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NEW QUESTION: 1
A 33-year-old woman, who was 9 weeks into her first pregnancy, was admitted with prolonged vomiting and secondary dehydration. She had lost 6 kg in weight since becoming pregnant. There was a strong family history of thyroid disease: two sisters were hypothyroid and one brother had required radioactive iodine for Graves' disease.
On examination, she had a smooth, small goitre. Her pulse was 94 beats per minute and her blood pressure was 104/42 mmHg. There was a tremor of the outstretched hands. Urinalysis was normal.
Investigations:
serum sodium143 mmol/L (137-144) serum potassium4.4 mmol/L (3.5-4.9)
serum creatinine105 umol/L (60-110)
serum thyroid-stimulating hormone (TSH)<0.01 mU/L (0.4-5.0)
serum free T424.0 pmol/L (10.0-22.0)
serum free T311.0 pmol/L (3.0-7.0)
A TSH receptor antibody concentration was awaited.
In addition to rehydration, what is the most appropriate next step in the management of her abnormal thyroid function?
A. propranolol
B. labetalol
C. carbimazole
D. propylthiouracil
E. observation
Answer: E
NEW QUESTION: 2
Oracle Spatial expects the ring of a polygon boundary to be oriented ______.
A. grid north
B. clockwise
C. true north
D. counterclockwise
E. low to high elevation
Answer: D
Explanation:
Explanation/Reference:
Oracle Spatial expects the ring of the polygon boundary to be oriented counterclockwise.
References: Pro Oracle Spatial for Oracle Database 11g (3 Jan 2012), page 664
NEW QUESTION: 3
When you create an index within Cascade Pilot for a trace filE. (Select 2)
A. The trace file icon changes to a lightning bolt to indicate that it is indexed.
B. The operation can take a few minutes.
C. You cannot apply Views that do not support indexing.
D. The index will be removed when Cascade Pilot is closed.
Answer: A,B
NEW QUESTION: 4
Refer to the exhibit.
The HQ site uses area code 650. The BR1 site uses area code 408. The long distance national code for PSTN dialing is 1. To make a long distance national call, an HQ or BR1 user dials access code 9, followed by 1, and then the 10-digit number. Both sites use MGCP gateways. AAR must use globalized call routing using a single route pattern. Assume that all outgoing PSTN numbers are localized at the egress gateway as shown in the exhibit.
What should the AAR group prefix be?
A. 0
B. none
C. 1
D. +1
E. +
Answer: B