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My answer is (C). It took me 01:11.

(A) "were a help" is not as effective as verb "help", as used in option (C).
Strictly, while women nurses could provide help, they are not "a help".

(B) "this” has no clear antecedent.
The style is also rather sloppy.

(D) "having intimate knowledge of various surgical procedures" can modify either "the Union Army" or "women nurses“.

(E) "familiar with various surgical procedures" can modify either "the Union Army" or "women nurses“.
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IMO A

Lets first do the easy eliminations -

B) women nurses were familiar with various surgical procedures and this helped them to treat -- "This" has no logical Antecedent

D) having intimate knowledge of various surgical procedures, women nurses helped in the treatment of - The modifier Having Intimate Knowledge .. is a squinting modifier does it refer to he Union Army or The Nurses ?

E) familiar with various surgical procedures, women nurses helped to treat - Same issue as D "Familiar with....." is squinting modifier.

Now A Vs C ... I had a real hard time figuring this one out.

"familiar with various surgical procedures" is modifying Women Nurses - hence lets ignore that for now and look at the core for further comparison.

A) women nurses were a help in treating many injured soldiers.
C) women nurses helped to treat many injured soldiers.

Generally we say Help in "doing something" not "Help to" Hence the correct answer is A.
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We should not pick the choice in SC because something "sounds" good or something is what people "generally" say.
This problem is an example to demonstrate the same.

In day-to-day world, we can say : <plural subject> are A <something>
However, if the subject is plural, it can NOT be "a/an" ,


A) women nurses, familiar with various surgical procedures, were a help in treating

We can eliminate it.

This and These are demonstrative pronouns and can't stand alone (should be followed by nouns).
Examples - This boy, that problem etc...


B) women nurses were familiar with various surgical procedures and this helped them to treat
What does "this" stand for?

If I write the sentence as -
women nurses were familiar with various surgical procedures and this familiarityhelped them to treat...
The above will be right.

Now, look at the choices D and E (both starting with modifier phrases) -
D. During the early years of the American Civil War, when the Union Army provided one assistant surgeon to every regiment of a thousand men,having intimate knowledge of various surgical procedures, women nurses helped in the treatment.
Here, "having intimate knowledge of various surgical procedures" can ambiguously modify "men" and not "women"

E. During the early years of the American Civil War, when the Union Army provided one assistant surgeon to every regiment of a thousand men,familiar with various surgical procedures, women nurses helped to treat.
Here "familiar with various surgical procedures" can ambiguously modify "men" and not "women"

Choice C fixes all the above issue and is correct.
C) women nurses, familiar with various surgical procedures, helped to treat

IMO C
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Should be A. The phrase 'during the early years' needs an ongoing action, and 'were a help in treating' delivers that.

Posted from my mobile device
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I picked C because the verb "helped" is parallel to "provided" earlier in the sentence.

A doesn't have this, and all other options are grammatically incorrect.

Is my approach correct?
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A) women nurses, familiar with various surgical procedures, were a help in treating
women nurses = a help??? Wrong comparison. Eliminate.

B) women nurses were familiar with various surgical procedures and this helped them to treat
them refers to who, women nurses or army or regiment?. Pronoun reference error. Also same problem with this(surgical procedure? or nurses familiarity with the procedure?). Eliminate


C) women nurses, familiar with various surgical procedures, helped to treat
Looks crisp with no modifier or pronoun issues. Keep.

D) having intimate knowledge of various surgical procedures, women nurses helped in the treatment of
Misplaced modifier causes modifier ambiguity with "having...". Eliminate

E) familiar with various surgical procedures, women nurses helped to treat
Misplaced modifier causes modifier ambiguity with "familiar...". Eliminate


So, C is the correct choice.
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