It is obvious that doctors recognize obesity（肥胖） as a health problem. So why is it so hard for them to talk to their patients about it?

       The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don’t know what to say.

       “So while doctors may tell patients they are overweight, the conversation often ends there,” said Christine C. Ferguson, director of the Stop Obesity Alliance. “Patients are not told about the possibility of diabetes (a kind of disease),” she said. “And doctors don’t feel they have good information to give. They felt that they didn’t have adequate tools to address this problem.

       The lack of dialogue hurts patients, too. The patient survey, of over 1,000 adults, found that most overweight patients don’t even know that they’re too heavy. Only 39 percent of overweight people surveyed had ever been told by a health care provider that they were overweight.

Of those who were told they were obese, 90 percent were also told by their doctors to lose weight, the survey found. In fact most have tried to lose weight and may have been successful in the past—and many are still trying, the survey found. And many understand that losing even a small amount of weight can have a positive impact on their health and reduce their risk of obesity­related diseases like hypertension and diabetes.

Dr. William Bestermann Jr., medical director of Holston Medical Group, in Kingsport, Tenn. , which ranks the 10th in obesity among metropolitan areas in the United States, said the dialogue had to be an ongoing one and could not be dropped after just one mention of the problem. “If you’re to be successful with helping your patients lose weight, you have to talk to them at actually every visit about their progress, and find something to encourage them and coach them,” he said.

He acknowledged that many doctors tend to be not optimistic.

“Part of this is that there's this common belief, and doctors are burdened by it, too, that overweight people are weak-willed and just don’t have any willpower and are self­indulgent and all that business,” he said. “If you think that way, you’re not going to spend time having a productive conversation.”

41.     What is the Stop Obesity Alliance most probably in Paragraph 3?

A. An organization of doctors specializing in obesity.

B. An organization of patients suffering from obesity.

C. A research group that conducts special surveys about overweight people.

D. A research group dealing with doctor-patient relationship.

42.     How many of the patients surveyed have been advised by their doctors to lose weight?

A. About 350.                                           B. About 390.

C. About 900.                                           D. About 1,000.

43.   What can be inferred about obesity patients in Paragraph 5?

       A. They are not as hopeless as doctors think they are.

       B. Most of them have tried hard to lose weight, but in vain.

C. Without their doctors’ constant coaching, there is little chance of their succeeding in losing weight.

       D. Most of them have just given up their hope of becoming less heavy.

44.   According to the passage, which factor contributes to the lack of dialogue between doctors and patients?

     A. Most doctors just never think of warning their patients about their weight problem.

       B. Many doctors find it difficult to persuade overweight people to lose weight.

       C. Most patients are too weak-willed to do anything about their weight.

       D. Many patients tend not to trust their doctors about their weight problem.

45.   Which of the following is the best title of the passage?

       A. Obesity in the U. S.                              

B. Trouble of overweight Americans.

       C. Talk more, help better.                          

D. Doctors or patients-who to bear more blame?

通读下面短文，掌握其大意，然后在各题所给的A，B，C，D四个选项中，选出一个最佳答案。

I was in the queue for the supermarket checkout(付款台) earlier today．All of the checkouts were    36   , and the woman behind me was not happy! Every word that came from her mouth was a(n)    37   ! She wasn’t happy with the number of checkouts      38    ; she wasn’t happy with the amount of shopping some people had in their baskets; she wasn’t happy because this supermarket didn’t have a stand where she    39    scan her own shopping.

    I listened to her    40   looking around as I loaded my stuff onto the conveyor belt (传送带)．I didn’t want    41    to do with that kind of attitude, and if ever I’d felt like letting someone go     42     of me, it wouldn’t be such a woman!

But then I    43   back．Standing beside the woman was a five-year-old girl,    44    her granddaughter．The girl’s part of the shopping    45   of some comic books.

I couldn’t    46   it．I pushed my shopping back to the end of the conveyor belt,     47    a space．“After you,” I said to the woman and the girl, and    48    them to a big     49    ．The woman was delighted, and even    50    to complain ---- until she was walking away．

So,   51   bother having helped? It was because that little girl was probably taking in her granny’s complaint like a sponge(海绵)．She was learning how to    52    situations like that by listening to her granny．I’d seen that I could interrupt that complaining, and put a smile and some   53    into the middle of it．

We can all complain; we can all react    54    , but it doesn’t have to be like that．And, even if only for a few     55     , I wanted to leave that little soul with just a glimpse of another way．

