2017-2018学年高二英语上学期考试试题

2017-2018学年高二英语上学期考试试题
考生须知：
1．本卷满分150分，考试时间120分钟；
2．答题前，在答题卷指定区域填写学校、班级、姓名、试场号、座位号及准考证号；
3．所有答案必须写在答题卷上，写在试卷上无效；
4．考试结束后，只需上交答题卷。

第I卷
第一部分：听力（共两节，满分30分）
第一节（共5小题；每小题1.5分，满分7.5分）
听下面5段对话。

每段对话后有一个小题，从题中所给的A、B、C三个选项中选出最佳选项，并标在试卷的相应位置。

听完每段对话后，你都有10秒钟的时间来回答有关小题和阅读下一小题。

每段对话仅读一遍。

1. What does the woman think of golfing?
A. It’s expensive.
B. It needs a lot of practice.
C. It’s a waste of time.
2. How did the man try to contact Ben?
A. By email.
B. By phone.
C. In person.
3. What does the woman suggest doing to save more money?
A. Doing less shopping.
B. Travelling to work by bus.
C. Eating at home more often.
4. What books is the man looking for?
A. Books about the Second World War.
B. Books on the American Civil War.
C. Books about the Iraq War.
5. What does the mother want to find?
A. A flight ticket.
B. A website.
C. A tourist attraction.
第二节（共15小题,每小题1.5，满分22.5）
听下面5段对话或独白。

每段对话或独白后有几个小题，从题中所给的A、B、C三个选项中选出最佳选项，并标在试卷的相应位置。

听每段对话或独白前，你将有时间阅读各个小题，每小题5秒钟；听完后，各小题将给出5秒钟的作答时间。

每段对话或独白读两遍。

听第6段材料，回答第6、7题。

6. How does the man learn English?
A. By listening to English songs.
B. By playing a role in English dramas.
C. By speaking English whenever possible.
7. What does the woman think of the man?
A. Hardworking.
B. Crazy.
C. Creative.
听第7段材料，回答第8、9题。

8. What does the man probably need most now?
A. A pay raise.
B. An assistant.
C. A meal.
9. What is the woman worried about?
A. The man’s performance.
B. The man’s health.
C. The man’s project.
听第8段材料，回答第10至12题。

10. Where do Bill’s family live?
A. In New Zealand.
B. In the USA.
C. In Canada.
11. Who is Bill?
A. The man’s brother.
B. The woman’s brother-in-law.
C. The man’s brother-in-law.
12. When did Bill remarry?
A. Three years after Ruth’s death.
B. Three years after Sarah was born.
C. Three years before Jane was born.
听第9段材料，回答第13至16题。

13. Where does the man get the information about the new jo b?
A. On the Internet.
B. In the newspaper.
C. On the notice board.
14. Why does the man want to change his job?
A. To get promoted in the future.
B. To have a better salary.
C. To enrich his working experience.
15. What does the woman think of the new job?
A. Challenging.
B. Rewarding.
C. Inspiring.
16. What is the disadvantage of the new job?
A. Working in the evening.
B. Too demanding.
C. A little boredom and lower pay.
听第10段材料，回答第18至20题。

17. How long was Michael missing?
A. For more than 3 hours.
B. For more than 5 ho urs.
C. For more than 9 hours.
18. Where was Michael found?
A. Near a river.
B. In an unoccupied ho use.
C. In a nearby kindergarten.
19. Who didn’t join in the search for Michael?
A. Local farmers.
B. Fire officials.
C. A rescue team.
20. How was Michael when he was found?
A. He was sleeping.
B. He was having fun.
C. He was frightened.
第二部分：阅读理解（共两节，满分35分）
第一节（共10个小题；每小题2.5分，满分25分）阅读下列短文，从每题所给的A、B、C和D四个选项中，选出最佳选项，并在答题卡上将该项涂黑。

