Which of the following is the correct definition of photosynthesis?

A 19-year-old male with a history of sickle cell disease presents to the ED with complaints of severe shortness of breath and chest pain that began approximately 2 hours ago. His vital signs show a temp of 102.6, HR 138, RR 30, BP 142/90 mmHg, and 90% on RA. CXR is completed and shows bilateral opacities with left lower lobe atelectasis. What criteria needs to be present to diagnose this patient with acute chest syndrome?

A 68-year-old male with a history of acute myeloid leukemia is admitted to the ICU with complaints of shortness of breath and acute hypoxic respiratory failure requiring continuous BiPAP. His vital signs show a temperature of 101.6, a HR of 104, a RR of 29, A BP of 134/78 mmHg, and an O2 saturation of 86% on 2L NC for which he was changed to BiPAP. CXR shows evidence of diffuse alveolar infiltrates bilaterally. His CBC reveals a WBC count of 103000/mcL. Shortly after being admitted to the ICU on continuous BiPAP the pt develops altered mental status and has to be restrained for trying to remove his BiPAP mask. A diagnosis of leukostasis is empirically made. Which of the following would NOT be an appropriate therapy for this patient?

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 59-year-old male presents to the ED with complaints of altered mental status and bruising. On exam he is noted to be delirious, hypertensive with a BP of 188/104 mmHg, and multiple areas of large bruising are noted bilaterally on his legs. Labs reveal a new AKI with a creatinine of 2.9 mg/dL, new anemia with a Hgb of 7.4 g/dL, and severe thrombocytopenia with a platelet count of 22,000 mcL. Several other laboratory tests are sent off as a part of his work-up including an ADAMTS13. Which of the following are possible clinical manifestations of thrombotic thrombocytopenic purpura (TTP)?

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? 

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?

In patients with severe, chronic systolic heart failure who are being considered for durable mechanical support with a left ventricular assist device (LVAD), which of the following would be considered a contraindication to device implant?

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 __________.