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NEW QUESTION: 1
A middle-aged woman came to the emergency department with worsening dyspnea, pressure in head and increased respiratory rate. She was known to have pulmonary edema secondary to heart failure. On examination, there was tachycardia, tachypnea, and hypertension. ABGs were carried out which showed pH < 7.35, paCO2>42 mm of HG, and H2CO3 was also high. What is the likely diagnosis?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
Answer: C
Explanation:
Explanation: The most likely diagnosis in the patient with pulmonary edema presenting with increased respiratory rates is respiratory acidosis because ph < 7.35, paCO2 >42 mm of Hg and H2CO3 is also high.
These, along with her symptoms of worsening dyspnea and pressure in the head are all indicators of respiratory acidosis.
NEW QUESTION: 2
Which two of the following authentication methods used for WiFi security require the use of certificates?
(Choose two.)
A. WPA2
B. EAP-TLS
C. WPA1
D. EAP-MD5
E. PEAP
F. EAP-FAST
Answer: B,E
Explanation:
Explanation/Reference:
Explanation:
When you use EAP with a strong EAP type, such as TLS with smart cards or TLS with certificates, both the client and the server use certificates to verify their identities to each other. Certificates must meet specific requirements both on the server and on the client for successful authentication.
https://support.microsoft.com/en-us/kb/814394
NEW QUESTION: 3
You notice that there is a very high percentage of wait time for the 'enq:HW-contention' event in your RAC database that has frequent insert operations.
Which two recommendations may reduce this problem?
A. automatic segment space management
B. uniform and large extent sizes
C. smaller extent sizes
D. increasing sequence cache sizes
E. shorter transactions
F. using reverse key indexes
Answer: A,B
Explanation:
Segments have High Water Mark (HWM) indicating that blocks below that HWM have been formatted. New tables or truncated tables [that is truncated without reuse storage clause], have HWM value set to segment header block. Meaning, there are zero blocks below HWM. As new rows inserted or existing rows updated (increasing row length), more blocks are added to the free lists and HWM bumped up to reflect these new blocks. HW enqueues are acquired in Exclusive mode before updating HWM and essentially HW enqueues operate as a serializing mechanism for HWM updates. Allocating additional extent with instance keyword seems to help in non-ASSM tablespace Serialization of data blocks in the buffer cache due to lack of free lists, free list groups, transaction slots (INITRANS), or shortage of rollback segments. This is particularly common on INSERT-heavy applications, in applications that have raised the block size above 8K, or in applications with large numbers of active users and few rollback segments. Use automatic segment-space management (ASSM) and automatic undo management to solve this problem. HW enqueue The HW enqueue is used to serialize the allocation of space beyond the high water mark of a segment. If this is a point of contention for an object, then manual allocation of extents solves the problem.