遼寧省大連市103中學(xué)2024年高三3月份模擬考試英語試題含解析

遼寧省大連市103中學(xué)2024年高三3月份模擬考試英語試題請考生注意：1．請用2B鉛筆將選擇題答案涂填在答題紙相應(yīng)位置上，請用0．5毫米及以上黑色字跡的鋼筆或簽字筆將主觀題的答案寫在答題紙相應(yīng)的答題區(qū)內(nèi)。寫在試題卷、草稿紙上均無效。2．答題前，認(rèn)真閱讀答題紙上的《注意事項》，按規(guī)定答題。第一部分（共20小題，每小題1.5分，滿分30分）1．Thenewmovie________tobeoneofthebiggestmoney-makersofalltime.A．pretends B．a(chǎn)grees C．promises D．declines2．________youhaveseenheispoor,youshouldunderstandwhyhehastotakeuptwopart-timejobs.A．Aslongas B．UnlessC．Nowthat D．While3．Havingahobbydoesdogoodtoyou.Itdoesn’tmatterwhatitis______itdrivesyoutomoveforward.A．ifonly B．incaseC．a(chǎn)slongas D．inorderthat4．Iwantedsomemorecoldmeatbuttherewas_____left.A．none B．noone C．a(chǎn)ny D．some5．—Youlooksleepytoday.—__________nottomisstheflight,Ididn'tdaretoclosemyeyesthewholenight.A．Reminded B．BeingremindedC．Reminding D．Havingreminded6．InApril,2009,PresidentHuinspectedthewarshipsinQingdao,____the60thanniversaryofthefoundingofthePLANavy.A．marking B．markedC．havingmarked D．beingmarked7．—Haveyouwatchedthefilm“Avatar”?—Notyet.ButIthefilmisworthwatching.A．a(chǎn)mtold B．wastold C．havetold D．havebeentold8．--Can’tyoustayalittlelonger?Ireallywanttotalkmorewithyou.--Me,too.________Ihavetogethomebefore10atnight.A．But B．Since C．And D．For9．Pleasedon’tmakesoloudnoise．ThenewsofthevolcaniceruptioninIndonesia____andIwanttolisten．A．isbroadcast B．isbeingbroadcastC．hasbeenbroadcast D．hadbeenbroadcast10．----Ifeelcold.____Iclosethewindow?----Sure.Goahead!A．ShallB．NeedC．WouldD．Should11．Generallyspeaking,________accordingtothedirections,themedicinehasnosideeffect.A．whentakenB．whentakingC．whentotake D．whentobetaken12．Wearelivinginanage________QRcodes(二維碼)arebecomingmoreandmorepopularinourdailylife.A．why B．thatC．whose D．when13．Frankly,Istillfeelconfusedabout_________hecouldmanagewithoutaccesstotheInternetforsuchalongtime.A．what B．why C．that D．how14．__________62%ofallluxuryconsumersalesinEuropein2015,shoppersfromtheChinesemainlandspent$7.2billionoverseasduringtheSpringFestival.A．Accountingfor B．AddingtoC．Consistingof D．Makingup15．Marydoesn'twanttomovetoBeijingbecauseifshe_________there,shewouldn'tbeabletoseeherhusbandoften.A．wouldlive B．weretoliveC．haslived D．lives16．Hewasofferedapositionatthelocalchurchschool,_____hewenttotheCambridge.A．a(chǎn)fterwhen B．sincewhichC．a(chǎn)fterwhich D．sincewhen17．Ican________Diana’sthoughtsfromthechangesinherfacialexpressions.A．readB．noticeC．countD．watch18．IfeelIamaswell-behavedandascarefulasmydeskmate,but_______Ialwaysfallbehind?A．howabout B．howcomeC．whatif D．whatfor19．DorisLessing，anauthorwhohashadafascinatinglife，livedinIran_______shewasfivebeforemovingtoZimbabwe．A．unless B．sinceC．until D．a(chǎn)fter20．Runningisoftentiringandalotofhardwork,butnothing________thefeelingyougetafterfinishingalongworkoutaroundthetrack.A．breaks B．blocksC．bonds D．beats第二部分閱讀理解（滿分40分）閱讀下列短文，從每題所給的A、B、C、D四個選項中，選出最佳選項。21．