Welcome
Victor_E has joined the chat.
[Unregistered] hi
[Unregistered] hwo are you
[Unregistered] hello
[Unregistered] hi
[Unregistered] anybody there?
[Unregistered] soz yeh hi
[Unregistered] dear Juhi...do you see the masseges I leave here for you???....Hmmmmmm.. guess I would never know...miss you always..Love Parag
[suni21] hi
[Unregistered] What is the topic tonight??
[anniegeorge] hi pharm chat in 5 mins
Now entering USMLE_Step_1 subroom.
Victor_E has joined subroom: USMLE_Step_1
[anniegeorge] ok...
[Victor_E] hi everyone
10:01 PM [anniegeorge] Druga that inhibit bact cell wall synthesis ?
10:01 PM [freak] hi vic
10:02 PM [anniegeorge] Hi Vic and everybody
10:02 PM [freak] pcns
10:02 PM [Victor_E] hi annie
10:02 PM [anniegeorge] hi hi
10:02 PM [scubadoc] hey all
10:03 PM [Victor_E] penicillin
10:03 PM [ppliutcm] cephalo
10:03 PM [Victor_E] cephas
10:03 PM [anniegeorge] yeah
10:03 PM [anniegeorge] and ?
10:03 PM [Victor_E] vanco
10:03 PM [freak] vanco
10:03 PM [anniegeorge] YEah ok thats ok for now
10:03 PM [freak] imipen
10:03 PM [freak] meropen
10:03 PM [freak] aztreo
10:03 PM [anniegeorge] Drugs that inhibit nucleic Acid synthesis ?
10:03 PM [anniegeorge] all right guys
10:04 PM [Victor_E] sulfas
10:04 PM [freak] fluoros
10:04 PM [freak] rifam
10:04 PM [anniegeorge] yeah freak
10:04 PM [anniegeorge] Name the enzymes that Fluroquinolones act on ?
10:04 PM [Victor_E] dna gyrase
10:04 PM [freak] dna gyrase
10:05 PM [anniegeorge] and ?
10:05 PM [anniegeorge] Topo II and Topo IV
10:05 PM [anniegeorge] alright ?
10:05 PM [ppliutcm] gyrase
10:05 PM [anniegeorge] MOA of Azoles
10:05 PM [anniegeorge] ?
10:05 PM [freak] disruption of cm fxn
10:06 PM [anniegeorge] yeah right
10:06 PM [anniegeorge] enzyme inhibited by Sulfonamides ?
10:06 PM [Victor_E] digyfropteroate synth
10:06 PM [freak] dhr
10:07 PM [anniegeorge] yup !! :cl
10:07 PM Unregistered has left the chat.
10:07 PM [anniegeorge] drug that inhibits Dihydrofolate Reducctase ?
10:07 PM [freak] tmp
10:07 PM [ppliutcm] smz
10:08 PM [anniegeorge] and ?
10:08 PM [anniegeorge] Pyrimethamine
10:08 PM [anniegeorge] ok right or wrong ?
10:08 PM [anniegeorge] Cephalosporin acts to eradicate Lysteria infection
10:09 PM [Victor_E] i think its false ??
10:09 PM [noon] no
10:09 PM [anniegeorge] yeah LAME not covered by Cephalosporin
10:09 PM [freak] false
10:09 PM [anniegeorge] DOC for MRSA ?
10:10 PM [freak] vanco
10:10 PM [Victor_E] vanco
10:10 PM [anniegeorge] yup !
10:10 PM [anniegeorge] Adverse effects of Penicillins ?
10:10 PM [Victor_E] allergic rxn
10:10 PM [freak] hsr
10:11 PM [noon] hyp
10:11 PM [anniegeorge] yeah types I-IV
10:11 PM [Victor_E] jh reaction
10:11 PM [anniegeorge] Jarisch Herxheimer reaction
10:11 PM [anniegeorge] yeah yeah when treating syphilis
10:11 PM [Victor_E] i wasnt going to attempt to spell that one
10:12 PM [anniegeorge] what is the primary MOR against Penicillins ?
10:12 PM [anniegeorge] haha
10:12 PM [Victor_E] beta lactamase
10:12 PM [anniegeorge] yeah
10:13 PM [Victor_E] thats a question asked often
10:13 PM [anniegeorge] Methicillin is implicated in causing what ?
10:13 PM [Victor_E] interstitial nephritis
10:13 PM [anniegeorge] yupey !!
10:13 PM [anniegeorge] :cl
10:13 PM [freak] grt
10:14 PM [anniegeorge] Tjird gen Cephalosporin acts on the CNS true or false ?
