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A 25-year-old woman with type 1 diabetes mellitus presented with light-headedness, nausea, thirst and vomiting of 3 days' duration. She was fully conscious.
On examination, her pulse was 104 beats per minute and her blood pressure was 104/64 mmHg. Urinalysis showed glucose 2+, ketones 3+.
Investigations:
serum sodium150 mmol/L (137-144)
serum potassium5.5 mmol/L (3.5-4.9)
serum chloride105 mmol/L (95-107)
serum urea5.0 mmol/L (2.5-7.0)
serum creatinine90 umol/L (60-110)
random plasma glucose20.0 mmol/L
arterial blood gases, breathing air:
PO212.4 kPa (11.3-12.6)
PCO23.4 kPa (4.7-6.0)
pH7.15 (7.35-7.45)
H+70 nmol/L (35-45)
bicarbonate6 mmol/L (21-29)
What intravenous fluid should be given over the first 30 minutes?
A. colloid solution
B. sodium chloride 0.9%
C. sodium chloride 0.45%
D. compound sodium lactate
E. sodium chloride 0.18% and glucose 4%
Answer: B
A customer demands access to your Service Composite Architecture (SCA) application.
However keeping with the customer's company standards, the interface must be EJB 3.0.
Which solution meets the needs of the customer while requiring the least amount of time, effort, and architectural change for you?
A. Create an EJB 3.0 interface using Oracle Service Bus, which, in turn, invokes the SCA application through its native web service interface. This approach hides the web service Interface from your customer while adding the smallest amount of overhead in the process.
B. Use the Mediator component to provide an EJB 3.0 interface in addition to the existing web service interface. This approach adds the least amount of overhead to each call.
C. Create a small EJB 3.0 application that interfaces directly with your SCA application. This approach hides the web service interface from your customer while adding the smallest amount of overhead in the process
D. Explain to the customer the importance and flexibility of modem web services, and encourage the customer to learn some new skills.
Answer: A
A system is configured with U.S. English as the primary language and Spanish as a secondary language. Where is the language specified when setting up a new user profile for a Spanish speaking user?
A. This user's QLANGID environment variable
B. The Locale parameter in the user profile
C. The Language ID parameter in the user profile
D. The Country ID parameter in the user profile
Answer: A
Which two improvements do SIA-Query and SIA-Reply messages add to EIGRP? (Choose two.)
A. They help in the localization of the real failure in the network.
B. Stuck-in-active conditions are solved faster.
C. The EIGRP adjacency between two neighbors never goes down.
D. They prevent a route from going into the stuck-in-active state,
Answer: A,B
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