题目内容

The teaching hospital is one associated with a medical school. Teaching hospitals are large, with a range of from 300 to 200 beds. These hospitals always have interns(实习医师) and residents(住院医师) and additionally have medical students on the hospital wards. They have superb technical resources, and it is here that the most extraordinary events of medicine take place. Open-heart surgery, transplantation of kidneys, elaborate(精致的) nurseries for the newborn, support for management of rare blood diseases, and other wonderful achievements are all available here. Dozens of people may be concerned with the well-being of a particular patient. Important medical decisions are thoroughly discussed, presented at conferences, and reviewed by many personnel.
On the other hand, the quality of personal relationships at teaching hospitals is variable. Many patients feel that they are treated in an impersonal way, and that their laboratory tests receive more attention that their human and social problems. Since these institutions are on the frontier of medicine, there is a tendency to emphasize the new and elaborate procedures, when older and more modest ones might have served as well. With the inexperience of some members of the care team, there is a tendency to order more laboratory tests than what would have been ordered for the same condition in a private hospital. The sick patients are sometimes confused by having to relate to a large number of doctors and students. Medical educators are concerned with such criticisms and have to correct some of the problems. However, some excesses(超额) of technological medicine still occur in these institutions.
小题1:One of the advantages of a teaching hospital is that         .
A.its first-class personnel are a guarantee of excellent medical care
B.its first-class medical facilities and skills make medical breakthroughs possible
C.the interns, residents and medical students all offer satisfactory services
D.its laboratory staff provide high-class professional aids for the doctors
小题2:The passage implies that         .
A.private hospitals usually give personalized care of high quality
B.private hospitals have more experienced laboratory staff
C.teaching hospitals use patients as subjects for their experiments
D.teaching hospitals usually give patients improper treatment
小题3:Treatments of some difficult and complicated cases in teaching hospital are decided         .
A.by specialists in charge of the case
B.by doctors and students together
C.on some special and important occasions
D.through collective efforts and serious review
小题4: The problem that still bothers teaching hospitals frequently is         .
A.the inadequate patient care caused by irresponsible nurses.
B.the wrong decisions made by inexperienced doctors
C.improper dependence on technological medicine
D.the inconvenience caused by the presence of medical students
小题1:B小题1:C小题1:D小题1:C
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A cheap drug that can stop bleeding in people recently injured in an accident could potentially save the lives of tens of thousands worldwide, a new study says.
Researchers studied the effects of tranexamic acid (凝血酸), or TXA, in more than 10,000 injured people in 40 countries who received the drug within 8 hours of being injured. The study was published in the medical journal Lancet. Doctors found that patients who got TXA had a 15percent lower chance of dying from hemorrhage than those who didn’t get it . They also had a 10 percent lower chance of dying from any other cause, including organ failure and a head injury. The study was paid for by the British government.
The drug is commonly used in wealthy countries during elective surgeries(外科手术) to stop bleeding , but isn’t used for accident victims. TXA is off-patent and made by many companies. It costs about $4.5 per gram, and a typical dose is two grams. It is usually given via an injection(注射) and would be relatively easy to introduce, even in poor countries, experts said.
Previous tests of the drug regarded its use in elective surgeries, such as heart operations, but this was the first study to test the drug on accident victims. Doctors were worried it might increase side effects such as blood clots (凝块)in the heart and lungs, strokes, or heart attacks. There was no evidence of that in the Lancet study, though the authors said it was possible they might have missed some of these incidents.
For people between 5 and 45, accidents are the second leading cause of death worldwide after AIDS, and about 600,000 injured patients bleed to death every year. Experts estimated that if TXA were readily available, between 70,000 and 100,000 lives a year could be saved. Though the drug wasn’t tested on children , experts said it would almost certainly work with them as well.
小题1:The underlined word” hemorrhage” in Paragraph 2 probably means ________
A.serious illnessB.heart diseaseC.heavy bleedingD.lack of drug
小题2:What can we learn about TXA from the passage?