A
Mike and I were excited about shopping for our first home, but our money was limited.
One agent(代理
人) recommended a house. Although her description sounded wonderful, the price was beyond our range, so we
refused. But she kept persuading us to have a look at least.
We finally did and it was love at first sight. It was Our Home, a ttractive, overlooking a quiet lake. Walking through the rooms and talking with the owners, a nice old couple, we felt the war mth and happiness of the marriage within that home. As perfe ct as it was, the price remained too high for us. But every day, we would sit by the lake, looking at the house and dreaming of what it would be like to live there.
Days later, we made an offer — far below the asking price. Su rprisingly, they didn’t laugh at us. They renewed their offer ins tead. It was also much more than we could afford, but far less than the former asking price.
The next day, we got a disappointing message that another b uyer had offered a much higher price. Even so, we decided to talk with the owners directly. We made our final offer, which s till was thousands of dollars less than the other buyer’s bid. W e knew it, but we had to try.
“Sold!” said the owner. Then he explained: He’d seen us sittin g by the lake all those times; he knew how much we loved the place and that we’d appreciate the years of work they had pu t into their home; he realized he would take a loss by selling it
to us, but it was worthwhile; we were the people they wanted t o live there. He told us to consider the difference in the price “an early wedding present.”
21. Why did the writer love the house so much?
A. The house was large and comfortable.
B. The agent kept recommending the house.
C. The house was attractive and the owners were kind.
D. The price was not far from what the writer could offer.
22. What’s the relationship between Mike and the writer?
A. Husband and wife.
B. Brother and sister.
C. Close friends.
D. A couple to be married.
23. Which of the following is probably the reason why Mike an
d th
e writer finally got the house?
A. The owners of the house were always ready to help them.
B. Their agent helped them a lot when they met with troubles.
C. Their true love for the house was felt by the owners.
D. The price others offered wasn’t high enough to attract the owners.
B
Are coral reefs “the forgotten rain forests of the sea”?
All people are against the damage done to tropical rain forest s and their rich resources; yet coral reefs, an equally vital reso urce, suffer similar damage. Some causes are natural, but hu man action is the main threat to coral reefs, which leads to ma ny serious problems for life on earth.
The most important danger of development is eutrophication(富营养
化): the buildup of nutrients in the water. The nutrients—such as chemicals found in polluted water, fertilizer, and pesti cides—cause the abnormal growth of algae (藻
类) that covers and chokes the corals. As a result of huge pop ulation growth of algae, nearly 90 percent of the coral reefs in South Florida are dead or dying. Experts also consider that 70 percent of all coral will be dead by the year 2050 if present tr ends continue.
While eutrophcation is the main human danger to coral reefs, tourism and fishing contributes, too. Tourists not only require more land development, but also coral reefs as souvenirs. Ca reless scuba divers and snorkelers cause big damage to reef, so do fishers who ignored marine ecology. In some parts of t he world, people fish by pouring poison onto reefs. The poiso n only makes large fish unconscious but kills corals. Even if p oison is not used, the disappearance of large fish endangers r
eef because the fish can eat algae and help keep them under control.
Ironically, curses always come home to roost. When fish die o ut from the
destroyed reefs, it will also result in the loss of fishing jobs for human as there are no fish to catch any more. The coastal se ttlements will be hurt as well because of the dead coral. With all that the world stands to lose if coral reefs disappear, the m ost important effect may be the loss of medicinal benefits. If th e situation continue going worse, some future medical discov eries will be impossible.
24. What is the passage mainly about?
A. The rich resources coral reefs contain.
B. The cause and effect of the loss of coral reefs.
C. How to avoid damaging coral reefs.
D. The importance of protecting coral reefs.
25. According to the passage, which of the following contribut es most to the damage to coral reefs?
A. Thoughtless scuba divers and snorkelers.
B. The disappearance of large fish.
C. Great demand of land development.
D. The increase of nutrients in the water.
26. What is the write r’s attitude towards the current situation o
f coral reefs?
A. Shocked.
B. Delighted.
C. Concerned.
D. Pessimistic.
C
I used to work with a young doctor who was impressive not on ly for his clinical skills but also for his devotion to patients. On e afternoon I was surprised to see him at a nursing station, co mplaining to a nurse about one patient’s family. The patient w as dying, and the young doctor had organized a meeting with the family to talk about withdrawing life-
support machines and medications and starting comforting m easures. The family had spent the entire meeting asking ques tions but then refused to make any decisions or withdraw any treatments.
“I spent all this time telling them we could continue to inflict (给
予) pain on their loved one or we could make him comfortable ,” he said, “I told them suffering or comfort---
it was their decision. But in the end, they made no decision an d just walked right out of the room!”
The way doctors and patients approach medical decisions ha s changed sharply over the last 50 years. For generations, the se decisions were the exclusive purview（独有权限）
of doctors, and patients often had little say in the final choice. But that decision-
making process began to change in the late 1960s, as move ments calling for patient empowerment grew.
For the next 40 years, young doctors, myself included, would be trained to restrain（抑制）
ourselves from making anything but
emergency or small decisions for patients.
But a new study reveals that too much physician restraint may not be all that good for the patient. Researchers interviewed more than 8,000 hospitalized patients at the University of Chic ago.When it came to medical decisions, most patients---
two out of three---
also preferred that their doctors make the final decisions regar ding their medical care. “The data says that most patients don ’t want to make these decisions on their own,” said Dr. Farr А. Curlin.
For doctors, then, the key to preserving patient-centered care---
lies not in letting patients make the final decisions alone but in respecting their opinions and shouldering the responsibility. “We have to stop drawing a circle around patients and their fa milies,” Dr. Curlin said. “We have to stop forcing them to suffe r the loneliness and burden of autonomy and instead begin st anding in that circle with them.”
27. The young doctor the author worked with complained that one patient’s family____________.
А. were too rude to him B. kept asking him questions
C. didn’t agree with his decision
D. made no deci sion on how to treat the patient
28. The underlined word “withdraw” in Paragraph 1 can be re placed by___________.
А. paying for
B. making a change for
C. considering applying
D. s topping using
29. To preserve patient-
centered care, doctors should __________.
А. let patients make the final decisions alone
B. respect patients’ opinion and help to make decisions
C. draw a circle around patients and their families
D. request autonomy for their patients
30. What can we learn from the text?
А. Most patients prefer to make decisions on their own.
B. Letting patients make decisions by themselves is good for t hem.
C. Patients used to have little right in making decisions before the late 1960s.
D. Young doctors will be trained to make decisions for their pa tients in the future.
第二节（共5个小题；每小题2分，满分10分）根据短文内容，从短文后的选项中选出能填入空白处的最佳选项。

