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题型:阅读理解 题类:常考题 难易度:普通

广东省广州市执信中学2016届高三上学期英语期末测试

阅读下列短文,从每题所给的四个选项中,选出最佳选项。

The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the peculiar roles of producer or “provider” and purchaser or “consumer” in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a potential buyer with various appealing factors of price, quality, and use, and it is the buyer who makes the decision. Such condition, however, is not common in most of the health-care industry.

In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer. Once an individual has chosen to see a physician — and even then there may be no real choice — it is the physician who usually makes all significant purchasing decisions: whether the patient should return “next Wednesday”, whether X-rays are needed, whether drugs should be prescribed, etc. It is rare that a patient will challenge such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.

This is particularly significant in relation to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed, and announce when the patient may be discharged. The patient may be consulted about some of the decisions, but in general it is the doctor's judgments that are final. Little wonder then that in the eye of the hospital it is the physician who is the real “consumer”. As a consequence, the medical staff represents the “power center” in hospital policy and decision-making, not the administration.

Although usually there are in this situation four identifiable participants— the physician, the hospital, the patient, and the payer (generally an insurance carrier or government) — the physician makes the essential decisions for all of them. The hospital becomes an extension of the physician; the payer generally meets most of the bills generated by the physician/hospital, and for the most part the patient plays a passive role. We estimate that about 75-80 percent of health-care choices are determined by physicians, not patients. For this reason, the economy directed at patients or the general is relatively ineffective.

(1)、The author's primary purpose in writing this passage is to ________.

A、urge hospitals to reclaim their decision-making authority B、inform potential patients of their health-care rights C、criticize doctors for exercising too much control over patients D、analyze some important economic factors in health-care
(2)、It can be inferred that doctors are able to determine hospital policies because ________.

A、most of patient's bills are paid by his health insurance B、it is doctors who generate income for the hospital C、some patients might refuse to take their physician's advice D、a doctor is ultimately responsible for a patient's health
(3)、According to the author, when a doctor tells a patient to “return next Wednesday”,  the doctor is in fact ________.

A、advising the patient to seek a second opinion B、warning the patient that a hospital stay might be necessary C、instructing the patient to buy more medical services D、admitting that the first visit was ineffective
(4)、The author is most probably leading up to ________.

A、a proposal to control medical costs    B、a study of lawsuits against doctors for malpractice C、an analysis of the cause of inflation (通货膨胀) in the US D、a discussion of a new medical treatment
举一反三
阅读理解

    An Israeli law banning too skinny models went into effect with the start of 2013. The law, approved last March in Israel, requires models to prove they have maintained a Body Mass Index (BMI) of at least 18.5 for three months before a fashion show. That means a woman who is 68 inches tall can weigh no less than 119 pounds.

    "This law is another step in the war against eating disorders," said physician Adatto. "Underweight models," he explained, "can no longer serve as role models for innocent young people who copy their false image of being skinny."

    But some critics in this country say it is misguided, focusing on weight instead of health. They also say the Israeli ban is bound to fail because of the strong power of the fashion industry. "I think it's an approach that isn't going to work." said eating disorder expert Susan Ice, who worked with an organization which creates a healthy working environment for models.

    But Adatto told the reporter that he began to concern the issue after meeting an ambitious model who looked like she needed to be hospitalized. He said. "I realized that only legislation(立法) can change the situation. There was no time to waste; so many girls were dieting to death."

    However, the efforts to regulate models' weight in Spain and Italy have not resulted in significant changes in part because of difficulties in determining reliable methods of measuring weight and health.

    Still, folks including Ice say there's no denying that images from Hollywood and the fashion industry can be difficult for young women to deal with. "Certainly I don't believe the modeling industry has caused the rise in eating disorders, but it makes it harder," she says. "It's a difficult recovery environment, worshiping thinness as the beauty ideal."

阅读理解

    Steven Spielberg's 2002 science-fiction thriller Minority Report produced a world where computers could read minds and predict the future. It seemed fanciful at the time, but fantasy is edging closer to fact.

    On Jan 31, a team of scientists at UC Berkeley, led by Robert Knight programmed computers to decode (破译) brain waves and replay them as words. Five months earlier, another group of Berkeley scientists showed their colleagues short movies and used computers to play back in color what people saw.

    These experiments are a big advance from 2006, when a French scientist first replayed images from a human mind, a black-and-white checkerboard pattern. The possibilities are great: a disabled person could" speak"; doctors could access the mind of a patient who fainted; you could rewatch your dreams on an iPad. There are, of course, equally dark side, such as the involuntary take out of information from the brain.

    In spite of these breakthroughs, Jack Gallant, the neuroscientist who led the first Berkeley team, says current technology for decoding brain activity is still "relatively primitive". The field is held back by its poor machinery, in particular the FMRI.

    "Eventually," says Gallant, "someone will invent a decoding machine you can wear as a hat." Such an advance into the human mind, he says, might take 30 years.

    Still, the recent advances at Berkeley offer small answers, which scientists can use to begin unlocking the secrets of memory and consciousness.

阅读理解

    Last summer, two nineteenth-century cottages were rescued from remote farm fields in Montana, to be moved to an Art Deco building in San Francisco. The houses were made of wood. These cottages once housed early settlers as they worked the dry Montana soil; now they hold Twitter engineers.

    The cottages could be an example of the industry' s odd love affair with "low technology," a concept associated with the natural world, and with old-school craftsmanship (手艺) that exists long before the Internet era. Low technology is not virtual (虚拟的) —so, to take advantage of it, Internet companies have had to get creative. The rescued wood cottages, fitted by hand in the late eighteen-hundreds, are an obvious example, but Twitter's designs lie on the extreme end. Other companies are using a broader interpretation (阐释) of low technology that focuses on nature.

