2013年全国医学博士外语统一考试英语试卷-完整版

2013MD全国医学博士外语统一考试英语试卷答题须知1．请考生首先将自己的姓名、所在考点、准考证号在试卷一答题纸和试卷二标准答题卡上认真填写清楚，并按“考场指令”要求，将准考证号在标准答题卡上划好。

2．试卷一(Paper One)答案和试卷二(Paper Two)答案都作答在标准答题卡上，不要做在试卷上。

3．试卷一答题时必须使用2B铅笔，将所选答案按要求在相应位置涂黑；如要更正，先用橡皮擦干净。

书面表达一定要用黑色签字笔或钢笔写在标准答题卡上指定区域。

4．标准答题卡不可折叠，同时答题卡须保持平整干净，以利评分。

5．听力考试只放一遍录音，每道题后有15秒左右的答题时间。

国家医学考试中心PAPER ONEPart 1 ：Listening comprehension（30%）Section ADirections:In this section you will hear fifteen short conversations between two speakers, At the end of each conversation, you will hear a questionabout what is said, The question will be read only once, After you hearthe question, read the four possible answers marked A, B, C, and D.Choose the best answers and mark the letter of your choice on theANSWER SHEET.Listen to the following exampleYou will hearWoman: I feel faint.Man: No wonder. You haven’t had a bite all day.Question: What’s the matter with the woman?You will read:A. She is sick.B. She was bitten by an ant.C. She is hungry.D. She spilled her paint.Here C is the right answer.Sample AnswerA B C DNow let’s begin with question Number 1.1. A. A cough B. Diarrhea C. A fever D. V omiting2. A. Tuberculosis B. Rhinitis C. Laryngitis D. Flu3. A. In his bag. B. By the lamp.C. In his house.D. No idea about where he left it.4. A. He’s nearly finished his work.B. He has to work for some more time.C. He wants to leave now.D. He has trouble finishing his work.5. A. A patient B. A doctor C. A teacher D. A student6. A. 2.6 B. 3.5 C. 3.9 D. 1367. A. He is the head of the hospital. B. He is in charge of Pediatrics.C. He went out looking for Dan.D. He went to Michigan on business.8. A. He has got a fever. B. He is a talented skier.C. He is very rich.D. He is a real ski enthusiast.9. A. To ask local people for help.B. To do as Romans do only when in Rome.C. Try to act like the people from that culture.D. Stay with your country fellows.10.A. She married because of loneliness.B. She married a millionaire.C. She married for money.D. She married for love.11.A. Aspirant B. Courageous C. Cautious D. Amiable12.A. He was unhappy. B. He was feeling a bit unwell.C. He went to see the doctor.D. The weather was nasty.13.A. You may find many of them on the bookseller’ shelves.B. You can buy it from almost every bookstore.C. It’s a very popular magazine.D. It doesn’t sell very well.14.A. A general practitioner. B. A gynecologist.B. An orthopedist D. A surgeon.15.A. Chemotherapy B. Radiation C. Injections D. Surgery Section BDirection:In this section you will hear one conversation and two passages, after each of which, you will hear five questions. After each question, readthe four possible answers marked A, B, C and D, Choose the bestanswer and mark the letter of your choice on the ANSWER SHEET. Dialogue16.A. It is a genetic disorder.B. It is a respiratory condition in pigs.C. It is an illness from birds to humans.D. It is a gastric ailment.17.A. Eating pork.B. Raising pigs.C. Eating chicken.D. Breeding birds.18.A. Running nose.B. Inappetence.C. Pains all over.D. Diarrhea.19.A. To stay from crowds. B. To see the doctor immediately.C. To avoid medications.D. To go to the nearby clinic.20.A. It is a debate.B. It is a TV program.C. It is a consultation.D. It is a workshop.Passage One21.A. About 10,000,000.B. About 1,000,000.C. About 100,000.D. About 10,000.22.A. A cocktail of vitamins.B. A cocktail of vitamins plus magnesium.C. The combination of vitamins A, C and E.D. The combination of minerals.23.A. The delicate structures of the inner ear. B. The inner ear cells.C. The eardrums.D. The inner ear ossicles.24.A. General Motors. B. The United Auto Workers.C. NIH.D. All of above.25.A. An industrial trial in Spain.B. Military trials in Spain and Sweden.C. Industrial trials in Spain and Sweden.D. A trial involving students at the University of Florida.Passage Two26.A. The link between obesity and birth defects.B. The link between obesity and diabetes.C. The risk of birth abnormalities.D. The harmful effects of obesity.27.A. Neural tube defects. B. Heart problems.C. Cleft lip and palate.D. Diabetes.28.A. 20 million. B. 200 million.C. 400 million.D. 40 million.29.A. A weight-loss surgery. B. A balanced diet.C. A change of life style.D. More exercise.30.A. Why obesity can cause birth defects.B. How obesity may cause birth defects.C. Why obesity can cause diabetes.D. How obesity may cause diabetes.Part II Vocabulary (10%)Section ADirection:In this section, all the sentences are incomplete. Four words or phrases, marked A B C and D .are given beneath each of them. You are tochoose the word or phrase that best completes the sentence. Then markyour answer on the ANSWER SHEET.31. Having a bird’s eye view from the helicopter, the vast pasture was __________ with beautiful houses.A. overlappedB. segregatedC. intersectedD. interspersed32. As usual, Singapore Airlines will reduce trans-pacific capacity in _________ seasons this year.A. sternB. slackC. sumptuousD. glamorous33. As to the living environment, bacteria’s needs vary, but most of them grow best ina slightly acid ___________.A. mechanismB. miniatureC. mediumD. means34. Under an unstable economic environment, employers in the construction industry place great value on ___________ in hiring and laying off workers as their volumes of