Problem: OPTIONS:
- the scientific evidence
- the cardiovascular risk
- the confusion and concern people are experiencing
- not enough information
Q: 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, answer the following question. What issue did the author have with the AHA/ACC guidelines?
Answer: the confusion and concern people are experiencing

Problem:OPTIONS:
- not enough information
- before he knew his ex-wife was in town
- after he knew his ex-wife was in town
- with his ex-wife present

As Julie kept asking question after question, all I could think of was how desperately I needed a normal, healthy relationship. As far as most of my relationships went, mine with Julie was great. But it was great in all the wrong places. There really wasn't much more to it than sex. Even though it was a mind-numbing, bathe-in-gasoline-to-slough-the-shame-from-my-soul kind of sex, it didn't matter. At the end of the day we were just objects to each other. We couldn't talk about anything else. We'd tried before, but it had usually led to an afternoon of power-fucking in every changing room on Rodeo Drive. It was a fun ride, but nothing more. And like every great ride, Julie was beautiful, fast, and could turn on a dime in the blink of an eye. "I don't understand, Dingo." I couldn't tell if it was the 12 stitches over my eye giving me the headache or Julie's prattling. I bit off a stretch of red tape and put it over the empty socket where my taillight should have been while I balanced the phone between my shoulder and swollen cheek. "Julie, I told you. Darby took the box." "I get that, but--." "The box my dad hand-carved just before he died." I could feel the two edges of skin stitched together pull at each other every time my jaw moved. "Yes, yes, and the box protects your family's dirty little secret or your mother's pride and joy or whatever the hell it is you're calling it this week." "Hey, I told you not to go digging--. " "I don't care what it is, Dingo! I couldn't give a shit about that damn box or what's inside. The only thing I want to know is what the fuck your ex-wife was doing there." So there it was. And I thought she was jealous just because somebody else got to beat the living crap out of me for a change. "Julie, I didn't even know she was in town until after I was in the hospital." According to the above context, answer the following question. Dingo was getting stitches at the hospital
****
A: before he knew his ex-wife was in town

input: OPTIONS:
- not enough information
- She told him to get along with the other kids more.
- She picked him up
- She scolded the nursery for not integrating him more. Now, answer this question: Jimbob Blakey wasn't so much given birth to as clambered right out of his mother himself. He weighed in at almost thirteen pounds, came ready-fitted with a shock of fat black hair and a couple of razor teeth. Jimbob's folks loved him like most folks love their little ones, maybe more. They'd been trying so hard for a child, suffered more mid-term miscarriages than the ewes they shuttled off to market most Thursdays. They dressed him in a one-year babygro and took him home to their hill farm. They fought to get up nights and give him his milk. His teeth made breast-feeding impossible. They sat hours gazing down in his cot. They dressed him fine and took him to their church and gave their thanks. Showed him off like the proud parents they were. Others cooed and smiled. But they never asked to hold. They gave thanks the Blakeys were happy, and that the monkey-baby had not been born to them. Jimbob's folks never gave a second thought that their boy might be different. The first Spring he walked, he stomped the moors in his welly-boots helping herd the pregnant ewes down in-by. He copied his father, kicking and cuffing at the stragglers, when the flock was returned to the hills in May. As Jimbob grew, his hair became thicker, his arms longer. His head shrunk down on his shoulders. At check-ups, nurses fixed smiles and pronounced him healthy. Doctors said, 'he'll make you a strapping lad.' His mother smiled, her heart swelled. When he was three, she sent him to nursery. She wanted him to mix with other kids. To taste life off the hard hills. She said, 'it'll do him the world of good.' Jimbob hated leaving the farm. He clung to his mother. She drove away, blinking tears. On the third day, she took a phone call. 'It's Jimbob,' they said. 'He's scaring the other kids.'The truth hit Jimbob's mother like a hammer. According to the above context, answer the following question. What did Jimbob's mother do after the nursery called?
A:
output:
She picked him up