Self-employed private physicians who charge a fee for each patient visit are the foundation of medical practice in the United States. Most physicians have a contract relationship with one or more hospitals in the community. They send their patients to this hospital, which usually charges patients according to the number of days they stay and the facilities(operating room, tests, medicines that they use). Some hospitals belong to a city, a state or, in the case of veteran's hospitals, a federal government agency. Others are operated by religious orders(教會) or other non-profit groups.
Some medical doctors are on salary. Salaried physicians may work as hospital staff members, or residents, who are often still in training. They may teach in medical schools, be hired by corporations to care for their workers or work for the federal government's Public Health Service.
Physicians are among the best paid professionals in the United States. In the 1980s, it was not uncommon for medical doctors to earn incomes of more than $ 100 000 a year. Specialists, particularly surgeons, might earn several times that amount. Physicians list many reasons why they deserve to be so well rewarded for their work. One reason is the long and expensive preparation required to become a physician in the United States. Most would be physicians first attend college for four years, which can cost nearly $ 20 000 a year at one of the best private institutions. Prospective physicians then attend medical school for four years. Tuition alone can exceed $ 10 000 a year. By the time they have obtained their medical degrees, many young physicians are deeply in debt. They still face three to five years of residency(實習階段) in a hospital, the first year as an apprentice physician. The hours are long and the pay is relatively low.
Setting up a medical practice is expensive, too. Sometimes several physicians will decide to establish a group practice, so they can share the expense of maintaining an office and buying equipment. These physicians also take care of each other's patients in emergencies.
Physicians work long hours and must accept a great deal of responsibility. Many medical procedures, even quite routine ones, involve risk. It is understandable that physicians want to be well rewarded for making decisions which can mean the difference between life and death.

  1. 1.

    According to the passage, it is very unlikely that an American hospital is owned by _______.

    1. A.
      a church
    2. B.
      a corporation
    3. C.
      a city
    4. D.
      a state
  2. 2.

    The expenses for becoming a doctor are spent on _______.

    1. A.
      schooling and retraining
    2. B.
      practice in a hospital
    3. C.
      facilities he or she uses
    4. D.
      education he or she receives
  3. 3.

    According to the passage, how long does it take for a would-be physician to become an independent physician in the USA?

    1. A.
      About seven years.
    2. B.
      Eight years.
    3. C.
      Ten years.
    4. D.
      About twelve years.
  4. 4.

    Sometimes several physicians set up a group medical practice mainly because _______.

    1. A.
      there are so many patients that it is difficult for one physician to take care all of them
    2. B.
      they can take turns to work long hours
    3. C.
      facilities may be too much of a burden for one physician to shoulder
    4. D.
      no one wants to assume too much responsibility
  5. 5.

    Which of the following statements could fully express the author's view towards physicians’ payment in the USA?

    1. A.
      For their expensive education and their responsibility, they deserve a handsome pay.
    2. B.
      It is reasonable for physicians to have a large income because their work is very dangerous.
    3. C.
      Physicians should be better paid because they work long hours under bad conditions.
    4. D.
      Physicians have great responsibility, so it is understandable that they should be well rewarded.
BDDCA
在美國,醫(yī)師是高報酬職業(yè)之一。這是由于他們需要較長時間的學習和高學費投入的緣故。
1.語義理解題。從第 1 段最后兩句話中可得出答案。
2.主旨題。從第 3 段的最后部分中可得出答案。
3.計算題。從第 3 段的 Most would be physicians first attend college for four years… Prospective physicians then attend medical school for four years…They still face three to five years of residency 可知答案為 D。
4.細節(jié)題。從第 4 段第2句可找到答案。
5.主旨題。通讀全文便知高額學費和職業(yè)風險是醫(yī)師獲得高報酬的原因。
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  1. 1.

    Nelson Mandela succeeded in doing the following except _____.

    1. A.
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    2. B.
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    3. C.
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    If Nelson Mandela hadn’t fought against racial discrimination, he _____.

    1. A.
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    3. C.
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    4. D.
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  3. 3.

    It can be inferred that Nelson Mandela _____.

    1. A.
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    2. B.
      is taking a position in a music group
    3. C.
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    4. D.
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    Which statement can best describe the life of Nelson Mandela?

    1. A.
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  1. 1.

    The writer believes that_________

    1. A.
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    2. B.
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    3. C.
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    1. A.
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    4. D.
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    1. A.
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  1. 1.

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    4. D.
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  1. 1.

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    2. B.
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    4. D.
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    4. D.
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    Which of the following words can best describe the ending of the story?

    1. A.
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Have you ever thought, “I wish I could take a year off and just travel around the world”?
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  1. 1.

    These teenagers went on the journey around the world _____.

    1. A.
      to experience the most serous environmental problems on the earth
    2. B.
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    3. C.
      to go on sightseeing around the world
    4. D.
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  2. 2.

    What’s true about their journey?

    1. A.
      They had to pay for their journey at their own expense.
    2. B.
      They often had to move from one hotel to another.
    3. C.
      They had to take great pains to collect environmental information.
    4. D.
      They received a warm welcome every time they arrived at a new place.
  3. 3.

    It can be inferred that Earthwatch Institute could be _____.

    1. A.
      an international university that takes in students from all over the world
    2. B.
      a TV station that makes programmes on the beautiful scenery of the earth
    3. C.
      a travel agency that organizes adventure trips specially for school children
    4. D.
      an organization that brings science to life for people concerned about the earth’s environment
  4. 4.

    What did they these teenagers learn from the journey?

    1. A.
      It was high time that people protected the environment.
    2. B.
      Long journey was not suitable for school children.
    3. C.
      It should take the whole world to help the children.
    4. D.
      Environmental problems can be solved if school children take part.

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Definition of Happiness
A proverb from ancient China was widely spread in the West: “If you want to be happy for a few hours, go to get drunk; if you want the happiness to last three years, get married; if you want lifetime happiness, take up gardening.” The reason for the last is this: Gardening is not only useful, but it helps you to identify(與……一致) yourself with nature, and thus brings you new joy each day besides improving your health.
A research of a US university that I’ve read gives a definition of happiness as what makes a person feel comfortably pleased. To put it specially, happiness is an active state of mind where one thinks one’s life is meaningful, satisfactory and comfortable. This should be something lasting rather than transitory (短暫的).
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  1. 1.

    According to the passage, gardening can bring lifetime happiness because _______.

    1. A.
      it is a business that brings money     
    2. B.
      it can strengthen gardeners’ ability to remake nature
    3. C.
      it can make gardeners enjoy very happy marriage
    4. D.
      gardeners can build good relationship with nature
  2. 2.

    It can be concluded from the research of the university that most people feel happy when _______.

    1. A.
      they are at leisure      
    2. B.
      they are engaged in working
    3. C.
      they are gardening     
    4. D.
      they have numerous lovers
  3. 3.

    The writer mentioned a man with fond dreams of numerous lovers in order to _______.

    1. A.
      give an example of a person who doesn’t value what he already owns
    2. B.
      show that this kind of person has plenty of leisure time to do what he wants
    3. C.
      make it clear that only this kind of person can enjoy happiness
    4. D.
      show the serious problem in marriage in modern society
  4. 4.

    From the passage we can know that happiness is _______.

    1. A.
      getting everything one longs for    
    2. B.
      just dreams made by those confident people
    3. C.
      taking up gardening              
    4. D.
      a balance between what one owns and what one dreams of

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