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大学英语四级改革适用(阅读)模拟试
卷366
一、长篇阅读(本题共30题,每题7.0分,共30分。)
WhenMomandDadGrowOldA)Theprospectoftalkingtoincreasinglyfragileparents
abouttheirfuturecanbe"oneofthemostdifficultchallengesadultchildrenwillever
face,"saysClarissaGreen,aVancouvertherapist."Peopleoftentellmetheydon'twant
toraisesensitiveissueswiththeirparentsaboutbringingincaregiversormoving,"she
says."They'llsay,'Idon'twanttoseedadcry."'ButGreenusuallyresponds,"What's
wrongwiththat?"Adultchildren,shesaysneedtotrytojointheirparentsingrieving
(heirdecline,acknowledgetheirlivingarrangementsmaynolongerworkand,if
necessary,helpthemsaygoodbyetotheirbelovedhome."It'ssad.Andifssupposedto
be.It'saboutdeathitself."B)Therearealmostfourmillionmenandwomenoverage65
inCanada.Nearlytwothirdsofthemmanagetopatchtogetherenoughsupport——from
family,friends,privateandgovernmentservices—toliveindependentlyuntilvirtuallythe
daytheydie,accordingtoStatisticsCanada.C)OftheCanadianseniorswholiveto85
andover,almostoneinthreeendupbeingmoved—sometimeskicking—togroupliving
forthelastyearsoftheirlives.Eveninthebest-casescenarios(可能出现的情况),such
dislocationscanbringsorrow."Oftenthefamilyfeelsguilty,andtheseniorfeels
abandoned",saysCharmaineSpencer,aprofessorinthegerontologydepartmentof
SimonFraserUniversity.Harassedwiththeirowncareersandchildren,adultchildren
maypushtheirparentstoofasttomakeamajortransition.D)ValMacDonald,executive
directoroftheB.C.SeniorsServicesSociety,cautionsadultchildrenagainstimposing
theirviewsonagingparents."Manybabyboomerscanbequitepatronizing(高人一等
的)Jshesays.Likemanywhoworkwithseniors,Macdonaldsuggestsadultchildren
devotemanyconversationsoveralongperiodoftimetocollaboratingontheirparents1
future,raisingfeelings,questionsandoptions—gently,butfrankly.However,many
middle-agedadults,accordingtothespecialists,justmuddle(应付)throughwiththeir
agingparents.E)WhentheparentsofNancyWoodsofMulniurHills,Ont.,wereintheir
mid-80s,theymadethedecisiontodownsizefromtheirlargefamilyhometoan
apartmentinToronto.AsWood*sparents,GeorgeandBernice,becamefrailer(更虚弱
的),shebelievedtheyknewshehadtheirbestinterestsatheart.Theyagreedtoher
suggestiontohavemealsonWheelsstartdeliveringlunchesanddinners.However,years
later,afteracrisis,Woodsdiscoveredherparentshadtakentothrowingouttheprepared
meals.Herdadhadappreciatedthem,butBernicehadcometobelievetheywere
poisoned."Myfatherwassoloyal,"saysWoods,"hehadhidthatmymotherwas
overwhelmedbyparanoia(偏执狂)."Toherhorror,Woodsdiscoveredherdadandmom
wereHliving.oncrackersandoatmealporridge'*andwereweakeningfromthe
impoverisheddiet.Herdadwasalsofallingapartwiththestressofprovidingfor
Bernice—acommonproblemwhenonespousetriestodoeverythingforanailing
partner."Thespousewho'sbeingcaredformightbedoingwellathome,"saysSpencer,
"butoftentheotherspouseisburnedoutandendsupbeinghospitalized."F)Fortunately,
outsidehelpisoftenavailabletopeoplestrugglingthroughtheoften-distressingprocess
