阅读下列短文，从每题所给的选项(A、B、C、D)中，选出选项。
A
It is obvious that doctors recognize obesity(肥胖) as a health problem. So why is it so hard for them to talk to their patients about it?
The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don’t know what to say.
“So while doctors may tell patients they are overweight, the conversation often ends there,” said Christine C. Ferguson, director of the Stop Obesity Alliance. “Patients are not told about the possibility of diabetes (a kind of disease),” she said. “And doctors don’t feel they have good information to give. They felt that they didn’t have adequate tools to address this problem.
The lack of dialogue hurts patients, too. The patient survey, of over 1,000 adults, found that most overweight patients don’t even know that they’re too heavy. Only 39 percent of overweight people surveyed had ever been told by a health care provider that they were overweight.
Of those who were told they were obese, 90 percent were also told by their doctors to lose weight, the survey found. In fact most have tried to lose weight and may have been successful in the past—and many are still trying, the survey found. And many understand that losing even a small amount of weight can have a positive impact on their health and reduce their risk of obesityrelated diseases like hypertension and diabetes.
Dr. William Bestermann Jr., medical director of Holston Medical Group, in Kingsport, Tenn. , which ranks the 10th in obesity among metropolitan areas in the United States, said the dialogue had to be an ongoing one and could not be dropped after just one mention of the problem. “If you’re to be successful with helping your patients lose weight, you have to talk to them at actually every visit about their progress, and find something to encourage them and coach them,” he said.
He acknowledged that many doctors tend to be not optimistic.
“Part of this is that there's this common belief, and doctors are burdened by it, too, that overweight people are weak-willed and just don’t have any willpower and are selfindulgent and all that business,” he said. “If you think that way, you’re not going to spend time having a productive conversation.”
1. What is the Stop Obesity Alliance most probably in Paragraph 3?
A. An organization of doctors specializing in obesity.
B. An organization of patients suffering from obesity.
C. A research group that conducts special surveys about overweight people.
D. A research group dealing with doctor-patient relationship.
2. How many of the patients surveyed have been advised by their doctors to lose weight?
A. About 350. B. About 390.
C. About 900. D. About 1,000.
3. What can be inferred about obesity patients in Paragraph 5?
A. They are not as hopeless as doctors think they are.
B. Most of them have tried hard to lose weight, but in vain.
C. Without their doctors’ constant coaching, there is little chance of their succeeding in losing weight.
D. Most of them have just given up their hope of becoming less heavy.
4. According to the passage, which factor contributes to the lack of dialogue between doctors and patients?
A. Most doctors just never think of warning their patients about their weight problem.
B. Many doctors find it difficult to persuade overweight people to lose weight.
C. Most patients are too weak-willed to do anything about their weight.
D. Many patients tend not to trust their doctors about their weight problem.
5. Which of the following is the best title of the passage?
A. Obesity in the U. S.
B. Trouble of overweight Americans.
C. Talk more, help better.
D. Doctors or patients-who to bear more blame?B
The cultural and natural values of Kakadu National Park were recognized internationally when the Park was placed on the UNESCO World Heritage List. This is an international register of properties that are recognized as having outstanding cultural or natural values of international significance. Kakadu is the largest national park in Australia and is the second largest national park in the world. Kakadu is a biological wonderland, which is almost 8,000 square miles. The wildlife in Kakadu National Park includes over 280 kinds of birds, 60 kinds of native mammals, 55 kinds of freshwater fish, thousands of insects, and many reptiles, the most famous of which is the salt-water crocodile. All life in the park depends on water.
Kakadu is not only home to the wildlife but the area is also famous for the longest continuous human culture that exists in the world. Aborigines have been living in this area for at least 40,000 years. The descendants(后裔) of these First Australians still live in Kakadu today. Kakadu contains one of the longest continuous records of rock art in the world, with around 5,000 paintings, with rock sites dating back 25,000 years. More than 1,000 sites have been recorded. Kakadu has been given double World Heritage status by the United Nations. It is one of only 17 of the 469 World heritage Areas listed for both natural and cultural values.
It is Australia’s largest national park, but it isn’t just the size that surprises visitors—it is the sense of something very old and grand. Creation of the 500 km escarpment (悬崖) began 2,000 million years ago. Today those gorges are filled with rainforests, washed by waterfalls.
Kakadu is one of the world’s special places. It is hard to pick the ideal time to visit Kakadu. In the wet season large areas of the park are closed to the public. It would not be possible to enter or exit from the park through the Kakadu Highway. Most of the people there agree that the best time to visit is at the end of the dry season. Some areas of Kakadu have restricted visiting times, and some are not open to the general public. Over 230 000 tourists visit Kakadu National Park every year. As you enter Kakadu National Park, you will be required to buy a permit. Part of this money is paid to the Traditional Owners of the land and the rest is given to the repairs of the park.
6. Why does the author mention so much wildlife in Paragraph 1?
A. To represent the scene of the nature.
B. To attract readers’ attention.
C. To take the wildlife for example.
D. To show the value of the park.
7. Kakadu is given double World Heritage status by the United Nations because of ___.
A. the descendants of these First Australians still in Kakadu today
B. the particular environment and the unusual rock art
C. the longest continuous human culture that exists in the world
D. Aborigines living in this area for at least 40,000 years
8. The followings are mentioned in the passage except _____.
A. living things in Kakadu
B. the escarpment and the gorges
C. the history of the park
D. the weather of the area
9. The underlined word gorges in Paragraph 3 means _____.
A. narrow valleys between hills or mountains
B. buildings where cases are determined
C. large and open structures for sports events
D. places where something is located
10. What does the author advise visitors to do when they go to Kakadu?
A. To get more information about the special place.
B. To make a better choice between the wet or dry season.
C. Not to enter the national park without permission.
D. Not to go there through the Kakadu Highway.C
(London)—If it really is what’s on the inside that counts, then a lot of thin people might be in trouble.
