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©2013 Kaplan, Inc.

Allrights reserved. No part ofthis book maybe reproduced in any form, by photostat, microfilm, xerography or any other means, or incorporated into any information retrieval system, electronic or mechanical, without the written permission of Kaplan, Inc.

Not for resale.

Authors

Craig Davis, Ph.D.

Distinguished Professor Emeritus

University ofSouth Carolina School ofMedicine

Department ofPharmacology, Physiology, and Neuroscience

Columbia, SC

Steven R. Harris, Ph.D.

Associate DeanforAcademicAffairs

Professor ofPharmacology

Kentucky College ofOsteopathic Medicine

Pikeville, KY

Contributor

Laszlo Kerecsen, M.D.

Professor ofPharmacology

Midwestern UniversityAZCOM

Glendale, AZ

Contents

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix

Section I: General Principles

 

Chapter 1: Pharmacokinetics. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 3

Chapter 2: Pharmacodynamics . . . . . . . . . . . . . . . . . .... . . . . ... . . . . ...

19

Chapter 3: Practice Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29

Section II: Autonomic Pharmacology

 

Chapter 1: The Autonomic Nervous System (ANS) . . . . . . . . . .. . . . . . . . .

39

Chapter 2: Cholinergic Pharmacology . . . . . . . . . . . . . . . . . .. . . . . . ... . .

45

Chapter 3: Adrenergic Pharmacology. . . . . ... . . . . . . . . . . . . . . . . . . . . . .

55

Chapter 4: Autonomic Drugs: Glaucoma Treatment and

 

ANS Practice Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65

Chapter 5: Autonomic Drug List and Practice Questions . . . . . . . . . . . .. .

.71

Section Ill: Cardiac and Renal Pharmacology

 

Chapter 1: Fundamental Concepts . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .

83

Chapter 2: Antiarrhythmic Drugs . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .

89

Chapter 3: Antihypertensive Drugs.. . .. . . . . . . . . . . . . . . . . . . . . . . . .. ..

93

Chapter 4: Drugs for Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

99

Chapter 5: Antianginal Drugs . ..................................

103

Chapter 6: Diuretics . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . ... . . . . .

107

Chapter 7: Antihyperlipidemics . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . ...

115

Chapter 8: Cardiac and Renal Drug List and Practice Questions . . . . . . . .

119

MEDICAL V

USMLE Step I Pharmacology

Section IV: CNS Pharmacology

 

Chapter 1: Sedative-Hypnotic-Anxiolytic Drugs ............... .......

131

Chapter 2: Alcohols ...........................................

135

Chapter 3: Anticonvulsants ....... . . ...................... .... ..

137

Chapter 4: Drugs Used in Anesthesia . .............................

141

Chapter 5: Opioid Analgesics ................ .. . .................

147

Chapter 6: Drugs Used in Parkinson Disease and Psychosis ...........

151

Chapter 7: Drugs Used for Depression, Bipolar Disorders,

 

and Attention Deficit Hyperactivity Disorder (ADHD) ......

157

Chapter 8: Drugs of Abuse ......... .............................

161

Chapter 9: CNS Drug List and Practice Questions............... ....

163

Section V. Antimicrobial Agents

 

Chapter 1: Antibacterial Agents..... .................. .... . .......

175

Chapter 2: Antifungal Agents... .......... ............. .... .......

191

Chapter 3: Antiviral Agents .....................................

195

Chapter 4: Antiprotozoal Agents. ... .. ................ ... ........

203

Chapter 5: Antimicrobial Drug List and Practice Questions . . .. .......

205

Section VI. Drugs for Inflammatory and Related Disorders

Chapter 1: Histamine and Antihistamines . .. ............. ... .......

217

Chapter 2: Drugs Used in Gastrointestinal Dysfunction ...............

219

Chapter 3: Drugs Acting on Serotonergic Systems ............ .. ....

223

Chapter 4: Eicosanoid Pharmacology......................... ....

225

Chapter 5: Drugs Used for Treatment of Rheumatoid Arthritis ........

231

Chapter 6: Drugs Used for Treatment of Gout................... ...

233

Vi MEDICAL

Contents

Chapter 7: Glucocorticoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235

Chapter 8: Drugs Used for Treatment of Asthma . . . . . . . . . . . . . . . . . . . 237

Chapter 9: List of Drugs for Inflammatory. . . . . . . . . . . Disorders. . . . . . . . . and. . . . . . . . . . . . . . . . . . . 241

Practice Questions

Section VII: Drugs Used in Blood Disorders

 

Chapter 1: Anticoagulants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

255

Chapter 2: Thrombolytics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

259

Chapter 3: Antiplatelet Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

261

Chapter 4: List of Drugs Used in Blood Disorders and

 

Practice Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

263

Section VIII: Endocrine Pharmacology

Chapter 1: Drugs Used in Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269

Chapter 2: Steroid Hormones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

Chapter 3: Antithyroid Agents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281

Chapter 4: Drugs Related to Hypothalamic and Pituitary Hormones . . . 283

Chapter 5: Drugs Used for Bone and Mineral Disorders . . . . . . . . . . . . . 285

Chapter 6: Endocrine Drug List and Practice Questions . . . . . . . . . . . . . . 287

Section IX: Anticancer Drugs

 

Chapter 1: Anticancer Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

295

Chapter 2: Anticancer Drug Practice Questions. . . . . . . . . . . . . . . . . . . . .

299

Section X: lmmunopharmacology

Chapter 1: lmmunopharmacology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

Chapter 2: lmmunopharmacology Practice Questions . . . . . . . . . . . . . . . 305

MEDICAL

Vii

USMLE Step I Pharmacology

Section XI: Toxicology

Chapter 1: Toxicology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309

Chapter 2: Toxicology Practice Questions . . . . . . . . . . . . . . . . . . . . . . . . . .315

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .317

viii MEDICAL

Preface

These 7 volumes ofLecture Notes represent the most-likely-to-be-tested material on the current USMLE Step 1 exam. Please note that these are Lecture Notes, not review books. The Notes were designed to be accompanied by faculty lectures­ live, on video, or on the web. Reading them without accessing the accompanying lectures is not an effective way to review for the USMLE.

To maximize the effectiveness of these Notes, annotate them as you listen to lec­ tures. To facilitate this process, we've created wide, blank margins. While these margins are occasionally punctuated by faculty high-yield "margin notes;' they are, for the most part, left blank foryour notations.

Many students find that previewing the Notes prior to the lecture is a very effec­ tive way to prepare for class. This allows you to anticipate the areas where you'll need to pay particular attention. It also affords you the opportunity to map out how the information is going to be presented and what sort of study aids (charts, diagrams, etc.) you might want to add. This strategy works regardless of whether you're attending a live lecture or watching one on video or the web.

Finally, we want to hear what you think. What do you like about the Notes? What could be improved? Please share your feedback by e-mailing us at medfeedback@ kaplan.com.

Thank you for joining Kaplan Medical, and best ofluck on your Step 1 exam!

Kaplan Medical

MEDICAL ix

SECTION

General

Principles

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