ofhelpingtheirparentsexploreanimportantshift.Sonsanddaughterscanbringin
brochuresorbooksonseniors'issues,aswellasintroducegovernmenthealth-care
workersorstaffatvariousagencies,tohelpraiseissuesandopenupdiscussions,says
VaiMacdonald,whosenonprofitorganizationrespondstothousandsofcallsayearfrom
BritishColumbiansdesperatefbrinformationabouthowtoweavethroughthedizzying
arrayofseniorsservicesandhousingoptions.Thelonglistofthingstodo,says
MacDonald,includesassessingtheirabilitytoliveindependently;determiningyour
comfortlevelwithsuchthingsasbathingaparent;discussingwithallhousehold
memberswhetheritwouldbehealthyforanelderlyrelativetomovein;monitoring
whether,outofpureduty,you'reovercommittingyourselftoprovidingalevelofcare
thatcouldthreatenyourownwell-being.G)TheshockphonecallthatflungNancy
Woodsandherparentsintoactioncamefromherdesperatedad."Igotthiscallfrom
fatherthathecouldn'tcopeanymore.Mymotherwassettingfiresintheapartment,"she
says."Hedidn'twanttoseeitforwhatitwas.Uptothenhe'dbeenindenial."Without
knowingshewasfollowingtheadviceofexpertswhorecommendusingoutsidesources
tostimulatefrankdiscussionwithparents,WoodsgrabbedacopyofThe36-HourDay:
Afamilyguidetocaringfbrpersonswithalzheimerdisease,relateddementingillness,
andmemorylossinlaterlife.Shereadsectionsofthebooktoherdadandaskedhim,
"Whodoesthatsoundlike?"Herfatherreplied,"It'smother.It'sdementia(痴呆)Atthat
point,Woodssaid,herdadfinallyrecognizedtheirtragicplight(困境).Shetoldherfather
shewouldhelpthemmoveoutoftheirapartment."Henodded.Hedidn'tyellorroar.He
tookitonthechin(忍受痛苦)H)Woodsregretsthatshe"hadnotnoticedsmalldetails
signalingmom'sdementia."Butshe'ssatisfiedherdadacceptedhispassageintoagroup
residence,whereheandhiswifecouldstaytogetherinasecureunitwherestaffwere
trainedtodealwithpatientswithdementia."Fromthemomenttheymovedintothe
Torontonursinghome,theirphysicalhealthimproved.Ontheotherhand,itwasthe
beginningoftheendinlenn'softheirnienlalabilities.Perhapstheycouldn'tgetenough
stimulation.Perhapsitwasinevitable.*'I)Aftermyfatherdiedin2002,thegrimrealityof
mymother'ssharplydecliningmemorysetinstarkly.Withherexpandingdementia,mom
insistedonstayinginherlargeNorthShorehouse,eventhoughshewascontusedabout
howtocook,organizeherdayortakecareofherself.Forthenextthreeyearswe
effectivelyimposeddecisionsonher,mostoftheminvolvingbringingincaregivers,
includingfamilymembers.In2005momfinallyagreed,althoughshebarelyknewwhat
washappening,tomovetoanearbynursinghome,where,despitegreatconfusion,sheis
happier.AsSpencersays,thesenseofdislocationthatcomeswithmakinganimportant
passagecanbe"averyhardadjustmentforasenioratthebestoftimes.Butit'sworseif
it'snotplannedout."
1、ClarissaGreensuggeststhatadultchildrenshouldtrytosharetheirfragileparents,
grievingfeelings.
标准答案:A
知识点解析:题干:ClarissaGreen建议成年子女应该努力去分担他们脆弱的父母
的悲伤的感情。题干关键词ClariissaGreen,sharegrievingfeelingso文中A段倒
数第三句提到,成年子女应该努力去理解他们父母因衰弱而产生的悲伤。与题干意
思吻合,故选A。
2、WhenNancyWoods'fathergottoknowtheirtragicsituation,hefinallymovedoutof
theirapartment.
