The Official StepI "Pimp each other" thread...

[Mike59]

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Hey all,

To keep our brains well tuned for stepI in the upcoming months, who else is up for some quizzing while we're on SDN?

I'll start: (answers to follow)

1. Arthritis is characteristic of what stage of Lyme Disease?

2. Which autosomal trisomy is characterized by polydactyly, microphthalmia, umbilical hernia and cleft lip?

 

[tupac_don]

👍 Also probably because there is no prekallikrein release from the atrophied pancreas. Good question. In general, you could also treat the pseudo with:

Piperacillin (a penicillin)
Cefepime (2nd gen cef)

If B-lactam resistance:
Imipenem/cilastatin
Meropenem
Cipro

Actually you wouldn't give Piperacilin, you would give Zosyn Piperacillin/tazobactam combo, and Cefepime is not a 2nd but 4th generation ceph. Finally, you wouldn't treat pseudomonas with Cipro, resistance develops too quickly. Pseudomonas is really a two drug bug. Also what about AG, Tobramycin, would be used inevitably.

 

[02115]

What antiviral drug inhibits mitochondrial DNA synthesis?

 

[02115]

A 29 year old sexually active overweight woman presents with vaginal discharge, abdominal pain, and dysuria. An antibiotic is prescribed and symptoms abate, however the woman returns complaining of a severe headache, nausea, and diplopia. The most likely antibiotic prescribed was:

a. Erythromycin
b. Azithromycin
c. Metronidazole
d. Tetracycline
e. Ciprofloxacin

 

[Fuzuli]

What antiviral drug inhibits mitochondrial DNA synthesis?

Reverse transcriptase inhibitors, such as Zidovudine (AZT)

 

[02115]

Reverse transcriptase inhibitors, such as Zidovudine (AZT)

Good job! I read that in RR biochem!

 

[sether52do]

A 29 year old sexually active overweight woman presents with vaginal discharge, abdominal pain, and dysuria. An antibiotic is prescribed and symptoms abate, however the woman returns complaining of a severe headache, nausea, and diplopia. The most likely antibiotic prescribed was:

a. Erythromycin
b. Azithromycin
c. Metronidazole
d. Tetracycline
e. Ciprofloxacin

C - Disulfiram effect of Metro.

 

[Fuzuli]

A 29 year old sexually active overweight woman presents with vaginal discharge, abdominal pain, and dysuria. An antibiotic is prescribed and symptoms abate, however the woman returns complaining of a severe headache, nausea, and diplopia. The most likely antibiotic prescribed was:

a. Erythromycin
b. Azithromycin
c. Metronidazole
d. Tetracycline
e. Ciprofloxacin

Most common causes of PID in women are gonococci and Chlamydia spp.
For gonococci > Cipro
For Chlamydia > Tetracyclines
Vision problems can be seen in tetracyclines, so I would choose D

 

[goodies]

bump

 

[marr]

hey, this is pretty cool. 👍

 

[Wizard of Oz]

Most common causes of PID in women are gonococci and Chlamydia spp.
For gonococci > Cipro
For Chlamydia > Tetracyclines
Vision problems can be seen in tetracyclines, so I would choose D

Isn't ceftriaxone the standard for gono?

 

[UCLAstudent]

Isn't ceftriaxone the standard for gono?

I think it depends on geography. Places like CA and Hawaii are showing very high resistance rates to quinolones.

 

[Wizard of Oz]

I think it depends on geography. Places like CA and Hawaii are showing very high resistance rates to quinolones.

Doesn't the Rocephin solve that problem either way? I wasn't aware of Cephalosporin III resistance in N. gono.

 

[SBlanc]

A 29 year old sexually active overweight woman presents with vaginal discharge, abdominal pain, and dysuria. An antibiotic is prescribed and symptoms abate, however the woman returns complaining of a severe headache, nausea, and diplopia. The most likely antibiotic prescribed was:

a. Erythromycin
b. Azithromycin
c. Metronidazole
d. Tetracycline
e. Ciprofloxacin

I like this thread...

My first thought on this question was definitely pseudotumor cerebri (overweight young woman with HA/nausea/diplopia...) PTC is classically caused by tetracyclines. So I'd go with D.

Whether or not that was the right drug to prescribe is a different question 😎