Traditional health insurance, health maintenance organizations (hmos), and high-deductible health care plans are all examples of plans that cover ...

Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive medical procedure that is primarily used to treat kidney stones (renal calculi) and sometimes other types of stones in the urinary tract. ESWL uses shock waves generated outside the body to break down the stones into smaller fragments, allowing them to pass more easily through the urinary system and be excreted from the body.

ESWL is commonly used to treat kidney stones that are smaller in size (usually less than 2 centimeters) and located in the kidney or upper ureter. The procedure involves the patient lying on a treatment table, and shock waves are directed toward the location of the stone using imaging guidance such as X-rays or ultrasounds.

The shock waves generated by the lithotripter machine pass through the body and focus on the stone, causing it to break apart into smaller pieces. These smaller stone fragments can then pass through the urinary system with urine, typically without causing significant discomfort.

ESWL is a non-invasive alternative to surgical removal of kidney stones, which may require incisions or endoscopic procedures. It offers several advantages, such as reduced recovery time and lower risk of complications compared to invasive procedures. However, it may not be suitable for all types of stones or for individuals with certain medical conditions.

It's important to consult with a healthcare professional to determine the most appropriate treatment approach for kidney stones based on individual factors such as stone size, location, composition, and overall health.

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A healthcare provider should be queried when documentation is incomplete or unclear.

If that is correct, then the answer is True. When documentation is incomplete or unclear, it is important to seek clarification from the healthcare provider who authored the document.

This can help ensure that accurate and complete information is recorded in the patient's medical record, which is essential for providing high-quality patient care. Additionally, clear and comprehensive documentation can help reduce the risk of errors or misunderstandings in the care process.

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There is no definitive "30 second morning habit" that drains fat cells, despite many claims made in popular media.

While there are a variety of habits and practices that can support weight loss and overall health, these typically require more than 30 seconds and involve a combination of diet, exercise, and lifestyle changes.

That being said, some morning habits that may be beneficial for weight loss and overall health include:

Starting the day with a healthy breakfast that includes protein and fiber.

Drinking water or herbal tea to hydrate and promote digestion.

Doing a few minutes of stretching or light exercise to get the blood flowing and boost energy.

Practicing mindfulness or meditation to reduce stress and promote mental clarity.

Taking a probiotic supplement or eating fermented foods to support gut health.

While these habits may not directly "drain fat cells" in 30 seconds, they can help support weight loss and overall health over time when practiced consistently.

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True, a person who is over-nourished can also be malnourished.

Over-nourishment refers to the consumption of an excess amount of calories, often resulting in obesity. Malnourishment, on the other hand, refers to a deficiency in essential nutrients, such as vitamins and minerals. It is possible for an individual to consume excessive calories without obtaining the necessary nutrients, resulting in both over-nourishment and malnourishment.

Malnutrition refers to a condition where an individual is not getting the proper balance of nutrients required for optimal health. While malnutrition is often associated with undernutrition or not getting enough nutrients, it is also possible for a person who is over-nourished to be malnourished.

Overnutrition occurs when an individual consumes too many calories or too much of a particular nutrient. This can happen when someone consumes too much of foods that are high in calories, such as processed foods, sugary drinks, or high-fat foods. Overnutrition can also occur when someone over-consumes a particular nutrient, such as consuming too much sodium or cholesterol.

In conclusion, while malnutrition is often associated with undernutrition, it is also possible for a person who is over-nourished to be malnourished. Overnutrition can lead to a lack of essential nutrients necessary for optimal health, as well as other health problems that can contribute to malnutrition. It is important to maintain a balanced diet that provides the necessary nutrients for good health and to avoid over-consumption of certain foods or nutrients that can lead to overnutrition and malnutrition.

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The contraction of muscles for no obvious purpose is called bracing. The correct answer is option (A).

