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提问人：网友ashxixi 发布时间：2022-01-07

[主观题]

Most doctors in a recent survey said that annual physical examinations were effective with

Most doctors in a recent survey said that

annual physical examinations were effective with detecting illness 【M1】______

in apparently healthy patients, even there is little scientific evidence 【M2】______

to support the exams. The report found that physicians are largely unaware that 【M3】______

current federal government guidelines did not recommend annual exams for healthy adults

with symptoms. The study also suggested that in

performing annual physicals many physicians 【M4】______

routinely order screening tests that had not been

proved useful for patients with no symptoms. 【M5】______

Sixty-five percent of 783 physicians who completed a questionnaire maintained that【M6】______

an annual physical was necessary, and 55 percent believed that annual physicals for healthy

adults were recommended by national organizations. The researchers found that even

many a doctors who were aware of published

guidelines continued to perform. annual physicals, 【M7】______

because patients wanted them, or because

they believed the procedure gave them the chance 【M8】______

to offer advice about preventive health measures.

Among the physicians, those are younger, 【M9】______

the women, the gynecologists and those in private practice

were the most inclined ones to favor 【M10】______

annual exams.

【M1】

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更多“Most doctors in a recent survey said that annual physical examinations were effective with”相关的问题

第1题

Sleep is a funny thing. We're taught that we should get seven or eight hours a night, but

a lot of us get by just fine on less, and some of us actually sleep too much. A study out of the University of Buffalo last month reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke—probably as a result of an underlying disorder that keeps them from snoozing soundly.

Doctors have their own special sleep problems. Residents are famously sleep deprived. When I was training to become a doctor, it was not unusual to work 40 hours in a row without rest. Most of us took it in stride, confident we could still deliver the highest quality of medical care.

Maybe we shouldn't have been so sure of ourselves. An article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person's motor performance is comparable to that of someone who is legally intoxicated. Curiously, surgeons who believe that operating under the influence is grounds for dismissal often don't think twice about operating without enough sleep.

"I could tell you horror stories", says Jaya Agrawal, president of the American Medical Student Association, which runs a website where residents can post anonymous anecdotes. Some are terrifying. "I was operating after being up for over 36 hours", one writes. "I literally fell asleep standing up and nearly face planted into the wound".

"Practically every surgical resident I know has fallen asleep at the wheel driving home from work", writes another. "I know of three who have hit parked cars. Another hit a convenience store on the roadside".

"Your own patients have become the enemy", writes a third", because they are the one thing that stands between you and a few hours of sleep".

Most doctors, however, resist such interference. Dr. Charles Binkley, a senior surgery resident at the University of Michigan, agrees that something needs to be done but believes" doctors should be bound by their conscience, not by the government".

The U.S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you're worried about the people treating you, you should feel free to ask how many hours of sleep they have had. Doctors, for their part, have to give up their pose of infallibility and get the rest they need.

Which of the following is NOT true according to the text？

A．In a recent scientific research, the scientists points out that someone who sleeps beyond the limit will probably not be in good health.

B．In the United States, the doctors usually do not take their sleep problems seriously.

C．Most doctors agree that the problems should be solved only by way of some compulsory means.

D．The U.S. government has already restricted the doctors' working hours.

点击查看答案

第2题

听力原文：Well, my topic today is the doctor-patient relationship. If you come in and the d

听力原文： Well, my topic today is the doctor-patient relationship. If you come in and the doctor doesn't shake your hand, the doctor doesn't meet your eye, the doctor is looking at the clock, the telephone is ringing, and the secretary is coming in, this is not a doctor you can have a healing relationship with. Can you say to him, "Doctor, put that phone down; you're looking at me"？ It's not likely that you will choose such doctors.

All of us may have to see the doctor sometimes. We know the symptoms in what calls itself the best medical system in the world: the receptionist is more interested in our insurance than in our pain... We can often feel that our examination, such as it is, is being conducted by that blinking machinery. What we're missing is the educated touch, the cocked head of a real doctor listening to your heartbeat, listening for your spirit. Without that human recognition, as one patient said, I'm nothing but my illness.

