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全国医学英语博士统一考试2006

全国医学英语博士统一考试2006
全国医学英语博士统一考试2006

PAPER ONE

Part I Listening Comprehension (30%)

Section A

Directions: In this section you will hear fifteen short conversations between two speakers. At the end of each conversation, you will hear a question about what is said. The question will be read only once. After you

hear the question, read the four possible answers marked A, B, C, and D. Choose the best answer and mark the letter of your choice on the ANSWER SHEET.

Listen to the following example.

You will hear:

Woman:I feel faint.

Man: No wonder. You haven’t had a bite all day.

Question: What’s the matter with the woman?

You will read:

A.She is sick.

B.She was bitten by an ant.

C.She is hungry.

D.She spilled her paint.

Here C is the right answer.

Sample answer

A B C D Now let’s begin with question Number 1.

1. A. Go straight ahead along the street. B. Walk right into the lecture hall.

C. Ask the woman a question.

D. Attend a lecture.

2. A. Larry will make other arrangements. B. Larry will not go for the outing.

C. Larry will rearrange his plan.

D. Larry has changed his mind.

3. A. John has too many options. B. Alice needs a piece of advice.

C. John has not decided yet.

D. Alice has switched to medicine.

4. A. It’s overrated. B. It’s rather boring.

C. It’s hard to understand.

D. It’s extremely interesting.

5. A. Tuesday. B. Wednesday.

C. Thursday.

D. Friday.

6. A. She is angry. B. She is anxious.

C. She is ridiculous.

D. She is disappointed.

7. A. She doubted what the man had said.

B. She didn’t expect the man to listen to her.

C. She didn’t remember exactly what she had said.

D. She knew the man would benefit from her advice.

8. A. He would prefer any weekday.

B. He is not to be free until next week.

C. He is able to make it on Tuesday.

D. He’s available any day except Tuesday

9. A. To arrange an interview.

B. To get a part-time job on campus.

C. To take a course of pharmaceutics.

D. To apply for a job with the company.

10.A. He is still worried about his skin problem.

B. He recommends an ointment to the woman.

C. He didn’t see the doctor for his skin problem.

D. He is working fine despite his rash about his waist.

11.A. Her parents will let her stay in their house.

B. Her parents’ friends will accommodate her.

C. She plans to visit some friends in San Diego.

D. She is moving to San Diego with her parents.

12.A. The surgery was absolutely necessary for the patient.

B. The surgery could not have been more successful.

C. The necessity for the surgery was questionable.

D. The patient could not stand the surgery.

13. A. She would go to the drug store.

B. She would go to see the doctor.

C. She would take medicine at home.

D. She would find the medicine cabinet.

14. A. The math course is rather difficult

B. The woman asked a wrong person

C. The woman should take a basic math course

D. The man has probably take the math course

15. A. A question and answer section B. A self-introduction

C. A presentation

D. A seminar

Section B

Directions: In this section you will hear three passages. After each one, you will hear five questions. After each question, read the four possible

