Our risk of cancer rises dramatically as we age. So it makes sense that the elderly should be routinely screened for new tumors — or doesn’t it?

　　While such vigilant(警觉的)tracking of cancer is a good thing in general, researchers are increasingly questioning whether all of this testing is necessary for the elderly. With the percentage of people over age 65 expected to nearly double by 2050, it’s important to weigh the health benefits of screening against the risks and costs of routine testing.

　　In many cases, screening can lead to additional biopsies and surgeries to remove cancer, which can cause side effects, while the cancers themselves may be slow-growing and may not pose serious health problems in patients’ remaining years. But the message that everyone must screen for cancer has become so ingrained that when health care experts recommended that women under 50 and over 74 stop screening for breast cancer, it caused a riotous reaction among doctors, patients and advocacy groups. 

　　It’s hard to uproot deeply held beliefs about cancer screening with scientific data. Certainly, there are people over age 75 who have had cancers detected by routine screening, and gained several extra years of life because of treatment. And clearly, people over age 75 who have other risk factors for cancer, such as a family history or prior personal experience with the disease, should continue to get screened regularly. But for the remainder, the risk of cancer, while increased at the end of life, must be balanced with other factors like remaining life expectancy(预期寿命).

　　A recent study suggests that doctors start to make more objective decisions about who will truly benefit from screening- especially considering the explosion of the elderly that will soon swell our population.

　　It’s not an easy calculation to make, but one that make sense for the whole patient. Dr. Otis Brawley said, “Many doctors are ordering these tests purely to cover themselves. We need to think about the rational use of health care and stop talking about the rationing of health care.”

　　That means making some difficult decisions with elderly patients, and going against the misguided belief that when it comes to health care, more is always better.

1.Why do doctors recommend routine cancer screening for elderly people?

A. It is believed to contribute to long life.

B. It is part of their health care package.

C. The elderly are more sensitive about their health.

D. The elderly are in greater danger of tumor growth.

2.How do some researchers now look at routine cancer screening for the elderly?

A. It adds too much to their medical bills.

B. It helps increase their life expectancy.

C. They are doubtful about necessity.

D. They think it does more than good.

3.What is the conventional view about women screening for breast cancer?

A. It applies to women over 50.

B. It is a must for adult women.

C. It is optional for young women.

D. It doesn’t apply to women over 74.

4.Why do many doctors prescribe routine screening for cancer?

A. They want to protect themselves against medical disputes.

B. They want to take advantage of the medical care system.

C. They want data for medical research.

D. They want their patients to suffer less.

5.What does the author say is the general view about health care?

A. The more, the better.

B. Prevention is better than cure.

C. Better early than late.

D. Better care, longer life.

二、完形填空（30分）
Everybody knows Charlie Chaplin，a world-famous funny actor.People　21have laughed at Charlie Chaplin’s films　22　tears run down their faces.From his very first　23　they know what will happen. The little man is always with black moustache，wide-open eyes，round black hat and　___24　too large for his feet.He’ll?25　?through snow，and fall from windows.He’ll fight men who are twice his　26　,fall in love with women，who　27　notice him and try to hug（拥抱)them.
The poor man that Charlie Chaplin　28　in dozens of films makes all kinds of stupid mistakes.He is always in　29　,but he never　30　.He dreams of becoming a great man.Even people who　31　understand English can　32　Chaplin’s films，because they are mostly?　33___.It isn’t what he　34　that makes people laugh.His comedy（喜剧)doesn’t depend on words.It depends on little?　35　?which mean the　36　thing to people all over the world.
Chaplin raises his thick eyebrows or rolls his eyes.He hides behind a fat lady or under a table to escape from his　37　.He dresses well and pretends to be a　38　and important man. It is all so hopeless and　39　that he makes us laugh.This is the　40　of Chaplin’s huge success.
21.A.here                       B.everywhere?     C.abroad                         D.who?
22.A.if                     B.once?          C.because                         D.until?
23.A.disappearance        B.appearance?     C.words                           D.emotions?
24.A.trousers                B.stocks?         C.shoes                            D.hands?
25.A.sleep                    B.sit?            C.play                             D.struggle?
26.A.length                  B.size?           C.greatness                      D.width ?
27.A.hardly                  B.deeply?         C.widely                         D.luckily
28.A.played                  B.recognized?     C.loved                               D.fooled?
29.A.joy                       B.excitement?     C.sorrow                          D.trouble?
30.A.comes down          B.gets away?      C.goes back                        D.gives up?
31.A.don’t                    B.can?           C.do                                D.may?
32.A.understand            B.watch?         C.enjoy                                   D.see?
33.A.frightening           B.silent?          C.pleasant                       D.moving?
34.A.plays                    B.acts      ?    C.expects                         D.says?
35.A.actions                 B.expressions ?  C.stories                          D.words?
36.A.some                    B.different?    C.same                                D.bitter?
37.A.enimies                B.own?        C.characters                         D.films?
38.A.poor                     B.sad             C.rich                                 D.beautiful?
39.A.possible                B.impossible ?   C.instructive                        D.tired?
40.A.way                            B.beginning?   C.theory                              D.secret?

