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2021年山东省德州市公共英语五级(笔试)学校:________班级:________姓名:________考号:________

一、1.ListeningComprehension(15题)1.Mr.Millerenjoysdoingthingswithhisownhands.

A.TrueB.Fasle

2.Whatdoes"Apersonwhoisledaroundbythenose"mean?

A.Apersonwholetshisinstinctguidehim.

B.Apersonwhohasnowillofhisown.

C.Apersonwhoisdecisive.

D.Apersonwhoisfullofimaginationandcreativity.

3.Dr.MannisnowinCambridge,writingabookonthe______.

4.What/Whoshouldstudentscontactiftheywanttogetasummerjob?

A.TheStudentUnion.

B.TheStudentEmploymentOffice.

C.TheWorkers'Union.

D.TheStudentPart-timeJobOffice.

5.WhatdidEuropeansthinkofpotatoes?

6.Whatisbehavioralmanagementbasedon?

7.Thetalkismainlyabouttheimportanceof"feltimages".

A.TrueB.Fasle

8.Thepossibilitiesofourliteraryexperiencesarealmostunlimited.

A.RightB.Wrong

9.WhatkindofgraindidmostEuropeanseat500yearsago?

10.Howmuchtimedothemanandthewomanhavebeforetheyaddresstheclass?

A.Lessthantenminutes.

B.Abouttwentyminutes.

C.Forty-fiveminutes.

D.Overanhour.

11.Whichsubjectdoesthestudentsayshewasgoodat?

A.Computerprogramming.

B.Artanddesign.

C.Electronics.

D.Mathematics.

12.PartC

Directions:Youwillhearatalk.Asyoulisten,answerthequestionsorcompletethenotesinyourtestbookletforQuestions21-30bywritingNOTMORETHANTHREEwordsinthespaceprovidedontheright.YouwillhearthetalkTWICE.

Younowhave1minutetoreadQuestions21-30.

听力原文:ForthoseofyouwhoareeitheralreadystudyingintheUnitedStatesorplanningtooneday,itmightbeinterestingtoknowsomethingabouttheforeignstudentpopulationintheUnitedStates.Fortheacademicyear1995/96therewasasumofapproximately344,000foreignstudentsstudyingintheUnitedStates.Thisfigureof344000mayseemlikeaverylargenumberuntilyoucompareitwiththetotalpopulationof241,000,000.Theforeignstudentpopulationhasbeengrowingforanumberofyearsandisstillgrowing,buttherateofincreasehasdroppedsharplyduringthe1990s.Duringthe1980s,thepopulationgrewquiterapidly.Forexample,between1985and1990.theaverageyearlyincreasewas12.5%.However,thepictureinthe1990sisquitedifferent.Therateofincreasehasdeclinedquitenoticeably.Infact,therateofincreasebetween1994/95and1995/96wasonly0.5%,orone-halfofonepercent.Althoughtheoverallrateofincreasehasdroppedtoonly0.5%.thenumberofstudentsfromsomepartsoftheworldisincreasingwhilethenumberofstudentsfromotherareasisdecreasing.Forexample,duringthissameperiod,thatisbetweentheacademicyears1994/95and1995/96,therewasadecreaseinthenumberofstudentsfromtheMiddleEast,whilethenumberofstudentsfromSouthandEastAsiaincreased.Thesechangesinthenumberofstudentscomingfromdifferentpartsoftheworldnodoubtreflectedchangingeconomicandpoliticalsituations.I'msureyouareawareofmanyofthesechanges,andperhapswecandiscussthematournextmeeting.Fortodaylet'sconfineourtalktofirst,adiscussionoftheoriginofthesestudents,or,inotherwords,wheretheycamefrom;second,thekindsofstudiestheypursue;and,finally,theacademiclevelstheyarefoundin.Ifwehavealittletimeleft,wemightquicklytalkaboutinwhichgeographicareasmostofthemgotoschool.

