2 . Being able to find high quality health care at an affordable price is a problem to be solved in many countries. In the United States, Walmart, a large chain store, is trying to help. It is offering something new to its employees: cutting the cost of a doctor’s appointment to only $4 instead of the usual $40 for the same service.

The catch is that the patient and doctor must meet over the internet. This online service is called “telemedicine.”

Walmart is the latest major business in the United States to push its workers toward a high-tech way to be examined and treated by doctors. Thanks to telemedicine, people can talk with medical experts from the privacy of their own homes, often using a secure video connection.

Supporters say online visits make it easier for patients to see an expert or quickly find help for problems considered non-emergencies.

Some healthcare needs are well-suited for telemedicine. It can help people seeking treatment for insect bites or skin conditions. Patients who have had medical treatments and cannot move around easily can use telemedicine for their follow-up visits. Also, people seeking help for mental health issues can benefit from the privacy that telemedicine gives.

But still, many people do not use telemedicine, they continue to go to the doctor’s office when they are sick. 80 percent of middle-size and large U.S. companies offered telemedicine services to their workers in 2018. However, only 8 percent of its employees used telemedicine at least once in 2017.

Compared with seeing a real doctor in person, some people may think the quality of telemedicine is not as good. Parents, for example, may feel they are not giving their child the best care if they use a virtual doctor appointment. Older adults may look forward to their in-person doctor appointments. For them, going to the doctor’s office is a big event, something they look forward to.

Another reason some adults may not use telemedicine services is trust. Tom Hill, aged 66, says he has no plans to ever use telemedicine. He does not buy anything online, let alone do something as personal as seeing a doctor. He says, for him, it is important to look his doctor in the eye and shake hands.

However, for some people, especially young people and busy students, telemedicine might be a good choice. It can cut down on the time away from work. It can also cut down on the cost of doctor visits.

1. What is Walmart trying to help with?

A．Finding something new for its employees.

B．Promoting the online service “telemedicine”.

C．Cutting the online cost of a doctor’s appointment.

D．Reducing the cost of seeing a doctor at a much lower price.

2. What is True about “telemedicine”?

A．It enables patients to see doctors at home for free.

B．It has become increasingly popular in America.

C．It is the online service that is provided by most large US companies.

D．It makes it easier to see a doctor for emergency problems.

3. Why do most people prefer to go to the doctor’s office when they are ill?

A．Because their company doesn’t provide telemedicine.

B．Because they don’t trust the doctors online.

C．Because they look forward to a virtual doctor appointment.

D．Because they have made friends with the doctors.

4. Who is most likely to apply “telemedicine”?

A．Jenny, a shy woman who suffers from mental illness.

B．Smith, a grandpa who has been bitten by a running dog.

C．Wilson, a worker who got seriously injured in a car accident.

D．Kate, a mother whose kid is suffering from a skin disease.

5. What is the author’s attitude towards “telemedicine”?

A．Positive.

B．Negative.

C．Objective.

D．Doubtful.

3 . Most people who know about diabetes think there are two kinds: type l, which you are born with, and type 2, which you get later in life from eating too much. This isn't quite right, since the two types can occur at different life stages and for a number of reasons, but the broad distinction is well rooted in the public's mind.

Now some doctors want to change that and break the disease down into five subtypes (子类型), each with its own set of risk factors, outcomes and treatments. The new claim was made by researchers based in Sweden and Finland who assessed almost 15,000 people with diabetes in those countries. They found that these people fell into one of five categories based on their blood sugar, insulin (胰岛素) production and sensitivity, and their body mass index and age. The subgroups also vary genetically.

The researchers say that two of the subtypes are mild and can be largely treated with lifestyle changes and small amounts of a standard drug. People with the three more severe forms are more likely to develop eye and kidney disease, so treating them is a must.

So far, so good. After all, this is the way medicine is heading. The more we learn about common diseases, the more we realize there is huge variation in the way they present themselves. For example, research into the genetics of several cancers has helped identify which treatments might work best for individuals.

