Correct Answer: B

Rationale: A treatment that is detrimental is considered destructive because it causes harm or damage rather than benefiting the individual. In this context, 'detrimental' implies that the treatment has negative effects and is harmful rather than helpful. Choices A, C, and D are incorrect because a detrimental treatment is not risk-free, agonizing, or effective; instead, it is harmful and damaging.

Correct Answer: B

Rationale: When a patient's condition is upgraded, it means that there has been an improvement in their medical status. This change usually indicates that the patient's health is improving or that they are responding well to treatment. Option A, 'getting worse,' is incorrect as an upgrade signifies a positive change. Option C, 'released from the hospital,' does not directly relate to an upgrade in the patient's condition. Option D, 'approved for surgery,' is unrelated to the patient's current medical status and the concept of an upgrade.

Correct Answer: D

Rationale: A truculent patient is someone who is aggressively defiant or hostile, often engaging in argumentative or combative behavior. This term is used to describe someone who is belligerent or confrontational, rather than exhausted, irresponsible, or supportive.

Correct Answer: C

Rationale: The correct word that can be used to describe something that is thick and sticky, like viscosity, is 'gelatinous.' Gelatinous refers to a substance that has a jelly-like consistency, which aligns with the characteristics of something viscous. Options A, B, and D do not accurately capture the concept of being thick and sticky. 'Fluid' implies a substance that flows easily, 'molten' refers to something melted by heat, and 'malleable' describes the ability to be shaped without breaking.

Correct Answer: C

Rationale: The phrase 'monitor progress' in this context means to observe or keep track of how the pilot program is developing or improving. It involves regularly reviewing reports and conducting inspections to ensure that things are progressing as expected. 'Keep an eye on improvement' accurately describes the action of monitoring progress in this scenario, making it the correct choice. Choices A, B, and D are incorrect as they do not capture the essence of overseeing development and ensuring improvement.