Documente Academic
Documente Profesional
Documente Cultură
11
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6
Centre
20
Session 2011-2016
se
ss
io
ce
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ALI Zeeshan(QAMC)
ATHAR ALI (QAMC)
Noreen FATIMA (FJMC)
ed
ic
a
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tu
dy
https://www.facebook.com/groups/Medical.study.ce
ntre/
http://atharali187.blogspot.com/
atharali187.blogspot.com
Pharmacology
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Mnemonics
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General pharma
atharali187.blogspot.com
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Aspirin
Phenytoin
Ethanol
20
2. P450 inhibitors
IQ SMACKD
io
Isoniazid
ss
Quinolones
se
Spironolactone
re
Macrolides
ls
tu
dy
Ketoconazole
ce
Cimetidine
nt
Amiodarone
ed
ic
a
Dapsone
atharali187.blogspot.com
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3. P450 inducers
GTQ CRABS
Grisofulvin
Tetracyclin
20
Quinidine
Carbamazepine
io
Rifampin
ss
Alcohol
se
Barbiturates
re
Sulfa drugs
nt
4. Enzymes Inhibitors
ce
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Ketaconazole
Cimetidine
Ciprofloxacin
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ic
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atharali187.blogspot.com
Erythromycin
INH
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Barbiturates
ce
nt
6. enzymes inhibitor
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se
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Cimetidine
Omeprazole
Metronidazole
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atharali187.blogspot.com
Chloramphenicol
Ciprofloxacin
Allopurinol
Sulphonamides
Erythromycin
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Isoniazid
20
io
SHIP'
Hydralazine
Isoniazid (INH)
Procainamide
ce
nt
re
se
ss
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tu
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Thalidomide
ed
ic
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atharali187.blogspot.com
Androgens
Progestins
Corticosteroids
Phenytoin
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20
'TILE':
se
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TI = LD50 / ED50
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Quinine
Lithium
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atharali187.blogspot.com
Digoxin have
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G-protein Q: M1 receptor,
G-protein I: M2 receptor,
G-protein Q: M3 receptor.
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&
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Read as Tie-ups.
atharali187.blogspot.com
13. autoinduction
Drugs that induce their own metabolism
20
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Pencillin-G
Insulin
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Neostigmine
Streptomycin
ed
ic
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atharali187.blogspot.com
A LIVE TIPS AD
A. acetazolamide
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Live. Lovastatin
t. theophylline
I. Indomethacin
P. Propyl thiouracil
20
S. Sildenafil
A. Aspirin
se
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io
D. Disulfiram
nt
ed
ic
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ce
PHC IS Primary
P-Procainamide
H-Hydralazine
C-Clonazepam
I-INH
S-Sulphonamides
P-Phenelzine
re
atharali187.blogspot.com
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20
SB CCPR
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SULFAPYRAZONE
BARBITURATES
CHRONIC ALCOHOL
CARBAMEZEPINE
PHENYTOIN
RIFAMPICIN
atharali187.blogspot.com
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G-Griseofulvin
P-Phenyton
R-Rifampicin
S-Smoking
C-Carbamazepine
P-Phenobarbitone
20
ss
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DSHIP=DAPSONE,SULPHONAMIDE,HYDRALAZINE,INH,;;;PROC
AINAMIDE
se
nt
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tu
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Muscarinic
Alpha
Dopamine
ce
Type 2 receptor of
re
MAD 2
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ic
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atharali187.blogspot.com
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20
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QUINIDINE
DISOPYRAMIDE
SOTOLOL
PROCAINAMIDE
ARSENIC OXIDE
AMIADARONE
AZOLES
re
se
atharali187.blogspot.com
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PEACOCK VALA
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P: PHENYLBUTAZONE
E: ERYTHROMYCIN
A: ALLOPURINOL
C: CIPROFLOXACIN
O: OMEPRAZOLE
C: CIMETIDINE
K: KETOCONAZOLE
VALA: VAPROATE
atharali187.blogspot.com
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Imipramine
Verapamil
Etomidate
ss
io
20
Propofol
Isoniazid
Chlorpromazine
Ketamine
Lidocaine
Diltiazem
re
se
Propranolol
Amitriptyline
Morphine
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Also might help to remember there are three induction agents propofol/ketamine/etomidate, four antiarrhythmics verapamil/diltiazem/propranolol/lidocaine and five nerve-y drugs amitriptyline/imipramine/chlorpromazine/morphine/isoniazid
(neurotoxic!)
atharali187.blogspot.com
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20
ROGI R- RESERPINE
O-OMEPRAZOLE
G-GUANTHIDINE
I-INHIBITERS[MAO]
re
se
trichloroethanolChlorhydrate
Morphine 6-glucuronideMorphine
ss
io
ls
tu
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ce
nt
AlloxanthineAllopurinol
oxazepamDiazepam
digoxinDigitoxin
ed
ic
a
morphineCodeine
desipramineImipramine
NortriptylineAmitriptyline
atharali187.blogspot.com
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LEADS
Levodopa dopamine
Enalapril enalaprilat
20
Alphamethyldopa alphamethylnorepinephrine.
