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國中教甄|英語英語102 年第 60 題單選題
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A pandemic is an epidemic of infectious disease that has spread through human populations across a large region; for instance multiple continents, or even worldwide. A widespread endemic disease that is stable in terms of how many people are getting sick from it is not a pandemic. Further, flu pandemics generally exclude recurrences of seasonal flu. Throughout history there have been a number of pandemics, such as smallpox and tuberculosis. More recent pandemics include the HIV pandemic and the H1N1 pandemics of 1918 and 2009. In 2003, there were concerns that Severe Acute Respiratory Syndrome (SARS), a new and highly contagious form of atypical pneumonia, might become pandemic. It is caused by a coronavirus dubbed SARS-CoV. Rapid action by national and international health authorities such as the World Health Organization (WHO) helped to slow transmission and eventually broke the chain of transmission, which ended the localized epidemics before they could become a pandemic. However, the disease has not been eradicated. It could re-emerge. This warrants monitoring and reporting of suspicious cases of atypical pneumonia. Antibiotic-resistant microorganisms may contribute to the re-emergence of diseases which are currently well controlled. For example, cases of tuberculosis that are resistant to traditionally effective treatments remain a cause of great concern to health professionals. Inappropriate antibiotic treatment and overuse of antibiotics have been an element in the emergence of resistant bacteria. The problem is further exacerbated by self-prescribing of antibiotics by individuals without the guidelines of a qualified clinician and the non-therapeutic use of antibiotics as growth promoters in agriculture.

What can be inferred from the above passage?

AHuman beings will not get influenza A because the disease is only infectious to domestic poultry.
BOnce influenza A viruses spread out, a burst of deadly disaster will happen to chickens, ducks, or geese raised domestically.
CSmallpox could occur again mainly because victims take medicine without guidance or permission of clinic doctors.正確答案
DIt is legitimate to employ antibiotics as growth promoters in agriculture
答案與詳解
C
正確答案
官方答案 C 取第三段「無合格臨床醫師指導而用藥與抗生素濫用,會增加疾病再現風險」的抽象推論;但文中直接例子是結核病,不是天花。

為什麼答案是 C

官方答案將此選項理解為第三段核心概念的推論:缺乏合格臨床醫師指導的用藥、抗生素不當使用,會使原本受控制的疾病更可能再現。文中直接舉例的是結核病,不是天花;天花只在第一段作為歷史大流行病的例子出現。嚴格而言,選項把結核病的機制套到天花並不完全貼合文本,但官方命題意旨在於「傳染病可能再現,且不當用藥會增加風險」。

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