Bracing refers to the involuntary or unconscious contraction of muscles in response to stress, anxiety, or anticipation of a potentially harmful or threatening situation. It is a reflexive action that prepares the body for a physical or emotional challenge. When a person braces their muscles, they may tense various muscle groups throughout the body, such as the shoulders, neck, jaw, and abdomen. This muscular tension is often accompanied by a sense of stiffness or rigidity.

Bracing can be a protective mechanism, preparing the body for potential impact or injury. However, chronic or excessive bracing can lead to muscle fatigue, discomfort, and pain. It is important to manage stress and practice relaxation techniques to minimize unnecessary muscle tension and promote overall well-being.  Hence option (A) is the correct answer.

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Double jeopardy refers to the suffering of women belonging to minorities. It is the discrimination women face due to their race as well as gender.

In terms of healthcare, it refers to the double discrimination elderly women from minorities face owing to their age as well as their race. It has been found that elderly women are delayed treatment compared to their white counterparts.  

Women have always suffered discrimination since older times and this is still being continued in many parts of the world.  

It has been observed that there is a higher rate of mortality in black women compared to the white elderly as well as the younger generation. According to the hypothesis, the reason for this is the discrimination they face owing to their age as well as race.

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The personality disorder that shares many features with a social anxiety disorder is an avoidant personality disorder. Both of these conditions are characterized by extreme fear and avoidance of social situations and interactions with others.

Individuals with an avoidant personality disorder may avoid attending social events, making new friends, or expressing themselves in social situations due to a deep-seated fear of rejection or criticism.

Similarly, individuals with social anxiety disorder also experience intense fear and anxiety in social situations, such as speaking in public, meeting new people, or attending social events. They may feel self-conscious, embarrassed, or anxious about being judged or criticized by others.

The similarities between these two conditions may make it difficult to differentiate between them, as they both involve avoidance of social situations and significant distress and impairment in daily life. However, an avoidant personality disorder is a more pervasive and long-lasting condition that affects many areas of a person's life, whereas social anxiety disorder may be limited to specific situations or contexts.

Effective treatments for both conditions may include cognitive-behavioral therapy, exposure therapy, and medication. It is important for individuals experiencing symptoms of either condition to seek professional help from a mental health provider to receive an accurate diagnosis and appropriate treatment.

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Researchers who wish to obtain individually identifiable medical information must follow strict protocols and obtain consent from participants or patients.

They must also ensure that the information is kept confidential and secure and that it is used only for research purposes that have been approved by relevant ethical committees or regulatory bodies. Additionally, researchers may need to comply with data protection laws and regulations in their respective jurisdictions to ensure that the privacy rights of participants are protected.

Some common steps and considerations that must be followed by the researchers are:

1. Obtain Institutional Review Board (IRB) approval: The IRB ensures that the research study is ethical and protects the rights and welfare of the participants. Researchers must submit a research proposal to the IRB, which will be reviewed before approval.

2. Obtain informed consent from participants: Researchers must provide potential participants with sufficient information about the study, its purpose, and any potential risks and benefits. Participants must give their informed consent before any data is collected.

3. Ensure confidentiality and data protection: Researchers must follow appropriate data handling and storage procedures to protect the confidentiality of participants' information. This may include using secure storage, data encryption, and removing personally identifiable information when sharing or publishing data.

4. Comply with legal and regulatory requirements: Researchers must adhere to applicable laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States when collecting, storing, and using individually identifiable medical information.

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The given statement, "Generally healthy people metabolize alcohol at a fairly consistent rate" is true because factors such as weight, age, gender, and genetics can affect the rate at which an individual metabolizes alcohol.

This process occurs primarily in the liver, where enzymes break down alcohol into byproducts that can be safely eliminated from the body. The key enzyme responsible for this is alcohol dehydrogenase (ADH), which converts alcohol into acetaldehyde, a toxic substance. Acetaldehyde is then further metabolized by another enzyme called aldehyde dehydrogenase (ALDH), turning it into acetate, a harmless substance that is eventually excreted from the body.

