临床执业医师资格考试模拟题(一）

临床执业医师资格考试模拟题(一）





Part Ⅰ Vocabulary and Structure (20 minutes, 20 points)
　　Directions: Beneath each of the following
sentences, there are four choice marked A, B, C and D.
You should choose the one that best completes the
sentence and mark the corresponding letter on the
Answer Sheet with a single line through the center.

l . There is no__________ in going to the park now as
the sun is setting.
　　A. reason B. cause C. motive D. point

2. Mrs. Smith felt very__________ when her husband
forgot her birthday.
　　A. deceived B. deserted C. confused D. disappointed

3. The output of the consuming products has been
increasing__________ the end of 1990.
　　A. at B. by C. since D. after

4. The Minister insisted that a medical team__________
to the poveny-stricken area immediately.
　　A. should send B. is sent C. ought to send D. be
sent .

5. __________ from the plane, the city, with forest
covering 50% of its surface, appears as a forest garden.
　　A. Seen B. Seeing C. Having seen D. To see

6. It was courage__________ him to break bricks with
his bare hand.
　　A. which enabled B. that has enabled
　　C. that enabled D. that is able for

7. I 'd like to__________ the arrangements once more
before we get on the coach.
　　A. go forward B. go over C.go round D. go about

8. Even a teenager can answer these questions,
__________ a graduate student.
　　A. don't mention B. not to mention
　　C. no mentioning D. not to speak

9. Their work__________ , Xiao Wang and Xiao Li went to
play table tennis in the club.
　　A. are done B. doing C. done D. did

1 0. __________ such a kind man when I was in the great
crisis.
　　A. I little dreamed to meet with
　　B. Little did I dreamed of meeting with
　　C. I dreamed little to meet
　　D. Little had I dreamed to see

l 1. Money__________ anyone. But one shouldn't get
money by ill means.
　　A. is welcome tO B. welcomes
　　C. is welcomed to D. is welcome by

l 2. The situaiion today is completely different
from__________ it was before the Liberation.
　　A. what B. which C. when D. that
　　l 3. He__________ his opinion so well that I
couldn't know whether he agreed to the plan.
　　A. masked B. retreated C. discovered D. avoided

14. It must have rained last night__________ it is
still wet outside.
　　A. therefore B. that C. when D. for

l 5. Do you think the subway is the most
effective__________ of transportation in this city?
　　A. ways B. methods C. means D. passages

l 6. This timetable is out of date, it will
only__________ you.
　　A. mistake B. mislead C. misplace D. misgive

l 7. He spoke so quickly that we could not__________
his meaning.
　　A. make up B. make over C. make to D. make out

l 8. I hope your__________ for the job of the section
manager will be successful.
　　A. endeavor B. application C. applicant D. reply

l 9. The writer of this story must be a very__________
person.
　　A. imaginable B. imaginative C. imaginary D.
imagined

20. The students were__________ to find Prof Walkef
lecture on such__________ topic so__________ .
　　A. surprised, bored, excited
　　B. surprising, boring, exciting
　　C. surprised, boring, exciting
　　D. surprising, bored, excited
Part Ⅱ Cloze
　　Directions: There are 20 blanks in each of the
following two passages. For each blank there are four
choices marked A, B, C, and D. You should choose the
one answer that best fits into the passage and mark the
corresponding letter on the Answer Sheet with a single
line through the center.

Passage 1
　　Many people have asked me, "Which is the most
beautiful country you have ever seen ?" They are always
surprised (21) say Mexico. But they would not be (22)
if they had been there. Mexico (23) beautiful people,
beautiful flowers and forests, towns and villages.
(24), it has the most beautiful mountains in the world.
　　In 1519, when Cortez led the Spaniards (25) Mexico,
he found (26) inhabited by a race of indians. These
were Artecs. We think of indians as backward people
(27) in huts and hunting with bows and (28). But not
the Artecs. In some ways, they were (29) civilized than
the Spaniards (30) conquered them.

