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- Discuss two ways to prevent getting an STI.?Explain what are Z codes and what is their purpose. Provide an example of a Z code and when it will be used as a primary code (exemption). What are the general guidelines to signs and symptoms? Provide an example of an exemption in which we can code signs and symptoms.API What is multiple sclerosis? Why is it difficult to diagnose? Name some symptoms a person could present with.