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II. Grammar and Vocabulary (20/120) Section A
Imagine that you are 17 emergency physician like Harrison Alter or Pat Croskerry. In
most instances, you don‘t know the patients you see. So you have to rely on a snapshot view of their illness---unlike an internist in his office, 18 is familiar with his patients and their families, knows their character and their behavior, and can observe the evolution of a clinical problem over time. Imagine that it is a typically busy evening, and the triage nurse 19 (assign) three patients to you over a half-hour period. Each patient has a host of complaints. Pat Croskerry told me that at moments like this he feels 20 he is ―plate-spinning on sticks‖ like a circus performer 21 (use) sticks to spin plates without letting them slow down or fall.
Actually, it is harder than spinning plates, because plate-spinning requires a single rotary
motion and all the plates are of similar size and weight. Each patient, of course, is different, and for each you 22 have to go through different motions quickly to reach a working diagnosis, treat any urgent problems, and then decide on the safest disposition: admission to the hospital, transfer to another institution, 23 discharge to home. Now consider what you must do 24 (meet) these goals of diagnosis, treatment, and disposition. First you have to figure out the main reason each patient has come for emergency care. While that may seem straightforward, it is not. Patients may give a triage nurse or a doctor a reason that is tangential to (不切题的) the real, 25 (serious) underlying problem, or they may offer the symptoms that bother them most but may be unrelated to their underlying disease. All doctors work under time constraints, and this is especially true in the emergency department. So, as we saw with Alter, the questions you choose to ask and
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you ask them will shape the patient‘s answers and guide your thinking. You
may go off on the tangent if you try to elicit a history too quickly, but you will neglect your other tasks if you take too long to hear what is wrong.
Section B
A. affects B. at C. except AD. but BC. scheduled
D. by AB. completed AC. crucial BD. suffering CD. teeth ABC. underwent Doctors in XI‘an yesterday 27 new face for 19-year-old Wang Na. ―It is the most difficult and 28
the second of several planned operations to build a
part of the whole process to rebuild her ?pit‘ face,‖ Liu
Yanpu said, director of Maxillofacial Surgery 29 the Fourth Military Medical University‘s
Oral Hospital in Xi‘an.
Wang, a farmer from Heyang County in Shanxi Province, has been 30from facial
malformation since the age of two. Her condition has led to the retroversion of her nose and cheekbones, which 31 her ability to speak, and she is able to eat32 soft foods.
her first operation on September 5, 2006. During the 12-hour operation, Wang 33
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doctors removed part of Wang‘ left leg and used it to repair her face. The procedure lifted her cheek area 34 10.5 mm so that her face is now taking on a \Liu said, ―Five other operations are35to be carried out including one to rebuild Wang's 36 and nose. If the recovery goes well, we will carry out the third operation in
June.‖
III. Reading Comprehension (45/120) Section A
A 10-episode
Series Captures Hospital Drama in the Raw 37 series that films the real-life stories in Shanghai hospitals has
touched and inspired hundreds of thousands of viewers in China. The series, ―Ren Jian Shi‖,
whose title translated as ―In the Human World‖, has been widely hailed by 38 and 39 online viewers since its debut on Shanghai‘s News Channel this June. The series‘ overall
on the film and TV review website Douban currently stands at 9.7 out of 10, based on the rating of
more than 6,000 viewers. Many people commented on the website that ―Ren Jian Shi‖ comes across as heartwarming and genuine and that they were 40 by the sincerity of the film crew. Set against a context of rising numbers of medical disputes and 41 in the healthy industry, the series helps to improve 42 understanding between physicians and patients in China. ―The series 43 to death and the fragility of life,‖ says one online viewer called Alvin. ―It made me reflect upon the values of life. Perhaps what city dwellers have forgotten is to cherish people around us and every moment in life.‖
Each episode has its own theme and the aim is to give a perspective that shows 44 China‘s health-care system works. The series documents the work of medical staff in the emergency room, how the city‘s busy emergency vehicles cope, and looks at the issues of hospice care (临终关怀), body 45 and artificial insemination(人工授精). The series also provides an insight into the 46 human emotions involved when both medical staff and
patients face difficult decisions.
Different from many TV series that portray physicians as strong, confident and 47
,
this series demonstrates the often-felt helplessness, stress and challenges facing China‘s medical staff who are overwhelmed by so many patients every day. Many viewers were moved by the medical team‘s efforts to save a man‘s life by having to replace his main body artery with artificial blood vessels. Some were moved to tears when they saw a 26-year-old pregnant woman 48 that her baby be delivered after she‘s diagnosed with terminal cancer. The woman has made 18 video clips recording her best wishes and love for her baby to be given as an annual birthday present. In one episode, three seriously ill patients suffering severe uremia(尿毒症), a serious complication of chronic kidney disease, and cirrhosis of the liver (肝硬化) symptoms had their lives transformed by a donated body 49 they managed to spend the Mid-Autumn Festival with their families. Another touching story concerns a 42-year-old woman whose only teenage son drowned in a river while trying to save other people‘s lives. Hoping to have another child, she underwent several 50 at artificial insemination at a local hospital, but failed to
conceive.
