1、【由上海市闵行区2014高考英语质量调研考试改编】Directions: For each blank in the following passage there are four words or phrases marked A, B, C and D. Fill in each blank with the word or phrase that best fits the context. The health-care economy is filled with unusual and even unique economic relationships. One of the
2、least understood involves the 1 roles of producer or “provider” and purchaser or “consumer” in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a(n) 2 buyer with various inducements (引诱) of price, quality, and utility, and it is the bu
3、yer who makes the decision. Such condition, 3 , is not common in most of the health-care industry.In the health-care industry, the doctor-patient relationship is the mirror image of the 4 relationship between producer and consumer. Once an individual has chosen to see a physicianand even then there
4、may be no real choice it is the physician who usually makes all significant 5 decisions: whether the patient should return “next Wednesday,” whether X-rays are needed, whether drugs should be prescribed, etc. It is a rare and experienced patient who will 6 such decisions made by experts or raise in
5、advance questions about price, especially when the disease is regarded as 7 .This is particularly 8 in relation to hospital care. The physician must give evidence of the 9 for hospitalization, determine what procedures will be performed, and announce when the patient may be allowed to leave. The pat
6、ient may be consulted about some of these decisions, but in the main it is the doctors judgments that are 10 . Little wonder then that in the eye of the hospital it is the physician who is the real “consumer.” As a consequence, the 11 represents the “power center” in hospital policy and decision-mak
7、ing, not the administration.Although usually there are in this situation four recognizable participants the physician, the hospital, the patient, and the payer (generally an insurance carrier or government) the physician makes the 12 for all of them. The hospital becomes an extension of the physicia
8、n; the payer generally 13 most of the bills generated by the physician/hospital; and for the most part the patient plays a 14 role. We estimate that about 75-80 percent of health-care 15 are determined by physicians, not patients. For this reason, economy directed at patients or the general are rela
9、tively ineffective.1.A. peculiarB. normalC. minorD. vital2. A. eagerB. potentialC. overseasD. reluctant3.A. moreoverB. thereforeC. howeverD. instead4.A. ordinaryB. permanentC. stableD. intense5.A. difficultB. consciousC. earlyD. purchasing6.A. acceptB. confirmC. challengeD. announce7. A. commonB. se
10、riousC. mildD. preventable8.A. significantB. rareC. changeableD. alternative9.A. choiceB. needC. disadvantageD. importance10.A. balancedB. accurateC. independentD. final11. A. patientB. medical staffC. governmentD. insurance agent12.A. academicB. typicalC. uniqueD. essential13.A. reducesB. sendsC. l
11、osesD. meets14.A. traditionalB. clearC. passiveD. dominant15. A. spendingB. scheduleC. therapy D. requirement1.A2.B3.C4.A5.D6.C7.B8.A59.B10.D11.B12.D13.D14.C15.A完型填空（共20小题；每小题1.5分，满分30分）阅读下面短文，掌握其大意，然后从3655各题所给的四个选项（A、B、C和D）中，选出最佳选项，并在答题卡上将该项涂黑。Last Christmas while staying with my parents, I 36 acro
12、ss some old love letters that my parents wrote to each other. These letters were all piled up in a basket, dirty and 37 with dust. Deciding to read and sort them, I asked them if I could take the letters back to my Illinois home. They 38 .As I carefully opened each letter, 39 of them fragile with ag
13、e, I discovered a new page 40 unknown to me in this private chapter of my parents lives. My father used to 41 in the army. So his letters were full of frontline 42 of the things about the war. Each of my mothers letters was marked with her 1944 dark red lipstick kiss. I was 43 to these letters like
14、a magnet（磁铁）.Just six weeks after our Christmas visit, Daddy became very 44 and was hospitalized. This time, he was fighting a 45 kind of war. As I sat by his bedside, we discussed the 46 . He told me how much receiving those lipstick-kissed letters had 47 to him when he had been so far from home.It
15、 so happened that the next day would be February 14. From the 48 letters I chose the card my father had sent Mother in 1944 and brought it to my fathers bedside.At his bedside, I joked with him, saying 49 , Today is Valentines Day, dont you want to send Mother a present? He became more 50 when I han
16、ded him the old 51 . He carefully opened it and took out the card, and when he 52 it, his eyes were filled with tears.My father, in a 53 tight with emotion (情感) read the loving message hed sent to my mother fifty-six years 54 . And this time, he could read it to her in 55 .36. A. cameB. hit C. drewD
17、. fell37. A. hiddenB. covered C. buriedD. filled38. A. refused B. smiled C. shockedD. agreed39. A. all B. none C. bothD. neither40. A. recentlyB. usually C. previouslyD. occasionally41. A. workB. study C. serveD. report42. A. accountsB. documents C. introductionsD. occupations43. A. devotedB. addict
18、ed C. thrownD. drawn 44. A. sadB. dead C. dangerousD. ill45. A. typicalB. traditional C. differentD. familiar46. A. warsB. illnesses C. lettersD. hospitals47. A. meantB. intended C. plannedD. said48. A. dividedB. sorted C. separatedD. updated49. A. sadlyB. angrily C. softlyD. loudly50. A. curiousB.
