DIP Episode 554 - What is this antibiotic used for? (Extremely HY for Step 1-3)

Welcome to episode 554 of the Divine Intervention Podcasts. Into this podcast I'm going to be addressing a topic that's pretty high yield for all the US Emily exams. Step 1, step 2, step 3, level 1, level 2, level 3. It's kind of a hard topic to prepare for and this is one of those podcasts I will encourage you. Listen to it over and over again. You're going to get numerous questions right from this. So what's this mysterious topic I want to discuss? This mysterious topic is what is this antibiotic used for? What is this antibiotic used for? Into this podcast I'm just going to focus primarily on antibacterial because that's what there is for. So I'm not going to spend time talking about mechanism of action or anything like that. What I'm just going to talk about is hey, this antibiotic, what do they use it for in a US Emily exam? So this is a quick and dirty podcast but it's really going to help you out on your exams. So let's just jump right into it. Okay. Number one, penicillin. What are we going to use penicillin for on the US Emily's? Well, you can use it for syphilis. That's a very, very big one. You can use it for syphilis. Syphilis syphilis penicillin. And also if you think of a person having like draining software granules or whatever, like cervical, facial infections, acutino, my C Cs, really, that's also true to penicillin on the US Emily exams. And then remember, for most cases of streptococcal far angitis, you're also going to be using penicillin for that as well.

Okay. Don't get me wrong. Are there other situations where you can use penicillin? Yes. Well, these are the main ones. Another one you can maybe throw in there is rheumatic fever. Rheumatic fever, that's a big indication for penicillin on the exam. All right. We're going to be done. Now let's move on to the amino penicillin. All right. So the big ones here are moxicillin and ampeciillin. What's the big thing to know about amoxicillin? Amoxicillin, we use it to treat acurotide dyspedia. So when a person has an ear infection, red bulgint, in panic, in brain, you give a moxicillin. If a moxicillin doesn't work, go ahead and slap some clavolanic acid on that. Some moxicillin plus clavolanic acid, that's augmenting. So you can use it for that purpose. Ampeciillin, what's the big thing with ampeciillin? Don't forget ampeciillin for what? Listeria. Listeria, ampeciillin is the big, big gun for, for Listeria is the drog of choice for Listeria. So usually you're going to slot in some ampeciillin when you're dealing with a bachramin and you want to do empiric treatment for bachramin and gyrdism. A person that's over 50 or a new need to, you've got to slap some ampeciillin on there because it covers a Listeria. And then don't forget that you can also use amoxicillin for groupistrapper phylaxis. You can even throw in penicillin actually for that. So groupistrapper phylaxis when a woman is in trap part of, you can certainly use it for those purposes. Okay.

Now, there are other situations where you can use amoxicillin or ampeciillin. So like for example, in many GI infections, you can do ampeciillin, gentamysin, and metronidazole. And also you can also use amoxicillin if you're worried about Lyme disease in a higher population, like a pregnant woman for example. So again, I'll say that those are many of the classic situations where you use ampeciillin or amoxicillin. Maybe one other ampeciillin indication can throw in there is if a person has choremionitis. Choremionitis, you can throw that ampeciillin and gentamysin. And then remember endometritis, which is an analogous infection. That's a uterine infection versus choremionitis, which is an amniocletan infection for endometritis. You can use chlein and ampeciillin and gentamysin. Maybe we'll confuse those treatments and just kind of figure it out through that out there. And then if we talk about these other kind of special penicillins like dichloxacillin or exacillin or anapsylin, where do you see them used? That's pretty straightforward. They're pretty much used for mastitis. So again, these things I'm saying, the aminol they use is for these antibiotics that you may have seen in some rare instance. I'm just trying to give you the quick and dirty like, hey, if you think of this antibiotic, what is like the first thing you should think about on your exams? So, cloxacillin, dichloxacillin, oxacillin, napsylin, they're going to be used primarily for mastitis.

