单选题58. A end B life C death D birthA AB BC CD D

共用题干
Preferences Vary on Circumstances of Dying

Among terminally（晚期）ill people, attitudes differ on what they think constitutes a
_______(1)or bad death,the results of a new study suggest.
Dr. Elizabeth K. Vig of the University of Washington in Seattle and colleagues interviewed
26 men with_________(2)heart disease or cancer.The men were asked to describe
good and bad deaths,and they also answered________(3)about their preferences
for dying.
"In this small study,terminally ill men described good and bad deaths_____(4),"
Vig said."They did not hold the same views about such issues________(5)the
presence of others at the very end of life or preferred location of death."
Many of the men considered_______(6)in their sleep to be a good death.The
reasons were varied and included not_________(7) that death was imminent（即将发生
的）,and that death would be painless.
For close to half of the men , a prolonged（拖延的）death was __________ (8) a bad
death.Some of the men associated a prolonged death with prolonged pain,_________
(9)others thought a prolonged death would be difficult for their families.
Most men said that their______(10)were very important to them,but this did
not mean that they wanted relatives close at the________(11)of death."Valuing family did
not also_________(12)wanting family present at the very end of life,"Vig said.
"In fact,some expressed concerns___________(13)burdening loved ones,"Vig said.
For instance,some men were worried about the emotional or________(14)
impact on their family members,according to the Washington researcher. Some were
worried________(15)their need for care would be a burden on their families,she said.

_________(3)
A: reports
B: opinions
C: questions
D: remarks

The life cycle ofa project is a description of the various phases of the project from the beginning to the end.One of the followings is not a phase of the traditional project life cycle,itis_（ ）

A.devclopment
B.concept
C.system analysis
D.implementation

Text 2 Death comes to all,but some are more sure of its timing,and can make plans.Kate Granger,a 32-year-old doctor suffering from an incurable form ofsarcoma,has"very strong ambitions"for her last hours.She plans to avoid hospital emergency departments and die at her parents'house-music playing,candles glowing,family by her side.Surveys show that over two-thirds of Britons would like to die at home.Like Dr Granger,they want to be with family and free of pain.Yet hospital remains the most common place of death.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The government,motivated by both compassion and thrift,wants to help.In death,at least,public wishes align neatly with the state's desire to save money.The NHS has calculated that if roughly one more patient per general practitioner died outside hospital each year,it would save 180m（$295m）.In 2008 it introduced a broad end-of-life care strategy,which sought to increase awareness of how people die while improving care.Since then the proportion of people dying at home or in care homes（the split is about half-and-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-those patients likely to die in the next year-and start talking about end-of-life care.This can be difficult for doctors."As a profession we view death as failure,"says Dr Granger.Yet when there is no cure to be had,planning for death can be therapeutic for patients.Those who do plan ahead are much more likely to have their wishes met.A growing number of patients have electronic"palliative-care co-ordination systems",which allow doctors to register personal preferences so that other care providers can follow them.A paramedic called to a patient's home would know of a do-not-resuscitate order,for example.One study showed that such systems increase the number of people dying in their homes.But savings for the govemment may mean costs for charities and ordinary folk.At the end of life it is not always clear who should pay for what.Although Britons can get ordinary health care without paying out of pocket,social care is means-tested.People must ofien shell out for carers or care homes-or look after the terminally ill themselves.Disputes crop up over trivial things,like responsibility for the cost of a patient's bath.A bill now trundling through Parliament would cap the cost of an individual's social care.Still,some want it to be free for those on end-of-life registries.That would cut into the government's savings-but allow more people to die as they want.According to the text,people who die in the hospital will——.

A.get more welfare than other choices
B.be aware ofthe importance ofend ofcare approach
C.cost more than die at home
D.get an end of care life from the state

Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims.
A ceniury ago,death was characterized as being_____

A.quick
B.slow
C.medicalised
D.peaceful

The life cycle of a project is a description of the various phases of the project from the beginning to the end. One of the followings is not a phase of the traditional project life cycle, It is（ ）.

A.development
B.concept
C.system analysis
D.implementation

Which of the following is NOT a usual subject of Emily Dickenson′s poems？( )

A.Nature
B.Life and death
C.Love and marriage
D.War and peace

Text4 Death comes to all,but some are more sure of its timing,and can make plans.Kate Granger,a 32-year-old doctor suffering from an incurable form of sarcoma,has"very strong ambitions"for her last hours.She plans to avoid hospital emergency departments and die at her parents'house-music playing,candles glowing,family by her side.Surveys show that over two-thirds of Britons would like to die at home.Like Dr.Granger,they want to be with family and free ofpain.Yet hospital remains the most common place ofdeath.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The govemment,motivated by both compassion and thrift,wants to help.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-those patients likely to die in the next year-and start talking about end-of-life care.This can be difficult for doctors."As a profession we view death as failure,"says Dr.Granger.Yet when there is no cure to be had,planning for death can be therapeutic for patients.Those who do plan ahead are much more likely to have their wishes met.A growing number of patients have electronic"palliative-care co-ordination systems",which allow doctors to register personal preferences so that other care providers can follow them.A paramedic called to a patient's home would know of a do-not-resuscitate order,for example.One study showed that such systems increase the number of people dying in their homes.But savings for the government may mean costs for charities and ordinary folk.At the end of life it is not always clear who should pay for what.Although Britons can get ordinary health care without paying out of pocket,social care is means-tested.People must often shell out for carers or care homes-or look after the terminally ill themselves.Disputes crop up over trivial things,like responsibility for the cost ofa patient's bath.A bill now would cap the cost of an individual's social care by Parliament.Still,some want it to be free for those on end-of-life registries.That would cut into the govemment's savings-but allow more people to die as they want.37.Which of the following would Dr.Granger most probably agree on?

