High blood pressure, high cholesterol, and smoking.
Answer:

Step-by-step explanation:
If AB = 5 , then AE = 5 [Radii of the same circle]
So,
AC = AE + EC
AC = 8+5
AC = 13 units
Now, Using Pythagorean theorem to find the missing side i.e. BD because tangent strikes the circle at 90 degrees making the triangle a right angled triangle

Where c = AC , a = BD and b = AB

169 = BD² + 25
Subtracting 25 to both sides
169 - 25 = BD²
BD² = 144
Taking square root on both sides
BD = 12 units
-9p - 5m = 60
-9p - 5m + 5m = 5m + 60
-9p = 5m + 60
-9 -9
p = ⁻⁵/₉m - 6²/₃
You have to add 5m on each side in order to find the value of p. then, you have to divide it by -9 in order to find the value of p.
Let the number be x
(9+2x)×2= (-3x)+4
18+4x=-3x+4
4x+3x=4-18
7x=-14
x=-2