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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. measure cortisol and aldosterone 2 weeks postoperatively
B. no special precautions are required
C. short tetracosactide (Synacthen@) test 48 h postoperatively
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
Which two statements about VXLAN are true? {Choose two.)
A. VXLAN uses a UDP destination port of 4987.
B. A VTEP is a virtual or physical device that maps end devices to VXLAN segments.
C. Devices that terminate VXLAN tunnels are known as VTEPs.
D. VXLAN adds an additional 32 bytes worth of headers.
Answer: B,C

NEW QUESTION: 3
What is the essence of the principle Full Lifecycle Protection?
A. Ensuring that whatever business practice or technology is involved, processing is done according to the stated objectives, subject to independent verification
B. Embedding security measures to protect the data horn the moment it is collected throughout processing until M is destroyed at the end of the process
C. Delivering the maximum degree of data protection by default, ensuring that personal data are automatically protected in any given IT system or business practice.
D. Prioritizing the protection of the interests of the individual by offering for example strong privacy defaults, appropriate notice or user-friendly options.
Answer: C