I think it is uh... 549,196* people, but I may be wrong. I'm using a CDC PDF so, I may have read it wrong.
The answer is either A or D sorry not much help
Be completely honest makes the most sense so D.
Dr. Sokolov in the spirit of collaboration would work with
her patient and encourage him to question the reasoning and logic of his
automatic thoughts, so, she would probably say to him how did he failed
everything when for example he drove himself to the appointment so he must have obtained
a driver’s license. Or that he graduated from either highs school or college.
So the doctor would help him see that he didn’t fail everything.