work wax and wane.A. flexibilityB. moralityC. capacityD. productivity35. In a stark _________ of fortunes, the Philippines – once Asia’s second richest country – recently had to beg Vietnam to sell its rice for its hungry millions.A. denialB. reversalC. intervalD. withdrawal36. Web portal Sohu has gone a step further and called for netizens to join in an all-out boycott of __________ content.A. wholesomeB. contagiousC. vulgarD. stagnant37. Experts urge a reforesting of cleared areas, promotion of reduced-impact logging, and _____________ agriculture, to maintain the rain forest.A. sustainableB. renewableC. revivableD. merchandisable38. In the U.S., the Republican’s doctrines were slightly liberal, whereas the Democrats’ were hardly _____________.A. rationalB. radicalC. conservativeD. progressive39. Officials from the Department of Agriculture confirmed that the __________ floods and drought this summer did not affect the country’s grain output.A. ripplingB. waningC. fluctuatingD. devastating40. It is believed that the Black Death, rampant in the Medieval Europe __________, killed 1/3 of its population.A. at largeB. at randomC. on endD. on averageSection BDirections:Each of the following sentences has a word or phase underlined. There are four words or phases beneath each sentence, Choose the word orphase which can best keep the meaning of the original sentence if it issubstituted for the underlined part, Mark your answer on theANSWER SHEET.41. Christmas shoppers should be aware of the possible defects of the products sold ata discount.A. deficitsB. deviationsC. drawbacksD. discrepancies42. The goal of this training program is to raise children with a sense of responsibility and necessary courage to be willing to take on challenges in life.A. despiseB. evadeC. demandD. undertake43. After “9.11”, the Olympic Games severely taxed the security services of the host country.A. improvedB. burdenedC. inspectedD. tariffed44. The clown’s performance was so funny that the audience, adults and children alike, were all thrown into convulsions.A. a fit of enthusiasmB. a scream of frightC. a burst of laughterD. a cry of anguish45. We raised a mortgage from Bank of China and were informed to pay it off by the end of this year.A. loanB. paymentC. withdrawalD. retrieval46. The advocates highly value the “sport spirit”, while the opponent devalue it, asserting that it’s a sheer hypocrisy and self-deception.A. fineB. suddenC. finiteD. absolute47. Whenever a rattlesnake is agitated, it begins to move its tail and make a rattling noise.A. irritatedB. tamedC. stampedD. probed48. The detective had an unusual insight into criminal’s tricks and knew clearly how to track them.A. inductionB. perceptionC. interpretationD. penetration49. My little brother practices the speech repeatedly until his delivery and timing were perfect.A. presentationB. gestureC. rhythmD. pronunciation50. In recent weeks both housing and stock prices have started to retreat from their irrationally amazing highs.A. untimelyB. unexpectedlyC. unreasonablyD. unconventionallyPart III Cloze (10%)Directions: In this section there is a passage with ten numbered blanks. For each blank, there are four choices marked A, B, C, and D on the right side.Choose the best answer and mark the letter of your choice on theANSWER SHEET.Video game players may get an unexpected benefitfrom blowing away bad guys—better vision. Playing “action” video games improves a visual ability __51__ tasks like reading and driving at night, a new study says. The ability, called contrast sensitivity function, allows people to discern even subtle changes __52__ gray against a uniformly colored backdrop. It’s also one of the first visual aptitudes to fade with age. __53__ a regular regimen of action video game training can provide long-lasting visual power, according to work led by Daphne Bavelier of the University of Rochester.Previous research shows that gaming improves other visual skills, such as the ability to track several objects at the same time and __54__ attention to a series of fast-moving events. Bavelier said, “A lot of different aspects of the visual system are being enhanced, __55__.”The new work suggests that playing video games could someday become part of vision-correction treatments, which currently rely mainly on surgery or corrective lenses. “__56__ you’ve had eye surgery or get corrective lenses, exposing yourself to these games should help the optical system to recover faster and better, you need to retrain the brain to make use of the better, crisper information that’s coming in __57__ your improved eyesight,” Bavelier said.Expert action gamers in the study played first-person shooters Unreal Tournament 2004 and Call of Duty 2. A group of experienced nonaction gamers played The Sims 2, a “life simulation” video game. The players of nonaction video games didn’t see the same vision __58__, the study says. Bavelier and others are now trying to figure out exactly why action games __59__ seem to sharpen visual skill. It may be that locating enemies and aiming accurately is a strenuous, strength-building workout for the eyes, she said. Another possible __60__ is that the unpredictable, fast-changing environment of the typical action game requires players to