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单选题
For many patients, institutional care is the most _____ and beneficial form of care.
A

pertinent

B

appropriate

C

acute

D

persistent


参考答案

参考解析
解析:
句意:对许多病人来说,福利机构的照顾是最合适并且是最有益的一种护理方式。and决定了其前后应该是相同或相近的词,所以只有appropriate(适当的,合适的)可以和beneficial(有益的)相并列,因此B为正确答案。pertinent相关的,相干的,中肯的。acute敏锐的,急性的。persistent持久稳固的。
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考题 Text4 Death comes to all,but some are more sure of its timing,and can make plans.Kate Granger,a 32-year-old doctor suffering from an incurable form of sarcoma,has"very strong ambitions"for her last hours.She plans to avoid hospital emergency departments and die at her parents'house-music playing,candles glowing,family by her side.Surveys show that over two-thirds of Britons would like to die at home.Like Dr.Granger,they want to be with family and free ofpain.Yet hospital remains the most common place ofdeath.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The govemment,motivated by both compassion and thrift,wants to help.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-those patients likely to die in the next year-and start talking about end-of-life care.This can be difficult for doctors."As a profession we view death as failure,"says Dr.Granger.Yet when there is no cure to be had,planning for death can be therapeutic for patients.Those who do plan ahead are much more likely to have their wishes met.A growing number of patients have electronic"palliative-care co-ordination systems",which allow doctors to register personal preferences so that other care providers can follow them.A paramedic called to a patient's home would know of a do-not-resuscitate order,for example.One study showed that such systems increase the number of people dying in their homes.But savings for the government may mean costs for charities and ordinary folk.At the end of life it is not always clear who should pay for what.Although Britons can get ordinary health care without paying out of pocket,social care is means-tested.People must often shell out for carers or care homes-or look after the terminally ill themselves.Disputes crop up over trivial things,like responsibility for the cost ofa patient's bath.A bill now would cap the cost of an individual's social care by Parliament.Still,some want it to be free for those on end-of-life registries.That would cut into the govemment's savings-but allow more people to die as they want.37.Which of the following would Dr.Granger most probably agree on?A.A planned death is equal to suicide. B.Death is a failure for doctors. C.Planning for death is beneficial for patients. D.End-of-Iife care is a fundamental rask for doctors.

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考题 共用题干 第一篇Do Patients Trust Doctors Too Much?Earlier this year,the American College of Surgeons,the national scientific and educational organizationof surgeons,conducted a nationwide survey that found that the average patient devotes an hour or less to re- searching his or her surgery or surgeon.While prospective patients worry about the costs or complications of an operation,they don't necessarily look for information that would address their concerns.In fact,more than a third of patients who had an operation in the last five years never reviewed the cre- dentials of the surgeon who operated.Patients are more likely to spend time researching a job change(on average,about 10 hours)or a new car(8 hours)than the operation they are about to submit to or the surgeon who wields(支配)the knife. And many patients are satisfied with the answers they receive from their sur -geons or primary care doctors,whoever those individuals happen to be.I felt curious about the survey,so I called Dr. Thomas Russell,executive director of the American College of Surgeons."There is a tendency for patients not to get particularly involved and not to feel com-pelled to look into their surgery or surgeons,"he told me.There are consequences to that kind of blind trust."Today,medicine and surgery are really team sports,"Dr. Russell continued,"and the patient,as the ultimate decision-maker,is the most important mem- ber of the team.Mistakes can happen,and patients have to be educated and must understand what isgoing on."In other words,a healthy doctor-patient relationship does not simply entail good bedside manners and re-sponsible office management on the part of the doctor. It also requires that patients come to the relationshipeducated about their doctors,their illnesses and their treatment."If we are truly going to reform the health care system in the U.S.,"Dr. Russell said,"everybody hasto participate actively and must educate themselves.That means doctors,nurses,other health careprofessionals , lawyers , pharmaceutical(制药的)companies , and insurance companies. But most of all , it means the patient."Trust is important. But as Sir Francis Bacon,who was among the first to understand the importance of gathering data in science,once observed,knowledge is power.Medicine and surgery are now really team sports in which__________.A:patients and doctors play equally important rolesB:the patient does not have an active role to playC:doctors have the final say in almost everythingD:the patient has the most important role to play

