What does the imagery in the excerpt best help readers picture in how I learned English?

Does anyone know the answers to these two? i don’t want to have to guess, you!

Which of these sentences exhibits proper usage? a. many doctors affiliated with university hospital expressed concern about the policy (moore 5). b. many doctors affiliated with university hospital expressed concern about the policy (moore 5). c. many doctors affiliated with university hospital expressed concern about the policy (moore 5). d. many doctors affiliated with university hospital expressed concern about the policy (moore 5).

Hyperbole in the book messenger by lois lowry