2017职称英语《卫生A级》仿真试题及答案

2017职称英语《卫生A级》仿真试题及答案UncooperativePatientsNeedPsychologicalTherapy Byrefusingtotakeessentialmedicationafterakidneytransplant,a49-year-oldwomandrivesherdoctorsandnursestodistraction—tonoavail,becausetheorganhasintheendtoberemoved____(1)_____Patientsrefusingtocooperatewithmedicalprofessionalscausedamagenotonlytothemselvesbutalsoimposesubstantialcostsonthecommunity.ThepharmaceuticalcompanyGlaxoWelcomeestimatesthecoststotheGermantaxpayersofthiskindofnegativebehaviourataroundfivebilliondollarsayear. Arecentconferenceofmedicalprofessionals,healthinsurers,thepharmaceuticalindustryandpatientrepresentativesrevealedawiderangeoffactorsbehindnon-compliance.Notalldefiantbehaviourinapatientcanbecharacterizedasnon-compliance.Greaterstressshouldbeplacedonpsychologyduringmedicaltraining,delegatessaid.____(2)_____PsychologistSibylleStorkebaumtoldofaneight-year-oldboywhoranamokinahospitalbeforeundergoingahearttransplant,threateningtoripouthisdriptubes.____(3)_____“Doctorsandnursesfailedtoseethattheyhaddowngradedaboyalreadyconsciousofhisownresponsibilitiesintoasmallchild,”Storkebaumsaid,explainingthattheboymerelywantedtobetakenseriouslyandtobeinvolvedinhisowntreatment.“Oncethiswasacknowledged,theangerattackssubsided.____(4)_____”Jan-TorstenTewsofGlaxoWelcomehighlightedtheproblemofexcessivemedication,withpatientshavingtotakeawiderangeofmedicinesatshortintervals.Educatingpatientsandself-managementwerethekeytotreatingpatientswithchronicconditions,hesaid. Healthinsurersalsoexpressedinterestsinbettercooperationbetweendoctorandpatient.“Thefactthatnon-complianceexistsisaresultofpatientdissatisfactionwiththeirtreatment,”WalterBockemuehl,aseniorexecutiveinthestatutorymedicalinsurancescheme.said.Accordingtoonestudy,halfofallpatientsdidnotwantmedication,buthaddrugsprescribednevertheless.____(5)_____ 词汇： medication药物治疗，药剂kidney肾transplant移植 distraciton心烦意乱avail用处non-compliance不顺从，固执 professional专业人员impose把……强加给…… pharmaceutical制药的，药学的characterize表示……的性格特征 insurer承保人，保险GSdefiant反抗的，无礼的 therapy治疗，疗法insecure缺乏安全感的 amok狂怒的，狂暴的fit发作rage盛怒，狂怒 assert主张，坚持，维护downgrade贬低，小看 noticeably明显地highlight使显著，强调，把注意力集中于…… dissatisfaction不满意statutory法定的额 注释： 1.tonoavail：徒劳无功 2.becharacterized：被描绘成…… 3.runamok：变得勃然大怒。run在这里是系动词，有“变”的意思。 4.toripouthisdroptubes：把他的点滴管扯下ripout扯掉，扯出 drip：水滴，点滴 练习： A.However,therearestillsomemedicalprofessionalswhodon'tbelieveinpsychologicaltherapy. B.Hebecamenoticeablyquieterandturnedintoagoodpatient. C.“Inthesecasesweshouldnotbesurprisediftheadviceisignored,”hesaid. D.Thiscaseofmedicalnon-complianceisnotanisolatedexample. E.Therewasevidencethatpsychologicaltherapyforinsecurepatientscouldimprovecooperationbetweendoctorsandpatients,theyadded. F.Hisfitsofrageweresubsequentlyseenasanattempttoasserthisrightsasapatient. 答案与题解： 1.D空白处的前一句举了一位46岁妇女在肾移植手术以后拒服必要的药物的例子。空白处的后一句说拒绝与医务人员合作的病人会给自己、给社会带来什么害处。我们必须注意到后一句的病人是泛指的，当然应该包括这位49岁的妇女在内，因此将D(像这样不合作的事情并非仅此一例)填入空白处可以将上下文更完美地连接起来。 2.E空白处的前一句说道应该更多地强调心理学在药物治疗中的作用。E说有证据表明，对缺乏安全感的病人进行心理治疗可增加医患之间的合作。前后两句话是连贯的，而且theyadded还在一定程度上起到了提示作用，故E为最佳选项。 3.F空