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NEW QUESTION: 1
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. short tetracosactide (Synacthen@) test 48 h postoperatively
B. measure cortisol and aldosterone 2 weeks postoperatively
C. no special precautions are required
D. give corticosteroid cover during and after surgery and reassess postoperatively
E. give preoperative ?-adrenergic receptor blockade in case the lesion is an occult phaeochromocytoma
Answer: D

NEW QUESTION: 2
It is determined that the Migration Assistant will be used to migrate from vCenter Server 5.5 on Windows with an external instance of Update Manager to a vCenter Server Appliance 6.5.
Which option is correct in regard to migrating Update Manager?
A. The Migration Assistant must be run on vCenter Server first and then on the Update Manager server.
B. The Migration Assistant must be run on the Update Manager server first and then on vCenter Server.
C. The Migration Assistant can only migrate local instances of Update Manager to the vCenter Server Appliance 6.5.
D. Migrating Update Manager from legacy versions of vCenter Server to a vCenter Server Appliance 6.5 is not supported.
Answer: B

NEW QUESTION: 3
When you connect Oracle Analytics Cloud to the Autonomous Data Warehouse, what file needs to be uploaded?
A. CWALLET.SSO
B. OJDBC.PROPERTIES
C. SQLNET.ORA
D. TNSNAMES.ORA
Answer: A
Explanation:
Upload the cwallet.sso file to Oracle Analytics Cloud.
https://docs.oracle.com/en/cloud/paas/analytics-cloud/acsom/administer-services-analytics-cloud.html#GUID-8DA9679F-47ED-4DCA-9AD6-51012FF79F1C