Doctors recognize obesity as a health problem. So why is it so hard for them to talk to their patients about it?
The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don’t know what to say.
So while doctors may tell patients they are overweight, the conversation often ends there, said Christine C. Ferguson, director of the Stop Obesity Alliance. Without being told about options for diabetes, she said. “Doctors don’t feel they have good information to give. They felt they didn’t have adequate tools to address this problem.”
The lack of dialogue hurts patients, too. The patient survey, of over 1,000 adults, found that most overweight patients don’t even know at they’re too heavy. Only 39 percent of overweight people surveyed had ever been told by a health care provider that they were overweight.
Of those who were told they were obese, 90 percent were also told by their doctors to lose weight, the survey found. In fact most have tried to lose weight and may have been successful in the past — and many are still trying, the survey found. And many understand that losing even a small amount of weight can have a positive impact on their health and reduce their risk of obesity-related diseases like hypertension and diabetes.
Dr. William Bestermann Jr., medical director of Holston Medical Group, in Kingsport, Tenn., which ranks 10th in obesity among metropolitan areas in the United States, said the dialogue had to be an ongoing one and could not be dropped after just one mention of the problem. “If you’re going to be successful with helping your patients lose weight, you’re going to have to talk to them at virtually every visit about their progress, and find something to encourage them about, find progress in some aspect of their care and coach them,” he said.
He acknowledged that many doctors tend to be optimistic.
“Part of this is that there’s this common belief, and doctors are burdened by it, too, that heavy people are weak-willed and just don’t have any willpower and are self-indulgent and all that business,” he said. “If you think that way, you’re not going to spend time having a productive conversation.”
61．What is most probably the Stop Obesity Alliance, as in Paragraph 3?
A．An organization of doctors specializing in obesity.
B．An organization of patients suffering from obesity.
C．A research group that conducts special surveys about overweight people.
D．A research group dealing with doctor – patient relationship.
62．How many of the patients surveyed have been advised by their doctors to lose weight?
A．About 350. B．About 390. C．About 900. D．1,000.
63．What can be inferred about obesity patients in Paragraph 5?
A．They are not as hopeless as doctors think they are.
B．Most of them have tried hard to lose weight, but in vain.
C．Without their doctors’ constant coaching, there is little chance of their succeeding in losing weight.
D．Most of them have just given up their hope of becoming less heavy.
64．According to the passage, which factor contributes to the lack of dialogue between doctors and patients?
A．Most doctors just never think of warning their patients about their weight problem.
B．Many doctors find it difficult to persuade overweight people to lose weight.
C．Most patients are too weak – willed to do anything about their weight.
D．Many patients tend not to trust their doctors about their weight problem.
65．Which of the following is the best title of the passage?
A．Obesity in the U.S.
B．Trouble of overweight Americans
C．Talk more, help better
D．Doctors or patients – who to bear more blame?
It is reported that conservation groups in North America have been arguing about the benefits and dangers of wolves. Some groups believe wolves should be killed. Other people believe wolves
Must be protected so that they will not disappear from the wilderndss(荒野)
For Killing Wolves
In Alaska，the wolf almost disappeared a few years ago，because hunters were killing hundreds
0f them forsport .However．1aws were established to protect the wolves from sportsmen and people who catch the animals for their fur．So the woIf population has greatly increased. Now there are so many wolves that they are destro
ying their own food supply．
A wolf naturally eats animals in the deer family. People in the wilderness also hunt deer for
food．Many of the animals have been destroyed by the very cold winters recently and by changes in the wilderness plant life．When the deer can’t find enough food，they die．
If the wolves continue to kill large numbers of deer，their prey(猎物)will disappear some
day．And the wolves will．too．So we must change the cycle of life in the wilderness to balance the
ecology．If we killed more wolves，we would save them and their prey from dying out．We’d also
save some farm animals．
In another northern state，wolves attack cows and chickens for food．Farmers want the
government to send biologists to study the problem．They believe it necessary to kill wolves in some areas and to protect them in places where there is a small woIf population．
Against Killing Wolves
If you had lived long ago，you would have heard many different stories about the dangerous
