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Do you feel the difficulty of it?
NEW QUESTION: 1
You install the IP Address Management (IPAM) Server feature on Server1.
You need to provide a user named User1 with the ability to set the access scope of all the DHCP servers that are managed by IPAM. The solution must use the principle of least privilege.
Which user role should you assign to User1?
A. IPAM MSM Administrator Role
B. IP Address Record Administrator Role
C. IPAM DHCP Scope Administrator Role
D. IPAM Administrator Role
Answer: B
Explanation:
IPAM ASM Administrators IPAM ASM Administrators is a local security group on an IPAM server that is created when you install the IPAM feature. Members of this group have all the privileges of the IPAM Users security group, and can perform IP address space tasks in addition to IPAM common management tasks. Note: When you install IPAM Server, the following local role-based IPAM security groups are created: IPAM Users IPAM MSM Administrators IPAM ASM Administrators IPAM IP Audit Administrators IPAM Administrators
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. Bethanechol
D. Phenylephrine
E. Finasteride
Answer: C
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
Sie müssen eine indizierbare Ansicht erstellen. Sie schreiben die folgende Aussage.
Was solltest du in Zeile 02 hinzufügen?
A. mit Ansichtsmetadaten
B. mit check_option
C. mit Neukompilierung
D. mit schenabinding
Answer: D
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