You're going to see a woman that's recently started breastfeeding, has a warm tender breast. We have like a Mount fever. Think of mastitis. Again, you're going to use those antibiotics for those. Okay. And again, one thing I'm just going to say is that many people, they always ask me divine, one should I ever pick pipyracillin and tesobactam as an answer from my exams. My answer is going to be never. Don't pick it on you. On an MBME exam, don't do it. If not, you're going to be picking very likely the wrong answer. Zocein works extremely well. It's just the USM Ds have a huge issue with it. So please just don't do it. Don't do it. Simple as that. And so don't, again, that better lactam, better lactamines inhibitor combination of like amoxicillin, clavolanic acid. Remember, I said his second line for acutotitis media. The present isobactam, they pretty much never want you selecting that. And pyslin and so back time is another better lactam, better lactamines inhibitor combination. And typically the one situation, the classic situation I'm going to see that used in, actually on the USML Is is when you're dealing with a person potentially having some very serious throat infection. Right. So say, for example, a person has a big lotitis. You can use it for that purpose. You can absolutely use it for that purpose. And also if a person potentially has like infection of the mastoid cells, acute mastoid itis, you can also certainly use ampyslin plosa, so back time in those folks.

All right. And that ampyslin, so back time makes his really tested. Most times they like amoxicillin, clavolanic acid for second line for acutotitis media. Please again, I'm begging you. Preparation in taisobactam, I've never seen it be right on any exam ever. So just FYI, I'm, I've you, I've, I'm pretty sure I've prescribed it before. But again, just not on exams. All right. It won't be smart. All right. So now let's go to the cephalosporins. Right. So the first you have those forings. Again, what are the big ones here? Well, the big ones here. Don't forget your cephalects in and cephalzolin. cephalzolin, the big thing about it is surgery surgery surgery. Right. Before you do surgery in a person, before you slice them open, you should give them anceph. I feel like anceph is the only antibiotic surgeon. No, I'm just kidding. Right. But anceph, right? Cephalzolin, cephalzolin, cephalzolin. Okay. And then cephalzolin is another big one. So you know what? Why do you like cephalzolin a lot? They like cephalzolin because you can use it for a bunch of stuff. You can use it especially for skin and soft tissue infection. So like cellulitis, oh, cephalzolin is great. cephalzolin is amazing for that purpose. Believe it or not, you can actually also use cephalzolin. You can also use cephalzolin for, you can also use cephalzolin actually for, for UT Is in pregnant women. It actually works pretty, pretty great for that purpose.

So that's something you want to keep at the back of your mind. Okay. Now, the other generations of cephalzolin's like the second generation, they almost never tested, right? So like the cephalzolin, they don't really test it. But let's go to the third generation. Third generation really, really high yield, right? So that's where you have your cephtriaxone. And that's where you have your cephtazidine. Now, cephtazidine, the only thing you should know about cephtazidine is, is the third generation cephalzolin that covers to the monos. That's it. But cephtriaxone is used for a ton of stuff, right? You can use cephtraaxone and treat spontaneous bacterial peritonitis. You can use cephtraaxone or a close cousin of it called cephalzolin. You can also use cephalzolin for that purpose. And then cephalzolin by the way is also a third generation cephalzolin. You can also use cephtraaxone for many GI infections. It's amazing, amazing, amazing for GI infections, especially when you combine it with metronyzo. And the use for cephtraaxone is when you're trying to cover niacereal species, right? So for example, if you're trying to cover niacereal meningitis, you use cephtraaxone. You're trying to cover niacereal gonorrhea, you use cephtraaxone, right? And remember, impure treatment of meningitis in a person over age 50, you're going to use cephtraaxone plus vancormycin plus ampeicillin, right? And also we tend to use that combination as well when we're talking about new needs.

So though for new needs, we swap all the cephtraaxone and use cephotaxin instead. Again, don't forget. Don't forget, cephotaxin is a third generation cephalzolin. The only times you see them used on exams, I want you to do a period of time, right? And you can do the atric situations because you know, cephtraaxone can cause intraepatic or stasis because it can kill it, cause you know, stasis of your bile. But cephotaxin, they also tend to just throw you every now and then for SBP, spontaneous bacterial paritonitis. But I just like to think of it as like the close cause enough cephtryaxone, the close cause enough cephtryaxone. And again, you can also use cephtraaxone for commonly acquired pneumonia, especially when the person is going to be an impatient individual, right? And that's impatient usually probably easy for commonly acquired pneumonia. Okay. Now, fourth generation cephepim, cephepim, cephepim, cephepim, cephepim, cephepim, right? You're going to use cephepim on your exams. cephepim covers pseudomonas, right? Think of it as something you're used for a person who has fibroinitropenia. Whenever a person who has fibroinitropenia, you're always worried about all the gram negatives. Gram negatives, gram negatives, gram negatives. Don't correct me wrong. They can also have gram positive issues, but gram negatives are a huge issue, especially you want to cover pseudomonas in those circumstances.