标准答案:G
知识点解析:题干:当NancyWoods的父亲知道他们的悲惨境况时,最终同意搬
出他们的家。题干关键词NancyWoods,tragicplight和moveout0文中G段最后
三句提到,在那时,她的父亲终于发现她们的困境。她告诉父亲。她会帮他们搬出
去。他点头问意,也没有大呼大叫。与题干意思吻合,故选G。
3、WhenNancyWoods'parentsreachedtheirmid-80s,theymovedintoanapartment.
标准答案:E'
知识点解析:题干:当NancyWoods的父母到85岁左右的时候,他们搬进了一家
公寓。题干关键词mid-BOs和movedinloanaparlment。文中E段第一句提到,当
Woods的父母85岁左右的时候,他们决定缩小他们的大家庭.搬到多伦多的一所
公寓。与题干吻合,故选E。
4、Despiteknowingliltleaboutwhatwashappening,hismotherlivedmorehappilyina
nearbynursinghome.
标准答案:
知识之解析I:题干:尽管不知道发生了什么,但是作者的母亲在附近的一个养老院
里生活得更开心了。题干关键词knowinglittle和happilyinanearbynursinghome。
文中I段倒数第三句提到,让作者迷惑的是,在养老院,她更加开心了。与题干意
思吻合故选L
5、VaiMacDonald'sorganizationisnon-profitandhelpsadultchildrencopewiththeir
agingparentissuesthroughphonecalls.
标准答案;F
知识点解析:题干:VaiMacDonald的组织是非营利性的,旨在通过电话帮助成年
子女解决他们年纪大了的父母的问题。题干关键词VaiMacDonald'sorganization,
non-profit和phonecalls0文中F段第二句话的后半句,VaiMacdonald的非营利性
组织,每年回复数以千计的电话,提供关于如何应对让人头晕眼花的老年问题和房
子买卖权。与题干意思吻合,故选F。
6、Understressfromtheirowncareersandchildren,adultchildrenwillalwayspush
theirparentstogroupliving.
标准答案:C
知识点葡析:题干:在来自职业和孩子的压力下。成年子女更想要父母去过一种集
体生.活。题干关键词Understress,careersandchildren和grouplivingo文中C段最
后一句提到,被工作和孩子烦扰的成年子女,可能会像要改变生活而把父母赶出家
门。题干是让父母去过集体生活•,是文中最后一句话的同义转述,故选C。
7、MostCanadianseniorsolderthan65liveindependentlyuntiltheydie,Statistics
Canada,reported.
标准答案:B
知识点解析:题干:根据数据加拿大的报道,大部分加拿大超过65岁的老年人独
立生活直到去世。题干关键词StatisticsCanadafDolderthan65。文中B段提到。加
拿大很多65岁以上的人依靠各方面的帮助,独自生活,直到去世。题干是B段的
高度概括.故选B。
8、VaiMacDonaldhopesbabyboomersnottoforcetheirparentstounderstandtheir
ideas.
标准答案:D
知识点解析:题干:VaiMacDonald提醒婴儿潮出生的一代人不要强迫父母理解他
们的想法。题干关键词VaiMacDonald,babyboomers,force和accepttheir
viewso文中D段第一句和第二句提到,VaiMacDonald提醒成年子女不要强迫年
迈的父母接受他们的观点。与题干意思吻合.故选D。
9、SinceNancyWoods'parentsmovedintotheTorontonursinghome,theybecame
physicallyhealthier,buthadnewproblemswiththeirmentalabilities.
标准答案:H
知识点解析:题干:自从NancyWoods的父母搬进了多伦多的养老院,他们感觉
身体上更健康了,但是又有了新的精神方面的问题。题干关键词NancyWoods,
Torontonursinghome,physicallyhealthier和mentalabilities©文中H段倒数第三句
和第四句提到,自从父母搬到多伦多的养老院后,他们的健康状况变好了。另一方
面,精神方面的问题却接踵而至。与题干意思吻合,故选H。
10、Whenhermothersetfiresintheapartment,NancyWoods,fathercouldn'thandleit.
