hce_nchu
112年
英文
第 32 題
📖 題組：
PASSAGE 3 Much of the research of the past few decades has examined which therapies to use and how to use them. Which medication, what does, for how long? Which procedure? What’s the benefit? These are all questions commonly asked and that can now be regularly and reliably answered. Treatment guidelines for many diseases are published, available, and regularly used. And despite concerns and lamentations about “cookbook medicine,” these guidelines, based on a rapidly growing cornerstone of evidence have saved lives. These forms of evidence-based medicine allow patients to benefit from the thoughtful application of what’s been shown to be the most effective therapy. But effective therapy depends on accurate diagnosis. We now have at our disposal a wide range of tools—new and old—with which we might now make a timely and accurate diagnosis. And as treatment becomes more standardized, the most complex and important decision making will take place at the level of the diagnosis. The patient’s story and exam suggest a likely suspect and the technology of diagnosis rapidly confirms a hunch. An elderly man with a fever and a cough has an X-ray revealing a raging pneumonia. A man in his fifties has chest pain that radiates down his left arm and up to his jaw, and an EKG (_______) or blood test bears out the suspicion that he is having a heart attack. A teenage girl on the birth control pill comes in complaining of shortness of breath and a swollen leg, and a CT (Computed Tomography) scan proves the presence of a massive pulmonary embolus. This is the **bread and butter** of medical diagnosis—cases where cause and effect tie neatly together and the doctor can almost immediately explain to patient and family whodunit, how, and sometimes even why. But then there are the other cases: patients with complicated stories or medical histories; cases where the symptoms are less suggestive, the physical exam unrevealing, the tests misleading. Cases in which the narrative of disease strays off the expected path, where the usual suspects all seem to have alibis, and the diagnosis is elusive. For these, the doctor must don his/her deerstalker cap and unravel the mystery. It is in these instances where medicine can rise once again to the level of an art and the doctor-detective must pick apart the tangled strands of illness, understand which questions to ask, recognize the subtle physical findings, and identify which tests might lead, finally, to the right diagnosis.
PASSAGE 3 Much of the research of the past few decades has examined which therapies to use and how to use them. Which medication, what does, for how long? Which procedure? What’s the benefit? These are all questions commonly asked and that can now be regularly and reliably answered. Treatment guidelines for many diseases are published, available, and regularly used. And despite concerns and lamentations about “cookbook medicine,” these guidelines, based on a rapidly growing cornerstone of evidence have saved lives. These forms of evidence-based medicine allow patients to benefit from the thoughtful application of what’s been shown to be the most effective therapy. But effective therapy depends on accurate diagnosis. We now have at our disposal a wide range of tools—new and old—with which we might now make a timely and accurate diagnosis. And as treatment becomes more standardized, the most complex and important decision making will take place at the level of the diagnosis. The patient’s story and exam suggest a likely suspect and the technology of diagnosis rapidly confirms a hunch. An elderly man with a fever and a cough has an X-ray revealing a raging pneumonia. A man in his fifties has chest pain that radiates down his left arm and up to his jaw, and an EKG (_______) or blood test bears out the suspicion that he is having a heart attack. A teenage girl on the birth control pill comes in complaining of shortness of breath and a swollen leg, and a CT (Computed Tomography) scan proves the presence of a massive pulmonary embolus. This is the **bread and butter** of medical diagnosis—cases where cause and effect tie neatly together and the doctor can almost immediately explain to patient and family whodunit, how, and sometimes even why. But then there are the other cases: patients with complicated stories or medical histories; cases where the symptoms are less suggestive, the physical exam unrevealing, the tests misleading. Cases in which the narrative of disease strays off the expected path, where the usual suspects all seem to have alibis, and the diagnosis is elusive. For these, the doctor must don his/her deerstalker cap and unravel the mystery. It is in these instances where medicine can rise once again to the level of an art and the doctor-detective must pick apart the tangled strands of illness, understand which questions to ask, recognize the subtle physical findings, and identify which tests might lead, finally, to the right diagnosis.
Where does the following sentence best belong?
Often the diagnosis is straightforward.
Often the diagnosis is straightforward.
- A At the beginning of paragraph 1
- B At the beginning of paragraph 2
- C At the beginning of paragraph 3
- D At the beginning of paragraph 4
- E At the beginning of paragraph 5
思路引導 VIP
請觀察文章中提到的幾個具體案例：像是「X光顯現出的肺炎」或是「心電圖證實的心臟病」。你認為這些案例具備什麼樣的共同特徵？如果我們要為這些「因果關係緊密銜接」的例子下一個總結性的開場白，這個句子應該放在整篇文章的哪個轉折處，才能最有效地引導讀者進入這些具體實例呢？
🤖
AI 詳解
AI 專屬家教
恭喜你準確地掌握了文章的轉折邏輯！你能選出 (D)，代表你敏銳地察覺到了段落之間的發展脈絡。這題的關鍵在於辨識文章結構的轉折點，這也是英文閱讀測驗中具備高度鑑別度的題型，考驗學生對語意銜接與邏輯連貫性的掌握。
語意銜接與範例引導
這句「診斷通常是直接了當的（straightforward）」具有承上啟下的功能。在第三段末尾，作者強調了診斷的重要性；緊接著在第四段，作者列舉了肺炎、心臟病與肺栓塞等三個典型且因果明確的醫療案例。這些案例正是為了支撐「直接了當」這個論點，並與文末提到的「麵包與奶油（bread and butter，指基本且常見的事物）」相呼應。將此句放在第四段開頭，能完美地為後續的具體實例定調。
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