On average, a healthy person can metabolize approximately one standard drink per hour, which equates to about 0.6 ounces of pure alcohol. However, individual factors such as age, sex, body weight, and genetics can influence the rate at which alcohol is metabolized. Additionally, other external factors, like the presence of food in the stomach or the use of certain medications, may affect the rate of alcohol metabolism.

It's important to note that the consistent rate of alcohol metabolism applies only to moderate and occasional drinkers. Chronic, heavy alcohol consumption can impair liver function and alter the rate at which alcohol is metabolized. In summary, it is true that, in general, healthy people metabolize alcohol at a fairly consistent rate, although individual factors and circumstances can affect this process.

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The removal of a plug of tissue for examination is called a muscle biopsy. A muscle biopsy is a medical procedure in which a small piece of muscle tissue is extracted for diagnostic purposes.

This procedure is typically performed to investigate and diagnose conditions affecting the muscles, such as muscular dystrophy, myositis, or other muscle disorders.

During a muscle biopsy, a surgeon or a specially trained physician makes a small incision in the skin and removes a sample of muscle tissue.

The tissue sample is then sent to a laboratory for analysis, where it is examined under a microscope and subjected to various tests.

These tests can help identify the presence of abnormalities, inflammation, infection, or any other underlying conditions that may be affecting the muscle.

The results of a muscle biopsy are crucial in determining the appropriate treatment plan and management strategies for the patient.

They provide valuable insights into the nature and extent of the muscle disorder, allowing healthcare professionals to make informed decisions regarding therapy, rehabilitation, or further investigations.

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A major component of the neuro-constructivist view is that both biological and environmental conditions influence brain development, brain development is closely linked to a child's cognitive development, and the brain has plasticity. The correct answer is option d.

The neuro-constructivist view is a theoretical framework that emphasizes the importance of understanding the complex interactions between biological and environmental factors in shaping brain development and cognitive function.

This perspective posits that the brain is not a pre-programmed organ that simply develops on its own, but rather a highly dynamic and adaptive system that is shaped by the experiences and environmental factors that a child encounters throughout their development.

One of the key tenets of the neuro-constructivist view is that both biological and environmental factors play an important role in brain development. This includes genetic factors, as well as prenatal and postnatal environmental factors such as nutrition, stress, and social experiences.

Another important aspect of the neuro-constructivist view is the concept of brain plasticity. This refers to the brain's ability to change and adapt in response to experiences and environmental factors throughout development.

Plasticity allows the brain to reorganize neural connections, form new relationships, and even generate new neurons in response to changing environmental demands. This dynamic process of adaptation enables the brain to continually refine and optimize its structure and function throughout life.

Finally, the neuro-constructivist view emphasizes the close relationship between brain development and cognitive function. As the brain develops, it becomes increasingly capable of processing and integrating information from the environment, leading to improvements in cognitive functions such as memory, attention, and problem-solving.

This reciprocal relationship between brain development and cognitive function highlights the importance of considering both factors in understanding human development and learning.

So, the correct answer is option d) All of these.

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Epictetus would analyze the value of bodily pain according to option (c): Pain, in itself, is neither good nor bad.

According to Stoic philosophy, the value of things is not inherent but rather in our judgments and attitudes towards them. Epictetus, a Stoic philosopher, would argue that pain is a natural and inevitable part of life, and our perception and response to pain determine its value.

Epictetus believed that external events, including physical pain, are beyond our control. However, our judgments and attitudes toward these events are within our control. Stoicism teaches that our reasoning and acceptance of what happens to us that can alleviate suffering and allow us to maintain inner tranquility.

Epictetus emphasizes the importance of accepting pain as an inevitable part of the human experience. He would advocate for cultivating an attitude of indifference towards external circumstances, including physical pain, and focusing instead on developing inner virtues and moral character.