Let'sdiscusstheoriginsoftheforeignstudentpopulationintheUnitedStatesfortheacademicyear1995/96.Let'sdiscussitinorderfromthoseareassendingthemoststudentstothoseareassendingthefeweststudents.IfwelookatthefiguresprovidedbytheannualcensusofforeignstudentsintheUnitedStatesfortheyear1995/96,weseethatmostoftheforeignstudentsstudyingintheUnitedStatesduringthisyearwerefromSouthandEastAsia.ThisisaratherlargegeographicalareawhichincludessuchconutriesasChina,Korea,Pakistan,India,Malaysia,andIndonesia.Thetotalnumberofstudentsfromthisarea,SouthandEastAsiawas156,830.Inotherwords,roughly2outofevery5foreignstudentscomefromSouthandEastAsia.Almost24000ofthistotalwerefromChina.Malaysiawasclosebehindwithjustalittleover23000students.ThenextlargestnumberofstudentscamefromtheMiddleEast.ThenumberofstudentsfromtheMiddleEastcametoaboutone-thirdthenumberfromSouthandEastAsia.ThefourthlargestnumbercamefromSouthAmerica.NextcanleEurope,Africa,NorthAmerica,andOceania.Let'srecapitulatewhatwe'vesaid.ThelargestnumberofstudentsstudyingintheUnitedStatesduringtheacademicyear1995/96werefromSouthandEastAsia,followedbytheMiddleEast,SouthAmerica,Europe,Africa,NorthAmerica,andOceania.

Whatfieldsaretheselargenumbersofforeignstudentsstudyingin?Itprobablywon'tsurpriseyouthatthelargestnumberareinthefieldofengineering.Infact,21.7%ofthetotalnumberarestudyingengineering.Businessandmanagementisclosebehind,however,withatotalof18.9%.Thethirdmostpopularfieldwasmathematicsand

13.PartA

Directions:Youwillhearatalk.Asyoulisten,answerQuestions1-10bycirclingTRUEorFALSE.YouwillhearthetalkONLYONCE.Younowhave1minutetoreadQuestions1-10.

听力原文:W:Comein,please.

M:Goodmorning,Dr.Wilson.

W:Goodmorning,Wang.Hownicetomeetyouagain.Takeaseat...whydon'tyou,please.Whendidyougettotheuniversity?

M:Iarrivedyesterday.

W:Well...areyoulivinginthecollege?

M:No,IamwithanEnglishfamily...actually...becauseIwanttoimprovemyspeaking.

W:Oh,fine.Right,didyoutakealanguageproficiencytestbeforeyoucame?

M:Yes.Uhh...myOverallBandis6,but...unfortunatelymyspeakingscoreisonly5.

W:OK,youknow,hereinthisuniversity,youhavetotakeourownEnglishtestbeforeyouattendanylectures.So,firstofall,whatwe'vegottodois,wehavetomakeanarrangementforthetestdate.Umm...willtomorrowbeallrightforyou?

M:Yeah,Ihavetimetomorrowmorning.

W:Good,then.Tomorrowatten.Idon'tthinkthetestwillbeanyproblemforyou.Now,let'smakesureyoumakegooduseofyourtimehere.Let'sputitlikethis.Whatexactlydoyouwanttoaccomplishinthenext12months?

M:I'minterestedincomputerlanguagetranslation,Imean,fromEnglishtoChineseandChinesetoEnglish.I'lltry,ifpossible,toproducesoftwareoradevicewhichcanserveasaninterpreter.

W:Yes,couldyoubeabitmorespecificabout...er...thedevice?

M:Forinstance,whenyoutalktothedeviceinEnglishitwilltranslateyourwordsintoChineseandviceversa.

W:Uhuh...doyoumeanit'llbeascompetentas...er...ahumaninterpreter?

M:Yes...well,I'llletitdealwithgeneralsituations,atleast.

W:Fascinating...andhowbigwillthedeviceitselfbe,doyouthink?

M:Thesizeofacigarettepack,Ithink.Sopeoplecanputitintheirpocket.

W:Really?Well,thatcouldbeaPh.Dproject.Tellmewhatyouhavedonesofar.

M:Inmyfouryearsofundergraduatestudy,Istudiedelectronics,advancedmathematics,hardwaredesigning,somecomputerlanguagesandprogramwriting.

W:Yes,buthaveyoudoneanypracticaljobs?Imean,haveyouwrittenanyprogramsforpracticaluse?

M:IhadbeeninvolvedinaprojectforCADinashipyard.