（6分）Oneeveningatabusycrossroads,Inoticedasisterstrugglingtokeepherlittlekidundercontrolwhileshetalkedonthepayphone.Shewantedhimtostaystillnexttoher,buthewantedtorunandplaybytheroad,closetorushingbusesandtaxis.Onecouldsensethewoman’sfrustration,thatshewaspulledintoomanydirections:Shewasangryatthepersononthetelephoneandshoutingattheyoungerthatshewould“snap（折斷）hisleg”ifhemovedagain.AsIwaitedforthetrafficlighttochange,thechildbegantocomplainandstruggletofreehimselffromthewoman’sgrasp.Shedroppedthephone,seized（抓?。﹖heneckofhistiny.T-shirtandgavehimaback-handblowacrossthefacethatIknowmadehislittleheadspin.Thelightchanged,andpassers-bycontinuedontheirway.ButIstoodthere,fixedtothepavement.Iknewthisextremelyupsetwomanwouldcarrythroughonherthreatofviolencetothechild.Before,Ihadwantedtogetclosetoherandoffertowatchtheyoungsterwhileshedealtwiththetroublingsituationonthephone.NowIwantedtocomfortthelittleboy.Ialsowantedtospeaktothesistertocalmherandtocaution（告誡）her,asIwishsomeonehadcautionedmewhenIwaspassingmypainontomydaughterandcausingheremotionalsuffering.ButIwaschicken.Ithought,shemaythinkI’moutofline,orImaybehernexttarget.OftenI’vethoughtaboutthatchildandthemanyothersabused（虐待）byadults.Iwonderhowtheywillinternalize（使……藏在心底）theirpain,andifitwillcrushtheirspirits.Willthislittleboygrowuptobeanabusiveman?Willhebegloomy（陰郁的，沮喪的）andwithdrawn（孤僻，內(nèi)向的）?Willhefindithardtocommunicatewithwomen,withothermen?Orwillhesurviveandbesensitive,caringanddeterminednottocontinuethecycle?Thereistoomuchcruelty（殘忍）intheworld,toomuchcrueltybetweenpeople.Itrembleattheincreasingverbal（言語的）bitternessandviolenceamongBlackgirls,andamongyoungmotherstryingtodisciplinetheirchildren.Thisbehaviorisn’tclass-orage-related:IhearsharpwordsfromBlackwomenfromallwalksoflifewhoareoverworkedandstressedoutandhavegrownimpatient.AttimesI,too,becomeimpolitetoothers,or,likethesisteronthephone,strikeoutat（抨擊）thoseclosesttome.Oftenwe’retiredbecausewe'vemadethewrongchoices.Younggirlswhostillneedmotheringareloadedwithchildren.Wesisterseasilygethurtandannoyedwhenwedon’tcompromisewithourownsenseofself.Ourpersonalfulfillmentrequiresknowingwhatisbestforus,settingourboundaries（界限）andkeepingthemundamaged.Wewillalwaysbeaskedtodomorethanwearecomfortabledoing.Whenweknowourboundaries,wecandeclinecomfortably.People—andweourselves—willactinwayswedon’tlike.Butthey,likeus,arestillworthyoflove.Whateverirritates（激怒）usaboutapersonshouldbeexamined.Isthepersonreflectingbehaviorinusthatneedstobechanged?Often,whenIfindpeopleirritating,IfindtheymirrorsomethingaboutmethatIneedtocorrect.What’sneededinourpersonalrelationshipsisareturntogentlenessandtolerance（容忍）.Wemustallowoneanotherourlearningexperiences.Justasviolenceresultstoviolence,verbalviolence—thehardwordsandsharptonesweusetoreleaseinnerstress—addstothedistancebetweenus.WhatwepeopleofAfricanrootmustdotobecome,andcontinuetobestrongbeginswithlove,sensitivityandourabilitytoworktogether.WeBlackwomenhavethesespiritualresourcesinabundance（豐富）.Nowwemustencouragethemtocreateapeacefulplace—forourselves,ourchildren,ourmen.1、Wecanlearnfromthepassagethemotherofthelittlekidmustbe________.A．frustratedandhot-temperedB．cruelandtalkativeC．confusedandquick-mindedD．considerateandsensitive2、Bysaying“ShemaythinkIamoutofline”,theauthormeantthewomanmightsay________.A．“You’renotstandinginthequeue.”B．