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NEW QUESTION: 1
A ProLiant Gen8 server with several controllers and SSD drives has had multiple drive failure in the past
week. You view the overall status in the SmartSSD Wear Gauge Summary to determine whether more
failures might occur.
Which filter should you apply to evaluate which drives have problems?
A. Wear
B. SmartSSD
C. Hide OK
D. Days left
Answer: C
NEW QUESTION: 2
When a tunnel is initiated by the headquarter ASA, which one of the following Diffie-Hellman groups is selected by the headquarter ASA during CREATE_CHILD_SA exchange?
A. 0
B. 1
C. 2
D. 3
E. 4
Answer: A
Explanation:
Explanation
Traffic initiated by the HQ ASA is assigned to the static outside crypto map, which shown below to use DH group 5.
NEW QUESTION: 3
You have an Exchange Server 2013 organization.
An Active Directory administrator is concerned about the permissions assigned to a group named Exchange Trusted Subsystem. Exchange Trusted Subsystem has a member named Exchange Windows Permissions.
You need to show the Active Directory administrator all of the permissions assigned to
Exchange Trusted Subsystem.
What should you use?
A. Dsget
B. Active Directory Sites and Services
C. Active Directory Users and Computers
D. ADSI Edit
Answer: C
NEW QUESTION: 4
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. Bethanechol
B. Oxybutynin
C. Finasteride
D. Imipramine
E. Phenylephrine
Answer: A
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.
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