1 . Ms. McIntyre, 38, worked as a publisher. She suffered brain cancer and her health got worse despite some medical treatment. But she realized that in a way, she was luckier than some other people. She had insurance to help pay for her medical care. But Ms. McIntyre and her husband, Mr. Gregory, knew that many people with cancer face tough decisions because of the costs of medical care and wind up owing far more than they can pay.

Though her health was failing, Ms. McIntyre decided to help pay off the medical debts of as many people as she possibly could. The couple began donating money to a group called RIP Medical Debt, which is committed to working to pay off the unpaid medical debts of others. The group can pay off medical bills for about 100 times less money than they cost. In other words, for every 100 donated, the group can pay off 10,000 in unpaid medical bills.

Unfortunately, Ms. McIntyre passed away before long. Mr. Gregory posted a message for Ms. McIntyre on her social media accounts. “If you’re reading this, I have passed away,” the post began. Then the post explained, “To celebrate my life, I’ve arranged to buy up others’ medical debts and then destroy the debts.”

The couple had set up a page on a website to raise money for this purpose. They had hoped to raise about $20,000. Nevertheless, Ms. McIntyre’s last post attracted a lot of attention. The donations on her web page quickly passed the total goal. In less than a week, the site had raised 10 times more than expected and the donations are still coming in. By November 22, 2023, Ms. McIntyre’s web page had raised over $627,000, or enough money to pay off about $60 million in medical debts.

Mr. Gregory planned a special event in December to celebrate Ms. McIntyre’s life and to announce how many millions of dollars of medical debts her efforts had paid for.

1. Why did Ms. McIntyre feel luckier than some other people?

A．The doctors eventually cured her.	B．Her disease didn’t become worse.
C．She had a decent job before being ill.	D．She had security about medical care.

2. How did Ms. McIntyre and her husband help others?

A．By paying for their daily debts.	B．By giving away money to them.
C．By ridding them of debts from treatments.	D．By purchasing medical insurance for them.

3. What is paragraph 4 mainly about?

A．The public involvement.	B．The couple’s commitment.
C．The operation of a website.	D．The increase of medical debts.

4. Which of the following words can best describe Ms. McIntyre?

A．Humorous and elegant.	B．Influential and understanding.
C．Cautious and promising.	D．Enthusiastic and adaptable.

2 . Looking good and feeling good are ________ related. When people dress in clothes that they love, they usually feel happier. For instance, wearing a ________ shirt or a comfortable pair of shoes can make a big difference in how we feel. These items do not need to be expensive or fancy; they just need to fit well and make us feel good about ourselves.   

Eating healthy is also very important. Foods like fruits, vegetables, whole grains, and lean proteins are full of ________ and other good things that our bodies need. When we eat these types of foods, we tend to feel more ________ and energetic. It’s not just about being slim; it’s about feeling strong and full of life.

Regular physical activity is essential for feeling good. Simple activities like walking, biking, or playing a sport can be fun and make us feel ________. Exercise helps our bodies stay fit and can also clear our minds, making us feel more relaxed and ________

Good sleep is another important factor in feeling good. When we get enough sleep, we feel more ________ and ready for the day. Poor sleep can make us feel tired and ________, which can affect how we feel about ourselves.

Finally, having good relationships with friends and family can make us feel loved and ________ When we have people who care about us and support us, it’s easier to feel good about ourselves and our lives.

In conclusion, looking good and feeling good are about more than just our appearance. It’s about taking care of our bodies, minds, and ________, and enjoying our lives to the fullest.

1.

A．closely

B．slightly

C．rarely

D．differently

2.

A．colorful

B．old

C．dirty

D．large

3.

A．nutrients

B．fats

C．sugars

D．chemicals

4.

A．healthier

B．weaker

C．heavier

D．lazier

5.

A．stressed

B．bored

C．happy

D．confused

6.

A．unhappy

B．focused

C．distracted

D．angry

7.

A．restless

B．irritated

C．energetic

D．moody

8.

A．grumpy

B．excited

C．calm

D．nervous

9.

A．accepted

B．ignored

C．criticized

D．misunderstood

10.

A．hobbies

B．problems

C．fears

D．skills

3 . Some signs of sleep deprivation (匮乏) like dark circles under your eyes might be noticeable, but others can fly under the radar.     1    

You don’t have energy. If you feel so tired and listless at work that you would rather run for your pillow than do even the smallest task at the desk, that could be the result of a lack of sleep.    2     This practice could actually be what’s keeping you up at night.