The idea that a cheap and fairly straightforward blood test could help doctors predict the cause and prognosis (预断) of that individuals' diabetes is appealing. This is especially the case given that an estimated 9 percent of the global population are affected by the disorder and many aren’t getting the right treatment.

But the five subgroups aren't the end of the story. Diabetes just isn't that simple. For a long time, we considered the condition as being either “childhood-onset” or “adult-onset”, and this is how many people still think of the disease. Yet in the last decade, this classification was questioned as it was discovered that adults in their 40s and 50s could develop a form of the disease that looked very “childhood” like, while more children are developing type 2 diabetes. It is also quite likely that the risks and outcomes of diabetes will look different in people who live outside Sweden and Finland, such as in the Middle East whose nations have some of the highest rates of the condition in the world.

1. What can we learn from Paragraph 1?

A．It is believed that diabetes type 1 results from a bad diet.

B．The popular classification of diabetes is not so scientific.

C．Children catch diabetes type 1 easily when born.

D．People are not fully convinced of the different types of diabetes.

2. The benefit of breaking diabetes down into five subtypes is that ________.

A．it helps researchers find out the risk factors of each type

B．it makes it possible to find the best treatment for each type

C．it helps to make the knowledge of diabetes popular

D．it leads people to believe treating diabetes is a piece of cake

3. What does the author think of the research on diabetes?

A．It has found a quick solution for curing diabetes.

B．The outcome of the research is sure to be widely applied.

C．More researches are needed to know diabetes well enough.

D．It confirms that three of the five subtypes are mild form.

4. The purpose of writing the passage is to ________.

A．stress the necessity of carrying out researches on diabetes

B．correct people's knowledge of classifying diabetes

C．advise doctors on how to treat diabetes scientifically

D．inform people of a brand-new view on diabetes

4 . 语法填空

The skin, which acts as a barrier     1    disease, toxins and the sun's harmful rays, is an essential part of your body. So if your skin gets burned, it can lead to very serious injuries. Depending on the     2    (deep) of skin damage, burns are divided into three types. First-degree burns only affects the top few millimeters of the skin. Second degree burns go below the top layer of the skin. They are serious and take a few weeks     3     (get) better. Third-degree burns affect every layer of the skin. They cause very severe internal     4    (injury).

The cool water stops the     5    ( burn)process and reduces the pain and swelling. Remove any clothes using scissors     6    necessary， unless you see the fabric     7     (stick) to the burnt skin.     8     (apply) oil to the injured areas is a bad idea, as it will keep the heat and may cause     9     (infect). If the victim is suffering     10    second or third-degree burns, he/she needs to be taken to the hospital at once.

5 . Dr. Raint Mishori of Georgetown University Hospital says many people believe it's possible to become immune to colds. But that's not the Case. “There are about 200 different viruses that cause the common cold and people think that once you get a cold, you develop immunity for the rest of your life . This is wrong.” She said.

There are many other common beliefs about colds that medical science doesn't support. How many of us believe the main cause of the common cold is exposure to cold temperatures? Even some studies have shown that people get sick more frequently during the winter.

But Dr. Mishori says it is not because of cold weather. It's because people tend to gather and the way the common cold virus is transmitted from one person to another is through handshake, through sneezing, or through coughing on one another.

While there is no actual cure for the common cold, Dr. Mishori says there are still a few things you can do to help reduce its duration and ease symptoms. Though the medical community says Vitamin C does not help prevent colds, there is definitely some proof that it helps keep them from being as bad. “So if you catch a cold and start taking about two grams of Vitamin C a day, there is evidence that it might shorten the number of days that you will be suffering with these symptoms.” Dr. Mishori stated.

In addition, medical science says honey and chicken soup are effective against colds. Especially honey. “There is increased evidence that it helps shorten the duration of the common cold sometimes even by two to three days particularly in children,” Dr. Mishori said. “Chicken soup also helps reduce the duration of the cold.”

There's also a common belief that you should “feed a cold and starve a fever.” Dr. Mishori says “not necessary”. “If you do have a cold and you don't feel like eating anything, it's not going to hurt you but you have to drink a lot and you can drink water or you can drink tea, anything that gets fluids into your body, “she said, “That's very important.”