选项中有两项为多余选项。

What should you think about in trying to find your career(职业)? You are probably better at some school subjects than oth ers. 31
A boy who is good at mathematics can use that in an engin eering career. A girl who spells well and likes English may be good at office work. So it is important to do well at school. On the other hand, you may not have any specially strong or wea
k subjects but your records show a general good result. 32 Knowledge of history is not required for most jobs but if histor y is one of your good subjects you will have learned to remem ber facts and details. This is an ability that can be useful in m any jobs.
Your school may have taught you skills, such as typing or tec hnical drawing, which you can use in your work. You may be good at metal work or cooking and look for a job where you c an improve these skills.
33 You may have learned how to get to work on time and g et on with older workers. You may have learned to give correc t change in a shop, for example. Just as important, you may b ecome interested in a certain industry or career you see from the inside in a part-time job.
34 You may be all thumbs when you deal with tools; perha ps you are a poor speller or cannot add up a column of figure s. It is better to face any weaknesses than to pretend they do not exist. Your school record, for instance, may not be too go od, yet it is an important part of your background. You should not feel sorry for it. 35__
A. This does not have direct value for future job hunting.
B. These may show strengths that you can use in your work.
C. Facing your weak points is also part of knowing yourself.
D. Having a part-
time job is a good way to find out your weak points.
E. Instead, you should recognize that you will have a chance of a fresh start at work.
F. Although not all subjects can be used directly(直接
地) in a job, they may have indirect value.
G. If you have had a part-
time job on Saturdays or in the summer, think what you gaine d from it.
第三部分：语言运用（共两节，满分45分）
：完形填空（共20个小题；每小题1.5分，满分30分）阅读下面短文，从短文后各题所给的A、B、C和D四个选项中，选出可以填入空白处的最佳选项，并在答题卡上将该项涂黑。