A.It can only be made in EnglandB.It was only used in operations before
C.It is a patented drugD.It is mainly used in poor countries
小题3:Doctors were worried about using TXA because ________
A.a lot of patients died unexpectedly after using it
B.it has no treatment effect on patients
C.it can cause blood clots or stroke
D.they hadn’t used it on accident victims before
小题4: What do we know from the last paragraph?
A.It is a pity that TXA wasn’t widely used on injured patients before
B.Tests have proved that TXA can be used on children
C.People between 5 and 45 should be injected with TXA every year
D.Accidents are the first leading cause of death worldwide.
A good night’s sleep in the early years of life could be very important in preventing a child becoming obese, say scientists. Babies and pre-school children who sleep for less than ten hours a night are more likely to be overweight when they are older, research has found. Experts believe that those who do not get enough sleep are more likely to feel hungry and want more calorie-rich food during the day.
Former research has linked sleeping with obesity in adults and teenagers, but this is one of the first to look at very young children. Researchers from the Universities of Washington and California looked at the sleeping habits of almost 1,000 children under the age of five. They found those who had less than ten hours’ sleep were twice as likely to be overweight five years later.
Childhood obesity has doubled over the past 10 years. A quarter of secondary school pupils are now judged to be so overweight that their health is in danger. Experts believe sleep, or lack(缺乏)of it, could be a major cause of this. On average children are sleeping for an hour less than they did 30 years ago. Last year Chinese researchers looked at more than 5,000 youngsters and found that those who were able to catch up on (补充)sleep at the weekend were far less likely to get body weight problems. Scientists have also found a link between lack of sleep and diabetes(糖尿病). Last year Canadian researchers discovered those who did not get seven or eight hours’ sleep a night were two and a half times more likely to become sick.
小题1:The underlined word “obese” in the first paragraph may mean       .
A.quite protective B.very sad
C.very fatD.quite young
小题2:According to Chinese researchers, if a person who lacks sleep can get more sleep during weekends,       .
A.he won’t get hungry easilyB.he will feel tired all the time
C.there will be little chance of him becoming fat
D.it will be very hard for him to fall asleep at night
小题3:From the passage we know       .
A.too little sleep will result in illness besides obesity
B.in the past people didn’t connect sleep with weight
C.fat children must have slept less than 10 hours five years ago
D.most children are unhealthy because of little sleep
小题4:What would be the best title of the passage?
A.A good night’s sleep helps the development of kids’ brain!
B.Ten hours’ sleep prevents overweight in kids!
C.Children are sleeping much less nowadays!
D.More teenagers get weight problems!
小题5:Where can you most probably read this passage?
A.In the latest news.B.In a children’s book.
C.In a health magazine.D.In a scientist’s diary.
Why do parents deny their kids’ weight?
Experts in childhood nutrition aren’t surprised by an investigation this summer that shows 50%of parents who have overweight children don’t realize their children Weigh too much.Many parents deny their children’s weight because they don’t want to have to change their own eating and exercise habits,says Keith Ayoob, a doctor who works with overweight children and their families in New York City.
Parents frequently ask him whether their children have a thyroid(甲状腺) problem, but that’s rarely the case.“1t’s usually a dietary(有关饮食的) and lifestyle issue.It’s very difficult for parents to deal with their own food issues,”Ayoob says.An estimated 25 million children in the USA are overweight, which puts them at risk of developing diabetes(糖尿病), high blood Pressure and other health problems.A Consumer Reports magazine investigation released on July 25,2009 of 3.048 parents who have children aged 5 to 17 found that 91% say childhood obesity (肥胖) is a problem in the USA.
Only 36%of the parents with heavy children say their family doctors have suggested their children lose weight;the other 64%say the doctors didn’t mention it.“Many parents simply don’t realize their children are overweight.”says Keith Ayoob.“The doctors never told them.Other kids in the class look like their children.and their kids seem pretty healthy.”he says.
He has parents go to the calculator on the Centers for Disease Control and Prevention website to figure out whether their children are too heavy.
小题1:Why do many parents fail to admit their children are overweight?