Dipivefrine epinephrine
io
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ic
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tu
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ce
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se
ss
atharali187.blogspot.com
Ans Pharma
1. beta 1 selectibe bloker
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A-BEAM
Acebutalol
Betaxolol
Esmolol
20
Atenolol
io
Metprolol
se
ss
2.uses of propranolol
ce
Angina
nt
Headach
re
ls
tu
dy
Tension
Essential trmors
ed
ic
a
Tensional headach
atharali187.blogspot.com
Hyperthyroidism
Elevated B.P
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Phobia
Anxiety
Stress
20
Traumatic stress
3.contraindication of propranolol
io
ACID
se
ss
Asthma
COPD
nt
ce
Diabetic mellitus
re
Imbalance of electrolyte
ls
tu
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ed
ic
a
Bronchospasm
atharali187.blogspot.com
Lipids (increased)
Vivid dreams
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Impotency
Reduced sensitivity to hypoglycemia
20
PANTOP
Prapranolol
io
Alprenolol
se
ss
Nadolol
Timolol
re
Oxprenolol
ce
nt
Pindolol
ls
tu
dy
Celiprolol
ed
ic
a
atharali187.blogspot.com
Bisoprolol, Betaxolol
Esmolol
Atenolol, Acebutolol
Metoprolol
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Pindolol, Penbutolol
Alprenolol
Acebutolol
io
Celiprolol, Oxprenolol
nt
8. receptors of heart
re
se
ss
20
ce
B1 receptor (adrenergic)
ls
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atharali187.blogspot.com
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20
Blurry vision
Constipation/ Confusion
Dry Mouth
ce
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re
se
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tu
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Pirenzepine
ed
ic
a
atharali187.blogspot.com
Atropine
Scopolamine
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20
io
TEA ":
se
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re
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ed
ic
a
atharali187.blogspot.com
Physostigmine
Pyridostigmine
Edrophonium
Neostigmine
Donepezil
Rivastigmine
20
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io
se
ss
Lacrimation
Urination
Gastrointestinal upset
ce
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re
ed
ic
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atharali187.blogspot.com
Miosis
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Tachycardia
Weakness
Twitching
hypertension/ hyperglycemia
Fasiculation
se
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20
re
ce
nt
ls
tu
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ed
ic
a
atharali187.blogspot.com
"If you know these, you will be LESS DUMB Choline ":
Lacrimation
Salivation
Sweating
Diarrhea
Urination
Micturition/Miosis
Bronchoconstriction
ss
io
20
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se
re
Esters: A-MCB
ce
nt
ls
tu
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ed
ic
a
20. autoreceptors
atharali187.blogspot.com
Au to receptors ":
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atharali187.blogspot.com
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H-I-C-Up "
Hemicholinium Inhibits Acetyl Choline Uptake
20
"PreACh ":
se
ss
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"LMNOP":
Lipid soluble
Miotic
ce
nt
re
Natural
ed
ic
a
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tu
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atharali187.blogspot.com
Physostigmine
20
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nt
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atharali187.blogspot.com
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PROMS:
Propranolol
Reserpine
Oral contraceptives
Methyldopa
Steroids
nt
ed
ic
a
ls
tu
dy
ce
DINED:
Dopamine
Isoproterenol
Norepinephrine
Epinephrine
Dobutamine
re
atharali187.blogspot.com
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35.
nt
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atharali187.blogspot.com
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36.
ss
37.
ce
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ic
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38.
nt
re
se
atharali187.blogspot.com
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39.
ss
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harry=hypertension
potter=pheochromocytoma
sees2= secondary shock
BP= benign hypertrophy of prostate
PIPE= penile impotence
atharali187.blogspot.com
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Parasympathetic action
@SLUDD + 3Ds
Salivation
Lacrimation
Urination (so Anticholinergics cause urinary retension)
Digestion
Defecation
3 important Decreases
Decrease in heart rate and contractility
Decrease in pupil size i.e. Miosis
Decrease in airway size (so anticholinergics given in COPD)
atharali187.blogspot.com
io
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@ LMNOP:
Lipid soluble
Miotic
Natural
Orally absorbed well
Physostigmine
Neostigmine, on the contrary, is:
Water soluble
Used in myesthenia gravis
Synthetic
Poor oral absorption
se
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MAP of ABC
M= muscarine
A= arecoline
P= pilocarpine
of
A= acetylcholine
B= bethanechol
C= carbachol
ss
atharali187.blogspot.com
20
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NEW= neostigmine
GALLANT= galantamine
DON= donepezil
ED= edrophonium
TAKES= tacrine
REVERSE= rivastigmine
SPY= pyhsiostigmine/ pyridostigmine
ss
io
se
nt
ed
ic
a
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tu
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M-methoxamine
M-midodrine
N-naphazoline
O-oxymetazoline
P-phneylephrine
re
M.MNOP
atharali187.blogspot.com
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N-nebivolol
A-atenolol
M-metoprolol*
E-esmolol
20
A-acebutanolol**
B-betaxolol
C-celiprolol**
ss
io
ed
ic
a
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tu
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ce
nt
re
se
atharali187.blogspot.com
20
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ss
io
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DUMBELSS
ed
ic
a
ls
tu
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ce
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re
Diarrhoea
Urination
Miosis
Bronchospasm
Excitation cns and neuromuscular
Lacrimation
Sweating
Salivation
atharali187.blogspot.com
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Nadolol
Sotalol
Atenolo acebutolol
Betaxolol bisoprolol
Celiprolol
20
io
ss
se
re
ed
ic
a
ls
tu
dy
ce
nt
ATENOLOL
METOPROLOL
ESMOLOL
BETAXOLOL
ACEBUTALOL
ameba
atharali187.blogspot.com
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ANTI- ANTICHOLINESTERASE
RaGING REVERSE,RIVASTIGMINE POLICE- PHYSIOSTAGMINE
TAKE -TACRINE
GREAT -GALANTAMINE
ed
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tu
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DON DONEPEZIL
atharali187.blogspot.com
20
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HM HAT CM CD PAGE
H-Hypertension
M-Myoardial infarction
H-Hypertrophy obstructive cardiomyopathy
A-Angina pectoris
T-Thyrotoxicosis
C-Congestive Heart failure
M-Migraine
C-Cardiac arrythmias
D-Dissecting aortic aneurysm
P-Pheochromocytoma
A-Anxiety
G-Glaucoma
E-Essential tremors
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atharali187.blogspot.com
20
11
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6
ss
io
"ANS"
re
se
Atenolol
Nadolol
Sotalol
nt
ed
ic
a
ls
tu
dy
ce
Many- Mephenteramine
People- Phenylephrine
Never- Noradrenaline
Marry- Methoxamine
atharali187.blogspot.com
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W- warfarin
H- hydantoin
A- aspirin
T- tolbutamide
T- theophylline
n
io
ss
se
nt
re
ADRENALIN USES
ABC HIL
A-ANAPHYLACTIC SHOCK
B-BRONCHOSPASM
C-CARDIAC ARREST
H-HEAMOSTATIC AGENT
I-INSULIN INHIBITION
L-LOCAL ANAESTHETIC
20
56. ADRENALIN
ce
ed
ic
a
ls
tu
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B-BROMOCRIPTINE
A-ANTICHOLINERGICS(CENTRAL)
L-LEVODOPA
atharali187.blogspot.com
CVS PHARMA
1. aspirin side affects
Asthma
Salicylism
Reye's syndrome
Idiosyncracy
Noise (tinnitus)
se
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"ASPIRIN"
2. hypertension management
re
"ABCD"
Beta blockers
Diuretics
ls
tu
dy
ce
nt
ed
ic
a
atharali187.blogspot.com
11
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6
20
DARSAN '
Diuretics
Angiotensin I antagonists
Reserpine
Sodium nitroprusside
ACE inhibitors
ce
nt
re
se
ss
io
ls
tu
dy
ed
ic
a
atharali187.blogspot.com
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6
6. receptors of heart
B1 receptor (adrenergic)
io
B2 receptor (adrenergic)
se
ss
20
nt
re
ce
ls
tu
dy
Ca++ MASH:
ed
ic
a
atharali187.blogspot.com
angina
Migraine
Supraventricular tachycardia
Hypertension
11
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6
ed
ic
a
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20
9. >Captopril(anACEinhibitor):sideeffectsCAPTOPRIL:
Cough
Angioedema/Agranulocystosis
Proteinuria/Potassiumexcess
Tastechanges
Orthostatichypotension
Pregnancycontraindication/Pancreatitis/Pressuredrop(firstdose
hypertension)
Renalfailure(andrenalarterystenosiscontraindication)/Rash
Indomethacininhibition
Leukopenia/Livertoxicity
atharali187.blogspot.com
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6
10.>Warfarin:metabolismSLOW:
Hasaslowonsetofaction.