I'm talking about one of the critical relationships in life, a relationship which many people would say is beyond saving. This doctor-patient relationship, can this thing be saved？ Is this the last requiem for a dying breed？ Or should we call young doctors to a new standard？ Can it be done？

The answer is categorically yes, because it must. Because otherwise we can't get medicine. Because medicine is not merely science, medicine is not only curing, but it's also healing. And healing requires the type of medicine that we are espousing. And if that is lost, medicine becomes a technology and is deprofessionalized; and that is what we're aiming to halt. In part the crisis in medicine began with doctors distancing themselves from patients.

The more critical work of a doctor happens not from lab tests, not from anything that you can measure with a needle, or a number, but in the taking of the human history. Which is, of course, one of the patient's biggest -- I mean, we're all longing for somebody to take our history and see it whole -- mind, body, spirit -- well or ill.

Listening is the most important and most difficult single transaction. Most difficult, because it takes time. There is no substitute. And the moment you start by not giving time, you cannot listen. And listening is not merely with the ears: listening is with your total being. And the fact of the matter is, the studies, carded out in Britain and other places, show that 75% of all the valuable information that leads to correct diagnosis comes from the history. Another 10% comes from the physical examination, 5% comes from simple laboratory tests, and 5% comes from all the complex technology that you're launched against, and sometimes for, the patient. So listening is vital, because listening is not merely listening, but to establish a relationship.

But some people think listening is inefficient. Because if you get all the information in this least costly way, immediately, you don't have to report to numerous specialists, and you don't have to engage in complex and costly technologies, you don't launch drags that create adverse reactions and require hospitalization and a whole array of consequentialities ensue.

So the doctor sees the patient for ten minutes, the doctor focuses on only one thing -- the chief complaint. And the chief complaint may have nothing to do with what brings the patient to the doctor. This type of doctoring is essential, because 80% of all problems that come to doctors are trivial.

The problem is, the doctor isn't there, because the doctor doesn't want to listen. He's afraid to listen, he doesn't know how to listen, he hasn't been trained how to listen, there's no premium on listening, there's no reward for listening.

Even so, the doctor-patient relationship is not beyond saving. I'm an incorrigible optimist, because time and time again, the American people, if they begin to

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第3题

Sleep is a funny thing. We're taught that we should get seven or eight hours a night, but

a lot of us get by just fine on less, and some of us actually sleep too much. A study out of the University of Buffalo last month reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke--probably as a result of an underlying disorder that keeps them from snoozing(睡)soundly.

Doctors have their own special sleep problems. Residents (住院医生) are famously sleep deprived. When I was training to become a neurosurgeon, it was not unusual to work 40 hours in a row without rest. Most of us took it in stride, confident we could still deliver the highest quality of medical care. Maybe we shouldn't have been so sure of ourselves. An article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person's motor performance is comparable to that of someone who is legally intoxicated. Curiously, surgeons who believe that operating under the influence is grounds for dismissal often don't think twice about operating without enough sleep.

"I could tell you horror stories." says Jaya Agrawal, president of the American Medical Student Association, which runs a website where residents can post anonymous anecdotes. Some are terrifying. "I was operating after being up for over 36 hours," one writes. "I literally fell asleep standing up and nearly face planted into the wound."

"Practically every surgical resident I know has fallen asleep at the wheel driving home from work." writes another. "I know of three who have hit parked cars. Another hit a 'Jersey barrier' on the New Jersey Turnpike. going 65 m. p？h." "Your own patients have become the enemy," writes a third, because they are "the one thing that stands between you and a few hours of sleep."

Agrawal's organization is supporting the Patient and Physician Safety and Protection Act of 2001, introduced last November by Representative John Conyers Jr. of Michigan. Its key provisions, modeled on New York State's regulations, include an 80-hour workweek and a 24-hour work-shift limit. Most doctors, however, resist such interference. Dr. Charles Binkley, a senior surgery resident at the University of Michigan, agrees that something needs to be done but believes "doctors should be hound by their conscience, not by the government'.

