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国家医学考试中心PAPER ONEPart 1 ：Listening comprehension（30%）Section ADirections: In this section you will hear fifteen short conversationsbetween two speakers, At the end of each conversation, youwill hear a question about what is said, The question willbe read only once, After you hear the question, read the fourpossible answers marked A, B, C, and D. Choose the bestanswers and mark the letter of your choice on the ANSWERSHEET.Listen to the following exampleYou will hearWoman: I feel faint.Man: No wonder. You haven’t had a bite all day.Question: What’s the matter with the woman?You will read:A. She is sick.B. She was bitten by an ant.C. She is hungry.D. She spilled her paint.Here C is the right answer.Sample AnswerA B C DNow let’s begin with question Number 1.1. A. About 12 pints B. About 3 pintsC. About 4 pintsD. About 7 pints2. A. Take a holiday from work. B. Worry less about work.C. Take some sleeping pills.D. Work harder to forget all hertroubles.3. A. He has no complaints about the doctor.B. He won’t complain anything.C. He is in good condition.D. He couldn’t be worse.B. She will get a raise.C. The man will get a raise.D. The man will get a promotion.5. A. Her daughter likes ball games.B. Her daughter is an exciting child.C. She and her daughter are good friends.D. She and her daughter don’t always understand each other.6. A. She hurt her uncle.B. She hurt her ankle.C. She has a swollen toe.D. She needs a minor surgery.7. A. John likes gambling.B. John is very fond of his new boss.C. John has ups and downs in the new company.D. John has a promising future in the new company.8. A. She will get some advice from the front desk.B. She will undergo some lab tests.C. She will arrange an appointment.D. She will get the test results.9. A. She’s an odd character.B. She is very picky.C. She is easy-going.D. She likes fashions.10.A. At a street corner.B. In a local shop.C. In a ward.D. In a clinic.11.A. Sea food. B. Dairy products.C. Vegetables and fruits.D. Heavy foods.12.A. He is having a good time.B. He very much likes his old bicycle.C. He will buy a new bicycle right away.D. He would rather buy a new bicycle later.B. It’s a minor illness.C. It started two weeks ago.D. It’s extremely serious.14.A. The woman is too optimistic about the stock market.B. The woman will even lose more money at the stock market.C. The stock market bubble will continue to grow.D. The stock market bubble will soon meet its demise.15.A. The small pills should be taken once a day before sleep.B. The yellow pills should be taken once a day before supper.C. The white pills should be taken once a day before breakfast.D. The large round pills should be taken three times a day after meals.Section BDirection: In this section you will hear one conversation and two passages, after each of which, you will hear five questions.After each question, read the four possible answers markedA, B, C and D, Choose the best answer and mark the letter of.your choice on the ANSWER SHEETDialogue16.A. Because he had difficulty swallowing it.B. Because it was upsetting his stomach.C. Because he was allergic to it.D. Because it was too expensive.17.A. He can’t play soccer any more.B. He has a serious foot problem.C. He needs an operation.D. He has cancer.18.A. A blood transfusion.B. An allergy test.C. A urine test.D. A biopsy.19.A. To see if he has cancer. B. To see if hehas depression.C. To see if he requires surgery.D. To see if hehas a food allergy problem.20.A. Relieved.B. Anxious.C. Angry.D. Depressed.Passage One21.A. The cause of COPD.B. Harmful effects of smoking.C. Men more susceptible to harmful effects of smoking.D. Women more susceptible to harmful effects of smoking.22.A. 954.B. 955.C. 1909.D. 1955.23.A. On May 18 in San Diego. B. On May 25 in San Diego.C. On May 18 in San Francisco.D. On M ay 25 in San Francisco.24.A. When smoking exposure is high.B. When smoking exposure is low.C. When the subjects received medication.D. When the subjects stopped smoking.25.A. Hormone differences in men and women.B. Genetic differences between men and women.C. Women’s active metabolic rate.D. Women’s smaller airways.Passage Two26.A. About 90,000.B. About 100,000.C. Several hundreds.D. About 5,000.27.A. Warning from Goddard Space Flight Center.B. Warning from the Kenyan health ministry.C. Experience gained from the 1997 outbreak.D. Proper and prompt Aid from NASA.28.A. Distributing mosquito nets.B. Persuading people not to slaughter animals.C. Urging people not to eat animals.D. Dispatching doctors to the epidemic-stricken