A 58-year-old male is admitted to the ICU status-post successful percutaneous coronary intervention following an acute myocardial infarction. On admission his CBC showed a platelet count of 249,000 mcL. His hospital stay becomes complicated by atrial fibrillation and he ends up spending a total of 5 days inpatient. He is about to be discharged when his primary team notices his platelet count has dropped to 98,000 mcL. They calculate a 4T score to estimate the likelihood that he has developed heparin induced thrombocytopenia (HIT) as a result of heparin exposure during his cardiac catheterization. Which of the following is NOT one of the Ts in the 4T score?

A 65-year-old male with a history of HTN and peptic ulcer disease presents to the clinic with ongoing complaints of severe fatigue, palpitations, and shortness of breath that he first noticed several weeks ago. On exam he is tachycardic with a HR of 117 BPM and a systolic flow murmur is appreciated on auscultation. Blood work is completed, and his peripheral blood smear is shown below. Iron deficiency anemia.pngRBCs were described as microcytic and hypochromic. Based on the diagnosis, which of the following represents appropriate treatment for this patient?

A 74-year-old female with a history of HTN, DM II, PAD, HFrEF (EF 20%) with right ventricular failure, dementia, and a chronic sacral wound who is bedbound at baseline who was admitted to the hospital for septic shock secondary to skin and soft tissue infection with purulent drainage from her sacral wound. Her vital signs showed a temp of 101, HR 114, RR 18, BP 76/52 mmHg, and O2 sat of 95% on RA. Her labs showed a WBC of 19.5, Hgb of 9.5, and platelet count of 59. Which of the following is the MOST common cause of thrombocytopenia is critically ill patients cared for in the intensive care unit? 

A 60-year-old male with a history of stage III node-positive colon cancer s/p colonic resection is currently undergoing adjuvant chemotherapy. A CBC is obtained a reveals a WBC count of 2200 cells/μL with an absolute neutrophil count of 450 cells/μL. What category of neutropenia would this patient fall into?

 Which of the following is most correct concerning treatment of hypertension associated with aortic dissection?

An 80-year-old man presented to the ED with chest pain. He had a transient ischemic attack (TIA) 1 year ago, and 6 months ago he was treated for upper gastrointestinal bleeding owing to gastritis. Coronary angiography showed a 90% stenosis of the left anterior descending coronary artery that was treated with a drug-eluting stent. Which of the following medication orders is most appropriate for this patient?

Which of the following is the most common cellular mechanism for the development of ventricular tachycardia in patients with ischemic heart disease?

A 75-year-old man with a history of a coronary artery stent and exertional angina has been admitted to the intensive care unit (ICU) after undergoing an open surgical repair of an abdominal aortic aneurysm. His aspirin and clopidogrel were discontinued 10 days before surgery. On the second postoperative day he complains of chest pain, his serum troponin is elevated, and the following ECG is obtained: ECG5.jpg Which of the following management strategies is most appropriate?

What would happen if I did not complete 6 SONA credits by the end of this semester? 

The patient is treated for complaints of shortness of breath, with a chest x-ray resulting in the diagnosis of pneumonia for which an antibiotic is prescribed. Assign ICD-10-CM code(s) for __________.