Blank should be something on the line of extremely critical → people are not critical of their personal doctor but in general, they are.
C,D are direct synonym, and E is also very very close to D. Since, disdain is the direct synonym of condescension and contempt. Then how it can be zeroed down to D(contempt)?
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Regardless of synonyms, one thing to note is the extremity of the words in context. Here, three words are synonyms. We take the clue phrase ’ extremely critical’ which only matches with D. Hence, the correct answer is D.
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