A.Because they think it a shame to be overweight.
B.Because they want to keep their own eating and exercise habits.
C.Because they want to change their own eating and exercise habits.
D.Because they want their children to have more nutrition.
小题2:What is the probable cause of childhood obesity?
A.Thyroid problem.B.High blood pressure.
C.Dietary and lifestyle habit.D.Diabetes.
小题3:It can be inferred from the fourth paragraph that the family doctors’ advice     
A.has no influence on many parents
B.has much influence on many parents
C.has little influence on many parents
D.is totally accepted by many parents
小题4:What advice does Keith Ayoob give to parents?
A.He advises that parents should go and ask their family doctors in person.
B.He advises that the children should have a medical examination regularly.
C.He advises that school should force the children to eat less and exercise more.
D.He advises parents to go to the Centers for Disease Control and Prevention website for the information.
Americans this year will swallow 15,000 tons of aspirin, one of the safest and most effective drugs invented by man. The most popular medicine in the world today, it is an effective pain reliever. Its bad effects are relatively mild and it is cheap.
For millions of people suffering from arthritis(关节炎), it is the only thing that works. Aspirin, in short, is truly the 20th-century wonder drug. It is also the second largest suicide drug and is the leading cause of poisoning among children. It has side effects that, although relatively mild, are largely unrecognized among users.?
Although aspirin was first sold by a German company in 1899, it has been around much longer than that. Hippocrates, in ancient Greece, understood the medical value of the leaves and tree bark which today are known to contain salicylates(水杨酸碱), the chemical in aspirin. During the 19th century, there was a great deal of experimentation in Europe with this chemical, and it led to the introduction of aspirin. By 1915, aspirin tablets were available in the United States.?
A small quantity of aspirin (two five-grain tablets) relieves pain and inflammation(炎症). It also reduces fever by interfering with some of the body’s reactions.
小题1:The passage is written to          .
A.suggests us using more aspirinB.reminds us of the side effects of aspirin
C.gives us a whole view of aspirinD.discusses the good effects of aspirin
小题2:According to the author, aspirin         .
A.is very safeB.first appeared in 1899
C.can be harmful to childrenD.can hardly be dangerous
小题3:Generally speaking, the author seems to be           .
A.in favor of aspirinB.against the use of sapirin
C.not interested in aspirinD.careful in using aspirin
小题4:What is the best title for this passage?
A.How to Use AspirinB.Why I Take Aspirin
C.The Most Popular MedicineD.The Side Effects of Aspirin
Boiler rooms are often dirty and steamy, but this one is clean and cool. Fox Point is a very new 47-unit living building in South Bronx, one of the city’s poorest areas. Two-thirds of the people living there are formerly (以前) homeless people, whose rent is paid by the government. The rest are low-income families. The boiler room has special equipment, which produces energy for electricity and heat. It reuses heat that would otherwise be lost to the air, reducing carbon emissions(碳排放)while also cutting costs.
Fox Point is operated by Palladia, a group that specializes in providing housing and services to needy people. Palladia received support from Enterprise Community Partners (ECP), which helps build affordable housing by providing support to housing developers.
ECP has created national standards for healthy, environmentally (环境方面) clever and affordable homes which are called, the Green Communities Standards. These standards include water keeping, energy saving and the use of environmentally friendly building materials. Meeting the standards increases housing construction costs by 2%, which is rapidly paid back by lower running costs. Even the positioning of a window to get most daylight can help save energy.
Michael. Bloomberg, New York's mayor plans to create 165,000 affordable housing units for 500,000 New Yorkers. Almost 80% of New York City’s greenhouse-gas emissions come from buildings, and 40% of those are caused by housing. So he recently announced that the city’s Department of Housing and Preservation and Development (DHPD) , whose duty is to develop and keep the city’s supply of affordable housing, will require all its new projects to follow ECP’s green standards.
Similar measures have been taken by other cities such as Cleveland and Denver, but New York’s DHPD is the largest city developer of affordable housing in the country.
小题1:What is the purpose of describing the boiler room in the first paragraph?