21. A. what B. when C. where D. therefore
　　22. A. surprised B. cheerful C. doubtful D.
interested
　　23. A. have B. there is C. has D. there
　　24. A. However B. TOtally C. Finally D. Above all
　　25. A. out Of B. towards C. into D. away from
　　26. A. them B. it C. himself D. Artecs
　　27. A. lived B. live C. living D. to live
　　28. A. arrows B. guns C. knives D. hands
　　29. A. very B. so C. most D. more
　　30. A. who B. were C. when D. to be

Passage 2
　　Every plant, animal and person consists of cells.
Each of these is (31) , but contains its own, even
smaller, (32) . At the heart of this world is a (33)
code which controls the cell's (34) . It controls, for
example, whether it is a leaf cell, a (35) cell or an
eye cell. And all this information is (36) in the
cell's genes.There are about 100,000 of these (37) a
human being. Each one is very special (38) made of
molecules. Scientists have known about genes for a (39)
time. What they haven't known until recently is how to
(40) them.

31. A. large B. steady C. active D. tiny
　　32. A. cell B. body C. world D.molecule
　　33. A. special B. normal C. invented D. secret
　　34. A. identity B. weight C. lengih D. size
　　35. A. new B. tree C. skin D. dead
　　36. A. stored B. gained C. changed D. classified
　　37. A. for B. in C. On D. by
　　38. A. for B. and C. that D. which
　　39. A. hard B. limited C. IOng D. ancient
　　40. A. find B. Cure C. study D. change

PartⅢ Reading Comprehension
　　Directions: There are 6 passages in this part. Each
passage is followed by some questions or unfinished
statements. For each of them there are four choices
marked A, B, C and D. You should decide on the best
choice and mark the corresponding letter on the Answer
Sheet with a single line through the center.

Questions 41-45 are based on the following passage:
　　When I was at university I studied very hard. But
many of my classmates did just enough to pass the
exams. Jack was one of them. He spent more time
drinking in the Smart Gentleman than reading in the
library. Once, we had an important test in medicine.
The test had a hundred questions. While all of us were
studying very hard on Monday, the night before the
test, Jack was watching TV. He usually worried a lot
the night before a test. But that night he looked
perfectly calm. He simply told me that he was sure, in
some way, to get half the questions right.
　　The next day Jack came cheerfully into the
classroom. As he sat down, he took out a coin. He
tossed it for half an hour and marked down all his
answers. Then he left, forty minutes before the rest of
us. Two days later, he met the professor of
medicine, "Have you got the results of the test?" Jack
asked. The professor looked at him and smiled. "Ah it's
you , Jack. Just a minute." Then he reached into his
pocket and took out a big coin. He threw it into the
air, caught it in his hand and looked at it . "I'm very
sorry, Jack." he said, ''You failed."

41. From the first paragraph, we know the Smart
Gentleman probably is__________.
　　A.a classroom B. a school shop C. a dining hall D.
a bar on campus

42. What Jack expected to get was__________ .
　　A. an excellent mark B. a passing mark C. his best
mark D. a low mark

43. The rest of the class__________.
　　A. needed one more hour C. did the test for over an
hour
　　B. left half an hour earlier D. worked for half an
hour

44. When was the test given to the students ? A. on
Monday B. on Tuesday C. on Wednesday D. on Thursday

45. When did Jack meet the professor ?
　　A. on Monday B. on Tuesday C. on Wednesday D. on
Thursday

Questlons 46-50 are based on the following passage.
　　The good news about Britain's National Health
Service (NHS) is that it gives free medical help to
everyone who needs it. Sick people don't have to pay to
see the doctor, or to stay in hospital, and they only
pay part of the cost of their medicines. The bad news
is that the NHS is always running out of money. The
British government spends even less on health than the
American governrnent. And in the USA sick people also
have to pay every time they see a doctor. The NHS has
been admired and enjoyed by British poople since 1946
when it started. The idea then was to look after
people "from the cradle to the grave". Free medicine
was part of the "welfare state", which gave free
education to the young, money to the unemployed, and
pensious to the old.
　　Slowly, as the yeare pass, problems have grown up.
Govemments are finding that the bills are getting
bigger and bigger. In 1982, L14,000 million was spent
on health. One reason for this is that there are many
more old people now than there were in 1946. Forty
percent of NHS money goes on looking after the old.
Some poople say that the NHS is a luxury Britain can
not afford. They want to bring back more private
medicine, for which people would pay. Free medicine,
they say, should be given only to the poor. Other
people, including many doctors, disagree. Everyone,
they say, has the right to the same medical help. In a
two part system, the rich would always get the best.
This would not be fair. People also disagree about how
NHS money should be spent. Should L15,000 be spent on
each heart transplant operation, when there are not
enough beds for thousands of old people in pain? Should
abortions be paid for by the NHS? Should more money be
spent on the mentally ill? Shouldn't doctors and nurses
be better paid?
　　The questions go on and on -- but so does the NHS.
And millions of British people are thankful that it's
there.