Passage One

16. A. For his dizziness B. For his headaches

C. For his hurting eyes

D. For his broken finger

17. A. They have been going on for two weeks B. They are hurting his eyes

C. They are hard to explain

D. They occur at any time

18. A. In the morning. B. In the afternoon

C. In the evening

D. At night

19. A. His night life B. His broken finger

C. His work pressure

D. His irregular hours

20. A .He feels cold B. He feels faint

C. He feels nothing but sleepy

D. He feels himself falling down

Passage two

21. A. Easy to digest B. Rich nutrition

C. High blood cholesterol

D. Free of harmful substance

22. A. A rise in egg price B. A high incidence of heart disease

C.A drop in egg sales

D. The emergence of new life style

23. A. The reduce consumption of eggs

B. The development of substitute eggs

C. The improved ways of cooking eggs

D. The removal of nutritional substances in eggs

24. A The feeds B. The taste C. The recipe D. The amount of cholesterol

25. A. eggs and their recipes B. eggs and their substitutes

C. Misconceptions about eggs

D. The nutritional value of eggs

Passage Three

26. A. It is fun through not widely practiced B. It is to benefit your dependents

C. It is getting popular

D. It is absurd

27. A. The buying of life insurance is not the business of guessing

B. There must be a standard amount of life insurance for people

C. people are encouraged to buy more life insurance for more benefit

D. One has to rely on an agent to figure out the right amount of life insurance

28. A. Following general estimates B. Upgrading your quality of life

C .Making as much money as you can D. Maintaining your current living standard

29. A. The size of the family B. The source of the income

C. The basic human needs

D. The death of the breadwinner

30. A. To prevent the advantages and disadvantages of life insurance

B. To encourage people to buy life insurance

C. To tell people how to buy life insurance

D. To help improve quality of life

Part II Vocabulary (10%)

Section A

Directions: In this section all the sentences are incomplete, beneath each of which are four words or phrases, marked A, B, C and D. Choose the word or phrase that can best completes the statement and mark the letter of your choice on the ANSWER SHEET.

31. He the check and deposited it in his account.

A. cancelled

B. endorsed

C. cashed

D. endowed

32.She claimed that she was denied admission to the school her race.

A. by virtue of

B. in accordance with

C. with respect to

D. on account of

33.The present is ill. so the secretary will be for him as chairman at the meeting.

A. standing up

B. coming up

C. sitting in

D. filling in

34.The witness was by the judge for failing to answer the question.

A. sentenced

B. threatened

C. admonished

D. jailed

35. Publicly, they are trying to this latest failure, but in private they are very worried.

A. put off

B. laugh off

C. pay off

D. lay off

36. It is sheer to be home again and be able to relax.

A. prestige

B. paradise

C. pride

D. privacy

37. During rush hour. Downtown streets are with commuters.

A. scattered

B. condensed

C. clogged

D. dotted

38.Someone who is in confinement is kept alone in a room in prison.

A. precise

B. solitary

C. remote

D. confidential

39. She is very ,and will be able to perform all require tasks well.

A. productive

B. flexible

C. sophisticated

D. versatile

40.V arious books and papers are up together on her desk.

A. jumbled

B. tumbled

C. bumbled

D. humbled

Section B

Directions: In this section each of the following sentences has a word or phrase underlined,beneath which are four words or phrases. Choose the word or phrase which would best keep the meaning of the original sentence if it is substituted for the underlined part. Then mark the letter of your choice on the ANSWER SHEET.

41. She was often oblivious of the potential consequences of her action.

A. unaware

B. blocked

C. afraid

D. convinced

42.Sunny periods will be interspersed with occasional shower.

A. interrupted

B. blocked

C. blended

D. interested

43. The thrombus forms in a blood vessel or within the heart and obstructs the circulation.

A. clot

B. mass

C. node

D. knot

44.They employed a consultant to appraise the relative merits of the computers systems.

A. applaud

B. commend

C. evaluate

D. distinguish

45. The biggest engineering project that they undertook was encumbered by lack of fund.

A. hampered

B. propelled

C. cancelled

D. haunted

46.She kept to her point tenaciously and would not give away.

A. persistently

B. constantly

C. perpetually

D. vigorously

47. It is surely not beyond the wit of the government to solve this simple problem.

A. intention

B. endowment

C. intelligence

D. enlightenment

48.I am just fed up with his excuse for not getting his work done.

A. anguished at

B. annoyed at

C. agonized by

D. afflicted by

49. Let’s get out the dictionary and settle this dispute once and for all

A. at the moment

B. at any time

C. for a while

D. for the last time

50. I was so absorbed in my work that I completely forgot the time.

A. engraved

B.engrossed

C.enforced

D.enveloped

Part III Cloze(10%)

Directions: In this section there is a passage with ten numbered blanks. For each blank, there are four choices marked A, B, C and D listed on the right side. Choose the best answer and mark the letter of your choice on the ANSWER SHEET.

Culture shock might be called an occupational disease of people who have been suddenly transplanted abroad. Like most ailments, it has its own symptoms and cure.

