the answer is d. try to kill herself. the doctor is suspicious of something, but 'the means of all annoyance' most likely means anything she can harm herself with.
It can be said that this excerpt is an approach to the "forbidden door". it seems that the reader gets in the mood by reading this description.
The paragraph is full of vivid ideas which makes it simple to picture what is happening and how this person is feeling when listening to that tapping,
Don't start the car as you're connecting the cables.
Piggy represents the adult type on the island. His physical traits are much like that of an older person: He is fat, he is nearsighted, his hair is thinning, he has medical conditions.