Last year I ruined my summer vacation by bringing along a m odern convenience: the iPad.
Instead of looking at nature, I 36 my e-
mail. Instead of reading great novels, I stuck to reading 37 newspapers each morning. And that was the problem: I was a cting 38 I were still in the office. My body was on vacation b ut my 39 wasn’t.
So this year I made up my mind to try something 40 : gett ing away from the Internet. I knew it wouldn’t be easy, 41 I’m not good at self-
control. But I was 42 . I started by 43 the iPad to my wife. Then, a stroke of luck: The mobile phone 44 at our cabin w as worse than in the past. I was 45 , forced to carry out my plan. Largely 46 from e-
mail and my favorite newspaper websites, I had little way to 47 the world. I had no 48 but to do what I had planned to do all along: read books.
With determination and the strong support of my wife, I suc ceeded in my vacation struggle 49 the Internet. I finally 50 that it was me, of course, not the iPad, that was the 51 . I knew I had 52 when we passed a Starbucks and my wif e asked if I wanted to stop to use the Wi-
Fi. “Don’t need it,” I said. 53 , as we return to work, a test be gins: Can I 54 when I’m back at work? I don’t plan to 55 my iPad completely. But I hope to resist the temptation(抵抗诱惑) to use it every five minutes.
36. A. received B. selected C. checked
D. removed
37. A. online B. informal C. local
D. traditional
38. A. so that B. as if C. now that
D. even though
39. A. opinion B. identity C. mind
D. curiosity
40. A. attractive B. logical C. magical
D. different
41. A. since B. unless C. though
D. so
42. A. excited B. shocked C. frightened
D. determined
43. A. showing B. handing C. sending
D. introducing
44. A. quality B. design C. signal
D. technology
45. A. trapped B. ignored C. injured
D. persuaded
46. A. taken out B. pulled down C. cut off
D. carried away
47. A. rely on B. connect to
C. help with
D. look at
48. A. method B. goal C. trick
D. choice
49. A. against B. for C. on
D. to
50. A. expected B. realized C. permitted
D. suggested
51. A. puzzle B. sign C. evidence
D. problem
52. A. won B. forgotten C. suffered
D. recovered
53. A. Somehow B. Anyway C. However
D. Therefore
54. A. survive B. change C. escape
D. continue
55. A. take apart B. give up C. turn to
D. care about
第II卷
第二节（10个小题；每小题1.5分，满分15分）阅读下面材料，在空白处填入适当的内容（1个单词）或括号内单词的正确形式。