Culture shock is precipitated by the 51 that results from losing all our familiar signs and symbols of social intercourse. Those signs or cues include the thousand and one ways in which we 52 ourselves to the situation of daily life; when to shake hands and what to say, when we meet people, when and how to give tips, how to make purchases, when to accept and when to 53 invitations, when to take statements seriously and 54.These cues, which may be words, gestures, facial expressions, customs, or norms, are acquired by all of us in the course of growing up and are 55 a part of our culture as the language we speak or the beliefs we accept. All of us depend 56 our peace of mind and our efficiency on hundreds of these cues, most of which we do not carry. 57 conscious awareness.

Now when an individual enters a strange culture, all or most of these familiar cues are 58 .He or she is like a fish out of water. No matter how broad-minded or full of goodwill you may be, a series of props have been knocked 59 you, followed by feeling of frustrations and anxiety. People react to the frustration in much the same way. First they reject the environment which causes the discomfort. “The ways of the host country are bad because they make us feel bad.”When foreigners in a strange hand get together to grouse about the 60 country and its people. You can be sure they are suffering from culture shock.

51. A. complaint B. anxiety C. grief D. conflict

52. A. convert B. associate C. orient D. familiarize

53. A. refuse B. welcome C. deliver D. withdraw

54 .A. why not B. what not C. when not D. where not

55. A. as much B. as such C. as well D. as if

56. A. on B. with C. as D. for

57. A. on the level of B. in accordance with C. be means of D. in view of

58. A. adjusted B. modified C. rejected D. removed

59. A. from behind B. from under C. out of D. away from

60. A. guest B. target C. host D. master

Part IV Reading Comprehension (30%)

Directions: In this part there are six passages, each of which is followed by five questions. For each question there are four possible answers marled A, B, C, and D. Choose the best answer and mark the letter of your choice in the ANSWER SHEET.

Passage One

It used to be that a corporation’s capital consisted of tangible assets such as buildings, machines, and finished goods. But in the information economy, value has shifted rapidly from tangible to intangible assets. Such as management skills and customer loyalty. But how do you measure intangible assets?

Karl Erik Sveiby began trying to answer that question as a magazine publisher in Sweden and went to become Scandinavia’s leading authority on knowledge based businesses. In his latest book, The New Organizational Wealth, he offers insights into valuing and managing intangible assets.

Nothing that Microsoft Corporation, the world’s largest software firm, once traded at an average share price of $79 at a time when its book value was $7, Sveiby asks: “What is it about Microsoft that makes it worth 10 times the value of its recorded assets? What is the nature of that additional value that is perceived by the market but not recorded by the company?”

Sveiby’s answer is intangible assets, which he defines as employee competence. Internal structures (systems. patents.etc.). and external structures (customer and supplier relationships and the organization’s image). Because of these factors. It follows that owners hold a kind of intangible equity in the company, in addition to tangible assets such as cash and accounts receivable.

Since knowledge is a key intangible asset, the ability to transfer knowledge from one employee to another, or from outside sources to employees, is a key business capacity, in Sveiby’s view. The greater the transfer method for transferring knowledge, the more overall employee competence improves. The best method for transferring knowledge, says Sveiby, is through direct experience with a subject rather simply listening to someone or reading about it.

Experience enables learning more than overt teaching because people acquire knowledge tacitly, by observation and listening in an unstructured environment. And, he adds people will more readily learn from an activity if they enjoy it.

Once the flow of information within an organization is managed properly, the competence of the organization increases, and the relations with customers improve. But Sveiby also points out that knowledge and information are not the same thing. Information has no value until it becomes integrated knowledge and therefore useful.

61. In the information economy, it is a challenge

A. to place a high value on intangible assets

B. to transfer tangible into intangible assets

C. to changed the concept of assets

D. to quantify intangible assets

62.Microsoft Corporation, in Sveiby’s view,

A.is skillful at managing intangible assets

B. creates most intangible assets in the world

C. does not hold any tangible, but much intangible assets

D. possesses much additional intangible assets recognized by the market

63. The transfer of knowledge which is a key intangible asset, according to Sveiby,

A. has much to do with overall employee competence

B. is best done through hands-on experience

C. reflects business capacity

D. all of above

64. Integrated knowledge, information

A. begins to spread within an organization

B. will lose much of its value

C. will remain useful forever

D. is an intangible asset

65. Which of the fol1oing can be the best title for the passage?

A. Knowledge as Capital

B. Exploding Knowledge

C. The Power of Knowledge

D. Information and Knowledge

Passagc Two

High-speed Living has become a fact of life, and the frantic pace is taking its toll, according to science writer James Gleick. It’s as if the old “Type A”behavior of a few has expanded into the “hurry sickness”of the many.

