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Download [PDF] Usmle Step 3 Lecture Notes 2 Book Set Usmle Prep Free – Usakochan PDF
12/2/ · USMLE Step 3 Lecture Notes 2-Book Set Pdf The only official Kaplan Lecture Notes for USMLE Step 3 cover the comprehensive information you need to ace the exam. This 2-volume set is the perfect companion for Kaplan s USMLE courses 24/9/ · USMLE Step 3: Step 3 Lecture Notes USMLE ® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), neither of which sponsors or endorses this product. Prosthodontic Treatment for Edentulous Patients by Zarb 12th Edition PDFEstimated Reading Time: 30 secs 1/1/ · USMLE Step 3 Lecture Notes 2 Book Set. Always study with the most up-to-date prep! Author: Kaplan Medical. Publisher: Kaplan Publishing. ISBN: Category: Medical. Page: View: Download → The only official Kaplan Lecture Notes for USMLE Step 3 cover the comprehensive information you need to ace the exam. This 2-volume set is
Usmle step 3 lecture notes 2017-2018 pdf download
Dont waste time on a resource that isnt making sense. Get the landscape first then the landmarks. Dont be afraid to study outside of the review books. Think like a question writer. Anticipate questions for each topic. Forget about learning everything because the gaps in your knowledge will be random. Create a general rule and know the exception to the rule. Rule: All cell-wall inhibitors are beta-lactams, except vancomycin. All beta-lactams bind penicillin-binding proteins PBPs 2.
All beta-lactams block transpeptidase cross-linking of cell wall 3. aureus We can get around this mode of resistance by making beta-lactamase resistant penicillins i. Methicillin-Resistant S. Once bugs have changed their PBPs, we only have one drug that will work, vancomycin. aureus 2nd change in PBP MRSA 3rd efflux pump or change in porin structure gram-negatives i. Drugs oNafcillin, Methicillin, Oxacillin, Cloxacillin, usmle step 3 lecture notes 2017-2018 pdf download, Diclaxicillin To usmle step 3 lecture notes 2017-2018 pdf download the beta-lactamase resistance, these drugs were developed but they became so narrow spectrum that they only clinically are used for Staph.
flu and Listeria ampicillin Lyme Disease amox DOC in peds and pregnancy Enterococci o Drug companies made body guards, clavulanic acid and sulbactam, to protect the aminopenicillins from beta-lactamases. Drugs o Anti-pseudomonal penicillins Ticarcillin Piperacillin Carbenicillin.
Clinical use Pseudomonas Synergistic effect when combined with aminoglycosides. Water soluble substances: o Are excreted by the kidneys. Clinical use o Gram positives And a few gram negatives PEcK Proteus, E. coli, Klebsiella. Drugs oCefoxitin, cefaclor, cefuroxime Clinical use oGram negatives: HEN PEcKS H.
flu, Enterobacter, Neisseria, Proteus, E. Mechanism o Carbapenems resistant to beta-lactamases o Inhibits cell wall synthesis same as penicillins o Cilastatin inhibits renal dihydropeptidase I which decreased inactivation of imipenem in kidney.
Vancomyci Aztreonam Nucleus n. Rule: All protein synthesis inhibitors are bacteriostatic, except for the aminoglycosides. Mechanism oBlocks peptide bond formation at 50S ribosomal subunit bacteriostatic Clinical use oGram-positives and anaerobes Means can easily cause C.
diff colitis oGood penetration into bones Means can be used for S. Mechanism oInhibits bacterial dihydropteroate synthase by competing for binding sites with p- aminobenzoic acid PABAa precursor usmle step 3 lecture notes 2017-2018 pdf download for bacterial synthesis of folic acid. oTrimethoprim binds tightly to bacterial dihydrofolate reductase.
Synergistic with sulfonamides. on the Metro Giardia, Entamoeba, Trichomonas o C. Rule: Every bacteria is gram negative, except for the gram-positives and oddballs. Aminoglycosides Tetracyclines.
Is the bug gram-positive or gram-negative? o Use the chart we just made for what antibiotic to use Look for contraindications to using your antibiotic. Is the patient too young or too pregnant? o Dont use tetracyclines, aminoglycosides, fluoroquinolones, sulfonamides.
Chloramphenicol Gray syndrome in newborn Caution at term. Fluoroquinolones Arthropathy in immature animals Caution. Clarithromycin Teratogenicity in animals Contraindicated. Ertapenem Decreased weight in animals Caution. Linezolid Embryonic and fetal toxicity in rats Caution. Meropenem Unknown Caution. Metronidazole None known, but carcinogenic in rats Caution. Tetracyclines Tooth discoloration, inhibition of bone growth in fetus; hepatotoxicity Contraindicated.
coli, H. flu, Listeria, Meningococcus, Pneumococcus. A sample tube of her blood was placed usmle step 3 lecture notes 2017-2018 pdf download ice, and "grains of sand" appeared in the glass portion of the tube.
Therapy should include which of the following? Ampicillin B. Erythromycin C. Oxygen and external cooling D. Penicillin G E. Several days later, he develops nausea, vomiting, abdominal pain, and voluminous green diarrhea. Which of the following antibiotics is most likely responsible for this patient's symptoms? Chloramphenicol B. Clindamycin C. Gentamicin D. Metronidazole E.
Which of the following organisms is most likely to be implicated as a cause of urethritis that persists after usmle step 3 lecture notes 2017-2018 pdf download therapy for gonorrhea? Actinomyces B. Chlamydia C. Mycobacteria D. Nocardia E. Laboratory evaluation reveals leukocytosis with a left shift; blood cultures indicate bacteremia. Urinalysis shows pyuria, usmle step 3 lecture notes 2017-2018 pdf download, mild hematuria, and gram-negative bacteria. Which of the following drugs would best treat this patient's infection?
Ampicillin and gentamicin B. Gentamicin and vancomycin D. A year-old male undergoes an appendectomy. Several days later, an abscess has formed at the surgical site. It does not improve with administration of a cephalosporin, but does respond to nafcillin. The infecting organism most likely produced an enzyme that would hydrolyze which bond in the above molecule?
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USMLE Step 3* CCS: Ultra High Yield Endocrinology
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11/3/ · Download USMLE Step 1 Lecture Notes PDF Free – Kaplan Lecture Notes [Direct Link] By. Taimour - March 11, 0. Facebook. Twitter. Google+. Pinterest. WhatsApp. Table of Contents. Features: Contents: USMLE Step 1 Lecture Notes Anatomy; Section 1: Early Embryology and Histology: Epithelia; Section 2: Gross Anatomy ; Section 3: Neuroscience; USMLE Step 1 Lecture Notes The only official Kaplan Lecture Notes for USMLE Step 3 cover the comprehensive information you need to ace the exam. This 2-volume set is the perfect companion for Kaplan s USMLE courses. Up-to-date. Updated biannually by Kaplan s all-star faculty. This updated edition reflects the test change and includes more foundational medicine and systems-based practice/patient safety. Complete 1/1/ · USMLE Step 3 Lecture Notes 2 Book Set. Always study with the most up-to-date prep! Author: Kaplan Medical. Publisher: Kaplan Publishing. ISBN: Category: Medical. Page: View: Download → The only official Kaplan Lecture Notes for USMLE Step 3 cover the comprehensive information you need to ace the exam. This 2-volume set is
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