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Pharm question

Discussion in 'Step I' started by Wahooonnikon, Apr 18, 2007.

  1. Wahooonnikon

    Wahooonnikon Member 7+ Year Member

    May 27, 2004
    It seems to me that first aid doesn't have the mode of drug delivery/excretion we not have to worry about this unless it is specifically mentioned in first aid (like this drug is oral only, this drug is parenteral)? Thanks.
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  3. lord_jeebus

    lord_jeebus 和魂洋才 Moderator Physician 10+ Year Member

    Jul 12, 2003
    If it's not in First Aid for pharm, it's very low yield.

    I had no questions on this subject.
  4. Wahooonnikon

    Wahooonnikon Member 7+ Year Member

    May 27, 2004
    thanks, jeebus..i guess i shouldn't have wasted my time
  5. olliemctuffy

    olliemctuffy Member 2+ Year Member

    Sep 27, 2006
    I would think routes of elimination would be important because of how it directly relates to hepatic disease, renal disease, biliary disease and drug drug interactions, which can either increase or decrease drug levels. BUT, I haven't had boards yet- can someone who's taken boards verify that this is low yield?
  6. bones4u

    bones4u Residency>>>Med School 2+ Year Member

    Apr 9, 2007
    If anything, just remember that maintenance doses will be lower, and clearance will be lower, in patients with hepatic or renal disease.
    But I've never had the concept come up in either questions, or the actual test. Of course thats just one experience :)

    Best of luck!
  7. Abhas2002

    Abhas2002 WikiTestPrep Director

    Aug 18, 2006
    New York, NY
    i've had the concept come up. but i think the previous poster is correct -- you only need to know qualitatively what the effects of diminished clearance can have on loading and maintenance doses (none and lower, respectively).

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