B Definition of a Speech Community

C Benefits of Learning a Second Language

D Advantages of Learning Chinese

E Two Groups of the English Speech Community

F A Widely Used Language

27 Overall there are more speakers of Chinese than of .

28 The boundaries of a speech community may be different from .

29 People who live in different places may belong to .

30 Many people learn English as .

A a second language

B the same language

C the same speech community

D any other language

E national boundaries

F a part of one’s heritage

参考答案：

23 F 24 B 25 E 26 C

27 D 28 E 29 C 30 A

2004年职称英语卫生类C级考试试题及答案

第4部分：阅读理解(第31~,45题，每题3分，共45分)

下面有3篇短文，每篇短文后有5道题，每道题后面有4个选项。请根据文章的内容，

从每题所给的4个选项中选择1个最佳答案，涂在答题卡相应的位置上。

第一篇 U．S．Blacks Hard-hit by Cancer

Death rates for cancer are falling for all Americans，but black Americans are still more

likely to die of cancer than whites，the American Cancer Society said Monday．

In a special report on cancer and blacks．the organization said blacks are usually diagnosed with cancer later than whites．and they are more likely to die of the disease．

This could be because of unequal(不平等的)access to medical care，because blacks are more likely to have other diseases as well，and perhaps because of differences in the biology(生物学) of the cancer itself, the report added．

“In general，black Americans have less hope of surviving five years after diagnosis than whites for all cancer sites and all stages of diagnosis,”the report said．

“In describing cancer statistics for black Americans，this report recognizes that many of the differences associated with race may be caused by unfair social and economic differences and unequal access to medical care．”

The cancer society said blacks should be encouraged to get check—ups(体格检查)earlier, when cancer is more treatable，and it said more research is needed to see if biological differences play a role．

“The new statistics emphasize the continuing importance of wiping out these unfair social differences through public policy and education efforts，”the organization said in a statement．

But it also noted a drop in cancer death rates．“Cancer death rates in both sexes for all sites combined have dropped greatly among black Americans since 1992，as have incidence rates(发生率)，”said the report．

31 Black Americans are more likely to die of cancer than

A people in other countries．

B white Americans．

C a11 other Americans．

D their ancestors．

32 Which may NOT be a reason for higher cancer death rates among US blacks?

A Unequal access to medical care．

B Greater probability of having other diseases．

C Differences in the biology of the cancer.

D Early diagnosis．

33 Cancer is more treatable if it is detected

A in an early stage．

B in a late stage．

C all of a sudden．

D together with other diseases．

34 Public policy and education efforts may help to do away with

A death rates．

B various cancers．

C unfair social differences．

D biological differences．

35 Since 1 992，cancer death rates among black Americans

A have been going up and down．

B have remained stable．

C have increased．

D have fallen.

参考答案：

3l B 32 D 33 A 34 C 35 D

2004年职称英语卫生类C级考试试题及答案

第二篇 A Desert Between Paul and Clara

Paul had long promised to marry Clara．But at thirty·thee he met and married Alice．Clara was driven mad．

Paul was taken to court．The judge ordered him to pay Clara$600 because of the broken promise．Paul had to borrow the money from a moneylender．He agreed to pay back$5 a month—for twenty years．His wages at the time were$16 a month．

Paul and Alice were poor but not unhappy．They had little enough food，certainly，even before the children began to arrive．Each month Paul paid$5 to the moneylender．He worked hard, never taking a holiday．In time，there were seven mouths to feed．

Illness was always with them．It grew serious when the oldest child was eight．The years of hunger weakened the family, because each month Paul paid$5．The details of the sickness were ugly, but the result was this：after twelve years of family life，Paul was alone in the world.

He lived alone．except for memories．Work was not now a god for him：it was a pain-killer．Each month he paid，and in time the twenty years ended．From that moment his wages were his own．

One day, It was a holiday went to the seaside．He sat down on a seat by the sea．A middle．aged woman came and sat down near him．They recognized each other at once.

The woman said．“The$600 has been in the bank since the day it was paid to me．It is now $6，000，and I have kept it for you．Will you let me share it with you?”

“No，”said Paul，gently．“Each thousand is a lost life in a desert between us. It can never bring any happiness．”

36 Paul was ordered to pay Clara$600 because

A he had borrowed $600 from her．

B he had broken his word to marry her．

C he had promised to give her$600．

D he had spent a lot of her money．

37 How many children did Paul and Alice have?

A Two.

B Four.

C Five.

D Eight.

38 Twelve years after his marriage，Paul was

A poor but not sad．

B very sick．

C free from debt.

D lonely and unhappy．

39 After his wife and children died，Paul turned to his work to

A ease his pain．

B forget his debt．

C get pleasure．

D seek friendship．

40 When Paul met Clara again 20 years later, he decided

A to share the$600 with her．

B not to marry her．

C to ask back the$600．

D not to refuse her offer

参考答案：

36 B 37 C 38 D 39 A 40 B

2004年职称英语卫生类C级考试试题及答案

第三篇 Florence Nightingale

Florence Nightingale was born in Florence，Italy，while her wealthy English parents were traveling in Europe．As a child，she traveled to many places with her family and learned how to speak several languages．

When Nightingale was 17，she told her family that she was going to help sick people．Her parents did not approve，but Nightingale was determined．

She traveled to hospitals all over Europe．She saw that doctors wer