The series is
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the first documentary set against the backdrop of a hospital. Last
year audiences were also impressed by ―The Story in ER,‖ which looked at the experiences of patients in the emergency room of Shanghai No. 6 People‘s Hospital.
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37. A. drama 38. A. actors 39. A. score 40. A. treated 41. A. wonders 42. A. deep
43. A. draw a close 44. A. when
45. A. examination 46. A. delicate 47. A. competitive 48. A. denying 49. A. because 50. A. attempts 51. A. only
B. detective B. patients B. price B. resolved B. tensions B. mutual B. gets used B. why B. donation B. hopeless B. competent B. predicating B. in order that B. invitation B. not
C. documentary C. doctors C. episode C. impressed C. anticipations C. rare C. faces up C. that C. transport C. extra C. curable C. suggesting C. so that C. experiments C. but
D. dreadful D. critics D. value D. confused D. bills D. group
D. applied itself D. how D. support D. relevant D. cooperative D. insisting D. although D. shocks D. yet
Section B
(A)
Before the 1870's, trained nurses were virtually unknown in the United States. Hospital nursing was an unskilled occupation, taken up by women of the lower classes, some of whom were conscripted from the penitentiary or the almshouse. The movement for reform. originated not with doctors, but among upped-class women, who had taken on the role of guardians of a new hygienic order. Though some doctors approved of the women's desire to establish a nurse training school, which would attract the daughters of the middle class, other medical men were opposed. Plainly threatened by the prospect, they objected that educated nurses would not do as they were told -- a remarkable comment on the status anxieties of nineteenth-century physicians. But the women reformers did not depend on the physicians' approval. When resisted, as they were at Bellevue in efforts to install trained nurses on the maternity wards, they went over the heads of the doctors to men of their own class of greater power and authority. (Florence Nightingale, who had friends high in the English government, had followed exactly the same course in reforming her country's military hospitals.) Professional nursing, in short, emerged neither from medical discoveries nor from a program of hospital reform. initiated by physicians, outsiders saw the need first.
52.According to the passage,the first advocates of nursing training in the United States were_____.
A.upper-class women B.medical men C.military commanders D.professional nurses 53.The reason that some doctors objected to the establishment of nursing schools were that_____.
A.additional medical care from nurses was unnecessary B.volunteer nurses from the upper-class were adequate C.educated nurses would undermine their authority D.nursing was an art that could not be taught
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54.Florence Nightingale is mentioned in the passage to show______. A.she was a nurse
B.she had friends high in the English government
C.the nurses at Bellevue also wanted to reform their medical hospitals
D.the nurses at Bellevue followed the way she did when reforming her country‘s military hospitals
55.According to the passage,which if the following statement is true? A.At first women have to give up the reform
B.All the doctors opposed the movement for reform
C.Nurses in United States in 1850 were poor,untrained women
D.At Bellevue,those trained nurses were installed on different kinds of wards
(C)
Surprisingly, no one knows how many children receive education in English hospitals, still less the content or quality of that education. Proper records are just not kept. We know that more than 850,000 children go through hospital each year, and that every child of school age has a legal right to continue to receive education while in hospital. We also know there is only one hospital teacher to every 1,000children in hospital.
Little wonder the latest survey concludes that the extent and type of hospital teaching
available differ a great deal across the country. It is found that half the hospitals in England which admit children have no teacher. A further quarter have only a part-time teacher. The special
children‘s hospitals in major cities do best; general hospitals in the country and holiday areas are worst off. From this survey, one can estimate that fewer than one in five children have some contact with a hospital teacher—and that contact may be as little as two hours a day. Most
children interviewed were surprised to find a teacher in hospital at all. They had not been prepared for it by parents or their own school. If there was a teacher they were much more likely to read books and do math or number work; without a teacher they would only play games.
Reasons for hospital teaching range from preventing a child falling behind and maintaining the habit of school to keeping a child occupied, and the latter is often all the teacher can do. The position and influence of many teachers was summed up when parents referred to them as ―the library lady‖ or just ―the helper‖. Children tend to rely on concerned school friends to keep in touch with school work. Several parents spoke of requests for work being ignored or refused by the school. Once back at school children rarely get extra teaching, and are told to catch up as best as they can.
Many short-stay child-patients catch up quickly. But schools do very little to ease the anxiety about falling behind expressed by many of the children interviewed. 56.The author points out that at the beginning that_________. A.every child in the hospital receives some teaching
B.not enough is known about hospital teaching C.hospital teaching is of poor quality
D.the special children‘s hospitals are worst off
6057.It can be inferred from the latest survey that________.
A. hospital teaching across the country is similar B. each hospital has at least one part-time teacher
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