We do feel that we’re more time-driven and time-obsessed and generally rushed than ever before”write Gleick in Faster: The Acceleration of Just About Everything, a survey of fast-moving culture and its consequences. We may also be acting more hastily, losing control, and thinking superficially because we 1ie faster.

Technology has conditioned us to expect 1nstant results. Internet purchases arrive by next-day delivery and the microwave delivers a hot meal in minutes. Faxes, e-mails, and cell phones make it possible-and increasingly obligatory-for people to work faster. Gleick cites numerous examples of last-forward changes in our lives: Stock trading and news cycles are shorter; sound bites of presidential candidates on network newscasts dropped from 40 seconds in 1868 to 10 seconds in 1988; and some fast-food restaurants have added express lanes.

High expectations for instant service make even the brief wait for an elevator seem interminable (漫长的). A good waiting time is in the neighborhood of 15 seconds. Sometime around 40 seconds. people start to get visibly upset”writes Gleick. W’re dependent on systems that promise speed but often deliver frustration. Like rush-hour drivers fuming when a single accident halts the evening commute, people surfing the Internet squirm if a Web page is slow to load or when access itself is not instantaneous. And the concert of “customer service”can become an oxymoron (逆喻) for customers waiting on hold for a telephone representative.

Up-tempo living has turned people into multitaskers-eating while driving. writing an e-mail whi1e talking on the phone. or skimming dozens of television programs on split screen. Gleick suggests that human beings may be capable of adjusting to these new levels of stimuli as. high-speed culture challenges our brains “in a way they were not chal1enged in the past. except perhaps in times of war”. We may gain the flexibility to do several things at once but lose some of our capacity to focus in depth on a single task.

66. With living pace getting quicker and quicker. the number of those of “Type-A”behavior is

A.on the rise

B. out of control

C. on the decline

D. under investigation

67. High-speed living brings about the following consequences, exclusive of

A. superficial thinking

B. lose of control

C. waste of time

D. more haste

68. The best conclusion can be drawn from the 3rd paragraph is that

A. technology is building a fast-moving culture

B. we are living in the age of information

C. economy is booming with technology

D. the frantic pace is taking its toll

69. As the author implies, the faster we live,

A. the less we do

B. the less patient we are

C. the more time we save

D. the more efficiency have

70. Living faster and faster, the multitaskers tend

A. to scratch the surface of a thing

B. to do things better at the same time

C. to be flexible with their time schedules

D. to have intense concentration on trivial things

Passage Three

Imagine a disease spreading across the globe, killing mostly middle-aged people or leaving them chronically disabled. Then one day researchers come up with a drug that can prevent some of the disease’s nastier effects. Y ou would think the world’s ageing public would be eternally grateful.

The disease does exist. It is called tobacco addiction. The drug too is real and in animal tests has prevented lung damage that leads to emphysema. But the inventors have received no bouquets. Prevailing medical opinion seems to be that the drug is a mere sideshow, distracting smokers from the task of quitting. Another experimental drug, which could protect smokers against cancer, is also viewed with suspicion because it could give smokers an excuse not to quit.

On the face of it these responses make sense. It is ingrained in society that smokers have only themselves to blame and their salvation lies in a simple act of will. If they will not quit smoking, they cannot expect help from anyone else.

But this logic is flawed. Check a survey of smokers and you find two-thirds want to give up and one-third will have tried in the previous year. Yet, even with nicotine gum, patches and drugs to ease the ordeal, the quit rate is still under 10 per cent. In the UK, the proportion of people who smoke has not fallen in a decade. Tobacco has a powerful grip, and many smokers are caught in a trap they cannot escape: they have a disease like any other and deserve the chance to reduce the harm it does to them.

