问题 单项选择题 A3/A4型题

患者,男,35岁,主诉"舌感异常"到医院就诊,确诊为舌癌,入院治疗。其病情为病灶尚未转移。按当时的医疗水平及治疗手段,只有早期切除病灶才能挽救患者。医生把治疗意见向患者的家属作了说明,希望他们向患者做工作,着重说明"病灶盘是溃疡,因为是恶性的,所以必须切除舌头的1/3。"患者本人坚决反对手术。医生为了挽救患者生命,又向患者解释说,不是切掉舌头,而是烧灼舌头的溃疡部分。患者在这种情况下答应了手术,切掉了舌头的1/3,术后出现语言障碍,咀嚼、味觉功能减退。患者认为医生欺骗并坑害了自己,因而忧郁愤懑,在精神和肉体上蒙受了极大的痛苦。后患者上告法院要求赔偿,该案例最终经调解并说明医生手术的目的与动机后,患者撤回了上诉。

本案评价医生的医学动机与手段哪一点是不相一致的()。

A.医生的动机是好的,目的是为了救人

B.医生以"恶性溃疡"告之患者,目的是消除患者的恐怖心理,动机是正确的

C.切除1/3舌部的目的是为了防止舌癌手术后复发,其手术动机也是好的

D.当患者反对手术,医生用烧灼舌部溃疡,来隐瞒手术真相,动机是好的

E.以上都是

答案

参考答案:D

阅读理解

阅读理解

     Many people would interpret "The American dream" as "living like an American"-a two-story house

with a white picket fence; a family with two cars; and two children.

     However, the economic situation is now affecting the American way of life for 4.4 million people living

in the US, according to new census (人口普查) data. "It's going to have a long-term impact and to say

it's going to end is optimistic, " says Cheryl Russell, former editor-in- chief of American Demographics

magazine. "I'm more pessimistic that this is the new normal."

     So what is the new normal?

     *Marrying later. The average age of the first marriage has increased to 28.7 for men and 26.7 for

women, up from 27.5 and 25.9 respectively in 2006. At the same time, fewer people are getting married.

If the marriage rate had stayed the same as in 2006, there would have been about 4 million more married

people in 2010.

     *Fewer babies. There were 200,000 fewer births among women aged 20 to 34 in 2010 compared

with two years before. This was despite the fact that the number of women of childbearing age had gone

up by more than 1 million. "The recession(衰退) is the likely cause ," says Kenneth Johnson,

demographer at the University of New Hampshire's Carsey Institue, "Economic fertility (生育能力)"

because women delay …in uncertain times.

     *Breaking up is harder. The number of divorces has been falling for 25 years as people wait longer or

choose to live together before they get married. There were about 65,000 fewer divorces in 2010 than in

2008, a 7 percent decrease.

     *Crowd living. Unemployment is forcing more people to live together. The number of households

where people lived with "other relatives" climbed from 6.7 percent in 2006 to 7.2 percent in 2010.

     *Going public. Private school enrollment decreased from 13.6 percent in 2006 to 12.8 percent in

2010.

     *Fewer cars. The percent age of households without a car rose to 9.1 percent against 8.8 percent in

2006. The percent-age of households with two or more cars fell from 58 percent to 57.1 percent.

*Driving solo. When people are not working, they don't carpool. The proportion of people aged 16 to

64 in employment dropped greatly in all but one of the 50 largest metropolitan (大城市的) areas. That

has helped push the share of people driving to work alone from 76 percent in 2006 to 76.6 percent in

2010. Ride-sharing is down a full percentage point, to 9.7 percent.

1. What is the article mainly about?

A. The interpretation of "the American dream".

B. The significance of the current economic crisis.

C. Changes to the American lifestyle.

D. The traditional American way of life.

2. What might Cheryl Russell agree with according to the article?

A. A traditional lifestyle is much better and healthier.

B. The new study based on the members' financial reports.

C. The spirit of American dream will inspire Americans to get through the economic recession.

D. American lifestyles are being reshaped and will continue to change

3. What are the characteristics of the future American lifestyle?

a. Delayed marriage.

b. A lower divorce rate

c. Increased car ownership.

d. An increase in private school enrollment.

e. Having children later

A. abe          

B. ace          

C. bde          

D. bce  

4. Which of the following statements is TRUE?

A. The typical US family is expected to have three-story house with a big yard and two children.

B. The US birth rate rose slightly in 2010 compared with two years before.

C. A growing number of people are forced to share their homes with other relatives in the US.

D. US students prefer to go to private schools rather than pubic schools.

5. Why do more and more Americans drive solo to work in recent years, according to the passage ?

A. Because they don't like carpool.          

B. Because more and more people are out of work.          

C. Because the share of people driving to work alone is increasing.      

D. Because the proportion of people aged 16-64 in unemployment dropped greatly.

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