    Amazon is building three glass spheres filled with trees, so that employees can "work and socialize in a more natural, park-like setting." At Google's office, an entire floor is carpeted in glass. Facebook's second Menlo Park campus will have a rooftop park with a walking trail.

    Olle Lundberg, the founder of Lundberg Design, has worked with many tech companies over the years. "We have lost the connection to the maker in our lives, and our tech engineers are the ones who feel impoverished (贫乏的) , because they're surrounded by the digital world," he says. "They're looking for a way to regain their individual identity, and we've found that introducing real crafts is one way to do that."

    This craft based theory is rooted in history, William Morris, the English artist and writer, turned back to pre-industrial arts in the eighteen-sixties, just after the Industrial Revolution. The Arts and Crafts movement defined itself against machines. "Without creative human occupation, people became disconnected from life," Morris said.

    Research has shown that natural environments can restore(恢复) our mental capacities. In Japan, patients are encouraged to "forest-bathe," taking walks through woods to lower their blood pressure.

    These health benefits apply to the workplace as well. Rachel Kaplvin, a professor of environmental psychology, has spent years researching the restorative effects of natural environment. Her research found that workers with access to nature at the office—even simple views of trees and flowers—felt their jobs were less stressful and more satisfying. If low-tech offices can potentially nourish the brains and improve the mental health of employees then, fine, bring on the cottages.

阅读理解

    People have grown taller over the last century, with South Korean women shooting up by more than 20cm on average, and Iranian men gaining 16.5cm. A global study looked at the average height of 18-year-olds in 200 countries 1914 and 2014. The results show that while Swedes were the tallest people in the world in 1914, Dutch men have risen from l2th place to claim top spot with an average height of 182.5cm. Larvian women, meanwhile, rose from 28th place in 1914 to become the tallest in the world a century later, with an average height of 169.8cm. James Bentham, a co-author of the research says the global trend is likely but once you average over whole populations, genetics plays a less key role," he added.

    But while height has increased around the world, the trend in many countries of north and sub-Saharan Africa causes concern, says Elio Riboli of Imperial College. While height increased in Uganda and Niger during the early 20th century, the trend has reversed in recent years, with height decreasing among 18-year-olds.

    "One reason for these decreases in height is the economic situation in the 1980s," said Professor Alexander. The nutritional and health problems that followed the policy of structural adjustment, he says, led to many children and teenagers failing to reach their full potential in terms of height.

    Bentham believes the global trend of increasing height has important implications. "How tall we are now is strongly influenced by the environment we grew up in," he said. "If we give children the best possible start in life now, they will be healthier and more productive for decades to come."

阅读理解

    A person can use all five senses while spending time with dolphins. We can see them play in the waves, hear them call, and feel their skin. Dolphins can sense you, too, but not in all the same ways. They have good eyesight, for example, but no sense of smell. Sensory biologists try to understand connections between animal behaviors and the senses. One team of these scientists recently made an unexpected discovery about certain dolphins.

    The researchers found that Guiana dolphins can detect electric fields, an ability that may help them find fish to eat. The secret to this newly found sense, say the scientists, is hidden in the dolphins' snouts (口鼻部).

    "We were really surprised to find this in the dolphin. Nobody had expected it," said Wolf Hanke, who led the new dolphin study.

    Hanke and his team suspected the dolphin's electro-sense might have something to do with small dimples (酒窝) on the animal's snout. "We thought they must have some functions," Hank said. To find out for certain, his team studied two Guiana dolphins.

    The scientists first studied the dimples of a 29-year-old dolphin that had died of natural causes. Under a microscope, the dimples looked familiar: they were similar to the sensors used by other animals to detect electric fields.

    Next, Hanke and his team tested a live dolphin, a 28-year-old named Paco, to see if he could recognize an electric field. They taught Paco to swim close to a device that could create a weak electric field in the water. Then the team taught Paco to swim away from the device if he detected any changes. When the scientists created an electric field, Paco swam away—showing that he knew something had changed. When there was no electric field, Paco stayed there. When Paco's snout was covered in plastic, he didn't react to the electric field.

    Paco's behavior told the scientists that the dolphin used his snout to detect the tiny electric field. "This is a major breakthrough," Peter Madsen, a sensory biologist, said.

阅读理解

    A study examining the children of people evacuated(撤离) during the WWII showed the daughters of female evacuees were up to four times more likely to suffer from serious mental health conditions compared to those whose parents stayed at home.

    In the largest enquiry ever of its kind, researchers examined the health records of 3000 children of Finnish people evacuated to Sweden during the 1941-1945 conflict with Soviet Russia. The evacuees, many of whom were at a pre-school age, were placed with foster families in Sweden and were forced to learn Swedish, later returning to Finland. The study found that the female children of these girls had an increased risk of being hospitalized for conditions such as depression. However, this was not the case with children of boys evacuated during the war.

    The study could not determine why. One possibility is that the stress of the evacuees' experience affected their psychological development in ways that influenced their parenting style. Another possibility is that the evacuees' experience resulted in epigenetic changes—changed in the way genes are expressed. For example, the researchers mentioned an earlier finding that Holocaust survivors have higher levels of methyl groups bound to the FKBP5 gene and have passed his change on to their children. This higher level of methyl groups appears to change the production of cortisol, a hormone(荷尔蒙) that controls the stress response.

    "The Finnish evacuation was intended to protect children from the harm associated with the country's wars with the Soviet Union", said study co-author Dr Torsten Santavirta, from Uppsala University.

    "Our observation of the long-term psychiatric(精神病的) risk that reached into the next generation is concerning and stresses the need to weigh benefits as well as potential risks when designing policies for child protection".

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