This reasoning is hard for many to swallow. It certainly leaves governments and anti-smoking groups in a bind. They are happy to pay lip service to methods for reducing harm----of which there are a growing number----but they are slow to create policies based upon them. European Union countries, for example, look years to even consider regulating the dangerous additives in cigarettes.

One fear is that methods for reducing harm will dilute the message that tobacco kills----especially when given to youngsters. But that message won’t change. In the present case, even if both drugs turn out to work in human trials, they would not protect against all the deadly side effects of smoking. And the drugs do not have to be free to all. They could be available only on prescription for people who doctors believe genuinely cannot give up.

There are things that no drug aimed at harm reduction will ever be able to be. It will not cut passive smoking or stop tobacco companies persuading millions of teenagers to light up. For these reasons all other ways to counter smoking must continue, from banning tobacco advertising to raising tobacco taxes. But it would be a mistake to ignore the harm reduction measures. For those who are not convinced, forget smokers for a moment. Preventive drugs could also help

non-smokers, especially those working long hours, as, say, musicians and bar staff in smoky rooms. Should we deny them too?

71. The statement “But the inventors have received no bouquets” implies that

A. the drugs have received suspicion

B. the inventors just presented a sideshow

C. it will take time for the public to accept the new drug

D. the effects of the drug need further test on human trials

72. The author argues that _____________.

A. no smoker is expected to succeed in quitting

B. smokers deserve the harm smoking does to them

C. smokers with resolution to stop smoking need help

D. smokers could succeed with strong resolution to give up

73. The author is trying to emphasize that the drugs _________

A. are mainly aimed at youngsters

B. should be available to smokers free of charge

C. will not change the message that tobacco kills

D. help regulate the dangerous additives in cigarettes

74. The drugs, according to the author, are expected ________

A. to perform preventive functions in non-smokers

B. to reduce the number of passive smokers

C. to enforce the combat against smoking

D. all of the above

75. We an draw a conclusion from the passage that _________

A. with innovative drugs smokers can still enjoy personal gratifications and stay healthy

B. if a drug can save lives, we shouldn’t withhold it without good reason

C. the battle against smoking is far from won

D. there will be a safe way to smoke

Passage Four

Eating is related to emotional as well as physiologic needs. Sucking, which is the infant’s means of gaining both food and emotional security conditions the association of eating with well-being or with deprivation. If the child is breast-fed and has supportive body contact as well as good milk intake, if the child is allowed to suck for as long as he or she desires, and if both the child and mother enjoy the nursing experience and share their enjoyment, the child is more likely to shrive both physically and emotionally. On the other hand, if the mother is nervous and resents the child or cuts him her off from the milk supply before either the child’s hunger or sucking need is satisfied, or handle the child hostilely during the feeding, or props the baby with a bottle rather than holding the child, the child may develop physically but will begin to show signs of emotional disturbance at an early age. If, in addition, the infant is further abused by parental indifference or intolerance, he or she will carry scars of such emotional deprivation throughout life.

Eating habits are also conditioned by family and other psychosocial environments. If an individual’s family eats large quantities of food, then he or she is inclined to eat large amounts. If an individual’s family eats mainly vegetable, then he or she will be inclined to like vegetables. If mealtime is a happy and significant event, then the will tend to think of eating in those terms. And if a family eats quickly, without caring what is being eaten and while fighting at the dinner table, then the person will most likely adopt the same eating pattern and be adversely affect by it. This conditioning to food can remain unchanged through a lifetime unless he individual is awakened to the fact of conditioning and to the possible need for altering his or her eating patterns in order to improve nutritional intake. Conditioning spills over into and is often reinforced by religious beliefs and other customs so that, for example, a Jew, whose religion forbids the eating of pork, might have guilt feeling if he or she ate pork. An older Roman Catholic might be conditioned to feel guilty if he or she eats meat on Friday, traditionally a fish day.

