1 . 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.

2 . A blister (水疱) is a small bag of fluid that forms in an area of the body.     1     They may develop after a skin burn,   infection with bacteria, insect bites, bumps or scratches.

Depending on its location, a blister can interfere with our day-to-day tasks. For example, if we have one on our feet, we may have difficulty walking, exercising or standing for a long period of time.     2     Fortunately, there are some home treatments that can reduce our discomfort and decrease the risk of suffering them

    3     In many cases, they are the result of poorly fitted, too tight, or too loose shoes that can cause a graze (擦伤) of the skin. This causes friction and, as a result, fluid collects under the outer layer of the skin.

A blister on feet caused by a graze usually heals in a few days with home treatments.     4     A doctor should be consulted if the blister causes severe pain or prevents us from walking. If we have a fever, nausea or chills, it may be a sign of infection.

Blisters are usually drained with a sterile needle. If there are signs of infection, a sample of fluid may be examined to determine the cause.Moreover,antibiotics (抗生素) will be prescribed to treat the existing infection and prevent an additional infection from occurring.       5    

A．Dampness or too much sweat can cause these blisters.

B．In fact,blisters on feet may be the most common ones.

C．Blisters can vary in size and occur for different reasons.

D．However,not all who walk or stand for long develop blisters.

E．Preventing foot blisters involves addressing the fundamental cause

F．If they turn yellow,they may have been infected and you need medical attention.

G．However, some blisters do not respond to these treatments and get worse over time.

3 . What have humans done to deserve dogs? They greet us when we come home, comfort us when we’re sad and generally act as loyal companions.

Now, researchers are investigating whether tumors (肿瘤) in dogs may help treat tumors in humans. In early April, the Jackson Laboratory began collecting samples of canine (犬的) tumors. Cells from these tumors inserted into mice could help test new drugs and improve our understanding about how cancer develops and progresses.

Although cancer results from many factors, genes play a critical role. That means the genetic makeup of a tumor can help determine which drugs work against it. So having a broad and diverse pool of genetic makeups increases the chances of finding the right way to attack each disease. This thinking is particularly relevant for rare cancers and rare mutations (突变). Drawing from a larger pool means more genetic mutations to research.

And using tumors from dogs is a nearly ideal way to widen that pool. They’re exposed to many of the same environmental factors that might cause cancer in their owners, notes Dr. Christopher Fulkerson. Some bone and brain cancers are far more common in dogs than they are in people, making samples easier to find.

In many cases, the cells in a dog’s cancer look and act the same as they would in a human. They can even carry the same genetic mutations. However, not all canine cancers will be particularly helpful for human-focused research. For some types, the similarities between human and dog diseases will be significant. But when they aren’t, warns Dr. Jaime Modiano, the differences could have serious consequences for drug development.

But even when the research doesn’t advance knowledge of human cancers, it could still help improve the treatment of dogs diagnosed (确诊) with cancer. That's the least we can do for our faithful friends.

1. What are the purposes of collecting canine tumors?

A．To help design new drugs.

B．To better understand cancer.

C．To prove dogs are our faithful friends.

D．To show cancer results from many factors.

2. Why is using tumors from dogs an ideal way?

A．Many dogs have bone and brain cancers.

B．Dogs and their owners are good companions.

C．Dogs and their owners have similar living conditions and cancer types.

D．Using tumors from dogs can help determine which drugs work better.

3. What does the author indicate by mentioning Dr. Jaime Modiano?

A．It’s useless to study cancers from dogs.

B．Studies on cancers from dogs will bring harmful results.

C．Cancers from dogs may not be helpful for fighting human cancers.

D．Some similarities between human and dog diseases are significant.

4. What’s the author’s attitude to the research?

A．Unconcerned.	B．Doubtful.
C．Pessimistic.	D．Optimistic.