So you want to use cephepim for those circumstances or what's the third generation cephelo spore in the covers pseudomonas as well? cephtozidim, cephtozidim. Okay. Now, the fifth generation cephelo spore, when I'm going to talk about it, I think it's called cephtozidim, super loyal. I'm going to talk about it. All right. Now, let's go to the carbopenem, right? Your carbopenem, say your things like e-mi-pennem, meropennem, urdopennem, duri-pennem. Okay. So what are you going to use these things for? ESBL. ESBL. When you're dealing with, when you give you a question and they tell you that, who they do some culture, some gram, steno, whatever, and they get extended spectrum beta-lactamies, what are you reaching out for when you're test a carbopenem? If you're taking a carbopenem, you should probably be in the ICU. If you're taking a carbopenem, that person is in serious trouble, right? That person is literally in serious trouble. Person is literally in serious trouble. All right. So that's it. Extended spectrum beta-lactamies organisms, quite a use carbopenem for those. Okay. And then, comisin, then, comisin, then, comisin. What do you use vancomycin for? Well, remember, you can use vancomycin in the oral form for C-diff, right? Post antibiotic, water-yobloty-direct, and this is for C-diff. Another thing you can also use vancomycin for your exams for MRSA infections, for MRSA infections. You can see for what? For MRSA infections, for MRSA infections. All right.

Remember, what are the antibiotics we've talked about that cover MSSA? Methylinsensitive stuff, or is it? You know, like we see in my studies? Hmm. I wonder what those were. Oxacillin, dichloxacillin, naphthalin, right? Again, keep those in mind. I'm trying to do these like mini-like go-back and review what we've talked about already in just a slightly different way. All right. So, that's largely what you're going to be using vanquycin for your exams. Okay. Now, there's this kind of weird antibiotic called phosphomycin, right? So, phosphomycin, actually, we use it mostly for UT Is. So, UTI drug is one of these weird antibiotics you see. You just kind of shows up out of the blue in your exams and you're like, wait, what? Where did that come from? And don't worry about the mechanism of action. It does some stuff involving like phosphor in all pyruvate synthase. I'm not going to talk about that. Super low yield for your test. But again, phosphomycin for UT Is. And I guess since we're kind of talking about CDI, remember, you can also use another antibiotic called phidaxomycin, phidaxomycin for CDIF. Actually, it works extremely well for CDIF. All right. Now, let's jump into the macrolids. It's macrolids, right? So, your thing is like erythromycin, chlorythromycin, is it thromycin? So, chlorythromycin, where do they like to use chlorythromycin on the USMH list? They love chlorythromycin for Hpilory. Remember, chlorythromycin, amoxicillin and the PPI bone.

You can use that as triple therapy for Hpilory. Although, you can use any of the macrolid you want. But I don't know, they just like chlorythromycin a lot for Hpilory. I'll just throw that out there. And then, another classic situation where you may see macrolids is quadruple therapy as well. Right? So, macrolid, besmuth, atetrocycline and a PPI. That's quadruple therapy for Hpilory. All right. Now, remember, you can also use erythromycin. It's more like a second-line agent for the management of what in diabetics? Gastroparesis because it's a motylene receptor agonist. Now, what if you see a person in the cough and brrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr That was exposed to bad water supplies. Has an interstitial pneumonia. Has hyponeitremia. Sounds like Legionnaires disease. By Legionella. Which would Legionella. With macrolets as well. Alright. So, um... So those are the big, big, big, big, big uses of macrolets. And by the way, you can also just use a straight macrolet especially as if throw my scene for a community-acquired pneumonia.

