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1、姓名:_ 班级:_ 学号:_-密-封 -线- 职称英语考试卫生类(a级)真题考试时间:120分钟 考试总分:100分题号一二三四五总分分数遵守考场纪律,维护知识尊严,杜绝违纪行为,确保考试结果公正。第1部分:词汇选项(第115题,每题1分,共15分)下面每个句子中均有1个词或短语划有底横线,请为每处划线部分确定1个意义最为接近的选项。1 with immense relief , i stopped runninga some b enormous c little d extensive2 the scientists began to accumulate data.a collect b

2、 handle c analyze d investigate3 jack eventually overtook the last trucka hit b passed c reached d led4 sometimes it is advisable to book hotels in advance.a possible b profitable c easy d wise5 the reason for their unusual behavior remains a puzzle.a fact b mystery c statement d game6 that guy is r

3、eally witty.a smart b ugly c honorable d popular7 the world champion suffered a sensational defeat.a reasonable b dramatic c humiliating d horrifying8 it seems that only mary is eligible for the joba prepared b trained c qualified d guided9 this poem depicts the beautiful scenery of a town in the so

4、utha praises b writes c imitates d describes1 0 the meaning is still a vague b transparent c alien d significant11 dumped waste might contaminate water suppliesa destroy b decrease c delay d pollute12 one theory postulates that the ancient filipinos came from lndia and persiaa assu

5、mes b expects c predicts d considers13 it is very difficult for a child to adhere to rulesa remember b follow c understand d learn14 i hope that i didnt do anything absurd.1ast nighta awkward b strange c stupid d awful15 there should be laws that prohibit smoking around childrena forbid b advocate c

6、 inherit d withdraw 第2部分:阅读判断(第1622题,每题1分,共7分)下面的短文后列出了7个句子,请根据短文的内容对每个句子做出判断:如果该句提供的是正确信息,请选择a;如果该句提供的是错误信息,请选择b;如果该句的信息文中没有提及,请选择c。sleep problems plague the older setolder americans often have difficulty getting a good nights rest.its a huge qualityof-life problem,experts say,because contrary to p

7、opular belief,seniors require about the same amount of sleep as younger adults.“sleep problems and sleep disorders are not an inherent(固有的)pa rt of aging,”said dr.harrison g.bloom,an associate clinical professor of geriatrics(老年病学)and medicine at the mount sinai school of medicine in new york city.“

8、its pretty much of a myth that older people need less sleep than younger people.”yet.in a study published recently in the american journal of medicine,researchers found that more than half of older americans have problems getting the sleep they need.older people tend to have“sleep fragmentation,”mea

9、ning they wake up more often during the night,said study author dr.julie gammck,an assistant professor of medicine in the division of geriatric medicine at st.louis university.they also seem to get less“rem”sleep,the type of sleep during which rapid eye movement occurs,bloom added.its unclear what r

10、ole these naturally occurring changes in sleep patterns have on persons quality of life,bloom said.“what is important,though,is that older people often have actual sleep disorders and problems with sleep,”he said.and,experts say,there is usually more than one cause.“sleep trouble in older adults is

11、typically associated with acute and chronic illnesses,including specific sleep disorders like sleep apnea(呼吸暂停)and restless leg syndrome that appear with greater frequency in older populations,”said michael v.vitiello , a professor of psychiatry and behavioral sciences and associate director of the

12、university of washingtons northwest geriatric education center.taking multiple medications,as many older people do,can also lead t0 fatigue a“ hypersomnia ,”or being tired all the time,bloom added.another big problem,he noted,is depression and anxiety.“those are very commonly associated with sleep p

13、roblems.”despite the prevalence(流行)of sleep difficulties in older adults,many patients arent getting the help they need。as a result,problems like insomnia(失眠),restless leg syndrome and sleep apnea are underdiagnosed and undertreated,bloom said.16. sleep problems can seriously affect ones quality of

14、lifea right b wrong c not mentioned17. it is true that older people need less sleep than younger peoplea right b wrong c not mentioned18 younger people in america seldom complain of sleep disorders.a right b wrong c not mentioned19. the number of older americans with sleep problems is not small.a ri

15、ght b wrong c not mentioned20. “sieep fragmentation” refers to a marked lack of “rem” sleepa right b wrong c not mentioned21. the causes of sleep problems in older people remain unidentified.a right b wrong c not mentioned22. actions will soon be taken in america to better help people with sleep pro

16、blemsa right b wrong c not mentioned 第3部分:概括大意与完成旬子(第2330题,每题1分,共8分)下面的短文后有2项测试任务:(1)第2326题要求从所给的6个选项中为第14段每段选择1个最佳标题;(2)第2730题要求从所给的6个选项中为每个句子确定1个最佳选项。depression and the elderly1 we all feel sad at times.however,clinical depression is a serious matter.clinical depression, sometimes called major dep

17、ression,is a biologically based brain disorder that affects ones thoughts,feelings,behavior,and physical health.when people complain that they feel terrible,they have no interest or take no pleasure in things,have trouble sleeping,lack energy,have poor appetite,or cannot concentrate,depression is a

