question: Q:A 53-year-old woman with hypertension is brought to the emergency department 30 minutes after having a generalized, tonic-clonic seizure. She has had recurrent headaches and dizziness in the last 3 months. One year ago, she had diarrhea after a trip to Ecuador that resolved without treatment. She has not received any medical care in the last five years. She has smoked 1 pack of cigarettes daily for 20 years. Her temperature is 36°C (96.8°F) and blood pressure is 159/77mm Hg. Physical examination shows dysarthria and hyperreflexia. She is confused and oriented only to name and place. Four brain lesions are found in a CT scan of the brain; one of the lesions is shown. Which of the following is most likely to have prevented this patient's condition?? 
  {'A': 'Avoidance of contaminated food', 'B': 'Vaccination against meningococcus', 'C': 'Avoidance of cat feces', 'D': 'Smoking cessation', 'E': 'Improved blood pressure control'},