4 . The Travel Doctor—Your Guide to Staying Healthy While You Travel

Review by Barb &.Ron Kroll

Contents
★Part One—Before You Go ·Getting Ready ·The Common Sense Guide ·First Aid ·Medical Care Abroad ·Region-by-Region Guide ★Part Three—The World Around Us ·The Joys of Flight ·Motion Sickness ·Culture Shock ·Your Personal Safety ·The Sun Did It ·Into Thin Air-Altitude Sickness ·Snakes， Scorpions and Other Scary Creatures	★Part Two—Infectious Concerns ·Pre travel Inoculation（提前接种） ·Traveller’s Diarrhea ·Malaria ·Other Insect-borne Diseases ·Sexually Transmitted Diseases ·A Few Other Concerns ★Part Four—Specific Concerns ·The Business Traveller ·Women and International Travel ·Let’s Take the Kids—The Young Travel le ·The Traveller with Medical Conditions ·Travelling to Adopt ★Part Five—Now That You’re Home ·Hey Doc, I’m Home
★Sources of Information ★Index

Dr. Mark Wise’s book is a commonsense, comprehensive guide to health, whether travel is for business or pleasure.

Informal yet highly informative, readers will find plenty of basic medical information, as well as many checklists, guides and summaries.

Dr. Wise provides numerous tips: How to prevent altitude sickness. How to prevent sunburn. What to do if you’ve been bitten by a snake. How to treat a jellyfish sting. How you can avoid insect-borne diseases I like malaria.

A table Summary of Pre travel Inoculations covers diseases from hepatitis A (甲肝) to cholera (霍乱).It lists vaccines with course and duration for immunization (免疫).Cartoon sketches illustrate the travel health book.

Author

Mark Wise M.D. is a family doctor specializing in travel and tropical medicine. He has travelled to South America, Haiti, India, Nepal, Kenya, Tanzania, Senegal, Ghana, Uganda and Rwanda. Dr. Wise is also a medical advisor to several non-governmental organizations and frequently lectures on travel health.

More information

Click Travel Doctor—Travel Medicine Advice Book

1. Where are the tips on avoiding different diseases mainly presented in the book?

A．In Part One.

B．In Part Two.

C．In Part Three.

D．In Part Four.

2. Why is the detailed information on Mark Wise M.D. probably provided?

A． To increase his popularity.

B．To provide more tourism services.

C．To enhance the authority of this book

D．To attract the attention of publishers.

3. What is the text?

A．A book review.	B．A medical paper.
C．A travel brochure.	D．An introduction to a doctor.

5 . 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。

The centuries-old traditional Chinese medicine scraping (刮) massage, gua sha, has become a fashion among young people on the mainland! who show off the bruises (淤青) it creates.

    1     the youth lifestyle social media platform, a young woman using the account name @hua posted pictures of herself wearing a T-shirt, in which she showed her bruises and described them as “cool”. She is one of many who regard gua sha as an efficient way to ease muscle pains and    2     (tired).

Many shared     3     (they) gua sha experiences and tips, such as using homemade scraping tools and different meridians (经脉) on the body to relax.

The meridians     4     (translate) from jing mai in Chinese, refer to paths through which the life energy     5     (flow) in the body and to organs.

The practice, also known as scraping and coining, is     6     exceptional form of traditional Chinese massage (按摩) that uses a small and flat tool to scrape the surface of skin along the meridians,     7     (leave) red bruising as a sign of released toxins.

The folk-treatment     8     originated in ancient China has enjoyed huge popularity among the older generation. The treatment is used for     9     (condition) considered not serious enough to go to hospital, according to an article in the magazine Sanlian Life Lab.

Some describe gua sha as “the Chinese way to cure the stress from the workplace” saying the pain and stress that     10     (bring) by a session bear more pleasure than parties or a weekend at the seaside.

6 . 听下面一段较长对话，回答以下小题。
1. How long has the man been feeling unwell?

A．For about 2 or 3 days.

B．For about 3 or 4 days.

C．For about 4 or 5 days.

2. What caused the man to give up smoking?

A．His serious disease.

B．The doctor’s request.

C．His family members’ advice.

3. What treatment does the woman give to the man?

A．Checking his chest.

B．Clearing his throat.

C．Giving him some aspirins.

4. What does the woman suggest?

A．Going to work.

B．Having a rest in bed.

C．Taking further medical test.