The U. S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you're worried about the people treating you or a loved one, you should feel free to ask how many hours of sleep they have had and if more-rested staffers are available. Doctors, for their part, have to give up their pose of infallibility(不出错)and get the rest they need.

What can we learn from Paragraph 1 ？

A．People who sleep less than 8 hours a day are more prone to illness.

B．Poor sleep quality may be a sign of physical disorder.

C．Stroke is often associated with sleep.

D．Too much sleep can be as harmful as lack of sleep.

点击查看答案

第4题

Everybody may have seen the film "Death on the Nile （尼罗河) ," but nobody can imagine tha

Everybody may have seen the film "Death on the Nile (尼罗河) ," but nobody can imagine that the writer of the story, Agatha Christie, saved a baby in a most unusual way.

In June 1977, a baby girl became seriously ill in Deleville. Doctors there were unable to find out the cause of her illness, so she was sent to a famous hospital in London, where there were many excellent doctors. The baby was so seriously iii that a team of doctors hurried to examine her without any delay. The doctors, too, were puzzled by the baby's illness, and they also became discouraged. Just then a nurse asked to speak to them.

"I think the baby is suffering from thallium (铊) poisoning," said the nurse~ "A few days ago, I read a story 'A Pale Horse' written by Agatha Christie. Someone uses thallium poison, and all the symptoms (症状) are written in the book. They are exactly the same as the baby's."

"You're very good at observing things, "said a doctor, "and you may be right. We'll carry out some tests and find out whether the cause is thallium poisoning or not."

The tests proved that the baby had indeed been poisoned by thallium. Once they knew that cause, the doctors were able to give her correct treatment. The baby soon got well and was sent back to Deleville. A week later it was reported that the poison might have come from an insecticide (杀虫剂) used in Deleville.

The baby was sent to a hospital in London because ______.

A．her parents were living in London then

B．the hospitals in Deleville were full at that time

C．she was the daughter of a famous doctor in London

D．doctors in Deleville were not sure about the cause of her illness

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第5题

听力原文：W: Is there such a thing as a typical shoplifter？M: Uh, not really... But there a

听力原文：W: Is there such a thing as a typical shoplifter？

M: Uh, not really... But there are certain types most shoplifters fall into. Three types, I would say.

W: Tell me more about these three types.

M: Well... uh... people in the first type are what I call "the sudden impulse type". Doctors and psychologists call such people kleptomaniacs. They see something and just can't ... uh... help stealing it. The strange thing about this first type is that the people in it are often well off and could easily afford to buy the thing. Sometimes they don't even need it... and often they're emotionally disturbed in some way.., middle-aged women, for example, whose husbands have left them, or perhaps older men whose wives have recently died.

W: What about the second type？

M: Well, those are people who are really... "little thieves" They work alone, and know exactly what they want before they go into the store. These days a lot of them, but by no means all, are teenagers who steal things they can't afford. Leather jackets, watches, expensive cosmetics, things like that.

W: And the third type.'？ What kind of people do you find in the third type？

M: Ah, yes, they're what I call "the experts".

W: Why？

M: Well, first of all, because they're highly organized. And secondly because they do it for a living. They usually operate in groups of three or sometimes four, and they're extremely difficult to catch.

W: Can they make a lot of money that way？

M: Oh, yes. They're very well off, believe me... much better off than a store detective..., or even a journalist!

How many kinds of shoplifters are mentioned in the dialogue？

A．2

B．3

C．4

D．5

点击查看答案

第6题

听力原文：Americans will go to great lengths to protect themselves from medical risks, even

听力原文： Americans will go to great lengths to protect themselves from medical risks, even when the level of risk is unclear or unproven. The threat of mad cow disease, for instance, drives some people to boycott beef, pesticide concerns lead others to eat only organic foods, and fears about vaccine safety prevent some parents from immunizing their children. Ironically, some of these same people fail to act against serious, and well-documented, medical risks. For example, one in every three women ignores the screening recommendations for breast cancer.