标准答案:G
知识点解析:题干:当她的母亲在公寓放火时,NancyWoods的父亲没有办法去处
理了。题干关键词setfires。文中G段前三句提到,Nancy接到父亲的电话,说母
亲在公寓放火,他已经绝望了。题干是这三句话的概括,故选G。
HeDrewlikeanAngelA)ThroughouthislifeLeonardodaVinciwastroubledbya
senseoffailure,in-completionandtimewasted.Hisfavoritephrase,unconsciously
repeatedinwholeorinpartwheneverhewrotesomethingtoseeifanewlycutpenwas
working,was"Tellme,tellmeifanythinggotfinished,"Andindeedverylittledid.His
bigprojectsforsculpturewerenevercompleted—thehugeclaymodelfbroneofthem,
meanttocommemoratehispatronLudovicoSforza,dukeofMilan,endedupashapeless
mound,shottopiecesbyoccupyingFrencharchers.Hisbigwallpainting
commemoratingaFlorentinevictory,TheBattleofAnghiariarson,becameawreckand
waspaintedover.LittlesurvivesofhisLastSupperinMilan.Andsothesadcatalogof
rainandlossgoeson.B)Heneverfoundtimetoeditthefascinatingmassofhiswritings
intobooks.Hisengineeringandhydraulicprojectseitherfailedorwerenotstarted.Very
fewofhismachineswouldhaveworkedeither.Probablynoteventhetanksthathehoped
wouldcreeplikefatalsnailsacrossthebattlefieldsofnorthemItalywouldhaveharmed
anyone,evenassumingthattheirsweatingandstrainingoccupantscouldhavegottheir
wheelstogoroundatall,whichisbeyondprobability.C)WerememberLeonardoasa
painter,draftsman,sculptor,architectandscientist.Yetifoneistojudgebytheself-
advertisingletterhesent(oSforzainMilanin1481,hedicin'testimatehisskillsthat
way.Beforeanythingelse,helistedhisstrategicskill:hecoulddesignportablebridges,
drains,bombardstrongholds,designcannons,makefireproofships,andsoonandon.
NotuntilitemNo.10,thelastonlist,didhegetaroundtosayingthatinpaintingtoohe
could"doeverythingpossibleaswellasanyother."Theremayhavebeenasimple
reasonforthis,sincebeingamilitaryengineerwasprobablymoreprofitablethanbeinga
painter,butthisimageisstillvastlyunliketheartistwcthinkoftodayasLeonardo.D)
Threethings,however,canbesaidwithouthesitationaboutLeonardo.Thefirstisthathe
wasnota"Renaissanceman".Hedidnottypifyhistime.ManyartistsintheRenaissance
worked,asLeonardodid,inawidevarietyofmedia:drawing,painting,sculpture,
architectureandsoforth.None,however,noteventhegreatLeonBattistaAl-berti,had
Leonardo'ssurprisingandunsatisfiedcuriosityaboutthemakeupandgoverninglawsof
thephysicalworldorspentsomuchtimeandenergythinkingaboutthem.E)Thesecond
thingis,obviously,thathecoulddrawlikeanangel.Theideathathewas"thegreatest"
Italiandraftsmanofhistime(bornin1452,hediedataconsiderableageinexilein
Francein1519)isessentiallymeaningless,becausethelate15thandearly16thcenturies
werefullofamazingperformersonpaper.Butnotevencontemporarieslike
Michelangelowereabletoexceed,orregularlyrival,h:masamasterofthekindof
expressiveanddescriptivelinethatoneseesinsuchdrawingsofhisasthestudiesfor
equestriansculpture(骑上雕塑)orinhissurprisinganalysesofhumanboneandmuscle
structure—thoughsomeofthem,ofcourse,wereartistswithverydifferentaims.F)The
thirdthingisthatLeonardowasoneoftheleasttransparentartistsand,giventhe
enormouslossesandgapsinwhatweknowabouthim,itisuselesstohopethatany
exhibitioncouldsumhimup.Hewasconflicted,andalmostincrediblyhardtogetat.Itis
nottrue,however,thathisfamousbackwardwritingwasanattempttocoverthesecrets
ofhisresearchesfrompryingeyes.ThisaspectoftheLeonardo"mystery"isnota
mysteryatall,becausehewasleft-handed,anditwasnaturalforhimtowritethatway.
