单项选择题Read the following passage carefully and complete the succeeding three
items III, IV, V.
THE BREAKTHROUGHS IN MEDICINE
by James V. MeConnell
1)I read with great delight
Uwis Thomas’ "The Medical Lessons of History" (July 3). It is good to know that
such a wise and scholarly physician believes that we can learn from our past
mistakes, and that he has some hope for the future of the medical sciences. It
is a pity, however, that Dr. Thomas seems not to have learned the real lesson,
that history offers us—namely, that the great breakthroughs in any technology
are always preceded by a radical change in how we view ourselves, and how we
behave.
2)Take penicillin, for example. As Dr. Thomas points
out, its benefits were derived us for a decade after its discovery by Sir
Alexander Fleming. Dr. Thomas holds the medical doctors failed to put penicillin
to use because they "disbelieved" it could do what plainly it did. Well, that’s
a nice way of explaining matters. But in truth Fleming’s colleagues ignored him
for 10 years because they refused to accept scientific data showing that
penicillin "worked." Just as a century earlier, the medical leaders in Vienna
refused to accept Semmelweiss’s studies showing that the death rate for childbed
fever could be cut from about 26% to about 2% if the attending physicians would
only wash their hands before delivering babies. In fact, medical doctors (like
most of us) are highly reluctant to judge their actions solely in terms of the
objective consequences of what they do. Like most other humans, MDs usually
prefer that they be evaluated according to their intentions and feeling. Any
reader who doubts my contention might remember that in malpractice suits, the
physician’s defense typically is, "I followed standard medical procedure,"
rather than, "I did what was necessary to cure the patient." Just ask your own
family physician .some time what his or her own particular "cure rate" is for a
given medical problem and demand statistical evidence to back up the claim. My
guess is that you will shortly be dismissed as a patient.
3) As
Dr. Thomas suggests in his article, medical technology is at another of those,
difficult cross-roads. For the medical profession has blossomed in the past 100
years by taking the viewpoint that most human woes and miseries are biologically
determined. In fact, man is not a purely biological animal; we are social and
psychological animals as well. The long-term medical "cure rate” for obesity is
less than 10%; the behavioral cure rate is about 60%. Yet most physicians
continue to prescribe pills and fancy diets for weight loss, when what 90% of
the patients need is encouragement in learning how to eat properly. These "cure
rate" data have been reported in dozens of scientific journals for dozens of
years. Yet just a month ago a man I know informed me that his doctor had told
him, "You are too damned fat. If you don’t lose weight, you’re going to die, and
it will serve you right." Needless to say, the man became so depressed that he
went on an eating jag.
4) For almost a decade now, I have been
sending behaviorally trained undergraduates into hospitals to help physicians
learn how to handle their patients in more humane, rewarding ways. We have
demonstrated that we can take some of the most difficult patients imaginable
and, using both love and behavioral technology, increase certain "cure rates"
dramatically.
5)Most of our techniques involve rewarding
patients for following good medical regimens and teaching patients how to handle
their own emotional and behavioral problems. Since we have an example objective
proof that our techniques save lives, you’d think that the medical profession
would be beating down our doors asking us to teach them our skills. Alas, what
we get mostly is the response "This patient is a medical case, not a psychiatric
problem, and only pills and surgery will help. "
6)Despite what
Dr. Thomas has said, the next great leap forward will come when medical students
are routinely taught that the way they act toward the patient—and the way the
patient is taught to think, feel, and behave—are as important in achieving a
lasting "cure" as are drugs and surgical procedures. That’s the real "medical
lesson of history". I do hope that Dr. Thomas and his colleagues learn that fact
before it’s too late.
