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Part 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 then mark the letter of your choice on the ANSWER SHEET.
Passage One
When the COVID-19 pandemic began spreading across the globe, waiting rooms of medical offices emptied almost overnight, including our own.Many patients with cancer who were not receiving active treatment stayed home, uncertain about their future, often scared and worried.Telemedicine seemed like a perfect solution to stay in touch, offer ongoing care and counseling, and reach out.Health care systems recognized this, and in a blitzkrieg-like (闪电战的) move, transitioned many of their non-urgent outpatient visits to virtual.But neither the patients nor the clinicians were prepared for it.
“I have to ask you a question before we get started,” a long-time patient asked when I reached her via telephone at home: “Are you wearing your white coat?”
We both burst out laughing at the absurdity of the image: a physician sitting at his desk, talking to a patient who cannot see him, and yet still wearing a white coat.“No, I am not.” I replied, suddenly self-conscious and glad I had taken it off just minutes earlier.“But I can put it back on,” I offered.“No need,” she said, “But that’s how I imagine you to be.”
Compared with the face-to-face interactions, the virtual interactions seem barren, devoid of the richness the personal contact brings.In a specialty like mine, where a lot depends on emotional connection with the patient and their caregivers, the virtual visits demanded more of me and yet felt a lot less fulfilling.And they all seemed to be plagued by annoying technical issues: a weak Wi-Fi signal, dropped connections, wrong phone numbers in the chart, malfunctioning headphones, or a broken phone camera.And what to do about the omnipresent (无所不在的) background noise of a lawnmower? As I spent more time doing telemedicine visits, I noticed their cumulative effect wore on me.
Times are chaotic now.For all of us, our health care systems struggle to provide the best care possible.Telemedicine has proven to be incredibly useful, and it is here to stay.Over time, supporting technology and systems will make virtual visits more efficient, better coordinated, and hopefully, more patient-friendly.
61.The global spread of the COVID-19, according to the first paragraph, ________.
A.reduced the waiting time at the medical offices
B.caused more people to seek medical consultations
C.found many cancer patients to stay on active treatment
D.provided an opportunity for the practical use of telemedicine
62.What can be inferred from the conversation between the author and his long-time patient?
A.They both found telemedicine visit absurd.
B.They were not adapted to the telemedicine visit.
C.They thought wearing a white coat necessary at a telemedicine visit.
D.They embraced telemedicine as a perfect alternative of medical consultation.
63.Besides annoying technical issues, what is a disadvantage of telemedicine against real office visits?
A.The extra cost the patient has to pay for the examination.
B.The less interactive conversations between the patient and the doctor.
C.The longer time for the patient to take to arrange a visit with the doctor.
D.The lack of rich emotional connection between the patient and the doctor.
64.The author’s attitude towards the future of telemedicine can be best described as ________.
A.satisfied
B.pessimistic
C.expectant
D.disappointed
65.What is the main message the author conveys in the passage?
A.Telemedicine serves as a perfect model.
B.Telemedicine demands more investment.
C.Telemedicine needs urgent modifications.
D.Telemedicine has a bright future, though now imperfect.
Passage Two
Health tracking devices allow many individuals to share private information without the fear of judgment.Some employers run health-promoting incentive programs to motivate employees to reach fitness goals, and such organizations rely on these apps to track an individual’s performance.For example, Idaho’s Health Matters program, whose mission is to incentivize healthier habits for state employees, has allowed individuals to share their personal fitness app data for a step-counting competition.
While Health Matters was voluntary, there is the risk that employers might use health data for more cost-effective measures, such as tying insurance benefits rates to physical activity.Information tracking is not perfect, and incentives create the risk that individuals will manipulate their digital health data.My neighbor used to send her child to soccer practice with her Fitbit.That is an easy insurance discount guarantee.Any time people know what the system is, they will game the system.
Yet the data shared online and through other digital tools can be more accurate than self-reported behavior at the physician’s office.I spoke with Matthew Fisher about the potential impact of health data regulations.He mentioned the importance of regulations that can balance positive aspects of social media and patient protection.
“While data security is a good goal, the devil will be in the details in terms of how regulations are promulgated (颁布),” Fisher said, “For example, social media is designed to encourage and promote sharing of information.If too many restrictions are put into place, then benefit that can be derived could be undercut.Ensuring privacy of information, along with awareness, will be a delicate balancing act.”
People frequently share things on social media that they would not want their employers to see.If you called in sick to work and post a picture of your weekend at the coast, you need someone to help you improve your judgment.What if your employer could also see that you were part of a patient group for cancer? Current regulations create vulnerabilities for patient privacy.Individuals do not realize all the ways in which they are sharing too much information.
66.What can we learn from the first paragraph?
A.Idaho’s Health Matters program is a successful experiment.
B.Health tracker users exchange private information at no cost.
C.Employers use personal fitness apps to track staff’s performance.
D.Health tracking devices are gaining steady popularity in the workplace.
67.According to the passage, the digital health data that are collected ________.
A.might be exploited by employers for their own benefits
B.are frequently disclosed to insurance companies
C.can be manipulated by the competing colleagues
D.may be sold to the unknown sports clubs
68.Talking about health data regulations, Mathew Fisher would most probably believe that ________.
A.existing restrictions are impairing the functioning of digital tools
B.major priority should be given to digital technology management
C.it is important to strike the balance between social media use and privacy protection
D.greater importance should be attached to individual privacy protection
69.What can be inferred from the fourth paragraph?
A.The goal of data security is hardly attainable.
B.Social media technology is like a devil out of the bottle.
C.The importance of digital media has been underestimated.
D.Privacy protection should not prevail over sharing of information.
70.What does the writer want to stress at the end of the passage?
A.The information employees share with their bosses might be deceptive.
B.Employees must learn what to do when falling victim to privacy violation.
C.Employers have one way or another to access employees’ personal information.
D.People run privacy risk when unknowingly disclosing their personal information.
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