You find it difficult to concentrate.    3     Science has shown that it’s harder to focus, pay attention and make decisions when you’re sleep deprived. Whether youre working at an office, working from home or just trying to get through your to-do list, not getting enough sleep will make concentrating more difficult.

●    4    Sleep deprivation can lead to problems like high blood pressure and diabetes. If you have hypertension (高血压), the longer you’re awake, the longer your blood pressure may remain high. If you suffer from diabetes, regularity in your sleep cycle could keep your blood sugar levels more stable. Reduced sleep could also impact your body weight by affecting hormone levels. Changes in hormone levels due to sleep deprivation can create eating disorder which could have an impact on your blood pressure and blood sugar.

You feel moody, depressed or angry. Sleep deprivation night mean that you can easily get upset.     5     You might even anger more easily and find it difficult to cope with stressful situations.

A．Your medical issues are worsening or developing

B．20 minutes of shut-eye will make you feel recharged

C．There are some tricks that might help you become energetic

D．Sleep deprivation might have an impact on your mental performance

E．It also leads to reduced patience and discourages you from socializing

F．These signs might be an indicator that you aren’t getting the sleep you need

G．However, think twice if you tun to a late afternoon coffee to pick yourself up

4 . Australian scientists have started vaccinating (接种疫苗) wild koalas against the disease Chlamydia (衣原体病) in an ambitious trial in New South Wales (NSW). They want to test a way to protect the animals against the widespread condition that causes blindness, the inability to have babies, and death.

“It’s killing koalas because they become so sick that they can’t climb trees to get food, and females are unable to have babies,” said Dr. Samuel Phillips, a microbiologist at the University of the Sunshine Coast.

Around half of the wild koala population in the Northern Rivers region of NSW—about 50 animals—will be caught and vaccinated. “We want to evaluate what percentage of the koalas we need to vaccinate to meaningfully reduce infection and disease,”said Dr. Phillips.

The first koalas were caught and vaccinated in March and the effort is expected to last about three months. Researchers use telescopes to spot koalas in the trees, then build fences around the tree bases with doors leading into cages. After a few hours or days, the koalas climb down from one tree to seek tasty leaves on another and wander into the harmless traps.

After a cheek-up to make sure the animals are in good condition, researchers give them anaesthesia (麻醉) to make them sleep before they administer the vaccine. They watch the koalas’health for 24 hours after they wake up to make sure there are no side effects. The goal is to vaccinate healthy koalas to prevent them from becoming infected with chlamydia. The researchers mark the koalas’backs with pink dye so the same animals aren’t caught twice.

It is not known what caused koalas to catch chlamydia, but the scientists believe it was probably from exposure to the infected sheep and cattle. It spreads when koalas mate, or it can be passed from a mother to her babies.

1. Why was the ambitious trial started?

A．To establish a wildlife reserve.	B．To attract the tourists of all ages.
C．To test a newly developed vaccine.	D．To reduce infection among koalas.

2. What is Dr. Phillips’attitude towards the current condition of koalas?

A．Uncaring.

B．Doubtful.

C．Concerned.

D．Cautious.

3. Which can best describe the process of giving koalas an vaccine?

A．Dangerous.

B．Demanding.

C．Simple.

D．Useless.

4. What is the last paragraph mainly about?

A．Why koalas suffer from the disease.	B．How researchers recognize koalas.
C．What a koala family largely feeds on.	D．When a female koala can have a baby.

5 . Brynn Schulte nearly died two times when she was a baby. At one point she needed emergency surgery for bleeding in her brain. No one knew what was wrong. Then, a test that looked at her full genetic details found a rare bleeding disorder. Catching the disorder early saved her life. “You have this hopeless feeling when you don’t really know what’s going on,” said her father, Mike Schulte. He noted that the test made a difference in finding the cause and   “getting her the right care that she needed almost immediately”.

Brynn, now 4, got the genetic testing as part of a clinical trial, the results of which were published recently in The Journal of the American Medical Association. Testing all of the details of a person’s genes is called “whole genome” testing. Whole genome tests are much better than narrowly targeted tests when it comes to finding genetic differences, called abnormalities, which can cause disease. The study found 49 percent of these abnormalities, compared to 27 percent with more commonly used tests targeting only some genetic diseases.

Whole genome tests could solve the problem of doing several narrowly targeted tests on babies, which still might not find the disorder. Experts warn there are some problems because labs vary in how they understand results. Also, whole genome tests are more expensive and less likely to be covered by insurance.

But researchers hope that whole genome tests will at some point be used for millions of hospitalized babies with rare and difficult conditions. The US National Human Genome Research Institute has found that around 350 million people around the world live with rare disorders. And it found that about 80 percent of the more than 7,000 conditions are genetic.