W:Computeraideddesign.Thatwasprobablyagoodexperience,but,unfortunately,itmaynothelpyourpresentprojectmuch.AreyoufamiliarwiththeC-language?

M:No.

W:Uhuh...thephoneticprocessingsystem,doyouknowhowsuchasystemworks?

M:Whatdoyoumeanby"phoneticprocessingsystem"?

W:Well,youknow,Englishisspokenbydifferentpeoplewithdifferentaccents.YourEnglishaccentisdifferentfrommine,andofcoursemineisnotthesameasmycolleagues'.SoasIseeit,yourdevicewouldhavetobeabletorecogniseandunderstanddifferentaccents.

M:Oh,Isee.IthinkIcanlearntheC-languageandthephoneticprocessingsystemhere.

W:Well,that'sprobablytrue,butyou'vegotonlytwelvemonthsandyouwantadegree,don'tyou?M:Yes.

W:OK,sothere'retwowaysofstudyingforadegreehere.Youeithertakesixcourses,passtheirexamsandhaveyourdissertationacceptedortheotherwayisyoudosomeresearchworkandsubmityourprojectreport.M:IthinkI'lltakethesecondway,

W:Fine,butareyousureyoucanfinishyourprojectintwelvemonths?

M:Idon'tknow,butIcanworktwelvehoursperdayandsevendaysperweek.

W:Well,I'dsuggestyouspendsometimeinourlibrary,tryingtofindoutwhatotherstudentshavedonebeforeandperhapsreconsideryourownproject,tosomeextent.Youmightnarrowyourresearcharea,concentratingonsolvingoneortwomajorproblems.And,it'dbeagoodideatotalktoyourcolleaguesinthelab,first.Anyway,I'msurewecanworkoutsomethinggood.ShallIseeyouagaininthreedays'time?

M:A11rig

A.TrueB.Fasle

14.Theystartedworkingin1968basedontheobservationmadebyJung,thefounderof______.

15.MDistheabsoluteheadofthecompany.

A.TrueB.Fasle

二、2.UseofEnglish(10题)16.

【C2】

17.(47)

18.“Down-to-earth”meanssomeoneorsomethingthatishonest.realisticandeasytodealwith.Itisapleasuretofind【C1】______whoisdown-to-earth.Apersonwhoisdown-to-earthiseasytotalk【C2】______andacceptsotherpeopleasequals.Adown-to-earthpersonisjustthe【C3】______ofsomeonewhoactsimportantorproud.

Down-to-earthpersonsmaybe【C4】______membersofsociety,ofcourse.Buttheydonotlettheirimportance“【C5】______totheirheads”.Theydonotconsiderthemselvestobebetterpersonsthan【C6】______oflessimportance.Someonewhoisfilledwithhisownimportanceandpride,【C7】______withoutcause,issaidtohave“hisnoseintheair”.Thereis【C8】______wayapersonwithhisnoseintheairCanbedown-to-earth.

Americans【C9】______anotherexpressionthatmeansalmostthesameas“down-to-earth”.Theexpressionis“both-feet-on-me-ground”.Someone【C10】______both-feet-on-me-groundisapersonwithagoodunderstanding【C11】______reality.Hehaswhatiscalled“commonsense,”hemayhavedreams,【C12】______hedoesnotallowthemtoblockhisknowledgeof【C13】______isreal.

Theoppositekindof【C14】______isonewhohashis“head-in-the-clouds”.Amanwithhishead-in-the-cloudsisadreamer【C15】______mindisnotintherealworld.

【C16】______,suchadreamercanbebroughtbacktoearth.SharpwordsfromteacherCanusually【C17】______aday-dreamingstudentdown-to-earth.

Usually.thepersonwhoisdown-to-earthisvery【C18】______tohavebothfeetontheground.【C19】______wehavebothourfeetontheground,whenwearedown-to-earth,weacthonestlyandopenly【C20】______others.OurlivesarelikethegroundbelowUS,solidandstrong.

【C1】

19.(50)

20.

【C12】

21.

