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Kaplan Qbank USMLE



Author20 Posts
  #1

what is the Drug of choice for Acute pyelonephritis in pregnant women?

a. Gentamycin
b. ciprofloxacin
c. ampicillin
d. Cefazolin +gentamycin
e. cefazolin
f. TMP-SMX

  #2

TMP-SMX

  #3

nope..try again friend

  #4

"jasonw" wrote:
nope..try again friend


ampi

  #5

could it also be cefazolin?

  #6

jason hi,

Why is cefazolin not the answer

  #7

is it cefazolin+gentamicin?

  #8

afrose,, u got it right!!!

it s cefazolin + genta

  #9

Ampicillin

  #10

c is corect ans

  #11

Genta in pregnancy??? plz explain!!

  #12

According to FDA Genta is in the C category of risk during pregnancy...

( Either studies in animals have revealed adverse effects on the fetus (teratogenic or embryocidal or other) and there are no controlled studies in women, or studies in women and animals are not available. Drugs should be given only if the potential benefit justifies the potential risk to the fetus.)
No way ,there must be another option :roll:

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  #13

:arrow: Among AG 's gentamycin is the most commonly prescribed aminoglycoside during pregnancy. However, gentamycin has not been shown to cause birth defects, or damage kidneys or hearing in the fetus.
:arrow: Gentamycin is an FDA category C drug, and may be used when its benefits outweigh the risks of its use. Examples of such situations include certain pelvic, heart valve, or kidney infections.

any idea guys ?

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  #14

Why not ampicillin as it is save in pregnancy and affective as well in such condition and in the mean time get urine C/S

  #15

Because pyelonephritis in pregnancy is associated with risks to mother and child it is recommended that it be treated in hospital with intravenous antimicrobials. uncomplicated pyelonephritis in pregnancy might be safely and effectively treated with oral cephalosporins.
so it is d.

  #16

I don't think gentamycin is safe friends.please give your 2 second to this web site. :shock: http://www.safefetus.com/DrugDetail.asp?DrugId=16...

  #17

If I am treating this patient I use cefazolin. :wink:

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Carla

  #18

Hi guys!

According tomanual of obstetrics iv cephalosporins or ampicillin plus an aminoglycoside would be the treatmant.

Ampicillin resistance is so high thus it could not be used alone.

  #19

Hi guys!

According tomanual of obstetrics iv cephalosporins or ampicillin plus an aminoglycoside would be the treatmant.

Ampicillin resistance is so high thus it could not be used alone.

  #20

its cafazolin and gentamicin guys do what usmle wants

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