10:14 PM [anniegeorge] Third
10:14 PM [Victor_E] faslse
10:14 PM [anniegeorge] true
10:14 PM [noon] t
10:14 PM [anniegeorge] most 3rd eneter CNS unlike 1st and second
10:14 PM [ppliutcm] think so
10:15 PM [anniegeorge] yeah
10:15 PM [Victor_E] best for csf is 2nd....right?
10:15 PM [anniegeorge] Binding site of Aminoglycosides ?
10:15 PM [anniegeorge] well i would think not
10:15 PM [anniegeorge] So u have to tell me that one Vic
10:15 PM [freak] 30 s
10:15 PM [anniegeorge] yup
10:16 PM [anniegeorge] and Binding site for Chloramphenicol ?
10:16 PM [anniegeorge] The most famous side effect of Chloramphenicol ?
10:16 PM [freak] 50
10:16 PM [freak] grey babay s
10:16 PM [Victor_E] ok, i looked it up. cefuroxime (a 2nd gen) has best csf penetration, but i think that is out of the 2nd generations rather than all of them.
10:16 PM [anniegeorge] WHOA !!
10:16 PM [noon] anaemia
10:17 PM [anniegeorge] what is the source ?
10:17 PM [anniegeorge] Vic where did u get that info ?
10:17 PM [Victor_E] in kaplan pharm under the cephalosporins 2nd gen
10:18 PM [anniegeorge] If I said a pt looks like he has the red man syndr what drug would he most likely be on ?
10:18 PM [anniegeorge] Oh alright
10:18 PM [Victor_E] vanco
10:18 PM [anniegeorge] I don't have it in my book but thanks Vic
10:18 PM [anniegeorge] yup Victor !
10:18 PM [anniegeorge] :cl
10:19 PM [anniegeorge] name the drugs that are inhibitors of protein synthesis
10:19 PM [noon] the ans
10:19 PM [Victor_E] chloramphenicol
10:19 PM [Victor_E] macrolides
10:19 PM [Victor_E] clinda
10:19 PM [Yousef] chloram,erythro,macrolids,lincomy and clindamycin
10:19 PM [freak] macrolides
10:20 PM [anniegeorge] yeah grea
10:20 PM [anniegeorge] great
10:20 PM [anniegeorge] what would u administer for prostatitis ?
10:20 PM [freak] doxycycline
10:21 PM [anniegeorge] WHOA FREAK
10:21 PM [Victor_E] female patient has UTI and allergic to penicillin. what drug to give?
10:21 PM [anniegeorge] DRugs contraindicated in Pregnancy ?
10:21 PM [anniegeorge] OH sorry Vic
10:21 PM [scubadoc] aztreonam
10:21 PM [anniegeorge] TMX SMX
10:22 PM [anniegeorge] ?
10:22 PM [Victor_E] yes, aztreonam because covers gram negative (e. coli) and no cross sens with penicilllins or cephs
10:22 PM [anniegeorge] oh good
10:23 PM [Victor_E] tetracyclins contrain in preg
10:23 PM [anniegeorge] yes
10:24 PM [anniegeorge] Also AMino , Erythro , Clarithro,Fluro , And Sufon
10:24 PM [anniegeorge] Drug for SIADH ?
10:24 PM [freak] demeclocyclin
10:25 PM [anniegeorge] :box
10:25 PM [anniegeorge] right on
10:25 PM [anniegeorge] If a pt is a meningococcal carrier what would u give him ?
10:25 PM [freak] mino
10:26 PM [anniegeorge] yupy... DOC for Tularemia ?
10:26 PM [anniegeorge] Streptomycin
10:27 PM [Victor_E] didnt know that one
10:27 PM [freak] whats the source annie
10:27 PM [anniegeorge] when a person complains of rashes in his body over the areas exposed to the sun what is he likely taking ?
10:27 PM [anniegeorge] KAPLAN
10:27 PM [anniegeorge] Pg 196 in my book
10:27 PM [freak] tetra
10:28 PM [anniegeorge] yeah or ?
10:28 PM [Unregistered] sulfonamides
10:28 PM [anniegeorge] Sulfonamides
10:28 PM [anniegeorge] yupp
10:28 PM [Victor_E] patient gets psudomembranous colitis after antibiotic use. which is most likely antibiotic taken? what one should the patient take now?
10:28 PM [anniegeorge] CVlinda
10:28 PM [Unregistered] clindamycin
10:28 PM [anniegeorge] Take noW Metro
10:28 PM [anniegeorge] second line vanco
10:29 PM [scubadoc] clindamycin. take vanco
10:29 PM [anniegeorge] did we get that right ?
