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Haiyan Ou, Ting-Chung Poon, Kenneth K. Y. Wong, and Edmund Y. Lam

Author Affiliations

Haiyan Ou, 1, 2 Ting-Chung Poon, 3 Kenneth K. Y. Wong, 1 and Edmund Y. Lam 1, *

1 Department of Electrical and Electronic Engineering, University of Hong Kong, Pokfulam, Hong Kong, China

2 Institute of Applied Physics, University of Electronic Science and Technology of China, 610054, Chengdu, China

3 Bradley Department of Electrical and Computer Engineering, Virginia Tech, Blacksburg, Virginia 24061, USA

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/ USMLE Step 2 Review 19 02 Drugs of Choice Osteomyelitis

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What is the most common organism in osteomyelitis in any age group, except for puncture wounds and diabetes?

Two drugs of choice used together for osteomyelitis in children?

What is the generic name of the PRSP used IV usually for osteomyelitis?

Trade name for Oxacillin?

What is a 3rd generation cephalosporin commonly used IV in hospitals, including osteomyelitls?

Trade name for Ceftriaxone?

Let’s look at PRSPs for just a second. In addition to Oxacillin, which is Bactocill, which is a PRSP used both PO and IV, What are 2 other PRSPs which are used only PO?

What’s the trade name for Cloxacillin?

And the trade name for Nafcillin?

Student doctor, please review for me the 3 PRSPs. Oxacillin, Cloxacillin, and Nafcillin.

What is the drug of choice for allergies, for blocking histamine release in the skin and mucous membranes when drowsiness is acceptable, or even desirable?

And what’s the trade name for the common preparation of Diphenhydramine?

However, in cases where drowsiness must be avoided, what is the drug of choice for seasonal allergic rhinitis for blocking histamine release in the skin and mucous membranes?

And the trade name for Terfenadine?

What is the organism in crabs?

And what is the topical drug of choice for crabs?

And the trade name for Permethrin liquid?

What is the additional strategy to prevent spread of infection?

The treatment of meningitis is too complicated to try to memorize all the different regimens. We’ll concentrate here on a few points. In neonates less than 1 month old, what are the 2 drugs of choice used together for meningitis?

Three trade names for Ampicillin?


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Anterior Choroidal Artery

Anterior Choroidal Artery

Embryology (abbreviated)

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The anterior choroidal artery is almost as old as hills. Phylogenetically, its homologs (recorded under various confusingnames in archaicdissections of “lower” species)are already well developed in fishes and continue into amphibians and mammals. In these species, it supplies the ever enlarging posterior hemispheres, in effect vascularising the territory of the posterior cerebral artery in the human. This is because the posterior circulation does not begin to supply “supratentorial brain” until late in evolution when growing volume of the brain places increasing demand on additional vascular supply sources. As the posterior cerebral artery is annexed by the vertebrobasilar system in relatively advanced mamals, the role of the anterior choroidal artery in hemispheric suppy diminishes. Embryologically, in the human, the anterior choroidal is quite prominent at the “choroidal” stage of development (roughly 5 weeks or so) when the vertebrobasular system has not yet come to be and the carotid artery supplies almost the entire brain, including upper brainstem. As the hemispheres grow, the volume of brain supplied by the anterior choroidal diminishes in favor of the posterior cerebral artery. This expains why in some individuals the anterior choroidal artery can be quite prominent, in which cases it captures cortical territory of the PCA, usually involving temporal lobe regons.This has led to numerouserroneous reports of “duplicated PCA” based on apperanec oftwo large vessels coming off the terminal ICA in the lateral angiographic projection.However, even in its “normal” relatively small state, the anterior choroidal enjoys importance far out of proportion to its size.

Cross-sectional Imaging

The A. Chor. ostium is usually seen on 1.5T MRA, but the rest of the vessel is seldomvisualized unless significant pathology exists to enlarge it. In contrast, bothcisternal and choroidal portionsof normal-size anterior choroidal arteries are nearly always on 3T MRA. All of these studies have to be of high quality.

3-Tesla MRA of normal anterior choroidal arteries (red)

1) Ostium of the A Choroidalartery lateral and distal to the PCOM (blue)

2) Cisteral portion of the A Chor

3) Lateral course in the perimesencephalic cistern at level of PCOM / PCA confluence. Even medial choroidal artery (orange) can be seen on a 3-T

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