Correct Answer: D

Rationale: In the context of microsurgery, the word 'delicate' refers to the intricate, precise, and fine nature of surgeries performed using microscopy. These surgeries require intricate attention to detail and precision due to the small and delicate structures involved, making 'intricate' the most appropriate synonym. 'Subtle' implies understated or not obvious, 'fragile' suggests easily broken or damaged, and 'refined' refers to something developed or improved over time, none of which fully capture the detailed and precise nature of microsurgery. Therefore, 'intricate' is the correct answer.

Correct Answer: D

Rationale: The passage focuses on how nurse-led care, including holistic education and lifestyle advice, can aid patients with gout.

Correct Answer: C

Rationale: The correct answer is C. The passage discusses various uses of microscopy in surgery, including ear surgery, amputations, and reconstructions. However, vasectomies are not mentioned as an application of microscopy in the text. Therefore, vasectomies are the exception among the listed uses. Choices A, B, and D are supported by details in the extract, making them incorrect answers. The passage highlights the uses of microscopy in delicate ear operations, repairing blood vessels in partially amputated limbs, and improving breast reconstructions. While vasectomies are mentioned briefly in the extract, they are not connected to the application of microscopy in the context of surgeries.

Correct Answer: C

Rationale: The passage notes that stopping sweating entirely is a serious sign that requires medical attention.

Correct Answer: D

Rationale: The passage mentions dizziness, nausea, and headache as symptoms but does not list drowsiness.