Still,wasthereeveranartistwhowastroubledbydestruction—anditwasarealtrouble,
notjustan"asifinterest?NotuntilLeonardo-andnotafterhimeither,oneistemptedto
add.Hethoughtalotaboutchaosandsocialcollapsewithgreatdelight:theendofthe
worldwashisprivatehorrormovieorwouldhavebeenifthe15thcenturyhadhad
movies.G)Wordshadnoframeforthis,soLeonardohadtocontenthimselfwithhis
drawings.Throughouttheshowoneseesanabsolutemasteryoftheprocessesof
drawing:themakingofmarksbutalsothemakingoftheinstrumentswithwhichtomake
them.Inthe15thcenturyonedidnotwalkintoashopandbuyapencil.Onehadtomake
thesilver-pointofcharcoal.Onehadtocutthepenandshapeitspoint.Allofthiswas
woundinwiththetechniqueofdrawingandhelpedtodetermineitsintensity.Thatisone
ofthereasonswhysmalldrawings(andmostofLeonardo'sdrawingsweresmall,insome
caseshardlymorethanthumbnailsketches)canbejustlikehandwriting.H)Thereare
someamazinglyuglysubjects,liketheimaginaryBustofGrotesqueManinProfile
FacingtotheRight.Leonardodelightedinthese.Thepleasurethathetookinhuman
uglinesswasalmostasintenseasthedelightaffordedhimbybeauty.Granted,cosmetic
considerationswerelesstotheforein16thcenturyEuropethantheywouldbefour
centurieslater.Granted,socialattitudestowardtherepellentaspectsofoldagewere
different.Andyetitisdifficulttolookathisnumerousdrawingsofhorribly,uglyold
people—whichwouldbecopiedbyotherartistsandwouldmakeafinalappearance
duringtheVictorianAgeinthetriumphantlyhideousimageoftheRedQueeninAlicein
Wonderland—withoutsensingthatLeonardo'speculiarimaginationisatabitremove
fromours.I)Heissaying,"Idealizeasmuchasyouwant,butavoiddenial."The
necessaryothersideoftheidealbeautyofLeonardo'sMonaLisaorCeciliaGalleraniwas
theuglinessofhisgrotesqueries(怪诞派作品)一anuglinessthatendsallpossibilityof
desireandhassomethingevil,notjustmedical,aboutit.Toseehisgrotesquesasthe
mereplayofamindmixedwithsadism(虐待)istomisunderstandthem.Theyarean
essentialpartoftheimpulsethatturnedLeonardotowardanattachmenttobeautyasa
kindofsavingprinciple.
11>Hehasfascinatingmassofhiswritings,buthenevereditedthemintobooks.
标准答案:B--
知识点解析:题干:他有很多迷人的篇章,但是从来没有把它们整理成书。题干关
键词fascinaling,wrilings和books。文中B段第一句提到,他从来没有时间把他迷
人的篇章编辑成书。与题干意思吻合,故选B。
12、Humanuglinesscanbringhirnasintensepleasureasthedelightaffordedhimby
beauty.
标准答案:H
知识点解析:题干:人类的丑陋带给他的快乐就和美的东西带来的愉悦一样强烈。
题干关键词humanugliness,intensepleasure和delight。文中H段第三句提到,他
从人类丑恶中得到乐趣和从美的东西获得的乐趣一样强烈。与题干意思吻合,故选
Ho
13、Leonardowasnotasuccessfulmachineinventor.