area.29.A. The higher surface temperatures in the equatorial part of the IndianOcean.B. The short-lived mosquitoes that were the hosts of the viruses.C. The warm and dry weather in the Horn of Africa.D. The heavy but intermittent rains.30.A. Warning from NASA.B. How to treat Rift Valley fever.C. The disastrous effects of Rift Valley fever.D. Satellites and global health – remote diagnosis.Part II Vocabulary (10%)Section ADirection: In this section, all the sentences are incomplete. Four words or phrases, marked A B C and D .are given beneath each of them.You are to choose the word or phrase that best completes thesentence. Then mark your answer on the ANSWER SHEET.31.A good night’s sleep is believed to help slow the stomach’s emptying,produce a smoother, less abrupt absorption of sugar, and will better__________ brain metabolism.A. regulateB. activateC. retainD.consolidate32.The explosion and the oil spill below the surface of the Gulf of Mexicoleft my mind in such a ________ that I couldn’t get to sleep.A. catastropheB. boycottC. turmoilD. mentality33.Coronary heart attacks occur more commonly in those with high bloodpressure, in the obese, in cigarette smokers, and in those _________to prolonged emotional and mental strain.A. sympatheticB. ascribedC. preferableD.subjected34.Most colds are acquired by children in school and then ___________ toadults.A. conveyedB. transmittedC. attributedD.relayed35.Several of the most populous nations in the world ________ at the lowerend of the table of real GDP per capita last year.A. fluctuatedB. languishedC. retardedD.vibrated36.Presently this kind of anti-depressant is still in clinical _______,even though the concept has been around since 1900s.A. trialsB. applicationsC. implicationsD.endeavors37.Studies revealed that exposure to low-level radiation for a long timemay weaken the immune system, ________ aging, and cause cancer.A. haltB. postponeC. retardD. accelerate38.The mayor candidate’s personality traits, being modest and generous,_______ people in his favor before the election.A. predisposedB. presumedC. presidedD. pressured39.With its graceful movements a nd salubrious effects on health, Tai Chihas a strong ________ to a vast multitude of people.A. flavorB. thrillC. appealD.implication40.If you are catching a train, it is always better to be _______ earlythan even a fraction of a minute too late.A. infinitelyB. temporarilyC. comfortablyD.favorablySection BDirections:Each of the following sentences has a word or phraseunderlined. There are four words or phrases beneath eachsentence, Choose the word or phrase which can best keep themeaning of the original sentence if it is substituted for the.underlined part, Mark your answer on the ANSWER SHEET 41.All Nobel Prize winners’success is a process of long-termaccumulation, in which lasting efforts are indispensable.A. irresistibleB. cherishedC. inseparableD. requisite42.The Queen’s presence imparted an air of elegance to the drinksreception at Buckingham Palace in London.A. bestowedB. exhibitedC. imposedD.emitted43.Physicians are clear that thyroid dysfunction is manifest in growingchildren in the form of mental and physical retardation.A. intensifiedB. apparentC. representativeD. insidious44.The mechanism that the eye can accommodate itself to differentdistances has been applied to automatic camera, which marks a revolutionary technique advance.A. yieldB. amplifyC. adaptD. cast45.Differences among believers are common; however, it was the pressureof religious persecution that exacerbated their conflicts and created the split of the union.A. eradicatedB. deterioratedC. vanquishedD. averted46.When Picasso was particularly poor, he might have tried to obliteratethe original composition by painting over it on canvases.A. duplicateB. eliminateC. substituteD. compile47.For the sake of animal protection, environmentalists deplored theconstruction program of a nuclear power station.A. disapprovedB. despisedC. demolishedD.decomposed48.Political figures in particular are held to very strict standards ofmarital fidelity.A. loyaltyB. moralityC. qualityD.stability49.The patient complained that his doctor had been negligent in not givinghim a full examination.A. prudentB. ardentC. carelessD.brutal50.She has been handling all the complaints without wrath for a wholemorning.A. furyB. chaosC. despairD. agonyPart III Cloze (10%)Directions: In this section there is a passage with ten numberedblanks. For each blank, there are four choices marked A, B,C, and D on the right side. Choose the best answer and mark.the letter of your choice on the ANSWER