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NEW QUESTION: 1
Which of the following factors is a primary consideration when contracting with a supplier?
A. Order cost
B. Quantity discounts
C. Inventory levels
D. Product quality
Answer: D
NEW QUESTION: 2
An Installer is implementing a Modular Messaging system with a Message Storage Server (MSS) placing the servers in a private Windows domain. What must the installer do to ensure the Modular Messaging Fax Sender server is functional?
A. Run the Fax Sender service as a domain administrator.
B. Create a Fax Sender account in Active Directory.
C. Establish a one-way trust to the customer Windows domain.
D. Run the dcpromo command on the Windows Domain Controller.
Answer: C
NEW QUESTION: 3
In the Frame Relay encapsulation on the interface to enable dynamic Address Resolution Protocol Reverse the order is ().
A. reverse-arp
B. frame-relay inarp
C. frame-realy reverse-arp
D. inverse-arp
Answer: B
NEW QUESTION: 4
A 58-year-old man was referred to the endocrine clinic after a CT scan of abdomen had shown a 4.5-cm left adrenal mass, with a Hounsfield unit measurement of 11 (consistent with high lipid content). He had a 10-year history of type 2 diabetes mellitus and was taking metformin. He was also taking atenolol for hypertension.
On examination at the clinic, his blood pressure was 162/94 mmHg. He was centrally obese with a body mass index of 27 kg/m2 (18-25).
Investigations:
serum potassium3.9 mmol/L (3.5-4.9)
plasma renin activity (after 30 min upright)1.0 pmol/mL/h (3.0-4.3)
plasma aldosterone (after 4 h upright)680 pmol/L (330-830)
overnight dexamethasone suppression test (after 1 mg dexamethasone):
serum cortisol164 nmol/L (<50)
24-h urinary free cortisol132 nmol (55-250)
24-h urinary catecholamines
(adrenaline and noradrenaline)normal
As the lesion was >4 cm in diameter, laparoscopic adrenalectomy was recommended.
What is the most appropriate advice to give to the surgical team about perioperative
management?
A. no special precautions are required
B. give preoperative ?-adrenergic receptor blockade in case the lesion is an occult phaeochromocytoma
C. short tetracosactide (Synacthen@) test 48 h postoperatively
D. measure cortisol and aldosterone 2 weeks postoperatively
E. give corticosteroid cover during and after surgery and reassess postoperatively
Answer: E
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