Now, one thing I want to say about is that if a person has a COPD exacerbation and acute COPD exacerbation and they kind of have like, you know... You're like, man. Those people have an infection going on as well. Quite a slap. Some people are enthromizing on those folks. And don't forget that macrolets. They can also cover micro-bacterium marina. Right? Microbacterium marina. You know, skin and soft tissue infection. You know, a person that is, you know, kind of works at sea world. Or in an aquarium or a fish tank or something like that. Alright. So, let's jump to Clindamysin. What do you use Clindamysin for? Whenever a person has neck-fash, Clindamysin should be part of the drug regimen. Basically, if you have any infection rates, toxins that are messing up your life, you should do Clindamysin, right? So, 50% inhibitor, protein synthesis inhibitor, toxins are proteins, right? So, it's going to help in that circumstance. And also, if you're doing with anaeropes, if you're worried about anaeropes, Clindamysin, right? Like a person has, having like a long abscess, Clindamysin is not a bad idea in those folks. Remember, Clindam, that's C-Diff association there. Okay. Don't forget Clindam, that's C-Diff association. And what else have I talked about Clindamysin with? Hmm. Woman, three days after C-Section. Ooh! My lower abdomen hurts. My lower abdomen hurts. Sounds a lot like endometriosis. You're going to use what? You're going to use Clindam for that.

Remember, when you try this, that's a urine infection. The biggest risk factor for that is what? Resen C-Section. Give Clindamysin and Clindamysin. Again, all these things you may think that I'm kind of joking. I'm just trying to make this kind of a light podcast because I know people hate antibiotics, right? And I understand antibiotics. I'm type of antibiotics. Learning all those stuff is not fun. But hey, you got to know it. Why do you think I have to learn this back in the day? Because I was hired for, you know, like if you want to practice medicine or anything like that. So you probably know this stuff. I promise you, this podcast is going to be one of these like weird podcasts that you listen to from Divine. I think you're like, gee, there's like 20 questions on 30 questions on my exams that I see from this one single podcast. So you got to know this stuff, please. Like don't mess around with this. Now, chronic called is another antibiotic. You should maybe not pick this for like actually treating anything on your exams. But remember that this thing causes gray baby syndrome, right? It causes gray baby syndrome and causes plastic and you need it. So they tested more for the side effects than the actual use because I would hope if you're taking a USM example, you're not using chronic for stuff. Right. Now, another classic antibiotic, Linizolid. Linizolid, Linizolid, Linizolid, Linizolid, Linizolid. Remember, Linizolid. What are some big things about Linizolid?

VRE for patients and terracochal infections that are resistant to vancomycin, VRE. Linizolid. Linizolid. Linizolid. Linizolid. It's a 50s inhibitor. It's a 50s inhibitor. So use Linizolid. And Linizolid also covers MRSA, that's something you got to know about Linizolid. Don't mess around with that stuff on your exams. Now, one thing I want to say about Linizolid, that's kind of special is that it also happens to be a monoamin oxidize inhibitor. So don't be surprised if a person has a hypertensive crisis on Linizolid after they just consume some pizza or H.E.S. What am I referring to there? Tyramin effect. Tyramin effect. Or you see a person that is like, they have depression, they take an SSRI. Did they start taking Linizolid? Because they have some kind of heart infection like endocrinitis or whatever. You have to cover VRE or you have to cover MRSA for whatever bizarre reason. And then boom, they start having clonous and hyper reflexia. What does that sound like folks? Serotonin syndrome. Exactly. Serotonin syndrome can be caused by Linizolid. Keep that drug interaction in mind. All right. Now, let's talk about our amino glycosides. You'll end in my sin. Gentamysin. To bramycin. I'm a casein. Those are your amino glycosides. Remember those things can torture your ears just like vancomycin. That combination of nephrotoxicity and neurotoxicity, we see that with what we're vanque. We see that with your amino glycosides. Now, amino glycosides don't forget.

They're very, very good for UT Is. Especially, you know, pylonofritis. They're very good for those situations. Remember, the cover gram negatives amazingly well. They cover gram negatives amazingly well. Remember, what else have we talked about with gentamysin today in Opie gang world? And let me try this. Clean that and gent. Coramionitis and pylinangent. Don't forget your amino glycosides for those circumstances. Don't forget your amino glycosides for those circumstances. Don't forget your amino glycosides for those circumstances. Now, remember, you can also use gent for GI infections when you combine it with an ampicelin and metronidusol. Now, how about your tetracycline? You know, the all-endin cyclin. Minocycline, doxycycline, tigacycline. Tigacycline, the pretty much almost never tested. The only claim to fame of tigacycline is that it can cover MRSA. Now, remember, you can use your tetracycline for a bunch of stuff like what? You can use it for Rocky Mountain spotted fever, even if you're pregnant. If you don't get the tetracycline, you're probably going to die. So, we use tetracycline for Rocky Mountain spotted fever. We also use tetracycline for chlamydia infections. In fact, they prefer these days over microlates, just because of less treatment resistance, so something you want to know. Pofy can flammatory disease, PID. You can throw in some doxycycline for that, amongst other things you use. Remember, doxycycline can actually use it for malere prophylaxis.