So—if drinking fluids is a good idea—what about milk? “I will never give milk to a child who has got bad phlegm. My son used to have that and he would threw up.” Nadine Audrewy, a proud grandmother of 5, believes it's not a good idea to give milk to a child who has a cold.

Well, says Dr. Mishori, maybe and maybe not. “Dairy products do not cause increased secretions but they can thicken the secretions,” she explained. “So it's possible that discomfort is increased when you drink milk, but obviously if you are a baby and it's all you drink then you should not stop giving babies milk.”

There are many other myths about colds that do not stand the test of science. Doctors say the best advice is to continue using whatever works best for you. Even if it doesn't make the cold better, it won't make it worse either— while you wait for the cold to just run its natural course.

1. A medical expert will probably agree__________.

A．people develop total immunity after a cold	B．viruses spread only in winters
C．a cold may be the result of human contacts	D．low temperatures are major threats to our health

2. If you believe in the saying of “feed a cold and starve a fever”, you will __________when having a cold.

A．drink a lot to get fluids	B．have as much tea as possible
C．force yourself to eat a lot	D．starve yourself to kill the virus

3. According to the passage, Dr. Mishori believes ___________.

A．exposure to cold weather is the main cause of common colds

B．getting fluids into bodies can cure colds

C．chicken soup and Vitamin C help prevent colds

D．dairy products may increase the discomfort of a child with a cold

4. The underlined word “myths” probably means ___________.

A．common yet mistaken beliefs	B．recent scientific discoveries
C．experience from older generations	D．conclusions proved by researches

6 . China is one of the first countries to breed a medical culture. In comparison with Western methods, traditional Chinese medicine (TCM) adopts a vastly different approach. For thousands of years, Chinese people have accumulated rich experience in fighting all sorts of diseases, therefore forming a unique medical theory under the guidance of ancient Chinese philosophies (哲学).

The core behind TCM is that the human body's life is the consequence (结果) of the balance between Yin and Yang. Yang functions to safeguard us against outer harm, and Yin is the inner base to store and provide energy. When the balance between the two aspects is disturbed, people fall ill.

One of the traditional techniques of TCM, acupuncture (针刺疗法) means insertion of needles into superficial (表面的) structures of the body—usually at acupoints (穴位)—to restore the Yin Yang balance. It is often accompanied by moxibustion (艾灸疗法), which involves burning mugwort on or near the skin at an acupoint.

The first known text that clearly talks about something like acupuncture and moxibustion as it is practiced today is The Yellow Emperor's Inner Canon. It is the earliest and most important written work of TCM and is considered the fundamental and most representative medical text in China.

Acupuncture and moxibustion have aroused the interest of international medical science circles. And TCM is gradually gaining worldwide recognition. The WHO issued a document in 2002 that appealed to more than 180 countries to adopt TCM as an alternative in their medical policies. In 2010, acupuncture and moxibustion of traditional Chinese medicine were added to the Representative List of the Intangible Cultural Heritage of Humanity by the UNESCO. Presently, TCM has been back in the news for its effectiveness in improving the cure rate of the COVID-19 since its outbreak in January 2020.

1. What is the key feature of TCM?

A．It adopts different medical approaches.	B．It's based on ancient Chinese philosophies.
C．It helps to restore body's self-balance.	D．It's gained experience through rich practice.

2. What can we learn about The Yellow Emperor's Inner Canon from the text?

A．It distinguishes acupuncture from moxibustion.

B．It's a foundation of world medical research.

C．it stresses the importance of using acupoints.

D．It greatly contributes to the development of TCM.

3. Why does the writer write this text?

A．To review the development of TCM.	B．To introduce TCM to the world.
C．To tell TCM and Western medicine apart.	D．To argue for TCM in fighting COVID-19.

4. What might be talked about in the paragraph following the text?

A．How TCM helps in the current situation.	B．Why TCM is gaining popularity.
C．Why TCM gets recognition from WHO.	D．How other countries adopt TCM.