Suppose you are going to Boston, and you have never visited the city before. If someone tells you about the interesting plac es in the city, you begin to get some ideas of 56 you will
see. But you don’t have 57 clear idea of where these pla ces are or of how to find them.
However, 58 someone has a map of the city and shows you the main roads and buildings, you may say, “Oh, now I se e. I can find my way with no trouble at all.” 59 (work) at math is somewhat like trying to find your way to a new city. Perhaps the words may tell you some 60 (inform) and yo u have already thought it over,
but you can’t 61 (easy) see any clear road to the destinat ions.
Maybe 62 need to have a kind of map of the main roads i n maths to help you find your way. Explore what lies 63 maths, and try your best to find the main roads. They 64 ( lead) you to the answer. If you can find the “map”, the maths problems will 65 (figure) out without much difficulty.
第四部分：写作（共两节，满分40分）
第一节：单词拼写（10个小题；每小题1.5分，满分15分）I will a________ it if my suggestions are adopted. Only in thes e ways can we succeed in protecting tigers.
News came from the school office that Wang Lin had been a_ _______ to Beijing University.
There are many spelling mistakes in your composition. O____ ____, you have to correct them before handing it in.
Your arriving late for the interview yesterday left a very negati ve i________ on the interviewers.
Li Hua is as s________ as a mule. Once he has made up his mind, nothing can change it.
You’ll find this map very v________ in helping you to get round London.
S________ yourself with people who’ll provide you with suppor t can be of great benefit.
John is a very r________ person --
- if he promises to do something, he will do it.
This post seems very long, but reading it once is enough. Onc e you get the h_______ of it, it’s easy.
The kids watched atten
tively as the coin s________ to the bottom of the pool.
第二节：应用文写作（满分25分）
假定你是校学生会主席，校学生会(Students’ Union) 要举办一次英语演讲赛。

请你用英语拟一则口头通知。

内容包括：1. 比赛时间和地点：2017年9月8日下午，学校四楼报告厅；
2. 演讲主题：Cooperation with others；
3. 评委与奖项设置：五位英语老师做评委，包括外教
Mr. Smith；设置一等奖1名，二等奖3名，三等奖5名；4. 报名办法：9月3日前到各班班长处报名。

注意：1.词数120个单词左右；
2.可适当增加细节，以使行文连贯。

___________________________________
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ _______________________________
______________________________________________________ ______________________________________________________ ______________________________________________________ ______
______________________________________________________ ______________________________
______________________________________________________ ______________________________
______________________________________________________
______________________________
______________________________________________________ ______________________________
______________________________________________________ ______________________________
______________________________________________________ ______________________________
______________________________________________________ ______________________________
______________________________________________________ ______________________________
2017-2018学年高二英语上学期考试试题
考生须知：
1．本卷满分150分，考试时间120分钟；
2．答题前，在答题卷指定区域填写学校、班级、姓名、试场号、座位号及准考证号；
3．所有答案必须写在答题卷上，写在试卷上无效；
4．考试结束后，只需上交答题卷。

第I卷
第一部分：听力（共两节，满分30分）
第一节（共5小题；每小题1.5分，满分7.5分）
听下面5段对话。

每段对话后有一个小题，从题中所给的A、B、C三个选项中选出最佳选
项，并标在试卷的相应位置。

听完每段对话后，你都有10秒钟的时间来回答有关小题和阅读下一小题。

每段对话仅读一遍。

1. What does the woman think of golfing?
A. It’s expensive.
B. It needs a lot of practice.
C. It’s a waste of time.
2. How did the man try to contact Ben?
A. By email.
B. By phone.
C. In person.
3. What does the woman suggest doing to save more money?
A. Doing less shopping.
B. Travelling to work by bus.
C. Eating at home more often.
4. What books is the man looking for?
A. Books about the Second World War.
B. Books on the American Civil War.
C. Books about the Iraq War.
5. What does the mother want to find?
A. A flight ticket.
B. A website.
C. A tourist attraction.
第二节（共15小题,每小题1.5，满分22.5）
听下面5段对话或独白。

每段对话或独白后有几个小题，从题中所给的A、B、C三个选项中选出最佳选项，并标在试卷的相应位置。

听每段对话或独白前，你将有时间阅读各个小题，每小题5秒钟；听完后，各小题将给出5秒钟的作答时间。

每段对话或独白读两遍。

听第6段材料，回答第6、7题。

6. How does the man learn English?
A. By listening to English songs.
B. By playing a role in English dramas.
C. By speaking English whenever possible.
7. What does the woman think of the man?
A. Hardworking.
B. Crazy.
C. Creative.
听第7段材料，回答第8、9题。

