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First Aid for the USMLE Step 1 (2021)
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First Aid for the USMLE Step 1 (2021) | Physician Assistant (PA) School Study Aid

Page 711 -
7 Picmonics to Learn | 11 mins
Codeine
Mechanism
Opioid Receptor Agonist
Indications
Mild to Moderate Pain
Cough Suppressant
Side Effects
Sedation
Constipation
Miosis
Considerations
Close Monitoring When Breast Feeding
Often Combined with Non-Opioids
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2 mins
Ephedrine
Mechanism of Action
Alpha Agonist
Beta Agonist
Indications
Rhinitis
Hypotension
Urinary Incontinence
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35 secs
Phenylephrine
Mechanism of Action
Alpha-1 Agonist
Indications
Mydriatic
Rhinitis
Hypotension
Decreased Chronotropy and Inotropy
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2 mins
Pulmonary Hypertension Diagnosis and Management
Diagnosis
Echocardiogram
Right Heart Cathetherization
> 20 mmHg at Rest
Chest X-Ray
MANAGEMENT
Treat Underlying Disorder
Calcium Channel Blockers
Endothelin Receptor Antagonists
Prostacyclin Analogs
PDE-5 inhibitors
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2 mins
Endothelin Receptor Antagonists
Indication
Pulmonary Hypertension
Mechanism of Action
Competitive Antagonism of Endothelin Receptors
Decreased Pulmonary Vascular Resistance
Drugs
Bosentan
Side Effects
Hepatotoxicity
Monitor LFTs
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1 min
Erectile Dysfunction
Cause/Mechanism
Age-Related Changes
Psychological
Medical Conditions
Drug-Induced
Assessment
Sexual Dysfunction (Unable to Maintain Erection)
Interventions
Phosphodiesterase Type 5 (PDE5) Inhibitors
Vacuum Constriction Devices
Intraurethral Devices
Penile Implants
Considerations
Sexual Counseling
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2 mins
Prostacyclin Analogs
Mechanism of Action
Prostaglandin I2 (Prostacyclin)
Vasodilation of Pulmonary and Systemic Arteries
Inhibits Platelet Aggregation
Indications
Pulmonary Hypertension
Side effects
Flushing
Jaw Pain
Drugs
Epoprostenol
Iloprost
Treprostinil
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1 min

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