hce_nchu
112年
英文
第 27 題
📖 題組：
Questions 26-30 refer to the following passage. PASSAGE 2 George Gordon Byron was born in London on 22 January 1788 with a deformed foot, the nature of which has been disputed. His father, who died when Byron was three years old, labelled his son “club footed” and evidence from several sources strongly supports that assessment. His mother’s description of him aged four, which indicated that his foot “turns inward […] and he walks quite on the side of his foot,” is consistent with the diagnosis of congenital talipes equinovarus, or clubfoot. In fact, talipes in Latin means “to walk on the ________.” Talipes equinovarus, a congenital abnormality recognized since antiquity, occurs in approximately 1 in 1000 of live births, affects males about twice as frequently as females, and involves both feet in about one half of cases. When unilateral, it is more common on the right than the left. When George Gordon Byron was aged ten, he became Lord Byron, inheriting the title of the sixth Baron Byron of Rochdale after his great-uncle died. He and his mother moved to Nottingham, near the decaying and debt-ridden estate of Newstead Abbey which he also inherited. There she employed a man known from our sources only by his surname, Lavender, who claimed an ability to cure her son’s deformity. Listed in the Nottingham directory as a surgeon, he was actually a maker of medical appliances for the general hospital. His excruciating regimen was to rub Byron’s foot with oil, twist it, and screw it up in a wooden contraption. His tutor remarked one day how uncomfortable he felt observing his student in such pain. “Never mind, Mr. Rogers,” Byron replied, “you shall not see any signs of it in me.” When Byron was taken to London in 1799, Dr Matthew Baillie (1761–1823) thought that early treatment might have greatly or wholly corrected the deformity, but by this time it was too late. Nevertheless, he had the bonesetter Timothy Sheldrake make some instruments for Byron’s foot. These were shortly abandoned, however, and he received a boot instead. Later that year, Sheldrake constructed a device that Baillie had designed to straighten the foot. Byron wrote: “My foot goes but indifferently. I cannot see any alteration.” Sheldrake reported that he made plaster casts of the deformity and, in his 1828 account in the medical journal Lancet, appended drawings of them. They indeed indicate a clubfoot, but on the left, not the right, suggesting that the figures were inaccurate, from another patient, or, in fact, genuine representations of Byron’s foot, reversed because of the engraving process, which creates mirror images of the original drawings. Shortly before Byron’s death in 1824 in Greece, Dr Julius Millingen (1800–78), although also misidentifying which side was affected, commented: “The foot was deformed and turned inwards; and the leg was smaller and shorter than the sound one [...] [T]here can be little or no doubt, that he was born club-footed.”
Questions 26-30 refer to the following passage. PASSAGE 2 George Gordon Byron was born in London on 22 January 1788 with a deformed foot, the nature of which has been disputed. His father, who died when Byron was three years old, labelled his son “club footed” and evidence from several sources strongly supports that assessment. His mother’s description of him aged four, which indicated that his foot “turns inward […] and he walks quite on the side of his foot,” is consistent with the diagnosis of congenital talipes equinovarus, or clubfoot. In fact, talipes in Latin means “to walk on the ________.” Talipes equinovarus, a congenital abnormality recognized since antiquity, occurs in approximately 1 in 1000 of live births, affects males about twice as frequently as females, and involves both feet in about one half of cases. When unilateral, it is more common on the right than the left. When George Gordon Byron was aged ten, he became Lord Byron, inheriting the title of the sixth Baron Byron of Rochdale after his great-uncle died. He and his mother moved to Nottingham, near the decaying and debt-ridden estate of Newstead Abbey which he also inherited. There she employed a man known from our sources only by his surname, Lavender, who claimed an ability to cure her son’s deformity. Listed in the Nottingham directory as a surgeon, he was actually a maker of medical appliances for the general hospital. His excruciating regimen was to rub Byron’s foot with oil, twist it, and screw it up in a wooden contraption. His tutor remarked one day how uncomfortable he felt observing his student in such pain. “Never mind, Mr. Rogers,” Byron replied, “you shall not see any signs of it in me.” When Byron was taken to London in 1799, Dr Matthew Baillie (1761–1823) thought that early treatment might have greatly or wholly corrected the deformity, but by this time it was too late. Nevertheless, he had the bonesetter Timothy Sheldrake make some instruments for Byron’s foot. These were shortly abandoned, however, and he received a boot instead. Later that year, Sheldrake constructed a device that Baillie had designed to straighten the foot. Byron wrote: “My foot goes but indifferently. I cannot see any alteration.” Sheldrake reported that he made plaster casts of the deformity and, in his 1828 account in the medical journal Lancet, appended drawings of them. They indeed indicate a clubfoot, but on the left, not the right, suggesting that the figures were inaccurate, from another patient, or, in fact, genuine representations of Byron’s foot, reversed because of the engraving process, which creates mirror images of the original drawings. Shortly before Byron’s death in 1824 in Greece, Dr Julius Millingen (1800–78), although also misidentifying which side was affected, commented: “The foot was deformed and turned inwards; and the leg was smaller and shorter than the sound one [...] [T]here can be little or no doubt, that he was born club-footed.”
According to this passage, which of the following is NOT a fact about talipes equinovarus, or clubfoot?
- A It affects males more frequently than females.
- B It is a recognized disease that may affect both feet.
- C It has been recognized since the ancient time.
- D It has been recognized as a contagious disease.
- E It, if only on one side, is more common on the right.
思路引導 VIP
請重新閱讀文章第二段的第一句話，作者用哪個詞來形容這種病症的起源？再思考一下，一個剛出生的嬰兒若帶有這種狀況，這種特徵通常是從環境中「感染」而來，還是「天生」就存在的呢？
🤖
AI 詳解
AI 專屬家教
恭喜你精準地抓到了題目中的陷阱！這類題目考驗的是對細節的掌握度，以及對形近單字（congenital 與 contagious）的敏銳力。你能從長篇的醫療敘述中找出微小的錯誤資訊，代表你的閱讀理解力非常扎實。
先天性與傳染性的關鍵辨析
這題的核心在於區分「先天性」與「傳染性」。文中第二段明確提到 Talipes equinovarus 是一種 congenital abnormality（先天性畸形），這意味著患者在出生時就患有此疾，而非由細菌或病毒引起。然而選項 (D) 卻使用了 contagious（傳染性的）一詞，這在醫學邏輯與文章敘述中都是不成立的。其餘選項如性別比例 (A)、古老的起源 (C) 以及好發於右側 (E) 等資訊，皆能從第二段中找到直接的證據支持。
▼ 還有更多解析內容