7 . Robotic surgery is one thing, but sending a robot inside the body to carry out an operation is quite another, which has long been a goal of some researchers to produce tiny robotic devices being capable of traveling through the body to deliver drugs or to make repairs without the need for a single cut, the possibility of which has just got a bit closer.

However, unlike the plot of one film—which featured a microscopic crew and submarine traveling through a scientist's bloodstream—this device could not be put into blood vessels because it is too big. While other types of miniature swallow able robots have been developed in the past, their role has mostly been limited to capturing images inside the body. In a presentation this week to the International Conference, Daniela Rus and Shuhei Miyashita of the Massachusetts Institute of Technology described a robot they have developed that can be swallowed and used to collect dangerous objects accidentally taken in.

To test their latest version, Dr. Rus and Dr. Miyashita designed a robot as a battery hunter, which might seem to be an odd task, but more than 3,500 people in America alone, most of them children, swallow the tiny button cells used in small electronic devices by accident every year. To start with, the researchers created an artificial esophagus (食道) and stomach made out of silicone. It was closely modeled on that found in a pig and filled with medical liquid; the robot itself is made from several layers of different materials, including pig intestine (肠),and contains a little magnet. This is folded up and wrapped in a 10mmx27mm capsule of ice. Once this reaches the stomach, the ice melts and the robot unfolds which is moved and guided with the 1se of a magnetic field outside the body. In their tests, the robot was able to touch a button battery and draw it with its own magnet, and during dragging it along, the robot could then be directed towards the intestines where it would eventually be gotten rid of through the anus (肛门). After it, the researchers sent in another robot loaded with medication to deliver it to the site of the battery bum to speed up healing.

The artificial stomach being transparent (透明的) on one side, the researchers can see the batteries and visually control the robots. If not, that will require help with the help from imaging system, which will be a bit more of a challenge, but Dr. Rus and Dr. Miyashita are determined to succeed.

1. According to the passage, the robot operation will probably be able to ________.

A．travel through a scientist's bloodstream	B．photograph the body to convey to the doctor
C．enter the body to deliver drugs or make repairs	D．operate on a person outside the body completely

2. We learn from Paragraph 3 that ________.

A．the researchers did the experiment on a chosen animal

B．the robot took necessary drugs besides a little magnet

C．digesting the swallowed batteries is difficult for children

D．the actual size of the robot may be larger than the capsule of ice

3. What may the experiment mean to the medical world?

A．The surgeries will cost patients. much money.	B．Patients will suffer less for some surgeries.
C．Fewer children will swallow the button cells.	D．A robot will be invented traveling blood vessels.

4. Which can be the most suitable title for the passage?

A．An Experiment on Robot	B．Tiny Robot, Significant Role
C．The Fantastic Robotic Voyage	D．The Exploration of Robot Technology

8 . The clock always seems to be ticking rather too fast in the doctor’s office and the queue of patients outside the door seems to be pressing rather too hard. Some say it’s high time for the model of short, sharp one-to-one appointments to give way to shared medical appointments (SMAs).

SMAs are doctor-patient visits in which a group of patients receive patient education and counseling (咨询), physical examination and medical support in a group setting. Typically, SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one-to-one visits, SMAs provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.

However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic, identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, “The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is.”

“So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the work-flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next.”

1. What is the purpose of the SMA approach?

A．To conduct medical research.

B．To promote doctor’s reputation.

C．To improve medical service.

D．To meet patients’ expectation.

2. According to Dr. Sumego, what prevents the SMA approach from being widely adopted?

A．Personal service.

B．Fixed ideas.

C．Inadequate equipment.

D．Shared goals.

3. What can be learned about the SMA approach in the last paragraph?

A．It is currently being questioned.

B．It is impractical in some areas.

C．It will enjoy wide popularity soon.

D．It should be carried out step by step.

9 . 阅读下面短文，根据所给情节进行续写，使之构成一个完整的故事。

Sally was only eight years old when she heard Mommy and Daddy talking about her little brother, Georgy. He was very sick and the doctors told them that only a very expensive operation could save his life. However, his family could not afford it. Sally heard Daddy say sadly, “Only a miracle (奇迹) can save him now.”

