单选题Further evaluation was recommended only in patients unresponsive to an empirical trial of medical therapy.A consecutiveB routineC experientialD ample

共用题干
Promising Results From Cancer Study

A new experimental vaccine（疫苗）has shown promising results in the fight against lung cancer. In a
small Texas-based study,a vaccine developed by scientists at Baylor University Medical Centre in Dallas,
USA,cured lung cancer in some patients and slowed the progress of the disease in others.
Researchers have reported encouraging findings from this small study.Forty-three patients suffering from
lung cancer were involved in these trials.Ten of these patients were in the early stages and thirty-three in the
advanced stages of the disease.They were injected with the vaccine every two weeks for three months,and
were carefully monitored for three years.In three of the patients in the advanced stages of cancer,the disease
disappeared and in the others,it did not spread for five to twenty-four months.However,no great difference
was seen in the patients in the early stages of the illness.
This new vaccine uses the patient's own immune system.It is made specifically for each patient and is
injected into the arm or leg. It stimulates（刺激）the body' s immune system, which then recognizes that the
cancer cells are harmful,and attacks and destroys them.
The vaccine could be effective against other forms of cancer. It offers great hope for the treatment of
cancer in general,although further studies are needed before such treatment can be widely used.

Patients in the early stages of the disease recovered more quickly in the trial.
A:Right
B:Wrong
C:Not mentioned

共用题干
Clinical Trials
1. Many clinical trials are done to see if a new drug or device is safe and effective for people to use.Sometimes clinical trials are used to study different ways to use the standard treatments so they will be more effective,easier to use,and/or decrease side effects.Sometimes,studies are done to learn how to best use the treatment in a different population,such as children,in whom the treatment was not previously tested.
2. It is important to test drugs and medical products in the people they are meant to help.It is also important to conduct research in a variety of people because different people may respond differently to treatments.Some people participate in clinical trials because they have exhausted standard treatment options .Other people participate in trials because they want to contribute to the ad-vancement of medical knowledge.
3. The FDA（食品及药物管理局）works to protect participants in clinical trials and to ensure that people have reliable information as they decide whether to join a clinical trial.Although efforts are made to control the risks to clinical trial participants,some risks may be unavoidable because of the uncertainty inherent（内在的）in medical research studies involving new medical treatments.
4. People should learn as much as possible about the clinical trials that interest them.They should also feel comfortable discussing their questions and concerns with members of the health care team. Prospective（预期的）participants should understand what happens during the trial ,the type of health care they will receive,and any costs to them.Anyone considering a clinical trial should also know that there are benefits and risks associated with participating.

Learn as much as you can about a clinical trial______.
A: candidates for clinical trials
B: during the trial
C: medical knowledge
D: in humans
E: before participation
F: for some patients

共用题干
Clinical Trials
1. Many clinical trials are done to see if a new drug or device is safe and effective for people to use.Sometimes clinical trials are used to study different ways to use the standard treatments so they will be more effective,easier to use,and/or decrease side effects.Sometimes,studies are done to learn how to best use the treatment in a different population,such as children,in whom the treatment was not previously tested.
2. It is important to test drugs and medical products in the people they are meant to help.It is also important to conduct research in a variety of people because different people may respond differently to treatments.Some people participate in clinical trials because they have exhausted standard treatment options .Other people participate in trials because they want to contribute to the ad-vancement of medical knowledge.
3. The FDA（食品及药物管理局）works to protect participants in clinical trials and to ensure that people have reliable information as they decide whether to join a clinical trial.Although efforts are made to control the risks to clinical trial participants,some risks may be unavoidable because of the uncertainty inherent（内在的）in medical research studies involving new medical treatments.
4. People should learn as much as possible about the clinical trials that interest them.They should also feel comfortable discussing their questions and concerns with members of the health care team. Prospective（预期的）participants should understand what happens during the trial ,the type of health care they will receive,and any costs to them.Anyone considering a clinical trial should also know that there are benefits and risks associated with participating.

Clinical trials provide the only hope______.
A: candidates for clinical trials
B: during the trial
C: medical knowledge
D: in humans
E: before participation
F: for some patients

The badly wounded receive（ ）for medical attention over those only slightly hurt.

