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2015年职称英语考试理工类A级阅读判断巩固练习题18

发表时间:2014/6/4 10:15:39 来源:互联网 点击关注微信:关注中大网校微信
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Beyond the Pap

Scientists have known for some time that virtually all cases of cervical cancer are triggered by a family of viruses called human papillomavirus, or HPV. Most women who become ineffected with HPV are able to shake off the virus and suffer no apparent long-term consequences to their health. But a few women develop a persistent infection that can, for reasons that are not entirely clear, eventually lead to cancerous changes in the cervix.

Now researchers at the Digene Corp of Beltsville, Maryland, have developed a test that detects an active HPV infection by looking for its genetic byproducts in the vagina. The HPV test was better than the standard Pap test at finding cervical cancer at any stage, according to two studies published this month in the Journal of the American Medical Association. So far, so good. Unfortunately, the test's false-positive rate—how often it indicated that there was a problem when none existed was almost twice as high as that for the Pap smear. In these cases, a biopsy of the woman’s cervix showed no sign of disease.

And that’s the crux of the problem. How many women should undergo what is, when it comes right down to it, unnecessary treatment to find a few more cases of cervical cancer? Shouldn’t health officials focus instead on making sure that more women undergo regular Pap-smear examinations? After all, Pap smears, though far from perfect, have helped dramatically lower the death toll from cervical cancer taking it from the No. 1 cause of death due to cancer in American women to the 10th.

Complicating matters is the fact that HPV is a very common infection. In some parts of the U.S. as many as half of all women under age 35 have an active case. Yet 99 out of 100 women who are HPV-positive will never get cervical cancer, estimates Dr. Joanna Cain, vice president of the American College of Obstetricians and Gynecologists. “If those 99 women live their lives as if they’re going to develop cancer”, she says, “we’re not necessarily doing them any good.”

At present, the HPV test is approved in the U. S. only to help resolve ambiguous results from a Pap-Smear test. Many gynecologists believe that HPV will eventually replace the pap. But they’re not willing to abandon it without a lot more detailed information and neither should you.

词汇:

cervical 颈的;子宫颈的 trigger 发动,引起;促使

papillomavirus 乳头状瘤病毒 cancerous生癌的;患癌的;像癌的

cervix 器官的颈部 byproduct 附带产生的结果;副产品

vagina 阴道 Pap smear,Pap test 尼科拉乌试验,巴氏试验

smear(显微镜的)涂片;污迹,污斑;诽谤,诋毁

biopsy 活组织检查;(为检查和诊断而作的)活组织切除

obstetrician 产科医师 gynecologist 妇科学家

ambiguous 含糊不清的;不明确的;难以理解(或区分)的

注释:

1.Scientists have known for some time that virtually all cases of cervical cancer are triggered by a family of viruses called human papillomavirus, or HPV.一段时间以来,科学家们已经知道几乎所有子宫颈癌的病例都是由一组人类乳头状瘤病毒或HPV印发的。

2.Unfortunately, the test's false-positive rate—how often it indicated that there was a problem when none existed was almost twice as high as that for the Pap smear. 不幸的是,该检验的假阳性率,即其显示有问题而实际上并无问题的概率,几乎是巴氏涂片假阳性率的两倍。

3.How many women should undergo what is, when it comes right down to it, unnecessary treatment to find a few more cases of cervical cancer? 只是为了再多发现几例子宫颈癌病例,多少妇女应该接受那种说到底并不必要的治疗呢?