“Youcanwatchandcomfortmykid.”C．“Walkaway.It’snoneofyourbusiness.”D．“Youarewalkinginthewrongdirection.”3、ThewrongchoicestheauthormentionsinParagraph5include________.a.Wesistersrefusetomarryyoungb.Wearen’tsatisfiedwithourselvesc.Wehaveourboundariesdamagedd.Wedeclineothers’requestsforhelpA．a(chǎn),bB．c,dC．a(chǎn),dD．b,c4、Accordingtotheauthor,whenwefindapersonirritating,weshould________.A．returntogentlenessandtoleranceB．reflectonourbehaviorthatneedscorrectingC．a(chǎn)voidthehardwordsandsharptonesD．examineifanythingiswrongwithhim22．（8分）KaitlinRaffle’sdreamtoendpoverty(貧困)startedwhenshewasvisitingherfather,whoworkedforthehomeless.“Ineverrealizedtherewerepeopleintheworldwhodidn’thaveahomeorfoodbefore,”saidKaitlin,whoisnowsixteen.“IknewtherewassomethingIhadtodoaboutthat.”Atageeight,shestartedraisingmoneytobuildaplayground."Ittookmetwoyears,"Kaitlinsaid."Westartedsmall.Wewantedtodosomethingtomakeadifference.”In2014,WhenKaitlinwasthirteen,shevisitedCentralAmerica,andsawpeoplegoinghungryandfamilieslivinginhousesmadeofcardboard.Thatyear,wesetKidsonaMission,whichhashelpedhundredsofpeoplethere.“Theroomsweresmallerthanmybedroom,buttherewouldbeeightpeoplelivingineachone,"Kaitlinsaid.“Wealsogottoseethedirtyriversthatthosepeopleweredrinkingoutof.”Providingcleandrinkingwater,foodandclothesforpeoplelivinginpovertyisnowanimportanttaskforKidsonaMission.“Thisyoungladyischangingtheheartsofpeople,andalsochangingtheworld,"saidtheheadmasterofKaitlin'sschool.1、ThejobofKaitlin'sfatherwasto__________A．sellfoodsB．buildplaygroundsC．visitschoolsD．helphomelesspeople2、Whatwaspeople'slifelikeinCentralAmericaaccordingtoKaitlin?A．Theylivedinstronghouses.B．Theirdrinkingwaterwasdirty.C．Theirbedroomswereverybig.D．Theyhadenoughfoodandclothes.3、Whatcanweinferfromtheheadmaster'swords?A．Kaitlinisalwaysreadytogiveandhelp.B．Kaitlinhasmanychancestotravelaround.C．Kaitlinoftenchangesschoolsforherstudy.D．Kaitlinhasaseriousproblemwithherheart.4、Whatmightbethebesttitleforthetext?A．SchoollifeinAmericaB．GiftfromaheadmasterC．Father’sdutyinthefamilyD．Girl'sdreamtoendpoverty23．（8分）Ifyoubuyawashingmachine,afridgeoratelevisioninEurope,itcomeswithasticker.Thankstoa1992EUrule,allappliancesmustbelabelled(貼標(biāo)簽)withtheirenergyefficiency.Sowhyhasourfoodsystem-whichthreatens10,000specieswithextinction,producesabout30%ofgreenhousegases,anddrives800/oofourairpollution-onlyeverhadvoluntaryeco-labels?Theappliancesrulinghadahugeimpact;initially,75%offridgesandfreezerswereratedGtoD(lowefficiency),buttoday98%areclassedA++orA+++.Worldwide,theenergyefficiencyoflabelledapplianceshasincreasedthreetimesfasterthanapplianceswithoutlabels.Introducinganequalsystemforfoodcouldhaveanevenbiggerimpact.Mandatoryenvironmentallabelswouldchangehowweproduceandconsumeinfar-reachingways.First,producerswouldhavetomeasuretheirimpactsinauniformwayandbeaccountablefortheresults.Thiswouldnotbeexpensive:itisfreetomonitorenvironmentalimpactsusingdigitaltoolssuchasFieldprintandtheCoolFarmTool.Second,theysupportsustainableconsumption.Ourresearchfoundthatproductsthatlook,tasteandcostthesamecanhavedramaticallydifferentenvironmentalimpacts.High-impactbeefproducersuse5,400%morelandandcreatel,000%moregreenhousegasesthanlow-impactproducers.Labelswouldallowconsumerstotelltheseproductsapart.Theywouldhighlightbothhigh-andlow-impactproducers,inthesameway,acrossmultipleproducts.Thiswouldencouragemorepeopletothinkabouttheirchoicesbyexposingthemtothefactseverytimetheyareintheshops.Wecanalsouselabelstoturnsmallerconsumerchangesintolargeenvironmentalbenefits:becauseasmallnumberofproducerscreatealargeshareoftheimpact,simplyavoidinghigh-impactproducerscanmakeahugecontributiontopollutionreductions.1、WhydoestheauthormentiontheappliancesinParagraph1？A．Toapplaudthe1992EUrule.B．Tobringupthetopicoflabellingfood.C．Topointoutthepollutiontheycaused.D．Tocomparetheirenergyconsumptionrates.2、WhatdothefiguresinParagraph2show?A．Theimportanceofsavingenergy.B．Thedebateabouteco-labelledappliances.C．Theeffectivenessoftheappliancesruling.D．Theproblemcausedbyappliancesoflowefficiency.3、Whatdoestheword“Mandatory”inParagraph3mean?A．Compulsory. B．Effective. C．Different. D．Independent.4、Whatcanbelearnedabouteco-labels?A．Theywillincreasetheprofitsoflow-impactproducers.B．Theycanshowproducers'environmentalimpacts.C．Theywillguideconsumerstobuyhealthierfood.D．Theycanexposeconsumerstomoreproducts24．（8分）InformationonTravellinginSingaporeMoneymattersThecurrencyinSingaporeistheSingaporedollar(S$).Moneychangingservicescanbefoundatmanyshoppingcentresandhotelsaroundtheisland,andtheATMs(generallyopen24/7)acceptmostofthemaincreditcardssuchasVisa,MasterCardandAmericanExpress.HotelReservationsandAccommodationUponarrivalattheairport,pleasevisitits24-hourhotelreservationscounters,whichcanhelpgetyouaroominyourpreferredhotel.Paymentforthefirstnightisrequireduponconfirmation.LostPassport/SingaporeImmigrationServicesShouldyouloseyourpassport,wesuggestyoumakeapolicereport,thenheadtotheImmigration&CheckpointsAuthoritytogetatemporaryvisa.Finally,informyourrespectiveembassysothatyoucangetthroughcustomswhenyoureachhome.TippingTippingisnotacommonpracticeinSingaporeasmosthotelsandrestaurantsincludea10%servicechargeinthefinalbill.Whiletippingisnotexpected,itisappreciated,beitinrestaurantswherethereisnoservicecharge,oranywherewhereexcellentserviceisprovided.SmokingIfyouareasmoker,youwillhavetoresisttheurgetolightupinair-conditionedareassuchasshoppingcentres,restaurants,entertainmentoutletsandcinemas.Smokingisalsoanoffenceinpublicbuses,theMRTtrains,taxisandlifts.AmaximumofS$1000canbeimposedonfirst-timeoffenders.Ageneralruleofthumbisthatifthereisanashtraysupplied,goforit.467、WhichofthefollowingwordscanbeusedtodescribethemoneychangingsysteminSingapore?A．Difficult. B．Convenient.C．Traditional. D．Original.1、Whatisessentialifyouwanttobookahotelroomattheairport?A．YoumuststayinSingaporefor24hours.B．Youshouldgotoyourpreferredhotel.C．Youaresupposedtopayforthefirstnight.D．Youmustspendthefirstnightattheairport.2、HowmanystepsaresuggestedthatyoushouldfollowifyouloseyourpassportinSingapore?A．2. B．3.C．4. D．5.3、Onwhichofthefollowingoccasionsareyouexpectedtotip?A．Whenyouthinkthattheserviceisverygood.B．