Medium1 markMultiple Choice
Subtask 3.1: Security DesignIAMActive DirectoryGCDSCase Study
This question is part of a case study — click to read the full scenario(Case 16)

CASE STUDY: MediSecure
Overview: Telehealth provider, 1500 employees, $300M revenue. Core app on AWS, 3 acquired clinics on VMware, fragmented EHRs, Active Directory.
Business Req: Unify patient records, integrate clinics in 90 days, launch patient portal.
Execs: CEO wants rapid integration; CFO wants CapEx to OpEx; CISO demands strict HIPAA/GDPR compliance.
Tech Req: End-to-end PHI encryption, comprehensive audit logging, hybrid connectivity to clinics, DR (RPO 5m, RTO 1h).
Constraints: Clinics have low bandwidth, high staff turnover requires automated IAM, legacy EHRs cannot be modified immediately.

QUESTION:
To meet the 90-day integration timeline and address the low bandwidth at the clinics, how should you establish hybrid connectivity to GCP?

GCP PCA · Question 19 · Security Design

CASE STUDY: MediSecure
Overview: Telehealth provider, 1500 employees, $300M revenue. Core app on AWS, 3 acquired clinics on VMware, fragmented EHRs, Active Directory.
Business Req: Unify patient records, integrate clinics in 90 days, launch patient portal.
Execs: CEO wants rapid integration; CFO wants CapEx to OpEx; CISO demands strict HIPAA/GDPR compliance.
Tech Req: End-to-end PHI encryption, comprehensive audit logging, hybrid connectivity to clinics, DR (RPO 5m, RTO 1h).
Constraints: Clinics have low bandwidth, high staff turnover requires automated IAM, legacy EHRs cannot be modified immediately.

QUESTION:
How should you address the constraint of high staff turnover and the need for automated IAM provisioning?

Answer options:

A.

Create local IAM users in GCP manually when a new employee joins.

B.

Federate Google Cloud Identity with the existing on-premises Active Directory using Google Cloud Directory Sync (GCDS).

C.

Use Workload Identity to map Kubernetes service accounts to IAM roles.

D.

Implement Identity-Aware Proxy (IAP) to bypass IAM authentication.

How to approach this question

Identify the tool used to sync on-premises identities to Google Cloud.

Full Answer

B.Federate Google Cloud Identity with the existing on-premises Active Directory using Google Cloud Directory Sync (GCDS).✓ Correct
Google Cloud Directory Sync (GCDS) connects the existing Active Directory to Cloud Identity. This ensures that HR/IT only needs to manage users in one place (AD). If a staff member leaves, disabling them in AD automatically revokes their GCP access, solving the high turnover constraint securely.

Common mistakes

Confusing Workload Identity (C) with human identity management.

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