2017職稱(chēng)英語(yǔ)《衛(wèi)生A級(jí)》仿真試題及答案

2017職稱(chēng)英語(yǔ)《衛(wèi)生A級(jí)》仿真試題及答案UncooperativePatientsNeedPsychologicalTherapy?Byrefusingtotakeessentialmedicationafterakidneytransplant,a49-year-oldwomandrivesherdoctorsandnursestodistraction—tonoavail,becausetheorganhasintheendtoberemoved____(1)_____Patientsrefusingtocooperatewithmedicalprofessionalscausedamagenotonlytothemselvesbutalsoimposesubstantialcostsonthecommunity.ThepharmaceuticalcompanyGlaxoWelcomeestimatesthecoststotheGermantaxpayersofthiskindofnegativebehaviourataroundfivebilliondollarsayear.?Arecentconferenceofmedicalprofessionals,healthinsurers,thepharmaceuticalindustryandpatientrepresentativesrevealedawiderangeoffactorsbehindnon-compliance.Notalldefiantbehaviourinapatientcanbecharacterizedasnon-compliance.Greaterstressshouldbeplacedonpsychologyduringmedicaltraining,delegatessaid.____(2)_____PsychologistSibylleStorkebaumtoldofaneight-year-oldboywhoranamokinahospitalbeforeundergoingahearttransplant,threateningtoripouthisdriptubes.____(3)_____“Doctorsandnursesfailedtoseethattheyhaddowngradedaboyalreadyconsciousofhisownresponsibilitiesintoasmallchild,”Storkebaumsaid,explainingthattheboymerelywantedtobetakenseriouslyandtobeinvolvedinhisowntreatment.“Oncethiswasacknowledged,theangerattackssubsided.____(4)_____”Jan-TorstenTewsofGlaxoWelcomehighlightedtheproblemofexcessivemedication,withpatientshavingtotakeawiderangeofmedicinesatshortintervals.Educatingpatientsandself-managementwerethekeytotreatingpatientswithchronicconditions,hesaid.?Healthinsurersalsoexpressedinterestsinbettercooperationbetweendoctorandpatient.“Thefactthatnon-complianceexistsisaresultofpatientdissatisfactionwiththeirtreatment,”WalterBockemuehl,aseniorexecutiveinthestatutorymedicalinsurancescheme.said.Accordingtoonestudy,halfofallpatientsdidnotwantmedication,buthaddrugsprescribednevertheless.____(5)_____?詞匯：?medication藥物治療，藥劑kidney腎transplant移植?distraciton心煩意亂avail用處non-compliance不順從，固執(zhí)?professional專(zhuān)業(yè)人員impose把……強(qiáng)加給……?pharmaceutical制藥的，藥學(xué)的characterize表示……的性格特征?insurer承保人，保險(xiǎn)GSdefiant反抗的，無(wú)禮的?therapy治療，療法insecure缺乏安全感的?amok狂怒的，狂暴的fit發(fā)作rage盛怒，狂怒?assert主張，堅(jiān)持，維護(hù)downgrade貶低，小看?noticeably明顯地highlight使顯著，強(qiáng)調(diào)，把注意力集中于……?dissatisfaction不滿意statutory法定的額?注釋?zhuān)?1.tonoavail：徒勞無(wú)功?2.becharacterized：被描繪成……?3.runamok：變得勃然大怒。run在這里是系動(dòng)詞，有“變”的意思。?4.toripouthisdroptubes：把他的點(diǎn)滴管扯下ripout扯掉，扯出?drip：水滴，點(diǎn)滴?練習(xí)：?A.However,therearestillsomemedicalprofessionalswhodon'tbelieveinpsychologicaltherapy.?B.Hebecamenoticeablyquieterandturnedintoagoodpatient.?C.“Inthesecasesweshouldnotbesurprisediftheadviceisignored,”hesaid.?D.Thiscaseofmedicalnon-complianceisnotanisolatedexample.?E.Therewasevidencethatpsychologicaltherapyforinsecurepatientscouldimprovecooperationbetweendoctorsandpatients,theyadded.?F.Hisfitsofrageweresubsequentlyseenasanattempttoasserthisrightsasapatient.?答案與題解：?1.D空白處的前一句舉了一位46歲婦女在腎移植手術(shù)以后拒服必要的藥物的例子。空白處的后一句說(shuō)拒絕與醫(yī)務(wù)人員合作的病人會(huì)給自己、給社會(huì)帶來(lái)什么害處。我們必須注意到后一句的病人是泛指的，當(dāng)然應(yīng)該包括這位49歲的婦女在內(nèi)，因此將D(像這樣不合作的事情并非僅此一例)填入空白處可以將上下文更完美地連接起來(lái)。?2.E空白處的前一句說(shuō)道應(yīng)該更多地強(qiáng)調(diào)心理學(xué)在藥物治療中的作用。E說(shuō)有證據(jù)表明，對(duì)缺乏安全感的病人進(jìn)行心理治療可增加醫(yī)患之間的合作。前后兩句話是連貫的，而且theyadded還在一定程度上起到了提示作用，故E為最佳選項(xiàng)。?3.F空