Correct Answer: B

Rationale: The correct answer is B: 'Difficult to arouse.' 'Lethargic' is a medical term used to describe a state of drowsiness or lack of energy, making the patient difficult to arouse. Choices A, C, and D describe different behaviors that are not indicative of lethargy. A patient who is pacing the halls is more likely to be agitated, while shaking uncontrollably may suggest tremors or seizures. Not responding to pain indicates a lack of reaction to painful stimuli but does not directly reflect being lethargic.

Correct Answer: B

Rationale: In this context, 'initial' means 'first,' referring to the first examination conducted by the doctor. The initial examination is the first assessment or evaluation performed on the patient. Therefore, 'first' is the correct meaning in this sentence. 'Complete' (choice A) is incorrect as initial does not imply completeness, 'incomplete' (choice C) is incorrect as initial does not mean unfinished, and 'discharge' (choice D) is unrelated to the concept of an initial examination.

Correct Answer: B

Rationale: The word 'library' is incorrect in this context. It should be 'librarian' to be grammatically correct. The other choices ('an,' 'as,' 'during') are all grammatically correct and fit appropriately in the sentence.

Correct Answer: D

Rationale: The correct answer is D: "hungry." The term 'ravenous' specifically refers to being extremely hungry or famished. Choices A, B, and C are incorrect because they do not accurately reflect the meaning of 'ravenous.' Being generous, outspoken, or friendly does not directly relate to the intense hunger implied by the word 'ravenous.'

Correct Answer: A

Rationale: The term 'fracture' refers to a 'break' in the bone. A fracture is a medical condition where there is a crack or break in a bone. 'Brake' refers to a device used to stop or slow down a vehicle. 'Cut' means to make an opening or incision with a sharp tool. 'Cure' means to relieve a person of the symptoms of a disease or condition.