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Choose the word that is most nearly the opposite in meaning of the word given in capital.
CHOICE
A) Refusal
B) Dilemma
C) Harm
D) approval

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Answer
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Hint: The term antonym is often used interchangeably with opposite, but it also has additional, more limited meanings. Graded (or gradable) antonyms are word pairs with opposing meanings that fall along a continuum (hot, cold). Complementary antonyms are word pairings with opposing meanings that do not fall on a continuous spectrum (push, pull).

Complete answer:
The act of choosing between two or more options is referred to as choice. To find the antonym of choice, we need to find the word which means exactly the opposite of it, which is, difficult in choosing between different things.

Now, let us look at the given options:
A) Refusal: This option is incorrect because refusal means to deny something, it is not the opposite of choice as choice means to choose something and its opposite should be difficult in choosing.
B) Dilemma: This is the correct option. Option B, 'dilemma,' is the right antonym of the supplied word, which refers to a scenario in which a difficult choice must be made between two or more choices, particularly ones that are equally bad.
C) Harm: This option is incorrect because it means injury, it cannot be the opposite or antonym of choice as these words have no relation with each other.
D) approval: This option is incorrect because it means to accept something but choice means to choose something. These words are not antonyms to one another.

Thus, the correct answer is option (B) i.e, Dilemma.

Note:
- Many antonyms are created by prefixing an existing word with the prefix un-. for instance, happy-unhappy
- To generate antonyms, the prefixes mis-, dis-, in-, ir-, and im- and il- are used instead of un- with particular words. For instance, lead-mislead.
- The prefix mis- generally refers to doing something incorrectly, such as misinforming someone about something. Most prefixes, on the other hand, indicate the same thing, so it's just a matter of figuring out which ones should go with which nouns.