Whenyoureceiveagiftfromafriend.C．Whenyouleaveaverygoodrestaurant.D．Whenyouarefacedwithanydifficulty.4、SmokingisstrictlyforbiddeninthefollowingareasEXCEPT______.A．inanair-conditionedrestaurant B．inabusC．inaconferenceroom D．byanashtray25．（10分）ThreeboyswereenjoyingthemselvesintheirhometownofBovina,Mississippi.However,theirliveswereturnedupsidedownwhentheydiscoveredthejawboneofaMastodon(齒乳象).BrothersShawnandCaidSellersandcousinMichaelMahalitcfoundtheprehistoricboneinapieceofearththatwasrecentlyplowed(犁、耕).“Ithoughtitwasalog,”Caidsaid.“ItriedtopickitupanditwasreallyheavyandIsawteethonit.”Theboneweighedabout50pounds.Theyeventuallygotthebonetotheirhomeandfitteditintheirtub(浴盆),butittooktheircollectivestrength,mightandagolfcart,tocarrythelargeMastodonbone.“Theydidn’texpecttofindthat,”Michael’smomsaid.“Nowthattheyhave,Ibelievethattheywillbemoreawareoftheirsurroundingsandwhatthey’rediggingupwhentheyarediggingandplaying.”“We’vegottenalotofpetrified(石化的)woodandCivilWarrelicsfromtheareaandthat’swhatIthoughtitwas,”thebrothers’mothersaid.“Thisisourfirstsetofteethwe’vefound.Sowethoughtitwastheirimagination.Wewerequitesurprisedtoseethatitwasnottheirimagination.”Theywereexploringnearthebrothers’home.Loandbehold(真想不到),theysawwhattheythoughtresembledafossil.Itwasthecuratorofpaleontology(古生物負(fù)責(zé)人)oftheMississippiMuseumofNaturalScience,GeorgePhillips,whofirstidentifiedtheboneasa“verymatureindividual.”TheMastodonwasamammalwholivedduringtheprehistorictimes.Theyhadlongtusksandtrunks,likeelephants.Theywereclearlydifferentfromtheirmodern-daycounterparts,aswellaswoollymammoths(猛犸).1、HowdidtheyfindthejawboneofaMastodon?A．Withgreatefforts. B．Bychance.C．Instructedbyanexpert. D．Throughimagination.2、Atfirstthebrothers’motherthoughtthejawbonewas________.A．frompeoplewhodiedintheCivilWar B．thebonefromaverymatureindividualC．likealogorsomething D．theprehistoricbone3、ThediscoveryofthejawboneofaMastodonisimportantmainlybecauseit________.A．helpspeopletoknowmoreabouttheCivilWarB．teacheskidstobemoreawareoftheirsurroundingsC．promotestheresearchonmoreprehistoriccreaturesD．a(chǎn)ttractstheMississippiMuseumofNaturalScience4、Whichofthefollowingcanbethebesttitleforthearticle?A．PrehistoricBonesRecentlyFoundinMississippiB．NotPetrifiedWoodNorCivilWarRelicsC．FirstIdentifyingBoneasa“VeryMatureIndividual”D．UnexpectedlyDiscoveringMastodonJawbone第三部分語言知識運用（共兩節(jié)）第一節(jié)（每小題1.5分，滿分30分）閱讀下面短文，從短文后各題所給的A、B、C和D四個選項中，選出可以填入空白處的最佳選項．26．（30分）Armedwithabachelor’sdegreeinmedicine,IleftJammu,myhometown,forDelhihopingtofindagoodjob.Thoseweretestingtime—Iwas1myresumeateveryhospitalandclinicinthecapital,andfacingupsetting2responses.Thesebig-cityfolksseemedtoobusytocareabouta23-year-old,joblessgirl.Thenafriendtoldmeaboutthe“TechnicalRecruitmentCell”,3neartheIncomeTaxOffice(ITO),whereIcould4foragovernmentjob.ThenextdayIreachedtheITOareaand5inthesunforanhouraskingeverybodyfortheTechnicalRecruitmentCell,butnoonehadanyidea6itwas.Itwas7,andtheheatunbearable.Ithenreachedabigbookshop,fullofbooksonlawandfinance.MaybeI’ll8inside,IthoughtasIwalkedinandfoundamanagedabout40busyathisPC．