The best and most correct answer among the choices provided by your question is the first choice.
The analogy is about the person and the instrument he/she mainly uses. Therefore, if carpenter is to hammer, then surgeon is to scalpel.
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In this analogy, we can see a comparison between a carpenter's tool and another profession's tool. Being the tool a scalpel, there's only one professional that makes good use of it as a carpenter can make good use of a hammer. carpenter:hammer::surgeon:scalpel
They see that he is different from other people. He probably understands them because their probably an “outcast” like him. He also relates to them well talks to them like he’s one of their friends.