【C3】

22.Themostobviouspurposeofadvertisingistoinform.theconsumerofavailableproductsorservices.Thesecond【C1】______istoselltheproduct.Thesecondpurposemightbemoreimportanttothemanufacturersthanthe【C2】______.Themanufacturersgobeyondonlytellingconsumersabouttheirproducts.Theyalsotrytopersuadecustomerstobuythe【C3】______bycreatingadesire【C4】______it.Becauseofadvertisement,consumersthinkthattheywantsomethingthattheydonotneed.Afterbuyingsomething,thepurchasercannotalwaysexplainwhyitwas【C5】______.

Even【C6】______thepurchaserprobablydoesnotknowwhyheorsheboughtsomething,themanufacturers【C7】______.Manufacturershaveanalyzedthebusinessof【C8】______andbuying.Theyknowallthedifferentmotivesthatinfluenceaconsumer'spurchase—somerationaland【C9】______emotional.Furthermore,they

takeadvantageofthis【C10】______.

Why【C11】______somanyproductsdisplayedatthecheckoutcountersingrocerystores?Thestoremanagementhassomegood【C12】______.Bythetimethecustomeris【C13】______topayforapurchase,heorshehasalreadymaderational.thought-outdecisions【C14】______whatheorsheneedsandwantstobuy.The【C15】______

feelsthatheorshehasdoneagoodjobofchoosingtheitems.Theshopperisespeciallyvulnerableatthispoint.The【C16】______ofcandy,chewinggum,andmagazinesareveryattractive.Theypersuadethepurchasertobuysomethingforemotional,not【C17】______motives.Forexample,thecustomerneitherneedsnorplanstobuycandy.butwhilethecustomerisstanding,waitingtopaymoney,heorshemaysuddenlydecidetobuy【C18】______

Thisisexactly【C19】______thestoreandthemanufacturerhopethatthecustomerwill【C20】______

Thecustomerfollowshisorherplan.

【C1】

23.

【C5】

24.

【C11】

25.

【C20】

三、3.ReadingComprehension(15题)26.

Theauthorimpliesinthesecondparagraphthat______.

A.theproposaloftheDepartmentofJusticeisunjustified

B.surveillanceofanysuspectcommunicationisnecessary

C.civillibertiesgroupsshouldnothaveshownsuchgreatconcern

D.exceptionsshouldbemadeininterceptingcommunications

27.(67)

28.(78)

29.(68)

30.

Whatdoestheauthormeanby"betteroff"(Line4,Paragraph3)?

A.Richer.B.Wiser.C.Happier.D.Luckier.

31.

AccordingtoJackMaple,tocutcrime______.

A.theheadsofpolicedepartmentshouldmakemorecontactwiththecriminals

B.thegovernmentshouldeducatetheresidentsmore

C.acomputersystemcalledComstatshouldbeadoptedbythepolice

D.thecriminalsshouldbeseverelypunished

32.ShortagesoffluvaccinearenothingnewinAmerica,butthisyear'sisawhopper.Untillastweek,itappearedthat100millionAmericanswouldhaveaccesstoflushotsthisfall.ThenBritishauthorities,concernedaboutquality-controlproblemsataproductionplantinLiverpool,barredallfurthershipmentsbytheChironCorp.Overnight,theU.S.vaccinesupplydwindledbynearlyhalfandfederalhealthofficialsfoundthemselvesmakinganunusualplea.Insteadofbeseechingusalltogetvaccinated,they'renowurgingmosthealthypeoplebetweentheagesof2and64notto."Thisreemphasizesthefragilityofourvaccinesupply,"saysDr.MartinMyersoftheNationalNetworkforImmunizationInformation,"andthelackofredundancyinoursystem."

Whyissuchabasichealthservicesoeasilyknockedout?Mainlybecauseprivatecompanieshavehadlittleincentivetopursueit.Tocreateasingledoseoffluvaccine,amanufacturerhastogrowlivevirusina2-week-oldfertilizedchickenegg,thencracktheegg,harvestthevirusandextracttheproteinsusedtoprovokeanimmunere-sponse.Profitmarginsarenarrow,demandisfickleand,becauseeachyear'sfluvirusisdifferent,anyleftovervaccinegoestowaste.Asaresult,theUnitedStatesnowhasonlytwomajorsuppliers(ChironandAventisPasteur)—andwhenoneofthemrunsintotrouble,thereisn'tmuchtheothercandoaboutit."Avaccinemakercan'tjustcallupandorder40millionmorefertilizedeggs,"saysManonCox,ofConnecticut-basedProteinSciencesCorp."There'sawholeindustrythat'sscheduledtoproduceacertainnumberofeggsatacertaintime."

