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In the wake of Zapata Corp. v. Maldonado, Del.Supr., 430 A.2d 779 (1981),this Court left a crucial issue unanswered: when is a stockholder's demand upon

In the wake ofZapata Corp. v. Maldonado,Del.Supr., 430 A.2d 779 (1981),this Court left a crucial issue unanswered: when is a stockholder's demand upon a board of directors, to redress an alleged wrong to the corporation, excused as futile prior to the filing of a derivative suit? We granted this interlocutory appeal to the defendants, Meyers Parking System, Inc. (Meyers), a Delaware corporation, and its directors, to review the Court of Chancery's denial of their motion to dismiss this action, pursuant to Chancery Rule 23.1, for the

808

*808plaintiff's failure to make such a demand or otherwise demonstrate its futility.[1]The Vice Chancellor ruled that plaintiff's allegations raised a "reasonable inference" that the directors' action was unprotected by the business judgment rule. Thus, the board could not have impartially considered and acted upon the demand. SeeLewis v. Aronson,Del.Ch., 466 A.2d 375, 381 (1983)

Question 1

1. Is it always necessary to examine the cardiovascular system of a

patient in the 45 incline of the head end? Other than convenience for

examining the jugular venous pressure (JVP), does this position have

any other advantage?

2. If the JVP is not visible when the patient is in the upright position, can

one presume it is not raised?133

Question 2

The mitral area (of auscultation) normally corresponds with the apex

beat. When the heart is dilated and the apex beat is shifted laterally, will

the mitral area follow the apex beat to its new location or remain at the

place where the apex beat is normally situated?

Question 3

Please explain in detail how to measure the pulsus paradoxus using

a sphygmomanometer.

Question 4

What is the difference between dicrotic pulse and pulsus bisferiens?

Question 5

1. Why does the radial pulse become more prominent when the hand is

lifted overhead?

Question 6

Where is the best place on the precordium to auscultate a split-second

heart sound?

Question 7

What is the mechanism by which murmurs of mitral valve prolapse

(MVP) and hypertrophic cardiomyopathy (HC) are accentuated by

standing or the Valsalva manoeuvre?

Question 8

What is the correct procedure for a fluoroscopy and why is this essential

for the insertion of cardiac catheter, pacemaker and prosthetic valve?

Question 9

What is the role of amiodarone in the acute management of asystole or

pulseless electrical activity (PEA)?

Question 10

1. Is there any contraindication to the use of microwaves or mobile

phones in patients with pacemakers?

2. What, if any, appliances should be avoided in a patient with

a pacemaker

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