Conundrum should be the best answer
The answer is c.) doctor's
To show procession of the patients by the doctor add 's to the word doctor.
The answer is 'by not fulfilling expectations'. The other options don't really surprise the reader, and if the plot is going into one direction, and then what you'd expect to happen doesn't actually happen, you are surprised, and the element of irony is achieved.
Flair - when somebody does something with what seems natural talent. Doing something amazing
David Copperfield has a flair for captivating illusions
People can have a flair for drama, style, humor.
A knack.
Having a flair for style would mean you were not poorly dressed as a non-example.
People that practice really hard to the point of proficiency will appear to have a flair for the thing they have practiced.
Sorry for the disjointed thought stream in this post, I apparently lack the flair of organized thought today.