SHEET For years, scientists have been warning us that the radiation from mobile phonesis detrimental to our health, without actually having any evidence to back these __51__ up. However, research now suggests that mobile phone radiation has at least one positive side effect: it can help prevent Alzheimer’s, __52__ in the mice that acted as test subjects.It’s been suspected, though never proven, that heavy use of mobile phones is badfor your health. It’s thought that walking around with a cellphone permanently attached to the side of your head is almost sure to be __53__ your brain. And that may well betrue, but I’d rather wait until it’s proven before giving up that part of my dailylife.But what has now been proven, in a very perfunctory manner, is that mobile phoneradiation can have an effect on your brain. __54__ in this case it was a positive rather than negative effect.According to BBC news, the Florida Alzheimer’s Disease Research Center conducted a study on 96 mice to see if the radiation given off by mobile phones could affect theonset of Alzheimer’s.Some o f the mice were “genetically altered to develop beta-amyloid plaques in their brains” __55__ they aged. These are a marker of Alzheimer’s. all 96 mice were then “exposed to the electro-magnetic __56__ generated by a standard phone for two one-hour periods each day for seven to nine months.” The lucky things.__57__ the experiment showed that the mice altered to be predisposed to dementiawere protected from the disease if exposed before the onset of the illness. Theircognitive abilities were so unimpaired as to be virtually __58__ to the mice notgenetically altered in any way.Unfortunately, although the results are positive, the scientists don’t actually know why exposure to mobile phone radiation has this effect. But it’s hoped that further study and testing could result in a non-invasive __59__ for preventing and treatingAlzheimer’s disease.Autopsies carried out on the mice also concluded no ill-effects of their exposureto the radiation. However, the fact that the radiation prevented Alzheimer’s means mobile phones __60__ our brains and bodies in ways not yet explored. And it’s sure there are negative as well as this one positive.51. A. devicesB. risksC. phenomenaD. claims52. A. at leastB. at mostC. as ifD. as well53. A. blockingB. cookingC. exhaustingD. cooling54. A. ExceptB. EvenC. DespiteD. Besides55. A. untilB. whenC. asD. unless56. A. rangeB. continuumC. spectrumD. field57. A. ReasonablyB. ConsequentlyC. AmazinglyD. Undoubtedly58. A. identicalB. beneficialC. preferableD. susceptible59. A. effortB. methodC. huntD. account60. A. do affectB. did affectC. is affectingD. could have affectedPart IV Reading Comprehension (30%)Directions:In this part there are six passages, each of which isfollowed by five questions. For each question there are fourpossible answers marked A, B, C, and D. Choose the best answer.and mark the letter of your choice on the ANSWER SHEET Passage oneI have just returned from Mexico, where I visited a factory makingmedical masks. Faced with fierce competition, the owner has cut his costsby outsourcing some of his production. Scores of people work for him intheir homes, threading elastic into masks by hand. They are paid below the minimum wage, with no job security and no healthcare provision.Users of medical masks and other laboratory gear probably give little thought to where their equipment comes from. That needs to change. A significant proportion of these products are made in the developing worldby low-paid people with inadequate labor rights. This leads to human m isery on a tremendous scale.Take lab coats. Many are made in India, where most cotton farmers are paid an unfair price for their crops and factory employees work illegalhours for poor pay.One-fifth of the world’s surgical instruments are made in northern Pakistan. When I visited the area a couple of years ago I found most workers toiling 12 hours a day, seven days a week, for less than a dollar a day,exposed to noise, metal dust and toxic chemicals. Thousands of children,some as young as 7, work in the industry.To win international contracts, factory owners must offer rock-bottom prices, and consequently drive down wages and labor conditions as far asthey can. We laboratory scientists in the developed world may unwittinglybe encouraging this: we ask how much our equipment will cost, but whichof us asks who made it and how much they were paid?This is no small matter. Science is supposed to benefit humanity, but because of the conditions under which their tools are