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Read the following context and choose the correct option to answer the question. Context: Constipation is not a glamorous topic, but it’s certainly important, especially in older adults. As anyone who has experienced occasional — or even chronic — constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer’s disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it’s usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren’t trained in geriatrics. They are often focused on more “serious” health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don’t like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I’ve found that the average person doesn’t know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it’s vital to start by figuring out what is likely to be causing — or worsening — an older person’s constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you’re an older adult, or if you’re helping an older... Question: What do most people probably believe about constipation? Options:  A. it doesn't affect the elderly  B. it will go away on its own  C. it will probably be relieved by laxatives  D. not enough information
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C


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Read the following context and choose the correct option to answer the question. Context: WASHINGTON — U.S. President Donald Trump disclosed in a financial report filed with the government’s ethics watchdog Tuesday that he had reimbursed his personal lawyer more than $100,000 for unspecified expenses. In his annual financial disclosure form, which was released by the Office of Government Ethics (OGE) on Wednesday, Trump acknowledged that he had “fully reimbursed” his personal lawyer, Michael Cohen, in the range of $100,000 to $250,000 in 2016. Trump’s lawyers have previously said the president reimbursed Cohen for $130,000 Cohen paid to adult film star Stormy Daniels in the final weeks of the 2016 U.S. presidential campaign to keep her quiet about a sexual tryst she said she had with Trump 10 years earlier. Trump has denied the affair but recently confirmed reimbursing Cohen through a monthly retainer to stop “false and extortionist accusations” made by Daniels about an affair. Cohen has also acknowledged making the payment. The disclosure said that while the payment to Cohen was not a “reportable” liability, Trump chose to list it “in the interest of transparency.” It did not say why Trump had left it out of his 2017 financial disclosure documents, though one of the president’s lawyers, Rudy Giuliani, has said that Trump didn’t know about the payment when he reported his finances last year. The Office of Government Ethics, in a letter to Deputy Attorney General Rod Rosenstein, said it had determined that the payment to Cohen constituted a loan that should have been reported. However, it said the information Trump provided in his latest financial form met “the disclosure requirements for a reportable liability” under the Ethics in Government Act. Under the Ethics in Government Act, top government officials are required to report all debts in excess of $10,000 during the previous reporting period. “Knowingly or willfully” falsifying or failing to file reports carries civil and criminal penalties. Trump listed several hundred million dollars in liabilities in his financial report. Critics seized on... Question: Who is Rudy Giuliani? Options:  A. not enough information  B. Deputy Attorney General  C. Government official  D. Trump's lawyer
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D


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Read the following context and choose the correct option to answer the question. Context: The rate of incarceration in the U.S. is the world’s highest, leading to what many lawmakers and policy analysts say is a nationwide imprisonment epidemic. But the beginning of the end of that epidemic started Tuesday, Rep. Hakeem Jeffries, a Democrat from New York, told VOA. A bipartisan prison reform bill that passed the U.S. House of Representatives by a 360-59 vote “strikes an opening blow against the overcriminalization of the nation,” Jeffries, one of the bill's co-sponsors, said. U.S. President Donald Trump said “the strong bipartisan vote paces the way for action by the Senate.” Last week, Trump endorsed the bill at a White House summit on prison reform, saying, “Our whole nation benefits if former inmates are able to reenter society as productive, law-abiding citizens.” If the bill reaches the president's desk for a signature, it would provide $50 million in funding for five years to provide job training, education and substance abuse treatment for prisoners as well as a number of quality-of-life measures aimed at reducing chronically high rates of recidivism among former inmates. But the contentious issue of criminal justice reform has split Democrats and Republicans within their own parties, possibly jeopardizing the bill’s chances of passage as it heads to the U.S. Senate. In a letter to colleagues last week, Democratic Senators Kamala Harris, Dick Durbin and Cory Booker joined two House Democratic colleagues, Representatives John Lewis and Sheila Jackson Lee, in saying the bill could not be implemented effectively and could possibly lead to prison privatization. Jeffries told VOA many of the arguments against the First Step Act “were anchored in falsehoods.” He added the legislation passed today “is a first step towards eradicating the cancer of mass incarceration” a move also welcomed by many House Republicans. “Rather than allowing the cycle of crime to continue, this legislation takes a practical, intelligent approach to rehabilitation,” House Judiciary Chairman Bob Goodlatte, a Republican... Question: What does Rep. Hakeem Jeffries most likely believe about the bill's likelihood of passing the Senate, given the strong bipartisan support received in the House? Options:  A. That is will most likely pass the Senate in similar fashion  B. that it will not receive the same reception in the Senate  C. not enough information  D. that either outcome is equally likely
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