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Let us first dissect the sentence.
Although trained in Sweden, This is the dependent clause
the renowned doctor has spent most of her life in Africa, - This is the independent clause. This is in present perfect tense.
grew up in Kenya as the eldest of a missionary couple’s six children, - This is in simple past tense.
attended prep school in Namibia, - This is in simple past tense.
and after college and medical school in Sweden,
did graduate work in the Congo and Zimbabwe. - This is in simple past tense.
This is a list of activities and the tenses are being tested in this SC question.
(A) grew up in Kenya as the eldest of a missionary couple’s six children, attended prep school in Namibia, and after college and medical school in Sweden, did
All tenses are in past tense an hence is incorrect choice we need something in present tense.
(B) has grown up in Kenya as the eldest of a missionary couple’s six children, has attended prep school in Namibia, and after college and medical school in Sweden, did
this sentence has present perfect tense, present perfect tense and past tense. Hence incorrect.
(C) having grown up in Kenya as the eldest of a missionary couple’s six children, attended prep school in Namibia, and after college and medical school in Sweden, having done
simple present, simple past and simple present. Hence incorrect
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(D) growing up in Kenya as the eldest of a missionary couple’s six children, attending prep school in Namibia, and, after college and medical school in Sweden, doing
Present continuous tense for all three list had been used. This is the correct choice. All the tenses are in the same form.
(E) growing up in Kenya as the eldest of a missionary couple’s six children, attending prep school in Namibia, and, after college and medical school in Sweden, she did
Present continuous tense, Present continuous tense and past tense has been used. Hence incorrect.
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Answer is D.