made, may scientists may actually be causing harm.What can be done? A knee-jerk boycott of unethical goods is not the answer; it would just make t hings worse for workers in those manufacturing zones. What we need is to start asking suppliers to be transparent aboutwhere and how t heir products are manufactured and urge them to improve their manufacturing practices.It can be done. Many universities are committed to fair trade in theform of ethically sourced tea, coffee or bananas. That model should beextended to laboratory goods.There are signs that things are moving. Over the past few years I haveworked with health services in the UK and in Sweden. Both have recentlyinstituted ethical procurement practices. If science is truly going to help humanity, it needs to follow suit.61. From the medical masks to lab coats, the author is trying to tell us________.A. the practice of occupational protection in the developing worldB. the developing countries plagued by poverty and disease.C. the cheapest labor in the developing countries.D. the human misery behind them.62. The concerning phenomenon the author has observed, according to thepassage, ________.A. is nothing but the repetition of the miserable history.B. could have been even exaggerated.C. is unfamiliar to the wealthy west.D. is prevailing across the world.63. The author argues that when researchers in the wealthy west buy thetools of their trade, they should ___________.A. have the same concern with the developing countries.B. be blind to their sources for the sake of humanityC. pursue good bargains in the international market.D. spare a thought for how they were made.64. A proper course of action suggested by the author is ___________.A. to refuse to import the unethical goods from the developing world.B. to ask scientists to tell the truth as the prime value of their work.C. to urge the manufacturers to address the immoral issues.D. to improve the transparency of international contracts.65. By saying at the end of the passage that if science is truly going tohelp humanity, it needs to follow suit, the author means t hat ___________.A. the scientific community should stand up for all humanityB. the prime value of scientists’ work is to tell the truth.C. laboratory goods also need to be ethically sourced.D. because of science, there is hope for humanity.Passage twoA little information is a dangerous thing. A lot of information, if it’s inaccurate or confusing, even more so. This is a problem for anyone trying to spend or invest in an environmentally sustainable way. Investors arebarraged with indexes purporting to describe companies’eco-credentials, some o f dubious quality. Green labels on consumer products are ubiquitous, but their claims are hard to verify.The confusion is evident form New Scientist’s analysis of whether public perceptions of companies’ green credentials reflect reality. Itshows that many companies considered “green” have done little to earnthat reputation, while others do not get sufficient credit for their efforts to reduce their environmental impact. Obtaining better information is crucial, because decisions by consumers and big investors will help propel us towards a green economy.At present, it is too easy to make unverified claims. Take disclosureof greenhouse gas emissions, for example. There are voluntary schemes such as the Carbon Disclosure Project, but little scrutiny of the figures companies submit, which means investors may be misled.Measurements can be difficult to interpret, too, like those for watersue. In this case, context is crucial: a little from rain-soaked Irelandis not the same as a little drawn from the Arizona desert.Similar problems bedevil “green”labels attached to individual products. Here, the computer equipment rating system developed by the Green Electronics Council shows the way forward. Its criteria come f rom the IEEE, the world’s leading professional association for technology/Other schemes, such as the “sustainability index”planned by US r etail giant Walmart, are broader. Developing rigorous standards for a largenumber of different types of product will be tough, placing a huge burdenon the academic-led consortium that is doing the underlying scientificwork.Our investigation also reveals that many companies choose not to disclose data. Some will want to keep it that way. This is why we need legal requirements for full disclosure of environmental information, with theclear message that the polluter will eventually be required to pay. Thenmarket forces will drive companies to clean up their acts.Let’s hope we