A.superiority
B.inferiority
C.priority
D.minority

共用题干
Promising Resnlts from Cancer Study
A new experimental vaccine（疫苗）has shown promising results in the fight against lung cancer.In a small Texas-based study,a vaccine developed by scientists at Baylor University Medical Centre in Dallas,USA,cured lung cancer in some patients and slowed the progress of the disease in others.
Researchers have reported encouraging findings from this small study.Forty一three patients suffering from lung cancer were involved in these trials.Ten of these patients were in the early stages and thirty-three in tho advanced stages of the disease.They were injected with the vaccine every two weeks for three months,and were carefully monitored for three years.In three of the patients in the advanced stages of cancer,the disease disappeared and in the others,it did not spread for five to twenty-four months.However,no great difference was seen in the patients in the early stages of the illness.
This new vaccine uses the patient's own immune system.It is made specifically for each patient and is injected into the arm or leg.It stimulates（刺激）the body's immune system, which then recognizes that the cancer cells are harmful,and attacks and destroys them.
The vaccine could be effective against other forms of cancer.It offers great hope for the treatment of cancer in general,although further studies are needed before such treatment can be widely used.

All the patients were from Dallas.
A:Right
B:Wrong
C:Not mentioned

共用题干
Double Effect
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
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-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.
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 mediation to control their pain if that might hasten death."
George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those 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 their suicide."
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.
Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the 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.The profession is taking steps to require young doctors to train in hospices,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 translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."

George Annas would probably agree that doctors should be punished if they______.
A:manage their patients incompetently
B:give patients more medicine than needed
C:reduce drug dosages for their patients
D:prolong the needless suffering of the patients

共用题干
Promising Resnlts from Cancer Study
A new experimental vaccine（疫苗）has shown promising results in the fight against lung cancer.In a small Texas-based study,a vaccine developed by scientists at Baylor University Medical Centre in Dallas,USA,cured lung cancer in some patients and slowed the progress of the disease in others.
Researchers have reported encouraging findings from this small study.Forty一three patients suffering from lung cancer were involved in these trials.Ten of these patients were in the early stages and thirty-three in tho advanced stages of the disease.They were injected with the vaccine every two weeks for three months,and were carefully monitored for three years.In three of the patients in the advanced stages of cancer,the disease disappeared and in the others,it did not spread for five to twenty-four months.However,no great difference was seen in the patients in the early stages of the illness.
This new vaccine uses the patient's own immune system.It is made specifically for each patient and is injected into the arm or leg.It stimulates（刺激）the body's immune system, which then recognizes that the cancer cells are harmful,and attacks and destroys them.
The vaccine could be effective against other forms of cancer.It offers great hope for the treatment of cancer in general,although further studies are needed before such treatment can be widely used.

The vaccine cured all the participants in the trial.
A:Right
B:Wrong
C:Not mentioned

共用题干
Clinical Trials
1. Many clinical trials are done to see if a new drug or device is safe and effective for people to use.Sometimes clinical trials are used to study different ways to use the standard treatments so they will be more effective,easier to use,and/or decrease side effects.Sometimes,studies are done to learn how to best use the treatment in a different population,such as children,in whom the treatment was not previously tested.
2. It is important to test drugs and medical products in the people they are meant to help.It is also important to conduct research in a variety of people because different people may respond differently to treatments.Some people participate in clinical trials because they have exhausted standard treatment options .Other people participate in trials because they want to contribute to the ad-vancement of medical knowledge.
3. The FDA（食品及药物管理局）works to protect participants in clinical trials and to ensure that people have reliable information as they decide whether to join a clinical trial.Although efforts are made to control the risks to clinical trial participants,some risks may be unavoidable because of the uncertainty inherent（内在的）in medical research studies involving new medical treatments.
4. People should learn as much as possible about the clinical trials that interest them.They should also feel comfortable discussing their questions and concerns with members of the health care team. Prospective（预期的）participants should understand what happens during the trial ,the type of health care they will receive,and any costs to them.Anyone considering a clinical trial should also know that there are benefits and risks associated with participating.

New drugs or devices must be tested before being used______.
A: candidates for clinical trials
B: during the trial
C: medical knowledge
D: in humans
E: before participation
F: for some patients

共用题干
Clinical Trials

1 Many clinical trials are done to see if a new drug or device is safe and effective for people
to use .Sometimes clinical trials are used to study different ways to use the standard
treatments so they will be more effective,easier to use,and/or decrease side effects.
Sometimes,studies are done to learn how to best use the treatment in a different group,
such as children,in whom the treatment was not previously tested.
2 It is important to test drugs and medical products in the people they are meant to help,It
is also important to conduct research in a variety of people because different people may
respond differently to treatments.Some people participate in clinical trials because they
have exhausted standard treatment options.Other people participate in trials because they
want to contribute to the advancement of medical knowledge.
3 The FDA（食品及药物管理局）works to protect participants in clinical trials and to
ensure that people have reliable information as they decide whether to join a clinical trial.
Although efforts are made to control the risks to clinical trial participants,some risks may be
unavoidable because of the uncertainty inherent（内在的）in medical research studies
involving new medical treatments.
4 People should learn as much as possible about the clinical trials that interest them.They
should also feel comfortable discussing their questions and concerns with members of the
health care team. Prospective（预期的）participants should understand what happens
during the trial,the type of health care they will receive,and any costs to them.Anyone
considering a clinical trial should also know that there are benefits and risks associated with
participating.

