The 1987 amendments to the Federal Water Pollution Control Act (collectively called the Water Quality Act):

The 1974 Safe Drinking Water Act demands that the U.S. Environmental Protection Agency establish maximum contaminant goals and levels for selected contaminants in U.S. water systems to supply water to more than ____________ people.

Derivative instruments include

Potpourri You are working on a large financial data system. This system contains a complete view of trades ingested from various exchanges. The primary feature is a read heavy, highly detailed dashboard that shows all open positions, and offers various search filters for analyzing relevant trades. The system’s data is updated in batches via intraday SFTP files delivered every 5-30 minutes, depending on the exchange. Assumptions and Considerations:  Each dashboard request may need to consult the full corpus of data  A partial answer may be considered unsafe  The system uses full replication on each node a) [1 point] What can you sacrifice if there is a spike (e., can you sacrifice both yield and harvest, or only yield, or only harvest) and how? Justify your answer in 1-2 sentences. 

Potpourri The context for this question is the same as the previous question. You are working on a large financial data system. This system contains a complete view of trades ingested from various exchanges. The primary feature is a read heavy, highly detailed dashboard that shows all open positions, and offers various search filters for analyzing relevant trades. The system’s data is updated in batches via intraday SFTP files delivered every 5-30 minutes, depending on the exchange. Assumptions and Considerations:  Each dashboard request may need to consult the full corpus of data  A partial answer may be considered unsafe  The system uses full replication on each node  b) [2 points] Suppose instead of waiting for the intraday files to see new trades in batches, the system starts to receive updates about all trades in real time. The dashboard should still display all the same information but now have access to real time trade data.   In 1-2 bullets, explain why full replication becomes a bottleneck for this shift in workload. Be specific about what must happen on each write operation.  

Which exam technique would you use to assess for poor proprioception in a potential patient with Parkinson’s diagnosis?

You are advising your patient with Gout at discharge on home management. You recommend him to continue his Allopurinol, Prednisone Taper, and NSAIDs BID. You remind him that one additional at-home treatment includes: 

Which medication would be considered “First-Line” in treating Fibromyalgia associated pain?

Which antidepressant should be avoided in Elderly patients (>65 years of age)?

You determine you are going to admit John to a general care floor for close monitoring and you are writing his admission orders. 1.) List what medications you will order for him at this point to treat his heart failure and explain why you are ordering them.  2.) Looking at his list of home medications determine which you will continue in the hospital and which you will hold. Describe why. Medications at home are: Amlodipine 5 mg daily, Simvastatin 20 mg daily, Metformin 500 mg BID, and Naprosyn.   He has recently refilled his medications and generally takes as prescribed.