Question

    Shop with Your Doc is part of a broader and still growing movement in US medicine to  shift the focus away from simply treating disease toward caring for the whole person.It is meant to help people make educated,healthy choices,one grocery cart at a time.Across the country,hospitals are setting up food banks and medical schools are putting cooking classes on the curriculum.Nonprofits are connecting medical centers with community resources to ensure that low-income Americans have access to fresh fruits and vegetables.

For centuries,Western medicine’s mission was to cure disease.”But over the past  generation,two significant trends are of concern to the medical community,”says Timothy  Harlan,executive director of Goldring Center for Culinary Medicine at Tulane University in  New Orleans.Healthcare costs began to increase sharply,and relatively inexpensive,  poor-quality food became more common.”There’s a very straightforward link between people  improving their diets and improving the condition that they have,”Dr·Harlan says.

The connection drove the medical and nonprofit communities to rethink their approach 10  health.What emerged(浮现)was the concept of the”social determinants of health”-the  concept of taking into account the biological,physical,and socioeconomic circumstances  surrounding a patient.A healthy person isn’t just someone who is free from disease,the theory  goes；he or she also enjoys”a state of complete mental,physical and social well-being.”

The question the medical community now faces is how to get patients-especially  low-income families-to recognize these determinants and make it possible for them to eat and  live healthier.In Boston,medical experts responded by creating an on-site pantry(食品室)at  Boston Medical Center.Since its founding in 2002,the pantry has evolved into a kind of  nutrition center when primary care providers at BMC send patients food.Today the pantry,  which gets 95 percent of its stock from the Greater Boston Food bank,hosts free cooking classes and serves about 7,000 people a month.The Greater Boston Food Bank has also launched its own initiatives(倡议),striking partnerships with four community health centers across the state to offer free mobile produce markets.The organization also helped develop toolkits(软件包)that map local pantries,markets that accept government food vouchers(代金券),and other resources.

At Tulane in New Orleans,Harlan is leading the development of a curriculum that  combines medicine with the art of food preparation.His philosophy:Doctors who know their  way around a kitchen are better at helping their patients.And empowering(增强自主权) patients to take charge of their own diets is one way to help them deal with the incredible costs of health care,Harlan says.The curriculum has since been adopted at 35 medical schools around the United States.”Chipping away at bad habits is a good place to start getting patients to think about the choices they make for themselves and their families,”says Dr Maureen Villasenor,the Orange County pediatrician(儿科医生).

1.The aim of Shop with Your Doc is to________.

A.help patients relax before an operation

B.assist patients in finding food fit for them

C.control people’s food consumption in supermarkets

D.persuade low-income families to take more fruits and vegetables

2.Paragraph 2 mainly talks about___________.

A.the role Western medicine has been playing

B.how a new concept of health came into being

C.medical communities’worries about food safety

D.why low-income families are less reliable on healthcare

3.What do we know about the Greater Boston Food Bank?

A.Its cooking classes are free of charge.

B.It treats many a patient from BMC.

C.It helps people locate pantries and markets.

D.It was founded at the beginning of the 21st century.

4.What can be inferred about the curriculum developed by Harlan?

A.It appeals to a number of us medical schools.

B.It is specially designed for doctors in communities.

C.Its content has little to do with medicine.

D.Its philosophy is questioned by Dr.Maureen Villasenor.

Answer

1.B

2.C

3.C

4.A

【解析】

这是一篇说明文。文章主要介绍了在美国医学界广泛兴起的运动，该运动旨在将人们的注意力从简单的治疗疾病转移到照顾整个人。它的目的是帮助人们做出有教育意义的、健康的选择。

1.细节理解题。根据第一段的It is meant to help people make educated,healthy choices,one grocery cart at a time. 它的目的是帮助人们做出有教育意义的、健康的选择，一次一个购物车。可知，它是帮助病人找到适合他们的食物。故选B。

2.主旨大意。第二段主要说明了医疗费用开始急剧增加，相对便宜、质量差的食物变得更加普遍。哈兰博士说:“人们改善饮食和改善身体状况之间存在着非常直接的联系。”因此，本段的主要内容是要医学界非常担心人们的饮食安全。故选C。

3.细节理解题。根据倒数第二段的Today the pantry, which gets 95 percent of its stock from the Greater Boston Food bank,hosts free cooking classes and serves about 7,000 people a month.The Greater Boston Food Bank has also launched its own initiatives(倡议),striking partnerships with four community health centers across the state to offer free mobile produce markets.可知，食品银行帮助人们找到食品储藏室和市场。故选C。

4.推理判断题。根据最后一段的The curriculum has since been adopted at 35 medical schools around the United States. 该课程已经被美国35所医学院采用。可知，很多医学院采用了该课程。故选A。