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高等考試 114年 [一般行政] 法學知識與英文(包括中華民國憲法、法學緒論、英文)

第 46 題

📖 題組:
Geriatric medicine is a growing medical specialty that focuses on the care and treatment of older people. Older age involves a distinct set of challenges. Many older people are living with multiple long-term conditions and are much more vulnerable to a range of problems. Your reactions to medication also change in older age. A geriatrician is a specialist when it comes to how different conditions interact with one another, how various medications will affect you, and how to spot the signs of potential problems such as vulnerability to falls. Geriatricians see patients with a wide range of common conditions, most of which are chronic disease such as diabetes, hypertension, coronary heart disease, dementia, and even depression. Geriatricians work alongside different specialties to plan and coordinate patients’ care. They can work in many different medical settings, but are mainly based in hospital outpatient wards like GP visits. One of the key roles a geriatrician plays is in carrying out a comprehensive medical assessment. When you go to the GP (general practitioner), you might have a number of complaints, not all of which can necessarily be addressed fully. A geriatrician’s job is to work out the most important problems you face, including those you haven’t identified yourself, and to put together a program of individualized care. A geriatrician’s work is a complex balancing act, and listening to your priorities and the things that are most important for you in life is a key part of the role. Geriatricians are also important when planning your care after an operation or accident. They will work with clinicians as well as social care staff to plan your care and help you maintain your independence. Geriatricians are also trained to talk to patients towards the end of their life and help them make appropriate plans. This can include setting out treatment preferences in advance and planning care at the very end of life.
What is the main idea of this passage?
  • A The revolution in medicine to lengthen lives.
  • B The introduction of a medical specialty.
  • C The new perspective on modern medicine.
  • D The importance of preventive health care.

思路引導 VIP

請快速掃視這四個段落的「第一句話」,它們都共同圍繞著哪一個特定的「醫學領域」或「職業」在進行說明?如果要把這些段落的內容濃縮成一個目的,你認為作者寫這篇文章主要是想向讀者傳達什麼資訊?

🤖
AI 詳解 AI 專屬家教

太棒了!你的閱讀核心抓得非常準確。

  1. 觀念驗證:本題屬於典型的「主旨題」。文章首句便點出 "Geriatric medicine is a growing medical specialty" (高齡醫學是一門興起中的醫療專科),後續段落分別詳述其診斷範圍、工作環境及臨床角色。選項 (B) "The introduction of a medical specialty" (醫療專科的介紹) 精確地涵蓋了整篇內容,是標準的正確解。其他選項如 (D) 預防保健僅是其中一環,不如 (B) 完整。
  2. 難度點評:此題難度評定為 medium。雖然文中有較多醫療專有名詞(如:hypertension 高血壓、dementia 失智症),但主旨題考驗的是「全局觀」。你能不被細碎單字干擾,直接鎖定首段的 Topic Sentence 並與選項對應,展現了高考三級應有的閱讀水準。繼續保持這種「掃描重點」的節奏!
📝 老年醫學與高齡照護
💡 掌握老年醫學整合性、個別化及跨團隊協作之核心特徵。
比較維度 老年醫學專科醫師 VS 一般醫師 (GP) / 單一專科醫師
診斷重點 找出潛在與優先問題 針對病患主訴進行診療
團隊角色 跨專科協調、結合社福 單一專業處置或轉診
照護計畫 高度個別化長期方案 標準化特定疾病療程
診療目標 維護獨立性與生活品質 消除病灶或緩解症狀
💬老年醫學醫師扮演「健康資源整合者」,而不僅是特定病症的治療者。
🧠 記憶技巧:整合多重病,評估個別化,協調跨團隊。
⚠️ 常見陷阱:考題常誤導老年醫學醫師會親自執行手術,實則其角色為醫療資源的整合與協調。
高齡社會政策 長期照護制度 預立醫療決定 (AD)

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