Learn as much as you can about a clinical trial_________.
A: for some patients
B: before participation
C: in humans
D:medical knowledge
E: during the trial
F: candidates for clinical trials

共用题干
Clinical Trials

1 Many clinical trials are done to see if a new drug or device is safe and effective for people
to use .Sometimes clinical trials are used to study different ways to use the standard
treatments so they will be more effective,easier to use,and/or decrease side effects.
Sometimes,studies are done to learn how to best use the treatment in a different group,
such as children,in whom the treatment was not previously tested.
2 It is important to test drugs and medical products in the people they are meant to help,It
is also important to conduct research in a variety of people because different people may
respond differently to treatments.Some people participate in clinical trials because they
have exhausted standard treatment options.Other people participate in trials because they
want to contribute to the advancement of medical knowledge.
3 The FDA（食品及药物管理局）works to protect participants in clinical trials and to
ensure that people have reliable information as they decide whether to join a clinical trial.
Although efforts are made to control the risks to clinical trial participants,some risks may be
unavoidable because of the uncertainty inherent（内在的）in medical research studies
involving new medical treatments.
4 People should learn as much as possible about the clinical trials that interest them.They
should also feel comfortable discussing their questions and concerns with members of the
health care team. Prospective（预期的）participants should understand what happens
during the trial,the type of health care they will receive,and any costs to them.Anyone
considering a clinical trial should also know that there are benefits and risks associated with
participating.

Clinical trials provide the only hope_________.
A: for some patients
B: before participation
C: in humans
D:medical knowledge
E: during the trial
F: candidates for clinical trials

共用题干
Double Effect
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
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-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.
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 mediation to control their pain if that might hasten death."
George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those 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 their suicide."
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.
Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the 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.The profession is taking steps to require young doctors to train in hospices,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 translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."

According to the NAS's report,one of the problems in end-of-life care is______.
A:prolonged medical procedures
B:inadequate treatment of pain
C:systematic drug abuse
D:insufficient hospital care

共用题干
Double Effect
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
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-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.
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 mediation to control their pain if that might hasten death."
George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those 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 their suicide."
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.
Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the 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.The profession is taking steps to require young doctors to train in hospices,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 translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."

From the first three paragraphs,we learn that______.
A:doctors used to increase drug dosages to control their patients'pain
B:it is still illegal for doctors to help the dying end their lives
C:the Supreme Court strongly opposes physician-assisted suicide
D:patients have no constitutional right to commit suicide

共用题干
第二篇

Double Effect

The Supreme Court's decisions on physician-assisted suicide carry important implications for how medi-
cine seeks to relieve dying patients of pain and suffering.
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.
Doctors have used that principle in recent years to justify using high doses of morphine to control termi-
nally ill patients' pain,even though increasing dosages will eventually kill the patient.
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 mediation to con-
trol their pain if that might hasten death."
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 nothing illegal even if the pa-
tient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides be-
cause 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 their suicide."
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.
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 at the 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.The
profession is taking steps to require young doctors to train in hospices,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 translate
into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly
and predictably suffering,"to the extent that it constitutes"systematic patient abuse."He says medical li-
censing boards"must make it clear…that painful deaths are presumptively ones that are incompetently man-
aged and should result in license suspension."

George Annas would probably agree that doctors should be punished if they________.
A:manage their patients incompetently
B:give patients more medicine than needed
C:reduce drug dosages for their patients
D:prolong the needless suffering of the patients

共用题干
Promising Resnlts from Cancer Study
A new experimental vaccine（疫苗）has shown promising results in the fight against lung cancer.In a small Texas-based study,a vaccine developed by scientists at Baylor University Medical Centre in Dallas,USA,cured lung cancer in some patients and slowed the progress of the disease in others.
Researchers have reported encouraging findings from this small study.Forty一three patients suffering from lung cancer were involved in these trials.Ten of these patients were in the early stages and thirty-three in tho advanced stages of the disease.They were injected with the vaccine every two weeks for three months,and were carefully monitored for three years.In three of the patients in the advanced stages of cancer,the disease disappeared and in the others,it did not spread for five to twenty-four months.However,no great difference was seen in the patients in the early stages of the illness.
This new vaccine uses the patient's own immune system.It is made specifically for each patient and is injected into the arm or leg.It stimulates（刺激）the body's immune system, which then recognizes that the cancer cells are harmful,and attacks and destroys them.
The vaccine could be effective against other forms of cancer.It offers great hope for the treatment of cancer in general,although further studies are needed before such treatment can be widely used.

Patients in the early stages of the disease recovered more quickly in the trial.
A:Right
B:Wrong
C:Not mentioned