Believe it or not, there are some NVME questions. Usually people get these wrong. They're like doxy for malere prophylaxis. Yeah, you can use for malere prophylaxis. And don't forget that you can also use it for acne. We use these tetracyclines for acne. They're actually quite good for acne. Don't forget, your tetracycline's photosensitivity is a big problem with those drugs. Photo-sensitivity. Photo-sensitivity. Photo-sensitivity. In fact, there's this pneumonia that I remember from years ago for the drugs that cause photo-sensitivity. SAD for photo. SAD for photo. I learned it back in the day. Probably almost 10 years at this point. So the S stands for so-photo-minds. The S stands for amyuteroan and then the T stands for tetra-cycline. Remember, you can also use tetracycline as part of quadruple therapy for Hpylori. Remember, macrolid amoxicillin and ppi. What's quadruple therapy? Macrolid, bismuth, subcellicillic, tetracycline and ppi. Alright, now next group I'll talk about the fluoroquina loans. So what are these fluoroquina loans for? For fluoroquina loans, you can use them for UT Is. Occasionally they kind of pop up in that regard on the USMLA exams. For UT Is and also you can use them as SBP for philoxes. One team's bacteria peritonitis for philoxes. Fluoroquina loans are actually quite good for that purpose. Again, the USMLA is these days. They've started DM-phasizing fluoroquina loans quite a bit because they just have a bunch of problems.

You know, prolonged acute interval. They can explode your achilles tendon. You know, they cause a bunch of problems. Now, one thing I want to say is if you also have like just many of these infectious diaries, they actually cover quite well by fluoroquina loans. Okay, how about rifampin? rifampin? What do you use rifampin for on the USMLA's? What do you use rifampin for? You can use rifampin for micro-bacterium marinum. I'm seeing that first because it's one of those things people ignore. So I just want to say it first. You know, it's used for many TB infections, right? Like you should know that I would hope. And also, you know, let's say you intubated a person that came in with local rigidity and they have like PTK and proper on the skin. What does that sound like? Many gochocolating infection. Close contact. You inhale the respiratory secretions. If you don't want to end up on a bed next to them in the ICU, you should probably take rifampin as close contact for philoxes for many gochocolating infections. Remember, you can also use safe tractsone for that purpose as well. But they like rifampin quite a bit because they know that the tractsone everybody knows that you use safe tractsone for treating many gochocolating infections. So they like to test the rifampin part because something that people do not pay attention to. And also, if you have a prosthetic valve endocrinitis, rifampin is also a kind of a good agent. But that's really tested pretty loyal.

And also, let me ask you this. Is there another person that may have many anxieties from a particular bug that you may have been exposed to that are like, you take rifampin as close contact for philoxes. Don't forget many anxieties from hemophilos influenza type B. If you've been exposed to presence that has many anxieties from hemophilos influenza type B, and you're a close contact, you need what? Refampin for philoxes. Okay, so don't forget, nice reminngitis and H flu type B. Okay, please keep those things in the back of your mind. Okay, let me try an eye disease. I remember, I prefer to do one, I prefer to do one, I prefer to do one. Like what? You know, trichomonitis is easy for trichomonitis is easy for G. R. D. Right? You can see for entamibah histolytica. Remember, that's the protozoan that causes bloody diarrhea and liver abscess. You can use mechronitis for bacterovaginosis. And also, metronitis is good for GI infections. You know why? Because it covers what? It covers on your ribs pretty well. It covers on your ribs pretty, pretty well. Okay, covers on your ribs pretty well. And please, I need a small mistake. I just want to correct myself. So I said that triple therapy for H by lorries, macrolid, amoxicin and a PPI. That is correct. Now, please, let me bother you a bit for that quadruple therapy. Quadruple therapy is actually metronitis or bismuth tetracycline and a PPI. I don't know, I've been saying macrolid, bismuth tetracycline and a PPI. No, that's wrong.