18、definite possibility.2 depression in its many forms affects more than 6.5 million of the 35 million americans who are 65 years or older.most older people with depression have been suffering from episodes(发作)of the illness during much of their lives。for others.depression has a first onset(起病)in late

19、lifeeven for those in their 80s and 90s. depression in older persons is closely associated with dependency and disability and causes great suffering for the individual and the family3 many older people and their families dont-recognize the symptoms of depression,arent aware that it is a medical illn

20、ess,and dont know how it is treated others may mistake the symptoms of depression as sighs of dementia(痴呆).also,many older people think that depression is a character flaw(缺陷)and are worried about being stigmatized(给带来耻辱),so they blame themselves for their illness and are too ashamed(羞耻的)to get help

21、,others worry that treatment would be too costly.4 older persons with depression rarely seek treatment for the illness。unrecognized and untreated depression has fatal consequences in terms of both suicide and non-suicide mortality(死亡率).the highest rate of suicide in the us is among older white mende

22、pression is the single most significant risk factor for suicide in that population。tragically,many of those people who go on to commit suicide have reached out for help -20%see a doctor the day they die,40%the week they die,and 70%in the month they die. yet depression is frequently missed.23. paragr

23、aph 1-24. paragraph 2-25. paragraph 3-26. paragraph 4-a how common is depression in later life?b what is depression?c what relieves depression in older people?d why does depression in older people often go untreated?e can depression in older people be treated?f what are the consequences of untreated

24、 depression in older people?27. clinical depression is different from-28. depression in older people is strongly linked with-29. depression is regarded by many older people as-30. many older people commit suicide as a result of-a a character flaw论坛b normal sadness and griefc a definite possibilityd

25、dependency and disabilitye a significant risk factorf unrecognized and untreated depression 第4部分:阅读理解(第3145题,每题3分,共45分).下面有3篇短文,每篇短文后有5道题。请根据短文内容,为每题确定1个最佳选项.第一篇centers of the great european cities.the centers of the great cities of europe are meeting places by tradition.people gather there to drink

26、 coffee and chat late into the night.a mixture of locals and tourists make for an exciting,metropolitan atmosphere.squares,plazas(广场)and arcades(拱廊)form the heart of europes cities.venice in italy has the piazza san marcoa beautiful square surrounded by shops,churches,restaurants and ca怆s.1n barcelo

27、na,spain,la bosqueria is a lively market with hundreds of stalls selling all kinds of goods.londons covent garden is filled with fruit and vegetable stalls by day and musicians,acrobats(杂技演员)and artists by night.the government buildings at the center of many cities often are architecturally impressi

28、ve.in london,they serve as a beautiful backdrop(背景)to the coffee tables that line the streets and the banks of the thames.these vibrant(有活力的)hearts are the product of centuries of evolution,social historian joel garreau told us news and world report recently.“the reason people think venice is so gre

29、at today is you dont see all the mistakes,”said garreau.“those have all been removed.”most european cities were laid out before the invention of the car,so bars,restaurants and caf6s were near to peoples homes.to day, the focus of many europeanslife has moved away from the centers.they live in the s

30、uburbs and outskirts,driving to supermarkets to get their supplies. but on a continent where people treasure convention,there are still those who hold onto traditional ways,living and shopping locally.these people,together with tourists,provide the city centers with their reason for existence.coffee

31、 culture plays a part in keeping these city centers flourishing.this is particularly true of paris whose citizens are famous enthusiastic conversationalists,this skill is developed over many hours spent chatting over espressos(浓咖啡)and cigarettes.religion also plays a role in developing sociable atmo

32、sphere.people in roman catholic countries used to visit the church on an almost daily basis.entire communities would gather in the same building and then move out to the markets.caf6s and bars in the surrounding streets.an enormous example of this relationship between church and society is the duomo

33、.the huge marble cathedral in florence,italy is surrounded by bakeries and coffee shops,and caters not only to the tourist crowds,but also the local community.31. it can be inferred from the first paragraph that each big city in europe.a. has many large squares.b. has many very magnificent skyscrape

34、rs.c. draws tourists in large numbers every year.d. has a center where tourists meet their spouses.32 which statement is not true of covent garden?a. it is crowded with people.b. it is located in london.c. it is filled with stalls.d. it is surrounded by shops,churches,restaurants and caf6s.33. why d

35、o people think that venice is so great?a. because it is a famous tourist attraction.b. because you can reach anywhere by boat.c. because it is wellknown for its merchants.d. because all the mistakes have been removed.34. what are parisians famous for?a .their pursuit of independence.b. their enthusi

36、asm for conversation.c. their ability to keep the city flourishing.d .their devotion to developing a multiple culture.35 the writer cites the duomo in the last paragraph as an example to illustrate that.a. there is a tight link between church and society.b. all churches are magnificent.c. old church

