Unfortunately without the writing, I can't tell 100% what the answer is. However, going off with what the sentence is I think the answer might be B. If the writing is all about winning with honor, and not cheating that would be the answer. However, it is the writing stages that cheating is just another way of winning than that wouldn't be the answer, it might be D then. It's a judgment call on your end.
My guess would be imagery, as hearing is one of the 5 senses:)
Answer:control
Explanation: Upper means up and ahead
It’s probably C because when we take into consideration the fact that it’s a medical question then you would probably look for the one to do with medical school or something linked to it and most of the time online you can’t believe surveys or journalist because they could be bias towards one fact or have different sources which lead to different info etc.. but don’t take my word 100% for this one