1 . Drug Allergy
INSTRUCTIONS:
Medicines:
●Keep a written list of what medicines you take and when and why you take them. Bring the list of your medicines or the pill bottles when you see your caregiver. Learn why you take each medicine. Ask your caregiver for information about your medicines. Do not take any medicines without first talking to caregivers.
●Always take your medicine as directed by caregivers. Call your caregiver if you think your medicine is not helping or if you feel you are having side effects. Do not quit taking it until you discuss it with you caregiver.
Allergies:
●Talk with your caregiver before taking any drugs, including over-the-counter drugs, vitamins, and herbs.
●After taking a new drug in your caregiver’s office, always stay there for at least 15 minutes.
If you get hives (荨麻疹) or rash (皮疹):
●Talk with your caregiver about taking an antihistamine(a drug used to treat allergies)that you can buy over the counter.
●Take the antihistamine until the hives are gone for 24 hours.
The following are ways to lessen itching (痒):
●Put cold compresses (敷布) on the skin, or take cool baths.
●Wear loose-fitting clothes and avoid tight underwear.
CONTACT A CAREGIVER IF:
●You think you are having a reaction to a drug. Symptoms may appear as soon as 15 minutes after taking a medication.
●Your rash, hives, or itching have not gone away.
SEEK CARE IMMEDIATELY IF:
●You have trouble breathing, tight feeling in your chest or throat, or a swelling in your mouth. THIS IS AN EMERGENCY. Dial 120 for help.
●You have hives, swelling, or itching ALL OVER your body.
1. What should you do to relieve itching?
| A．Take hot baths. | B．Wear loose underwear. |
| C．Take some vitamins. | D．Stay in caregiver’s office for a while. |
| A．You feel sleepy and tired. | B．Your rash has not faded away. |
| C．You are having a reaction to a drug. | D．You have itching all over the body. |
| A．To introduce some drug allergies. | B．To comment on the drug allergies. |
| C．To advertise a kind of medicine. | D．To advise people to learn more about medicines. |
2 . According to a survey conducted by The Xerces Society for Invertebrate Conservation, the monarch butterfly is facing a sharp population decline that could soon lead to its extinction.
The monarch butterfly is considered the "king of all butterflies due to its extreme beauty, hence the name "monarch". The most popular among the North American butterflies, the grand black-and-orange in vertebrate（无脊椎动物） is known for its yearly mass migration of up to 3,000 miles from the Baja California Peninsula to California's Central Coast every winter, beautifully covering all the trees along their path.
In 1980, its population was recorded to be about 4. 5 million and by the mid-2000's, there were barely 100,000 remaining. In 2018, the number of monarch butterflies fell down to only 28,260, which makes a 99. 4 percent decline in 39 years.
"It's mind-boggling. We're now down below 1 percent of the historic population," Says Emma Pelton, a Xerces Society Conservation biologist.
A variety of factors could be involved to cause the monarch butterflies' near extinction. One could have a co-relation to the lessening of other insects such as bees and other bird species. Another factor could be due to a number of human economic activities such as urbanization and illegal logging which lessens the butterflies' habitat, and pesticides widely used on corn and soybean crops.
Because of these chains of events, an "extinction vortex（旋风）” has occurred where the process of extinction would be near unstoppable since the species won't be able to reproduce and raise their numbers the natural way.
The mass disappearance of the monarch butterfly and other endangered species is a wake up call of our little time remaining to positively shift the direction of the ecological environment for a massive improvement in the near future, in order to help mother nature and all the other living species in this earth.
1. What is the monarch butterfly noted for?| A．Its extreme beauty as king. |
| B．Its special name with monarch. |
| C．Its manner of reproduction. |
| D．Its regular large-scale migration. |
| A．About 20,000. | B．About 150,000. |
| C．About 114,660. | D．About 44,550. |
| A．The growth of cities. |
| B．The popularity of other insects. |
| C．The cleaning of lakes. |
| D．Less crops such as soybean. |
| A．To inform us of something about butterflies. |
| B．To appeal to us to protect the ecological environment. |
| C．To analyze why monarch butterflies have gone extinct. |
| D．To attract visitors to California's Central Coast. |
3 . It was in my first year of work as a doctor. My mouth was dry, my palms sweaty and my voice trembling. The only thing that kept me focused was the thought that things were so much worse for the family I was talking to.
