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You should spend about 20 minutes on Questions 27-40, which are based on Reading Passage 3 below.Source of KnowledgeA What counts as knowledge What do we mean when we say that we know something What is the status of different kinds of knowledge In order to explore these questions we are going to focus on one particular area of knowledge— medicine.B How do you know when you are ill This may seem to be an absurd question. You know you are ill because you feel ill; your body tells you that you are ill. You may know that you feel pain or discomfort but knowing you are ill is a bit more complex. At times, people experience the symptoms of illness, but in fact they are simply tired or over-worked or they may just have a hangover. At other times, people may be suffering from a disease and fail to be aware of the illness until it has reached a late stage in its development. So how do we know we are ill, and what counts as knowledgeC Think about this example. You feel unwell. You have a bad cough and always seem to be tired. Perhaps it could be stress at work, or maybe you should give up smoking. You feel worse. You visit the doctor who listens to your chest and heart, takes your temperature and blood pressure, and then finally prescribes antibiotics for your cough.D Things do not improve but you struggle on thinking you should pull yourself together, perhaps things will ease off at work soon. A return visit to your doctor shocks you. This time the doctor, drawing on years of training and experience, diagnoses pneumonia. This means that you will need bed rest and a considerable time off work. The scenario is transformed. Although you still have the same symptoms, you no longer think that these are caused by pressure at work. You now have proof that you are ill. This is the result of the combination of your own subjective experience and the diagnosis of someone who has the status of a medical expert. You have a medically authenticated diagnosis and it appears that you are seriously ill; you know you are ill and have evidence upon which to base this knowledge.E This scenario shows many different sources of knowledge. For example, you decide to consult the doctor in the first place because you feel unwell—this ispersonal knowledge about your own body. However, the doctor’s expert diagnosis is based on experience and training, with sources of knowledge as diverse as other experts, laboratory reports, medical textbooks and years of experience.F One source of knowledge is the experience of our own bodies; the personal knowledge we have of changes that might be significant, as well as the subjective experience of pain and physical distress. These experiences are mediated by other forms of knowledge such as the words we have available to describe our experience and the common sense of our families and friends as well as that drawn from popular culture. Over the past decade, for example, Western culture has seen a significant emphasis on stress-related illness in the media. Reference to being ’stressed out’ has become a common response in daily exchanges in the workplace and has become part of popular common-sense knowledge. It is thus not surprising that we might seek such an explanation of physical symptoms of discomfort.G We might also rely on the observations of others who know us. Comments from friends and family such as ’you do look ill’ or ’that’s a bad cough’ might be another source of knowledge. Complementary health practices, such as holistic medicine, produce their own sets of knowledge upon which we might also draw in deciding the nature and degree of our ill health and about possible treatments.H Perhaps the most influential and authoritative source of knowledge is the medical knowledge provided by the general practitioner. We expect the doctor to have access to expert knowledge. This is socially sanctioned. It would not be acceptable to notify our employer that we simply felt too unwell to turn up for work or that our faith healer, astrologer, therapist or even our priest thought it was not a good idea. We need an expert medical diagnosis in order to obtain the necessary certificate if we need to be off work for more than the statutory self-certification period. The knowledge of the medical sciences is privileged in this respect in contemporary Western culture. Medical practitioners are also seen as having the required expert knowledge that permits them legally to prescribe drugs and treatment to which patients would not otherwise have access. However there is a range of different knowledge upon which we draw when making decisions about our own state of health.I However, there is more than existing knowledge in this little story; new knowledge is constructed within it. Given the doctor’s medical training and background, she may hypothesise ’is this now pneumonia’ and then proceed to look for evidence about it. She will use observations and instruments to assess the evidence and—critically—interpret it in the light of her training and experience. This results in new knowledge and new experience both for you and for the doctor. This will then be added to the doctor’s medical knowledge and may help in future diagnosis of pneumonia.Questions 27-34Reading Passage 3 has nine paragraphs, A-I.Which paragraph contains the following informationWrite the correct letter, A-I, in boxes 27-34 on your answer sheet.NB You may use any letter more than once. an example of collective judgment from personal experience and professional doctor

