Ⅰ. 阅读理解(2019•温州市三模)
The clock always seems to be ticking rather too fast in the doctor’s office and the queue of patients outside the door seems to be pressing rather too hard. Some say it’s high time for the model of short, sharp one－to－one appointments to give way to shared medical appointments(SMAs)．
SMAs are doctor－patient visits in which a group of patients receive patient education and counseling(咨询), physical examination and medical support in a group setting. Typically SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one－to－one visits, SMAs provide a longer appointment time－frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.
However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr.Sumego, director of shared medical appointments, Cleveland Clinic, identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr.Sumego says, “The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is.”
“So, if an organization was looking to start shared medical appointments, I would advise them to start the buy－in from a few champion physicians, develop the work－flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next.” 1. What is the purpose of the SMA approach? A. To improve medical service. B. To promote doctors’ reputation. C. To conduct medical research. D. To meet patients’ expectation.
2. According to Dr.Sumego, what prevents the SMA approach from being widely adopted? A. Personal service. B. Fixed ideas. C. Lack of equipment. D. Shared goals.
3. What can the underlined “buy－in” in Paragraph 4 be replaced by? A. Support. B. Organization. C. Purchase. D. Practice.
4. What can be learned about the SMA approach in the last paragraph? A. It is currently being questioned. B. It is impractical in some areas. C. It will enjoy wide popularity soon. D. It should be carried out step by step. Ⅱ. 完形填空
(2019•保定市一模)
A girl complained to her father about her life and how things were so hard for her.
Without a __1__， the father took his daughter to the kitchen. He filled three pots with __2__ and placed each on a high __3__. In one he placed carrots, in the second eggs, and in the last coffee beans. The daughter sucked her teeth and waited __4__， wondering what he was doing. In about twenty minutes the father turned off the heat. He __5__ the carrots and eggs out and placed them in two plates. Then he poured the coffee into a cup. He asked __6__， “Darling, what do you see？” “Carrots, eggs, and coffee.” She replied.
He asked her to __7__ the carrots. She did and said they were __8__. Then he asked her to take an egg and __9__ it. After pulling off the shell, she __10__ the hard－boiled egg. Finally, he asked her to drink the coffee. She __11__， as she tasted its rich aroma(芳香)． “What does it __12__， Father？” She asked.
He explained that each of them had__13__ the same adversity(困境), boiling water, but each reacted __14__. The carrot went in strong and hard but it turned soft and __15__. The egg had been fragile, but after sitting
through the boiling water its __16__ became hardened. The coffee beans were __17__， however. After they were in the boiling water, they had __18__ the water.
“Which are you？” Father asked his daughter. She was then wordless as if __19__ in thought. When adversity knocks on your door, how do you __20__？ Are you a carrot, an egg or a coffee bean? 1. A. comment B. joyC. result D. word 2. A. milk B. waterC. sand D. oil 3. A. place B. roofC. fire D. stove
4. A. angrily B. impatientlyC. quietly D. nervously 5. A. fished B. handedC. picked D. pulled 6. A. coldly B. eagerlyC. gently D. slowly 7. A. feel B. eatC. get D. wash 8. A. red B. hotC. soft D. fresh 9. A. draw B. seeC. try D. break 10. A. cut B. observedC. touched D. held 11. A. agreed B. hesitatedC. smiled D. cried 12. A. become B. meanC. have D. want 13. A. escaped B. foundC. realized D. faced 14. A. differently B. quicklyC. immediately D. positively 15. A. small B. badC. weak D. mild 16. A. heart B. insideC. content D. surface 17. A. black B. tastyC. solid D. unique 18. A. mixed B. dyedC. changed D. ruined 19. A. absorbed B. trappedC. got D. pushed 20. A. do B. respondC. explain D. behave Ⅲ. 语法填空
(2019•安阳市二模)
Iceland is a land of volcanoes. Nowhere is __1__(evident) than on the Westman Islands off the southern coast of Iceland. Here, __2__(century) of volcanic eruptions formed many eye－catching sea cliffs(悬崖), among __3__ one stands out: A part of the volcano－formed coast on Heimaey looks exactly like the head of a large elephant __4__(stick) its trunk in the water.
In fact, it looks so much like an elephant that many people think it must have been shaped by humans. That is not __5__ case, however. The elephant’s realistic __6__(appear) is, at least partially, due to the fact that the cliff __7__(consist) of a special rock. The rock gives the figure “skin” that looks wrinkled and gray, just like that of a real elephant.
The most common theory is that the rock formations came from the Eldfell Volcano, which __8__(erupt) many times since the 1940s.
In spite of the strong resemblance to an elephant, some people __9__(actual) see something different when they look at the rock formation. They see the fictional character Cthulhu, a sea beast.
Whether you see an elephant __10__ a fictional beast, as one of many attractions on Heimaey, the rock does draw curious sightseers.
1. ________ 2. ________ 3. ________ 4. ________ 5. ________ 6. ________ 7. ________ 8. ________ 9. ________ 10. ________
Ⅳ. 短文改错
(2019•江西红色七校高三第二次联考)
Last Sunday, I went to a shop to have my watch repair. After checking the watch, the shop assistant said she would call her manager to see that if this kind of problem could be fixed. As I was waiting the response from the manager, I saw an old man in a wheelchair roll himself over to the counter. No one seems to have noticed him, so I went over to his wheelchair and offered to give him some helps. Kindly as I was, I found that I could do something to help him. At that moment, the assistant replied that it would cost myself much money to fix this problem. I was very sad and about to leave the shop while the old man said, ” You are a nice and thoughtful boy, but I would like to help you pay for it.”