wolf．According to most stories，hungry wolves often kill people for food．Even today，the stories of the“big bad woIf'＂will not disappear．
But the fact is wolves are afraid of people．and they seldom travel in areas where there is a
human smell．When wolves eat other animals，they usually kill the very young．or the sick and
injured .The strongest survive .No kind of animal would have survived th
rough the centuries if the
weak members had lived．And has always been a law of nature
Although some
people say it is good sense to kill wolves，we say it is nonsense!Researchers
have found wolves and their prey living in balance．The wolves keep the deer population from
becoming too large,and that keeps a balance in the wilderness plant life．
The real problem is that the areas where wolves can live are being used bv people．Even if
wilderness land is not used directly for human needs．the wolves can’t always find enough food .So they travel to the nearest source,which is often a farm．Then there is danger．The“big bad wolf”has arrived! And everyone knows what happens next．
1．According to the passage，some people in North America favor killing wolves for all the following reasons EXCET that_____________．
A．there are too many wolves B．they kill large numbers deer
C．they attack cows and chickens for
food D．they destroy the wilderness plant life
2．Some people are against killing wolves because____________．
A．wolves help to keep the ecological balance in the wildemess
B．there is too small a wolf population in the wilderness
C．there are too many deer in the wilderness
D．wolves are afraid of people and never attack people
3．According to those against killing wolves，when wolves eat other animals，____________．
A．they never eat strong and healthy ones
B．they always go against the law of nature
C．they might help this kind of animals survive in nature
D．they disturb the ecological balance in the wilderness
4．The last sentence“And everyone knows what happens next”implies that in such cases____________．
A．farm animals will be in danger and have to be shipped away
B．woIves will kill people and people will in turn kill them
C．wolves wilI find enough food sources on famls
D．people will leave the areas where wolves can live
第三部分：阅读理解（共15小题；每小题2分，满分30分）
请认真阅读下列短文，从短文后各题所给的A、B、C、D四个选项中，选出最佳选项，并在答题卡上将该项涂黑。
Usually, when your teacher asks a question, there is only one correct answer. But there is one question that has millions of current answers. That question is “What’s your name?” Everyone gives a different answer, but everyone is correct.
Have you ever wondered about people’s names? Where do they come from? What do they mean?
People’s first names, or given names, are chosen by their parents. Sometimes the name of a grandparent or other member of the family is used. Some parents choose the name of a well-known person. A boy could be named George Washington Smith; a girl could be named Helen Keller Jones.
Some people give their children names that mean good things. Clara means “bright”; Beatrice means “one who gives happiness”; Donald means “world ruler”; Leonard means “as brave as a lion”.
The earliest last names, or surnames, were taken from place names. A family with the name Brook or Brooks probably lived near brook(小溪)；someone who was called Longstreet probably lived on a long, paved road. The Greenwood family lived in or near a leafy forest.
Other early surnames came from people’s occupations. The most common occupational name is Smith, which means a person who makes things with iron or other metals. In the past, smiths were very important workers in every town and village. Some other occupational names are: Carter — a person who owned or drove a cart; Potter —a person who made pots and pans.
The ancestors of the Baker family probably baked bread for their neighbors in their native village. The Carpenter’s great-great-great-grandfather probably built houses and furniture.
Sometimes people were known for the color of their hair or skin, or their size, or their special abilities. When there were two men who were named John in the same village, the John with the gray hair probably became John Gray. Or the John was very tall could call himself John Tallman. John Fish was probably an excellent swimmer and John Lightfoot was probably a fast runner or a good 
dancer.
Some family names were made by adding something to the father’s name. English-speaking people added –s or –son. The Johnsons are descendants of John; the Roberts family’s ancestor was Robert. Irish and Scottish people added Mac or Mc or O. Perhaps all of the MacDonnells and the McDonnells and the O’Donnells are descendants of the same Donnell.
1. Which of the following aspects do the surnames in the passage NOT cover?
A. Places where people lived. B. People’s characters.
C. Talents that people possessed. D. People’s occupations.
2. According to the passage, the ancestors of the Potter family most probably _______.
A. owned or drove a cart B. made things with metals
C. made kitchen tools or contains D. built houses and furniture
3. Suppose and English couple whose ancestors lived near a leafy forest wanted their new-born son to become a world leader, the baby might be named _______.