Metronitis or bismuth tetracycline and a PPI. And you know, back in the day, we used to use, so please take note of that correction. So back in the day, we used to use a metronitis offer CDF. Don't do that again on your exams, right? That would be a bad idea. Okay, now, daptomycin. What's a big thing to know about daptomycin? Okay, let me slot in one bonus for metronitis. I'll die soul from side effect. Remember? Because it inhibits that as a toutahide dehydrogenase. It's a nice biochemist association there. Okay, let's keep going. Now daptomycin on your exams. What is it going to be used for? Merse, where you don't see Venk as an answer, whatever bizarre reason, you can also use it for VRE. Venkomycin is this then in tarot cocket. So what is the other drug we talked about that can be used for VRE on the US Melis? Linizo late. Remember the M.E.O.I activity? So remember that serotonin syndrome association I talked about? Remember that Tyraman crisis association I talked about? Know that for your test. All right. Again, how about TMP SMX? Traimethyprems, Sofumethysozo. What's the number one use on the US Melis? Easy, easy, easy, easy HIV, HIV, you know, Cicis-Jurvetsi treatment prophylaxis. Right? And you can also use it to prophylaxis against Toxoplasmosis. Right? You can use the prophylaxis against Toxoplasmosis. But you don't use it to treat Toxoplasmosis. Toxoplasmosis is treated with Pyramethamine and Sofodiazine. Okay? So we prophylaxis against Toxoplasmosis.

But we treat Toxoplasmosis infections with Pyramethamine and Sofodiazine. Pyramethamine and Sofodiazine. TMP SMX is also good for skin and Sof tissue infections. It's treated for MRSA. It does cover MRSA. You can use it for UT Is. You can use it for what? For UT Is. You can use it for UT Is. You can use it for UT Is. You can use it for Pylon and Phrydus. Okay? Now how about Nitrofyrantoin? Nitrofyrantoin? We pretty much use it in women that have Cestitis, even pregnant women. Okay? Do not use it for any other purpose on your exams. It's just for Cestitis in women. Do not use it for any other kind of UT Is and never use it in men. Use it in men. You'll be picking the wrong answer on your exams. And then don't forget the other drugs we use for TB. Right? I talked about it. I've found pain already. But don't forget you. I sonyazid. Don't forget your parasyneamide. Don't forget you with Thambutol. Remember that I write paragement for active TB. Right? Right? Thambin. I sonyazid. Parasyneamide and a Thambutol. And then what are the... what do we use DAPSON for on the USML Es? DAPSON, kind of low yield but kind of high yield too. DAPSON can be used for PCP Prophylaxis. Oh. What? Yeah. You're lazy for your Mosisis Derevetsi Prophylaxis. To find seriously? Yeah. Yeah. Yeah. Yeah. Absolutely you can. You absolutely can use it for that purpose. You should certainly know that for your exams. Okay? You should certainly know that for your exams. You can use DAPSON for PCP Prophylaxis.

Mosisis Derevetsi Prophylaxis. We also use DAPSON as part of the treatment regimen for leprosy caused by mycobacteria leprary. And then don't forget that you can also use DAPSON to treat what thing in some person with my absorption like celiac disease. Dermatitis for pretty form is. Okay? You can use DAPSON for Dermatitis herpathy form is on your exams. Okay? You can use it for what? For Dermatitis herpathy form is on your exams. Please keep that at the back of your mind for tests. And then one, I guess kind of weird thing I want to talk about with Bactram. Try methanomexophamethoxysol. Don't forget that Bactram can cause Neutropenia. Bactram can absolutely cause Neutropenia. Okay? Bactram can absolutely cause Neutropenia. So let me just do a quick drive by of certain things, just core things to kind of wrap this podcast up. Remember, one of the things that covers pseudomonas. What are the antibody classes just in general? So you can have it on your fingertips or summarizing like 30 or less seconds. Your fluoquinolone covers pseudomonas. Your menoglycosides covers pseudomonas. Piprasilin, Tizobactam, the antibiotic should never be cause an answer on your exams also covers pseudomonas. Septazidim, third gen cephalosporin covers pseudomonas. Sevepim, fourth gen cephalosporin covers pseudomonas. Your carbapenemis also covers pseudomonas. Okay? How do you cover MSSON your exams with this insensitive stuff for you? Cloxacillin, glycloxacillin. Neufzillin.