Cost is one reason. When people are feeling well, it's hard to persuade them that they should pay for a test that might not find a problem.

Physicians bear some responsibility also. Increasingly pressed for time, they're forced to prioritize what they do during an office visit. Preventive interventions typically take a back seat to more immediate problems.

Further, doctors and patients have lacked clear-cut evidence about which preventive tests and services are most cost-effective and which provide the most health benefits. Recently, a study released in the American Journal of Preventive Medicine offers a plan of action to anyone who strives for good health but doesn't know where to begin.

"We've tried to identify the most important things patients can get from their doctors," says Ashley Coffield, a member of the research group.

For children, immunizations top the list. Currently licensed vaccines have proved highly protective and, despite alarmist messages to the contrary, the risks associated with their use are quite small.

For adults, discussing daily aspirin use with their physician is rated one of the most beneficial. Among men 40 and older and women 50 and older, low-dose aspirin therapy can dramatically reduce the risk of cardiovascular events such as heart attacks.

What is this talk mainly about？

A．The importance of preventive actions against medical risks

B．Americans' misunderstanding of preventive actions against medical risks.

C．The reasons why some Americans fail to react against some medical risks.

D．An investigation about Americans' attitudes toward medical risks and some suggestions.

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第7题

请按照课上要求，将文本写在空白处，用英文写作100-200...

请按照课上要求，将文本写在空白处，用英文写作100-200词之间; 注意：请不要提交你的中文摘要或笔记，不要上传附件，在提交时注意格式美观问题。原文： Text: 1. A while ago, Tu Youyou got the Nobel Prize for medicine for her work in getting a drug that's now used to treat malaria globally. 2. In 1945, the same prize was given to three great scientists for coming up with the world's first antibiotic, including penicillin. 3. Finding out about penicillin was one of the single most amazing advances in the history of medical science; antibiotics really have revolutionized modern medicine by making previously incurable illnesses like pneumonia, scarlet fever and tuberculosis, and so on, treatable. 4. Lots of lives got saved over the past 70 years. So, what's the elephant in the room？ 5. As we all know, nowadays, antibiotics have become a victim of their huge success, because they have been given by doctors always, so that many have turned out to be powerless against bacterial diseases. 6. Nowadays, antibiotics have become less and less effective, because we haven't used them as we should have. 7. In China, their use has been huge compared to other countries. What are the reasons for this？ 8. Well, there are some, including the pressure doctors have faced to make lots of money from prescribing drugs because their salaries was low. 9. And public awareness about the use of antibiotics isn't so great also. 10.For instance, over 60% of Chinese respondents to a survey said that antibiotics were effective against colds and flu, despite the fact they don't do anything against viruses. 11. Common misconceptions like this have led to their incorrect use. 12.But the great news is that there is concrete actions we can all take to address it. 13. So, what's to be done？ 14. Within the health system, it's essential that health-financing systems do not create incentives for doctors to over-prescribe, okay？ 15. Also, doctors must only give out antibiotics when they're really needed and give clear instructions to make sure they're eaten correctly. 16. Patients can help by not saying "Hey doc, prescribe me another course of antibiotics!", even though they don't need them. 17. And when antibiotics are prescribed, patients should always follow the doctor's instructions carefully. 18. If those doctors who first found out about penicillin came to a hospital today, they'd see that antibiotics have become indispensable to modern medicine. 19. If all of us play our part, we can help to make sure that this remains the case now and in the future.

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第8题

Section B Reading in Depth Directions: There are 2...

