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外交人員考試三等考試-外交領事人員類科英文組一外國文(含新聞書信撰寫與編譯)(英文)10618單選題
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Heartburn is a painful burning feeling in your chest or throat. It happens when stomach acid backs up into your esophagus, the tube that carries food from your mouth to your stomach. This discomfort may spread in waves upward into your throat, and you may have a sour taste in your mouth. Heartburn is sometimes called indigestion, acid regurgitation, sour stomach, or pyrosis. It is not caused by problems with your heart, although sometimes heart problems can feel like heartburn. Heartburn usually is worse after eating or made worse by lying down or bending over. It gets better if you stand up. Almost everyone will have troubles with heartburn now and then. Heartburn occurs more frequently in adults than in children. Symptoms of heartburn and symptoms of a heart attack may feel the same. Sometimes your heartburn symptoms may mean a more serious problem and need to be checked by your doctor. Causes of dyspesia can vary from minor to serious. Heartburn occurs when food and stomach juices back up (reflux) into the esophagus, which is the tube that leads from the throat to the stomach. This process is called gastroesophageal reflux. Common causes of reflux include: (1) Incomplete closing of the valve (the lower esophageal sphincter, or LES) between the esophagus and the stomach. (2) Foods and drinks, such as chocolate, peppermint, fried foods, fatty foods, sugars, coffee, carbonated drinks, and alcohol. After heartburn occurs, the backflow of stomach juices can cause the esophagus to become sensitive to other foods, such as citrus fruits, tomatoes, spicy foods, garlic, and onions. Eating these foods may cause more heartburn. (3) Pressure on the stomach caused by frequent bending over and lifting, tight clothes, straining with bowel movements, vigorous exercise, and pregnancy. (4) Smoking and use of other tobacco products. (5) Prescription and non-prescription medicines, such as aspirin, ibuprofen, prednisone, iron, potassium, antihistamines, and sleeping pills. The treatment of heartburn depends on how severe your heartburn is and what other symptoms you have. Home treatment measures and medicines that you can buy without a prescription usually will relieve mild to moderate heartburn. It is important to see your doctor if heartburn occurs frequently and home treatment does not relieve your symptoms.

Which of the following may NOT be the cause of gastroesophageal reflux?

ATight clothes, vigorous exercises and pregnancy.
BCitrus fruits, spicy foods, tomatoes, garlic, and onions.
CFried foods, fatty foods, sugars, and coffee.
DPhysically exhausted after a day-long meeting.正確答案
答案與詳解
D
正確答案
反向題:找「不是胃食道逆流成因」的選項。短文列出5大成因,D選項「開會後精疲力竭」完全未提及。

為什麼答案是 D

「開會一整天後身體疲憊」在短文5大成因中完全沒有提及。短文列出的成因為:LES閥門未完全關閉、特定食物飲料、身體承受壓力(如彎腰/緊身衣/運動/懷孕)、抽菸、以及特定藥物。「精疲力竭」或「開會」均不在任何成因清單中,故此選項「不是成因」,為本題正解。

考點:胃食道逆流成因-身體壓力考點:胃食道逆流成因-食物誘發考點:胃食道逆流成因-飲食考點:胃食道逆流-非成因辨別
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