constantly monitor entire landscapes and analyze optical data quickly.51. A. crucial forB. available inC. resulting fromD. ascribed to52. A. in disguise ofB. in shades ofC. in search ofD. in place of53. A. This is howB. That’s whyC. It is not thatD. There exists54. A. paidB. paysC. payD. paying55. A. thoughB. not to sayC. not just oneD. as well56. A. UntilB. WhileC. UnlessD. Once57. A. as opposed toB. in addition toC. as a result ofD. in spite of58. A. benefitsB. defectsC. approachesD. risks59. A. in caseB. in advanceC. in returnD. in particular60. A. effectB. reasonC. outcomeD. conclusionPart IV Reading Comprehension (30%)Directions:In this part there are six passages, each of which is followed by five questions. For each question there are four possible answers marked A, B,C, and D. Choose the best answer and mark the letter of your choice onthe ANSWER SHEET.Passage oneThere is plenty we don’t know about criminal behavior. Most crime goes unreported so it is hard to pick out trends from the data, and even reliable sets of statistics can be difficult to compare. But here is one thing we do know: those with a biological predisposition to violent behavior who are brought up in abusive homes are very likely to become lifelong criminals.Antisocial and criminal behavior tends to run in families, but no one was sure whether this was due mostly to social-environmental factors or biological ones. It turns out both are important, but the effect is most dramatic when they act together. This has been illustrated in several studies over the past six years which found that male victims of child abuse are several times as likely to become criminals and abusers themselves if they were born with a less-active version of a gene for the enzyme monoamine oxidase A (MAO-A), which breaks down neurotransmitters crucial to the regulation of aggression.Researchers recently made another key observation: kids with this “double whammy” of predisposition and an unfortunate upbringing are likely to show signs of what’s to come at a very early age. The risk factors for long-term criminality – attention deficit hyperactivity disorder, low IQ, language difficulties – can be spotted in kindergarten. So given what we now know, shouldn’t we be doing everything to protect the children most at risk?No one is suggesting testing all boys to see which variant of the MAO-A gene they have, but what the science is telling us is that we should redouble efforts to tackle abusive upbringings, and even simple neglect. This will help any child, but especially those whose biology makes them vulnerable. Thankfully there is already considerable enthusiasm in both the US and the UK for converting the latest in behavioral science into parenting and social skills: both governments have schemes in place to improve parenting in families where children are at risk of receiving poor care.Some people are uncomfortable with the idea of early intervention because it implies our behavior becomes “set” as we grow up, compromising the idea of free will. That view is understandable, but it would be negligent to ignore what the studies are telling us. Indeed, the cost to society of failing to intervene －in terms of criminal damage, dealing with offenders and helping victims of crime －is bound to be greater than the cost of improving parenting. The value to the children is immeasurable.61. Researchers have come to a consensus: to explain violent behavior ________.A. in terms of physical environmentB. form a biological perspectiveC. based on the empirical dataD. in a statistical way62. When we say that antisocial and criminal behavior tends to run in families, asindicated by the recent findings, we can probably mean that ___________.A. a particular gene is passed on in familiesB. child abuse will lead to domestic violenceC. the male victims of child abuse will pass on the tendencyD. the violent predisposition is exclusively born of child abuse63. The recent observation implicated that to check the development of antisocialand criminal behavior ___________.A. boys are to be screened for the biological predispositionB. high-risk kids should be brought up in kindergartenC. it is important to spot the genes for the risk factorsD. active measures ought to be taken at an early age64. To defend the argument against the unfavorable idea, the author makes it apoint to consider ___________.A. the immeasurable value of the genetic research on behaviorB. the consequences of compromising democracyC. the huge cost of improving parenting skillsD. the greater cost of failing to intervene65. Which of the following can be the best title for the passage?A. Parenting Strategies for KidsB. The Making of a CriminalC. Parental EducationD. Abusive ParentingPassage twoAfter 25 years battling the mother of all viruses, have we finally got the measure of HIV? Three developments featured in this issue collectively give grounds for optimism that would have been scarcely believable a year ago in the wake of another failed vaccine and continuing problems supplying drugs to all who need them.Perhaps the most compelling hope lies in the apparent “cure” of a man with HIV who had also developed leukemia. Doctors treated his leukemia with a bone marrow transplant that also vanquished