Sleekertechnologiesarenowintheworks,andexpertsarehopingthatthisyear'sfiascowillspeedthepaceofinnovation.Themainchallengeistoshiftproductionfromeggsintocellcultures—amediumalreadyusedtomakemostothervaccines.Fluvaccinesareharderthanmosttoproducethisway,butseveralbiotechcompaniesarenowpursuingthisstrategy,andoneculture-basedproduct(SolvayPharmaceuticals'Invivac)hasbeenclearedformarketinginEurope.

ForAmericans,theimmediatechallengeistomakethemostofalimitedsupply.Thegovernmentestimatesthat95millionpeoplestillqualifyforshotsunderthevoluntaryrestrictionsannouncedlastweek.That'snearlytwicethenumberofdosesthatclinicswillhaveonhand,butonly60millionAmericansseekoutshotsinanormalyear.Infact,manyexpertsarehopingtheshortagewillserveasanawarenesscampaign—encouragingthepeoplewhoreallyneedaflushottogetone.

Shortagesoffluevaccineshowthat______.

A.Americareliestoomuchonforeignsuppliers

B.thedemandoffluevaccinesishighthisyear

C.qualityproblemisaseriousprobleminfluvaccineproduction

D.thesupplyoffluvaccinesisratherweakandAmericahasnoback-upmeasurestomakeitup

33.

WhatisNOTtrueabouttheeightgirls?

A.Theyareallbetween12and17.

B.Theyhavetriedavarietyofmeasures.

C.Theyattendasuicidesquad.

D.Alltheirattemptstocommitsuicidearevital.

34.PartC

Directions:Answerquestions71-80byreferringtothefollowinggames.

Note:AnswereachquestionbychoosingA,BorCandmarkitonANSWERSHEET1.Somechoicesmayberequiredmorethanonce.

A=TheImperialPalaceB=TheTempleofHeavenC=PotalaPalaceD=JokhangTempleWhichpalaceortemple...

isthespiritualcenterofTibet?71.______

iscircularinthenorthernpartwhilesquareinthesouthernpart?72.______

presentsthelargestandmostcompleteensembleoftraditionalarchitecture?73.______

coversabuildingspaceof90thousandsquaremeters?74.______

istheoldestoneamongthefourinthetext?75.______

canpresentthevisitorthesignificanceofHeavenKitchen?76.______

isacombinationofarchitecturalstylesfromHan,TibetanandNepalese?77.______

wasthereligiousandpoliticalcenterofoldTibet?78.______

isalongwithmanycomparativelysmallbuildingsoneitherside?79.______

presentsanedictsignedwiththeGreatFifth'shandprint?80.______

A

TheImperialPalace

Whatstrikesonefirstinabirds-eyeviewofBeijingproperisavasttractofgoldenroofsflashingbrilliantlyinthesunwithpurplewallsoccasionallyemergingamidthemandastretchofluxurianttreeleavesflankingoneachside.ThatistheformerImperialPalace,popularlyknownastheForbiddenCity,fromwhichtwenty-fouremperorsoftheMingandQingDynastiesruledChinaforsome500years—from1420to1911.TheMingEmperorYongLe,whousurpedthethronefromhisnephewandmadeBeijingthecapital,ordereditsconstruction,onwhichapproximately10,000artistsandamillionworkmentoiledfor14yearsfrom1406to1420.Atpresent,thePalaceisanelaboratemuseumthatpresentsthelargestandmostcompleteensembleoftraditionalarchitecturecomplexandmorethan900,000piecesofcourttreasuresinalldynastiesinChina.

LocatedinthecenterofBeijing,theentirepalacearea,rectangularinshapeand72hectaresinsize,issurroundedbywallstenmetershighandamoat52meterswide.Ateachcornerofthewallstandsawatchtowerwithadouble-eaveroofcoveredwithyellowglazedtiles.

