Question

loathsome has the same or almost the same meaning as: pallid sickening astounding protracted

Explanation:

"Loathsome" means extremely unpleasant or repulsive. "Sickening" also implies causing a feeling of disgust or revulsion, which is closest in meaning. "Pallid" refers to a pale color or lacking vitality, "astounding" means surprising, and "protracted" means prolonged.

Answer:

B. sickening