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If a term starts with "a" or "an" in medical terminology, what does it typically indicate?

  1. Narrow or tighten

  2. Life

  3. Clot

  4. Without

The correct answer is: Without

Medical terms that start with the prefix "a-" or "an-" generally indicate "without" or "not". For example, anosmia is the loss of the sense of smell, where "an-" means "without" and "osmia" refers to the sense of smell. Therefore, options A, B, and C are incorrect as they do not correspond with the intended meaning for terms that start with "a" or "an" in medical terminology.