19、enthusiastic C. fantasticD. positive51. A. cardB. envelope C. basketD. lipstick52. A. foundB. wrote C. recognizedD. missed53. A. sound B. noise C. whisperD. voice54. A. laterB. earlier C. ago D. ahead55. A. person B. private C. dangerD. peace【参考答案】3640 ABDAC 4145 CADDC 4650 CABCA 5155 BCDBA 完形填空。阅读下
20、面短文，掌握其大意，然后从各题所给的四个选项A、B、C和D中，选出最佳答案。Evelyn Glennie was the first lady of solo percussion in Scotland. In an interview, she recalled how she became a percussion soloist (打击乐器独奏演员) in spite of her disability.“Early on I decided not to allow the 1 of others to stop me from becoming a musician. I grew
21、 up on a farm in northeast Scotland and began 2 piano lessons when I was eight. The older I got, the more my passion (酷爱) for music grew. But I also began to gradually lose my 3 . Doctors concluded that the nerve damage was the 4 and by age twelve, I was completely deaf. But my love for music never
22、5 me.“My 6 was to become a percussion soloist, even though there were none at that time. To perform, I 7 to hear music differently from others. I play in my stocking feet and can 8 the pitch of a note (音调高低) by the vibrations (振动). I feel through my body and through my 9 . My entire sound world exis
23、ts by making use of almost every 10 that I have.“I was 11 to be assessed as a musician, not as a deaf musician, and I applied to the famous Royal Academy of Music in London. No other deaf student had 12 this before and some teachers 13 my admission. Based on my performance, I was 14 admitted and wen
24、t to 15 with the academys highest honours.“After that, I established myself as the first full-time solo percussionist. I 16 and arranged a lot of musical compositions since 17 had been written specially for solo percussionists.“I have been a soloist for over ten years. 18 the doctor thought a was to
25、tally deaf, it didnt 19 that my passion couldnt be realized. I would encourage people not to allow themselves to be 20 by others. Follow your passion; follow your heart, they will lead you to the place you want to go.”( ) 1. A. conditions B. opinionsC. actionsD. recommendations( ) 2. A. enjoyingB. c
26、hoosingC. takingD. giving( ) 3. A. sightB. hearingC. touchD. taste( ) 4. A. evidenceB. resultC. excuseD. cause( ) 5. A. leftB. excitedC. accompaniedD. disappointed( ) 6. A. purposeB. decisionC. promiseD. goal( ) 7. A. turnedB. learnedC. usedD. ought( ) 8. A. tellB. seeC. hearD. smell( ) 9. A. carefu
