Rejected at 5:56 p.m. Oct, 31, 2023 ] by dollajas
Author: Andy
Related Note: 1514588824901 1
Rationale for change

Changing to one-by-one

Rejection reason

not necessary

Text Text
Missed Questions Missed Questions
One by one One by one
Extra
This card used to say quinine, but AMBOSS confirms quinidine is used for severe P. falciparum malaria (Sept 2023)

- Quinidine is used in the United States, quinine is used elsewhere

- Quinidine is a class 1A anti-arrhythmic drug that can target the erythrocytic stage of Plasmodium species
- Quinine works similarly to chloroquine, by inhibiting heme polymerization causing lysis of cell membranes

- Artesunate generates ROS which inhibits synthesis of proteins and nucleic acids

- If artesunate is not immediately available, begin interim oral treatment (e.g., artemether-lumefantrine, atovaquone-proguanil, quinidine, or mefloquine)

- Discontinue oral agent and administer IV artesunate as soon as it becomes available
Lecture Notes
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Pathoma
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Boards and Beyond
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First Aid




Sketchy


Sketchy 2
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Picmonic
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Pixorize
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Physeo

OME

Additional Resources
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Changed Tags
%MissedQs::Amboss::micro #AK_Step2_v12::^One_by_one
#AK_Step1_v12::#Physeo::06_Micro::04_Parasites::07_Plasmodium_Vivax/Ovale,_Falciparum_&_Malariae #AK_Step1_v12::#SketchyMicro::04_Parasites::08_Retired_Lessons::04_Plasmodium_malariae,_ovale,_vivax_&_falciparum_[Retired_Video] #AK_Step1_v12::#SketchyMicro::04_Parasites::03_Protozoa_of_the_Blood::04_Plasmodium_Treatment_&_PPX #AK_Step1_v12::#SketchyPharm::07_Antimicrobials::Antiparasitics::Protozoa-(Chloroquine,Pyrimethamine,Suramin-and-Melarsoprol,Nifurtimox-and-Benznidazole,Sodium-Stibogluconate) #AK_Step1_v12::#FirstAid::03_Microbiology::07_Antimicrobials::43_Antiprotozoal_Therapy !AK_UpdateTags::Step1decks::Zanki-Pharmacology #AK_Original_Decks::Step_1::Zanki_Pharmacology #AK_Step1_v12::^Other::^FA_Updates::FA2018 #AK_Step1_v12::#Bootcamp::Microbiology::38_Antiparasitics::04_Chloroquine-Resistant_and_Exo-Erythrocytic_Antimalarials #AK_Step1_v12::#Bootcamp::Microbiology::21_Systemic_Protozoa::05_Plasmodium #AK_Step1_v12::#OME::Clinical::Internal_Medicine::Infectious_Disease #AK_Step1_v12::#FirstAid::03_Microbiology::04_Parasitology::03_Protozoa_Hematologic_Infections::Plasmodium #AK_Step1_v12::#FirstAid::03_Microbiology::04_Parasitology::03_Protozoa_Hematologic_Infections #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Step1_v12::^Other::^HighYield::1-HighYield #AK_Step1_v12::^Other::^EXPN #AK_Step1_v12::#B&B::13_Infectious_Disease::05_Parasites_&_Helminths::01_Malaria