Ritodrine is OFF THE MARKET! dangerous beta two agonist.

Metaproterenol is NOT USED in asthma any more Isoproterenol is DANGEROUS in heartDZ

Pregnant hypertension is FiRST with LABETOLOL . Labetolol. Labetolol. Not 1st
alphamethyldopa.
Labetolol
p175.Cryptosporidium Rx with Nitazoxanide
p176 Malaria treatment is WRONG. NOT chloroquine. use mefloquine or
atovoquone/proguanil.
p186, Herpes best test is VIRAL CULTURE for HSV, NOT Tzanck prep
p170 mycoplasma treat with DOxy, Macrolide or quinolone, NOT TETRA
p 173. Candida albicans best treated with FLUCONAZOLE or CASPOFUNGIN, not ampho,
NOT AMPHOTERICIN!
p 168 Weil -Felix reaction is NOT USED! stop teaching it or putting in book! neither sensitive
nor specific. use PCR for Rickettsia
p176 Babesia is treated with Azithromycin and atovoquone. NOT Quinine/clinda. Quinine
causes DEAFNESS with NO Better efficacy
p176 BABESIA diagnosed by PCR!!! use Azithromycin and atovoquone.
Number ONE beta blocker in ALL things cardiac is METOPROLOL
p162 Legionella : ANY macrolide treats, Azitho and clarithro MUCH easier to take. ALso, Doxy
or ANY quinolone. Erythro not the ONLY drug
p194 MAI has NOT major features in common with TB. MAI is NOT in lung in HIV.
p205 SHOULDN'T put "Methicillin" on top.missing OXACILLIN
p206 . Penicillin-Cephalosporin cross reaction nowhere NEAR 5-10%! really !! only LESS than
1%. TOTALLY safe to use cephs if there is a rash to penicillin

p207 Under "Carbapenems" forgot to put in Ertapenem and Doripenem. In general forget
DAPTOMYCIN the MRSA drug that is oral too.
p207 Under MRSA forgot: CefTAROLINE the only cephalosporine to cover MRSA forgot
TIGECYCLINE the glycylcycline
p209 Demeclocycline should NEVER be put under antibiotics. Demeclocycline is 100% for
SIADH

p 209 Under Macrolide PLEASE put erythromycin LAST.

p213-214 forgot to put in MICAFUNGIN or Anidulafungin under echinocandins

p214 ANidulafungin=EXCELLENT echinocandin. Put in POSAconazole, Vori, Caspo to oral

cover Aspergillus. NO ampho for aspergillus any more.

p216 AMANTADINE and RIMANTADINE are 100% OUT!!! as influenza treatment! gone!
Finito!
Kaput! No more! AMANTa/RIMANTa for flu Chronic hepatitis C gets THREE drugs! add
EITHER BOCEPREVIR or Telaprevir to the usual interferon/ribavirin to get SURE up to 80%
for Hep C

p 219 !!! Metronidazole is SAFE in pregnancy. since 2006. Metronidazole SAFE in pregnancy
INCLUDING 1st trimester MMWR Recomm Rep. 2006; 55(RR-11):1. CDC supported
Metronidazole in pregnancy since 2006

p265 year 2012 "First Aid: Step 1". Echothiophate has NOT BEEN MANUFACTURED since
2003. Take your time! It is only a NINE YEAR DIFFERENCE!

p265 Echothiophate is NOT manufactured since 2003. USMLE does NOT test obsolete,
eradicated, DEAD drugs

p266 MISSING "Tiotropium" the MOST useful antimuscarinic for COPD. put next to
Ipratropium.

p266 Under NO circumstance is methoscopolamine, pirenzepine or propantheline EVER used

for ulcers EVER

p266, Isoproterenol is NOT used any more! Ischemia is most common cause of AV block,
Isoproterenol will KILL YOU if you have ischemia

p267 REmove Metaproterenol. Historical use albuterol

p268 Add Tamsulosin to alpha1 drugs. it is the MOST used & one missing! No orthostasis

p269 SVT Delete propranolol. the answer has been metoprolol or atenolol since 1990.

p281 put ACE inhibitors with Vasodilators. ARBSs are number two choice. First Aid lists the
3rd line drug, hydralazine, first

p298 AST has NO PLACE in cardiac evaluation. Put MYOGLOBIN to rise in first 4 hours.

p300 Typo!! it should say "angiotensin receptor ANtagonists" NOT "agonists" we use ARBs!!!
in CHF

p306 Diazoxide is ABSOLUTELY WRONG for hypertensive crisis. NOT USED since 1970's.
HOWEVER!! Labetolol (main drug) is left out

p328. add "High Urine Sodium" for SIADH. add "ADH antagonists" conivaptan, tolvaptan for
SIADH

p333 Put METFORMIN on TOP ist Rx! Add the FORGOTTEN CLASS!!! Sitagliptin
(januvia), saxagliptin, linagliptin. Use with metformin and sulfonylurea orally. "Gliptins' are a
Top ten drug in USA for >10 years.
p351. Candida is NUMBER ONE infectious cause of esophagitis

p359 say Colonoscopy OR occult blood. Colonoscopy is FIRST and BEST.

p368 Ulcers. PPI is first, not sure why it is UNDER H2.

p395 Add Dabigatran and rivaroxaban. these are 10a drugs. AKA "Pradaxa" Great for Afib.
Not sure why forgotten.

p397. Cilostazol for peripheral artery disease. NEVER coronary. dipyridamole rx for stroke
only. Not Coronary. missing PRASUGREL TICAGRELOR PRASUGREL TICAGRELOR are
alternatives to clopidogrel for combo with aspirin in CAD. Prasugrel MORE efficacy more
bleeding. add eptifibitide and tirofiban to abciximab

p401 PLEASE put "Tamoxifen PREVENTS 50% of BREAST cancer in those with 2 relatives
with breast cancer" Please get this info out!

p 418. Add Anti-TNF drugs (Etanercept, adalimumab) to Rheumatoid treatment. COX 2 NOT
better! sulfasalazine in pREGNANT

p419 BIG!!! do NOT answer Colchicine for acute gout! you will screw up test! use
STEROIDS if NSAIDS do not work. Add Pegloticase to treat

p420 TB is NOT a common cause of infectious arthritis. sorry, TB at LOWEST reported

incidence in history of world

p431 take OUT colchicine for acute gout. it was changed. . Probenecid DE-emphasized too

p514 Paraldehyde is SOOO current! invented in 1829!!! Just one problem. it is not sold in
USA. USMLE does NOT test drugs NOT made

p514. Phenformin was REMOVED FROM THE MARKET IN 1970s there is NO

PHENFORMIN MADE IN 40 years!

p514. Paraldehyde has NO utility and is NOT MANUFACTURED in US. Phenformin was
REMOVED in 1970s.

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