9him,Iaskedifheknewtheaddress.Seeingmedrenchedinsweat(大汗淋漓)，heaskedmetotakea10andofferedmeaglassofwater.Hethengoogled“TechnicalRecruitmentCell”,butwithout11.Imusthavelookedfrustrated.“Don’tget12.”hesaid,ashecontinuedhissearch.“We’llfindit.”He’dspentseveralminutessearchingwhenanoldermanwhoalso13intheshop,camebyandaskeduswhatwewerelookingfor.“Beta,itmightbetheDelhiSubordinateBoard,”hesuggested.“They14peopleforgovernmentposts.”Wesearchedforthatandfoundit15—actuallytheDelhiSubordinateServicesSelectionBoard.Theythengavemeaprintoutofthe16.“WhatdoI17youfortheInternettimeandtheprintout?”Iaskedthefirstgentleman.“Oh,nothing.Goodluck!”“Thankyou,”Isaidtothepair.Theoldermanthentoldmethe18ofthebusthatwouldgetmethere,thefare,eventhebest19totake,finallysaying“Godblessyou!”asIwalkedout.Iwashappyinthediscoverythatnotallcityfolksaretoo20tohelpother.1、A．droppingB．reviewingC．sendingD．examining2、A．a(chǎn)dmirableB．negativeC．enthusiasticD．professional3、A．a(chǎn)daptedB．a(chǎn)doptedC．situatedD．covered4、A．waitB．registerC．prepareD．make5、A．toleratedB．prayedC．lookedD．wandered6、A．whenB．whyC．whereD．how7、A．discouragingB．thrillingC．inspiringD．entertaining8、A．readB．meetC．a(chǎn)skD．think9、A．TroublingB．InterruptingC．ImpressingD．Embracing10、A．walkB．breathC．tryD．seat11、A．luckB．doubtC．wonderD．delay12、A．cautiousB．upsetC．lostD．regretful13、A．restedB．playedC．listenedD．worked14、A．trainB．a(chǎn)rrangeC．employD．require15、A．slowlyB．calmlyC．immediatelyD．formerly16、A．nameB．telephoneC．positionD．a(chǎn)ddress17、A．oweB．chargeC．demandD．thank18、A．colourB．numberC．directionD．drive19、A．chanceB．testC．routeD．prize20、A．richB．generousC．eagerD．busy第二節(jié)（每小題1.5分，滿分15分）閱讀下面材料，在空白處填入1個適當(dāng)?shù)膯卧~或括號內(nèi)單詞的正確形式。27．（15分）HenryAdams,anAmericanbusinessman,sailedoutofthebay,but1．(carry)outtoseabyastrongwind.Whenhewasabouttogivehimselfupforlost,aBritishship2．(spot)him.Ontheshipheearnedhisticket3．workingwithoutpay.That’s4．hecametoLondonbyaccident.Therehefoundhimselfwithoutmoney,friendsandaJob,sohewaslost.Whenhewaswanderingonthepavement,heheardsomeone5．(call)him.Thenhewasledtotworichbrothers,RoderickandOliver,whomadeasecretbeton6．a(chǎn)mancouldsurviveamonthinLondonwithaone-million-poundbank-noteornot.Henrywas7．(fortunate)chosenasthepersontheywantedforsomereason,Theygavehimaletterwith8．bank-note.Dressedin9．(rag),withnothingbutabank-note,Henrygotintoarestaurant.Hetookthebank-note10．(pay)thebillandaskedforchange.Thebosswholookeddownuponhimatfirstchangedhisattitudecompletelyandtreatedhimasanhonoredguest.第四部分寫作（共兩節(jié)）第一節(jié)短文改錯（滿分10分）28．（10分）假定英語課上老師要求同桌之間交換修改作文，請你修改你同桌寫的以下作文。文中共有10處語言錯誤，每句中最多有兩處。錯誤涉及一個單詞的增加、刪除或修改。增加：在缺詞處加一個漏字符號(∧)，并在其下面寫出該加的詞。刪除：把多余的詞用斜線(＼)劃掉。修改：在錯的詞下劃一橫線，并在該詞下面寫出修改后的詞。注意：1．每處錯誤及其修改均僅限一詞；2、只允許修改10處，多者(從第11處起)不計分。3、錯誤類型不涉及單詞拼寫。Goodrelationshipsbetweenteachersorstudentsareimportanttoteachingandlearningonlywithgoodrelationshipscanstudentandteacherscooperatewell.Goodrelationshipsdependedonbothsides.Ontheonehand,studentsshouldrespectteachersandourhardwork.TheyshouldpoliteCoteachersandreadytofollowingtheiradvice.Onanotherhand,teachersshouldbekindly,friendlyandpatienttostudents