For(46) packed schedules can take away time with friends and family, another common consequence(47) of an active life is, in many cases, a shortage of sleep.

refer to number 47 in the passage and choose the best response below.

the writer wants to acknowledge that living an active life is good, but it comes at a cost. which choice best accomplishes that goal?

a.) no change
b.) casualty
c.) mark
d.) aspect

consequence is underlined

B) Casualty

A Casualty is a person or thing badly affected by an event or situation. So For this reason, I believe this is the best answer.

⊙°⊙

to not go near anything hot

as for symbolic actions, the narrator's tearing down the wallpaper in an attempt to find the "woman" in the wallpaper represents her struggle to retain or regain her sanity.   the wallpaper has been part of her confinement and by her tearing it down, she is freeing herself from that confinement.