A. To explain the measures the city takes to care for poor people.
B. To suggest that affordable housing is possible in all areas.
C. To show how the environment-friendly building works.
D. To compare old and new boiler rooms.
小题2:What is an advantage of the buildings meeting the Green Communities Standards?
A. Lower running costs.
B. Costing less in construction.
C. Less air to be lost in hot days.
D. Better prices for homeless people.
小题3: It can be learned from the text that, ____________________.
A. New York City is seriously polluted
B. people’s daily life causes many carbon emissions in New York City
C. a great number of people in New York City don't have houses to live in
D. some other cities have developed more affordable housing than New York City
小题4:What is the main purpose of this text?
A. To call on people to pay more attention to housing problems.
B. To prove that some standards are needed for affordable housing.
C. To ask society to help homeless people and low-income families.
D. To introduce healthy, environmentally clever-and affordable housing.
Are morning people born or made? In my case it was definitely made.In my early 20s, I rarely went to bed before midnight, and I would almost always get up late the next morning.
But after a while I couldn’t ignore the high relationship between success and rising early.On those rare occasions where I did get up early, I noticed that my productivity was almost always higher.So I set out to become a habitual early riser.But whenever my alarm went off, my first thought was always to stop that noise and go back to sleep.Eventually some sleep research showed me that I was using the wrong strategy.
The most common wrong strategy is this: You assume that if you’re going to get up earlier, you’d better go to bed earlier.It sounds very reasonable, but will usually fail.
There are two main schools(流派) of thought on sleep patterns.One is that you should go to bed and get up at the same time every day.The second school says you should go to bed when you’re tired and get up when you naturally wake up.However, I have found both of them are wrong if you care about productivity.If you sleep at set hours, you’ll sometimes go to bed when you aren’t sleepy enough.You’re wasting time lying in bed awake and not being asleep.
If your sleep is based on what your body tells you, you’ll probably be sleeping more than you need.Also, your mornings may be less predictable if you’re getting up at different times.
The solution for me has been to combine both methods.I go to bed when I’m sleepy and get up with an alarm clock at a fixed time.So I always get up at the same time (in my case 5 am), but I go to bed at different times every night — sometimes at 9:30pm, and other times at midnight.Most of the time I go to bed between 10-11 pm.
However, going to bed only when I’m sleepy, and getting up at a fixed time every morning is my way.If you want to become an early riser, you can try your own.
小题1:According to the passage, the underlined phrase refers to ____.
A.people who stay up until the next morning.
B.people who get up early in the morning.
C.people who feel sleepy in the morning.
D.people whose productivity is the highest in the morning.
小题2:Why did the author want to become a habitual early riser?
A.Because he / she wanted to form the habit of going to bed early and getting up early.
B.Because he / she had found that his / her productivity was higher when he / she got up early.
C.Because he / she wanted to see which of the two main schools of thought on sleep patterns was right.
D.Because he / she was told the high relationship between success and rising early.
小题3:The author experienced all the following EXCEPT ____.
A.going to bed after midnight.
B.getting up early occasionally.
C.pressing off the alarm to go on sleeping.
D.asking scholars for advice on sleeping habits.
小题4:The passage is mainly about ____。
A.how to become an early riser.
B.how to have good sleep.
C.wrong strategies for getting up early.
D.main schools of thought on sleep patterns.

III.完形填空(共20小题:每小题1 5分,满分30分)
请阅读下面短文,从短文后各题所给的四个选项(A、B、C和D)中,选出可以填入空白处的最佳选项,并在答题卡上将该项的涂黑。
One day I took my son to the doctor’s for a physical examination and being flu season there were several children there with physical and mental disabilities.Right  36  from us was a man with his son in a wheel chaff.The chair secured the boy who probably couldn’t sit up on his own.They boy  37  very slowly and was severely mentally and physically challenged.But his eyes  38   up when I asked the daddy if I could  39   my son to him.Jeremy had been  40  him and told me he couldn’t talk so I asked the dad if we could  41  him.The dad seemed   42  too so I crossed the room to sit down right by him and asked the boy his  43 .He said,“Ten”I said,“Hi,Tim, this is Jeremy.”Then I asked,“How old are you,Tim?”He said,“Ten.”While I talked with him I rubbed his leg   44  and I could see he was trying to put his      45   out for me to grab it.The conversation was short but   46 .The nurse then called them in and the dad  47  me and we said goodbye.