In this section, there are
ten incomplete starts or questions, followed by four choices marked A, B, C and
D. The author’s main purpose in his reply to the Thomas’ article is
______.
A. he wanted to avail of this good opportunity to praise Thomas for his
wisdom and his faith in medical sciences
B. he wanted to support Thomas’ idea that the "great breakthroughs" in any
technology will happen after there is a radical change in our views and our
consequent behaviors
C. he wanted to express his view that there are social and psychological
factors involved in the treatment of disease than biological factors
D. he wanted to show his optimism about breakthroughs in medicine
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list of minds or expressions marked A to Y. One mind or expression for each
blank only.
1)The need for laws on
1 cannot be 2
for much longer.
2)In one of the world’s smaller
countries, 3 is accepted by the medical
4 and 5
6 a few thousand times
each year. 7 one of the world’s biggest
countries, euthanasia is 8 by the
medical establishment, 9 practised many
times 10 often, and almost never comes
to 11 . Which
12 these countries has a mercy-killing doctor now
13 in its 14
It is the small one, Holland, which has 15
for euthanasia and so can police 16
effectively. The Dutch doctor 17
his country’s rules. There is a 18
here for all the 19 ,
and not just for the big 20 country,
America. Right now it is going over the 21
about euthanasia one again.
3)Yet medical
22 that are hardly any better
23 continue, almost as a 24
of macabre routine, in America, Britain and many
25 countries.
A.
establishment B. secretly C.
it
D. dodged E. In
F. light
G.
undoubtedly H. openly I.
languishing
J. practised K.
matter L. of
M.
countries N. condemned O.
jails
P. euthanasia Q. mercy-killing
R. broke
S. arguments T.
moral , U.
monstrosities
V. rules W.
death-forbidding X. more
Y. other 4.填空题The following paragraphs are taken from the textbooks, followed by a
list of minds or expressions marked A to Y. One mind or expression for each
blank only.
1)The need for laws on
1 cannot be 2
for much longer.
2)In one of the world’s smaller
countries, 3 is accepted by the medical
4 and 5
6 a few thousand times
each year. 7 one of the world’s biggest
countries, euthanasia is 8 by the
medical establishment, 9 practised many
times 10 often, and almost never comes
to 11 . Which
12 these countries has a mercy-killing doctor now
13 in its 14
It is the small one, Holland, which has 15
for euthanasia and so can police 16
effectively. The Dutch doctor 17
his country’s rules. There is a 18
here for all the 19 ,
and not just for the big 20 country,
America. Right now it is going over the 21
about euthanasia one again.
3)Yet medical
22 that are hardly any better
23 continue, almost as a 24
of macabre routine, in America, Britain and many
25 countries.
A.
establishment B. secretly C.
it
D. dodged E. In
F. light
G.
undoubtedly H. openly I.
languishing
J. practised K.
matter L. of
M.
countries N. condemned O.
jails
P. euthanasia Q. mercy-killing
R. broke
S. arguments T.
moral , U.
monstrosities
V. rules W.
death-forbidding X. more
Y. other 6.填空题The following paragraphs are taken from the textbooks, followed by a
list of minds or expressions marked A to Y. One mind or expression for each
blank only.
1)The need for laws on
1 cannot be 2
for much longer.
2)In one of the world’s smaller
countries, 3 is accepted by the medical
4 and 5
6 a few thousand times
each year. 7 one of the world’s biggest
countries, euthanasia is 8 by the
medical establishment, 9 practised many
times 10 often, and almost never comes
to 11 . Which
12 these countries has a mercy-killing doctor now
13 in its 14
It is the small one, Holland, which has 15
for euthanasia and so can police 16
effectively. The Dutch doctor 17
his country’s rules. There is a 18
here for all the 19 ,
and not just for the big 20 country,
America. Right now it is going over the 21
about euthanasia one again.
3)Yet medical
22 that are hardly any better
23 continue, almost as a 24
of macabre routine, in America, Britain and many
25 countries.
A.
establishment B. secretly C.
it
D. dodged E. In
F. light
G.
undoubtedly H. openly I.
languishing
J. practised K.
matter L. of
M.
countries N. condemned O.
jails
P. euthanasia Q. mercy-killing
R. broke
S. arguments T.
moral , U.