Sally went to her bedroom and found her piggy bank. She shook all the money out on the floor and counted it carefully. Then she put all the money in her pocket and made her way to a drugstore (药店). She waited patiently for the storekeeper to give her attention, but he was busy talking to another well-dressed man. Sally cleared her throat. No good. Then she took out a coin from her pocket and threw it onto the glass counter (柜台). That did it!

“What do you want?” the storekeeper asked angrily. “Can’t you see I’m talking to my brother?” “Well, I want to talk to you about my brother,” Sally answered back bravely. “He’s sick, and I want to buy a miracle.” “I beg your pardon,” said the storekeeper.

“My Daddy says only a miracle can save him now, so how much does a miracle cost?”

“We don’t sell miracles here, little girl. I can’t help you.”

“Listen, I have the money to pay for it. Just tell me how much it costs.”

Then that well-dressed man asked, “What kind of miracle does your brother need?” “I don’t know,” Sally answered. Tears started to rush into her eyes. “I just know he’s really sick and Mommy says he needs an operation. But my family doesn’t have enough money, so I have brought all my money. I love my little brother.” “How much do you have?” asked the well-dressed man. “A dollar and eleven cents,” Sally answered. “And that’s all the money I have.”

注意：
1. 所续写短文的词数应为150左右；
2. 应使用5个以上短文中标有下划线的关键词语；
3. 续写部分分为两段，每段的开头语已为你写好；
4. 续写完成后，请用下划线标出你所使用的关键词语。
Paragraph 1:

“Well, I can help you,” said the well-dressed man.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Paragraph 2:

It wasn’t long until Georgi was home again.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10 . People have different ways of dealing with a common cold. Some take over the counter medicines such as aspirin while others try popular home remedies(治疗) like herbal tea or chicken soup. Yet here is the tough truth about the common cold: nothing really cures it.

So why do people sometimes believe that their remedies work? According to James Taylor, professor at the University of Washington, colds usually go away on their own in about a week, improving a little each day after symptoms peak, so it's easy to believe it's medicine rather than time that deserves the credit, USA Today reported.

It still seems hard to believe that we can deal with more serious diseases yet are powerless against something so common as a cold. Recently, scientists came closer to figure out why. To understand it, you first need to know how antiviral drugs work. They attack the virus by attaching to and changing the surface structures of the virus. To do that, the drug must fit and lock into the virus like the right piece of a jigsaw(拼图), which means scientists have to identify the virus and build a 3D model to study its surface before they can design an antiviral drug that is effective enough.

The two cold viruses that scientists had long known about were rhinovirus(鼻病毒) A and B. But they didn't find out about the existence of a third virus, rhinovirus C, until 2006. All three of them contribute to the common cold, but drugs that work well against rhinovirus A and B have little effect when used against rhinovirus C.

''This explains most of the previous failures of drug trials against rhinoviruses,'' study leader Professor Ann C. Palmenberg at the University of Wiscons in Madison, US, told Science Daily.

Now, more than 10 years after the discovery of rhinovirus C, scientists have finally built a highly detailed 3D model of the virus, showing that the surface of the virus is, as expected, different from that of other cold viruses.

With the model in hand, hopefully a real cure for a common cold is on its way. Soon, we may no longer have to waste our money on medicines that don't really work.

1. What does the author think of popular remedies for a common cold?

A．They are quite effective.	B．They are slightly helpful.
C．They actually have no effect.	D．They still need to be improved.

2. How do antiviral drugs work?

A．By breaking up cold viruses directly.

B．By changing the surface structures of the cold viruses.

C．By preventing colds from developing into serious diseases.

D．By absorbing different kinds of cold viruses at the same time.

3. What can we infer from the passage?

A．The surface of cold viruses looks quite similar.

B．Scientists have already found a cure for the common cold.

C．Scientists were not aware of the existence of rhinovirus C until recently.

D．Knowing the structure of cold viruses is the key to developing an effective cure.

4. What is the best title for this passage?

A．Drugs against cold viruses	B．Helpful home remedies
C．No current cure for common cold	D．Research on cold viruses