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You are working in a cardiology unit today.You cannot leave until you triage all these patients...Follow the attending and triage the patients that you are tasked with managing

Explore the room using the cursor to identify any patients that need triaging. Make note of the question number and the answer choice. Take the order of the answer choices and use it as the code to finish out your day!

Question 1: A 43 year old male with a past medical history significant for migraine headaches and sciatica presents to the clinic with complaints of persistent headaches. About a month ago, he was in the clinic for an annual follow-up for which he also had complaints of headache as well. At that time, the only notable sign or symptom was that his blood pressure was 162/78 mmHg. He occasionally takes ibuprofen for his headaches and uses cyclobenzaprine, a muscle relaxer, for his sciatica. Today, his blood pressure is 157/79 mmHg. It is decided to start him on a calcium channel blocker. Which of the following is a calcium channel blocker?

  1. minoxidil
  2. metoprolol
  3. clonidine
  4. amlodipine

Question 2: A 68 year old female presented with nausea, vomiting, chest pain, and back pain. It is found that she has a STEMI. She is taken to the cath lab for stent placement. She does not take any other medications at home. The cardiologist would like to start clopidogrel. Which of the following is a mechanism of action of clopidogrel?

  1. Glycoprotein IIb/IIIa inhibition
  2. P2Y12 inhibition
  3. COX-1 and COX-2 inhibition
  4. Phosphodiesterase III inhibition

Question 3: A 75 year old male with a past medical history of hypertension, benign prostatic hyperplasia, tinnitus, peripheral artery disease, and glaucoma currently takes tamsulosin, lisinopril, aspirin, and latanoprost. He describes experiencing a dry hacking cough that is unrelieved by hydration or cough suppressants. There are no signs or symptoms of infection. Which of the following is the mechanism of action for causing the cough?

  1. Direct irritation of the lung tissue
  2. Increase in bradykinin that causes bronchial irritation
  3. Hypersensitivity reaction
  4. Increases risk for respiratory infection

Question 4: An 89 year old male with past medical history significant for stroke, STEMI, diabetes, pulmonary embolism, peripheral vascular disease, hypertension, hyperlipidemia, diabetes, osteoarthritis, and chronic kidney disease. He currently takes aspirin, ticagrelor, metoprolol, losartan, amlodipine, rosuvastatin, insulin, acetaminophen, and sodium bicarbonate. He presents with chest tightness and shortness of breath. EKG shows atrial fibrillation. He has a history of heparin induced thrombocytopenia in the last few months. Which of the following is not an option for anticoagulation for his atrial fibrillation?

  1. enoxaparin
  2. apixaban
  3. fondaparinux
  4. warfarin

Question 5: A 99 year old female with past medical history significant for hypertension, hypothyroidism, irritable bowel syndrome, migraines, and seizures. She currently takes hydrochlorothiazide, levothyroxine, dicyclomine, sumatriptan, and topiramate. She presents with complaints of fluttering in her chest that has caused her to feel dizzy and short of breath. The patient is noted to have new hypothyroidism, pulmonary fibrosis, elevated liver function tests, optic neuritis, and skin discoloration. Which of the following is the likely antiarrhythmic that was started for this patient?

  1. sotalol
  2. flecainide
  3. lidocaine
  4. amiodarone