1 . 听下面一段独白，回答以下小题。
1. How long has the speaker been getting headaches?

A．For the past ten years.

B．For about ten days.

C．Only since yesterday

2. What did the speaker do about his headache yesterday?

A．He took some medicine.

B．He asked his neighbor to come over.

C．He did nothing about it.

3. How did the speaker’s neighbor help him?

A．He sent for a doctor.

B．He gave the speaker some painkillers.

C．He gave the speaker a special kind of treatment.

4. What does the speaker mean in the end?

A．The pain almost killed him.

B．His headache was already cured.

C．The pain had gone by itself.

2 . Medical Examination Instructions

These medical instructions are being issued as your immigration (移民) application has reached the stage where medical examination results are required.

When, who and how to complete your Immigration Medical Examination

You are required to have the medical examination within 30 days of the date of this letter; your medical examination must be performed by a doctor from the IRCC list of Panel Physicians; book an appointment with a Panel Physician in your area as soon as possible.

Once your medical examination has been completed, the Panel Physician will submit medical results to IRCC for assessment. To obtain a copy of your Immigration Medical Examination, please ask the Panel Physician at the time of your appointment.

Paying for your Immigration Medical Examination

Any costs related to the medical examination are your responsibility and are payable to the Panel Physician at the time of examination. This payment is for the Panel Physician's services and cannot be returned even if your immigration application is refused or the validity period (有效期) of your immigration medical examination ends.

Note: If you are qualified for coverage under the Interim Federal Health Program, the costs related to your immigration medical examination may be covered by the IFHP. Please confirm with the Panel Physician in your area that they are registered with the IFHP.

What must I bring to my appointment?

★ The attached Medical Report form

★Identification, including your passport if one is available (Proof of identity must include at least one government-issued document with photograph and signature, such as a passport.)

★Eye glasses or contact lenses (隐形眼镜), if worn

★Four recent photographs

★For individuals qualified for Migration Medical Examination coverage under the Interim Federal Health Program, please bring one of the following documents:

●Refugee Protection Claimant Document

●The Interim Federal Health Certificate

●Acknowledgement of Claim and Notice to Return for Interview

If available, you may be offered vaccinations (接种疫苗) by the Panel Physician.

1. After your medical examination, _________.

A．the previous health reports ought to be consulted

B．you will submit the results to IRCC for assessment

C．the Panel Physician will present the results to IRCC

D．you will surely obtain a copy of examination results by the physician

2. If your immigration application is refused, which statement is right about the costs?

A．The IFHP will cover them.	B．They cannot be returned.
C．The Panel Physician will pay in cash.	D．They will be returned if you apply.

3. Which of the following must be brought to the appointment?

A．Proof of identity.	B．The Federal Health Certificate.
C．The application form.	D．Medical examination instructions.

3 . Vegetarians would rather not be forced to eat meat. Yet the reverse compulsion is hidden in the proposals for a new plant-based “planetary diet.” Nowhere is this more visible than in India.

Earlier this year, the EAT-Lancet Commission released its global report on nutrition and called for a global shift to a more plant-based diet and for “substantially reducing consumption of animal source foods.” In countries like India, that call could become a tool to aggravate an already tense political situation and stress already undernourished populations.

The EAT report assumes that “traditional diets” in countries like India include little red meat, which might be consumed only on special occasions or as minor ingredients in mixed dishes.

In India, however, there is a vast difference between what people would wish to consume and what they have to consume because of innumerable barriers around class, religion, culture, cost, geography, etc. Policymakers in India have traditionally pushed for a cereal-heavy “vegetarian diet” on a meat-eating population as a way of providing the cheapest sources of food.

Currently, under an aggressive Hindu nationalist government, Muslims, Christians, disadvantaged classes and indigenous communities are being compelled to give up their traditional foods.

None of these concerns seem to have been appreciated by the EAT-Lancet Commission’s representative, Brent Loken, who said “India has got such a great example” in sourcing protein from plants.

