AMCB Board Review (NM717) PRIMARY CARE questions with correct answers
Metronidazole big take aways Answer Used to treat BV, Trich, PID, etc Taken PO or PV SE: GI (take with food), HA, mild leukopenia or neutropenia (prolonged high doses, seizures ( prolonged high doses), urine darker, metallic taste STOP ALCOHOL UNTIL 48hrs AFTER avoid with hx of kidney or liver problems considered safe in pregnancy, iffy with breastfeeding Fluconazole big take aways Answer Used for yeast/fungal infections CYP450 interactions b/c it works by inhibiting fungal CYP450 Can cause HA, GI Avoid with hx of heart arrhythmia, liver/kidney disease lots of drug interactions Can use in pregnancy and lactation but ideally topical Acylcovir big take aways Answer Used to treat herpes genitalia/simplex/zoster, and varicella crosses placenta and enters breastmilk most of metabolism is in liver and excretion in urine inhibits viral DNA sythesis Does not cure latent herpes virus SE: n/v, diarrhea, HA, skin rash, acute renal failure (rare with PO) Can use in pregnancy and lactation Take with full glass of water
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