A woman in her early twenties had been brought in after a road traffic accident. She had suffered multiple injuries and had been rushed up to theatre. The surgeons had been unable to save her life and she died on the table. Ashen-faced, the consultant (会诊医生) told the woman's family the news. “Tom, I think it would be nice if it came from you,” my consultant said.
I stared blankly. “What?” I asked.
“About organ donation,” he replied. I swallowed hard. Surely this would be the last thing they'd want to talk about. It felt acutely awkward and ill-timed to be considering this kind of conversation while they were being engulfed in grief. But the problem with organ donation is that every minute counts. The clock is ticking because the sooner organs can be transplanted, the better the chance they will survive in the recipient's (接受者) body.
I began to feel sick. I opened the door and sat opposite them, convinced that I was only going to make things worse for them.
“It's what she'd have wanted,” the mother said before I'd even finished. The father nodded. “She was always so generous,” her father added.
As my consultant and I left them, it occurred to me that I'd been wrong in thinking it would be an awkward conversation. Nothing could take away the pain of having lost their daughter. Yet this last, final act had comforted them and helped them feel that the spirit of their daughter lived on m this act of generosity. Strangely, it is one of the most heart-wanning conversations I have ever had.
1. The first two paragraphs suggest________.| A．the woman died on the scene |
| B．it was hard for the author to face death |
| C．the author witnessed the traffic accident |
| D．the woman's death was told by the consultant |
| A．He was caught in a dilemma. | B．He was seriously ill at that time. |
| C．He failed to transplant the organ. | D．The woman's chance of survival was slim. |
| A．To do the author a favor. | B．To show respect for the doctor. |
| C．To follow then daughter’s will. | D．To end the awkward conversation. |
| A．The consultant’s assistance. | B．The author’s consideration. |
| C．The donor’s kindness. | D．The recipient’s appreciation. |
4 . Black Valley, 63 kilometers from downtown Chongqing, is one of the best preserved natural wonders around the municipality. The national 5A-level scenic spot is a popular summer resort for sightseeing, forest adventures, outdoor camping, hunting and angling.
Located in Heishan town, Wansheng Economic Development Zone, the scenic spot spans over 103 square kilometers, 97 percent of which are covered by primitive forests. With over 110,000 negative oxygen ions in each cubic centimeter of air, it is dubbed as a natural oxygen bar and “the most beautiful healthcare-themed valley.”
Black Valley is also known as “the natural gene bank of Chongqing and Guizhou regions” for the diversity of its rare plants and wildlife, including Cathaya argyrophylla, Davidia involucrata, Trachypithecus francoisi and clouded leopards.
Scenic spot level: AAAAA
Address: Heishan town, Wansheng Economic Development Zone, 63 kilometers from downtown Chongqing Opening hours: 8:30 am - 3:30 pm (peak season from November to February), 9:00 am-3:00 pm (off season from March to October)
Ideal sightseeing season: from May to September
Ticket price: 60 yuan ($8.72) during off season and 100 yuan during peak season, sightseeing bus and cable not included.
Notes:
1. It is recommended that tourists start from the higher southern area for a downward journey.
2. The average temperature is 18.1 degrees.
3. It’s a good idea to experience the local folk culture of the Miao ethnic group, especially when you choose to visit in May when the traditional Caishan Festival of Miao ethnic group is celebrated.
1. What can we know about Black Valley?| A．It lies in downtown Chongqing. |
| B．Plants and wildlife are rarely seen there. |
| C．A visit there costs at most 100 yuan. |
| D．The air is very high in negative oxygen ions there. |
| A．January. | B．March. | C．May. | D．July. |
| A．Culture. | B．Travel. | C．Nature. | D．Wildlife. |
5 . A http:/www.literacynet.org/cnnsf/
Fantastic site from CNN. Over 50 news stories categorized under headings such as crime, environment and adventure. Each story has a range of activities focusing on comprehension and vocabulary, mostly of the multiple-choice variety.