the virus. Now US Company Sangamo Biosciences is hoping to emulate the effect patients being cured with a single shot of gene therapy, instead of taking antiretroviral drugs for life.Antiretroviral therapy (ART) is itself another reason for optimism. Researchers at the World Health Organization have calculated that HIV could be effectively eradicated in Africa and other hard-hit places using existing drugs. The trick is to test everyone often, and give those who test positive ART as soon as possible. Because the drugs rapidly reduce circulating levels of the virus to almost zero, it would stop people passing it on through sex. By blocking the cycle of infection in this way, the virus could be virtually eradicated by 2050.Bankrolling such a long-term program would cost serious money – initially around $3.5 billion a year in South Africa alone, ring to $85 billion in total. Huge as it sounds, however, it is peanuts compared with the estimated $1.9 trillion cost of the Iraq war, or the $700 billion spent in one go propping up the US banking sector. It also look small beer compared with the costs of carrying on as usual, which the WHO says can only lead to spiraling cases and costs.The final bit of good news is that the cost of ART could keep on falling. Last Friday, GlaxoSmithKline chairman Andrew Witty said that his company would offer all its medicines to the poorest countries for at least 25 per cent less than the typical price in rich countries. GSK has already been doing this for ART, but the hope is that the company may now offer it cheaper still and that other firms will follow their lead.No one doubt the devastation caused by AIDS. In 2007, 2 million people died and 2.7 million more contracted the virus. Those dismal numbers are not going to turn around soon – and they won’t turn around at all without huge effort and investment. But at least there is renewed belief that, given the time and money, we can finally start riddling the world of this most fearsome of viruses.66. Which is the following can be most probably perceived beyond the first paragraph?A. The end of the world.B. A candle of hope.C. A Nobel prize.D. A Quick Fix.67. According to the passage, the apparent “cure” of the HIV patient who had alsodeveloped leukemia would ___________.A. make a promising transition from antiretroviral medication to gene therapyB. facilitate the development of effective vaccines for the infectionC. compel people to draw an analogy between AIDS and leukemiaD. would change the way we look at those with AIDS68. As another bit of good news, ___________.A. HIV will be virtually wiped out first in AfricaB. the cycle of HIV infection can be broken with ARTC. the circulating levels of HIV have been limited to almost zeroD. the existing HIV drugs will be enhanced to be more effective in 25 years69. The last reason for optimism is that ___________.A. governments will invest more in improving ARTB. the cost of antiretroviral therapy is on the declineC. everybody can afford antiretroviral therapy in the worldD. the financial support of ART is coming to be no problem70. The whole passage carries a tone of ___________.A. idealismB. activismC. criticismD. optimismPassage ThreeArchaeology can tell us plenty about how humans looked and the way they lived tens of thousands of years ago. But what about the deeper questions? Could early humans speak, were they capable of self-conscious reflection, did they believe in anything?Such questions might seem to be beyond the scope of science. Not so. Answering them is the focus of a burgeoning field that brings together archaeology and neuroscience. It aims to chart the development of human cognitive powers. This is not easy to do. A skull gives no indication of whether its owner was capable of speech, for example. The task then is to find proxies (替代物)for key traits and behaviors that have stayed intact over millennia.Perhaps the most intriguing aspect of this endeavor is teasing out the role of culture as a force in the evolution of our mental skills. For decades, development of the brain has been seen as exclusively biological. But increasingly, that is being challenged.Take what the Cambridge archaeologist Colin Renfrew calls “the sapient (智人的) paradox (矛盾)”. Evidence suggests that the human genome, and hence the brain, has changed little in the past 60,000 years. Yet it wasn’t until about 10,000 years ago that profound changes took place in human behavior: people settled in villages and built shrines. Renfrew’s paradox is why, if the hardware was in place, did it take so long for humans to start changing the world?His answer is that the software – the culture – took a long time to develop. In particular, the intervening time saw humans vest (赋予) meaning in objects and symbols. Those meanings were developed by social interaction over successive generations,passed on through teaching, and stored in the neuronal connections of children.Culture also changes biology by modifying natural selection, sometimes in surprising ways. How is it, for example, that a human gene for making essential vitamin C became blocked by junk DNA? One answer is that our ancestors started eating fruit, so the pressure to make vitamin C “relaxed” and the gene became unnecessary. By this