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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

Question 1: A 63 year old female presents for follow up at a heart failure clinic. Her past medical history is significant for heart failure with reduced ejection fraction, asthma, headaches, trigeminal neuralgia, and peripheral neuropathy. She currently takes carvedilol, losartan, furosemide, divalproex, amitriptyline, empagliflozin, eplerenone, and pregabalin. In her labs, her creatinine has increased to 2.7mg/dl, potassium is 5.6 meq/ml, magnesium is 1.6mg/dl. She also mentions that her blood pressure has been low. What is the mechanism of action of the medication most likely responsible for her lab results?

  1. Sodium-chloride cotransporter inhibitor
  2. Sodium-potassium pump inhibitor
  3. Sodium-potassium-chloride pump inhibitor
  4. Carbonic anhydride inhibitor

Question 2: A 60 year old female has a history of stroke, diabetes, and hyperlipidemia. The patient currently takes clopidogrel, metformin, empagliflozin, and atorvastatin. Despite taking these medications for a year, the LDL is still not at goal. The doctor would like to start Zetia. Which of the following is the mechanism of action of ezetimibe (Zetia)?

  1. Bile acid sequestrant
  2. HMG-CoA reductase inhibitor
  3. PPAR-alpha inhibitor
  4. Inhibition of cholesterol absorption

Question 3: 23 year old female presents for a prenatal check up. She is 7 weeks pregnant. It is found that her blood pressure is above goal. Which of the following is not an appropriate option to manage blood pressure in pregnancy?

  1. valsartan
  2. methyldopa
  3. nifedipine
  4. hydralazine

Question 4: A 47 year old male presents with past medical history significant for alcohol use disorder, opioid use disorder, hypertension, schizophrenia, anxiety, and depression. His current medications include acamprosate, buprenorphine, hydrochlorothiazide, aripiprazole, hydroxyzine, and duloxetine. He has been stable otherwise except he tells you that recently he started a cholesterol medication that is causing significant myalgias. What is the likely class of medication and what is an example in its class?

  1. statin, pravastatin
  2. fibrate, gemfibrozil
  3. bile acid sequestrant, cholestyramine
  4. PCSK9 inhibitor, evolucumab

Question 5: A 77 year old female presents with complaints of shortness of breath and palpitations. She describes that this has been ongoing for the past day. She feels light headed and dizzy. Her past medical history is significant for hypothyroidism, heart failure with reduced ejection fraction, and chronic kidney disease. Her current medications are benazepril, empagliflozin, levothyroxine, torsemide, and atenolol. Her EKG demonstrates atrial fibrillation. And the new ECHO now shows reduced ejection fraction. Which of the following medications should not be used for atrial fibrillation?

  1. amiodarone
  2. digoxin
  3. metoprolol
  4. diltiazem

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!