46. In Britain sick people have to pay some money
to__________.
　　A. see a doctor
　　B. stay in a hospital
　　C. get some medicine
　　D. have an operation

47. In Britain more money are spent on health than
before because__________.
　　A. more people get ill
　　B. there are more old people
　　C. medicines become more expensive
　　D. doctors and nurses are better paid

48. Some people want to have more private hospitals in
Britain because they__________ .
　　A. don't trust the NHS
　　B. want better medical treatment
　　C. don't think Britain can afford free medicine for
all
　　D. believe that everyone has the right to medical
help

49. What is ihe biggest problem the NHS is facing?
　　A. Shortage of money.
　　B. Criticisms from the people.
　　C. Arguments about its function.
　　D. Pressure from the govemment

50. The underlined word 'pensions' in paragraph 2
means__________ .
　　A. medical treatment B. care
　　C. home Service D. money

Quesiions 51-55 are based on the following passage.
　　Mrs. Jean Javis and Mrs. Maureen O`Brien live a few
miles apart in Essex. They are identical twins, but
they were adopted at birth and reared separately. Yet
the similarities in their patterns of life, school
reports, interests and family size --- they both have
one son and one daughter --- have made them walking
laboratories for scientists, who are fascinated to
discover what influences hereditary factors in people.
From such research, psychologists hope to discover more
about the mysteries of genetic engineering for
manipulating individual genes under the microscope.
Scientists still do not understand why and how an
embryo developing from a single fertilised egg can
separate into two identical people. Jean and Maureen
are involved in these investigations as part of a
project called the Minnesota Study of Twins Reared
Apart, which is being undertaken by a team working with
Professor Thomas Bouchard.
　　The pointers from that work confirm that the effect
of genetic influence on intelligence is stronger (about
60 percent to 40 percent) than the environmental
influence and that the genetic influence on personality
is about 50 percent, the other 50 percent being
influenced by environrnent. The twins are participating
with 28 other pairs, each reared apart, in an effort to
estimate the relative contribution of genes and
environment for a wide range of events during the human
lifetime. These includes dietary habits, the age at
which specific changes in body weight occurred, age at
marriage, age at birth of children and spacing of
children, age of puberty and menopause, age of starting
of smoking and drinking, and so on.
　　Overall, a substantial genetic influence is found
likely in the timing of these events. The environmental
factors contributing to these behaviour patterns are
more difficult to identify.

51. Scientists are primarily interested in Jean and
Maureen because they__________.
　　A. were adopted at birth
　　B. each have a son and a daughter
　　C. are identical twins who have never lived apart
　　D. can help research into the influence of
hereditary factors

52. By "walking laboratories" in the first paragraph is
actually meant__________.
　　A. a son and a daughter B. mobile laboratories
　　C. a pair of twins D. Jean and Maureen

53. One of the main aims of the Minnesota Study is
to__________.
　　A. research the causes of human behaviour
　　B. improve the design and structure of the
microscope
　　C. increase our information about the environment
　　D. help people like Jean and Maureen understand
each other

54. 'Personality is influenced as much by genes as by
the environment.' The results of the Minnesota Study so
far suggest that this statement is__________.
　　A. true B. false C. doubtful D. misleading

55. From the study of Twins Reared Apart, it would seem
that
　　A. our dietary habits are formed mainly at puberty
　　B. the age at which we get mareied is determined by
environment
　　C. whether we start smoking or drinking depends on
intelligence
　　D. genes contribute a lot to the timing of events
in our lives

