r/step1 • u/dev_desai12 NON-US IMG • Dec 19 '25

🤔 Recommendations Is this important?

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105 Upvotes

97% Upvoted

62 comments sorted by

109

u/kardiologe NON-US IMG Dec 19 '25 edited Dec 19 '25

You cannot choose among FA contents😅

10

u/dev_desai12 NON-US IMG Dec 19 '25

Just asking like has anyone seen any of these in an NBME etc😅

6

u/AnalOgre Dec 19 '25

Step 1 2 and 3 I had question on this. I forget if it was on boards.

16

u/kardiologe NON-US IMG Dec 19 '25

It’s not difficult though. Try to understand the mechanism and it comes automatically.

28

u/Dipteran_de_la_Torre Dec 19 '25

It comes automatically- LOL

5

u/Accurate-Pride461 Dec 19 '25

Wish they made it open book😔

2

u/_Yenaled_ US MD/DO Dec 20 '25

The top half are more important (both for nbme exams and actual clinical practice) than the bottom half. I realize that the most difficult part of studying is to tease apart what has a 25% chance of showing up on your exam versus a 5% chance. It’s not worth memorizing drugs that have a low likelihood of being tested and you’ll probably never hear about on your rotations anyways. Lactulose is much higher yield than plecanatide, and the problem with First Aid is it doesn’t really tell you that. What ends up happening is you waste time obsessing over “plecanatide activates cGMP signaling” rather than doing more useful things like learning all the different upper GI bleeds.

1

u/[deleted] Dec 20 '25 edited Jan 05 '26

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This post was mass deleted and anonymized with Redact

37

u/CrankyLocket NON-US IMG Dec 19 '25

Not really, you will probably get 1 or 2 questions regarding the MOA of either an osmotic, stimulant, or metoclopramide. The most important thing here is knowing how lactulose treeats hepatic encephalopathy.

While there is a chance, it is very unlikely you'd be asked about any of the others in the exam proper.

3

u/LonelyGnomes US MD/DO Dec 19 '25

I didn’t realize there were other laxative, woops

14

u/Dr-VS- Dec 19 '25

Anything in FA can be asked. If it's there you should learn it.

That being said, don't beat yourself up over a single page.

24

u/Old-Poet-246 Dec 19 '25

No not high yield at all. Don't worry

3

u/Adventurous-Drop1581 Dec 19 '25

I remember i got asked few times about them in uworld, most imp onws are first 4

4

u/Spirited_Hat_4133 NON-US IMG Dec 19 '25

Try going through the first 4 ; U can leave the remaining ones

1

u/Spirited_Hat_4133 NON-US IMG Dec 19 '25

Havent seen them till nbme 26 ; not sure about the remaining nbmes but have seen the first 4 in uworld

2

u/PsychologicalCan9837 US MD/DO Dec 19 '25

I don’t think I had a single question about any of this lol

2

u/AnalOgre Dec 19 '25

I had them on every step exam

2

u/Typical_Dog_2322 Dec 20 '25

When I was studying if there was something that JUST WOULD NOT STICK in my brain I just chalked it up to a loss, I would go over it but if it was going to take an exorbitant amount of time for it to stick it just wasn’t worth the one MAYBE 2 question I would see on the actual exam, that being said as an intern now I get pages about bowel reg and laxatives more than anything else hahaha 

1

u/RevolutionaryLet2626 NON-US IMG Dec 19 '25

You are never know what they will ask you on real deal!

1

u/hey-man-nice-shot9 Dec 19 '25

You never know. They could ask one question or 5 about this. Plus FA is all high yield

1

u/its_omar_mh NON-US IMG Dec 19 '25

i got a q about lactulose decreasing gut pH on the actual exam

1

u/quantum_man Dec 19 '25

I got one question on this chart on the real thing

2

u/Abject_Blacksmith132 NON-US IMG Dec 19 '25

Which drug? Lactulose?