标准答案:B
知识点解析:题干:列奥纳多不是一个成功的机械发明家。题干关键词successful
和machineinventor。文中B段第二句和第三句提到,他的设计和水利项目不是失
败了,就是没有开始。池的很多机械也没做成功。与题干意思吻合,故选B。
14>Leonardosaidhewasbestatstrategicdesigning,maybebecausethisismore
profitablethanpainting.
标准答案:C、
知识点解析:题干:列奥纳多说自己最擅长战略设计,可能是因为这个比绘画有更
多利润。题干关键词strategicdesigning,profitable和painting。文中C段提到了,
列奥纳多对自己的评价,说他很擅长造轻便的桥、排水管等,最后才说他会绘画。
最后一句提到,有个可能的原因是战略设计比绘画利润高。与题T意思吻合,故
选C。
15、NobodyhadLeonardo'ssurprisingcuriosityaboutgoverninglawsofthephysical
worldorspentsomuchtimethinkingaboutthem.
标准答案:D
知识点解析:题干:没有人像列奥纳多一样,有对掌控物质世界法则的好奇心或者
花那么多时间去考虑他们。题干关键词surprisingcuriosity,lawsofthephysical
world和thinkingabout。文中D段最后一句提到,没有人,就算是伟大的莱昂-巴
莱斯塔-阿尔贝蒂也没有像莱奥纳多那样,对物质世界的构成及控制法则有如此惊
人的好奇心,或者花费那么多时间和精力去考虑它们。与题干意思吻合,故选D。
16、Themakingoftheinstrumentshelpstodetermineitsintensity,andthatisoneofthe
reasonssmalldrawingcanbejustlikehandwriting.
标准答案:G
知受点解析:题干:工具的制作可以决定它的强度。而这正是小的绘画可以像铅笔
绘画那样的一个原因。题干关键词makingoftheinstruments,intensity,thereasons
和handwriting。文中G段提到,工具的制作同样也是绘画的一个重要环节,最后
一句提到,这就是为什么小幅绘画看上去能够像手工画一样,而原因就是前面提到
的使用铅笔绘画。与题干意思吻合,故选G。
17、ThehugeclaymodelwasamonumentforLeonardoVenci'spatronLudovico
Sforza.
标准答案:A
知识点解析:题干:巨大的黏土模型是莱奥纳多-达-芬奇给他的赞助人卢多维科・斯
福尔扎做的纪念碑。题干关键词hugeclaymodel,monument和LudovicoSforzao
文中A段第四句提到,莱奥纳多的雕塑项目之-------个巨大的泥塑模型,是为
了纪念他的赞助者卢多维科-斯福尔扎。与题干意思吻合,故选A。
18、MichelangelowasoneofthefamousartistsofLeonardo'stime.
标准答案:E
知识点点析:题干:米开朗基罗是列奥纳多时期非常著名的艺术家之一。题干关键
词米开朗基罗。文中E或第三句提到,即使是像米开朗基罗这样与莱奥纳多同时
代的人也不能超过他或者与他匹敌。由此可知,米开朗基罗是当时有名的艺术家。
与题干意思吻合,故选E。
19、FromLeonardo'sworks,onecannotonlyseehispursuitforbeautybutalsocansee
theuglinessofhisgrotesqueries.
标准答案:I
知识点解析:题干二从莱奥纳多的作品中,人们不仅可以看到他对美的追求,也可
以找到他的怪诞绘画中的H陋。题干关键词pursuitforbeauty,ugliness和
grotesquerieso文中I段第二句提到,莱奥纳多的《蒙娜丽莎》或《切奇利娅•加莱
拉尼》都具有理想化的美丽,而美丽的另一面必然是他的怪诞画作的丑陋。与题干
意思吻合,故选I。
20Leonardo'sfamousbackwardwritingisnotamystery;itwasbecausehewasleft
handed.
