It asked which is not true. so, when you read the prompt you see that it says that the "pestilence began to be horribly apparent by symptoms that shewed if miraculous." Just reading answer choice D that states "The Black Plague skipped Italy due to diligent efforts to stop the spread." you know it is false because the black plague was in Italy from (1347-1350). This lets us know that D is incorrect. Another way to figure out the answer would be to look at what was mentioned. Religion was mentioned education and art and the pestilence coming was mentioned leaving you with answer D. I hope this helps and i hope i am 100% correct. If i am not sorry :(