Section B Reading in Depth Directions: There are 2 passages in this part. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked A), B), C) and D). You should decide on the best choice and write the corresponding letter on the Answer Sheet. Passage One Questions 11 to 15 are based on the following passage. Most aspects of health care have been designed with a focus on the needs of the doctor or other health care provider, rather than the consumer who uses the health services. But health care is ripe for change. This culture has not been deliberately created, and often frustrates doctors and other health providers as much as patients. But it is ingrained in our health care system. The internet and technology have revolutionized the way banks and most other businesses serve their customers. That began two decades ago. Yet we are still waiting for this revolution to reach health care. For many of the most vulnerable (and chronically sick) people, it is very difficult to get the co-ordinated care they need. There are patients who are having to travel long distances to multiple doctors and specialists, to undergo an array of tests that are not co-ordinated or shared and are not flexible to fit around their schedule, because that's what suits the timetable of the hospital, service or specialist. Specialists are often selected by GPs based on familiarity, rather than expertise or the most suitable fee structure. There are still too many people finding out the cost of their treatment after it has occurred, which is totally unacceptable in other services, never mind when we're vulnerable as patients. This system has changed little in decades. But now the public now has more access to medical information than ever. Technology empowers consumers to have more say in their health care, so that they are at the center of health services, rather than clinicians. The rapid development of telemedicine, electronic health monitors, consumer portals and smartphone apps is delivering greater decision-making powers to the consumer. We need to ensure government and community support consumer-led initiatives in the design, delivery and self-management of health. That will mean many vulnerable people receiving support to navigate the system. The era of telemedicine needs to be embraced rather than viewed with distrust. We are increasingly living in a paperless society, but we still see patients having to lug around their test results from specialist to specialist because their health history is not available online. The government has committed funds to fix this but only a tiny proportion of doctors have signed up, and even a smaller number of patients have a comprehensive record of their treatment and tests. Fees for operations and treatments should be spelt out in advance, and ideally publicly available. Patients should be able to look up the performance of public and private hospitals and individual doctors and services. We don't have a health system in Australia: we have a sickness system that needs to be fundamentally reconfigured. We need to increase support for elements of the system that make people better and stop them from getting sick in the first place. This could include extra payments for GPs and companies who help people successfully achieve a healthy diet or more exercise. The results could be measured through the reduction of rates of diabetes, depression, obesity, stroke or cardiovascular disease in the community. Incentives could be given to people with chronic illness who manage their conditions so successfully they reduce their number of hospital stays or appointments. This is a very different world to the system that exists now, and the medical profession will need new skills to deal with patients who view themselves as equal partners in their health care. It’s not farfetched to imagine trainee doctors learning expanded and advanced skills in communication and partnerships alongside anatomy and biochemistry. 11. What does the author complain about the existing health care system？

A、It has been intentionally designed for health care providers.

B、It has been designed for service consumers.

C、It frustrates doctors and patients as well.

D、Technology serves customers in other businesses.

点击查看答案

第9题

Section BDirections: There are 2 passages in this section. Each passage is followed by som

Section B

Directions: There are 2 passages in this section. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked A, B, C and D. You should decide on the best choice.

Sleep is a funny thing. We're taught that we should get seven or eight hours a night, but a lot of us get by just fine on less, and some of us actually sleep too much. A study out of the University of Buffalo last month reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke — probably as a result of an underlying disorder that keeps them from snoozing (睡) soundly.

Doctors have their own special sleep problems. Residents (住院医生) are famously sleep deprived. When I was training to become a neurosurgeon, it was not unusual to work 40 hours in a row without rest. Most of us took k in stride, confident we could still deliver the highest quality of medical care. Maybe we shouldn't have been so sum of ourselves. An article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person's motor performance is comparable to that of someone who is legally intoxicated. Curiously, surgeons who believe that operating under the influence is grounds for dismissal often don't think twice about operating without enough deep.

"I could tell you horror stories," says Jaya Agrawal, president of the American Medical Student Association, which runs a website where residents can post anonymous anecdotes. Some are terrifying. "I was operating after being up for over 36 hours," one writes. "I literally fell asleep standing up and nearly face planted into the wound."