AquicKVitaminKantagonist,though.
Smalllipidsolublemolecule
Liver:siteofaction
Oralrouteofadministration.
Warfarin
se
ss
io
20
11.>Amiodarone:action,sideeffects6P's:
Prolongsactionpotentialduration
Photosensitivity
Pigmentationofskin
Peripheralneuropathy
Pulmonaryalveolitisandfibrosis
PeripheralconversionofT4toT3isinhibited>hypothyroidism
nt
re
12. >Clopidogrel:useCLOPIdogrelisadrugthatprevents
CLots,anOralPlateletInhibitor(OP
ed
ic
a
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tu
dy
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13.>Warfarin:action,monitoringWePT:
WarfarinworksontheextrinsicpathwayandismonitoredbyPT.
atharali187.blogspot.com
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14.Enoxaprin(prototypelowmolecularweightheparin):action,
monitoringEnoXaprinonlyactsonfactorXa.
MonitorXaconcentration,ratherthanAPTT.
20
14.>ThrombolyticagentsUSA:
Urokinase
Streptokinase
Alteplase(tPA)
ed
ic
a
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tu
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ce
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15. >Antiarrhythmics:classificationItoIVMBACollege
InorderofclassItoIV:
Membranestabilizers(classI)
Betablockers
Actionpotentialwideningagents
Calciumchannelblockers
atharali187.blogspot.com
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16.>HMGCoAreductaseinhibitors(statins):sideeffects,
contraindications,interactionsHMGCoA:
Sideeffects:
Hepatotoxicity
Myositis[akarhabdomyolysis]
Contraindications:
Girlduringpregnancy/Growingchildren
Interactions:
Coumarin/Cyclosporine
nt
re
se
ss
io
17.>Antiarrhythmics:classIIImembersBIAS:
Bretylium
Ibutilide
Amiodarone
Sotalol
ed
ic
a
ls
tu
dy
ce
18.>ACEI:contraindictionsPARK:
Pregnancy
Allergy
Renalarterystenosis
Kincrease(hyperkalemia)
atharali187.blogspot.com
se
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19.>EndotrachialtubedeliverabledrugsONAVEL:
Oxygen
Naloxone
Atropine
Ventolin(albuterol)
Epinephrine
Lidocaine
Ifyoucan'tgetIVaccessestablished,andhavenecessityto
administerresuscitativemeds,rememberyouhavetheairwayand
cangivetheabovedrugs.
Drugdeliveryisenhancedifdilutedwith10ccNSandrapid
introducedforaeresolization.
Alternatively,bareboneversionisALE,asabove.
ce
21.Arrhythmias
nt
re
20.SVTCausesSNAP
Sinustachy,nodaltachy,afib,paroxysmalatrialtachy
ls
tu
dy
ARHYTHMIAL4PC
AtrialMyxoma
ed
ic
a
Rhheartdis
atharali187.blogspot.com
Hypertension
THyrotoxicosis
IHD,
Alcohol
20
Pneumonia/PE/Pericardialeff,cardiomyopathy
22. >AtrialFibrillation
ss
io
ARITHMATIC
se
Alcohol
re
Rhfever
ce
ls
tu
dy
Hypertension
nt
IHD
Thyrotoxicosis
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6
Mitralvalvedis
Mitralstenosis/MI/Myxoma
(atrial)
ed
ic
a
ASD
atharali187.blogspot.com
Toxins,
Idiopathic/Infectiveendocarditis
11
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01
6
Cardiomyopathy/Constrictivepericarditis
SympatheticactsonSodiumchannels(SS).
20
23.Sinoatrialnode:innervations
ss
io
ParasympatheticactsonPotassiumchannels(PS).
ed
ic
a
ls
tu
dy
ce
nt
re
se
24.>Supraventriculartachycardia:treatmentABCDE:
Adenosine
Betablocker
Calciumchannelantagonist
Digoxin
Excitation(vagalstimulation)
atharali187.blogspot.com
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6
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
20
25.>Ventriculartachycardia:treatmentLAMB:
Lidocaine
Amiodarone
Mexiltene/Magnesium
Betablocker
atharali187.blogspot.com
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26.>Sinusbradycardia:aetiology"SINUSBRADICARDIA"(sinus
bradycardia):
Sleep
Infections(myocarditis)
Neapthyroid(hypothyroid)
Unconsciousness(vasovagalsyncope)
Subnormaltemperatures(hypothermia)
Biliaryobstruction
RaisedCO2(hypercapnia)
Acidosis
Deficientbloodsugar(hypoglycemia)
Imbalanceofelectrolytes
Cushing'sreflex(raisedICP)
Aging
Rx(drugs,suchashighdoseatropine)
Deepanaesthesia
Ischemicheartdisease
Athletes
atharali187.blogspot.com
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27.>Atrialfibrillation:causesPIRATES:
Pulmonary:PE,COPD
Iatrogenic
Rheumaticheart:mirtralregurgitation
Atherosclerotic:MI,CAD
Thyroid:hyperthyroid
Endocarditis
Sicksinussyndrome
re
se
ss
io
28.>Atrialfibrillation:managementABCD:
Anticoagulate
Betablocktocontrolrate
Cardiovert
Digoxin
ed
ic
a
ls
tu
dy
ce
nt
29.>Atrialfibrillation:managementABCD:
Anticoagulate
Betablocktocontrolrate
Cardiovert
Digoxin
atharali187.blogspot.com
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30.>SinustachycardiaTACHFEVER:
Tamponade/Thyrotoxicosis
Anemia
CHF
Hypotension
Fever
Excrutiatingpain
Volumedepletion
Exercise
Rx(Theo,Dopa,Epi,etc)
ed
ic
a
ls
tu
dy
ce
nt
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se
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31.Vfib/Vtachdrugsusedaccordingto
ACLS"EveryLittleBoyMustPray":
Epinephrine
Lidocaine
Bretylium
Magsulfate
Procainamide
atharali187.blogspot.com
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6
32.>Ventricularfibrillation:treatment"Shock,Shock,Shock,
EverybodyShock,LittleShock,BigShock,MommaShock,Poppa
Shock":
Shock=Defibrillate
Everybody=Epinephine
Little=Lidocaine
Big=Bretylium
Momma=MgSO4
Poppa=Pocainamide
atharali187.blogspot.com
re
se
ss
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20
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33. >Atrialfibrillation:causesofnewonsetTHEATRIALFIBS:
Thyroid
Hypothermia
Embolism(P.E.)