can rise to this challenge. Before we can have a green economy we need a green information economy – and it’s the quality of information, as well as its quantity, that will count.66. “The confusion” at the beginning of the 2nd paragraph refers to________.A. where to spend or invest in a sustainable wayB. an array of consumer products to chooseC. a fog of unreliable green informationD. little information on eco-credibility67. From the New S cientist’s analysis it can be inferred that in many c ases ________.A. eco-credibility is abusedB. a green economy is crucialC. an environmental impact is lessenedD. green credentials promote green economy68. From unverified claims to difficult measurements and then to individual products, the author argues that ________.A. eco-credibility is a game between scientists and manufacturesB. neither scientists nor manufactures are honestC. it is vital to build a green economyD. better information is critical69. To address the issue, the author is crying for ________.A. transparent corporate managementB. establishing sustainability indexesC. tough academic-led surveillanceD. strict legal weapons70. Which of the following can be the best inference from the last paragraph?A. The toughest challenge is the best opportunity.B. It is time for another green revolution.C. Information should be free for all.D. No quantity, no quality.Passage ThreePeople are extraordinarily skilled at spotting cheats – much better than they are detecting rule-breaking that does not involve cheating. Astudy showing just how good we are at this adds weight to the theory thatour exceptional brainpower arose through evolutionary pressures to acquire specific cognitive skills.The still-controversial idea that humans have specialized decision-making systems in addition to generalized reasoning has beenaround for decades. Its advocates point out that the ability to identifyuntrustworthy people should be favored evolutionarily, since cheats risk undermining the social interactions in which people trade goods or services for mutual benefit.The test whether we have a special ability to reason about cheating,Leda Cosmides, an evolutionary psychologist at the University of California,Santa Barbara, and her colleagues used a standard psychological test called the Wason s election task, which tests volunteers’ability to reason about “if/then” statements.The researchers set up scenarios in which they asked undergraduate volunteers to imagine they were supervising workers sorting appliances for admission to two schools; a good one in a district where school taxes arehigh, and a poor one in an equally wealthy, but lightly taxed district.The hypothetical workers were supposed to follow a rule that specified “if a student is admitted to the good school”, they must live in the highlytaxed district.Half the time, the test subjects were told that the workers had children of their own applying to the schools, thus having a motive to cheat; therest of the time they were told the workers were merely absent-minded and sometimes made i nnocent errors. Then the test subjects were asked how they would verify that the workers were not breaking the rule.Cosmides found that when t he “supervisors”thought they were checking for innocent errors, just 9 of 33, or 27 percent, got the right answer –looking for a student admitted to the good school who did not live in thehighly taxed district. In contrast, when the supervisors thought they were watching for cheats, they did much better, with 23 of 34, or 68 percent,getting the right answer.This suggests that people are, indeed, more adept at spotting cheat than at detecting mere rule-breaking, Cosmides said. “Any cues that it’s just an innocent mistake actually inactivate the detection mechanism.”Other psychologists remain skeptical of this conclusion. “If you want to conclude that therefore there’s a module in the mind for detecting cheaters, I see zero evidence for that,” says Steven Sloman, a cognitive scientists at Brown University in Province, Rhode I sland. “It’s certainly possible that it’s something we learned through experience. There’s no evident that it’s anything innate.”71. The findings of the study were in favor of ____________.A. the highly developed skills of cheating at schoolB. the relation between intelligence and evolutionC. the phenomenon of cheating at schoolD. the human innate ability to cheat72. The test “supervisors” appeared to be more adept at ________.A. spotting cheats than detecting mere rule-breakingB. detecting mere rule-breaking than spotting cheatsC. spotting their