Welcome to episode 58 of the Divine Intervention podcast.

In today's podcast, we're going to be continuing the series on the Step 1, 3,120.

I really want to try to get done with this series because there is a bunch of other kind of important topics I want to discuss.

But again, I want to try to finish this.

So try to manage my time as best as I can.

So question 51 so he's part

six a 37 year old man comes to the office because of a three-week history of itchy patches of

skin and a burning sensation in his feet he works as a dishwasher and says he frequently works in

wet shoes and socks vital signs are within normal. Physical examination shows the findings in the photograph.

These findings are also present on the soles of both feet.

The most appropriate pharmacotherapy for this patient will inhibit the activity of which of the following enzymes.

So if we look at this image, right, we see, you know, this person has things in between his toes and he has risk factors, right?

You know, wet socks, wet environments.

Pseudomonas loves those environments, but also fungi love those environments.

So this person probably has what we call like athletes' foot.

You know, they'll probably use the term tiniapidus on your exams.

And tiniapidus, you want to manage you with an antifungal, an appropriate antifungal.

So basically, we want to see, and I talked about antifungals at the tail end of the last

podcast, just as a preview of coming attractions.

So option E says inhibiting chitin synthase.

I don't know of any antifungal that is tested, that does that.

Option B talks about one three-beterd-de-glucanthase complex. So that's inhibited by echinocandins.

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