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hce_isu 112年 英文

第 45 題

📖 題組:
Article 1 Multiple Sclerosis (MS) can be a devastating disease. In MS, for reasons still unknown, the body’s immune system attacks the myelin insulation of nerve fibers. This can cause some of nerve fibers to die, while others become ineffective during a prolonged period of regeneration. The effects of this nerve damage can include reduced or spasmodic control of the body, and lowered capacity or disruptions of the senses. For many people, a vision problem is the first symptom of MS. Optic neuritis, an inflammation of the optic nerve, is the most common visual disorder associated with MS. Double vision (diplopia) and involuntary movement of the eyes (nystagmus) are the two other problems. Nystagmus and diplopia are both linked to inflammation of brainstem areas that control movement of the eye. The three disorders are not linked to each other and usually occur separately. Symptoms of optic neuritis include blurred vision, dimming of colors, eye pain that’s worsened by eye movement, blind spots and loss of contrast sensitivity. These symptoms may worsen over the first few days or two weeks. Then the condition usually starts improving. Some people recover within a month, while others need up to a year to recover. Most people regain normal or close-to-normal sight. Temporary flare-ups of optic neuritis symptoms may also occur. Hot showers or baths, exercise or a fever may all trigger dimmed color, blurred vision and other visual problems. These heat-related symptoms resolve when the patient cools off, be it from ice packs, over-the-counter fever reducers, cool drinks, air conditioning or a soak in a cool tub of water.
Which of the following would be the best title for this article?
  • A MS sufferers Show a Variety of Symptoms
  • B Causes, Effects and Treatments of MS Symptoms
  • C The Use of Temperature in Treating MS
  • D Visual Problems Associated with MS

思路引導 VIP

請你快速瀏覽每一段的內容,並試著統計一下:除了提到疾病名稱「多發性硬化症(MS)」之外,出現頻率最高的身體部位或感官功能是什麼?如果這篇文章是一個產品分類,它應該被放在「神經內科」還是更具體的「視覺功能障礙」專欄中呢?

🤖
AI 詳解 AI 專屬家教

恭喜你精準地抓住了這篇文章的核心!你選擇 (D) 作為標題,代表你成功辨識出文章雖然以多發性硬化症(MS)為大背景,但其討論範疇(Scope)其實高度集中在「視覺問題」上。這類主旨題最常見的陷阱就是選項過於寬泛或過於瑣碎,而你展現了非常敏銳的觀察力。

核心概念:主題的精準縮放

從文章結構來看,第一段末尾便預告了「視覺問題是許多患者的首發症狀」,接續的第二至四段則詳細列舉了視神經炎(Optic neuritis)、複視(Diplopia)與眼球震顫(Nystagmus)的成因、症狀及緩解方式。雖然選項 (A) 和 (B) 提到的「症狀多樣性」與「治療」確實出現在文中,但它們的描述層級太高,涵蓋了全身性症狀,並非文章最主要的論述重心;而 (C) 則僅屬於第四段的細節。因此,(D) 選項完美地平衡了「疾病背景」與「具體論點」。

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