Some doctors now think that the internal fat surrounding important organs like the heart or liver could be as dangerous as the external fat which can be noticed more easily.
“Being thin doesn’t surely mean you are not fat,” said Dr Jimmy Bell at Imperial College. Since 1994, Bell and his team have scanned nearly 800 people with MRI machines to create “fat maps” showing where people store fat.
According to the result, people who keep their weight through diet rather than exercise are likely to have major deposits of internal fat, even if they are slim.
Even people with normal Body Mass Index scores can have surprising levels of fat deposits inside. Of the women, as many as 45 percent of those with normal BMI scores (20 to 25) actually had too high levels of internal fat. Among men, the percentage was nearly 60 percent.
According to Bell, people who are fat on the inside are actually on the edge of being fat. They eat too many fatty and sugary foods, but they are not eating enough to be fat. Scientists believe we naturally store fat around the belly first, but at some point, the body may start storing it elsewhere.
Doctors are unsure about the exact dangers of internal fat, but some think it has something to do with heart disease and diabetes. They want to prove that internal fat damages the body’s communication systems.
The good news is that internal fat can be easily burned off through exercise or even by improving your diet. “If you want to be healthy, there is no short cut. Exercise has to be an important part of your lifestyle,” Bell said.
11. What is this piece of news mainly about?
A. Thin people may be fat inside.
B. Internal fat is of no importance.
C. Internal fat leads to many diseases.
D. Thin people also have troubles.
12. Doctors have found _____.
A. the exact dangers of internal fat
B. internal fat is the cause of heart disease and diabetes
C. being slim is not dangerous at all
D. being slim doesn’t mean you are not fat inside
13. According to the passage, which of the following is WRONG?
A. Exercise can help to reduce the internal fat.
B. People can get rid of internal fat by improving diet.
C. Men are more likely to have too much internal fat.
D. People with heart disease all have internal fat.
14. From the last paragraph, we can find that _____.
A. whether internal fat can lead to disease has been proved
B. exercise plays in important role in people’s life for keeping healthy
C. thin people usually have internal fat even if they are slim
D. it is easier to burn off internal fat than external fat
15. The underlined part in the last paragraph means _____.
A. a long road B. an easy way
C. a clear difference D. a short distanceD
For years, there has been a bias(偏见)against science among clinical psychologists. In a two-year analysis to be published in November in Perspectives on Psychological Science, psychologists led by Timothy B. Baker of the University of Wisconsin charge that many clinical psychologists fail to “provide the treatments for which there is the strongest evidence of effectiveness” and “give more weight to their personal experiences than to science.” As a result, patients have no guarantee that their “treatment will be informed by …science.” Walter Mischel of Columbia University is even crueler in his judgment. “The disconnect between what clinical psychologists do and what science has discovered is an extreme embarrassment,” he told me, and “there is a widening gap between clinical practice and science.”
The “widening” reflects the great progress that psychological research has made in identifying the most effective treatments. Thanks to strict clinical trials, we now know that teaching patients to think about their thoughts in new, healthier ways and to act on those new ways of thinking are effective against depression, panic disorder and other problems, with multiple trials showing that these treatments—the tools of psychology—bring more lasting benefits than drugs.
You wouldn’t know this if you sought help from a typical clinical psychologist. Although many treatments are effective, relatively few psychologists learn or practice them.
Why in the world not? For one thing, says Baker, clinical psychologists are “very doubtful about the role of science” and “lack solid science training”. Also, one third of patients get better no matter what treatment (if any) they have, “and psychologists remember these successes, believing, wrongly, that they are the result of the treatment.”
When faced with evidence that treatments they offer are not supported by science, clinical psychologists argue that they know better than some study that works. A 2008 study of 591 psychologists in private practice found that they rely more on their own and colleagues’ experience than on science when deciding how to treat a patient. If they keep on this path as insurance companies demand evidence-based medicine, warns Mischel, psychology will “discredit itself.”
16. Many clinical psychologists fail to provide the most effective treatments because _____.
A. they are unfamiliar with their patients
B. they believe in science and evidence
C. they depend on their colleagues’ help
D. they rely on their personal experiences
17. The widening gap between clinical practice and science is due to _____.
A. the cruel judgment by Walter Mischel
B. the fact that most patients get better after being treated
C. the great progress that has been made in psychological research
D. the fact that patients prefer to take drugs rather than have other treatments
18. How do clinical psychologists respond when charged that their treatments are not supported by science?
A. They feel embarrassed.
B. They try to defend themselves.
C. They are disappointed.
D. They doubt their treatments.
19. In Mischel’s opinion, psychology will ______.
A. destroy its own reputation if no improvement is made
B. develop faster with the support of insurance companies
C. work together with insurance companies to provide better treatment
D. become more reliable if insurance companies won’t demand evidence-based medicine
20. What is the purpose of this passage?
A. To show the writer’s disapproval of clinical psychologists.
B. To inform the readers of the risks of psychological treatments.
C. To explain the effectiveness of treatments by clinical psychologists.
D. To introduce the latest progress of medical treatment in clinical psychology.参考答案
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