题目内容
Part A
Directions: Read the following four texts. Answer the questions below each text by choosing A, B, C or D. Mark your answers on ANSWER SHEET Ⅰ.
Text 1
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
Although it ruled that there is no constitutional right to physician -assisted suicide, the Court in effect supported the medical principle of "double effect," a centuries-old moral principle holding that an action having two effects—a good one that is intended and a harmful one that is foreseen—is permissible if the doctor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients' pain, even though increasing dosages will eventually kill the patient.
Nancy Dubler, director of Montefiore Medical Center, contends that the principle will shield doctors who "until now have very, very strongly insisted that they could not give patients sufficient mediation to control their pain if that might has- ten death. "George Annas, chief of the health law department at Boston University, maintains that, as long as a doctor pre- scribes a drug for a legitimate medical purpose, the doctor has done nothing illegal even if the patient uses the drug to hasten death. "It's like surgery," he says. "We don't call those deaths homicides because the doctors didn't intend to kill their patients, although they risked their death. If you're a physician, you can risk your patient's suicide as long as you don't intend their suicide."
On another level, many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.
Just three weeks before the Court's ruling on physician-assisted suicide, the National Academy of Science (NAS) released a two-volume report, Approaching Death: Improving Care at the End of Life. It identifies the undertreatment of pain and the aggressive use of "ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.
The profession is taking steps to require young doctors to train in hospices, to test knowledge of aggressive pain management therapies, to develop a Medicare billing code for hospital-based care, and to develop new standards for assessing and treating pain at the end of life.
Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care. "Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering," to the extent that it constitutes "systematic patient abuse." He says medical licensing boards "must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."
21. From the first three paragraphs, we learn that ______.
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A) watchful B) ready C) alert D) attentive
A) impact B) incident C) inference D) issue
A) better than B) other than C) rather than D) sooner than
Part A
Directions: Read the following four texts. Answer the questions below each text by choosing A, B, C or D. Mark your answers on ANSWER SHEET Ⅰ.
Text 1
Say the word bacteria, and most folks conjure up images of a nasty germ like staphylococcus or salmonella that can make you really sick. But most bacteria aren't bad for you. In fact, consuming extra amounts of some bacteria can actually promote good health. These beneficial bacteria are available without a prescription in drug and health-food stores and in foods like yogurt. So far, the best results have been seen in the treatment of diarrhea, particularly in children. But re searchers are also looking into the possibility that beneficial bacteria may thwart vaginal infections in women, prevent some food allergies in children and lessen symptoms of Crohn's disease, a relatively rare but painful gastrointestinal disorder.
So where have these good germs been lurking all your life？ In your intestines, especially the lower section called the colon, which harbors at least 400 species of bacteria. Which ones you have depends largely on your environment and diet. An abundance of good bacteria in the colon generally crowds out stray bad bacteria in your food. But if the bad outnumber the good—for example, after antibiotic treatment for a sinus or an ear infection, which kills normal intestinal germs as well—the result can be diarrhea.
For generations, people have restored the balance by eating yogurt, buttermilk or other products made from fermented milk. But nowadays, you can also down a few pills that contain freeze-dried germs. These preparations are called probiotics to distinguish them from antibiotics. Unfortunately, you can't always be sure that the bacteria in the products you buy are the same strains as those listed on the label or even that they're still alive. Probiotics are usually sensitive to both heat and moisture. Among the most promising and most thoroughly researched probiotics is the GG strain of Laetobacillus, discovered by Dr. Sherwood Gorbach and biochemist Barry Goldin, both at Tufts University School of Medicine. L-GG, as it's called, has been used to treat traveler's diarrhea and intestinal upsets caused by antibiotics. Even more intriguing, L- GG also seems to work against some viruses, including rotavirus, one of the most common causes of diarrhea in children in the U. S. and around the world. Here the effect is indirect. Somehow L-GG jump-starts the immune system into recognizing the threat posed by the virus.
Pediatricians at Johns Hopkins are studying a different bug, the Bb-12 strain of Bifidobacterium, which was discovered by researchers at CHR Hansen Biosystems. Like L-GG, Bb-12 stimulates the immune system. For reasons that are not dear, infants who are breast-fed have large amounts of bifidobacteria in their intestines. They also have fewer intestinal upsets. Dr. Jose Saavedra and colleagues at Hopkins have shown that Bb-12 prevents several types of diarrhea, including that caused by r0tavirus, in hospitalized infants as young as four months. It has also been used to cure diarrhea in children of all ages.
21. What the author mainly intends to say in the first paragraph is ______.
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