But how much of a model for the world is India’s vegetarianism? In the Global Hunger Index, the country ranks 102^nd out of 117. Data from the National Family Health Survey indicate that only 10 percent of infants of 6 to 23 months are adequately fed, which is why calls for a plant-based diet modeled on India risk offering another whip with which to beat already vulnerable communities in developing countries.

A diet directed at the affluent West fails to recognize that in low-income countries undernourished children are known to benefit from the consumption of milk and other animal source foods, improving cognitive functions, while reducing the prevalence of nutritional deficiencies as well as death.

EAT-Lancet claimed its intention was to “spark conversations” among all Indian stakeholders. Yet vocal critics of the food processing industry and food fortification strategies have been left out of the debate. But the most conspicuous (明显的) omission may well be the absence of India’s farmers.

1. What is more visible in India than anywhere else according to the passage?

A．People’s positive views on the proposals for a “planetary diet”.

B．People’s reluctance to be compelled to eat plant-based food.

C．People’s preferences for the kind of food they consume.

D．People’s unwillingness to give up their eating habits.

2. What would the EAT-Lancet Commission’s report do to many people in countries like India?

A．Radically change their dietary habits.	B．Keep them further away from politics.
C．Make them even more undernourished.	D．Substantially reduce their food choices.

3. What do we learn from the passage about food consumption in India?

A．People’s diet will not change due to the EAT-Lancet report.

B．Many people simply do not have access to foods they prefer.

C．There is a growing popularity of a cereal-heavy vegetarian diet.

D．Policymakers help remove the barriers to people’s choice of food.

4. What does the passage say about a plant-based diet modeled on India?

A．It may benefit populations whose traditional diet is meat-based.

B．It may be another blow to the economy in developing countries.

C．It may worsen the nourishment problem in low-income countries.

D．It may help narrow the gap between the rich and poor countries.

4 . 阅读下面短文，在空白处填入1个适当的单词或括号内单词的正确形式。

You can be happy even when you’re suffering from illness, but that doesn’t mean you should ignore the aspects of your health     1     are in your control. Exercise and sleep are particularly important when it comes     2     happiness.

Making exercise a regular habit isn’t just good for the body. It also has a     3     (power) effect on mental well-being. People who exercise regularly are happier across the board. Plus, they’re also less stressed, anxious, and     4     (depress).

It doesn’t really matter     5     kind of exercise you do, so long as you do it regularly. For the best results, aim for an hour of exercise at least five days a week. If you find something you enjoy, you’ll be more likely     6     (stick) to it. So don’t think you’re limited to     7     (go) to the gym. Find something that suits your lifestyle and preferences. If you’re having trouble thinking of activities you enjoy, think back to when you     8     (be) a kid. What sports or games did you like to play?

Also, getting quality sleep every night directly     9     (affect) your happiness, and emotional stability during the day. When you re lacking sleep, you’re much easier to stress. It’s harder to be productive, think creatively, and make wise     10     (decide). The average person needs at least 7.5 - 9 hours each night.

5 . Eating more plants is a great move for your health and the environment.     1     There are some common mistakes people make when going meatless:

Not replacing meat with other protein sources. When you take something out of your diet, you take out the nutrients that food provided.     2     Some nutritionists recommend including protein sources like beans, soy foods, nuts and nut butters, seeds and seed butters, and whole grains.

    3     There are more choices than ever for plant-based burgers, sausage, and ground “meat”, and they seem like a no-brainer good choice. But man-made meats also tend to be heavily processed, which contain ingredients (成分) that offer zero nutrition such as preservatives and coloring.

Taking too much cheese. Limit your intake of refined carbohydrates (碳水化合物), sweets and cheese. Cheese is an easy way to get meat-free protein, but too much can end up adding a lot of saturated (饱和的) animal fat in your diet. People are suggested to get most of their protein from plant-based sources and use smaller amounts of cheese to give flavor.     4    

Not having enough vegetables. The point of eating more plant-based food is to eat more plants!     5     The trick is that no matter what you are eating, throw a handful of greens onto your plate or bowl.

A．Making an effort to eat protein.

