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NEW QUESTION: 1
CJ is a 69-year-old male with a history of diabetes, hypertension and hypercholesterolemia. His fasting lipid profile is TC 530 mg/dL; LDL-C 125; HDL-C 48 mg/dL; and TG 640 mg/dL. His A1c 8.1, calculate creatinine clearance is 65mls/hr, BP 135/80 mm Hg, HR 70 beats /min.
His current medications include metformin 1000mg po bid, lisinopril 20mg daily, sitagliptin 50mg bid and atorvastatin 40mg daily.
What is the best pharmacological agent to initiate on CJ?
A. Fenofibrate 162mg daily
B. Fish oil 500mg twice daily
C. Niacin 500mg twice daily
D. Increase atorvastatin to 80mg
E. Gemfibrozil 600mg twice daily
Answer: A
Explanation:
Explanation
It is reasonable to add triglyceride-lowering medications such as fibrates or niacin to prevent pancreatitis in those with triglyceride levels >500 mg/dL, which applies to this patient as his TG level is 640 mg/dL.
C is wrong because gemfibrozil should not be initiated in patients on statin therapy because of an increased risk for muscle symptoms and rhabdomyolysis. Fenofibrate may be considered concomitantly with a low- or moderate- intensity statin when triglycerides are above 500 mg/dL,2, however he is on a high intensity statin therapy. For niacin, the IR dose should start at 100 mg TID2 and niacin does not lower triglyceride levels as much as fibrate do.4 Fenofibrates are dose adjusted for renal function lower than 60 mL/min to 54 mg/mL, so this dose is appropriate for this patient because of his renal function being above 60 mL/min. The best option is fenofibrate 162 mg daily, but this needs to be monitored for any symptoms of muscle pain exhibited by the patient, especially as the patient is at a higher risk due to being a diabetic. Fish oil is not a first line agent to treat hypertriglyceridemia.

NEW QUESTION: 2
운동 준수를 향상시키기위한 행동 전략으로서의 자극 제어는 다음과 같이 가장 잘 설명 될 수 있습니다.
A. 참가자에게 운동의 장단점을 알려주십시오.
B. 참가자가 서명 한 운동 계약을 공식화하는 행동 계약 개발.
C. 환경 단서를 활용하여 참가자들에게 운동에 대한 헌신을 유지하도록 상기시킵니다.
D. 현실적인 기대치를 설정하고 지나치게 비관적이거나 낙관적 인 기대를 피하십시오.
Answer: C

NEW QUESTION: 3




Answer:
Explanation:
The configuration:
Step1: Console to ASW1 from PC console 1
ASW1(config)#aaa new-model
ASW1(config)#radius-server host 172.120.39.46 key rad123
ASW1(config)#aaa authentication dot1x default group radius
ASW1(config)#dot1x system-auth-control
ASW1(config)#inter fastEthernet 0/1
ASW1(config-if)#switchport mode access
ASW1(config-if)#dot1x port-control auto
ASW1(config-if)#exit
ASW1#copy run start
Step2: Console to DSW1 from PC console 2
DSW1(config)#ip access-list standard 10
DSW1(config-ext-nacl)#permit 172.120.40.0 0.0.0.255
DSW1(config-ext-nacl)#exit
DSW1(config)#vlan access-map PASS 10
DSW1(config-access-map)#match ip address 10
DSW1(config-access-map)#action forward
DSW1(config-access-map)#exit
DSW1(config)#vlan access-map PASS 20
DSW1(config-access-map)#action drop
DSW1(config-access-map)#exit
DSW1(config)#vlan filter PASS vlan-list 20
DSW1#copy run start

NEW QUESTION: 4
You have been directed to design a new WLAN for a very particular customer. The customer has done a great deal of research using consumer-level trade periodicals and has determined that the best approach will be to use single radio, 2.4 GHz band 802.11b/g/n APs for the best ROI and future growth compatibility. In addition, the customer has determined that your network design should provide sufficient coverage to allow at least a 150 Mbps and preferably a 300 Mbps connection, from anywhere in the premises. Since the customer's location covers approximately 600,000 sq ft.(200,000 sq meters) in a three floor complex you will need to design a frequency reuse pattern for channels 1, 6, and 11 that properly coordinates the co-channel interference influences of the 2.4 GHz band. After thinking about these prerequisites you come to the realization that this network design will not work. Which of the following statements best explains why this network design is unworkable?
A. Problem with frequency reuse planning
B. Problem upgrading wired network to handle additional WLAN load.
C. Problem with building dimensions
D. Problem procuring single radio APs
E. Problem providing sufficient PoE to 802.11b/g/n APs
Answer: A

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