76. A well-breast-fed child________.

A. tends to associate foods with emotions

B. is physiologically and emotionally satisfied

C. cannot have physiologic and emotional problems

D. is more likely to have his or her needs satisfied in the future

77. While sucking, the baby is actually _____________.

A. conscious of the impact of breast-feeding

B. interacting with his or her mother

C. creating a nursing environment

D. impossible to be abused

78.A bottle-fed child __________.

A. can be healthy physiologically, but not emotionally

B. cannot avoid physiologic abuse throughout life

C. is deprived of emotional needs

D. is rid of physiological needs

79. From the list of eating habits, we learn that ____________.

A. everyone follows his or her eating pattern to death

B. one's eating pattern varies with his or her personality

C. there is no such things as psychosocial environments

D. everybody is born into a conditioned eating environment

80. A Jew or an older Roman Catholic __________.

A. takes an eating habit as a religious belief

B. is conditioned to feel guilty of eating pork in his or her family

C. cannot have a nutritional eating habit conditioned by religious beliefs

D. observes an eating pattern conditioned by his or her psychosocial environment

Passage Five

Several classes of bitter citrus compounds have looked promising as anticancer agents in laboratory tests. A new study indicates that long-term consumption of orange juice. A source of such chemicals cuts cancer risk in rats.

In test-tube studies, one class of the bitter compounds-flavonoids-has inhibited the growth of breast cancer cells. Related studies showed that bitter citrus limonoids similarly ward off cancer

in animals. Mulling over such data, Maurice R. Bennink of Michigan State University in East Lansing wondered whether drinking orange juice would have a beneficial effect.

His team injected 60 young rats with a chemical that causes colon cancer and then raised half of the animals on a normal diet. The others received orange juice instead of drinking water-and less sugar in their food to compensate for sugars in the juice.

At an American Institute for Cancer Research meeting last week in Washington D. C.. Bennink reported that after 7 months. 22 of the animals receiving a normal diet had developed colon cancers. Only 17 of the rats on the range-juice diet showed tumors. That's 77 percent of the control group's incidence.

Concludes Bennink, whose work was supported by orange-juice producer Tropicana products of Brandenton, Fla.. "These data show orange juice helps protect against cancer", He says that the study might also apply to breast, prostate, and lung cancers.

Bandaru S. Reddy of the American Health Foundation in V alhalla.N.Y., was not surprised by Bennink's finding of an orange juice benefit. However, he calls the reported risk reduction Unimpressive, his own data show that citrus limonoids protect against chemically induced colon cancer in lab animals.

Luke K. T. Lam of LDT Laboratories in St. Paul, Minn., finds Bennink’s data “quite interesting.” although he describes as “borderline” the suppression of cancer incidence observed by Bennink. Lam has inhibited tumors in the lung. skin. and forestomach of mice with limonoinds.

The scientists don’t know what compounds in orange juice underlie its effect. The juice is rich in one limonoid-a sugar-containing version of limonin, which suppressed tumors in Lam’s rich in one experiments.It’s possible, Lam speculates, that rats convert the juice’s limonoid into limonin.

Indeed argues Gary D, Manners of the Agricultural Research Service in Albany, Calif.. “there is no doubt that these [anticancer] citrus compounds are bioavailable in animals to the site of a cancer. The question remains whether they are similarly available in people. To find out, his team will soon begin measuring the human boy’s uptake of limonoids from orange juice.

81. what made Bennink hypothesize the protective effect of orange juice?