Themainbuildings,thesixgreathalls,onefollowingtheother,aresetfacingsouthalongthecentralnorth-southaxisfromtheMeridianGate,thesouthentrance,toShenwumen,thegreatgatepiercinginthenorthwall.Oneithersideofthepalacearemanycomparativelysmallbuildings.SymmetricallyinthenortheasternsectionliethesixEasternPalacesandinthenorthwesternsectionthesixWesternPalaces.ThePalaceareaisdividedintotwoparts:theOuterCourtandtheInnerPalace.Theformerconsistsofthefirstthreemainhalls,wheretheemperorreceivedhiscourtiersandconductedgrandceremonies,whilethelatterwasthelivingquartersfortheimperialresidence.AttherearoftheInnerPalaceistheImperialGardenwheretheemperorandhisfamilysoughtrecreation.

B

TheTempleofHeaven

TheTempleofHeavenwasinitiallybuiltinYongleYear18oftheMingDynasty(in1420).Situatedinthesouthernpartofthecity,itcoversthetotalareaof273hectares.WiththeadditionsandrebuildingduringtheMing,QingandotherDynasties,thisgrandsetofstructureslookmagnificentandglorious;thedignifiedenvironmentappearssolemnandrespectful.ItistheplaceforbothMingandQingDynasty'sEmperorstoworshipHeavenandprayforgoodharve

35.

______wasthereligiousandpoliticalcenterofoldTibet?

36.Asthe2lstcenturybegins,anumberofleadersinpolitics,education,andotherprofessionsbelievethattheUnitedStatesmustadoptsomenewvaluestogoalongwiththeoldtraditionalones.WhatnewvaluesshouldAmericansadopt?Thisisaverydifficultquestiontoanswer.Certainly,agreatervalueshouldbeplacedontheconservationofnaturalresources;Americansshouldlearntouselessandwasteless.ButconservationhasneverbeenastrongvaluetoAmericans,whohavebelievedthattheircountryofferedanendless,abundantsupplyofnaturalresources.

Recently,progresshasbeenmade--moreandmoreAmericansarerecyclingtheirpaper,cans,bottles,andothergoods--butoldwastefulhabitsdiehard.Furthermore,theneedtoprotecttheenvironmentmayconflictwiththeneedforjobs,asintheNorthwest,whereconservationistsbattlelumbercompaniesthatwanttocutdownancientredwoodtrees.AbeliefinthevalueofconservationisstillcomparedwithotherAmericanvalues;itcanbecomestrongeronlyasAmericansseetheneedforitmoreclearly.

Inaddition,Americansmayneedtoplaceastrongvalueoncooperationonanationalscaletoachieveimportantnationalobjectives.TheAmericanideaofthenationalgoodhasneverbeenbasedonnationalcooperationbutratheronthefreedomoftheindividual,maintainingthoseconditionsthatprovidethegreatestfreedomandprosperityfortheindividual.ItisfarmoredifficultforAmericanstoacceptsharedsacrificeforthecommongoodandwell-beingoftheentirecountry.Forexample,althoughthemajorityofAmericansbelievethatitisextremelyimportanttobalancethenationalbudgetandreducethedeficit,theydonotwanttoseecutsingovernmentprogramsthatbenefitthempersonally.

TheAmericanvalueofcompetitionalsohindersthedevelopmentofaspiritofnationalcooperation.Competitionsometimesencouragesfeelingsofsuspicionratherthanthemutualtrustthatisnecessaryforsuccessfulnationalcooperation.AlthoughAmericansoftencooperatesuccessfullyonthelocallevel--inneighborhoodgroupsandchurches,forexample—theybecomesuspiciouswhenthenationalgovernmentbecomesinvolved.Forexample,onthenationallevel,theymayseethemselvesaspartofaninterestgroupthatiscompetingwithotherinterestgroupsforgovernmentfunds.Arequestbythenationalgovernmentforsharedsacrificemaybeseenascoerciveanddestructiveratherthanvoluntaryandconstructive.However,thedemandsofthe21stcenturymaycompelAmericanstoplaceagreatervalueonnationalcooperationtosolveproblemsthataffectthemall,directlyandindirectly.

Thebesttitleofthispassagecouldbe______.