27、lness B. movementC. imaginationD. experience( ) 10. A. senseB. effortC. feelingD. idea( ) 11. A. dissatisfied B. astonished C. determinedD. discouraged( ) 12. A. doneB. acceptedC. advisedD. admitted( ) 13. A. supported B. followedC. requiredD. opposed( ) 14. A. usuallyB. finallyC. possiblyD. hopeful
28、ly( ) 15. A. studyB. researchC. graduateD. progress( ) 16. A. wroteB. translatedC. copiedD. read( ) 17. A. enoughB. someC. manyD. few( ) 18. A. HoweverB. AlthoughC. WhenD. Since( ) 19. A. meanB. seemC. concludeD. say( ) 20. A. directed B. guidedC. taughtD. limited【答案与解析】这是一篇叙事性的文章，作者采用倒叙的手法，讲述了英国著名聋
29、女乐器打击手Evelyn Glennie克服困难成功的故事，阐明了只要有激情，敢于尝试，就能成功的主题。1. B. 考点是：名词词义。综合整个语篇及文章最后一段 “I would encourage people not to allow”的提示，可知作者虽身残而志坚，挑战世俗，大胆尝试，最终获得成功，可知最佳答案为B项。2. C. 考点是：动词词义。文中take piano lessons 为动词搭配，表示：上(听)钢琴课之意，故排除其它三个干扰项。3. B. 考点是：名词词义。由下文“I was completelydeaf ”；“notas a deaf musician”；“ Iwas
30、totally deaf” 处可知作者年幼失聪 (hearing)。4. D. 考点是：名词词义辨析。根据文章，医生断言神经受损是作者耳聋的原因所在，而非产生的结果，故排除B项，A项表示：证据，C项表示：借口，均不符合文意。5. A. 考点是：动词词义辨析。从文中可知，作者虽患耳疾，但年纪愈长，对音乐的热情也愈涨，再由but一词的暗示，可敲定left为正确答案。6. D. 考点是：名词词义辨析。根据文意，作者的人生目标是要成为一名打击乐器独奏演员，所以D为正确答案，A项表示: 意图，B项表示: 决定，C项表示: 诺言，均不准确。7. B. 考点是：动词词义辨析。由文中可知，由于听力丧失，作者无
31、法用耳朵去听音乐，所以只能尝试学会以“另类”的方式去感悟音乐，选项B恰好表示: 学习、习得之意，符合文意。8. A. 考点是：动词词义辨析。由上文可知，作者无法象常人一样去听音乐，就想出只穿着袜子不穿鞋，利用身体的震动来感知音乐，分辨音调高低。其中can与tell连用，正好表达“分辨”、“辨别”之意，为正确答案。9. C. 考点是：名词词义辨析。根据文意和句子结构可判断，只有C项imagination (想象力)为正确答案。10. A. 考点是：名词词义辨析。根据上文, 作者听力丧失，所以只能协调其它的感官去“听”音乐。故A项为正确答案。11. C. 考点是：形容词词义辨析此处表达作者要立志成
32、为音乐家，所以不难选出determine一词，其他三项dissatisfied, astonished, discouraged因感情色彩与文章主旨明显不符，而不能入选。12. A. 考点是：副词词义辨析。作者耳患顽疾，且又申请著名的伦敦皇家音乐学院去学习，这在当时是没有哪个聋哑学生能够做到的，故此题选A为宜。13. D. 考点是：动词词义辨析。由上下文语境，再加上衔接词and（注意文中没用but,说明此处表示并列，而非转折）可推知，作者的行为自然要受到老师的反对。此处学生易误选support一词而造成语意前后矛盾，以致偏离主题。14. B. 考点是：副词词义辨析。从文中可知，作者大胆尝试，抵
33、制压力，克服困难，最终考入皇家音乐学院，所以B项（最终地）为正确答案。15. C. 考点是：动词词义辨析。由第四段最后一句可知，应是作者毕业时获得学院最高荣誉奖，其它三项不妥。16. A. 考点是：动词词义辨析。根据文章，作者经过不懈努力，后来成为第一位专职打击音乐独奏演员，再由下句“had been written specially for solo percussionists.”中write一词的同义复现，可确定上句答案为A项。17. D. 考点是：不定代词词义辨析。考查代词词义，根据上下文逻辑，在此作者想表达很少有人来专门为打击音乐独奏演员来谱曲，所以出现上文作者挺身而出，竭力为演员们来谱曲，所以此题D项为正确答案。18. B. 考点是：连词用法。根据上下文逻辑，可知此处应使用表示转折的关联词，选项A (however)虽然表示转折含义，但不用做连词，不能连接句子，故排除。所以B项为正确答案。19. A. 考点是：动词词义辨析。根据文意和句式结构（此句为双重否定句）可知，mean表示：“意味着”，为最佳答案。20. D. 考点是：动词词义辨析。作者通过自身经历劝导人们不要为别人的思想而束缚自己，故D项 (limited表示：限制)为最佳答案。