A．busy     B．big   C．free        D．empty

A．quarrel B．argument        C．praise     D．complaint

A．opened B．closed   C．left        D．hired

A．would         B．need      C．could     D．must

A．beyond       B．without         C．with       D．by

A．something          B．nothing         C．everything           D．anything

A．ahead  B．behind   C．beside   D．back

A．went   B．glanced         C．focused  D．jumped

A．merely        B．surely           C．possibly        D．luckily

A．contained B．included   C．consisted       D．made

A．think        B．help      C．believe         D．forget

A．taking   B．leaving      C．bringing         D．occupying

A．returned  B．pleased    C．treated          D．served

A．smile    B．meal      C．joke      D．room

A．thanked  B．paid         C．checked        D．forgot

A．how         B．what      C．why            D．who

A．face with B．put with     C．deal with      D．do with

A．truth        B．kindness       C．courage         D．money

A．actively  B．correctly   C．negatively    D．patiently

A．hours    B．chances    C．years    D．seconds

请阅读下面短文，掌握其大意，然后从各题所给的四个选项（A、B、C、D）中，选出最佳选项，并在答题卡上将该选项的标号涂黑。

Earlier this week I was at a store after the holiday season. While waiting in line, I 　31 a Dad who was stressed out with his two sons waiting in line to buy a car seat for the younger child.

　 The father asked if he could buy the display model because it would be 　32 than the others. The cashier 　33　 that he could buy the display model 　34 that there was no box for it. He said that was just 　35 with him.

　 Then he asked if there were any additional coupons (优惠券) to bring the 　36 down just a little bit more. The cashier was doing her best to 　37 some coupons for this young father, but wasn’t 　38 much of anything in her drawer.

　 I used to be a people-watcher, but as I 　39 this for about five minutes, I was beyond 　40 to help. Before I could really think about it, I found myself digging through my 41　 for the 10 to 15 dollars in coupons.

　 But I found nothing. I gave him $20 cash. The father said he couldn’t 　42　 it, but appreciated my offer. The cashier was 　43 in the same mode as I was in, wanting to help this young family and took the money toward his 　44 with a smile on her face. The seat 45 coming to around $50 instead of the original $90.

　 As the Dad collected his small children and began to 　46 , he looked at me and said, “You really shouldn’t have done that but I thank you so much---you just made certain that we will all get to eat today.”

　 My reply was simple. Be it 　47 or years from now, simply do the same or something extra for someone else you don’t know, and that would 　48 me tenfold (十倍地).

　 The whole experience made me realize that such a small thing can have a huge 　49 in the long run, as long as the chain isn’t 　50 .

Everyone has experienced trying, but failing to master a difficult book that was begun with the hope of increasing one's understanding. When that happens, it is ?　36　?to think that it was a mistake to try to read it, but that was not the mistake. The mistake was in ?　37　? too much from the first reading of a(n) ?　38　? book. If you read it in the right way, no book written for the ?　39　?reader, no matter how difficult, need be a cause for despair(令人失望).

What is the right method? The ?　40　? is an important and helpful rule of reading that is either not ?　41　? or often forgotten. That rule is simply this: when reading a difficult book for the first time, read it through without ever ?　42　? to think about the things that you do not understand immediately.

Do not be stopped by what you ?　43　? understand. Read through the difficult ?　44　?,and you soon come to things that you do understand. Read these ?　45　?.You will have a much better chance of understanding all of the book when you read it again, but that ?　46　? you to have read the book through once ?　47　?.

What you understand by reading the book through to the ?　48　? will help you when you try later to read the places that you did not ?　49　? in your first reading. Or if you never re-read the book, understanding half of it is much better than understanding ?　50　? of it, which will happen ?　51　? you allow yourself to be stopped by the first difficult part of the book.?

Most of us were taught to ?　52　? the things that we do not understand. We were told to find the ?　53　? of unfamiliar words, and to try to find an explanation in another ?　54　? for anything that we did not understand in the book that we were reading. But when these things are done before the proper time, they only ?　55　? our reading, instead of helping it.

36. A. necessary     B. useful C. natural       D. effective?

37. A. learning       B. wanting      C. accepting    D. expecting?

38. A. easy     B. difficult     C. important   D. correct?

39. A. ordinary      B. young C. serious       D. sincere?

40. A. method B. question     C. answer       D. problem?

41. A. taught  B. known       C. sure    D. perfect?

42. A. starting B. hesitating   C. Stopping    D. repeating?

43. A. can't     B. won't  C. mustn't       D. wouldn't?

44. A. words   B. articles       C. parts   D. points?

45. A. quickly B. immediately      C. clearly       D. carefully?

46. A. requires       B. causes C. advises       D. allows?

47. A. later     B. after   C. before D. again?

48. A. top       B. end     C. bottom       D. cover?

49. A. see       B. turn    C. Notice D. understand?

50. A. anything      B. everything  C. nothing      D. something?

51. A. if B. so that C. whenever   D. as though?

52. A. put away     B. put down    C. think of      D. think about?

53. A. uses     B. Meanings   C. Spellings    D. troubles?

54. A. thinking      B. reading      C. Book  D. way?

55. A. harm    B. increase      C. Improve     D. prevent??