B http:/www.npr.org/
NPR is an American radio network with an extensive audio archive—an excellent source of authentic English.
C http:/www.humorlinks.com/
Hilarious site bringing together over 7,000 links to humor of every kind, from American comedy to Australian cartoons. Here you will see the funniest jokes and pictures from around the world.
D http:/www.bbc.co.uk/bbcfour/audiointerviews/
Hundreds of fascinating interviews with famous people from every walk of life: actors, cartoonists, musicians, painters, philosophers, political activists, scientists and writers.
E http:/www.bbc.co.uk/music/listen
Lots of online music from classical to jazz, from blues to rap. You can listen to radio programs or select a range of special features.
F http: /www.onestopenglish.com
Here you will find listening activities—updated each month--from the online magazine from Macmillan.
1. http:/www.literacynet.org/cnnsf is a website intended for those who________.| A．are learning English |
| B．are writing news stories |
| C．are interested in environment protection |
| D．are designing activities for newspapers |
| A．http:/www.onestopenglish.com |
| B．http:/www.humorlinks.com/ |
| C．http:/www.bbc.co.uk/bbcfour/audiointerviews/ |
| D．http:/www.bbc.co.uk/music/isten |
| A．How to Choose a Suitable Website |
| B．This Week's Web Guide |
| C．Web Radio: New Access to Information |
| D．Special Features from Famous Websites |
6 . IVHQ(International Volunteer Headquarters), one of the world’s most trusted volunteer abroad organizations, offers volunteer programs in more than 50 destinations. Here are some of them.
Marine Conservation Program
Volunteers of this program work in Queensland, Australia. You will join conservation efforts like collecting sea rubbish.
Requirements: Volunteers need to be 18 years or over. Able to swim. Speak fluent English. Present a police check. Have travel insurance. Complete our free pre-departure training.
Fees: 1 week $1,010; 2 weeks $2,020; 3 weeks $2,980
Shriners Hospitals for Children Program
Volunteers in Shriners Hospitals for Children in Honolulu, Hawaii need to pick up patients, deliver supplies and tutor patients.
Requirements: Volunteers must be at least 16 years old. Available to volunteer two hours per week for at least five months. Agree to a police check and a drug test. We offer free training upon your arrival.
Fees: No fees are needed.
Youth Support Program
Volunteers are placed in community centers of New Orleans, Louisiana, USA to provide tutoring and positive activities for the youth. You can also help organizations by beautifying spaces, re-organizing classrooms and preparing materials.
Requirements: Volunteers need to be 18 years or over. Have travel insurance and provide a police check. The training fee is included in the program fee.
Fees: 1 week $520; 2 weeks $825; 3 weeks $1,125
Pre-School English Program
Volunteers working in Cusco, Peru will teach English in pre-schools with younger children of 4 to 5 years old.
Requirements: 18 years and over. No previous teaching experience is required, but a basic understanding of Spanish is. Emergency contact, police check and resume(简历) are required. Training will be conducted online for free.
Fees: 1 week, $320; 2 weeks $550; 3 weeks $735
1. Which program suits a 17-year-old volunteer?| A．Marine Conservation Program. | B．Youth Support Program. |
| C．Shriners Hospitals for Children Program. | D．Pre-School English Program. |
| A．Emergency contact. | B．Travel insurance. | C．Drug test. | D．Police check. |
| A．Collect sea rubbish. | B．Re-organize classrooms. |
| C．Pick up and tutor patients. | D．Teach the English language. |
7 . “It has nothing in common with anything else on the Bund(外滩) "said Ben Wood, the American architect behind Shanghai's famous Xintiandi District, commenting on the Fosun Foundationafter its completion in 2016. "The great thing about the Bund is that it'sgrand. Perhaps a building that can stand out is needed here to show that acompany is progressive. But it's not grand.”
For now, however, the FosunFoundation ---a new theatre ---is proving popular with riverside tourists.
