选D
A 我不这么认为 与后面 he's inhospital 不符合
B 答语 did't 过去时态,而问句是一般现在时 且与后文不符
C 我希望如此 可是他已经住院了
D 我恐怕是这样的
综合以上 答案应该是D
——Is Mr.Smith really very ill?
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