Alcohol
Trauma(cardiaccontusion)
Recentsurgery(postCABG)
Ischemia
Atrialenlargement
Loneoridiopathic
Fever,anemia,highoutputstates
Infarct
Badvalves(mitralstenosis)
Stimulants(cocaine,theo,amphet,caffeine)
ed
ic
a
ls
tu
dy
ce
nt
34.
atharali187.blogspot.com
20
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>PEA/Asystole(ACLS):etiologyITCHPAD:
Infarction
Tensionpneumothorax
Cardiactamponade
Hypovolemia/Hypothermia/Hypo,Hyperkalemia/Hypomagnesmia/
Hypoxemia
Pulmonaryembolism
Acidosis
Drugoverdose
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
35. >Hypertension:secondaryhypertensioncausesCHAPS:
Cushing'ssyndrome
Hyperaldosteronism[akaConn'ssyndrome]
Aortacoarctation
Phaeochromocytoma
Stenosisofrenalarteries
Note:only5%ofhypertensioncasesaresecondary,restareprimary
atharali187.blogspot.com
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36.>Preeclampsia:classictriadPREeclampsia:
Proteinuria
Risingbloodpressure
Edema
37.>PosturalHypotension
HANDI
20
Hypovolaemia/hypopituitarism,
Addisons
ss
io
Neuropathy(autonomic)
se
Drugs(vasodilators/TCADs,diuretics,antipsychotics),
ed
ic
a
ls
tu
dy
ce
nt
re
Idiopathic
atharali187.blogspot.com
11
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38.>Deepvenousthrombosis:geneticcausesALASCA:
AntithrombinIII
Leiden(FactorV)
APC(ActivatedProteinC)
Sproteindeficiency
Cproteindeficiency
Antiphospholipidantibody
se
ss
io
20
39.>Deepvenousthrombosis:diagnosisDVT:
Dilatedsuperficialveins/Discoloration/Dopplerultrasound
Venographyisgoldstandard
TendernessofThighandcalf
ed
ic
a
ls
tu
dy
ce
nt
re
40. >Virchow'striad(venousthrombosis)"VIRchow":
Vasculartrauma
Increasedcoagulability
Reducedbloodflow(stasis)
atharali187.blogspot.com
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41. >Myocardialinfarct,complicationsABCDEx2
Arrhythmias/Aneurysm
Bradycardia/BP
Cardiacfailure/cardiactamponade
Dresslers/Death!
Embolism/Extra(VSD,papmusclerupture)
42.Linesoftreatmentofpulmonaryoedema:
20
DOLMA
ss
io
Digoxin,Oxygen,Lasix,Morfine,Aminophylline.(Dolmaisavery
famousfoodinthemiddleeast.)
ce
nt
re
se
43. >M.O.N.A
MONAtreatmentforacuteMI.
Morphine,Oxygen,Nitrate,Aspirin
ed
ic
a
ls
tu
dy
44. >Coronaryarterybypassgraft:indicationsDUST:
Depressedventricularfunction
Unstableangina
Stenosisoftheleftmainstem
Triplevesseldisease
atharali187.blogspot.com
45.
20
11
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6
>AcuteCoronarySyndrome:initialtreatmentABCD:
Aspirin
Betablocker
Coagulation(anticoagulationwithheparin/LMWHeparin)
Doubleproductcontrol(decreaseheartrateandbloodpressure)
46.
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
>MI:therapeutictreatment"OBATMAN!":
Oxygen
Betablocker
ASA
Thrombolytics(egheparin)
Morphine
Aceprn
Nitroglycerin
atharali187.blogspot.com
20
11
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47. >Atherosclerosisriskfactors"You'reaSADBETwiththese
riskfactors":
Sex:male
Age:middleaged,elderly
Diabetesmellitus
BPhigh:hypertension
Elevatedcholesterol
Tobacco
io
re
se
ss
>Thrombus:possiblefatesDOPE:
Dissolution
Organization&repair
Propagation
Embolization
48.
ed
ic
a
ls
tu
dy
ce
nt
49.
atharali187.blogspot.com
io
20
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>CardiovascularriskfactorsFLASHBODIES:
Familyhistory
Lipids
Age
Sex
Homocystinaemia
Bloodpressure
Obesity
Diabetesmellitus
Inflammation(raisedCRP)/Increasedthrombosis
Exercise
Smoking
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
50.MI:immediatetreatmentDOGASH:
Diamorphine
Oxygen
GTNspray
Asprin300mg
Streptokinase
Heparin
atharali187.blogspot.com
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R - Reserpine
C - Clonidine
20
P Propranolol
52.
io
se
ss
ce
nt
re
P - PULMONARY FIBROSIS
C- CORNEAL MICRODEPOSITS
T- THROID DISORDERS (hypo/hyperthyroidism)
ls
tu
dy
ed
ic
a
atharali187.blogspot.com
20
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ASPIRIN
A: Allergy like reactions e.g. Urticaria
S: susceptibility to bleeding
P: Peptic ulcer
I: Idiosyncratic reactions
R: Reye's syndrome
I: rInging in the ears(tinnitus)
N: Nephropathy
io
se
ss
ed
ic
a
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G = Glucose
L = Light-headedness (orthostatic hypotension/ low vol/ low sodium)
U = Uricemia
C = Calcemia
atharali187.blogspot.com
20
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se
ss
io
nt
ls
tu
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H:Hydralazine
P:Propofol
N:Nebivolol
ce
re
ed
ic
a
atharali187.blogspot.com
59. heparin
20
11
-2
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ss
io
60. digitalis
re
se
ls
tu
dy
ce
nt
KOM-hypoka,hypoxe,hypomag
Advance age
Reanal insufficiency
California in block letters suggest hyperCALCEMIA
ed
ic
a
KEEP ON REVISING...