10:29 PM [Victor_E] yes, clindamycin. take metro and then vanco if doesnt work
10:29 PM [Victor_E] great job!!
10:29 PM [freak] excellent
10:29 PM anniegeorge has left the chat.
10:30 PM [anniegeorge] sorry guys do not know what happened there
10:30 PM [anniegeorge] OK... drugs that are antimetabolites ?
10:30 PM [Victor_E] gotta watch out for that door annie
10:30 PM [anniegeorge] u betha
10:30 PM [freak] ?
10:31 PM [Victor_E] folic acid analogs
10:31 PM [anniegeorge] Sulfon and Trimethoprim are antimetabolites..
10:31 PM [Victor_E] methotrexate
10:31 PM [anniegeorge] yes yes
10:31 PM [Victor_E] 5 fu
10:31 PM [anniegeorge] alright
10:31 PM [Victor_E] oh, did you mean antibiotics?
10:32 PM [anniegeorge] whay should we avoid Sulfonamides in tjird trimester ?
10:32 PM [anniegeorge] yeah
10:32 PM [Unregistered] kernicterus
10:32 PM [anniegeorge] yup
10:32 PM [anniegeorge] DOC for prophylaxis and treatment of PCP ?
10:33 PM [ppliutcm] smx
10:33 PM [freak] tmp
10:33 PM [Unregistered] tmp-smx
10:33 PM [Victor_E] tmp smx
10:33 PM [ppliutcm] tmp
10:33 PM [freak] pyrimethamine
10:33 PM [anniegeorge] OH YEAH GUYS !!
10:33 PM [anniegeorge] I see a light !
10:33 PM [Victor_E]
10:33 PM [anniegeorge] its TMP-SMX
10:33 PM [anniegeorge] give me a regimen for H;Pulori
10:33 PM [anniegeorge] H.Pylori
10:34 PM [Unregistered] amoxicillin,clarithomycin,tetracycline
10:34 PM [freak] amxcn
10:34 PM [anniegeorge] no
10:34 PM [freak] clarithro
10:34 PM [anniegeorge] They could be used , but not all together
10:34 PM [freak] tetra
10:34 PM [anniegeorge] BMT
10:34 PM [Victor_E] triple something, i just cant remember what they are
10:34 PM [freak] bmt
10:35 PM [anniegeorge] Bismuth , Metro and Tetra
10:35 PM [anniegeorge] thats right freak
10:35 PM Venus has joined subroom: USMLE_Step_2
10:35 PM [noon] met +tet +amox chlar
10:35 PM [anniegeorge] name a fluoroquinolone that increases QT ?
10:36 PM [anniegeorge] Sparfloxacin
10:36 PM [Unregistered] sparfloxacin
10:36 PM [anniegeorge] name drugs that cause Disulfiram like reactions ?
10:36 PM [freak] metro
10:36 PM [Victor_E] procainamide
10:36 PM [Victor_E] oops
10:36 PM [Victor_E] nevermind
10:36 PM [Unregistered] metronidazole
10:37 PM [anniegeorge] yeah
10:37 PM [anniegeorge] Metro , Cephalosporin , and Ketoconazole
10:37 PM [anniegeorge] Adverse effects of INH
10:37 PM [Victor_E] chlorropamide too
10:38 PM [freak] per neuritis
10:38 PM [anniegeorge] I am sure there are many drugs that cause Disulfiram like reaction
10:38 PM [anniegeorge]
10:38 PM [noon] hepatitis
10:38 PM [Unregistered] hepatitis
10:38 PM [anniegeorge] yeah
10:38 PM [Unregistered] hemolysis
10:39 PM [freak] sle like syn
10:39 PM [anniegeorge] Peripheral Neuritis..
10:39 PM [anniegeorge] yeah right on !
10:39 PM [Yousef] inc. p450
10:39 PM [anniegeorge] hemolysis in what condition?
10:39 PM [freak] rifampin
10:39 PM [Unregistered] gpphosphate def
10:39 PM [noon] g6p
10:39 PM [anniegeorge] yea
10:39 PM [Victor_E] g6 pd
10:39 PM [Yousef] oops
10:39 PM [anniegeorge] right on
10:40 PM [anniegeorge] why would Pyrazinamide not be used in pohyrias ?
10:40 PM [anniegeorge] porphyrias ?
10:40 PM [freak] inc porphyrin synth
10:40 PM [Unregistered] inc synthesis
10:41 PM [anniegeorge] OH WOHOA !