8. What does the man probably need most now?
A. A pay raise.
B. An assistant.
C. A meal.
9. What is the woman worried about?
A. The man’s performance.
B. The man’s health.
C. The man’s project .
听第8段材料，回答第10至12题。

10. Where do Bill’s family live?
A. In New Zealand.
B. In the USA.
C. In Canada.
11. Who is Bill?
A. The man’s brother.
B. The woman’s brother-in-law.
C. The man’s brother-in-law.
12. When did Bill remarry?
A. Three years after Ruth’s death.
B. Three years after Sarah was born.
C. Three years before Jane was born.
听第9段材料，回答第13至16题。

13. Where does the man get the information about the new job?
A. On the Internet.
B. In the newspaper.
C. On the notice board.
14. Why does the man want to change his job?
A. To get promoted in the future.
B. To have a better salary.
C. To enrich his working experience.
15. What does the woman think of the new job?
A. Challenging.
B. Rewarding.
C. Inspiring.
16. What is the disadvantage of the new job?
A. Working in the evening.
B. Too demanding.
C. A little boredom and lower pay.
听第10段材料，回答第18至20题。

17. How long was Michael missing?
A. For more than 3 hours.
B. For more than 5 hours.
C. For more than
9 hours.
18. Where was Michael found?
A. Near a river.
B. In an unoccupied house.
C. In a nearby ki ndergarten.
19. Who didn’t join in the search for Michael?
A. Local farmers.
B. Fire officials.
C. A rescue team.
20. How was Michael when he was found?
A. He was sleeping.
B. He was having fun.
C. He was frightened.
第二部分：阅读理解（共两节，满分35分）
第一节（共10个小题；每小题2.5分，满分25分）
阅读下列短文，从每题所给的A、B、C和D四个选项中，选出最佳选项，并在答题卡上将该项涂黑。