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V. rules W.
death-forbidding X. more
Y. other 8.填空题The following paragraphs are taken from the textbooks, followed by a
list of minds or expressions marked A to Y. One mind or expression for each
blank only.
1)The need for laws on
1 cannot be 2
for much longer.
2)In one of the world’s smaller
countries, 3 is accepted by the medical
4 and 5
6 a few thousand times
each year. 7 one of the world’s biggest
countries, euthanasia is 8 by the
medical establishment, 9 practised many
times 10 often, and almost never comes
to 11 . Which
12 these countries has a mercy-killing doctor now
13 in its 14
It is the small one, Holland, which has 15
for euthanasia and so can police 16
effectively. The Dutch doctor 17
his country’s rules. There is a 18
here for all the 19 ,
and not just for the big 20 country,
America. Right now it is going over the 21
about euthanasia one again.
3)Yet medical
22 that are hardly any better
23 continue, almost as a 24
of macabre routine, in America, Britain and many
25 countries.
A.
establishment B. secretly C.
it
D. dodged E. In
F. light
G.
undoubtedly H. openly I.
languishing
J. practised K.
matter L. of
M.
countries N. condemned O.
jails
P. euthanasia Q. mercy-killing
R. broke
S. arguments T.
moral , U.
monstrosities
V. rules W.
death-forbidding X. more
Y. other 9.填空题The following paragraphs are taken from the textbooks, followed by a
list of minds or expressions marked A to Y. One mind or expression for each
blank only.
1)The need for laws on
1 cannot be 2
for much longer.
2)In one of the world’s smaller
countries, 3 is accepted by the medical
4 and 5
6 a few thousand times
each year. 7 one of the world’s biggest
countries, euthanasia is 8 by the
medical establishment, 9 practised many
times 10 often, and almost never comes
to 11 . Which
12 these countries has a mercy-killing doctor now
13 in its 14
It is the small one, Holland, which has 15
for euthanasia and so can police 16
effectively. The Dutch doctor 17
his country’s rules. There is a 18
here for all the 19 ,
and not just for the big 20 country,
America. Right now it is going over the 21
about euthanasia one again.
3)Yet medical
22 that are hardly any better
23 continue, almost as a 24
of macabre routine, in America, Britain and many
25 countries.
A.
establishment B. secretly C.
it
D. dodged E. In
F. light
G.
undoubtedly H. openly I.
languishing
J. practised K.
matter L. of
M.
countries N. condemned O.
jails
P. euthanasia Q. mercy-killing
R. broke
S. arguments T.
moral , U.
monstrosities
V. rules W.
death-forbidding X. more
Y. other 10.填空题The following paragraphs are taken from the textbooks, followed by a
list of minds or expressions marked A to Y. One mind or expression for each
blank only.
1)The need for laws on
1 cannot be 2
for much longer.
2)In one of the world’s smaller
countries, 3 is accepted by the medical
4 and 5
6 a few thousand times
each year. 7 one of the world’s biggest
countries, euthanasia is 8 by the
medical establishment, 9 practised many
times 10 often, and almost never comes
to 11 . Which
12 these countries has a mercy-killing doctor now
13 in its 14
It is the small one, Holland, which has 15
for euthanasia and so can police 16
effectively. The Dutch doctor 17
his country’s rules. There is a 18
here for all the 19 ,
and not just for the big 20 country,
America. Right now it is going over the 21
about euthanasia one again.
3)Yet medical
22 that are hardly any better
23 continue, almost as a 24
of macabre routine, in America, Britain and many
25 countries.
A.
establishment B. secretly C.
it
D. dodged E. In
F. light
G.
undoubtedly H. openly I.
languishing
J. practised K.
matter L. of
M.
countries N. condemned O.
jails
P. euthanasia Q. mercy-killing
R. broke
S. arguments T.
moral , U.
monstrosities
V. rules W.
death-forbidding X. more
Y. other