10:41 PM [Victor_E] hyperuricemia
10:41 PM [anniegeorge] how about in Gout ?
10:41 PM [anniegeorge] Ok Victor
10:41 PM [anniegeorge] you got the asn before the question
10:41 PM [anniegeorge] Side effects of Strep
10:41 PM [Victor_E] too bad i meant it for the wrong question
10:41 PM [freak] nephrotox
10:41 PM [Unregistered] deafness
10:41 PM [anniegeorge] well the ans was right
10:41 PM [anniegeorge] deafness
10:42 PM [anniegeorge] yea
10:42 PM [anniegeorge] nephrotoxicity
10:42 PM [anniegeorge] MAC Prophylaxis ?
10:42 PM [freak] azithro
10:42 PM [Unregistered] azithromycin 1-week
10:43 PM [anniegeorge] or clarithro daily
10:43 PM [Unregistered] clarithromycin-daily
10:43 PM [anniegeorge] and treatment ?
10:43 PM [anniegeorge] clarithro+ Ethambutol+ Rifabutin
10:43 PM [freak] clarithro+ethambutol+-rifampin
10:43 PM [Unregistered] clarithromycin,ethambutol
10:43 PM [anniegeorge] OH YEAH FREAK
10:43 PM [anniegeorge] its REC
10:44 PM [anniegeorge] MAC is a REC
10:44 PM [scubadoc] good mnemonic
10:44 PM [freak] :cl
10:45 PM [anniegeorge] drug for onychomycoses ?
10:45 PM [anniegeorge] thanks ! I take a bow
10:46 PM [Victor_E] annie =>
10:46 PM [anniegeorge] yeah thats how I look these days
10:46 PM [anniegeorge] a rec
10:46 PM [scubadoc]
10:47 PM [noon]
10:47 PM [anniegeorge] Griseofulvin and Terbenafine
10:47 PM [freak]
10:47 PM [anniegeorge] You guys know what onychomycoses is right
10:47 PM [Victor_E] yes, just cant remember treatmetn
10:47 PM [anniegeorge] ok I mentioned it above
10:48 PM [Victor_E] oh, ok. thanks
10:48 PM [anniegeorge] DOC in Blastomycoses and Sporotrichoses ?
10:48 PM Unregistered has left the chat.
10:48 PM [freak] itrac
10:48 PM [anniegeorge] ITRACONAZOLE YEAH !!
10:49 PM [anniegeorge] DOC for esophageal candidiasis
10:49 PM [freak] fluc
10:49 PM [anniegeorge] OH YEAH !!
10:49 PM [Victor_E] great job freak
10:49 PM Venus has left the chat.
10:50 PM [anniegeorge] Cryptococcval infection ?
10:50 PM [anniegeorge] Flucytosine +AmpB
10:50 PM [Yousef] flucytosin
10:50 PM [anniegeorge] why along with Amp B ?
10:50 PM [freak] fluc
10:50 PM Unregistered has left the chat.
10:51 PM [Victor_E] i'm sorry annie, i didn't get this far in my reading
10:51 PM [anniegeorge] thats ok I didn't get very far either...
10:51 PM [anniegeorge] :cl I am glad to know there are humans out there
10:51 PM [freak] grt me neither
10:51 PM [anniegeorge] WOW FREAK !!
10:52 PM [anniegeorge] OK well flucytosine alone will develop rapid resistance therfore give with Amp B
10:52 PM [anniegeorge] Mec of Action of Terbenafine ?
10:52 PM [anniegeorge] Inhibites Squalene Epoxidase which inturn decreases Ergosterol
10:53 PM [anniegeorge] Alright lets call it a night guys unless u wish to discuss or ask more questions
10:53 PM [anniegeorge] *)
10:53 PM [Victor_E] you're doing a great job annie. i always learn so much from you
10:53 PM [Victor_E]
10:54 PM [freak] annie u r the best
10:54 PM [anniegeorge] PLEASE DO NOT SAY THAT , I AM IN MY FIRST READING OF PHARM AND Going slow with KAPLAN
10:54 PM [freak] c ya tomorrow
10:54 PM [scubadoc] i agree, annie you've been great
10:54 PM [freak] listen r we doing pharm tomorrow or o thurs
10:54 PM [anniegeorge] thanks guys !
10:54 PM [anniegeorge] Well that is all the pharm that was scheduled , I will join a pharm discussion if u guys have more
10:55 PM [anniegeorge] :gun
10:55 PM [anniegeorge] we need to attack pharm
10:55 PM [anniegeorge]