C. Narcolepsy is the answer
The changes that Sarah is experiencing is climacteric because the changes that she is experiencing are all physical and this happens when she is to undergo menopause. That is why it is called climacteric, an event that is happening or simply the symptoms that she is having because of her undergoing to menopause.
My best guess would be C. Assessing a patient's level of compliance with past medical advice. You want to know if they have followed medical advice prior because if they haven't, you would just be wasting your breath.
athens or egyptians i’m not sure