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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. carbimazole
B. labetalol
C. propranolol
D. observation
E. propylthiouracil
Answer: D

NEW QUESTION: 2
You have an Azure subscription that contains the following users in an Azure Active Directory tenant named contoso.onmicrosoft.com:

User1 creates a new Azure Active Directory tenant named external.contoso.onmicrosoft.com.
You need to create new user accounts in external.contoso.com.onmicrosoft.com.
Solution: You instruct User3 to create the user accounts.
A. No
B. Yes
Answer: A
Explanation:
Explanation
Only a global administrator can add users to this tenant.
References:
https://docs.microsoft.com/en-us/azure/devops/organizations/accounts/add-users-to-azure-ad

NEW QUESTION: 3
See the Scenario for additional information.


CruiseAlong Cars
CruiseAlong Cars is a car manufacturing and sales company with corporate headquarters in the United States of America. It has grown by acquisition over the last 20 years and has operations in over 50 countries.Each country has its own IT organization, with some central corporate IT services provided by the US parent company. In some countries CruiseAlong Cars has outsourced infrastructure and service desks. The largest IT supplier is Global City IT Services (GCITS). In two countries GCITS provides CruiseAlong Cars with full outsourced services. They also provide selected services in other countries.
Some of the issues that CruiseAlong Cars needs to address include:
Inefficiencies caused by the current IT structure
Inconsistency of IT services when employees are travelling
CruiseAlong Cars is working with a European university (the University of Bachstein) to research and develop driverless car technology. The venture operates as an independent company called DriveYou.com, and CruiseAlong Cars owns a 51% share.
DriveYou.com
This is a small, innovative company, that is jointly owned by CruiseAlong Cars and the University of Bachstein (UoB). DriveYou.com develops custom applications using a highly collaborative, rapid and iterative development approach. Their employees are mostly research and development experts, working from multiple locations, with a significant number working from home. Initial driverless car testing is being conducted in the US at the Nevegon State Department of Transportation.
Infrastructure and cloud services are purchased from Global City IT Services and other providers, and these relationships are managed by a DriveYou.com supplier manager.
Some of the issues that DriveYou.com needs to address include:
* Better structure and accountability around their work practices
* Compliance with safety and other regulatory requirements.
University of Bachstein (UoB)
The UoB is a university that is based Germany, with a satellite campus in Kuala Lumpur, Malaysia. In the past, some IT services were funded and run centrally, and some were funded and run independently by each faculty.
Centrally owned services include a 'walk-in' service desk, plus a separate service desk in the main library, run by library staff. Library services and IT are both part of the university's administrative services division.
Recently, under a new CIO, there has been a drive to centralize and consolidate IT as a corporate function, although this has not been fully achieved.
The central IT department runs a variety of legacy systems, which serve students, administrators, researchers and academics. It also runs some high performance computing systems and high bandwidth networks across the main campus area.
Some of the issues that the UoB needs to address include:
* Complete the centralization and consolidation of IT
* Manage growth and increasing IT demand
* Demonstrate value through competitive, responsive and transparent services Global City Services (GCITS) GCITS is a global service provider which has grown through acquisition and which offers a wide range of services, including IT support, infrastructure and consulting. GCITS has mature and efficient IT service management processes, and holds an ISO/IEC 20000 certification.
GCITS provides the entire infrastructure and some cloud services for DriveYou.com, as well as a range of services in different countries to CruiseAlong Cars.Some of the issues that GCITS needs to address include:
* Succeed in establishing a strategic partnership with CruiseAlong Cars Nevagon State Department of Transportation (NSDoT) NSDot is a government agency in the US state of Nevagon, where DriveYou.com is running their trials. It is responsible for managing transportation systems and safety. DriveYou.com must work with the agency to ensure that their trials comply with safety regulations, and the program includes bi0directional sharing of large amounts of data.
The NSDoT's internal IT team writes and manages most of their agency-specific applications, however most other applications and infrastructure are provided by the Nevagon State central IT department.
GCITS will create a new 'global mobile VIP service' for CruiseAlong Cars senior executives, which will give them access to corporate IT services from mobile devices, from any location. The new service will be delivered by the existing GCITS centralized service desk. It will include 24/7 support, and reported incidents and requests will be treated as a high priority.
GCITS has subcontracted global mobile network access to Mobilwork, an international telecom provider.
During the 'how do we get there? Step, a plan will be created for implementing changes to the service desk procedures. Some issues with the service desk staff are anticipated.
Which OCM activity is the BEST to address the relevant service desk issue?

A. Service desk issue: Resistance to using new procedures
OCM activity: Invite users to share success stories
B. Service desk issue: Inconsistent engagement in the project
OCM activity: Create a plan for regular measurement and reporting
C. Service desk issue: Lack of training for the new service and procedures OCM activity: Implement a staff reward scheme
D. Service desk issue: Poorly defined roles and responsibilities for the new procedures OCM activity: Conduct a training needs analysis
Answer: B

NEW QUESTION: 4
You are developing an application that will perform clickstream analysis. The application will ingest and analyze millions of messages in the real time.
You need to ensure that communication between the application and devices is bidirectional.
What should you use for data ingestion and stream processing? To answer, select the appropriate options in the answer area.
NOTE: Each correct selection is worth one point.

Answer:
Explanation:

Explanation

Box 1: Azure IoT Hub
Azure IoT Hub is the cloud gateway that connects IoT devices to gather data and drive business insights and automation. In addition, IoT Hub includes features that enrich the relationship between your devices and your backend systems. Bi-directional communication capabilities mean that while you receive data from devices you can also send commands and policies back to devices.
Note on why not Azure Event Hubs: An Azure IoT Hub contains an Event Hub and hence essentially is an Event Hub plus additional features. An important additional feature is that an Event Hub can only receive messages, whereas an IoT Hub additionally can also send messages to individual devices. Further, an Event Hub has access security on hub level, whereas an IoT Hub is aware of the individual devices and can grand and revoke access on device level.
Box 2: Azure Hdinsight with Azure Machine Learning service
References:
https://docs.microsoft.com/en-us/azure/iot-hub/iot-hub-compare-event-hubs
https://docs.microsoft.com/en-us/azure/hdinsight/hdinsight-machine-learning-overview