She managed to finish the race ______ her injury.

• A. Because
• B. Despite
• C. With
• D. Over

Answer: (B)

This item tests expressing concession—the idea that something happened in spite of an obstacle. We want a word that shows finishing the race happened despite the injury, not because of it. Despite fits perfectly because it introduces the obstacle as a contrast to the outcome: finishing the race.

So the sentence reads smoothly and idiomatically: She managed to finish the race despite her injury.

Why the others don’t fit as well: because conveys cause rather than contrast, which would change the meaning. With could be grammatical, but it doesn’t emphasize overcoming the obstacle and sounds less natural in this context. Over isn’t used to express this kind of concession.