atharali187.blogspot.com
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20
62. fibrinolytics
ss
se
re
ed
ic
a
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tu
dy
ce
nt
S-STREPTOKINASE
T-TENECTEPLASE
U-UROKINASE
A-ALTEPLASE
R-RETEPLASE
t
io
STUART
atharali187.blogspot.com
20
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-2
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I=Impotence
M=Menstrual irregularities
H=Hirsuitism
G=Gynaecomastia
A=Acidosis
P=Peptic ulcer(aggravates)
And last but not the least is the pnemonic itself states the main sideeffect=Hyperkalemia
ed
ic
a
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tu
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ce
nt
re
se
ss
io
atharali187.blogspot.com
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IB=
Lidocaine
Mexiletene
Tocainide
n
io
ls
tu
dy
ce
nt
EAST
Amiloride
ss
se
re
Epleranone
20
Spironolactone
ed
ic
a
Triameterene
atharali187.blogspot.com
20
Metronidazole
11
-2
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6
Chemo-Pharma
Chloramphenicol
io
Aminoglycoside
se
ss
Tetracycline
re
ce
Action:
nt
"eTOPoside":
ls
tu
dy
Inhibits TOPoisomerase II
Indications:
Testicular carcinoma
ed
ic
a
atharali187.blogspot.com
Prostate carcinoma
Side effect:
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6
20
My DNA signals that its used for cancer (targeting self cells)
io
ed
ic
a
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tu
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ce
nt
re
se
ss
atharali187.blogspot.com
5. antipseudomonal aminoglycosides
a small one. antipseudomonal aminoglycosides:
11
-2
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6
mnemonic: TAG
T: tobramycin
A: amikacin
20
G: gentamycin
ed
ic
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ss
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6. antifungals-DOCs
atharali187.blogspot.com
20
n
io
ss
SPECTRUM OF ACTION
A-Amoebiasis
B-Bacteroides fragilis
C-Clostridium perfringens
D-Dracunculus medinensis
E-Pseudomembranus Enterocolitis
F-Fusobacterium
G-Giardiasis
H-Helicobacter Pylori
S-Anaerobic Streptococci
T-Trichomonas
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7. METRONIDAZOLE-SPECTRUM OF ACTION
se
8. Rifampin
ed
ic
a
ls
tu
dy
ce
nt
re
4R's
RNA polymerase inhibitor
Revs up Microsomal P450
Red/Orange body fluids
Rapid Resistance if used alone
atharali187.blogspot.com
9. Uses of cotrimoxazole
20
11
-2
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6
ed
ic
a
ls
tu
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ce
nt
re
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ss
io
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20
io
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ic
a
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tu
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ce
nt
re
se
ss
atharali187.blogspot.com
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20
B - brucellosis tretment
io
ss
Chopra- Cholera
ed
ic
a
ls
tu
dy
ce
nt
re
se
Productions- Plague
atharali187.blogspot.com
ed
ic
a
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tu
dy
ce
nt
re
se
ss
io
20
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Isoniazid
Metronidazole
Beta lactams
Bacitracin
Aminogycosides
Vancomycin
Quinolones
Pyrazinamide
Rifampin
Polymyxin
atharali187.blogspot.com
11
-2
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6
re
se
ss
io
20
Sulfonamides
Chloramphenicol
Nitrofurantoin
Tetracyclin
Oxazolidinon
Novobiocin
Clindamycin
Trimethoprim
Macrolide
Ethambutol
ed
ic
a
ls
tu
dy
ce
nt
SAFETY
S - SULPHONAMIDES
A - AMINOGLYCOSIDES
F - FQs
E - ERYTHROMYCIN ESTOLATE
T - TETRACYCLIN
Y clindamYcin
atharali187.blogspot.com
16.antitubeculosis drugs
SPIRE
11
-2
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6
S..............STREPTOMYCIN
P...............PYRIZINAMIDE
I...............ISONIAZIDE
R,.............RIFAMPICIN
E...............ETHAMBUTOL
20
17. macrolides
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
RACE
R-roxithromycin
A-azitromycin
C-clarithromycin
E-erythromycin.
atharali187.blogspot.com
20
n
io
ss
se
ed
ic
a
ls
tu
dy
ce
nt
re
11
-2
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6
atharali187.blogspot.com
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-2
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6
Amin-Aminoglycosides
Beta-beta lactams
20
Pseudo-pseudomonas
io
Roq-fluoROQuinolones
se
ed
ic
a
ls
tu
dy
ce
nt
re
MY FAITH is NEUROTOXIC
MY-MYelosuppression
F-Flu like symptoms
A-Alopecia
I-Interstitial nephritis
T-Thyroiditis
H-Hepatotoxicity
is
NEUROTOXIC
ss
atharali187.blogspot.com
ed
ic
a
ls
tu
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ce
nt
re
se
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20
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atharali187.blogspot.com
ed
20
n
ic
a
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nt
re
se
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io
11
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atharali187.blogspot.com
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20
n
io
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ic
a
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tu
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ce
nt
re
se
ss
atharali187.blogspot.com
11
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6
it is used against..