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考题 共用题干 第三篇Fight against the Side Effects of Cancer TreatmentOnce the hard decisions have been made about how to treat a patient's cancer,doctors face an even more difficult question:how do you help patients deal with the side effects of treatment?The issue is a challenge for physicians because,unlike with cancer therapies,there are few scientific studies on the most effective ways to handle the side effects一including common symptoms such as poor sleep or fatigue. But addressing these seemingly common complications(并发症)is crucial for helping patients maintain their regular lifestyle,which in turn may even encourage the success of their cancer treatment.That's why Dr. Karen Mustian of the University of Rochester Medical Center decided to put a favorite practice of cancer survivors一yoga一to the test.In a paper she will present at the American Society of Clinical Oncology (肿瘤学)(ASCO) annual meeting in June, Mustian designed a standardized program based on hatha yoga一a slow-moving form of the discipline一and tested its effect on improving the quality of life for cancer survivors.Called YOCAS,the four-week program involved sessions of hatha yoga twice a week for 75 minutes each,in combination with breathing exercises and meditation(冥想).Among the 410 participants,who were divided into yoga and traditional follow一up care groups,those practicing yoga recorded nearly double the improvement in sleep quality and reduction of fatigue compared to those not practicing yoga. They also reported better quality of life overall,Mustian says.For cancer physicians,the findings will be a welcome addition to their discussions with patients."Many patients ask about complementary (互补的)therapies, whether they are exercise or meditation or yoga," says Dr. Douglas Blayney,medical director of the comprehensive cancer center at University of Michigan and president of ASCO."I often don't know what to tell them because there isn't lot of science on these complementary therapies. Here is a scientific study showing benefit,so at least we can have some assurance in telling women that there is a yoga program,here are its characteristics and it has been shown to have beneficial effects on sleep and quality of life."What does the experiment done by Mustian show?A:Yoga is the most favorite practice among cancer patients.B:Yoga indeed helps to improve the quality of cancer patients' life.C:Yoga is the best way to improve the quality of cancer patients' life.D:Traditional follow-up care couldn't improve cancer patients' sleep quality.

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考题 Text 2 As lawmakers fight over what conditions insurance companies should be required to cover,other areas of health-care reform remain painfully neglected.One major example:How much should insurance companies pay for what they cover?Consumers rarely care about health-care prices beyond what they personally pay for deductibles,co-payments and prescription drugs.But insurance payments are crucial to understanding why health-care prices have gotten so out of control in the United States.A new study published in JAMA Internal Medicine makes this abundantly clear:Hospital emergency departments across the country are prone to excessively overcharge patients with private insurance,the study found,demanding that patients pay-on average-more than four times what Medicare pays for typical emergency procedures.This is not the heritage of sound medicine.This is the outcome of an extremely complicated and disjointed health-care system-and it's not necessarily the result of greedy hospitals trying to milk large profits out of vulnerable populations.Instead,it's the result of messy provider networks-rife with discounts and confusing contracts,designed by insurance companies and providers to attract customers.There are policy solutions to correct this system.Maryland,for example,has long operated under an"all-payer system"in which everyone pays the same rate for the same treatment-set by an independent state agency.Under this system,Medicare pays higher rates for care than in other states,but in the long run,it saves money-to the tune of$319 million-because the payment system incentivizes hospitals to reduce the number of people they admit.In other words,it encourages payment for quality of care,not quantity.Health-care providers have an incentive to work more closely with nursing facilities to deliver preventive care.Physicians also work more closely with patients to reduce preventable complications and hospital readmissions,which have dropped in Maryland faster than the national average in recent years.This innovative approach to solving price disparities in health-care costs is refreshing,although what works in Maryland might not work everywhere else.But other states have also passed laws to reduce price variation in health care,particularly for uninsured and low-income patients who would be most harmed by surprise medical bills.Unfortunately,reform efforts led by Republicans in Congress will likely worry the health-care industry enough to threaten state-led initiatives.Uncertainty-especially in terms of what our insurance markets will look like a year from now-makes it difficult,if not impossible,for states to experiment with different policies.That's a shame,because that's where the exciting and innovative reforms are happening. The author's attitude toward reform efforts led by Republicans in Congress is one of_____A.pity B.disapproval C.understanding D.expectation

考题 Text 2 Death comes to all,but some are more sure of its timing,and can make plans.Kate Granger,a 32-year-old doctor suffering from an incurable form ofsarcoma,has"very strong ambitions"for her last hours.She plans to avoid hospital emergency departments and die at her parents'house-music playing,candles glowing,family by her side.Surveys show that over two-thirds of Britons would like to die at home.Like Dr Granger,they want to be with family and free of pain.Yet hospital remains the most common place of death.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The government,motivated by both compassion and thrift,wants to help.In death,at least,public wishes align neatly with the state's desire to save money.The NHS has calculated that if roughly one more patient per general practitioner died outside hospital each year,it would save 180m($295m).In 2008 it introduced a broad end-of-life care strategy,which sought to increase awareness of how people die while improving care.Since then the proportion of people dying at home or in care homes(the split is about half-and-halfbetween them)has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-those patients likely to die in the next year-and start talking about end-of-life care.This can be difficult for doctors."As a profession we view death as failure,"says Dr Granger.Yet when there is no cure to be had,planning for death can be therapeutic for patients.Those who do plan ahead are much more likely to have their wishes met.A growing number of patients have electronic"palliative-care co-ordination systems",which allow doctors to register personal preferences so that other care providers can follow them.A paramedic called to a patient's home would know of a do-not-resuscitate order,for example.One study showed that such systems increase the number of people dying in their homes.But savings for the govemment may mean costs for charities and ordinary folk.At the end of life it is not always clear who should pay for what.Although Britons can get ordinary health care without paying out of pocket,social care is means-tested.People must ofien shell out for carers or care homes-or look after the terminally ill themselves.Disputes crop up over trivial things,like responsibility for the cost of a patient's bath.A bill now trundling through Parliament would cap the cost of an individual's social care.Still,some want it to be free for those on end-of-life registries.That would cut into the government's savings-but allow more people to die as they want. It is suggested in Paragraph 2 that most Britons want to die_____A.in the hospital B.free ofpain C.at care home D.out of hospital

