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这道题的解析,越详细越好

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这道题的解析,越详细越好
34. The old lady’s hand shook frequently. She explained to her doctor ______ this shaking had begun half a year before, and _____, only because of this, she had been forced to give up her job.
A. when; how B. how; when C. how; how D. why; why
这是2005年重庆高考的题,答案选C
B.
第一个空格后面已经给出时间 所以不选A
第二个空格后面已经给出原因和过程 所以不选C,D