The correct answer was
B. a small group has entire control over the lives of everyone else.
The entire test for 1984 Unit Test - Quiz can be found at these two web sites
https://quizlet.com/280377322/1984-novel-unit-test-flash-cards/
https://achievethecore.org/file/1473
The answer is the third option.
The image of wounded men in a makeshift clinic suggests the chaos of war.
concentrate and pay attention to detail ?