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NEW QUESTION: 1
When the minimum CDD standards of the home and host countries differ, the offices in the host countries should follow which requirements?
A. The CDD standards required by the home country
B. The higher standard of the two
C. The minimum required
D. Local rules and regulations
Answer: B
NEW QUESTION: 2
A 58-year-old man was referred to the endocrine clinic after a CT scan of abdomen had shown a 4.5-cm left adrenal mass, with a Hounsfield unit measurement of 11 (consistent with high lipid content). He had a 10-year history of type 2 diabetes mellitus and was taking metformin. He was also taking atenolol for hypertension.
On examination at the clinic, his blood pressure was 162/94 mmHg. He was centrally obese with a body mass index of 27 kg/m2 (18-25).
Investigations:
serum potassium3.9 mmol/L (3.5-4.9)
plasma renin activity (after 30 min upright)1.0 pmol/mL/h (3.0-4.3)
plasma aldosterone (after 4 h upright)680 pmol/L (330-830)
overnight dexamethasone suppression test (after 1 mg dexamethasone):
serum cortisol164 nmol/L (<50)
24-h urinary free cortisol132 nmol (55-250)
24-h urinary catecholamines
(adrenaline and noradrenaline)normal
As the lesion was >4 cm in diameter, laparoscopic adrenalectomy was recommended.
What is the most appropriate advice to give to the surgical team about perioperative
management?
A. measure cortisol and aldosterone 2 weeks postoperatively
B. give preoperative ?-adrenergic receptor blockade in case the lesion is an occult phaeochromocytoma
C. no special precautions are required
D. short tetracosactide (Synacthen@) test 48 h postoperatively
E. give corticosteroid cover during and after surgery and reassess postoperatively
Answer: E
NEW QUESTION: 3
Which of the following is MOST critical for the successful implementation and maintenance of a security policy?
A. Stringent implementation, monitoring and enforcing of rules by the security officer through access control software
B. Management support and approval for the implementation and maintenance of a security policy
C. Assimilation of the framework and intent of a written security policy by all appropriate parties
D. Enforcement of security rules by providing punitive actions for any violation of security rules
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Assimilation of the framework and intent of a written security policy by the users of the system is critical to the successful implementation and maintenance of the security policy. A good password system may exist, but if the users of the system keep passwords written on their desk, the password is of little value.
Management support and commitment is no doubt important, but for successful implementation and maintenance of security policy, educating the users on the importance of security is paramount. The stringent implementation, monitoring and enforcing of rules by the security officer through access control software, and provision for punitive actions for violation of security rules, is also required, along with the user's education onthe importance of security.