37、es are very popular.d. highrise churches are impressive.第二篇mental retardation(智力迟钝).mental retardation is a condition in which people have lower than normal intelligence and are unable to function at the level expected for their age。people with mental retardation are usually born with it。or it devel

38、ops early in their life.they may also have some difficulty with daily living skills such as learning to read and write and caring for them selves.doctors and other professionals determine that a person has mental retardation based on their intelligence and how well they can do everyday activities.in

39、telligence is the ability to learn and understand.levels of intelligence are measured by special tests called intelligence tests.the score a person gets on one of these tests gives a numerical(数字的)measure of a persons intelligence.this is called an intelligence quotient(智商)or iq.an average score on

40、an iq test is about 90 to 110.a person with mental retardation will usually score below 75 on an iq test.the iq test alone does not determine whether someone is mentally retarded.a person must also have trouble with everyday activities such as geeing dressed,eating,washing,or learning basic reading,

41、writing,and arithmetic skills.mental retardation is not a disease itself.1t cannot be cured and its not contagious(传染的).this condition can be caused by several things that injure the brain or dont allow the brain to develop normally.many times we dont know why a person has mental retardation.sometim

42、es it may be caused by genes.genes are chemical units found in every cell they carry the instructions telling , cells what to do.sometimes。children receive abnormal genes from their parents.a defective gene may also develop spontaneously.neither parent would have passed on the gene,but the gene chan

43、ges before the baby develops.some other problems that can cause mental retardation also happen before a child is born.it is important for the brain to develop properly if a child is to have normal intelligence.“planning a pregnancy is the most important decision most of us will make in our lifetime.

44、a healthy lifestyle and good medical care should begin before a woman becomes pregnant and continue throughout the pregnancy,”says jodi rucquoi,a genetic counselor from connecticut.if a woman abuses alcohol or drugs or doesnt eat well,there is a risk to the developing baby.also,a premature birth or

45、problems during childbirth can sometimes harm the babys developing brain.while premature babies are generally fine,there is a greater chance that they may have mental retardation.1n some cases.a young child can develop mental retardation after being sick with a serious infection or other illness.or

46、after suffering a bad head injury.36. a child can be taken as mentally retarded.f he or she.a. was born prematurely.b. has lower than normal intelligence.c. has low intelligence and low daily living skills.d. has normal intelligence but difficulties in learning.37.a person of high intelligence will

47、probably score.a. above 110 on an iq test.b. 110 on an iq test.c. 90 on an iq test.d. below 75 on an iq test.38. which of the following is not true of mental retardation?a. it is not curable.b. its victims are usually born with it.c. its causes are not fully identified yet.d. it can spread among fam

48、ily members.39. which is not a possible cause of mental retardation?a. alcohol or drug abuse.b. abnormal genes from the parents.c. a well-planned pregnancy.d. problems during childbirth.40 .the word “while” in line 4 from the bottom can best be replaced by.a .unless.b. because.c. since.d. although.第

49、三篇many older doctors plan to phase out their practice.the results of a new survey indicate that 48 percent of physicians between 50 and 65 years of age are planning to reduce or end their clinical practice in the next。l to 3 years.the findings also suggest that many older physicians believe that the

50、ir younger counterparts do not have the work ethic they do.the survey,which was conducted by merritt hawkins&associates,a texas-based physician search and consulting firm,suggests that many older physicians are simply unhappy with the changes that have taken place in medicine over the years.“when ba

51、by boom doctors entered medicine they had control over how they practiced and the fee they charged.but the rules changed on them in midstream and now many are looking for a ticket out,”mark smith,executive vice president of merritt hawkins&associates,said in a statement.“our study is the only one i

52、am aware of that examines the career plans of.physicians in the 50-to-65 age group.”this age group represents more than one-third of all physicians in the u.s.if they stop working in the coming years,it will have a “significant impact”on the overall supply of physicians,smith told reuters health_.th

53、e results of the survey,which included 1,170 respondents(调查对象),show that 24 percent of older physicians are planning to leave clinical practice all together in the next 1 to 3 years.specifically,1 4 percent said they were planning on retiring,7 percent said they were looking for a medical job a nonp

54、atient care setting,and 3 percent said they were seeking a job in a nonmedical field.for those physicians not leaving clinical practice,many said they would make changes to reduce the number of patients they treat.for instance,12 percent said they would begin working parttime,8 percent said they pla

55、nned to stop taking new patients or markedly reduce their patient load,and 4 percent expressed a desire to work on a temporary basis.when asked about the work ethic of physicians entering practice today,68 percent of the respondents said that these younger doctors are not as dedicated or as hard wor

56、king as physicians who entered practice 20 t0 30 years ago.fifty-seven percent of older physicians said they would not recommend medicine as a career to their own children.similarly,44 percent said they would not select medicine as a career if they were starting out today.“the most ominous(不祥的)findi

57、ng is that about one half of physicians surveyed plant to either abandon patient care in the next 1 to 3 years,or significantly reduce the number of patients they see,”smith said.“the u.s。already is facing a widespread shortage of physicians,should older,workhorsephysicians choose to opt out of pati

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