Quesiions 56-60 are based on the following passage:
　　First aid means what it says: the aid , or help,
that can be given to an injured person first, that is
before any other help arrives. Nowadays there is
usually a telephone not far away and the first thing we
should do if a serious accident happens is to telephone
for an ambulance. But sometimes quick action by us may
save someone's life. Even when this is not so, there is
often much that we can do to help. Shock: People often
suffer from shock after receiving an injury, sometimes
even when the injury is a small one. The face turns
gray, and the skin becomes damp and cold. They breathe
quickly. They should be kept-warm. Cover them with a
blanket and give them a warm drink.
　　Broken bones: Do not move the patient. Send for an
ambulance at once. Treat for shock if necessary.
　　Bleeding: A little bleeding does no harm. It washes
dirt from the wound. But if the bleeding continues, try
to stop it by placing a clean cloth (the inside of a
folded handkerchief, for example) firmly over the wound
until the bleeding stops or until help arrives.
　　Burns and Scalds: Place the burned or scalded part
in cold water. Do not put any oil or ointment on it. If
it is serious, see a doctor.
　　Dog Bites: Treat a bite as you would a cut -- wash
it and bandage it. See a doctor at once.
　　Snake Bites: The person bitten must get to a doctor
or hospital at once. Speed is very important. It will
help the doctor greatly if you can tell him what kind
of snake it was or describe it.
　　Suffocation: This means not being able to breathe.
For example, a drowning person will have his lungs full
of water. Lay him down with his head lower than the
rest of his body so that the water will drain out. If a
person has something stuck in his throat, try to remove
it with your fingers, or by hitting him on the back.

56. What should we do first if there is a serious
accident? A.Treat the injured person.
　　B.Telephone for an ambulance.
　　C. Find a nurse.
　　D. Look for some medicine.

57. Which ofthe following is NOT true about shock?
　　A. The person must be seriously injured.
　　B. The injured person's face turns gray.
　　C. The injured person may feel cold.
　　D. The person, if injured, breathe quickly.

58. Which of the following is NOT a correct way to
treat bleeding ?
　　A. Trying to stop it if it continues.
　　B. Washing the wound with a handkerehief
　　C. Placing a clean piece of cloth over the wound.
　　D. Using the clean part of a handkerchiefto cover
the wound.

59. The word suffocation in the last paragraph
means "being unable to__________".
　　A. breathe at all B. lower the head C. move around
D. drain out water

60. We put a drowning person's head lower than the rest
of his body to__________.
　　A. empty his lungs
　　B. hit him on the back
　　C. let him breathe quickly
　　D. remove any stuck things

Questions 61-65 are based on the following passage:
　　Sailora, and Fishermen in particular, have always
been extremely superstitious. This is hardly surprising
when one considers the changeable nature of the sea
where, even today with sophisticated weather-
forecasting techniques, a sudden storm can blow up
quite unexpectedly. In the days before radio and
engines, where there could bo no long-distance
communication with another ship or land, and when sails
were the only means of movement, it was only natural
for the sailor to take every precaution to avoid
offending the gods who controlled the Sea.
　　One way of pleasing these gods was to make an
annual offering. This custom survives in the ceremony
of blessing the sea, which can still been seen once a
year in some fishing ports. Next to pleasing the sea-
gods, the most important thing for the sailor was to
know that his boat was free from evil influences. The
time to make sure of this was at the launching
ceremony. It is clear that the well-known custom of
launching a ship by breaking a bottle of champagne
against the side goes back a very long way. The purpose
of it is to keep away evil spirits rather than to ask
for the sea-god's protection. Starting on knew voyage
or fishing trip was a dangerous business at tbe best of
times. Once the fishermen had set out for his ship, he
dared not, on any account, look back. It was bad luck
even to call after him, so if he had forgotten
anything, someone had to run after him and put the
object into his hands.
　　Bad luck could also result from some chance meeting
on the way to the boats. In some countries it was
considered particularly unlucky to meet a priest, a
rabbit or a woman. In such an event, the only thing to
do was to turn back and sail next day.