标准答案:F
知识点解析:题干:莱奥纳多著名的倒写并不是一个秘密,只是因为他是左撇子。
文中F段第四句和第五句提到,他的倒写是为了掩盖一些秘密的说法是不正确
的。原因是他是个左撇子,自然就会那样写。与题干意思吻合,故选F。
WanttoKnowYourDiseaseRisk?CheckYourExposomeA)Whenitcomestohealth,
whichismoreimportant,natureornurture?Youmayvzcllthinkyourgenesarcamore
importantpredictorofhealthandillhealth.Notsofast.Infact,ittranspires(得知)lhatour
everydayenvironmentoutweighsourgenetics,whenitcomestomeasuringourriskof
disease.Thegenome(染色体组,基因组)isout—welcometheexposome(环境暴露).
B)"Thcexposomerepresentseverythingapersonisexposedtointheenvironment,that's
notinthegenes,"saysStephenRappaport,environmentalhealthscientistatthe
UniversityofCalifornia,Berkeley.Thatincludesstress,diet,lifestylechoices,
recreationalandmedicinaldruguseandinfections,tonameafew."Thebigdifferenceis
thattheexposomechangesthroughoutlifeasourbodies,dietsandlifestyleschange,'*he
says.Whileourunderstandingofthehumangenomehasbeengrowingatan
exponential迅速发展的)raleoverthelastdecade,itisnotashelpfulaswehopedin
predictingdiseases.HGenesonlycontribute10percenttotheoveralldiseaseburden,"
saysRappaport."Knowinggeneticriskfactorscanproveabsolutelyfutile(无用的)says
JeremyNicholsonatImperialCollegeLondon.HepointstoworkbyNinaPaynteratthe
BrighamandWomensHospitalinBoston,whoinvestigatedtheeffectsof101genetic
markersimplicatedinheartdisease.Afterfollowingover19,000womenfor12years,she
foundthesemarkerswerenotabletopredictanythingabouttheincidenceofheart
diseaseinthisgroup.C)0ntheotherhand,theimpactofenvironmentalinHuencesisstill
largelyamystery."There'sanimbalancebetweenourabilitytoinvestigatethegenome
andtheenvironment/'saysChrisWild,directoroftheInternationalAgencyforResearch
onCancer,whocameupwiththeideaoftheexposome.Inreality,mostdiseasesare
probablycausedbyacombinationofthetwo,whichiswheretheexposomecomesin.
"Theideaistohaveacomprehensiveanalysisofaperson'sfullexposurehistory,1'says
Wild.Hehopesabetterunderstandingofexposureswillshedabrighterlightondisease
riskfactors.D)Therearelikelytobecriticalperiodsofexposureindevelopment.For
example,thelimefrombirthto3yearsofageisthoughttobeparticularlyimportant.
"Weknowthatthisisthetimewhenbrainconnectionsaremade,andthatifyouare
obese(过度肥胖的)bythisage,you'llhaveproblemsasanadult,"saysNicholson.In
theory,abloodorurinesampletakenfromanindividualcouldprovideasnapshotof
whatthatpersonhasbeenexposedto.Buthowdoyouworkoutwhatfingerprints
chemicalsmightleaveinthebody?Thetaskisnotasformidable(艰难的)asitsounds.
Forastart,researcherscouldmakeuseofswatches(样本)ofbio-bankinformationthat
hasalreadybeencollected."Therehasbeenahugeinternationalfundingeffortinadult
cohorts(一群)liketheUKBio-bankalready,"saysWild."Ifweimprovedanalysis,we
couldapplyittothesegroups."E)Severalteamsarealsoworkingtowardsdeveloping
wearabledevicestomeasurepersonalexposuretochemicalsintheenvironment."Wecan
putchemicalsincategories,"saysRappaport."Wecouldstartbyprioritizingtoxic
chemicals,andlookformarkersofthesetoxinsintheblood,whilehormonesandmetals
canbemeasureddirectly/'Rappaportislookingatalbumin(白蛋白),acommonproteinin
thebloodthattransportstoxinstotheliverwheretheyareprocessedandbrokendown.
Hewantstoknowhowitreactswitharangeofchemicals,andismeasuringtheproducts.
