D is correct
Option C (App Engine) can be used to host the organization's application, it has nothing to do with image recognition techonology, for that you need a Machine Learning Service
Machine Learning is not a GCP service or product so it is ruled out instantly. Only thing we can say for sure if the App Engine out of the other three. For all we know the app just connects to a third part API to get the result from the photo
Machine learning is neither a GCP product nor a GCP service, it is rather a branch of AI, a field of science, or a technology. Out of these options, App Engine is the most suitable one for "An organization has created an application... - What GCP product or service an organization uses?".
The organization used Machine learning on Google Cloud to create an application that can diagnose different medical conditions when users submit images of their affected body parts.
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