Tom was very sick with a bad cough, he could neither eat nor sleep.
A. as a result
B. after all
C. anyway
D. otherwise
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(答案→)A. as a result
B. after all
C. anyway
D. otherwise
解析：词义辨析题。A. as a result 结果 B. after all 毕竟 C. anyway 无论如何 D. otherwise 否则 句意：汤姆咳嗽厉害，结果他既不能吃也不能喝。 根据语境选A