"Youcangetafingerprint—adisplayofalltheproductsanindividualhasbeenexposed
to."F)Bycombiningthisinformationwithanenhancedunderstandingofhowexposure
affectshealth,theexposomecouldhelpbetterpredictaperson'struediseaserisk.And
weshouldn'thavetowaitlong—Rappaportreckonswecanreapthebenefitswithina
generation.Tothisend,theUSNationalInstitutesofHealthhassetupanexposure
biologyprogram."We'relookingforinteractionsbetweengenesandexposuretowork
outanindividual'sriskofdisease,"saysDavidBalshaw,whomanagestheprogram."It
wouldallowyoutolailor[使合适)lhetherapeuticresponsetothatperson'srisk."An
understandingofthisinteraction,reflectedinaperson'smetabolic(新陈代谢
的)profiles(数据图表),mightalsohelppredicthowtheywillrespondtoadrug.
Nicholsonhasbeenlookingforcluesinmetaboliteprofilesofurinesamples.G)Last
year,hisresearchgroupusedtheseprofilestopredicthowindividualswouldmetabolise
paracetamol(扑热息痛)."Itturnedoutthatgut(肠子)microbes(微生物)werevery
important,"saysNicholson."We'veshownthatthepre-doseurinarymetaboliteprofile
couldpredictthemetabolismofpainkillingdrugs,andThereforepredictdrugtoxicity."
Thefindingssuggestthatmetabolicprofilesofexposurecouldhelpdoctorstailor
therapiesandenablethemtoprescribepersonalizedmedicines.JustinStebbingat
ImperialCollegeLondonhasalreadyshownthatmetabolicprofilesofwomenwithbreast
cancercanpredictwhowillrespondtocertaintherapies.Itisearlydays,buttheinitial
findingslookpromising.'We'rereachingthepointwherewe'recapableofassessingthe
exposome,"saysBalshaw.Withtheimplicationsforunderstandingdiseasecausesand
risks,andarealprospectofdevelopingpersonalizedmedicine,theexposomeisshowing
morepromisethanthegenomealready,headds.H)Howdocsairpollutionorstressleave
atraceintheblood?TheUSNationalInstitutesofHealthinBethesda,Maryland,is
tryingtofindout.OnegroupfundedbytheNIHandledbyNongjianTaoatArizona
StateUniversity'sBiodesignInstituteinTempreisdevelopingwearablewirelesssensors
tomonitoranindividual'$exposuretoenvironmentalpollutants.Tao'steamstartedby
creatingsoftwareforWindowsphones(视窗话筒),buttheyarcworkingonapps(应用程
序)lhatcouldbeusedonanysmartphone.Intheory,anyonecouldpopon(戴)asensor
anddownloadanapptoreceivereal-timeinformationonexposuretoenvironmental
pollutants.Atthesametime,smartphonesmonitoringyourlocationcancombinethe
levelofpollutionwithanexacttimeandplace.TaopresentedhissensorattheCircuits
andSystemsforMedicalandEnvironmentalApplicationsWorkshopinYucatanMexico
lastweek.I)"We'renowmovingprototypes(原型,样品)intohumanstudies,and
progressingthoseprototypesintoproducts,"saysDavidBalshawoftheNIH.Earlierthis
year,Tao'sgrouptriedoutthesensoronindividualstakingastrollaroundLosAngeles,
California.Theywereabletomeasurehowexposuretopollutantschangedaseach
personwanderednearbusyroadsandpetrolstations.
21、Theoreticallyspeaking,wecanknowwhatonehasbeenexposedtofromhisblood
samples.
标准答案:D
知识点解析:题干:理论上来说,我们可以通过一个人的血液样本来判断他曾经待
在什么环境下。题干关键词Theoreticallyspeaking,exposed和bloodsamples。文中
D段第四句提到.从一个人身上提取的血样或者尿样,可以提供一个简单印象,那
个人到底曾经暴露在什么环境下。与题干意思吻合,故选D。
22>ChrisWildputforw
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