B．But that doesn’t always happen.

C．Take a look at your plate before you eat.

D．Eating too many processed man-made meats.

E．Meat is a rich source of protein, iron and B vitamins.

F．But simply eating less meat doesn’t guarantee health benefits.

G．Replace cheese with things like nut-based sauces in some dishes.

6 . 听下面一段较长对话，回答以下小题。
1. Why is Maria making the phone call?

A．To ask about work.

B．To ask for sick leave.

C．To ask for a big favor.

2. Who is Luis?

A．Maria’s husband.

B．Maria’s boss.

C．Maria’s doctor.

3. What does David ask Maria to do?

A．Avoid going out.

B．Go to the hospital.

C．Buy some masks.

7 . Shots to Shoot for

If you haven’t given much thought lately to smallpox, polio or diphtheria, that’s because these once-dangerous diseases either have been completely rid of or are now well controlled, thanks to the success of earlier vaccination (接种疫苗) programs. But the Centers for Disease Control and Prevention (CDC) estimates that currently fewer than a quarter of American adults have received all age-appropriate vaccines (疫苗).

While some vaccines are given in childhood and give protection for life, others must be repeated into adulthood. The virus that causes measles, for instance, is a very stable virus, it doesn’t change — basically, the virus today is the same as it was in 1935, Flu and COVID viruses, on the other hand, change frequently, so the vaccine s need to be updated and repeated.

Here are the CDC’s vaccine recommendations for adults age 19 and older. (Note: Some guidelines change for adults with additional risk factors or health conditions. Ask your doctor for more information.)

Flu: One dose (剂量) annually.
COVID-19: Boosters on your doctor’s recommendation.
MMR: One to two doses for those born in 1957 or later who have not been fully immunized.
Hepatitis A: People with certain medical conditions or those traveling overseas may require two to three doses, depending on the vaccine.
Hepatitis B: Two to four doses for all adults, depending on the vaccine.
HPV: Two to three doses before age 26(or before age 45, depending on your doctor’s recommendation).
Pneumococcal: For all adults over age 65, one dose PCV15 followed by PPSV23 or one dose PCV20.
Meningococcal: Recommended for previously unvaccinated adults who are in college or the military, or have a weak immune system.
1. Which of the childhood vaccine can provide lifelong protection?

A．Measles.

B．Flu.

C．COVID-19.

D．MMR.

2. How many doses are needed for HPV?

A．One dose annually.	B．None before age 45.
C．Two to three doses before age 26.	D．Depending on the vaccine.

3. Who need to take Meningococcal shots?

A．Unvaccinated soldiers.	B．All unvaccinated adults.
C．People with a strong immune system.	D．Vaccinated college students.

8 . 听下面一段独白，回答以下小题。
1. To whom is the speaker talking?

A．New employees.

B．Foreign tourists.

C．International students.

2. What are girls advised to do in a café?

A．Take care of their bags.

B．Don’t talk to strangers.

C．Leave the place quickly.

3. What is the best place to park a car?

A．Beside a house.

B．On a quiet road.

C．In a public car park.

4. What should one do when walking home alone at night?

A．Stop a police car for help.

B．Walk in well-lighted areas.

C．Take a knife for self-defense.

9 . 听下面一段较长对话，回答以下小题。
1. Who are the speakers?

A．A doctor and a patient.

B．A teacher and a student.

C．A salesman and a customer.

2. What is probably the cause of the man’s problems?

A．He often overeats.

B．He works too hard.

C．He smokes heavily.

3. What does the woman ask the man to do?

A．Stop working and go on a vacation.

B．Give up smoking as soon as possible.

C．Change his diet and get some exercise.

10 . 听下面一段较长对话，回答以下小题。
1. Why is Maria making the phone call?

A．To ask about work.

B．To ask for sick leave.

C．To ask for a big favor.

2. Who is Luis?

A．Maria’s husband.

B．Maria’s boss.

C．Maria’s doctor.

3. What does David ask Maria to do?

A．Avoid going out.

B．Go to the hospital.

C．Buy some masks.