own children cheating than others doing itD. detecting cheats in the highly taxed district than in the lightlytaxed one73. When she says that …that can’t be the only thing going on in themind, Cosmides most probably implies that ________.A. cheating is highly motivated in the social interactionsB. our specific cognitive skills can serve an evolutionary purposeC. there is no such a mental thing as a specialized decision-makingsystemD. the ability to identify untrustworthy people should be favoredevolutionary74. In response to Cosmides’ claim, Sloman would say that ________.A. it was of great possibilityB. it could be misleadingC. it was unbelievableD. it’s acquired75. Which of the following can be the best title for the passage?A. Cheating at SchoolB. Cheating as the Human NatureC. Imaginary Intelligence and CheatingD. Intelligence Evolved to Root Out CheatsPassage FourFor many environmentalists, all human influence on the planet is bad.Many natural scientists implicitly share this outlook. This is not unscientific, but it can create the impression that greens and environmental scientists are authoritarian tree-huggers who value natureabove people. That doesn’t play well with mainstream society, as theapparent backlash against climate science reveals.Environmentalists need to find a new story to tell. Like it or not, wenow live in the anthropocene (人类世) – an age in which humans are perturbing many of the planet’s natural systems, from the water cycle tothe acidity of the oceans. We cannot wish that away; we must recognize itand manage our impacts.Johan Rockstrom, head of the Stockholm Environment Institute in Sweden, and colleagues have distilled recent research on how Earth systems workinto a list of nine “planetary boundaries” that we must stay within tolive sustainably. It is preliminary work, and many w ill disagree with where the boundaries are set. But the point is to offer a new way of thinkingabout our relationship with the environment –a science-based picture that accepts a certain level of human impact and even allows us some room toexpand. The result is a breath of fresh air: though we are already wellpast three of the boundaries, we haven’t trashed the place yet.It is in the same spirit that we also probe the basis for key claimsin the Intergovernmental Panel on Climate Change’s 2007 report on climate impacts. This report has been much discussed since our revelations aboutits unsubstantiated statement on melting Himalayan glaciers. Why returnto the topic? Because there is a sense that the IPCC shares the sameanti-human agenda and, as a result, is too credulous of unverified numbers. While the majority of the report is assuredly rigorous, there is no escaping the fact that parts of it make claims that go beyond the science.For example, the chapter on Africa exaggerates a claim about crashesin farm yields, and also highlights projections of increased water stressin some regions while ignoring projections in the same study that pointto reduced water stress in other regions. There errors are not trifling.They are among the report’s headline conclusions.Above all, we need a dispassionate view of the state of the planet andour likely future impact on it. There’s no room for complacency: Rockstrom’s analysis shows us that we face real dangers, but exaggerating our problems is not the way to solve them.76. As the first paragraph implies, there is between environmentalists and mainstream society _____________.A. a misunderstandingB. a confrontationC. a collaborationD. a consensus77. Within the planetary boundaries, as Rockstrom implies, ___________.A. we humans have gone far beyond the limitationsB. our human activities are actually moderate in degreeC. a certain level of human impact is naturally acceptableD. it is urgent to modify our relationship with the environment78. The point, based on Rockstrom’s investigation, is simply that __________.A. they made the first classification of Earth systemsB. it is not to deny but to manage impacts on the planetC. we are approaching the anthropocene faster than expectedD. human beings are rational and responsible creatures on earth79. Critical of the IPCC’s 2007 report, the author argues that they _________.A. missed the most serious problems thereB. were poorly assembled for the missionC. cannot be called scientists at allD. value nature above people80. It can be concluded from the passage that if we are to manage the anthropocene successfully, we ________________.A. must redefine our relationship with the environmentB. should not take it seriously but to take it easy。