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Kaplan Qbank USMLE



Author12 Posts
  #1

hi, can somone please explain this one?

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83/86/pass/2 us lors/2005 grad/citizen

  #2

tough one, my guess is vancomycin, as it is only restricted in the GI tract and can be used to treat C diff, a 'potentially' serious systemic infection. i cannot predict eh bioavailability of other drugs at all!

  #3

i wanted to pick vanco too, i thought it was only oral out of those.. they have B as the answer, which is cipro, i didnt get why, hmm....

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83/86/pass/2 us lors/2005 grad/citizen

  #4

I think the key words to this question is oral bioavailibility. All the others have very limited if not poor oral bioavailibility for systemic infections making cipro a great choice.


  #5

but wat do u mean by bioavailablity then? im confused... thx tiff!

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83/86/pass/2 us lors/2005 grad/citizen

  #6

vanco if given orally would be great to kill the bacterias in the colon ONLY it doesnt get absorbed at all!!!.....thats why it would kill clostridium difficile.....it wont get absorbed at all......here we need a drug for systemic infection so we cant choose vancomycin.....cipro is the ans


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99/99/pass,1 uslor, research(1mo), 2008 grad,need visa, applied on 5 sept,131-IM only,I/R-3/1!!

  #7

None of the drugs except Ciprofloxacin has good oral bioavailabilty, i mean they are absolutely not absorbed from the GI. if we have to use these drugs, we must adminiter them parenterally. since we have to treat a potentially serious "systemic" illness, that means "orally" given drug must be absorbed from GI and act systemically. Cipro is the only drug thats absorbed form GI among these. Simple!smiling face

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Plan ahead, it wasn't raining when Noah built the Ark!

  #8

B is the only drug out of the rest which is given orally...the only available route for vancomycin,gentamicin,amphotericin and polymixin is iv...so only one with predictable oral bioavailabilty wud be cipro.


  #9

hottie99 wrote:
but wat do u mean by bioavailablity then? im confused... thx tiff!

Bioavailability is the rate that the drug enters the systemic system. smiling face


  #10

B bio availability is the amount of drug reaching the circulation in unchanged form

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we expect others wishes, we dont miss something that we dont expect to have

  #11

spinal shock wrote:
B bio availability is the amount of drug reaching the circulation in unchanged form

More like the rate of how much drug is available in circulation.


  #12

thx so much, got itnow!! i gues i didnt know some of those other rx were oral or just iv, but i appreciate!!

___________________
83/86/pass/2 us lors/2005 grad/citizen







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