The answer is B. The program prints:
[34, 23, 10, 4, 2]

Why?
sort() puts the list in order, smallest first. reverse=True flips it, so the biggest comes first. It changes the list itself.
The code again
scores = [10, 34, 23, 2, 4]
scores.sort(reverse=True)
print(scores)
Try it: change one number in the program and predict the new output before you run it.