雅思阅读模拟试题及答案解析.docx

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雅思阅读模拟试题及答案解析.docx

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雅思阅读模拟试题及答案解析.docx

  Sleepmedicationlinkedtobizarrebehaviour

  Newevidencehaslinkedacommonlyprescribedsleepmedicationwithbizarrebehaviours,includingacaseinwhichawomanpaintedherfrontdoorinhersleep.

  UKandAustralianhealthagencieshavereleasedinformationabout240casesofoddoccurrences,includingsleepwalking,amnesiaandhallucinationsamongpeopletakingthedrugzolpidem.

  Whiledoctorssaythatzolpidemcanoffermuch-neededreliefforpeoplewithsleepdisorders,theycautionthatthesenewlyreportedcasesshouldpromptacloserlookatitspossiblesideeffects.

  Zolpidem,soldunderthebrandnamesAmbien,StilnoctandStilnox,iswidelyprescribedtotreatinsomniaandotherdisorderssuchassleepapnea.Variousformsofthedrug,madebyFrenchpharmaceuticalgiantSanofi-Aventis,wereprescribed674,500timesin2005intheUK.

  AnewlypublishedreportfromAustralia’sFederalHealthDepartmentdescribes104casesofhallucinationsand62casesofamnesiaexperiencedbypeopletakingzolpidemsincemarketingofthedrugbegantherein2000.Thehealthdepartmentreportalsomentioned16casesofstrangesleepwalkingbypeopletakingthemedication.

  Midnightsnack

  Inoneofthesesleepwalkingcasesapatientwokewithapaintbrushinherhandafterpaintingthefrontdoortoherhouse.Anothercaseinvolvedawomanwhogained23kilogramsoversevenmonthswhiletakingzolpidem.“Itwasonlywhenshewasdiscoveredinfrontofanopenrefrigeratorwhileasleepthattheproblemwasresolved,”accordingtothereport.

  TheUK’sMedicinesandHealthcareproductsRegulatoryAgency,meanwhile,hasrecorded68casesofadversereactionstozolpidemfrom2001to2005.

  ThenewlyreportedcasesintheUKandAustraliaaddtoagrowinglistofbizarresleepwalkingepisodeslinkedtothedruginothercountries,includingreportsofpeoplesleep-drivingwhileonthemedication.Inonecase,atransatlanticflighthadtobedivertedafterapassengercausedhavocaftertakingzolpidem.

  Hypnoticeffects

  Thereisnobiologicalpathwaythathasbeenproventoconnectzolpidemwiththesebehaviours.Thedrugisabenzodiazepine-likehypnoticthatpromotesdeepsleepbyinteractingwithbrainreceptorsforachemicalcalledgamma-aminobutyricacid.Whilepartsofthebrainbecomelessactiveduringdeepsleep,thebodycanstillmove,makingsleepwalkingapossibility.

  Theproductinformationforprescribersadvisesthatpsychiatricadverseeffects,includinghallucinations,sleepwalkingandnightmares,aremorelikelyintheelderly,andtreatmentshouldbestoppediftheyoccur.

  Patientadvocacygroupssaytheywouldlikegovernmenthealthagenciesanddrugcompaniestotakeacloserlookatthepossiblerisksassociatedwithsleepmedicines.Theystressthatstrangesleepwalkingandsleep-drivingbehaviourscanhaveriskyconsequences.

  “Whenpeopledosomethinginwhichthey’renotinfullcontrolit’salwaysadanger,”saysVeraSharavoftheNewYork-basedAllianceforHumanResearchProtection,aUSnetworkthatadvocatesresponsibleandethicalmedicalresearchpractices.

  Triedandtested

  “Themorereportsthatcomeoutaboutthepotentialsideeffectsofthedrug,themoreresearchneedstobedonetounderstandifthesearerealsideeffects,”sayssleepresearcherKennethWrightattheUniversityofColoradoinBoulder,US.

  Millionsofpeoplehavetakenthedrugwithoutexperiencinganystrangesideeffects,pointsoutRichardMillmanatBrownMedicalSchool,directoroftheSleepDisordersCenterofLifespanHospitalsinProvidence,RhodeIsland,US.Hesaysthatunlikeoldertypesofsleepmedications,zolpidemdoesnotcarryasgreatariskofaddiction.

  AndWrightnotesthatsomeofthereportsof“sleep-driving”linkedtozolpidemcanbeeasilyexplained:

somepatientshavewronglytakenthedrugrightbeforeleavingworkinhopesthatthemedicinewillkickinbythetimetheyreachhome.Doctorsstressthatthemedicationshouldbetakenjustbeforegoingtobed.

  TheUSFood&DrugAdministrationsaysitiscontinuingto"activelyinvestigate"andcollectinformationaboutcaseslinkingzolpidemtounusualsideeffects.

  TheAmbienlabelcurrentlylistsstrangebehaviourasa“specialconcern”forpeopletakingthedrug.“It’sapossiblerareadverseevent,”saysSanofi-AventisspokespersonMelissaFeltmann,addingthatthestrangesleepwalkingbehaviours“maynotnecessarilybecausedbythedrug”butinsteadresultfromanunderlyingdisorder.Shesaysthat“thesafetyprofile[ofzolpidem]iswellestablished”.ThedrugreceivedapprovalintheUSin1993.

  Questions1-6  Dothefollowingstatementsagreewiththeinformationgiveninthereadingpassage?

  Inboxes1-6onyouranswersheetwrite

  TRUEifthestatementistrueaccordingtothepassage

  FALSEifthestatementisfalseaccordingtothepassage

  NOTGIVENiftheinformationisnotgiveninthepassage

  1.Ambien,StilnoctandStilnoxarebrandnamesofonesamedrugtreatinginsomnia.

