Welcome to episode 554 of the Divine Intervention Podcasts.

In today's podcast, I'm going to be addressing a topic that's pretty high yield for all the USMAL 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 use for what is this antibiotic use for

in today's podcast i'm just going to focus primarily on antibacterials because that's

what they're used 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

USMLA exam? So it's a quick and dirty podcast, but it's really going to help you a ton 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 USMLEs? Well, you can use it for syphilis. That's a very, very big one. You can use it for syphilis, syphilis, syphilis, syphilis, penicillin. And also, if you think of a person having, like, draining sulfur granules or whatever,

like cervical facial infections, actinomycese, Israeli eye,

that's also treated with penicillin on the USMaly exams.

And then remember, for most cases of streptocococcal pharyngitis, 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, but these are the main ones. Another one can maybe throw in there is rheumatic fever. Romatic 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 penicillins, right? So the big ones here are moxicillin and ampicillin. What's the big thing to know about amoxicillin? Amoxicillin, we use it to treat acutitis media. So when a person has an ear infection, red bulgent tympanic membrane, you give amoxicillin. If a Oxysylene doesn't work, go ahead and slap some clavolonic acid on that.

Some oxycelain plus clavolonic acid on that so amoxicillin plus clavolonic acid that's augmenting um so you can use it for that purpose ampicillin what ampicillin don't forget ampicillin for what listeria listeria umpicillin is the big big gun for for l. It's the drug of choice for Listeria. So usually you're going to slot in some ampicillin when you're dealing with bacteria meningitis and you want to do empiric treatment for bacterial meningitis and a person that's over 50 or a neonate. You got to slap some ampicillin on there because it covers a listeria. And then don't forget that you can also use amoxicillom

and piscylion for grubistrate prophylaxes. You can even throw in penicillin actually for that.

So grubistre prophylaxes when a woman is intrapartum, you can certainly use it for those

purposes. Okay. Now there are all the situations where you can use amoxicillin or ampicillin,

right? So like for example, in many other situations where you can use amoxicillin or ampicillin, right?

...