Question: And once again, high blood pressure is making headlines in the news: the American Heart Association and the American College of Cardiology (AHA/ACC) have just released new guidelines about hypertension. Since this development is likely to cause confusion and concern for many, I'm writing this post to help you understand the debate and what this might mean for you and your family. By the way, if you've read any of my other blood pressure articles on this site, let me reassure you: I am not changing my clinical practice or what I recommend to others, based on the new AHA/ACC guidelines. The core principles of better blood pressure management for older adults remain the same: * Take care in how you and your doctors measure blood pressure (more on that here), * Start by aiming to get blood pressure less than 150/90 mm Hg, as recommended by these expert guidelines issued in 2017 and in 2014, * And then learn more about what are the likely benefits versus risks of aiming for more intensive BP control. Perhaps the most important thing to understand is this: treatment of high blood pressure in older adults offers "diminishing returns" as we treat BP to get lower and lower. Scientific evidence indicates that the greatest health benefit, when it comes to reducing the risk of strokes and heart attacks, is in getting systolic blood pressure from high (i.e. 160-180) down to moderate (140-150). From there, the famous SPRINT study, published in 2015, did show a further reduction in cardiovascular risk, when participants were treated to a lower systolic BP, such as a target of 120. However, this was in a carefully selected group of participants, it required taking three blood pressure medications on average, and the reduction in risk was small. As I note in my article explaining SPRINT Senior, in participants aged 75 or older, pushing to that lower goal was associated with an estimated 1-in-27 chance of avoiding a cardiovascular event. (The benefit was even smaller in adults aged 50-75.) According to the above context, choose the correct option to answer the following question. Question: What is the author's feelings towards the AHA/ACC? Options: A. They support the research they are doing B. not enough information C. They don't always agree with their conclusions D. They have a lot of respect towards them
Answer: B

Question: U.S. President Donald Trump says he is considering tariffs, quotas, and retaliatory taxes on imports of steel and aluminum from countries such as China, Japan, and South Korea. The comments came during a wide-ranging trade discussion Tuesday between Trump and a bipartisan group of lawmakers at the White House. The president said U.S. steel and aluminum industries are being "decimated" by the "dumping" of cheap imports of those materials into U.S. markets. Trump has long threatened what he calls "reciprocal" trade action to deal with steel, aluminum, and other imports. But he has so far avoided taking any major steps, ostensibly out of fear of hurting the country's strong economic performance since he took office. Several lawmakers on Tuesday urged Trump to be cautious when considering retaliatory trade steps, saying such measures could spark a trade war that leads to higher prices for U.S. producers and consumers. "It's very, very much a double-edged sword," Trump conceded. "I want to keep prices down, but I also want to make sure that we have a steel industry and an aluminum industry," he added. The Trump administration is currently renegotiating the North American Free Trade Agreement (NAFTA), as well as the U.S.-Korea Free Trade Agreement with South Korea. Trump called the U.S.-South Korea deal "very, very bad" and "horrible." He also said Canada has "treated us very, very unfairly." Last month, the U.S. Commerce Department sent a so-called "232 report" to the White House, examining the national security impacts of steel and aluminum imports, and giving Trump 90 days to impose quotas or tariffs. Under section 232 of the Trade Expansion Act of 1962, the president can initiate a probe to determine if imports threaten national security. "It's about our economy," Vice President Mike Pence during the meeting. "It's about our national security." Trade was a major topic for Trump during the presidential campaign he vowed to impose a 45 percent tax on Chinese imports and a 35 percent tax on Mexican imports. According to the above context, choose the correct option to answer the following question. Question: What is probably true about the discussion between Trump and bipartisan lawmakers? Options: A. It was necessary B. It took four hours C. not enough information D. Everyone sat in a chair
Answer: D

Question: U.S. President Donald Trump is sending a $4.4 trillion budget request to Congress that includes money for a southern border wall and building up the military, but is projected to increase the federal deficit by more than $1 trillion. White House officials all but acknowledged the proposal unveiled Monday has little chance of becoming law Congress alone controls federal government spending. But the White House insisted the budget proposal still sends an important message about Trump's priorities. "This is a messaging document," White House budget director Mick Mulvaney told reporters at a briefing Monday. The Trump budget calls for major cuts to domestic programs such as Medicare, Medicaid and food stamps. But the plan would still not balance the federal budget, in part because of reduced federal revenue due to tax cuts passed last year. Democrats widely rejected the plan. House Minority Leader Nancy Pelosi called the proposal a "brutal collection of broken promises and staggering cuts." The proposal's failure to eliminate debt is also likely to upset some Republicans, who have traditionally opposed budget deficits. "It's simply adjusting to the Washington, D.C., we live in," Mulvaney said, stressing that the new budget plan would help "turn the tide" on national debt. The White House proposal builds on the massive, two-year spending bill passed last week by Congress and signed by the president. That bill includes a major boost for the military, as well as domestic programs. Mulvaney, a former lawmaker and long-time opponent of federal debt, has acknowledged he likely would not have supported the bill were he still in Congress. But he said the new White House proposal does not mean that all of the money approved by Congress must be spent. "These are spending caps, these are not spending floors," he said. Under the two-year budget deal reached last week by Congress, the Pentagon will get a record-high $700 billion for 2018 fulfilling a Trump campaign pledge. "We took care of the military like it's never... According to the above context, choose the correct option to answer the following question. Question: How long did it take to get a funded budget proposal? Options: A. 4 weeks B. 2 weeks C. A week D. not enough information
Answer:
C