(Medicine (Baltimore))—A 58-year-old man with a history of kidney transplant presented with recurrent syncope; ECG showed tachycardia and anterolateral myocardial ischemia. Admission labs: Hgb 9.9 g/dL; creatinine 2.1 mg/dL; CrCl 40.48 mL/min; troponin I 1.2 ng/mL; CK-MB 120 ng/mL; WBC and BNP within normal range. Dx: ACS. Coronary angiography revealed total occlusion in proximal left anterior descending (LAD) and intimal flap in proximal left circumflex (LCX), with collateral vessels from LCX connecting to LAD distal to the occlusion. PCI was performed and a stent placed in proximal LCX, covering the ruptured plaque, with an unsuccessful attempt to open the occlusion in LAD. Repeat angiogram showed no signs of vessel dissection, perforation, or thrombus formation. Low-dose aspirin, ticagrelor, atorvastatin, and olmesartan were started for secondary prevention. Gum bleeding and bloody stool appeared 8 days later, accompanied by a sudden drop in blood pressure. Olmesartan was d/c and IV pantoprazole given to stop life-threatening GI bleeding.
Preadmission meds: cyclosporine, mycophenolate mofetil. Meds started during admission: atorvastatin, low-dose aspirin, olmesartan, ticagrelor.
Which drug combo could have caused the GI bleed?
Preadmission meds: cyclosporine, mycophenolate mofetil. Meds started during admission: atorvastatin, low-dose aspirin, olmesartan, ticagrelor.
Which drug combo could have caused the GI bleed?

cyclosporine and ticagrelor
|
aspirin and mycophenolate
|
cyclosporine and olmesartan
|
atorvastatin and ticagrelor
|
What percentage of adults receive a type 1 diabetes diagnosis after the age of 30?

37%
|
17%
|
7%
|
27%
|
Can you identify this pill?

levofloxacin
|
abacavir
|
imatinib
|
fenofibrate
|