1. How did Mike Schulte feel about the test?

A．Proud.

B．Grateful.

C．Unclear.

D．Hopeless.

2. In finding genetic diseases,          .

A．narrowly targeted tests are easier

B．commonly used tests take longer

C．whole genome tests focus on babies

D．whole genome tests are more accurate

3. What disadvantage do whole genome tests have?

A．They cost a lot.

B．The process is complex.

C．The disorder might not be found.

D．Their results are hard to understand.

4. Where is the text most likely found?

A．In a blog.	B．In a medical record,
C．In a newspaper.	D．In a letter.

6 . Good news, coffee lovers: Your daily cup of Joe might be doing good to your heart, namely by helping to reduce the risk of heart failure, suggest the findings of a new study. In an analysis of data from three large studies on the topic, researchers found that those who reported drinking one or more cups of caffeinated (含咖徘因的) coffee a day had “a related decreased long-term heart failure risk”.

For the report published in Circulation: Heart Failure, researchers used machine learning to examine data from a large study from the Framingham Heart Study, referencing this data against two other studies. “Each study included at least 10 years of follow-up, and altogether the studies provided information on more than 21,000 U.S. adult participants,” researchers said.

When analyzing the Framingham Heart Study, researchers noted that when compared to non-coffee drinkers, coffee drinkers’ risk of heart failure decreased by 5% to 12% for each cup they drank each day. As for decaffeinated coffee, researchers noted that it did, not have the same benefits as caffeinated coffee, with one study suggesting that decaffeinated coffee may have an opposite effect.

Dr. David Kao, senior study author, said in a statement, “The relation between caffeine and heart failure risk reduction was surprising. Coffee and caffeine are often considered by the general population to be ‘bad’ for the heart because people relate them to health problems like palpitations, high blood pressure, etc. The relationship between increasing caffeine consumption and decreasing heart failure risk turns that thought on its head.”

“However, there is not yet enough clear evidence to prove that increasing coffee consumption can decrease the risk of heart disease with the same strength and certainty as stopping smoking, losing weight, or exercising,” Kao noted. The researchers also warned that the findings only focused on black coffee, that is, plain coffee, without added sugar and high-fat dairy products such as cream.

1. What’s the finding of the new study?

A．The number of heart failure cases has decreased gradually.

B．Coffee can help lower the possibility of heart failure.

C．Caffeine does harm to people’s health.

D．Coffee helps cure heart disease.

2. How did researchers achieve their finding?

A．By searching online for detailed information.

B．By interviewing experts about their opinions.

C．By conducting surveys among young adults.

D．By comparing data from long-term studies.

3. What can directly affect the result of the study?

A．The brand of coffee.

B．The age of the subjects.

C．The addition of caffeine to coffee.

D．The amount of coffee consumption.

4. What is Dr. Kao’s attitude towards the result?

A．Indifferent.

B．Positive.

C．Curious.

D．Careful.

7 . Smart Steps to Keep Safe

“Social distancing (社交距离)”, this is a phrase used to stop the coronavirus (冠状病毒) from spreading (传播).     1    

Are people listening? Yes and no. As more bars and restaurants close, people will have no choice. There is a good reason to follow this rule. Even people who show no symptoms (症状) may have the virus (病毒). They may feel they can mingle with (和……交往) others.     2       

What are the rules?

Social distancing

You should stay six feet away from others. Avoid using public transportation. Experts (专家) say that every single contact with others not made will have a big impact. You will keep the virus from spreading.

    3    

Older people and people in poor health are in more danger. But young people are not immune (免疫的). They may only have mild symptoms, but they may be carriers. They should not hang around (经常和某人在一起) with fragile (脆弱的) family members and others. If they do, it may add to the number of people infected (感染).

You can leave your house

It’s OK to go outdoors for fresh air and exercise.     4    , but to avoid being in close contact with people. When you do leave your home, wipe down any surfaces you come into contact with. Also, disinfect your hands with an alcohol-based sanitizer (消毒杀菌剂). Avoid touching your face. Always wash your hands when you come in from outside.   

Go to the supermarket

Buy as much as you can to reduce the number of trips you will need to make. Pick a time when the store is less crowded. Any surface inside the store may be contaminated. Use a disinfecting wipe to clean the handle of the grocery cart. If you do wear gloves, make sure you do not touch your face until you have taken the gloves off.

Family visits

If anyone in the family is at great risk, sick people should not visit. If everyone is young and healthy, small groups may do so.     5    

The playground

Healthy kids need outdoor activities. Playgrounds may be danger zones. Kids also tend to touch their mouths, noses and faces a lot. Parks or playgrounds with few kids are ideal. Take hand sanitizers and clean any surfaces with disinfecting wipes. Do this before the kids begin to play.

