with different types of inhibition. I didn't have any calculations, though.
 
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I agree with the above posters about knowing competitive inhibition etc.. Also, autonomics, side effects/toxicities, and epinephrine reversal were very HY. For some reason I had a ton of illegal/addictive drug q's--intoxication and withdrawal--not sure why. Equations, structures, horrible drugs like anti-arrhythmics, and drug uses (which condition they treat), were practically non-existent on my test.
 
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