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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2023)
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First Aid for the USMLE Step 1 (2023) | Medicine (MD/DO) School Study Aid

Page 443 -
12 Picmonics to Learn | 21 mins
Cell Cycle Phases
Characteristics
G0 Phase
Growth Arrest
G1 Phase
G1 Check By Rb And p53
S Phase
DNA Mismatch Repair
DNA Synthesis
G2 Phase
G2 Check
M Phase
Mitosis And Cytokinesis
picmonic thumbnail
3 mins
Etoposide
Indications
Small Cell Lung Cancer
Testicular Cancer
Mechanism of Action
Inhibits Topoisomerase II
Errors in DNA Synthesis Cause Apoptosis
Side Effects
Myelosuppression
Alopecia
Hypotension
Nausea and Vomiting
picmonic thumbnail
2 mins
Fluorouracil (5-FU)
Mechanism
Antimetabolite
"Thymine-less Death"
Indications
Slow-growing Solid Tumors
Co-administered with Leucovorin for Stomach Cancer
Basal Cell Carcinoma (Topical)
Side Effects
Myelosuppression
Mucositis
Severe Diarrhea
picmonic thumbnail
3 mins
Hydroxyurea
Mechanism
Inhibits Ribonucleotide Reductase
Decreased DNA Synthesis
S-phase Specific
Indications
Melanoma
Chronic Myelogenous Leukemia (CML)
Sickle Cell Disease
Through Increased HbF (Fetal Hemoglobin)
Side Effects
Myelosuppression
GI Distress
picmonic thumbnail
2 mins
Methotrexate
Indications
Rheumatoid Arthritis
Cancer
Medical Abortion
Mechanism
Folic Acid Analog
Inhibits Dihydrofolate Reductase
Side Effects
Pulmonary Fibrosis
Myelosuppression is Treated with Leucovorin Rescue (Folinic Acid)
Macrocytic Anemia
Hepatitis
Teratogenic
Mucositis
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2 mins
Doxorubicin (Adriamycin)
Indications
Solid Tumors
Lymphomas and Leukemias
Mechanism
Free Radical Production
Intercalates DNA
Prevents Double Helix from Sealing
Side Effect
Cardiotoxicity
Dexrazoxane Decreases Toxicity
picmonic thumbnail
1 min
Busulfan
Indications
CML
Bone Marrow Ablation
Mechanism
Cross-Links DNA
Side Effects
Myelosuppression
Pulmonary Fibrosis
Hyperpigmentation
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55 secs
Dactinomycin (Actinomycin D)
Indications
Wilms' Tumor
Rhabdomyosarcoma
Ewing's Sarcoma
Gestational Trophoblastic Malignancy
Mechanism
Intercalates DNA
Side Effect
Myelosuppression
picmonic thumbnail
1 min
Nitrosoureas
Mechanism
Requires Bioactivation by Liver
Alkylating Agent
Cross-links DNA
Crosses Blood-Brain Barrier
Indications
Glioblastoma
Side Effects
Myelosuppression
Pulmonary Fibrosis
CNS Toxicity
Drugs
Carmustine
Lomustine
picmonic thumbnail
2 mins
Paclitaxel (Taxanes)
Mechanism of Action
Taxane
Stabilizes Microtubules
Indications
Breast Cancer
Ovarian Cancer
Non-Small Cell Lung Cancer
Kaposi Sarcoma (HHV-8)
Side Effects
Mucositis
Myelosuppression
Peripheral Neuropathy
Hypersensitivity
Alopecia
Considerations
Diphenhydramine (Benadryl)
picmonic thumbnail
2 mins
Vincristine (Oncovin)
Mechanism
Vinca Alkaloid
Inhibits Microtubules
Indications
Leukemias
Lymphomas
Side Effects
Peripheral Neuropathy
Paralytic Ileus
Considerations
Vesicant
picmonic thumbnail
2 mins
Bleomycin
Indications
Testicular Cancer
Hodgkin's Lymphoma
Mechanism of Action
Induces Free Radical Formation
Breaks in DNA Strands
Side Effects
Pulmonary Fibrosis
Skin Changes
Mucositis
picmonic thumbnail
1 min

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