考题 Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims. Concerning dying patients,doctors are accustomed to_____A.giving them the death they want B.helping them delay death C.talking about the inevitability of death D.providing them with palliative care

考题 Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims. We can learn from Paragraph 3 that____A.dying patients suffer undertreatment B.doctor-paiient communication is poor C.doctor-assisted dying has been legalized D.the right to die is better cure for dying patients

考题 She was able to get the government and ______ companies to help patients with the cost of their care.A.assurance B.assumption C.sanction D.insurance

考题 Care providers also need to help patients to manage their feelings of uncertainty and______them of the benefits of modern medicine and technology which can substantially aid in health improvement。 A.assure B.insure C.sure D.ensure

考题 共用题干 About End-of-Life CareDying patients are happier,less depressed,have less pain and survive longer when their end-of-life care wishes are known and followed,researchers report.This type of patient-centered care can also help keep health costs down________(51)patients who don't want aggressive treatment,the University of California,Los Angeles (UCLA) research team said."You can improve care while________(52)cost by making sure that everything you do is centered on what the patients want,what his or her specific goals are and tailor a treatment plan to ensure we_________(53)the specific care he or she wants,"Dr. Jonathan Bergman,a clinical scholar and fellow in the urology department,said in a university news release.__________(54)many cases,dying patients are given aggressive treatments that don't help them and_________(55)higher costs.Patients who want__________(56)care should receive it,but many don't want it and haven't been_________(57)about their wishes,according to Bergman and colleagues,who are testing patient-centered care__________(58)cancer patients.To change the situation,doctors need to be educated about patient-centered care,the researchers said. They also_________(59)that changes to Medicare should be considered.But this is a highly controversial topic that has been sidelined after recent suggested changes were characterized as creating"death panels"."Given the disproportionate cost of care at the very________(60)of life,the issue should be revisited,"Bergman and colleagues wrote."We should address goals of care,not to___________(61)aggressive care to those who want it,but to ensure that we deliver aggressive care only to those who__________(62).This reduces costs and improves outcomes."The study authors noted that,according to the results of a 2004 study,30 percent of Medicare dollars are________(63)on the 5 percent of beneficiaries who die each year,and one-third of the costs in the final year of life_________(64)during the final month.Previous research has shown that patient-centered care can reduce the costs in the last week of life________(65)36 percent and that patients who receive such care are less likely to die in an intensive care unit._________(63)A:spent B:costC:wasted D:got

考题 共用题干 Privacy Worry May Keep HIV Patients From TherapyPatients infected with HIV are often concerned about the confidentiality of their HIV-positive status.In fact,some patients are so worried that they will actually give up treatment to prevent the release of this information,according to a report published in the August issue of AIDS Care.Dr. Kathryn Whetten-Goldstein and colleagues from Duke University,Durham,North Carolina,studied the confidentiality issues of 15 HIV-infected patients from rural North Carolina locations.They were divided into groups designed to explore their attitudes toward,and experiences with,breaches in confidentiality."The fear of a breach in confidentiality is' definitely affecting the care that HIV-infected patients receive,"Whetten-Goldstein said."Most studied patients had experienced or knew someone who had experienced a breach in confidentiality.""Two types of breaches occurred,"Whetten-Goldstein noted."The first was a more obvious type of breach.One example was a nurse who told her child that her patient was HIV-positive out of concern thather child would play with the patient's child.""The other type of breach was more subtle,one that providers might not consider breaches,"Whetten- Goldstein explained."This type of breach involves providers talking about a patient's HIV status without the patient's knowledge of the interaction.""The law allows the sharing of information between providers within the same institution,but patient's consent must be obtained before providers at different institutions can share information,"she pointed out."Patients in the study wanted providers to tell them when they are going to share information with other providers and why it is being done,"Whetten-Goldstein said."They also felt that providers should be punished when a breach occurs.""However,because patients are often reluctant to seek legal action which may further expose their status,they felt that the system should regulate itself,"she added.Most patients in the study strongly object to the breaches in the confidentiality of their HIV status.A:RightB:WrongC:Not mentioned

考题 单选题Chauncy, like most bulldogs, has a fondness for meat and gravy.A like most bulldogs, hasB as most bulldogs, haveC like many bulldogs, haveD like most bulldogs, havingE as with many bulldogs, has

考题 单选题Careful surveys have indicated that as many as 50 percent of patients do not take drugs ____ directed.A likeB soC whichD as

考题 单选题For many patients, institutional care is the most _____ and beneficial form of care.A pertinentB appropriateC acuteD persistent