A
Mike and I were excited about shopping for our first home, but our money was limited.
One agent(代理
人) recommended a house. Although her description sounded wonderful, the price was beyo nd our range, so we refused. But she kept persuading us to have a look at least.
We finally did and it was love at first sight. It was Our Home, attractive, overlooking a quiet la ke. Walking through the rooms and talking with the owners, a nice old couple, we felt the war mth and happiness of the marriage within that home. As perfect as it was, the price remained too high for us. But every day, we would sit by the lake, looking at the house and dreaming o f what it would be like to live there.
Days later, we made an offer — far below the asking price. Surprisingly, they di dn’t laugh at us. They renewed their offer instead. It was also much more than we could afford, but far les s than the former asking price.
The next day, we got a disappointing message that another buyer had offered a much higher price. Even so, we decided to talk with the owners directly. We made our final offer, which sti ll was thousands of dollars less than the other buyer’s bid. We knew it, but we had to try.
“Sold!” said the owner. Then he explained: He’d seen us sitting by the lake all those times; h e knew how much we loved the place and that we’d appreciate the years of work they had pu t into their home; he realized he would take a loss by selling it to us, but it was worthwhile; w e were the people they wanted to live there. He told us to consider the difference in the price “an early wedding present.”
21. Why did the writer love the house so much?
A. The house was large and comfortable.
B. The agent kept recommending the house.
C. The house was attractive and the owners were kind.
D. The price was not far from what the writer could offer.
22. What’s the relationship between Mike and the writer?
A. Husband and wife.
B. Brother and sister.
C. Close friends.
D. A couple to be married.
23. Which of the following is probably the reason why Mike and the writer finally got the hous e?
A. The owners of the house were always ready to help them.
B. Their agent helped them a lot when they met with troubles.
C. Their true love for the house was felt by the owners.
D. The price others offered wasn’t high enough to attract the owners.
B
Are coral reefs “the forgotten rain forests of the sea”?
All people are against the damage done to tropical rain forests and their rich resources; yet c oral reefs, an equally vital resource, suffer similar damage. Some causes are natural, but hu man action is the main threat to coral reefs, which leads to many serious problems for life on earth.
The most important danger of development is eutrophication(富营养
化): the buildup of nutrients in the water. The nutrients—
such as chemicals found in polluted water, fertilizer, and pesticides—
cause the abnormal growth of algae (藻
类) that covers and chokes the corals. As a result of huge population growth of algae, nearly 90 percent of the coral reefs in South Florida are dead or dying. Experts also consider that 7 0 percent of all coral will be dead by the year 2050 if present trends continue.
While eutrophcation is the main human danger to coral reefs, tourism and fishing contributes, too. Tourists not only require more land development, but also coral reefs as souvenirs. Car eless scuba divers and snorkelers cause big damage to reef, so do fishers who ignored mari ne ecology. In some parts of the world, people fish by pouring poison onto reefs. The poison only makes large fish unconscious but kills corals. Even if poison is not used, the disappeara nce of large fish endangers reef because the fish can eat algae and help keep them under co ntrol.
Ironically, curses always come home to roost. When fish die out from the
destroyed reefs, it will also result in the loss of fishing jobs for human as there are no fish to catch any more. The coastal settlements will be hurt as well because of the dead coral. With all that the world stands to lose if coral reefs disappear, the most important effect may be the loss of medicinal benefits. If the situation continue going worse, some future medical discove ries will be impossible.
24. What is the passage mainly about?
A. The rich resources coral reefs contain.
B. The cause and effect of the loss of coral reefs.
C. How to avoid damaging coral reefs.
D. The importance of protecting coral reefs.
25. According to the passage, which of the following contributes most to the damage to coral reefs?
A. Thoughtless scuba divers and snorkelers.
B. The disappearance of large fish.
C. Great demand of land development.
D. The increase of nutrients in the water.
26. What is the writer’s attitude towards the current situation of coral reefs?
A. Shocked.
B. Delighted.
C. Concerned.
D. Pessimistic.
C
I used to work with a young doctor who was impressive not only for his clinical skills but also for his devotion to patients. One afternoon I was surprised to see him at a nursing station, co mplaining to a nurse about one patient’s family. The patient was dying, and the young doctor had organized a meeting with the family to talk about withdrawing life-
support machines and medications and starting comforting measures. The family had spent t he entire meeting asking questions but then refused to make any decisions or withdraw any t reatments.
“I spent all this time telling them we could continue to inflict (给
予) pain on their loved one or we could make him comfortable,” he said, “I told them suffering or comfort---
it was their decision. But in the end, they made no decision and just walked right out of the ro om!”
The way doctors and patients approach medical decisions has changed sharply over the last 50 years. For generations, these decisions were the exclusive purview（独有权限）
of doctors, and patients often had little say in the final choice. But that decision-
making process began to change in the late 1960s, as movements calling for patient empow erment grew.
For the next 40 years, young doctors, myself included, would be trained to restrain（抑制）ourselves from making anything but emergency or small decisions for patients.
But a new study reveals that too much physician restraint may not be all that good for the pat ient. Researchers interviewed more than 8,000 hospitalized patients at the University of Chic ago.When it came to medical decisions, most patients---two out of three---
also preferred that their doctors make the final decisions regarding their medical care. “The d ata says that most patients don’t want to make these decisions on their own,” said Dr. Farr А. Curlin.
For doctors, then, the key to preserving patient-centered care---
lies not in letting patients make the final decisions alone but in respecting their opinions and s houldering the responsibility. “We have to stop drawing a circle around patients and their fam ilies,” Dr. Curlin said. “We have to stop forcing them to suffer the loneliness and burden of au。