[单选题]PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.” 36.Fromthefirstthreeparagraphs,welearnthat
[单选题]PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”37.Whichofthefollowingstatementsitstrueaccordingtothetext?
[单选题]PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”38.AccordingtotheNAS'sreport,oneoftheproblemsinend-of-lifecareis
[单选题]PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”39.Whichofthefollowingbestdefinestheword“aggressive"(line3,paragraph7)?
[单选题]PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”40.GeorgeAnnaswouldprobablyagreethatdoctorsshouldbepunishedifthey
[单选题]Passage2(1)Ifyou’veeverwitnessedthemajestyofaCanadiangooseflockflyingintotheclouds,youknowthatthesenoblebirdsareaforcetobereckonedwith.Eachflockiscomprisedofcoupleswhomateforlife,aswellastheirgoslings.Together,theyareonelargefamily.Apart,theyareindividualswithquirksandpersonalities,justlikeus.Nooneknowsthismorethanmyfamily,whoraisedasillylittlegoosewenamedPeeperafterhewasabandonedasababy.(2)In2000,whenIwasaroundsevenyearsold,myparents,sister,brother,andIwerecomingbackfromaT-ballgame.Thatwasourusualweekendadventure,butunlikeeveryotherweekend,asurprisewaswaitingforusinourdriveway.There,wespottedtwoadultgeeseandasmallgosling.Theadultswerestartledbyourreturnandflewaway,buttheirbabywasstilltooyoungtoflyandcouldn’tfollow.Wearenostrangerstothewaysofwildlife,soweknewtoavoidphysicalcontactwiththeyounggoslingoutoffearthatitwouldimprintuponusandbelosttoitsfamilyforever.(3)Hourspassed,andnightfell.Withitcameadeepchillandafearofwatchfulpredators.Thetinylittlethingwaswanderingaroundouryard,unawareofwhatcouldhappen,anditwasclearthatthegoslingneededprotection,warmth,andsustenancetomakeittothemorning.Atthatpoint,weknewwehadtointervene,andwebroughthimontoourbackporch.(4)Weallprettymuchsleptwithoneeyeopentillmorningcame.Andthenanothermorning.Andstillanother.Eachmorning,wewouldtrytoscurrythegooseovertohisparents,whokeptcomingbacktoouryard.Hewouldn’tgotothem,though,andtheywouldn’tcomecloseenoughtoclaimhim.Wekeptthisupforfivedays,butnoluck.Bythen,theyounggoosehadclearlydecidedwewerehisnewfamily,sowehadtogivehimaname.MysisterJoannacalledthelittleguyPeeper,becausehewouldfollowusaroundtheyardmakingapeepingnoise,nonstop.WealsodecidedthatPeeperwasaboy.Idon’tknowwhy;itjustfeltright.(5)Daysturnedintoweeks,andweeksturnedintomonthsuntilalmostayearpassed.Wesettledintoaroutinefilledwithfeatheryhugsandcamaraderie.Peepersleptonourbackporcheachnightand,intypicalgoosefashion,useditasalatrine.Mydadwouldsprayoffallthegoosedroppingsdailywithahose.PartofthisritualincludedDadthrowingPeeperupintotheairsohecouldflyalooparoundthehouse,comingbackagainoncetheporchwasclean.(6)Oneevening,myunclewasover,andmydadwantedtoshowhimPeeper’sloop.Hethrewhimupintheair,butthistime,Peeperjustflewoff.Everyonewasvery,verysad.Itwasdark,andwewereworried.Welookedforhimfordays,callinghisname,buthedidn’tcomeback.Wehopedhefoundaflockandwentoffonhisnaturalway.(7)Again,daysturnedintoweeksandweeksturnedintomonths,thenyears.Imissedmylittlebuddy,andIwouldcallforhimeverytimeIsawaflockofCanadiangeeseflybyinV-formation.Twentyyearspassed,andPeeperbecameafondmemoryformyfamily.(8)Geeselivetobearound25yearsold,areveryloyal,andneverforgettheirfirsthome.Evenso,itcameasatotalshocktomewhen,in2019,anageingadultgoosemadehiswaybacktomyfamilyhome.Geeselovehouseswithlarge,greenlawnstoeaton;theflatterrainalsomakesiteasyforthemtoscoutforpredators.So,atfirst,Iassumeditwasjustanothergoose.Andyet,somethingaboutthelonemaleseemedoddlyfamiliartome.(9)Aftertwoweeksofthegoosecomingbackrepeatedly,itbecamecleartomethatthiswasn’tarandomgoose.HedidallofthesamethingsPeeperusedto,liketryingtocomeinthroughthefrontdoorandsleepinginourenclosedpoolarea.InadditiontomimickingPeeper’soldways,thisgoosealsorespondedtothenamePeeper.Muchtomyamazement,myoldbestfriendhadreturned,20yearslater.(10)WhydidPeeperreturn?It’shardtosay.Perhapshismatedied,leavinghimlonely.It’salsopossiblethatheisapproachinghistwilightyearsandknowsit,makinghimcravehisearlyhome.Thisbehaviouristypicalofgeese.Whateverthereason,Peepercontinuestolivewithme.It’sagoodthingIstayedinmychildhoodhome.(11)Hedoesn’tcomehomeeverysinglenightthewayhedidasababy.Somenightshemayseekoutthecomfortofhisownkindatthelakenearby.Geeseinthewildtypicallysleeponwater.Buthe’sherealot,makinghispresenceknownandgivingmejoy.(12)Thisexperiencehasbeenasmeaningfultomeasanythinginmylife.Ihopethatmychildren,someday,havetheopportunitytoconnectwithnatureandawildbeinginthissameway.Peoplecraveconnectionwiththenaturalworld.ThroughPeeper,Ihavelearnedsomuchaboutmyselfandaboutthenatureoflove.46.Theword“spotted”(Para.2)means____.