A. The wide consumption of the fruits.

B. The citrus limonoids of the fruits.

C. His own personal experience.

D. His promising research.

82. Which of the following is true of the results of Bennink’s study?

A. Only eight rats of the control group showed tumors.

B. Thirteen rats of the test group failed to show tumors.

C. Seventy-seven percent of the test group did not show tumors.

D. Only thirty-three percent of the control group showed tumors.

83. It can be inferred from the passage that Bennink_.

A. won much financial support with his unexpected results.

B. had a commercial intention in the first place

C. tried to please orange-juice manufacturers

D. found a right sponsor

84. Both Reddy and Lam

A. seemed to be surprisingly impressed by Bennink’s findings

B. did not seem to be surprised by bennink’s findings

C. did not seem to believe in the orange juice benefit

D. seemed to be doubtful of Bennink’s findings

85. From the passage we can learn that scientists are still in the dark about-.

A. the substance that suppresses tumors

B. the existence of bioavability in the human body

C. the uptake of limonoids from orange-juice in people

D. the bioavailability of citrus compounds in the human body

Passage Six

Just before dawn we received a call that an unresponsive infant was being brought by emergency medical services to our hospital. As the medical team-the pediatric resident, intern, respiratory therapist, nurse, and me-prepared for the incoming patient, an eerie silence enveloped the trauma room, an event that frequently precedes a pediatric resuscitation.

The child arrived in our emergency department pulseless and cold, with compressions being performed on him in the arms of the paramedic, Further history obtained by the paramedics indicated that the mother had left the infant alone in the home with two young children to watch The child, and upon her return the infant was found in bed not breathing and cold, As a medical team we simultaneously performed multiple procedures,(intubation, insertion of intraosseous lines, administration of epinephrine, cardiac compressions),all to no avail. Twenty minutes after he arrived, I declared this 2-month-old child dead with a high suspicion of abuse of neglect, Everyone vacated the room almost immediately, except for the nurse, who never left the child’s beside. I asked her why the needed to stay, and she looked at me and smiled.” why of course, to be with my patient a little bit longer.”

I knew the difficult part was yet no come; telling the family the bad news. The mother was

Still at home being interviewed by police. The father had arrived from his place of employment to the emergency department minutes after death was pronounced and not knowing the condition of his son.

The father and I sat with chaplain to explain what we had done for the baby. I could tell

From the stunned look on his face that he knew before I finished my story that his child was dead Despite this I said in muffled voice. “I am sorry your child passed away.”

We walked slowly back to the resuscitation room. The infant, who only moments ago lay covered with blood and secretions oozing form every orifice, had been transformed. The nurse had never left her patient, tending to him, cleaning him, wrapping in soft blankets, and now presenting the body to the grieving father. He seemed relieved to see his baby, no alive, surely

but at peace and thus the man could begin in the mourning process. I again left the room tend to the busy emergency department; seeing patients somehow seemed to blunt my emotional response

to what had just happened. As I listening to a resident present the next case, I saw the nurse carry the blanketed body of the child to the morgue.

As I reflect on this episode, I realized that our medical resuscitation of this child was futile,as

has been shown in children who present to the emergency department in full cardiac arrest. But it was the compassionate work of the nurse that ultimately made the difference in how we

performed our job.

86. Not until the pediatric resuscitation was over______

A. did the paramedics find the infant unresponsive.

B. was the infant left alone in the emergency room

C. was the infant’s further history obtained

D. was the infant declared to dead

87. Thanks to the nurse,_____

A. the grieving father could see his baby finally

B. the medical team performed all the procedures

C. the grieving father arrive at the hospital in time

D. the baby was presented at peace to the grieving father

88. when she saw the nurse carry blanketed body of the baby to morgue,the physician must

have been______

A. blunted

B. moved

C. puzzled

D. all of the above

89.what the nurse did when the resuscitation was over reflects_____

A. the awareness of law suit

B. the human aspect of medicine

C. a neglect of duty in medical practice

D. the lack of promptness the procedure

90.The physician may do as the nurse did_____

A. to appreciate nursing care

B. to cherish medical profession

C. to embody medical compassion

D. to improve pediatric resuscitations

Paper Two

Part V Writing (20%)

Directions:In this part there is a passage in Chinese. Read it carefully and then write a summary of 200 words in English on the ANSWER SHEET. make sure that your summary covers the major points of the passage.