' pure dairy white chocolate'
pure- pneumonia
dairy- diphtheria
white- whooping cough
chocolate- chancroid
24. ANTI-MALARIAL DRUGS
io
ss
se
re
ed
ic
a
ls
tu
dy
ce
nt
4-aminoquinolines
quinoline-methanol
cinchona alkaloids
biguanades
diaminopyramidines
8-aminoquinoline
sulfonamides nd sulfone
tetracyclines
amino alcohols
naphthoquinone
sesquiterpine lactones
20
atharali187.blogspot.com
20
n
se
ss
io
SULPHONAMIDES
S=Steven johnson syndrome
U=urtecaria
L=Leukopenia
P=Photo-sensitivity
H=Haemolytic anemia/Hepatitis
O=Oobstruction of urinary tract
N=Nausea,Vomiting,diarrhea?Nephritis
A=Agranulocystosis
M=Malaise/Megaloblastic aneamia
I=Increase risk of Kernicterus in new born
D=Depression?drug fever
E+Eosinophilia
S=Skin rashes
11
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6
25. SULPHONAMIDES
nt
Buy at 30 sell at 50
re
ce
ed
ic
a
ls
tu
dy
atharali187.blogspot.com
11
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6
20
C - cloxacillin
ss
io
O - oxacillin
se
N - nafcillin
re
D - dicloxacillin
ce
ed
ic
a
ls
tu
dy
M mezlocillin
nt
atharali187.blogspot.com
11
-2
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6
B-BeVacizumab
A-Alemtuzumab
C-Cetuximab
20
T-Trastuzumab
I-Ibrituximab
G-Gemtuzumab
R-Rituximab
io
ss
se
ed
ic
a
ls
tu
dy
ce
nt
re
atharali187.blogspot.com
31. DAPTOMYCIN
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6
DAPTOMYCIN
D-depolarisation ( MOA)
A-all infections
P-pulmonary surfactant is it's inhibitor
TO-TO be avoided in pneumonia
MY- Myopathy
CIN-CI dal (bactericidal )
20
32. MRSA
ce
nt
re
se
ss
io
ed
ic
a
ls
tu
dy
33. AMPHTERICIN B
atharali187.blogspot.com
io
20
11
-2
01
6
A nemia
M uscle spasms
P hlebitis
H eadaches/hypotension/hypokalemia
T hrombocytopenia
E mesis, encephalopathy
R espiratory strida
I ncreased temperature (fever)
C hills
I mmediate hypersensitivity (anaphylaxis)
N ephrotoxicityimportant!
B ronchospasm
ss
se
ed
ic
a
ls
tu
dy
ce
nt
re
atharali187.blogspot.com
io
20
11
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6
ss
Trifluridine
Idoxuridine
| infection
Vidarabine
se
ed
ic
a
ls
tu
dy
ce
nt
re
atharali187.blogspot.com
Indinavir
| Protease
Ritonavir
| inhibitors
11
-2
01
6
| in HIV
| infection
A
AZT or Zidovidine
Lamivudine
| Reverse transcriptase
20
| inhibitors
io
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
atharali187.blogspot.com
20
11
-2
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6
io
38. RIBAvirin:
se
ss
RSV
Influenza B
nt
re
ls
tu
dy
ce
ed
ic
a
C=CLAUSTRIDIUM
atharali187.blogspot.com
11
-2
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6
A=ACTIVE ENTEROCOCCI
L=LISTERIA MONOCYTOGENES
M= MRSA (METHICILLIN RESISTENT STAPHYLOCOCCI
40. antihelmenthic
io
20
for tapeworm
DIFFICULT - DISCHLORPHEN
QUESTION - QUINACRINE
NOT - NICLOSAMIDE
ANSWERED ASPIDIUM
se
ss
41. antihelminthic
ls
tu
dy
ce
nt
re
for roundworm
PRESS -PIPERAZINE
THE -THIABENDAZOLE
HANDLE - HEXYLRESORCINOL
OF - OIL OF CHENOPODIUM
SIDE - SENTONIN
DOOR DIETHYLCARBAMAZINE
ed
ic
a
atharali187.blogspot.com
11
-2
01
6
Sulfonamides
Indinavir
Ganciclovir
20
Metronidazole
io
Acyclovir
ss
Cidofovir
nt
ce
Foscarnet
re
Tetracyclines
se
Aminoglycosides
ls
tu
dy
Amphoterican B
Glycopeptides (Vancomycin)
ed
ic
a
atharali187.blogspot.com
11
-2
01
6
30S:
Aminoglycosides (gentamicin, amikacin, streptogramin, tobramycin)
[bacteriocidal]
Tetracyclines [bacteriostatic]
ss
io
20
50S:
Chloramphenicol [bacteriostatic]
Clindamycin [bacteriostatic]
Erythromycin [bacteriostatic]
Lincomycin [bacteriostatic]
Linezolid [variable]
se
nt
ce
ls
tu
dy
Proteus
E. coli
Klebsiella
re
PEcK
ed
ic
a
atharali187.blogspot.com
HEN PEcKS
11
-2
01
6
H. flu
Enterobacter
Nesseria
ss
io
20
Proteus
E. coli
Klebsiella
Serrati
re
se
nt
NOT
ls
tu
dy
ce
Nephrotoxicity
Ototoxicity
Thrombophlebitis ("red man" syndrome)
ed
ic
a
atharali187.blogspot.com
TCP
11
-2
01
6
Ticarcillin
Carbenicillin
Piperacillin
Also 3rd gen cephs
nt
re
se
ss
io
H. flu
E. coli
Listeria
Proteus
Salmonella
enterococc
20
49.spectrum of ampicillin/amoxicillin
ed
ic
a
ls
tu
dy
ce
50.properties og aminoglycoside
atharali187.blogspot.com
11
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"Mean" = bacteriocidal
Gentamicin
Neomycin
Amikacin
Tobramycin
Streptomycin
20
io
NOT
re
se
ss
ed
ic
a
ls
tu
dy
ce
nt
atharali187.blogspot.com
io
20
11
-2
01
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Vibrio
Acne
Chlamydia
Ureaplasma
Urealyticum
Mycoplasma
Tularemia
H. pylori
Borrelia
Rickettsia
se
ss
52. ChloramPhenicol:
The only one with a P, thus the only one inhibiting Peptide
bond formation (by peptidyltransferase).
ce
nt
re
53. Macrolides:
Prevent the Movement of ribosomes.
Prevents translocation.
ed
ic
a
ls
tu
dy
atharali187.blogspot.com
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-2
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55. Clindamycin:
Makes ribosomes Cling to mRNA.
