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NEW QUESTION: 1
The agreement between the members of a syndicate and the manager is known as the:
A. selling agreement
B. standby agreement
C. agreement among underwriters
D. underwriting agreement
Answer: C
Explanation:
agreement among underwriters. This agreement authorizes the manager to handle the
offering. The final contract between the manager and the issuer is the "underwriting agreement".
NEW QUESTION: 2
Your patient is a 43-year-old male who is experiencing post-operative voiding difficulty after an elective inguinal hernia repair. His post void residual volume was 280 cc.
Which of the following medications is the most appropriate choice of therapy for this patient?
A. Imipramine
B. Oxybutynin
C. Finasteride
D. Phenylephrine
E. Bethanechol
Answer: E
Explanation:
Explanation
The patient is experiencing a common complication of low abdominal surgery. Post-operative urinary retention occurs in almost 25% of patients after low abdominal surgical procedures. A normal post-void residual volume is less than 50 cc or urine. The effects of anesthesia and analgesia both contribute to bladder distension, decreased micturition reflex, reduction of contractility of the detrusor muscle of the bladder, and incomplete voiding. The detrusor muscle of the bladder is stimulated to contract by muscarinic cholinergic agonists. Bethanechol is a muscarinic agonist and is frequently used in this setting to improve bladder emptying. Finasteride is a drug that is a 5 alpha reductase inhibitor indicated for use in patients with bladder outlet obstruction as a result of prostatic hypertrophy. The inhibition of 5 alpha reductase decreases local conversion of testosterone to dihydrotestosterone in the prostate gland, which results in gradual shrinkage over a period of six to twelve months. Phenylephrine is an alpha-adrenergic agonist that is selective for alpha-1 receptors. Activation of the alpha 1 receptors in the bladder results in contraction of the trigone muscle and sphincter.
This promotes urinary retention. Oxybutynin is an antimuscarinic agent that is useful for treatment of urge incontinence, and would have a detrimental effect on this patient's bladder disorder. Imipramine is a medication with anticholinergic properties that would also cause worsening of the patient's condition. Take home message: Post-operative urinary retention with concomitant incomplete voiding is a complication that results from a decreased micturition reflex, increased vesical sphincter tone, or decreased contractility of the detrusor muscle of the bladder. It can be successfully treated with a muscarinic agonist, such as bethanechol, or with an alpha-1 adrenergic antagonist.
NEW QUESTION: 3
Which management function involves configuring LUN masking to restrict hosts from accessing a specific LUN in a data center environment?
A. Configuration Management
B. Performance Management
C. Security Management
D. Change Management
Answer: C
NEW QUESTION: 4
You are trying to determine which licensing option would be appropriate for an IBM SPSS Statistics prospect. They have multiple users and would like to deploy into a virtual environment. Which question is important to ask?
A. What is the maximum number of records you want to deploy at one time?
B. How many people would need to use IBM SPSS Statistics software simultaneously?
C. Which business rules are important to include when scoring the results you would like to deploy virtually?
D. Will the people using IBM SPSS Statistics need to collaborate on budgeting, reporting and scorecarding?
Answer: D
Explanation:
Explanation/Reference:
Reference: http://www-01.ibm.com/support/docview.wss?uid=swg21653016
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