Our risk of cancer rises rapidly as we age. So it makes sense that the elderly should be routinely screened for new tumors (腫瘤) or doesn’t it?
While such tracking of cancer is a good thing in general, researchers are increasingly questioning whether all of this testing is necessary for the elderly. With the percentage of people over age 65 expected to nearly double by 2050, it s important to weigh the health benefits of screening against the risks and costs of routine testing.
In many cases, screening can lead to additional examinations and operations to remove cancer, which can cause side effects, while the cancers themselves may be slow-growing and may not cause serious health problems in patients’ remaining years. But the message that everyone must screen for cancer has become so ingrained (根深蒂固的) that when health care experts recommended that women under 50 and over 74 stop screening for breast cancer, it caused a noisy reaction among doctors, patients and social groups.
It’s hard to uproot deeply-held beliefs about cancer screening with scientific data. Certainly, there are people over age 75 who have had cancers detected by routine screening, and gained several extra years of life because of treatment. And clearly, people over age 75 who have other risk factors for cancer, such as a family history or previous personal experience with the disease, should continue to get screened regularly. But for the rest, the risk of cancer, while increased at the end of life, must be balanced with other factors like remaining life expectancy.
A recent study suggests that doctors start to make more objective decisions about who will truly benefit from screening—especially considering the explosion of the elderly.
It’s not an easy calculation to make, but one that makes sense for patients. Dr. Otis Brawley said, “Many doctors are ordering these tests purely to cover themselves from medical disputes. We need to think about the wise use of health care, which means making some difficult decisions with elderly patients, and going against the misguided belief that when it comes to health care, more is always better.”
小題1:Routine cancer screening for the elderly people makes sense because ______.
A.it is believed to contribute to a long life
B.it is part of their health care package
C.they are more sensitive about the health
D.they are in greater danger of tumor growth
小題2:How do some researchers now look at routine cancer screening for the elderly?
A.It adds too much to their medical bills.
B.They are doubtful about necessity.
C.It helps increase their life expectancy.
D.They think it does more harm than good.
小題3:What is the traditional view about women screening for breast cancer?
A.It is a must for adult women.
B.It applies to women over 50.
C.It is intended for young women.
D.It doesn’t apply to women over
小題4:Why do many doctors advise routine screening for cancer?
A.They want to take advantage of the medical care system.
B.They want to protect themselves against medical disputes.
C.They want data for medical research.
D.They want their patients to suffer less.
小題5:What does the writer say is the general view about health care?
A.Better care, longer life.
B.Prevention is better than cure.
C.Better early than late.
D.The more, the better.

小題1:D
小題2:B
小題3:A
小題4:B
小題5:D

試題分析:文章大意:定期癌檢查是否對(duì)上了年紀(jì)的人減少疾病的擴(kuò)散有用呢,研究人們就此展開了研討,上了年紀(jì)的需要更多的健康管理而不僅僅是定期檢查。
小題1:D 細(xì)節(jié)理解題。根據(jù)第一段第一句“Our risk of cancer rises rapidly as we age.”可知年齡增長(zhǎng)發(fā)生癌癥的風(fēng)險(xiǎn)會(huì)迅速擴(kuò)大。故D正確。
小題2:B 細(xì)節(jié)理解題。根據(jù)第二段“researchers are increasingly questioning whether all of this testing is necessary for the elderly.”可知B正確。
小題3:A 細(xì)節(jié)理解題。根據(jù)第三段最后一句以及第四段可知A正確。
小題4:B 事實(shí)細(xì)節(jié)題。根據(jù)最后一段“Many doctors are ordering these tests purely to cover themselves from medical disputes.”可知B正確。
小題5:D 推理判斷題。根據(jù)最后一段最后一句“when it comes to health care, more is always better.”可知D正確。
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