What is next?

No one knows how long this crisis will last. An expert said,“We are in uncharted territory. ”

A．In any event, phoning and video visits are important.

B．The point is not to remain indoors.

C．But they are spreading the virus.

D．Avoid being in close contact with people.

E．It means staying away from people.

F．You can go to the supermarket with kids.

G．Young people are not safe.

8 . As you get older, it is important to continue caring properly for your teeth. So you need to pay attention to your dental (牙齿的) health at home.     1    Generally, keeping healthy teeth as you age needs continued care and willingness to change your habits.

Brush your teeth twice a day. As you age, it is important to keep up with good dental health. The important part of good dental health is brushing your teeth twice a day. This removes food and bacteria (细菌) in your teeth.    2    Your teeth may get hurt easily as you age, so you’d better use a soft toothbrush.

Avoid smoking. Smoking can cause serious damage to your teeth over time.     3    Talk to your doctor about the programs of giving up smoking. It is never too late to stop smoking.

    4     In order to keep your teeth healthy for a long time, it is important to treat them well. In order to have good dental health, you should avoid eating hard food, for example, ice. Eating hard food can break your teeth, creating damage that needs to be fixed by a doctor.

Avoid drinks that can damage your teeth. Some drinks, such as soda pop and juice, can damage your teeth. If you are concerned about the health of your teeth, you should avoid these things whenever possible. If you really want to drink things that will damage your teeth, drink them through a straw (吸管).     5    

A．Treat your teeth well.

B．Eat some healthy food.

C．Both of them cause weak teeth.

D．Change your toothbrush regularly.

E．It is also important to change your dental care habits as you age.

F．This will prevent the drinks being on your front teeth and avoid the damage.

G．If you are a smoker, you have a higher chance of getting tooth disease.

9 . Todd Stabelfeldt couldn’t wait to marry his tall, beautiful wife Karen four years ago. But he was determined that he didn’t want her to ________ him.

“A spouse (配偶) should be your lover and your friend, ________ a free caregiver, ”said Stabelfeldt, 38.

Stabelfeldt is a quadriplegic (四肢瘫痪者) with no movement below his shoulders, but he doesn’t spend time feeling ________ himself. He takes every opportunity to find ________—including in his marriage to Karen. He spends most of his time running his IT business from his home office, ________ his wife around the house, and building his charity.

And it’s all ________ new smart home and assistive technology.

Technologies like Apple’s “Home” app allow Stabelfeldt to ________ various smart accessories (配件) in his house—from door locks to lights. The best part for Stabelfeldt? He can ________ Apple’s intelligent digital assistant Siri to work it all.

Stabelfeldt calls this technology a game changer. “I never ________ I’d have the opportunity to be married and have children.”

Stabelfeldt can let a delivery person in or out, or open the door on demand.

“When I’m cooking, I don’t have to ________ and do those functions. He can ________ those,” said Karen. “Technology has completely ________ how Todd can operate and where he can function.”

“New technologies have given me ________ to prove that I’m a(n) ________ man,” Stabelfeldt said. “To get up every day and go to work; Everybody has worth, and everybody should have the opportunity to ________ it.”

1.

A．talk about

B．learn from

C．take care of

D．keep up with

2.

A．because of

B．instead of

C．in case of

D．in spite of

3.

A．surprised at

B．proud of

C．afraid of

D．sorry for

4.

A．independence

B．excitement

C．courage

D．peace

5.

A．finding

B．helping

C．guiding

D．instructing

6.

A．according to

B．thanks to

C．as to

D．along with

7.

A．improve

B．notice

C．control

D．hide

8.

A．command

B．invite

C．advise

D．teach

9.

A．understood

B．proved

C．agreed

D．thought

10.

A．prepare

B．wait

C．stop

D．look

11.

A．accept

B．introduce

C．use

D．do

12.

A．changed

B．described

C．recorded

D．determined

13.

A．excuses

B．goals

C．ideas

D．opportunities

14.

A．honest

B．lucky

C．responsible

D．valuable

15.

A．show

B．remember

C．win

D．see

10 . 假如你叫琳达(Linda)，过去一直因为身体瘦弱，爱生病而苦恼。后来朋友建议你跟她一起参加健身俱乐部，每天适量锻炼并持之以恒。在俱乐部其他成员的鼓励下，你现在身体健康了，更加自信了。请按以上内容写一篇健康报告。
注意：1.词数80左右；
2．可以适当增加细节，使行文连贯。
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