Therefore, Epictetus would argue that pain is neither inherently good nor bad, and our judgments and responses to pain determine its significance in our lives. Thus, option (c) is correct.

The question should be:

How would Epictetus analyze the value of bodily pain?

(a) Pain is unconditionally bad

(b) Pain is unconditionally good

(c) Pain, in itself, is neither good nor bad

(d) Pain is the result of evil in the world ( for example, an earthquake)

(e) Pain is to be avoided at all costs

(f) Epictetus'entire system of philosophy is designed to minimize pain and maximize pleasure

(g) Both (c) and (f)

(h) Both (e) and (f)

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The given statement " There are no consistent documented withdrawal symptoms from caffeine." is false because there is evidence to suggest that caffeine can cause withdrawal symptoms in some individuals, although the severity.

Caffeine is a stimulant that can affect the central nervous system and alter brain chemistry, and regular use can lead to physical dependence.  When a person stops using caffeine or reduces their intake, they may experience withdrawal symptoms, including headache, fatigue, irritability, difficulty concentrating, and flu-like symptoms. Withdrawal symptoms from caffeine typically occur within 12-24 hours of stopping or reducing intake and can last for several days.

In some cases, symptoms may persist for up to a week or more.The severity and duration of withdrawal symptoms can depend on a range of factors, including the amount and frequency of caffeine use, individual sensitivity, and other lifestyle and health factors. While not everyone who uses caffeine will experience withdrawal symptoms, they can occur and should be considered when planning to reduce or quit caffeine consumption.

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The correct asnwer is d. Phytochemicals and dietary fiber

The best foods for reducing inflammation and atherosclerosis (hardening and narrowing of the arteries) include options that are rich in anti-inflammatory compounds, antioxidants, healthy fats, and fiber.

Based on these criteria, the most appropriate choice from the given options would be:

Phytochemicals are natural compounds found in plant-based foods that have been shown to have anti-inflammatory properties. Examples of phytochemical-rich foods include fruits, vegetables, legumes, herbs, and spices. These foods provide a wide range of antioxidants and other bioactive compounds that can help reduce inflammation and protect against atherosclerosis.

Dietary fiber, which is found in plant-based foods, is also beneficial for reducing inflammation and atherosclerosis. Soluble fiber, in particular, has been shown to have anti-inflammatory effects and can help lower cholesterol levels. Foods high in fiber include whole grains, fruits, vegetables, legumes, and nuts.

While the other options mentioned in the question (a. peanuts and cashews, b. red wine and other alcoholic beverages, c. olive oil and coconut oil, and e. fatty fish and seafood) can have some health benefits, they may not be as specifically targeted for reducing inflammation and atherosclerosis as phytochemicals and dietary fiber.

It's important to maintain a balanced and varied diet that incorporates a wide range of nutrient-rich foods to promote overall health and reduce the risk of chronic diseases.

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Answer:

folate.

Explanation:

Goats milk is inappropriate for infants due to its low content of folate.

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HAP stands for Hospital-Acquired Pneumonia, which is a type of pneumonia that occurs in patients who have been admitted to a hospital for at least 48 hours and was not present or incubating at the time of admission.

HAP is typically caused by bacterial pathogens that colonize the upper respiratory tract or stomach and migrate to the lower respiratory tract, where they cause infection.

HAP can be a serious and life-threatening condition, particularly in patients who are already critically ill or have weakened immune systems.

The diagnosis of HAP is typically made based on clinical signs and symptoms, as well as radiographic evidence of pneumonia. Treatment involves the use of antibiotics, oxygen therapy, and supportive care, and prevention strategies include hand hygiene, isolation of infected patients, and the use of prophylactic antibiotics in high-risk patients.

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The purpose of the nicotine patch is to gradually wean the smoker off nicotine dependence. The correct answer is option (b).