Located in the Bund FinanceCenter, the theatre was designed by co-operation of two world-known Britishdesign firms: Foster+ Partners and Heatherwick Studio. The architecturalhighlight is the outward appearance ---a golden, three-layered(层) steel bamboo curtain that hangs fromthe third floor. But what makes the architecture really unique is that it"dances" : repeatedly each day, the curtain slowly moves ---opens andcloses--- with music. This visual element, combining East and West, looks likeboth an ancient Chinese crown and a Western harp (竖琴). The building's ground floor entrancelooks unclear, but once inside, you'll see the space reveal a hall and cafe, and traditional Chinese theatres on the upper floors. Although there're onlyfour stories above ground, the building houses several music halls on its threeunderground floors.
“The opportunity to makesomething new in this culturally historic location was extraordinary, "said Thomas Heatherwick, Heatherwick Studio founder. "We tried to make itan interesting addition to show Shanghais mix of modern and historicarchitecture.”
The Fosun Foundation is only part of a bigger plan for this economicand cultural center in China. Along the Huangpu River, a massive waterfront artarea is being built. Shanghai hopes to play a larger role in the global artindustry in the coming years.
What Shanghai makes of thisnew riverside project remains to be seen. But with the Fosun Foundation open tothe public, the area's rapid transformation is bringing up discussions inChina's arts scene and beyond.
1. What did Ben Wood mainly talk about?| A．How to keep the Bund area progressive. |
| B．Why the Bund area doesn't stand out. |
| C．How to make the Fosun Foundation grand. |
| D．Why the Fosun Foundation doesn’t fit the area. |
| A．The colour of its appearance. |
| B．The material of the building |
| C．The movement of its curtain. |
| D．The music of a different type. |
| A．To improve its influence in arts. |
| B．To bring up more traditional buildings. |
| C．To strengthen its economic role. |
| D．To mix modern and historic elements. |
| A．Worried | B．Pessimistic | C．Cautious | D．Confident |
8 . These devices, along with many others, made the list of tech-related items available this holiday season.
Theragun Mini
The Theragun Mini is essentially a massage (按摩) gun that provides up to 2,400 beats per minute to relax muscles after a workout to prevent soreness. The device is designed for quietness and can last around two hours on a full charge; $199.99 at theragun.com.
Lenovo Smart Clock Essential
The Lenovo Smart Clock Essential basically is a digital alarm clock attached to a Google smart speaker, which allows you to adjust settings with only your voice or play music. The simple LED display shows the time, weather and day of the week, and it has a built-in night-light. Its battery has a charge life of about half a month with continuous use. Starts at $29.99 at lenovo. com.
Fitbit Versa3
Fitbit’s newest smartwatch offers built-in GPS tracking for those who prefer to log their exercise outings without the need to carry a phone. If your focus is fitness, the Versa, which has a large, color touchscreen display, could be considered a less expensive option to Apple’s smartwatch. The Versa’s battery can last up to six days; $229.95 at fitbit. com.
Amazon Echo Dot and Echo Dot Kids
The fourth generation of Amazon’s smart speaker now has a round shape and comes in two editions: regular and one for kids. It operates the same way as other smart speakers in the Echo line, allowing users to ask the device to play music or give the latest news headlines. The kids version comes with a free subscription to Amazon Kids+, which has access to child-friendly digital books and games. Its battery can last around seven hours on a full charge, starting at $49.99 at amazon. com.
1. Whose battery can work the longest time on a full charge?| A．Fitbit Versa 3. |
| B．Theragun Mini. |
| C．Lenovo Smart Clock Essential. |
| D．Amazon Echo Dot and Echo Dot Kids. |
| A．They both offer built-in GPS. |
| B．They both have a color touchscreen. |
| C．They both can be got at the same website. |
| D．They are both suitable for workout lovers. |
| A．Purchase any digital books. |
| B．Keep us informed of homework. |
| C．Subscribe to Amazon Kids+ for free. |
| D．Download some videos from the Internet. |
9 . A study confirmed that the cracks (裂缝) found on the surface of Mars last year by the Curiosity Rover are evidence of ancient lakes that likely dried up about 3.5 billion years ago. The new study provides further evidence of what the climate on the Red Planet may have been like in its ancient past.