A. Beatrice Smith B. Leonard Carter
C. George Longstreet D. Donald Greenwood
4. The underlined word “descendants” in the last paragraph means a person’s _____
A. later generations B. friends and relatives
C. colleagues and partners D. later sponsors
| BORDER CROSSINGS While there are no restrictions on zhe amount of money that you can bring across the border.you must report to both the US and Canadian border services amounts equal to or greater than $10.000. PERSONAL EXEMPTIONS（免税）ON PURCHASES AMERICANS RETURNING TO THE US Less than 48 hours: $ 200 US 48 hours or more: $ 800 US duty-free personal exemption. next $ 1.000 US at 3% Including up to 100 cigars and 100 cigarettes. CANADIANS RETURNING TO CANADA Less than 24 hours: $ 50 CAN 48 hours or more: $ 400 CAN Including up to 100 cigars and 200 cigarettes. 7 days or more: $ 750 CAN Including up to 100 cigars and 200 cigarettes. DOCUMENTATION NEEDED FOR BORDER CROSSING LAND OR SEA TO THE US(INCLUDING FERRIES) A valid passport or passport card, or a NEXUS card. (A NEXUS card is a Tru  sted Traveler Program that provides quick travel forpre-approved,low risk travelers through special lanes.) A recent Washington State, New York or BC driver's license. Note: Ch  ildren 15 years of age and younger require only a birth certificate orcopy.(Certified copies are not required but are advised.) AIR TRAVEL TO THE US A valid passport, an Air NEXUS card, or a U.S. Coast Guard Merchant Marine Document. |
| 1． |
If a Canadian who is on a 7-day trip to New York buys $ 800 CAN worth of goods,how much should he pay tax on when returning home?（） A. $ 800 CAN B. $750 CAN C.$ 400 CAN D. $ 50 CAN |
| 2． |
For an American citizen on a 2-day tour of Canada,how much tax does he have to pay on $ 1.600 US worth of purchases when returning to the US?（） A. $ 24 US B. $ 48 US C. $52 US D. $ 200 US |
| 3． |
What documentation should a couple with a 7-year-old child carry when they drive a car from Canada to America?（） A. A BC driver's license, an Air NEXUS card, and a birth certificate. B. An Air NEXUS card, a U.S. Coast Guard Merchant Marine Document, and a birth certificate. C.Two vaild passport crads and a certified copy of a birth certificate. D. A NEXUS card, a U.S. Coast Guard Merchant Marine Document.,and a certified copy of a birth certificate. |
Pacing and Pausing
Sara tried to befriend her old friend Steve's new wife, but Betty never seemed to have anything to say. While Sara felt Betty didn't hold up her end of the conversation, Betty complained to Steve that Sara never gave her a chance to talk. The problem had to do with expectations about pacing and pausing.
Conversation is a turn-taking game. When our habits are similar, there's no problem. But if our habits are different, you may start to talk before I'm finished or fail to take your turn when I'm finished. That's what was happening with Betty and Sara.
It may not be coincidental that Betty, who expected relatively longer pauses between turns, is British, and Sara, who expected relatively shorter pauses, is American. Betty often felt interrupted by Sara. But Betty herself became an interrupter and found herself doing most of the talking when she met a visitor from Finland. And Sara had a hard time cutting in on some speakers from Latin America or Israel.
The general phenomenon, then, is that the small conversation techniques, like pacing and pausing, lead people to draw conclusions not about conversational style but about personality and abilities. These habitual differences are often the basis for dangerous stereotyping (思维定式). And these social phenomena can have very personal consequences. For example, a woman from the southwestern part of the US went to live in an eastern city to take up a job in personnel. When the Personnel Department got together for meetings, she kept searching for the right time to break in--and never found it. Although back home she was considered outgoing and confident, in Washington she was viewed as shy and retiring. When she was evaluated at the end of the year, she was told to take a training course because of her inability to 
speak up.
That's why slight differences in conversational style--tiny little things like microseconds of pause-can have a great effect on one's life. The result in this case was a judgment of psychological problems---even 
in the mind of the woman herself, who really wondered what was wrong with her and registered for assertiveness training.
| 1． |
What did Sara think of Betty when talking with her?
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| 2． |
According to the passage, who are likely to expect the shortest pauses between turns?
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| 3． |
We can learn from the passage that
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| 4． |
The underlined word "assertiveness" in the last paragraph probably means
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The Cost of Higher Education
Individuals (个人) should pay for their higher education.
A university education is of huge and direct benefit to the individual. Graduates earn more than non-graduates. Meanwhile, social mobility is ever more dependent on having a degree. However, only some people have it. So the individual, not the taxpayers, should pay for it. There are pressing calls on the resources (资源) of the government. Using taxpayers' money to help a small number of people to earn high incomes in the future is not one of them.
Full government funding (资助) is not very good for universities. Adam Smith worked in a Scottish university whose teachers lived off student fees. He knew and looked down upon 18th-century Oxford, where the academics lived comfortably off the income received from the government. Guaranteed salaries, Smith argued, were the enemy of hard work; and when the academics were lazy and incompetent, the students were similarly lazy.
If students have to pay for their education, they not only work harder, but also demand more from their teachers. And their teachers have to keep them satisfied. If that means taking teaching seriously, and giving less time to their own research interests, that is surely something to celebrate.
Many people believe that higher education should be free because it is good for the economy (经济). Many graduates clearly do contribute to national wealth, but so do all the businesses that invest (投资) and create jobs. If you believe that the government should pay for higher education because graduates are economically productive, you should also believe that the government should pay part of business costs. Anyone promising to create jobs should receive a gift of capital from the government to invest. Therefore, it is the individual, not the government, who should pay for their university education.
| 1． |
The underlined word "them" in Paragraph 2 refers to
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| 2． |
The author thinks that with full government funding
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| 3． |
The author mentions businesses in Paragraph 5 in order to
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