Nicotine patches are a type of nicotine replacement therapy (NRT) that is designed to help smokers quit by delivering a small, steady dose of nicotine through the skin.  The patch works by reducing the severity of nicotine withdrawal symptoms such as cravings, irritability, and difficulty concentrating, which can make it easier for smokers to quit. Unlike smoking or other forms of tobacco use, nicotine patches do not stimulate blood pressure, digestion, or heart rate.

They also do not simulate smoking or provide oral gratification. Instead, they provide a controlled dose of nicotine that can help reduce cravings and gradually reduce the body's dependence on nicotine. Nicotine patches are typically used as part of a comprehensive smoking cessation program that may include counseling, support groups, and other medications.  They are generally considered safe and effective when used as directed, but it is important to talk to a healthcare provider before using any smoking cessation product. Hence option (b) is the correct answer.

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The term that means surgical repair of the middle ear is tympanoplasty.

Tympanoplasty is a surgical procedure that aims to repair the eardrum (tympanic membrane) and the middle ear bones (ossicles) if they are damaged or diseased.

It is often performed to restore hearing and to prevent recurrent ear infections.

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Explanation:

Cartilage

The statement "How certain stressors affect you depends partly on your experiences" is:

a. True

This is because stressors can have different impacts on individuals based on their personal experiences and coping mechanisms. So, the effect of a particular stressor can vary from person to person depending on their past experiences and how they've dealt with similar situations before.

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Juan is likely experiencing several negative physiological consequences of heavy, prolonged alcohol use. These effects may include liver damage or disease, such as alcoholic hepatitis, alcoholic fatty liver disease, or cirrhosis.

Alcohol can also impact the cardiovascular system, leading to high blood pressure, irregular heart rhythms, and an increased risk of heart disease. Additionally, alcohol abuse can affect the gastrointestinal system, causing inflammation of the stomach lining (gastritis), pancreatitis, and malabsorption of nutrients.

Neurological consequences may involve alcohol-induced brain damage, memory impairment, and an increased risk of developing conditions like Wernicke-Korsakoff syndrome. Other possible effects include weakened immune system function, hormonal imbalances, and increased susceptibility to infections.

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Yes, drinking heavily can lead to infertility and impotence in men. Excessive alcohol consumption can negatively impact sperm production and quality, leading to decreased fertility.

It can also disrupt hormone levels and interfere with dysfunction, resulting in impotence. Alcohol abuse has been linked to impaired sperm production and motility, as well as abnormal sperm morphology. Chronic alcohol consumption can disrupt the balance of hormones involved in the reproductive process, such as testosterone and luteinizing hormones.

Moreover, heavy drinking can damage the liver, impairing its ability to metabolize hormones and toxins. These factors combined contribute to infertility and impotence in men who consume alcohol excessively.

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During the stress response, the human adrenal glands release hormones, such as cortisol and adrenaline.

The stress response is a series of physiological changes that occur in response to a perceived threat or challenge. It helps the body to adapt and cope with the situation at hand.

The human adrenal glands are small, triangular-shaped glands located on top of the kidneys. They play a crucial role in the stress response by producing and releasing hormones. When a person experiences stress, the adrenal glands are activated by the hypothalamus, which sends signals to the adrenal medulla and cortex.

In response to these signals, the adrenal medulla releases adrenaline, also known as epinephrine, which increases heart rate, blood pressure, and respiratory rate. This provides the body with a quick burst of energy and prepares the individual for a fight or flight response.

Simultaneously, the adrenal cortex releases cortisol, a hormone that helps regulate metabolism, immune function, and blood sugar levels. Cortisol is essential in maintaining homeostasis and assisting the body in dealing with stress over a more extended period.

In conclusion, during the stress response, the human adrenal glands release hormones such as cortisol and adrenaline to help the body cope with and adapt to the challenging situation. These hormones work together to increase energy levels, regulate metabolism, and maintain overall bodily functions.

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The most widespread negative health impact of air pollution is:

D) chronic stress that weakens many systems of the body.

