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NEW QUESTION: 1
A 55-year-old woman presented complaining of difficulty losing weight.
On examination, her blood pressure was 170/105 mmHg and urinalysis showed protein 1+.
An ultrasound scan of abdomen revealed a 4.5-cm solid lesion in the right adrenal gland. She was treated with ramipril and further endocrine evaluation was performed.
Investigations:
serum potassium3.6 mmol/L (3.5-4.9)
serum creatinine135 umol/L (60-110)
plasma renin activity:
(after 30 min supine)3.9 pmol/mL/h (1.1-2.7)
(after 30 min upright)6.8 pmol/mL/h (3.0-4.3)
plasma aldosterone:
(after 30 min supine)150 pmol/L (135-400)
(after 4 h upright)350 pmol/L (330-830)
serum cortisol (09.00 h)650 nmol/L (200-700)
serum cortisol (22.00 h)225 nmol/L (50-250)
24-h urinary free cortisol230 nmol (55-250)
24-h urinary dopamine3200 nmol (<3100)
24-h urinary adrenaline120 nmol (<144)
24-h urinary noradrenaline450 nmol (<570)
What is the most appropriate initial management of the adrenal lesion?
A. ?-adrenoceptor blockade
B. angiotensin-2 receptor blockade
C. medical observation with annual ultrasonography
D. surgical excision
E. mineralocorticoid receptor blockade
Answer: D

NEW QUESTION: 2
When you configure IPSec VPN High Availability Enhancements, which technology does Cisco recommend that you enable to make convergence faster?
A. IP SLAs
B. IPSec SA Idle Lifetime
C. ESPv3
D. periodic IKE keepalives
Answer: D
Explanation:
Explanation
In case of a failover, HSRP does not facilitate IPsec state information transference between VPN routers.
This means that without this state transference, SAs to remotes will be deleted, requiring Internet Key Exchange (IKE) and IPsec SAs to be reestablished. To make IPsec failover more efficient, it is recommended that IKE keepalives be enabled on all routers.
https://www.cisco.com/c/en/us/td/docs/ios-xml/ios/sec_conn_vpnav/configuration/xe-16/sec-vpn-availabilityxe-
16-book/sec-vpn-ha-enhance.html#GUID-35928D26-346A-41D7-B973-34369132603B

NEW QUESTION: 3
次のうちどれがデータ所有者の責任について記述していますか？
A. 適切なユーザーへのアクセスを確保し、適切なレベルのデータセキュリティを維持する
B. 情報が組織の使命に及ぼす影響の判断
C. 継続的なデータ整合性を定期的に監査することにより、品質と検証を保証する
D. 基本的なデータ可用性の維持（データの保存とアーカイブを含む）
Answer: A