阅读理解

　　This is the story of a small boy, who lived a long time ago in Germany . His name was George Frederick Handle .

　　As a very young boy, he loved music most. But his father didn't allow him to play any music.

　　Then one day he waited until he was all alone at home. Quickly he ran to his hiding place, he and a friend carried a small piano into the house. He decided to put it in his hiding place. There no one could see it.

　　That night, when everyone else wag asleep, he went to his hiding place. The moon was shining through a broken window. He sat on a box and began to play the piano. At that moment he knew he could only be happy playing music the rest of his life.

　　He played on and on, and he filled his house with his music. “George!” cried his father, “What are you doing? Stop that playing now! ”

　　The music stopped. George had tears in his eyes. Then he turned to his father and said, “Papa, you must understand I love music. It is my whole life.”

　　“Now listen to me, you foolish boy,” said Mr. Handle, “I want you to be a rich man. I want you to work hard. 1 don't want you to be a poor man all your life. You must leave music and become a doctor. Don't let me see you at the piano again.”

　　One day George found his way to church. He went straight to the organ(管风琴)and began to play it . He was only seven years old then. The story of his music spread in his town.

　　When the Duke heard the story, he said, “This boy must have the best music teacher. ” So George began to take music lessons.

　　George's teacher was very good. He taught George well and helped him write his own music. George became famous when he was eleven years old. Now his music is played all over the world.

1．Why didn't George listen to his father?

[　　]

A．He deeply loved music .

B．He didn't think his father was right.

C．He didn't want to go to school.

D．Music could make him rich.

2．What did George's father want him to be?

[　　]

A．A businessman.

B．A teacher.

C．A doctor.

D．A musician.

3．“Duke” is probably ________.

[　　]

A．a doctor

B．a nobleman

C．a good music teacher

D．a shop manager

4．The title “The Musical Heart” means ________.

[　　]

A．George began to play the piano when he was very young.

B．George played the piano pretty well .

C．George was a good music teacher.

二、完形填空（30分）

Everybody knows Charlie Chaplin，a world-famous funny actor.People　21have laughed at Charlie Chaplin’s films　22　tears run down their faces.From his very first　23　they know what will happen. The little man is always with black moustache，wide-open eyes，round black hat and　___24　too large for his feet.He’ll?25　?through snow，and fall from windows.He’ll fight men who are twice his　26　,fall in love with women，who　27　notice him and try to hug（拥抱)them.

The poor man that Charlie Chaplin　28　in dozens of films makes all kinds of stupid mistakes.He is always in　29　,but he never　30　.He dreams of becoming a great man.Even people who　31　understand English can　32　Chaplin’s films，because they are mostly?　33___.It isn’t what he　34　that makes people laugh.His comedy（喜剧)doesn’t depend on words.It depends on little?　35　?which mean the　36　thing to people all over the world.

Chaplin raises his thick eyebrows or rolls his eyes.He hides behind a fat lady or under a table to escape from his　37　.He dresses well and pretends to be a　38　and important man. It is all so hopeless and　39　that he makes us laugh.This is the　40　of Chaplin’s huge success.

21.A.here                       B.everywhere?     C.abroad                         D.who?

22.A.if                     B.once?          C.because                         D.until?

23.A.disappearance        B.appearance?     C.words                           D.emotions?

24.A.trousers                B.stocks?         C.shoes                            D.hands?

25.A.sleep                    B.sit?            C.play                             D.struggle?

26.A.length                  B.size?           C.greatness                      D.width ?

27.A.hardly                  B.deeply?         C.widely                         D.luckily

28.A.played                  B.recognized?     C.loved                               D.fooled?

29.A.joy                       B.excitement?     C.sorrow                          D.trouble?

30.A.comes down          B.gets away?      C.goes back                        D.gives up?

31.A.don’t                    B.can?           C.do                                D.may?

32.A.understand            B.watch?         C.enjoy                                   D.see?

33.A.frightening           B.silent?          C.pleasant                       D.moving?

34.A.plays                    B.acts      ?    C.expects                         D.says?

35.A.actions                 B.expressions ?  C.stories                          D.words?

36.A.some                    B.different?    C.same                                D.bitter?

37.A.enimies                B.own?        C.characters                         D.films?

38.A.poor                     B.sad             C.rich                                 D.beautiful?

39.A.possible                B.impossible ?   C.instructive                        D.tired?

40.A.way                            B.beginning?   C.theory                              D.secret?