A.A planned death is equal to suicide.
B.Death is a failure for doctors.
C.Planning for death is beneficial for patients.
D.End-of-Iife care is a fundamental rask for doctors.

There are two types of death:the kind that comes so soon,and the kind that,though lamentable,at least feels age-appropriate.When someone young passes away,the blow is made worse by all the might-have-beens-what the deceased could have done,seen,and accomplished if only given more time.When the very old die,however,the loss-while still terrible for their loved ones-doesn't come with the same sense of unfulfillcd potential."It was his time"is the phrase that so ofien applies,or,"She lived a full life."But the definition of"a full life"is expanding,and the line dividing the two types of death is retreating.As life expectancies continue to change,so too will our collective ideas about death and its time-not just for talents who generation-defining songs,but also the rest of us who still have unfinished business of our own.

Text 2 Death comes to all,but some are more sure of its timing,and can make plans.Kate Granger,a 32-year-old doctor suffering from an incurable form ofsarcoma,has"very strong ambitions"for her last hours.She plans to avoid hospital emergency departments and die at her parents'house-music playing,candles glowing,family by her side.Surveys show that over two-thirds of Britons would like to die at home.Like Dr Granger,they want to be with family and free of pain.Yet hospital remains the most common place of death.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The government,motivated by both compassion and thrift,wants to help.In death,at least,public wishes align neatly with the state's desire to save money.The NHS has calculated that if roughly one more patient per general practitioner died outside hospital each year,it would save 180m（$295m）.In 2008 it introduced a broad end-of-life care strategy,which sought to increase awareness of how people die while improving care.Since then the proportion of people dying at home or in care homes（the split is about half-and-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-those patients likely to die in the next year-and start talking about end-of-life care.This can be difficult for doctors."As a profession we view death as failure,"says Dr Granger.Yet when there is no cure to be had,planning for death can be therapeutic for patients.Those who do plan ahead are much more likely to have their wishes met.A growing number of patients have electronic"palliative-care co-ordination systems",which allow doctors to register personal preferences so that other care providers can follow them.A paramedic called to a patient's home would know of a do-not-resuscitate order,for example.One study showed that such systems increase the number of people dying in their homes.But savings for the govemment may mean costs for charities and ordinary folk.At the end of life it is not always clear who should pay for what.Although Britons can get ordinary health care without paying out of pocket,social care is means-tested.People must ofien shell out for carers or care homes-or look after the terminally ill themselves.Disputes crop up over trivial things,like responsibility for the cost of a patient's bath.A bill now trundling through Parliament would cap the cost of an individual's social care.Still,some want it to be free for those on end-of-life registries.That would cut into the government's savings-but allow more people to die as they want.
The best title of this text may be——

A.Dying at Home
B.Home Helpless
C.Hospital Best
D.End of Life Care

共用题干
Physician-assisted Suicide

1.The Supreme Court's decisions on physician-assisted suicide carry important implications forhow medicine seeks to relieve dying patients of pain and suffering.
2.Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect,"a centuries-old moral principle holding that an action having two effects一a good one that is intended and a harmful one that is foreseen一is permissible if the actor intends only the good effect.
3.Doctors have used that principle in recent years to justify using high dose of morphine to control terminally ill patients' pain,even though increasing dosages will eventually kill the patient.
4.Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who until now have very,very strongly insisted that they could not give patients sufficient medication to control their pain if that might hasten death.
5.George Annas,chair of the health law department at Boston University,maintains that, as long as a doctor prescribes a drug for a legitimate medical purpose,the doctor has done nothingillegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't callthose deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.If you're a physician,you can risk your patient's suicide as long as you don't intend theirsuicide."On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.
6.Just three weeks before the Court's ruling on physician-assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care atthe End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.
7. The profession is taking steps to require young doctors to train in hospices（临终关怀医院）, to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life. Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives trans-late into better care.

According to the NAS,one of the problems in end-of-life care is________.
A:help the dying end their lives
B:can be prescribed
C:the needless suffering of the patients
D:the helplessness of the patients
E:inadequate treatment of pain
F: prescribe a drug

The life cycle of aproject is a description of the various phases of the project from thebeginning to the end. One of the followings is not a phase of the traditionalproject life cycle, It is（ ）.

A.development
B.concept
C.system analysis
D.implementation

The main theme of Emily Dickinson′s poems isthe following except( )

A.friendship
B.love and marriage
C.life and death
D.war and peace