Prevents translocation
CNS Pharma
20
"SACRUM"
Sedation
Analgesia
Constipation
Respiratory depression
Euphoria
Miosi
nt
re
se
ss
io
ls
tu
dy
S.O.M.A.T.I.C "
ce
2.antipsychotics:uses
Schizophrenia
ed
ic
a
atharali187.blogspot.com
Mania
Anxiety
Tetanus
Intractable cough
Control of vomiting
11
-2
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6
20
io
LITHIUM"
Lethargy / Leucocytosis
Intentional Tremor
Teratogenicity
Hypothyroidism
Urine excess
ls
tu
dy
ce
nt
re
se
ss
Metallic taste
ed
ic
a
atharali187.blogspot.com
Miosis
Oliguria
Respiratory depression
Pruritus
Hypotension
Infrequency (constipation)
Nausea
Emesis (Vomiting)
ss
io
20
11
-2
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6
MORPHINE "
se
5.lithium uses
re
LIBRA '
Leukopenia
Bipolar disorder
ls
tu
dy
ce
nt
Agranulocytosis
ed
ic
a
atharali187.blogspot.com
11
-2
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6
DR.GangaTejwani
d=donepezil
r=rivastigmine
g=galantamine
t=tacrine
20
7. s/e phenytoin
ed
ic
a
ls
tu
dy
ce
nt
re
se
P-450 interaction
Hirsutism
Enlarged gums
Nystagmus
Yellow skin(discolouration)
Teratogenicity
Osteomalacia
Interference with B-12 metabolism
Neuropathies-ataxia,vertigo
ss
io
PHENYTOIN
atharali187.blogspot.com
8. antiepileptics' classification
11
-2
01
6
B - barbiturates D-deoxybarbitarates
H - hydantoin I - iminostilbene
S - succinamide A-aliphatic carbxylic acid
B -benzodiazepines
C - cyclic GABA analogue
P - phenyl triazine
N - newer drugs
20
BD HISAB Ce PiNa
io
se
re
ed
ic
a
ls
tu
dy
ce
nt
Olanzapine (Zyprexa)
Risperidone (Risperdal)
Clozapine (Clozaril)
Aripiprazole (Abilify)
(Seroquel) Quetiapine
ss
9. ATYPICAL ANTIPSYCHOTICS
atharali187.blogspot.com
11
-2
01
6
io
ss
20
ed
ic
a
ls
tu
dy
ce
nt
re
se
atharali187.blogspot.com
n
io
ss
20
M- MEGALOBLASTIC ANEMIA
A- ATAXIA
L- LYMPHDENOPATHY
I- INHIBIT INSULINE
K- VIT K DEFICIENCY
A- ARRYTHMIA
11
-2
01
6
HOT MALIKA
H- HIRSUTISM N HYPERTROPHY OF GUM
O- OSTEOMALACIA
T-TERATOGENICITY
nt
ls
tu
dy
ce
C-Confusion
A-Ataxia
R-Rashes
B-Blurring of vision
A-Aplastic anaemia
re
se
15.Parkinsonism management
ed
ic
a
SALAD
atharali187.blogspot.com
Selegline
Anticholinergics(trihexyphenidyl,benztropine)
Amantididne
11
-2
01
6
L.dopa +decarboxylase(carbidopa)
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
20
atharali187.blogspot.com
io
ss
re
se
20
11
-2
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6
ed
ic
a
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tu
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ce
nt
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11
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6
se
ss
io
20
ed
ic
a
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tu
dy
ce
nt
re
atharali187.blogspot.com
11
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6
ce
nt
re
se
ss
io
25. Methyldopa:
side effects METHYLDOPA:
Mental retardation
Electrolyte imbalance
Tolerance
Headache/ Hepatotoxicity psYcological upset
Lactation in female
Dry mouth
Oedema
Parkinsonism
Anaemia (haemolytic)
20
ls
tu
dy
26.benzodiazepine actions
SAMA
ed
ic
a
Sedation
atharali187.blogspot.com
Anticonvulsive
Muscle relaxant
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6
Anti-anxiety
27.Benzodiazepine side effects
5 As
Addiction
20
Additive sedation
Amnesia
io
Ataxia
ss
Abjection (depression)
re
SHINED
ce
ls
tu
dy
isoflurane
nt
Sevoflurane
Halothane
se
NO
Enflurane
ed
ic
a
Desflurane
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6
Endocrinology
1.Pituitary hormones
ss
io
20
FLAGTOP:
Follicle stimulating hormone
Lutinizing hormone
Adrenocorticotropin hormone
Growth hormone
Thyroid stimulating hormone
Oxytocin
Prolactin
se
2.progestorone actions
ls
tu
dy
ce
nt
re
PROGESTE:
Produce cervical mucous
Relax uterine smooth muscle
Oxycotin sensitivity down
Gonadotropin [FSH, LH] secretions down
Endometrial spiral arteries and secretions up
Sustain pregnancy
Temperature up / Tit development
Excitability of myometrium down
ed
ic
a
atharali187.blogspot.com
20
11
-2
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6
THYROIDISM:
Tremor
Heart rate up
Yawning [fatigability]
Restlessness
Oligomenorrhea & amenorrhea
Intolerance to heat
Diarrhea
Irritability
Sweating
Musle wasting & weight loss
nt
re
se
ss
io
ACTH:
Adrenergic functions
Catabolism of proteins/ Carbohydrate metabolism
T cell immunomodulation
Hyper/ Hypotension (blood pressure control)
ed
ic
a
ls
tu
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ce
5.oestrogen functions
atharali187.blogspot.com
20
11
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OESTROGEN SUX:
Organ development (sex organs)
Endocrine: FSH and LH regulation
Secondary sex characteristics development
Tropic for pregnancy
Receptor synthesis (of progesterone, oestrogen, LH)
Osteoporosis decrease (inhibits bone reabsorption)
Granulosa cell development
Endocrine: increases prolactin secretion, but then blocks its effect
Nipple development
Sex drive increase
Uterine contractility increase
oXytocin sensitivity increase
ed
ic
a
ls
tu
dy
ce
7.Hypercalcemia
nt
re
se
RNAs
Renin-angiotensin m echanism
Na concentraton in blood
ANP (atrial natriuretic peptide)
Stress
ss
io
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6
20
PHEochromocytoma":
Palpitations
Headache
Edisodic sweating (diaphoresis)
9.Thyroid carcinoma
ed
ic
a
ls
tu
dy
ce
10.thyroid storm
nt
re
se
ss
io
atharali187.blogspot.com
11
-2
01
6
ed
ic
a
ls
tu
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ce
nt
12.cushing synjdrome
re
se
ss
io
20
11.hypothyroidism
atharali187.blogspot.com
11
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6
CUSHING:
Central obesity/ Cervical fat pads/ Collagen fiber
weakness/ Comedones (acne)
Urinary free corisol and glucose increase
Striae/ Suppressed immunity
Hypercortisolism/ Hypertension/ Hyperglycemia/ Hirsutism
Iatrogenic (Increased administration of corticosteroids)
