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题型:阅读理解-阅读单选 难度:0.4 引用次数:486 题号:17661523

Five years ago, Meredith Arthur, a 45-year-old San Francisco resident, arrived at a neurologist appointment. She spoke a mile a minute, explaining why she thought it might hold clues to her neck pain, frequent dizziness and headaches. “I was presenting my inexpert case to an expert, who stopped me and said, ‘I know what’s wrong. You have generalized anxiety disorder.’”

Arthur is one of the 40 million American adults who experience an anxiety disorder—the most common form of mental illness—every year. Its major factor is the uncertainty about situations in daily life.

“I describe anxiety as a future-oriented emotional response to a perceived threat,” says Joel Minden, PhD, a clinical psychologist. “We anticipate that something bad will happen. Maybe we have evidence. Maybe we don’t. But we have a belief that something catastrophic might occur.”

Almost immediately, Minden says, your sympathetic nervous system kicks into high gear. This leads to the release of adrenaline and cortisol, two of the crucial hormones (荷尔蒙) that drive your body’s fight-freeze-flight response and cause anxiety’s physical symptoms. Your heart races, your blood pressure rises, your pupils dilate, you get short of breath.

Meanwhile, cortisol curbs functions that your brain considers non-essential: It affects immune system responses and suppresses (抑制) the digestive system, the reproductive system, and growth processes. This was helpful for our ancestors trying to outrun tigers but is not so much when you can’t stop struggling with the problem whether you might have caught COVID-19 when the guy behind you in line at the grocery store coughed.

Anxiety can show itself in many ways. You might perceive something as threatening even when it isn’t or go to great lengths to avoid uncomfortable situations. You might constantly overthink plans or spend all of your time creating solutions to worst-case scenarios. Maybe you feel indecisive and fear making the wrong decision. Or you might find yourself restless, nervous, and unable to relax.

The good news is that anxiety is very manageable with some combination of medication, therapy, and lifestyle adjustments.

1. What does the underlined word “curbs” in paragraph 5 most probably mean?
A.activatesB.restrictsC.damagesD.removes
2. What can you infer from the passage?
A.Social factors are to blame for anxiety disorders.
B.Anxiety is the most common illness in the US.
C.Mental well-being has been Meredith Arthur’s concern.
D.anxiety disorders can be controlled with certain treatments.
3. Which of the following is NOT the typical symptom of anxiety?
A.Trying to find solutions to the worst situation from time to time.
B.Hesitating to make the final decision for fear of mistakes.
C.Heart racing and blood pressure rising at the imagined situation.
D.Feeling restless or nervous even when there’s nothing threatening around.
4. What will the following part most probably talk about?
A.The advance of science and technology.
B.The effects of the anxiety disorders.
C.Tips to minimize negative effects of anxiety.
D.The anticipation of Meredith Arthur.
【知识点】 疾病 说明文

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【推荐1】The U. S. Food and Drug Administration (FDA) has approved a debatable Alzheimer's treatment, the first that promises to slow the disease's destruction in the brain.

The drug, aducanumab, is also the first new Alzheimer's treatment approved since 2003.However, in 2019, aducanumab was nearly abandoned after it appeared unlikely to succeed in two clinical trials. But after reanalyzing more data, the drug's developer Biogen saw signs indicating the drug might work, and decided to pursue FDA approval.

Still, today's decision concerns some doctors and scientists because they aren't convinced that the drug actually works. Approving a drug that's not effective would offer patients false hope, those experts argue. “This is a great day for Biogen but a dark day for the field of Alzheimer's research,” says Michael Greicius, a neurologist at Stanford. Pushing forward on the “illusion of progress,” he says, “will come at a cost to genuine progress in finding an effective treatment for this destructive disease.”

Others disagree that the evidence is slim, and are excited about having a new tool to fight a disease that has escaped an effective treatment for so long. “We have been waiting decades for this,” says Maria Carrillo, an expert at the Alzheimer's Association. A drug that delays decline due to Alzheimer's promises patients “to sustain independence and to hold onto memories longer,” she says.

The drug targets the sticky protein—A-beta(淀粉样蛋白). Some researchers suspect that in Alzheimer's, A-beta confuses connections between nerve cells and damages brain tissue, ultimately causing Alzheimer's symptoms. But that idea is still unsettled. Brain scans reveal that aducanumab is effective at reducing A-beta in the brain. What's less clear is whether this reduction comes with consistent improvements in people's quality of life.

1. What does paragraph 2 mainly tell us about aducanumab?
A.Its bitter failure in clinical trials.
B.Its tough path to getting recognized.
C.Its medical value in treating Alzheimer's.
D.Its challenging process of being produced.
2. What does the underlined word “illusion” in paragraph 3 mean?
A.Proof.B.Significance.C.Prospect.D.Misunderstanding.
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A.Unconcerned.B.Doubtful.C.Positive.D.Intolerant.
4. What can we infer from the last paragraph?
A.A-beta in human body should be removed.
B.Aducanumab has potentially serious side effects.
C.A-beta's decrease improves people's quality of life.
D.Further tests on aducanumab need to be carried out.
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【推荐2】Fatima Bushin was losing her sight and was scared. She said what worried her most wasn’t the fear of a long, painful journey to blindness. She feared being unable to feed her family because blindness would keep her from working, as mothers do. The tragedy is that Bushin’s condition was preventable and, if caught in time, stoppable. She was among thousands of women in Tanzania who suffered from trachoma (沙眼), an infectious disease affecting largely poor communities in developing countries. Trachoma is one of neglected tropical diseases, or NTDs, so named because they receive less attention than other tropical diseases.

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1. What was the greatest concern of Bushin?
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【推荐3】Face blindness, a mystifying condition that can trick us into believing we recognize people we’ve never met or make us fail to recognize those we have, has been previously estimated to affect between 2 and 2.5 percent of people in the world.Now, a new study by researchers at Harvard Medical School (HMS) and the VA Boston Healthcare System is providing fresh insights into the disorder, suggesting it may be more common than currently believed.

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1. Which of the following indicates a person has face blindness?
A.Failing to identify his belongings.
B.Being able to recognize his friends.
C.Mistaking a stranger for an acquaintance.
D.Misunderstanding ones’ facial expressions.
2. What question is sure to be included in the questionnaire?
A.Do you have trouble recognizing faces?
B.Do you know what face blindness means?
C.Do you know anybody with face blindness?
D.Do you experience difficulties in everyday life?
3. What do we know about the DSM5?
A.It came up based on the new study.
B.It has experienced four revisions.
C.It is only used to identify face blindness.
D.It participated in and funded the new study.
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