reasoning, early humans then became addicted to fruit, and any gene that helped them to find it was selected for.Evidence suggests that the brain is so plastic that, like genes, it can be changed by relaxing selection pressure. Our understanding of human cognitive development is still fragmented and confused, however. We have lots of proposed causes and effects, and hypotheses to explain them. Yet the potential pay-off makes answers worth searching for. If we know where the human mind came from and what changed it, perhaps we can gauge where it is going. Finding those answers will take all the ingenuity the modern human mind can muster.71. The questions presented in the first paragraph ___________.A. seem to have no answers whateverB. are intended to dig for ancient human mindsC. are not scientific enough to be answered hereD. are raised to explore the evolution of human appearance72. The scientists find the proxy to be ___________.A. the role of cultureB. the passage of timeC. the structure of a skullD. the biological makeup of the brain73. According to Renfrew’s paradox, the transition from 60,000 to 10,000 years agosuggests that ___________.A. human civilization came too lateB. the hardware retained biologically staticC. it took so long for the software to evolveD. there existed an interaction between gene and environment74. From the example illustrating the relation between culture and biology, wemight conclude that ___________.A. the mental development has not been exclusively biologicalB. the brain and culture have not developed at the same paceC. the theory of natural selection applies to human evolutionD. vitamin C contributes to the development of the brain75. Speaking of the human mind, the author would say that ___________.A. its cognitive development is extremely slowB. to know its past is to understand its futureC. its biological evolution is hard to predictD. as the brain develops, so as the mindPassage FourDespite the numerous warnings about extreme weather, rising sea levels and mass extinctions, one message seems to have got lost in the debate about the impact of climate change. A warmer world won’t just be inconvenient. Huge swathes (片) of it, including most of Europe, the US and Australia as well as all of Africa and China will actually be uninhabitable--- too hot, dry or stormy to sustain a human population.This is no mirage. It could materialize if the world warms by an average of just 4°C, which some models predict could happen as soon as 2050. This is the world our children and grandchildren are going to have to live in. So what are we going to do about it?One option is to start planning to move the at-risk human population to parts of the world where it will still be cool and wet. It might seem like a drastic move, but this thought experiment is not about scaremongering (危言耸听). Every scenario is extrapolated from predictions of the latest climate models, and some say that 4°C may actually turn out to be a conservative estimate.Clearly this glacier-free, desertified world---with its human population packed into high-rise cities closer to the poles---would be a last resort. Aside from anything else, it is far from being the most practical option: any attempt at mass migration is likely to fuel wars, political power struggles and infighting.So what are the alternatives? The most obvious answer is to radically reduce carbon dioxide levels now, by fast-tracking green technologies and urgently implementing energy-efficient measures. But the changes aren’t coming nearly quickly enough and global emissions are still rising. As a result, many scientists are now turning to “Earth’s plan B”.Plan B involves making sure we have large scale geoengineering technologies ready and waiting to either suck CO2 out of the atmosphere or deflect the sun’s heat. Most climate scientists were once firmly against fiddling with the Earth’s thermostat, fearing that it may make a bad situation even worse, or provide politicians with an excuse to sit on their hands and do nothing.Now they reluctantly acknowledge the sad truth that we haven’t managed to reorder the world fast enough to reduce CO2 emissions and that perhaps, given enough funding research and political muscle, we can indeed design, test and regulate geoengineering projects in time to avert the more horrifying consequences of climate change.Whatever we do, now is the time to act. The alternative is to plan for a hothouse world that none of us would recognize as home.76. To begin with, the author is trying to remind us of ____________.A. the likelihood of climate change making life inconvenientB. the warning against worsening climate changeC. the inevitable consequence of global warmingD. the misconception of a warmer world77. As the thought experiment shows, those at risk from global warming will ____________.A. live with the temperature raised by an average of 4°CB. have nowhere to go but live in the desertC. become victims as soon as 2050D. move closer to the poles78. It is clear from the passage that a practical approach to global warming is _________.A. to reduce massively CO2 emissionsB. to take protective measures by 2025C. to prepare a blueprint for mass migrationsD. to launch habitual constructions closer to the poles。