  2.Thewoman’sobesityproblemwasn’tresolveduntilshestoppedtakingzolpidem.

  3.ZolpidemreceivedapprovalintheUKin2001.

  4.ThebizarrebehaviourofapassengeraftertakingzolpidemresultedinthediversionofaflightboundfortheothersideoftheAtlantic.

  5.Zolpidemistheonlysleepmedicationthatdoesn’tcauseaddiction.

  6.Thesleep-drivingoccurrenceresultedfromthewronguseofzolpidembyanofficeworker.

  Question7-9  ChoosetheappropriatelettersA-DandWritetheminboxes7-9onyouranswersheet.

  7.HowmanycasesofbizarrebehavioursaredescribedinanofficialreportfromAustralia?

  A.68

  B.104

  C.182

  D.240

  8.WhichofthefollowingisNOTmentionedintheproductinformationaboutzolpidem?

  A.Treatmentshouldbestoppedifsideeffectsoccur.

  B.Medicationshouldbetakenjustbeforegoingtobed.

  C.Adverseeffectsaremorelikelyintheelderly.

  D.Sideeffectsincludenightmares,hallucinationsandsleepwalking.

  9.Whoclaimedthatthesafetydescriptionofzolpidemwaswellestablished?

  A.KennethWright

  B.MelissaFeltmann

  C.RichardMillman

  D.VeraSharav

  Questions10-13  AnswerthefollowingquestionswithNOMORETHANTHREEWORDSeachinboxes10-13.

  10.HowmanytimeswasFrench-madezolpidemprescribedin2005inBritain?

  11.Whatkindofhypnoticiszolpidemasadrugwhichpromotesdeepsleepinpatients?

  12.Whatcansleepwalkingandsleep-drivingbehaviourscauseaccordingtopatientadvocacygroups?

  13.WhatUSadministrationsaysthatithasbeeninvestigatingthecasesrelatingzolpidemtounusualsideeffects?

  Answerkeysandexplanations:

  1.True

  Seepara.3fromthebeginning:

Zolpidem,soldunderthebrandnamesAmbien,StilnoctandStilnox,iswidelyprescribedtotreatinsomniaandotherdisorderssuchassleepapnea.

  2.False

  Seepara.1underthesubtitle“Midnightsnack”:

Anothercaseinvolvedawomanwhogained23kilogramsoversevenmonthswhiletakingzolpidem.“Itwasonlywhenshewasdiscoveredinfrontofanopenrefrigeratorwhileasleepthattheproblemwasresolved”…

  3.NotGiven

  Seepara.2underthesubtitle“Midnightsnack”:

TheUK’sMedicinesandHealthcareproductsRegulatoryAgency,meanwhile,hasrecorded68casesofadversereactionstozolpidemfrom2001to2005.(ThetimethedrugwasapprovedintheUKwasnotmentioned.)

  4.True

  Seepara.3underthesubtitle“Midnightsnack”:

Inonecase,atransatlanticflighthadtobedivertedafterapassengercausedhavocaftertakingzolpidem.

  5.False

  Seepara.2underthesubtitle“Triedandtested”:

Hesaysthatunlikeoldertypesofsleepmedications,zolpidemdoesnotcarryasgreatariskofaddiction.

  6.NotGiven

  Seepara.3underthesubtitle“Triedandtested”:

AndWrightnotesthatsomeofthereportsof“sleep-driving”linkedtozolpidemcanbeeasilyexplained:

somepatientshavewronglytakenthedrugrightbeforeleavingworkinhopesthatthemedicinewillkickinbythetimetheyreachhome.(Nopatientsasofficeworkersarementionedinthepassage.)

  7.C

  Seepara.4fromthebeginning:

AnewlypublishedreportfromAustralia’sFederalHealthDepartmentdescribes104casesofhallucinationsand62casesofamnesiaexperiencedbypeopletakingzolpidemsincemarketingofthedrugbegantherein2000.Thehealthdepartmentreportalsomentioned16casesofstrangesleepwalkingbypeopletakingthemedication.

  8.B

  Seethesentenceinpara.2underthesubtitle“Hypnoticeffects”(Theproductinformationforprescribersadvisesthatpsychiatricadverseeffects,includinghallucinations,sleepwalkingandnightmares,aremorelikelyintheelderly,andtreatmentshouldbestoppediftheyoccur.)andthesentenceinpara.3underthesubtitle“Triedandtested”(Doctors“nottheproductinformation”stressthatthemedicationshouldbetakenjustbeforegoingtobed.)

  9.B

  Seepara.5underthesubtitle“Triedandtested”:

Sanofi-AventisspokespersonMelissaFeltmann…saysthat“thesafetyprofile[ofzolpidem]iswellestablished”.

  10.674,500(times)

  Seepara.3fromthebeginning:

Variousformsofthedrug,madebyFrenchpharmaceuticalgiantSanofi-Aventis,wereprescribed674,500timesin2005intheUK.

  11.(a)benzodiazepine-like(hypnotic)

  Seepara.1underthesubtitle“Hypnoticeffects”:

Thedrugisabenzodiazepine-likehypnotic(类苯二氮催眠药)thatpromotesdeepsleepbyinteractingwithbrainreceptorsforachemicalcalledgamma-aminobutyricacid.

  12.riskyconsequences

  Seepara.3underthesubtitle“Hypnoticeffects”:

Patientadvocacygroups…stressthatstrangesleepwalkingandsleep-drivingbehaviourscanhaveriskyconsequences.

  13.Food&Drug(Administration)

  Seepara.4u

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