On the way home,I was able to explain to Jeremy that Tim has    48  just like any kid who wants to  49 .He wants to have friends and experience life and love his family.He doesn’t want to be laughed at or pointed at just  50  he is different.I don’t know if it made a(n)  51 on Jeremy that day,but I feel that it did.We will   52  to speak with whoever comes along our path no matter how   53  they ale from us.Teaching our children not to stare is probably  54 .But teaching them to shale a   55 with people who ale different is truly remarkable !
36.A.opposite      B.above          C.among     D.across
37.A.spoke          B.walked        C.ate    D.looked
38.A.came    B.got       C.1it    D.pulled
39.A.point    B.1ead     C.take D.introduce
40.A.running after       B.1aughing at         C.staring at D.looking after
41.A.meet    B.check          C.cheer       D.help
42.A.interested     B.happy          C.surprised D.sorry
43.A.condition     B.problem       C.age   D.name
44.A.joyfully       B.heavily        C.gently       D.eagerly
45.A.hand    B.foot      C.1eg   D.head
46.A.simple         B.boring         C.sweet       D.sad
47.A.rewarded     B.thanked       C.invited     D.moved
48.A.troubles       B.words          C.ideas        D.feelings
49.A.疗tin          B.standup        C.go through      D.set out
50.A.once     B.but       C.because    D.so
51.A.message       B.impression          C.mark       D.expression
52.A.decide         B.prefer          C.continue   D.stop
53.A.ugly     B.beautiful      C.far    D.different
54.A.impossible          B.normal        C.meaningless     D.easy
55.A.viewpoint    B.toy       C.conversation    D.1esson
There's a lot of discussion these days about healthy kids. People who care (parents, doctors, teachers, and others) want to know how to help kids be more healthy.
Being healthy is a way of saying a person eats well, gets a lot of physical activity (exercise), and has a healthy weight. If you're healthy, your body works well, feels good, and can do all the things you want to do. Here are five rules to live by, if you're a kid who wants to be healthy.
Eat a Variety of Foods, Especially Fruits and Vegetables. You may have a favorite food, but the best choice is to eat a variety. If you eat different foods, you're more likely to get the nutrients(营养) your body needs. Taste new foods and old ones you haven't tried for a while. Get at least five servings of fruits and vegetables a day — two fruits and three vegetables.
Drink Water and Milk Most Often. When you're really thirsty, cold water is the No. 1 for you. Kids need calcium(钙)to build strong bones, and milk is a great source of this mineral. How much do kids need? Aim for 3 cups of milk per day. You can mix it up by having milk and some other calcium-rich dairy foods .
Be Active.One job you have as a kid — and it's a fun one — is that you get to figure out which activities you like best. Not everyone loves baseball or soccer. Ask your parents to help you do your favorite activities regularly. Find ways to be active every day. You might even write down a list of fun stuff to do, so you can refer to it when your mom or dad says it's time to stop watching TV or playing computer games!
小题1: What’s the best title for this passage?
A.Do Your Favorite Activities RegularlyB.Eat More Fruits and Vegetables Every Day
C.Drink Water and Milk When You Are ThirstyD.Tips on How to Keep Healthy
小题2: Which of the following can’t show a kid is healthy?
A.Eating wellB.Having too much sleep
C.Having a healthy weightD.Getting a lot of physical exercise
小题3: The best way to get enough nutrients for your body is ________.
A.to drink milk every dayB.to eat what you haven’t eaten before
C.to eat all kinds of foodsD.to eat fruits and vegetables instead of grains
小题4:The underlined words “this material” in the fourth paragraph refer to _________.
A.calciumB.calcium-rich dairy foodC.milkD.nutrients

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