生命在于运动".运动的种类举不胜举,走路大概是最简单易行的一种运动了.现代运动医学研究认为,一个人走路脚力的强弱,与这个人的健康状态的关系是非常密切的.的确,走路,不仅是工余、饭后,睡前蹓跶蹓跶、随便走走,而且是一种经济简便、不需要任何特殊设备, 有益于身心、保持生命活力,延年益寿的、绝妙的、其乐无穷的运动。走路不同于跑步,跑步不论如何有益,并不是所有人任何时候都可以参加的,比如患病时或病愈不久,就不宜跑步。走路也不同于做操、跳舞,做操、跳舞需要一定的场地和技巧,走路只要能行动,可不拘一格、闲散地、随时随地,或急或缓地自由进行,而且特别适合中老年人,是中年人延年益寿的良方。

走路运动对人体的保健作用是不可估量的。走路时,四肢自然而协调地运动,可使全身关节筋骨适度运动时加之轻松的情绪,可使人气血流通,经络畅达,利关节而养筋骨,畅神志而益五脏。最新研究资料表明,走路所带来的生理效应,首先是全身血液、骨骼、肌肉、韧带都活动起来,继而呼吸、循环、消化、泌尿、内分泌、神经系统引入活跃状态中,调节内脏功能的生理平衡,促进正常的新陈代谢。如增强下肢肌肉和韧带的活动能力,保持关节的灵活性,延缓骨质疏松的发展,保持骨骼的强度,能使全身柔软灵活,减少疼痛的发生;又如走路使全身震荡,可以防止血管壁沉淀物的沉积,而且对内脏器官起着按摩作用;走路可以活动血管平滑肌,使之受到生理机能的训练而变得坚强有力,改善心脏功能,增强心血管活力,提高呼吸能,降低胆固醇,避免高血压的发生;走路还可以使身体发热,加速血液循环,成为智力劳动的良好催化剂,因为血液循环加快,产生更多的热量,供给大脑更多的养分,不仅增加生活乐趣,缓解过度紧张的生活,还有助于提高思绪,增加思想的敏锐。一位美国生理学家说:“走路对于脑力劳动者,特别是对于创造性劳动的人来说,是一种生理活动的最好形式。”最近还有人研究到,走路提高了肌肉纤维的弹性,强化肢体的主要肌肉,促进血液循环,保持外貌的健美和减肥,有人观察到,每天坚持走路45分钟,一年可减肥7公斤。

有人将走路分为5种,即普通行走法,其速度为每分钟60~90步,每次走20~40分钟,这种走路,适合于冠心病、高血压、脑出血后遗症以及有呼吸系统疾病的人;快速行走法:每分钟90~120步,每次走30~60分钟,这种走路,适合于身体健康的中老年人和慢性关节炎、胃肠病及高血压病的恢复期;饭臂背向行走法:摆臂行走法,每分钟60~90步,两臂做前后较大幅度的摆动,这种走路,适合于肩周炎\上下肢关节炎\慢性气管炎\肺气肿的病人;还有一种摩腹走法,每分钟30~60步,每走一步,两手旋转按摩腹部,正反方向交替进行,这种走路适合患有胃肠疾病的老人.采取哪一种走路的方法,可根据自己的情况加以选择,量力而行。

走路必须掌握要领,循序渐进,身体自然放松,步履轻松,避免气乏喘吁,要注意姿势,不要垂着头、双腿晃动和抠胸驼背,这样会使人精神不振、消极和失去自信,要昂头、挺胸、步履轻盈地大步行走。如果以锻炼为目的,还应该选择在公园或有树木花草的地方。锻炼的强度也益逐步增加,一般经过3个月的走路锻炼,在自我感觉良好的情况下,可增加每分钟的步数和活动时间。科学家还指出,走路锻炼最好在晚上进行,不宜在早晨,因为早晨起床后,经过一夜的睡眠,人体水分蒸发,血液浓稠,会增加血管栓塞的可能性,而晚上走路锻炼,因血液稀释,则减少了血管栓塞的危险。至于平时,应尽量减少坐车,多走路,安步当车,日行万步,永保健康。

附录:

2006 FATMD医学博士研究生入学外语考试――英语参考答案(部分)1-30. CBCDA BDDDC BAADB DDACD BCBAB BBDCC 31-60. CDCCB BCBDA ACACA ACDDB BCACA AADBC

61-90. DDDDA ACABD ACCCC BCAAD DBDBD DDBBC

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