61. What made sailors and fishermen superstitious?
　　A. Their own changeable natures.
　　B. The unreliable nature of the sea.
　　C. The difficulty of communicating with land.
　　D. The inadequate techniques of weather forecasting.

62. The fishermen tried to please the sea gods
by__________.
　　A. giving them presents every year.
　　B. going long distance with only sails.
　　C. cleaning the fishing ports every year.
　　D. avoiding communicating with other ships.

63. Sailors broke a bottle of champagne against the
side of the boat__________.
　　A. to protect it from bad spirits.
　　B. to ask for the sea gods' protection. C. so that
the ship could go a very long way.
　　D. so that they could start drinking and eating.
　　64. What happened if a fisherman forgot something
when starting on a trip?
　　A. He went back for it.
　　B. Someone called him back for it.
　　C. He looked behind him and tried to find it.
　　D. Someone gave it to him without speaking.

65. If a fisherman met a woman on the way to his
boat__________.
　　A. he wouldn't blame her.
　　B. he should turn his back on her.
　　C. he wouldnt go fishing that day.
　　D. he should come back the next day.

Questions 66-70 are based on thefollowing passage:
　　An allergy is an adverse reaction to a foreign
substance, called an aliergen, which produces little or
no ill effects in most other people. Most allppens are
complex chemical substances, usually proteins or
combinations of proteins and sugar molecules. Allergens
usually consist of many thousands of atoms that often
weigh at least ten thousand times as much as a hydrogen
atom. The molecular weight, therefore, is said to be
10,000 or more.
　　For a sufferer of pollen allergy, such as hay
fever, a grain of pollen enters the nasal passage and
becomes attached to the mucous membrane. The allergens
contained in the pollen are then dissolved by the nasal
secretions and penetrate the outer layer of the mocous
membrane. The major allergy producer in ragweed has
been named ragweed antigen E, a protein molecule with a
molecular weight of 38,000. It represents less than 1
pereent of the ragweed pollen, but produces about 90
percent of all its allergic activities. The allergen is
so destructive that an injection of a trillionth of a
grain is enough to cause an allergic reaction in an
allergic person.Scientists do not know why the ragweed
allergen is so unusually reactive, although research
has been undertaken for some time.

66. What do we know about allergen?
　　A. It contains only proteins.
　　B. It causes an allergy in most people.
　　C. It reacts with most other substances.
　　D. It leaves the majority of people unaffected.

67. What is unusual about ragweed antigen E?
　　A. It has high molecular weight.
　　B. It is the major pollen allergy producer.
　　C. 90 pereent of the ragweed pollen is stored in it.
　　D. A tiny amount of it produces high pollen allergy.

68. At what point does a pollen grain cause an allergy?
　　A. As soon as the grain enters the nasal passage.
　　B. When the nasal secretions destroy the allergens.
　　C. After the grain dissolves the mucous membrane.
　　D. When the allergens are absorbed into the mucous
membrane.

69. Compared with a hydrogen atom, an allergen
atom__________.
　　A. has a higher molecular weight.
　　B. weighs ten thousand times less.
　　C. owns more complex chemical substances.
　　D. contains more proteins and sugar molecules.

70. If an allergic person is injected with a minute
amount of ragweed,antigen E, he would__________.
　　A. become very active.
　　B. be partially destroyed.
　　C. show reactive symptoms.
　　C. display destructive tendencies.

Answers:
　　l. D 2. D 3. C 4. D 5. A 6. C 7. B 8. B 9. C 10.B
　　ll.A 12.A 13.A 14.D 15.C 16.B 17.D 18.B 19.B 20.C
　　21.B 22.A 23.C 24.D 25.C 26.B 27.C 28.A 29.D 30.A
　　31.D 32.C 33.A 34.A 35.C 36.A 37.B 38.B 39.C 40.D
　　41.D 42.B 43.C 44.B 45.D 46.C 47.B 48.C 49.A 50.D
　　sl.D 52.D 53.A 54.A 55.D 56.B 57.A 58.B 59.A 60.A
　　61.B 62.A 63.A 64.D 65.C 66.D 67.D 68.D 69.A 70.C