A.WhichisBetter,NewValueorOldValue

B.Conservationvs.NeedforJobs

C.TheNeedforNewNationalValues

D.CooperationandCompetition

37.(76)

38.

Whyarehorsesusedtocatchtheelectriceels?

A.Tofrightentheeels.

B.Toexhausttheeels.

C.Toattracttheeels.

D.Tostirthewater.

39.PartB

Directions:Inthefollowingarticlesomeparagraphshavebeenremoved.ForQuestions66-70,choosethemostsuitableparagraphfromthelistA-Ftofitintoeachofthenumberedgaps.Thereisoneparagraphwhichdoesnotfitinanyofthegaps.MarkyouranswersonANSWERSHEET1.

DoesthepublisherofDouglasStarr'sexcellentBlood—AnEpicHistoryofMedicineandCommerceactuallyexpecttosellmanycopies?Whoeverchosethetitleiscertaintoscareoffthesqueamish,andthesubtitle,whichmakestheeffortsoundlikeadry,densesurveytext,hasreallydonethisbookadisservice.Infact,thebraveandcuriouswillenjoyabrightlywritten,intriguing,anddisquietingbook,withsomeimportantlessonsforpublichealth.

66.______

Thebookbeginswithahistoricalviewoncenturiesofloreaboutblood—inparticular,thebeliefthatbloodcarriedtheevilhumorsofdiseaseandrequiredoccasionaldraining.AsrecentlyastheRevolutionaryWar,bloodlettingwaswidelyappliedtotreatfevers.Theideaofusingoneperson'sbloodtohealanotherisonlyabout75yearsold—althoughroguescientistshadexperimentedwithtransfusinganimalbloodatleastasearlyasthe1600s.Thefirsttransfusionexperimentsinvolvedstitchingadonor'svein(inearlycasesthephysician's)toapatient'svein.

67.______

Sabotagedbynotionsaboutthe"purity"oftheirgroups'blood,JapanandGermanylaggedwellbehindtheAlliesintransfusionscience.OncetheyrealizedtheywerelosinginjuredtroopstheAllieshadlearnedtosave,theytriedtocatchup,conductinghorribleandunproductiveexperimentssuchasdrainingbloodfromPOWsandinjectingthemwithhorsebloodorpolymers.

68.______

Duringtheearlytomid-1980s,Starrsays,10,000Americanhemophiliacsand12,000otherscontractedHIVfromtransfusionsandreceiptofbloodproducts.Bloodbanksbothhereandabroadmovedslowlytoacknowledgethethreatofthevirusandinsomecasesevenactedwithcriminalnegligence,allowingthedistributionofbloodtheyknewwastainted.Thisisnotnewmaterial.ButStarr'sinsightsaddadimensiontoastoryfirstexploredinthelateRandyShilts'sAndtheBondPlayedOn.

69.______

Isthebloodsupplysafenow?Screeningproceduresandtechnologyhavegottenmuchmoreadvanced.Yetit'sdisturbingtoreadStarr'scontentionthatapersonreceivingmultipletransfusionstodayhasabouta1in90,000chanceofcontractingHTV—farhigherthanthe"oneinamillion"figurethatbloodbankersonceblithelyandfalselyquoted.Moreover,newpathogensthreatentoemergeandspreadthroughtheincreasinglyhigh-speed,globalblood-productnetworkfasterthansciencecanstopthem.ThispromptsStarrtoarguethattoday'sbloodstoresare"simultaneouslysaferandmorethreatening"thanwhendistributionwaslesssophisticated.

70.______

A.Themassivewartimeblooddriveslaidthegroundworkformodernblood-banking,whichhassavedcountlesslives.Unfortunately,thesedevelopmentsalsosetthestageforagreatmoderntragedy—thespreadofAIDSthroughtheinternationalbloodsupply.

B.Thereissomuchdrama,power,resonance,andimportantinformationinthisbookthatitwouldbeashameifthesqueamishwerescaredoff.Perhapsthekeylessonisthis:Thepublichealthmustalwaysbeguardedagainstthepressuresandpitfallsofcompetitivemarketsandhumanfallibility.

C.Inhischronicleofaresource,Starrcoversanenormousamountofground.Hegivesusanaccountofmankind'sattitudesovera400-yearperiodtowardsthis"precious,myste

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