"Practically every surgical resident I know has fallen asleep at the wheel driving home from work," writes another. "I know of three who have hit parked cats. Another hit a 'Jersey barrier' on the New Jersey Turnpike, going 65 m. p. h." "Your own patients have become the enemy," writes a third, bemuse they are "the one thing that stands between you and a few hours of sleep."

The U.S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you're worried about the people treating you or a loved one, you should feel free to ask how many hours of sleep they have had and if more-rested staffers are available. Doctors, for their part, have to give up their pose of infallibility (不出错) and get the rest they need.

What can we learn from Paragraph 1？

A．People who sleep less than 8 hours a day are more prone to illness.

B．Poor sleep quality may be a sign of physical disorder.

C．Stroke is often associated with sleep.

D．Too much sleep can be as harmful as lack of deep.

点击查看答案

第10题

听力原文： Presenter: Good morning, everybody. I'm Jane Winter and I'm here totell you a li

听力原文： Presenter: Good morning, everybody. I'm Jane Winter and I'm here to

tell you a little about the possibility of volunteer work in Africa. If you're

looking for volunteer work in Africa there are plenty of opportunities available.

Let's look at the different types of volunteer opportunities available in

Africa, what to expect when volunteering in Africa and stories from volunteers

who have worked in Africa. Volunteering means something different to

almost every organisation you come across. Some agencies will cover your Q31

flight and cost of living while you are working and some are tree "volunteer"

projects and expect you to cover all costs for the privilege of the experience.

If you are looking for a more meaningful way to spend a few months in Africa Q32

than simply travelling around, volunteering is a wonderful way to spend

your time. Most jobs that last less than a year or so are going to be the ones

you have to pay for. Jobs that require a commitment of more than a year will Q33

often offer a basic stipend to cover some of your costs.

Whether you get paid and how much you get paid will also depend on

your skills and how much they are in demand. Most paid volunteer opportunities

in Africa are available to those who have a university education and/or

a practical skill. Engineers, doctors, nurses, environmentalists, emergency

relief personnel and teachers are among the most asked for by volunteer

agencies. If an organisation doesn't require you to have specific skills then Q34

you will usually have to pay your own expenses as a volunteer. In general Q35

most organisations working in Africa try and recruit as many local people as

possible rather than foreigners, since the projects should continue long after

you have returned home. So don't take it personally if your intention to help

people in Africa is rejected, it may just be that a local person is better suited

to do the job.

What should you expect when you volunteer to work in Africa？ Conditions

are usually basic. Most volunteer opportunities take place in rural

areas where you may not have ready access to running water and electricity. Q36

Housing can be very basic and you will likely be staying with local families.

A word about cultural adaptability. As in most countries in the world rural Q37

communities are usually more traditional than urban centres. As you will be

working closely with the local population you will have to dress and behave

in accordance with what is acceptable locally. General pace of life and work

is much slower than in the west. Don't expect any organisation to run efficiently

and without glitches. Getting sick can be a problem. If you're spending

more than just a few weeks in Africa, especially sub-Saharan Africa, your

chances of getting malaria or bilharzia will also increase. Make sure you take

all the medicine and precautions you need. The organisation you work with

should brief you about health issues and don't forget that local nurses and

doctors will have plenty of experience with these common afflictions—probalby

more than your doctor at home. Initially you may also have some problems Q38

getting used to different food and water.

Anyone who has volunteered in Africa will probably tell you that the

biggest impact their project had was not on the community but on themselves.

Spending time immersed in another culture will change the way you

look at life and is part of the appeal of volunteering. Before you decide to

volunteer in Africa you may be interested to learn what the typical experiences<

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第11题

A．To use a series of full page newspaper with doctors' recommendation.B．To offer to re

A．To use a series of full page newspaper with doctors' recommendation.

B．To offer to return the purchase price if the customers are not satisfied.

C．To advertise through television commercials.

D．To launch a campaign on all the specialist medical journals.

点击查看答案

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