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Tom Macdonald would describe himself as ...

    Tom Macdonald would describe himself as pretty relaxed-unless he sees the doctor. Then, suddenly, his blood pressure(血压) rises.

“I was a truck driver, I would be under pressure all day, dealing with traffic and long journeys to make sure we were on time, ” said Tom. “But I never got worried with work. Yet medical settings made me very nervous. ”

This wasn’t a problem until ten years ago when Tom developed an umbilical hernia(脐疝). His doctor told him although not considered serious, if left untreated, a hernia can cause bad results. However. Tom’s situation created problems. “When I had my blood pressure taken in hospital, the doctor told me that I wouldn’t be able to have the surgery(手术)because it was so high. ”

Surgery for patients with high blood pressure can be risky. But when Tom’s blood pressure was later taken, the top number fell to below 140high, but not high enough to prevent surgery. “Soon afterwards, my doctor told me that I suffered from ‘ white coat syndrome(综合征)’.He explained it was seeing a doctor or being in a hospital that caused your blood pressure to rise even if it is usually normal. ”

“The main difficulty with white coat syndrome is that it only happens in a medical setting, which means you can’t really treat it,” says Professor Peter Sever, “You can’t send a patient away with medicine because once they get home and take it, their blood pressure is going to fall through the floor. ” The good news is that many people do gain control over the syndrome; knowledge can make a difference. “For some people, if they know they have it, they do seem to be able to take some control over it and it can improve,” says Professor Sever.

Many hospitals now have methods to solve the problem of white coat syndrome. They include the Will Adams NHS Treatment Centre in Gillingham, Kent, where Tom finally had his hernia repaired earlier this year.

1.What caused Tom to get worried?

A. Traffic jams. B. Long journeys.

C. Medical settings. D. Heavy work.

2.What prevented Tom having the surgery at first?

A. His white coat syndrome.

B. His doubt about his doctor.

C. The seriousness of his hernia.

D. The fall of his blood pressure.

3.What’s the best way to deal with “white coat syndrome”?

A. Taking some medicine.

B. Avoid going to hospitals.

C. Getting treatment at home.

D. Fully knowing the syndrome.

4.What can we know about the result of Tom’s treatment?

A. It’s creative. B. It’s satisfying.

C. It’s unexpected. D. It’s disappointing.

 

1.C 2.A 3.D 4.B 【解析】 这是一篇说明文。文章通过一名卡车司机看病的事情引出本文要介绍的中心内容—---白大褂综合征。 1.细节理解题。根据第二段的But I never got worried with work. Yet medical settings made me very nervous. 可知,让Tom焦虑的是医疗环境。故选C 2.推理判断题。根据第三段的Tom’s situation created problems. “When I had my blood pressure taken in hospital, the doctor told me that I wouldn’t be able to have the surgery(手术)because it was so high. 可知,他不能手术是因为血压高,再结合第四段的Soon afterwards, my doctor told me that I suffered from ‘ white coat syndrome(综合征)’.He explained it was seeing a doctor or being in a hospital that caused your blood pressure to rise even if it is usually normal. 可知,我的高血压是由白大褂综合征造成的,由此可推断出,造成他不能手术的原因是他的白大褂综合征。故选A。 3.细节理解题。根据倒数第二段的The good news is that many people do gain control over the syndrome; knowledge can make a difference. “For some people, if they know they have it, they do seem to be able to take some control over it and it can improve,” says Professor Sever 可知,了解了这种病的症状可控制病情,因此处理这种综合征的最好方法是充分了解其症状,故选D。 4.推理判断题。根据最后一段的They include the Will Adams NHS Treatment Centre in Gillingham, Kent, where Tom finally had his hernia repaired earlier this year.可知,Tom的疝气最终治好了,由此可推断出,治疗的情况是令人满意的,故选B。
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