Air pollution, particularly high levels of fine particulate matter (PM2.5) and other harmful pollutants, has been linked to various health problems and can have a broad impact on multiple systems of the body. While all the options listed can potentially be affected by air pollution to some extent, chronic stress is considered the most widespread negative health impact.

Exposure to air pollution can lead to chronic inflammation and oxidative stress in the body. These processes can trigger systemic responses that impact multiple physiological systems, including the respiratory, cardiovascular, neurological, and immune systems.

Prolonged exposure to air pollution has been associated with increased risks of respiratory diseases, cardiovascular diseases, adverse birth outcomes, impaired cognitive function, and even premature death.

Chronic stress, as a result of exposure to air pollution, can contribute to the development and exacerbation of various health conditions. It can weaken immune function, disrupt hormonal balance, impair respiratory function, and increase the risk of developing chronic diseases.

It's important to note that the specific health effects of air pollution can vary depending on factors such as the duration and intensity of exposure, individual susceptibility, and the type of pollutants involved. Efforts to reduce air pollution and mitigate its health impacts are critical for protecting public health and promoting a cleaner and safer environment.

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Answer: the most frequent causes of fatal and non fatal injury

Explanation:

In most cases, the margin of error for skin-fold measurements is less than 4%. This indicates that the actual thickness of the skin-fold measurement can be up to 4% more or lower than the figure that was measured.

Other possible error ranges for skin-fold measurements are 11%, 7%, and 2%. However, these alternatives are not commonly employed for this purpose. An error range of 11% would be considered rather big and might not produce very accurate findings. For a measurement of this kind, an error range of less than two percent would be extremely precise, although achieving it consistently would be challenging.

As a consequence of this, it is generally acknowledged that an error range of less than four percent is suitable for skin-fold measurements. However, it is essential to keep in mind that the accuracy of any measurement can be affected by a variety of factors, including the expertise and experience of the individual carrying out the measurement, the type of caliper that is utilized, as well as the location and method of the skin-fold measurement. All of these aspects play a role in determining the accuracy of the measurement.

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The correct option is b. Makes it flexible

An adequate amount of water helps to keep the nails hydrated, which can make them more flexible and less prone to breakage.

When nails are dehydrated, they can become brittle and more likely to chip, crack or break. Drinking enough water and using moisturizing products can help to keep the nails healthy and strong.

Additionally, drinking an adequate amount of water helps to flush toxins out of the body, which can help to prevent discoloration or yellowing of the nails.

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According to Ellis, emotional disturbances often result from irrational beliefs and negative self-talk.

When individuals have unrealistic expectations and rigid thinking patterns, they create stress and anxiety for themselves.

This can lead to negative emotions such as depression, anger, and frustration. Ellis believed that by challenging and changing these irrational beliefs, individuals could improve their emotional wellbeing.

By becoming aware of their negative self-talk and replacing it with more positive and rational thoughts, individuals can develop healthier coping mechanisms and reduce the impact of emotional disturbances on their lives.

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Upper gastrointestinal (GI) bleeding is a serious medical condition that can have a variety of causes. The most common disorder associated with upper GI bleeding is esophageal varices, a condition that involves the enlargement of veins in the esophagus.

Correct option is C.

This condition is most often caused by cirrhosis of the liver, a condition that is often the result of excessive alcohol consumption. Other causes of upper GI bleeding may include peptic ulcers, Mallory-Weiss syndrome (tears in the lining of the stomach), gastritis (inflammation of the stomach lining), and cancer.

Treatment for upper GI bleeding typically involves medications, such as proton pump inhibitors, H2 blockers, and antacids, as well as endoscopic treatments, such as sclerotherapy and band ligation. Surgery may be necessary in certain cases. It is important to receive medical attention immediately if you experience signs or symptoms of upper GI bleeding, such as vomiting blood or passing black, tarry stools.

Correct option is C.

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