You can also use the first genetions of those spory, you know, like cephalaxin for example, those cover MSSON. What are some things that cover MRSA on the USMLE's? Clinda Maicin. Clinda Maicin covers MRSA. TMPSMX, Bactram covers MRSA, especially for MRSA skin and soft tissue infections. Venk covers MRSA, Linizolid covers MRSA, Daptomycin covers MRSA. Believe it or not, your tetracycline also covers MRSA. Okay. Now, how about Venk homicin resistant interococcus? Again, I said this, Daptomycin, Linizolid on your test. There is also a tetracycline that covers VR record to get cycling, but again, super low yield almost certainly will not be tested on your exams. Almost certainly will not be tested on your exams. And then we talked about anaeropes, right? Remember anaeropes, clinda, metronidazol, amazing for those. Also, your cover items can also cover anaeropes. Okay. Can also cover anaeropes. And again, again, I kept hitting things like triple therapy for H by Laurie. Like what? Like a microlit. I'm oxysthy on a PPI, portable therapy, metronidazol, BISMUS, tetracycline, and a PPI. Indomie tritis. We talked about it. It's a uterine infection. Clinda and gent. Creme unitis. I'm not including infection. I'm visiting an gen-ta Maicin. Alright. So, I'm gonna stop here. Alright. Podcast is done. Now, if you like the way I teach and don't worry, you know, most times I like to go into mechanisms of action and make all these integrations like I did today.

If you're interested, I have a bunch of classes starting today. So, you know, have a test taking class today, a bio-stats class tomorrow, social sciences, an ethics class on, you know, QI health care systems class on Wednesday. I have a last minute review for step two, step three on Thursday. So, the classes from Monday to Wednesday are first step one, two, step three, level one, two, three. But the class on Thursday going forward into next week Monday. So, it's Thursday, Friday, Saturday, Sunday and Monday. That's a step two, step three, level two, level three review. Again, if you're interested, I have a separate podcast where I discuss those classes. Again, check this podcast out on Apple, podcast, Google podcasts, Spotify. Have a You Tube channel. You can check out, just search for the Vine intervention, USMID podcast and videos. And then I have these podcasts on the website as well, divineinterventionpodcast.com. Because these podcasts absolutely let me upload the most recent 150 podcasts. So, if you want everything from the very beginning of episode one, where it all started to now, the present times, go to the website. You don't even have to use any login for that. Just go find the podcast you're looking for downloading and leave. And then I also have, also offer one or one tutoring for all the USMID and complex exams. And I have another website called divineinterventionlifelessons.com. Dividing interventionlifelessons.com.

Every week I post about a podcast or two, where from a biblical perspective, I discuss a life lesson. There's actually a website for that divineinterventionlifelessons.com. There's an Apple podcast attached to that called the Divine Intervention Life Lessons podcast. Many people have listened to those podcasts, found them to be extremely helpful. I'm kind of getting to almost 300 episodes on those. So, thank you for listening to me today. Please, listen to this podcast over and over again. I promise you, you will get many questions right from your exams. It's just simple as that. Listen to this podcast at the beginning of your dedicated period. Listen to it at the end of your dedicated period. Listen to it when your working out is going to help you. All right. I'll see you next time. God bless you. Bye for now. Thank you.

Penicillin.

Ampicillin.

Oxacillin derivatives (e.g., Cloxacillin, Dicloxacillin).

Ceftazidime.

Aminoglycoside (e.g., Gentamicin) combined with Ampicillin and Metronidazole.

Macrolide, Amoxicillin, and PPI.

Rifampin (for prophylaxis).

Penicillin.

Ampicillin.

Cloxacillin, Dicloxacillin, Oxacillin (or similar penicillin derivatives).

Spontaneous Bacterial Peritonitis (SBP) and Niacereal meningitis/gonorrhea.

Extended Spectrum Beta-Lactamase (ESBL) organisms.

Linezolid or Daptomycin.

Cystitis in women only (Do not use for other UT Is or men).

Rifampin.

Penicillin.

Ampicillin.

Cloxacillin, Dicloxacillin, Oxacillin (or similar penicillin derivatives).

Spontaneous Bacterial Peritonitis (SBP) and Niacereal meningitis/gonorrhea.

Extended Spectrum Beta-Lactamase (ESBL) organisms.

Linezolid or Daptomycin.

Cystitis in women only (Do not use for other UT Is or men).

Rifampin.