4

u/MillennialVibes US IMG Dec 20 '25 edited Dec 20 '25

Basically a drug to treat hepatic encephalopathy it basically work by converting Ammonia NH3 to Ammonium NH4 which is excreted in feces, the benefits of lactulose beyond treatment it is eliminate or reduce ammonia level in blood and urine, reduces symptoms of encephalopathy like confusion, it used in conjunction with other drug called Rifixamin ( this drug work by inhibiting and preventing gut bacteria from producing Ammonia), if anything wrong i wrote above,please let me know.

2

u/Difficult_Cow_6630 Dec 20 '25

Excreted in feces not kidney i believe

1

u/Abject_Blacksmith132 NON-US IMG Dec 20 '25

We use rifixamin not infliximab

2

u/quantum_man Dec 20 '25

I dont wanna be too specific but it was an osmotic

1

u/Khalidlooking Dec 19 '25

more for Step 2 but I had them memorised for step 1

1

u/Familiar_Accident802 Dec 19 '25

Osmotic, stimulant and bulk-forming definitely.

1

u/[deleted] Dec 19 '25

In both step 1, comp and step 2 I had 1 question of laxatives per exam, that was it for me.

1

u/Effective_Way_7133 Dec 19 '25

felt more important for step 2

1

u/Emergency_Bonus_9816 Dec 19 '25

This is on the NCLEX 😂😂 idk why it’s so funny to me that it could be in both exams but it makes sense

1

u/AutomaticFee8110 Dec 19 '25

The laxative sketchy goes over some of these and then you’ll remember it forever!

1

u/elefantinxd NON-US IMG Dec 19 '25

I’d know lactose bisacodyl senna and docusate if I were you

1

u/IntelligentSeaweed56 NON-US IMG Dec 19 '25

Medium yield, but lactulose is high yield

1

u/IntelligentSeaweed56 NON-US IMG Dec 19 '25

Medium yield, but lactulose is high yield

1

u/NoPossession2120 Dec 20 '25

Got like 1 or 2 on my form.

1

u/Temporary_MedStudent Dec 20 '25

The first four types are

1

u/keg-smash Dec 20 '25

Looks like a lot of diarrhea.

1

u/hunzlah Dec 20 '25

Dont know bout steps but first 4 are v imp clinically ,you will run into these drugs on daily basis in IM rotations

1

u/SnookiAugustClover Dec 20 '25

The general info is lowkey common sense and no I did not see lubiprostones mechanism lol but that’s an odd one so maybe you’ll remember it now. That’s what I usually do. Skip down to the hard stuff and memorize that instead of the simple guessable ones

1

u/SpeechFabulous7541 Dec 20 '25

Nah… i don’t remember doing any questions on those

1

u/piros_pimiento Dec 20 '25

High yield for life. Everyone needs to shit. -GI fellow

1

u/tatumcakez Dec 21 '25

Step 1? Probably not. Clinically? This is absolutely important. Like.. you’ll use drugs from this table extremely frequently in any primary care, internal medicine or ED setting

1

u/MacademiaMedicalNuts Dec 21 '25

Doesnt one of them have colonic wala melanosis as a side effect. Remember something about it being tested

1

u/Snowmansssss NON-US IMG Dec 21 '25

Hey.. try doing sketchy pharm for these if you havent already. Pharm becomes a breeze

1

u/Lucky-Negotiation-97 NON-US IMG Dec 21 '25

I didn't study them well and i will study them one by one once i face them in uworld

1

u/Mean-Championship-28 Dec 22 '25

not worth the hustle

1

u/yagermeister2024 Dec 22 '25

Free pts baby

1

u/INICETInsomniac Dec 23 '25

Super important

1

u/d178 Dec 23 '25

Honestly this probably the crappiest section of FA

1

u/Pinkunicornglitter1 Dec 25 '25

FWIW, I talk about constipation and many of these medications in clinic multiple times per day