The study, published online in Geology, proved that cracks on Mars’s surface previously photographed by Curiosity are dry mud cracks which could have only been formed when wet ground was exposed to the air. This conclusion was based on an analysis of a single area of rock known as “Old Soaker.”
Researchers used the Curiosity Rover and information from its many tools including the Mars Hand Lens Imager, ChemCam Laser-Induced Breakdown Spectrometer (LIBS) and the Alpha Particle X-Ray Spectrometer (APXS) to study both the physical appearance and the chemistry of the rock, which is described as no bigger than a coffee table.
The analysis showed that cracks on the rock were formed by exposure to air, rather than heat or the flow of water. In addition, the shape of the cracks suggests it experienced a single drying event on the planet, rather than getting wet and drying over repeatedly. The position of the cracks, closer to the center of the ancient lake rather than alongside it, also suggests that the lake levels changed often, rising and falling over time.
“The mud cracks are exciting because they help us to understand this ancient lake system,” lead study author Nathaniel Stein, a geologist at the California Institute of Technology in Pasadena, said, referring to the ancient lake system on the planet.
Scientists have known of the existence of ancient water on Mars for years. A 2015 NASA study that measured water in Mars’s atmosphere suggested that ancient oceans may once have had more water than our own Arctic Ocean. However, because the planet has less gravity and a thinner atmosphere than Earth, this water evaporated into space over the course of several billion years.
1. What is the Curiosity Rover underlined in Paragraph 1?| A．A research organization. | B．An automatic machine. |
| C．An ancient remain on the planet. | D．A space telescope on earth. |
| A．The cracks are near the center of an ancient lake. |
| B．Mars was getting wet and drying more than once. |
| C．The lake level on Mars seldom changes over time. |
| D．The cracks on the rocks were formed by water flow. |
| A．Ancient water still exists on Mars now. |
| B．The gravity on Mars is stronger than that on Earth. |
| C．The atmosphere on Earth is thicker than that on Mars. |
| D．The ancient Arctic Ocean had more water than it has now. |
| A．Water on Mars. | B．A trip to Mars. |
| C．A study on Mars. | D．Cracks on Mars. |
10 . Taking an afternoon nap could keep your brain sharp, a new study has said. Adults ages 60 and older who took afternoon naps showed signs of better mental ability compared to those who didn’t nap, according to a study published in General Psychiatry earlier this week.
Researchers analyzed napping habits in 2, 214 older Chinese people and measured their cognitive abilities using several cognitive tests. Participants took the Mini-Mental State Examination and the Beijing version of the Montreal Cognitive Assessment, both of which test for memory, language and other cognitive abilities. In every category listed in the study, nappers tested statistically higher on average compared to their non-napping counterparts.
Researchers did not gather data from people under 60, so a correlation cannot be drawn between napping and younger generations. The study also noted that there are conflicting studies about the benefits and risks of napping.
Sleeping behaviors can be affected by a multitude of factors, said Dr. David Neubauer, associate professor at Johns Hopkins University. “Daily routines, medication use and sleep disorders can all play a role in how frequently someone takes a nap.” he said.
Neubauer recommended taking a shorter “power nap” of up to 20 minutes to decrease the chances of transitioning into slow-wave sleep, which makes people feel groggy when they wake up. “Napping can be a healthy part of an older adult’s day”, Neubauer acknowledged, but make sure “sleepiness isn’t due to a treatable nighttime sleep disorder.” Older individuals who want to do all they can to preserve their cognitive functioning should put nighttime sleep first.
1. What is the best way to keep a better cognitive ability for the old?| A．Take a nap every day. |
| B．Take sleep disorder seriously. |
| C．Have a good sleep at night. |
| D．Do exercise regularly. |
| A．By taking the examinations and assessment. |
| B．By analyzing napping habits and giving tests. |
| C．By measuring nappers’ ability and analyzing them. |
| D．By doing an experiment. |
| A．Taking a nap. |
| B．Medicine treatment |
| C．Sleep problems |
| D．Everyday activities. |
| A．It appears in short nap up to 20 minutes. |
| B．People should avoid it in their naps. |
| C．It is a healthy part of an elder’s day. |
| D．It was recommended by Neubauer. |