Noniatrogenic (Neoplasms)
Glucose intolerance/ Growth retardation
20
13.addison disease
re
se
ss
io
ADDISON:
Autoimmune
DIC (meningcoccus)
Destruction by cancer, infection, vascular insufficiency
Iatrogenic
Sarcoidosis, granulomatous such as TB histiomycosis
hypOtension/ hypOnatermia
Nelson's syndrome [post adrelectomy, increased ACTH]
ed
ic
a
ls
tu
dy
ce
nt
14.Goiter
atharali187.blogspot.com
15.dibetes complicatins
ss
io
20
SHAKE:
Stroke
Heart attack
Amputations
Kidney disease
Eyes (vision loss)
11
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01
6
GOITRE:
Goitrogens
Onset of puberty
Iodine deficiency
Thyrotoxicosis/ Tumor/ Thyroiditis [Hashimoto's]
Reproduction [pregnancy]
Enzyme deficiencies
se
re
CUSHINGOID
Cataracts
Ulcers
ls
tu
dy
ce
nt
Infections
ed
ic
a
atharali187.blogspot.com
Glycosuria
Osteoporosis, obesity
Immunosuppression
Diabetes
11
-2
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6
20
HE-SSP
Hyperglycemia
Scoliosis
re
nt
Pseudomotor cerebri
se
ss
io
Edema
ls
tu
dy
PMA
ce
Peripheral edema
Myalgia
ed
ic
a
Athralgia
atharali187.blogspot.com
11
-2
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6
20
Headach
Deoression
io
Edema
ss
ls
tu
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ce
nt
re
se
6 P's:
Prolongs action potential duration
Photosensitivity
Pigmentation of skin
Peripheral neuropathy
Pulmonary alveolitis and fibrosis
Peripheral conversion of T4 to T3 is inhibited -> hypothyroidism
21.oxytocin side effects
ed
ic
a
Hair-PUFF
atharali187.blogspot.com
Hypotension
Placental abruption
11
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6
Uterine rupture
Fetal distress
Fluid retension
22.prednisone toxicity
20
BG-SMOAG
Behavioural changes
io
Glucose intolerance
ss
Salt retension
Osteoprosis
ls
tu
dy
ce
Growth Inhibition
nt
Adrenal suppression
re
se
Muscle wasting
23.Fludocortisoe-toxicity
CSS
ed
ic
a
atharali187.blogspot.com
11
-2
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6
23.Tamoxifere-toxicity
THE
Thromboembolism
Hot flushes
20
Endometrial
24.Anastrozole-toxicity
io
A-ROAD-MATCH
re
Osteoarthritis
ce
nt
Arthritis
Disk herniation
se
ss
Athralgia
ls
tu
dy
Musculoskeletal Disorders
Arthrosis
Cervical spondylosis
ed
ic
a
Hot flushes
atharali187.blogspot.com
11
-2
01
6
Hematalogic cancer
Organ transplantation
Many inflammatory conditions
26. Hormones that Increase Blood Glucose
20
"STENGG"
nt
27.PTU-mechanism
re
se
ss
io
ls
tu
dy
ce
It inhibits PTU:
Peroxidase/ Peripheral deiodination
Tyrosine iodination
Union (coupling)
ed
ic
a
atharali187.blogspot.com
11
-2
01
6
20
n
io
nt
29.insulin mixing
re
se
ss
BECLOMETHASONE:
Buffalo hump
Easy bruising
Cataracts
Larger appetite
Obesity
Moonface
Euphoria
Thin arms & legs
Hypertension/ Hyperglycaemia
Avascular necrosis of femoral head
Skin thinning
Osteoporosis
Negative nitrogen balance
Emotional liability
ls
tu
dy
ce
ed
ic
a
atharali187.blogspot.com
11
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6
ls
tu
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nt
OLPER(milk )
Lansoprazole
20
re
1. the PPIs
Omeprazole
se
ss
GIT-Pharma
io
Pantoprazole
ed
ic
a
Rabeprazole
atharali187.blogspot.com
Esomeprazole
2.types of laxatives
11
-2
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6
Types of laxatives
"Boss"
20
Bulk laxatives.
Osmotic laxatives.
Stimulant(irritant)laxatives.
Stool Softeners.
se
ls
tu
dy
ce
nt
re
Bulk laxatives.
irritant(Stimulant)laxatives.
Osmotic laxatives.
Stool Softeners.
ss
io
Or "Bios"
ed
ic
a
ASTHMA-PHARMA
atharali187.blogspot.com
1.management of asthma
ASTHMA
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
DIPLOMAT:
Drugs (aspirin, NSAIDs, beta blockers, etc)
Infections (URTI/LRTI)
Pollutants (at home, at work)
Laughter(emotion)
Oesophageal reflux (nocturnal asthma)
Mites
Activity and exercise
Temperature (cold)
20
11
-2
01
6
Adrenergics
Steroids
Theophyllines)
Hydration
Mask
atharali187.blogspot.com
11
-2
01
6
re
ed
ic
a
ls
tu
dy
ce
nt
5. AAAA PPPP:
Airway obstruction
Angina
Anxiety
Asthma
Pneumonia
Pneumothorax
Pulmonary Edema
Pulmonary Embolus
se
ss
io
20
atharali187.blogspot.com
NSAIDS-PHARMA
ed
ic
a
ls
tu
dy
ce
nt
re
NSAID:
N-ursing and pregnancy
S-erious bleeding
A-llergy/ Asthma/ Angioedema
I-mpaired renal function
D-rug (anticoagulant)
se
2. NSAIDs: contraindications
ss
io
20
11
-2
01
6
1. NSAIDs-classification:
SOFIA PaBe..
S-salicylate
O-oxicame derivatives
F-fenamic acid deri
I-indol deri
A-aryl acetic acid deri
P-propionic acid deri
-pyrrolo pyrrolo deri
-pyrazolon deri
-paramine phenol deri
B-benzoxazocin deri
atharali187.blogspot.com
ed
ic
a
ls
tu
dy
ce
nt
re
se
ss
io
20
11
-2
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6
Prostaglandin-pharma
atharali187.blogspot.com
PROSTAGLANDINS confusion
11
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01
6
io
20
C)DInoproSTONE
DI=2
Remember that "stonE" in both(2) kidney n "stonE" has "E".
So DINOPROSTONE is PGE2.
nt
re
se
ss
ed
ic
a
ls
tu
dy
ce
atharali187.blogspot.com
By
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NOREEN FATIMA(FJMC)
ce
GROUP
nt
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se
PAGE
ed
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tu
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https://www.facebook.com/gro
ups/Medical.study.centre/
atharali187.blogspot.com
11
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https://www.facebook.com/pa
ges/Medical-study-centresession-20112016/1451699768417480
20
BLOG
ed
ic
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tu
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io
http://atharali187.blogspot.com/
atharali187.blogspot.com
ls
tu
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re
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6
20
atharali187.blogspot.com
atharali187.blogspot.com
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