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Kaplan Qbank USMLE



Author48 Posts
  #1

HERBAL AGENTS USES

1echinacea--------------common cold

2feverfew----------------migraine

3ginkgo-------------------intermiottent claudication

4milk thistle--------------viral hepatitis

5kava-------------------chroic anxiety

6st. johns wort-----------depression

7saw palmetto--------------benign prostate hyperplasia

8melatonin----------------jet lag , insomnia

9DHEA------------------SLE,AIDS
(for symptoic improvement in females)

  #2

p450 INDUCERS--------
" Queen Barb takes Phen-phen and Refuses Greasy CarbS"
Q=quinidine
B=barbiturates
P= phenytoin
R=rifampicin
G= griseofulvin
C=carbamazepine
S=st jonns wort

  #3

P450 INHIITORS---------
"Inhibitors Stop Cyber-Kids from Eating Ggrapefruit"



I=isoiazid
S=sulphonamides
C=cimetidine
K=ketoconazole
E=Erythromycin
G=grape fruit juice

  #4

IN EUKARYOTES

RNA polymerase 1 makes--------->r RNA
RNA polymerase 2 makes---------->m RNA
RNA polymerase 3 makes--------->t RNA

IN PROKARYOTES

RNA polyerase (complex) makes all 3 kinds of RNA

  #5

Death cap mushroom -----contain alpha AMNITIN-----inhibits RNA polymerase 2.

RNA polymerase 2 ------opens DNA at promoter ste

  #6

MOA

Acyclovir==inhiit viral DNA polymerase when phosphorylated by viral thymidine kinase

Gancyclovir=inhibit CMV DNA polymerase when phosphorylated by CMV thymiodie kinase

Foscarnet= inhibits viral DNA polymerase BY BINDING TO PYROPHOSPHATE BINDING SITE OF ENZYME.(Does not require viral activation)

  #7

MOA

Ribavarin=
inhibit GUANINE nucleotide synthesis
by competitively inhibiting IMP Dehydrogenase.

Zanamivir, Oseltamivir=
Inhibit influenza NEURAMINIDASE

Terbinafine=
Inhibnits fungal enzyme SQUALENE EPOXIDE

  #8

MOA

AZOLES=
Inhibit fungal Ergosterol synthesis

Nystatin=
Binds to Ergosterol ,disrupting fungal membrane

Amphotericin B=
Binds Ergosterol ,form membrane pores
electrolyte leakage

  #9

MOA

Flucytocine=Inhibit DNA synthesis
BY conversion to flurouracil ,interferes with uracil

Caspofungin=
Inhibit cell wall synthesis

  #10

capsofungin inhibit that through glucan synthase.. grin

  #11

Thanks for adding on to the bit SMOKYWATERS

  #12

Treatment of sporotrichosis------------>ITRACONAZOLE or POTASSIUM IODIDE

Just to remember-----MOA of AZOLES--------Inhibit Fungal Ergosterol Synthesis

  #13

CMV -----urine exam is GOLD STANDARD

Look for BASOPHILIC INTRANUCLEAR INCLUSIONS in proximal renal tubular cells

"OWLS eye " appearence is the GIMMIC

  #14

Rx OF CMV -------Gancyclovir ( 2nd choice = foscarnet)

remember--
Gancyclovir---- inhibits CMV DNA polymerase when phosphorylated by CMV thymidine kinase


Foscarnet ---inhibits viral DNA polymerase BY BINDING TO PYROPHOSPHATE binding site of enzyme

  #15

INTERACTIONS

1.Methicillin ------------------------------>Interstitial nephritis

2.outdated tetracycline------------------------->Fanconi syndrome

3.remember HEPARIN also causes------------->osteoporosis

4.PHOTOSENSITIVITY------->Sulphonamides, Amiodarone, tetracycline
(SAT for a photo)

  #16

1.SLE like syndrtome---->Hydralazine, INH, Procaineamide, Phenytoin

(its not HIPP to have lupus)


2.Gynecomastia-------Spironolactone, Digitalis, Cimetidine, Alcohol, Ketoconazole

(Some Drugs Create Awesome Knockers)

  #17

1. Fluoroquinolones-------->Tendinitis ,Tendon rupture, Cartilage damage.
(ciprofloxacin etc.)

2.Macrolides---------->Acute cholestatic hepatitis
(erythromycin etc)

  #18

1.Pulmonary fibrosis----->Amiodarone, Bleomycin, Busulphan
(Weak ABB (abs) may cause pulmonary fibrosis)



2. Cardiac toxicity------->Doxorubicin (Adriamycin), Danorubicin

(Ruby broke my heart)

  #19

TCAs have ------Atropine like side effects.

  #20

MOA

VINCRISTINE/BLASTINE .PACLITAXEL

1.M-phase specific 1.M-phase specific

2.Bind to tubulin 2.Bind to tubulin

3.Block polymerization of microtubule 3.Hypersatabilize polymerized
microtubules


4.Mitotic spindle cannot form 4.mitotic spindle cannot break

  #21

MOA

1.Etoposide-------G2 phase specific agent

Inhibit topoisomerase

Increase DNA Degradation

  #22

MOA

1.Bleomycin ------BREAKS DNA by forming free radicals

  #23

MOA

1.Dactinomycin -------- Prison Dacoits


Intercalates DNA

  #24

MOA

1.Cytarabine ---------------- Inhibits DNA polymerase

  #25

REMEMBER--

ALPHA Amanitin --in death cap mushrooms ---inhibit RNA polymerase 2



IN EUKARYOTES----

RNA polymerase 1 makes-----------r RNA

RNA polymerase 2 makes------------m RNA

RNA polymerase 3 makes -----------t RNA







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