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药物代谢酶不足时不可能出现的情况是

A. 首关效应减少
B. 口服药物生物利用度升高
C. 易出现不良反应
D. 代谢物/药物比率低于正常
E. 增加剂量和延长疗程可刺激代谢酶分泌

You should spend about 20 minutes on Questions 27-40, which are based on Reading Passage 3 below.Source of KnowledgeA What counts as knowledge What do we mean when we say that we know something What is the status of different kinds of knowledge In order to explore these questions we are going to focus on one particular area of knowledge— medicine.B How do you know when you are ill This may seem to be an absurd question. You know you are ill because you feel ill; your body tells you that you are ill. You may know that you feel pain or discomfort but knowing you are ill is a bit more complex. At times, people experience the symptoms of illness, but in fact they are simply tired or over-worked or they may just have a hangover. At other times, people may be suffering from a disease and fail to be aware of the illness until it has reached a late stage in its development. So how do we know we are ill, and what counts as knowledgeC Think about this example. You feel unwell. You have a bad cough and always seem to be tired. Perhaps it could be stress at work, or maybe you should give up smoking. You feel worse. You visit the doctor who listens to your chest and heart, takes your temperature and blood pressure, and then finally prescribes antibiotics for your cough.D Things do not improve but you struggle on thinking you should pull yourself together, perhaps things will ease off at work soon. A return visit to your doctor shocks you. This time the doctor, drawing on years of training and experience, diagnoses pneumonia. This means that you will need bed rest and a considerable time off work. The scenario is transformed. Although you still have the same symptoms, you no longer think that these are caused by pressure at work. You now have proof that you are ill. This is the result of the combination of your own subjective experience and the diagnosis of someone who has the status of a medical expert. You have a medically authenticated diagnosis and it appears that you are seriously ill; you know you are ill and have evidence upon which to base this knowledge.E This scenario shows many different sources of knowledge. For example, you decide to consult the doctor in the first place because you feel unwell—this ispersonal knowledge about your own body. However, the doctor’s expert diagnosis is based on experience and training, with sources of knowledge as diverse as other experts, laboratory reports, medical textbooks and years of experience.F One source of knowledge is the experience of our own bodies; the personal knowledge we have of changes that might be significant, as well as the subjective experience of pain and physical distress. These experiences are mediated by other forms of knowledge such as the words we have available to describe our experience and the common sense of our families and friends as well as that drawn from popular culture. Over the past decade, for example, Western culture has seen a significant emphasis on stress-related illness in the media. Reference to being ’stressed out’ has become a common response in daily exchanges in the workplace and has become part of popular common-sense knowledge. It is thus not surprising that we might seek such an explanation of physical symptoms of discomfort.G We might also rely on the observations of others who know us. Comments from friends and family such as ’you do look ill’ or ’that’s a bad cough’ might be another source of knowledge. Complementary health practices, such as holistic medicine, produce their own sets of knowledge upon which we might also draw in deciding the nature and degree of our ill health and about possible treatments.H Perhaps the most influential and authoritative source of knowledge is the medical knowledge provided by the general practitioner. We expect the doctor to have access to expert knowledge. This is socially sanctioned. It would not be acceptable to notify our employer that we simply felt too unwell to turn up for work or that our faith healer, astrologer, therapist or even our priest thought it was not a good idea. We need an expert medical diagnosis in order to obtain the necessary certificate if we need to be off work for more than the statutory self-certification period. The knowledge of the medical sciences is privileged in this respect in contemporary Western culture. Medical practitioners are also seen as having the required expert knowledge that permits them legally to prescribe drugs and treatment to which patients would not otherwise have access. However there is a range of different knowledge upon which we draw when making decisions about our own state of health.I However, there is more than existing knowledge in this little story; new knowledge is constructed within it. Given the doctor’s medical training and background, she may hypothesise ’is this now pneumonia’ and then proceed to look for evidence about it. She will use observations and instruments to assess the evidence and—critically—interpret it in the light of her training and experience. This results in new knowledge and new experience both for you and for the doctor. This will then be added to the doctor’s medical knowledge and may help in future diagnosis of pneumonia.Questions 27-34Reading Passage 3 has nine paragraphs, A-I.Which paragraph contains the following informationWrite the correct letter, A-I, in boxes 27-34 on your answer sheet.NB You may use any letter more than once. a description of knowledge drawn from non-specialised sources other than personal knowledge