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 . This is Your Dream Dance

With growing evidence that dancing helps boost brain health and manage symptoms of neurocognitive (神经认知的) and movement disorders, accessible dance programmes and movement therapists are helping improve the lives of millions.     1    .

● Dance as brain movement

There’s actually a lot more happening inside the brain when trying to follow even the simplest choreography (舞蹈编排). “In dance class, we have to learn patterns, and remember sequences,” says David Leventhal, a programme director. The effect extends beyond the dance class to the real world.     2    .

●    3    

In addition to the physical and neurological benefits, dance can also help people living with disease make out what their bodies can and can’t do. Rather than trying to control, or “fix” our body, dance is about developing greater body awareness and moving at our capacity, regardless of physical or cognitive difference.

● Dance as community

    4    . Dancing with others not only makes people feel less different in their abilities when dealing with neurological and movement disorders, it also helps to combat the loneliness and social isolation of living with a chronic illness.

Still, researchers say they’re only scratching the surface of understanding how dance can be used therapeutically.     5    . Researchers are also trying to find out the most effective types of dance movements and the optimal length and frequency of classes.

A．Dance as body acceptance

B．Dance as physical exercise

C．The uniqueness of dance as a therapy lies in the following aspects

D．Dancing requires more “brain power” than simpler repetitive exercises

E．Perhaps one of the biggest benefits of dance is the sense of belonging it creates

F．Larger studies are needed to confirm the findings of the smaller trials that have been done

G．Tasks like navigating the kitchen or walking to the bus stop can be more attainable after dancing

9 . 听下面一段较长对话，回答以下小题。
1. What did the speakers do last week?

A．They sent the Smiths to hospital.

B．They visited the Smiths’ daughter.

C．They expressed thanks to the Smiths.

2. Where is Lily now probably?

A．At the hospital.

B．At school.

C．At home.

10 . Researchers at MIT created a high-tech pill that starts to vibrate (震动) once it makes contact with liquid in the user’s stomach and make him or her feel full. The pill was reportedly thought up by Shriya Srinivasan, currently an assistant professor of bioengineering at Harvard University.

VIBES, short for Vibrating Ingestible BioEleotronic Stimulator, was only recently made public in a study published in the Science Journal, but it is already being announced by the media as the future of weight loss. Although it has yet to be tested on humans, trials on pigs have achieved very hopeful results. After about 30 minutes of VIBES activity, pigs consumed on average almost 40 percent less food in the next half hour than they did without the smart pill. Apparently, the revolutionary device works by activating stretch receptors in the stomach, modeling the presence of food. This in turn signals the hypothalamus (下丘脑) to increase the levels of hormones that make us feel full. The vibrating stimulator, which is about the size of a vitamin pill, is powered by an encased battery and activated either by the gastric fluid (胃液) breaking down a coat around the pill, or by an incorporated timer. After producing the desired effect, the pill exits the body with other solid waste:

The good news is that it is expected to have a cost in the cents to one dollar range, and researchers say that it may eventually be possible to implant the stimulator and thus remove the need for people to constantly swallow it.

“Our study demonstrates the effectiveness of a low-cost, non-operative intervention to reduce food intake and ca lorie consumption. The device functions effectively in the stomach and leading to fullness,” said Giovanni Traverso, co-author of the study. “The device has the potential to revolutionize options for weight loss treatment. However, future studies will need to explore the physiological effects of the device before it’s available for patients.”

Researchers are now exploring ways to scale up the producing of VIBES capsules which could enable clinical trials in humans.

1. What is the outcome of taking the pill?

A．Liquid production.	B．Food storage.
C．Sensation of fullness.	D．Recovery of users.

2. Which aspect of the device is mentioned in paragraph 2?

A．Its working principle.	B．Its intelligence.
C．Its testing history.	D．Its side effect.

3. What is the researchers’ ultimate goal of the device?

A．To produce gastric fluid with it.	B．To destroy the coat around it.
C．To fix it in human body.	D．To remove solid waste from it.

4. What is Giovanni Traverso’s attitude towards the future of the device?

A．Worried.

B．Cautious.

C．Doubtful.

D．Confused.