练习:

1. The cause of cervical cancer was discovered by American scientists some time ago.

A. Right B. Wrong C. Not mentioned

2. Only a few cases of HPV infection will lead to cancerous changes in the cervix.

A. Right B. Wrong C. Not mentioned

3. The HPV test was better than the standard Pap test in every aspect.

A. Right B. Wrong C. Not mentioned

4. Pap smears have contributed to the promotion of health of many women.

A. Right B. Wrong C. Not mentioned

5. Cervical cancer used to be the No. 1 killer cancer to women in America.

A. Right B. Wrong C. Not mentioned

6. Dr. Cain is against alarming the majority of women who, though HPV-positive, are unlikely to develop cervical cancer.

A. Right B. Wrong C. Not mentioned

7. The author also believes that HPV will eventually replace the Pap.

A. Right B. Wrong C. Not mentioned

答案与题解:

1.C 文章一开头指出,一段时间以来,科学家们已经 知道几乎所有子宫颈癌的病例都是由一组人类乳头状瘤病毒或HPV印发的,但文章并未提及子宫颈癌的原因是否是美国科学家所发现的。故选项C为答案。

2.A 文章第一段指出,大多数感染人类乳头状瘤病毒的妇女都能好起来,该病毒不会对她们的健康造成什么明显的长期影响,但是也有一些妇女会持续感染这种病毒后发生子宫颈癌变。故选项A为答案。

3.B 文章第二段指出,最新发表的亮相研究成果表明,这种人类乳头状瘤病毒检测方法在发现处于任何阶段的子宫颈癌方面优于标准的巴氏试验,但不幸的是,这种检验的假阳性率,却几乎是巴氏涂片假阳性率的两倍。故选项B为答案。

4.A 文章第三段指出,巴氏试验虽然远非完善,但却使因子宫颈癌而丧生的人数大大降低,因此可以说这种试验队增进许多妇女的健康做出了贡献。故选项A为答案。

5.A 文章第三段末尾提到,子宫颈癌过去曾是美国妇女所面临的头号癌症杀手。故选项A为答案。

6.A 文章第四段提到,凯恩博士认为,99%人类乳头状瘤病毒阳性的妇女都不会患子宫颈癌,因此如果医务工作者使得这些人惶惶不安,担心总有一日会患子宫颈癌,这与其说是在帮她们的忙还不如说是在害她们。故选项A为答案。

7.C 在文章的最后一段,作者说许多妇科学家相信,人类乳头状瘤病毒试验迟早会取代巴氏试验,但作者 并未标明自己的观点。故选项C为答案。

译文:巴氏试验之外

一段时间以来,科学家们已经知道几乎所有子宫颈癌的病例都是由一组人类乳头状瘤病毒或HPV引发的。大部分感染上HPV的女人都可以摆脱这种病毒,对她们的健康 不再有明显的长期后果。但有一些女人会引发持续感染,因某些不太清楚的原因会最终导致子宫颈癌变。

现在马里兰州贝尔兹威尔的迪吉纳公司的研究员开发了一种通过寻找阴道内的HPV基因副产品而检测阳性HPV感染 的试验。据这个月《美国医学协会杂志》上的两项研究表明,HPV试验在发现处于各个阶段的子宫颈癌的效果方面比巴氏试验更好。到目前为止,一切顺利。 不幸的是,该检验的假阳性率,即其显示有问题而实际上并无问题的概率,几乎是巴氏涂片假阳性率的两倍。这些情况下,女性子宫颈癌活组织检查显示没有疾病。

这是这个问题 的症结所在。只是为了再多发现几例子宫颈癌病例,多少妇女应该接受那种说到底并不必要的治疗呢?难倒卫生官员们不应该把目标放在确保更多的妇女接受巴氏试验上吗?毕竟,虽然巴氏涂片远非晚上,却在很大程度上降低了子宫颈癌的死亡率——把它从导致美国妇女死亡的头号癌症变为第十位。

复杂的是HPV是一种非常常见的感染。在美国的某些地方,有一般的35岁以下妇女呈HPV阳性。美国产科医师和妇科学家大学的副校长Joanna Cain 博士估计100个HPV呈阳性的妇女中,99个不会患子宫颈癌。她说:”如果那99个人像她们要患癌一样生活,我们根本没给她们带来任何好处。

现在,HPV在美国被批准辅助解决巴氏涂片测验的模糊结果。许多付科学家相信最终HPV试验将代替巴氏试验。但是没有许多详细信息的情况下他们不愿意放弃巴氏试验——你也不应该。

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