在影响钢筋混凝土梁的正截面破坏形式的因素中,对其影响最大的因素是______。

A. 配筋率
B. 混凝土强度等级
C. 截面尺寸
D. 混凝土保护层厚度

You should spend about 20 minutes on Questions 1-13, which are based on Reading Passage 1 below.Thomas Young The Last True Know-It-AllThomas Young(1773-1829)contributed 63 articles to the Encyclopedia Britannica, including 46 biographical entries(mostly on scientists and classicists)and substantial essays on "Bridge," "Chromatics," "Egypt," "Languages" and "Tides". Was someone who could write authoritatively about so many subjects a polymath, a genius or a dilettante In an ambitious new biography, Andrew Robinson argues that Young is a good contender for the epitaph "the last man who knew everything." Young has competition, however: The phrase, which Robinson takes for his title, also serves as the subtitle of two other recent biographies: Leonard Warren’s 1998 life of paleontologist Joseph Leidy(1823-1891)and Paula Findlen’s 2004 book on Athanasius Kircher(1602-1680), another polymath.Young, of course, did more than write encyclopedia entries. He presented his first paper to the Royal Society of London at the age of 20 and was elected a Fellow a week after his 21st birthday. In the paper, Young explained the process of accommodation in the human eye—on how the eye focuses properly on objects at varying distances. Young hypothesised that this was achieved by changes in the shape of the lens. Young also theorised that light traveled in waves and he believed that, to account for the ability to see in color, there must be three receptors in the eye corresponding to the three "principal colors" to which the retina could respond: red, green, violet. All these hypotheses were subsequently proved to be correct.Later in his life, when he was in his forties, Young was instrumental in cracking the code that unlocked the unknown script on the Rosetta Stone, a tablet that was "found" in Egypt by the Napoleonic army in 1799. The stone contains text in three alphabets: Greek, something unrecognisable and Egyptian hieroglyphs. The unrecognisable script is now known as demotic and, as Young deduced, is related directly to hieroglyphic. His initial work on this appeared in his Britannica entry on Egypt. In another entry, he coined the term Indo-European to describe the family of languages spoken throughout most of Europe and northern India. These are the landmark achievements of a man who was a child prodigy and who, unlike many remarkable children, did not disappear into oblivion as an adult.Born in 1773 in Somerset in England, Young lived from an early age with his maternal grandfather, eventually leaving to attend boarding school. He had devoured books from the age of two, and through his own initiative he excelled at Latin, Greek, mathematics and natural philosophy. After leaving school, he was greatly encouraged by his mother’s uncle, Richard Brock-lesby, a physician and Fellow of the Royal Society. Following Brocklesby’s lead, Young decided to pursue a career in medicine. He studied in London, following the medical circuit, and then moved on to more formal education in Edinburgh, Gottingen and Cambridge. After completing his medical training at the University of Cambridge in 1808, Young set up practice as a physician in London. He soon became a Fellow of the Royal College of Physicians and a few years later was appointed physician at St. George’s Hospital.Young’s skill as a physician, however, did not equal his skill as a scholar of natural philosophy or linguistics. Earlier, in 1801, he had been appointed to a professorship of natural philosophy at the Royal Institution, where he delivered as many as 60 lectures in a year. These were published in two volumes in 1807. In 1804 Young had become secretary to the Royal Society, a post he would hold until his death. His opinions were sought on civic and national matters, such as the introduction of gas lighting to London and methods of ship construction. From 1819 he was superintendent of the Nautical Almanac and secretary to the Board of Longitude. From 1824 to 1829 he was physician to and inspector of calculations for the Palladian Insurance Company. Between 1816 and 1825 he contributed his many and various entries to the Encyclopedia Britan-nica, and throughout his career he authored numerous books, essays and papers.Young is a perfect subject for a biography—perfect, but daunting. Few men contributed so much to so many technical fields. Robinson’s aim is to introduce non-scientists to Young’s work and life. He succeeds, providing clear expositions of the technical material(especially that on optics and Egyptian hieroglyphs). Some readers of this book will, like Robinson, find Young’s accomplishments impressive; others will see him as some historians have—as a dilettante. Yet despite the rich material presented in this book, readers will not end up knowing Young personally. We catch glimpses of a playful Young, doodling Greek and Latin phrases in his notes on medical lectures and translating the verses that a young lady had written on the walls of a summerhouse into Greek elegiacs. Young was introduced into elite society, attended the theatre and learned to dance and play the flute. In addition, he was an accomplished horseman. However, his personal life looks pale next to his vibrant career and studies.Young married Eliza Maxwell in 1804, and according to Robinson, "their marriage was a happy one and she appreciated his work." Almost all we know about her is that she sustained her husband through some rancorous disputes about optics and that she worried about money when his medical career was slow to take off. Very little evidence survives about the complexities of Young’s relationships with his mother and father. Robinson does not credit them, or anyone else, with shaping Young’s extraordinary mind. Despite the lack of details concerning Young’s relationships, however, anyone interested in what it means to be a genius should read this book.Questions 1-7Do the following statements agree with the information given in Reading Passage 1In boxes 1-7 on your answer sheet, writeTRUE if the statement agrees with the informationFALSE if the statement contradicts the informationNOT GIVEN if there is no information on this Young was interested in various social pastimes.

A. 真
B. 假
C. Not Given

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