47．The teaching of reading will be successful if _______________.

　A. teachers can improve conditions at school for the students

　B. teachers can enable students to develop their own way of reading

　C. teachers can devise the most efficient system for reading

　D. teachers can make their teaching activities observable

46．The problem with the reading course as mentioned in the first paragraph is that _______________.

　A. it is one of the most difficult school courses

　B. students spend endless hours in reading

　C. reading tasks are assigned with little guidance

　D. too much time is spent in teaching about reading

45. D。细节理解题。根据最后一自然段最后一句可知。

B(words:281&217)

　So long as teachers fail to distinguish between teaching and learning, they will continue to undertake to do for children that which only children can do for themselves. Teaching children to read is not passing reading on to them. It is certainly not endless hours spent in activities about reading. Douglas insists that“ reading cannot be taught directly and schools should stop trying to do the impossible”.

　Teaching and learning are two entirely different processes. They differ in kind and function. The function of teaching is to create the conditions and the climate that will make it possible for children to devise the most efficient system for teaching themselves to read. Teaching is also public activity. It can be seen and observed.

　Learning to read involves all that each individual does to make sense of the world of printed language. Almost all of it is private, for learning is an occupation of the mind, and that process is not open to public scrutiny.

　If teacher and learner roles are not interchangeable ,what then can be done through teaching that will aid the child in the quest(探索)for knowledge? Smith has one principal rule for all teaching instructions. “Make learning to read easy, which means making reading a meaningful, enjoyable and frequent experience for children. ”

　When the roles of teacher and learner are seen for what they are, and when both teacher and learner fulfill them appropriately, then much of the pressure and feeling of failure for both is eliminated. Learning to read is made easier when teachers create an environment where children are given the opportunity to solve the problem of leaning to read by reading.

44. D。猜测词义题。前面提到医生开药方及给病人治疗牙病需要收费，再结合but一词可推断儿童、孕妇等可享受免费治疗。

43. B。细节理解题。根据最后一自然段话“and encouraging GPs to compete for patients”可知政府鼓励全科医生之间相互竞争，而不是让他们进行竞赛，看谁的医术高明。

42. C。细节理解题。根据第4自然段“The NHS is the biggest employer in Europe…”可知。从第二自然段第一句可以看出国家保健中心由中央政府直接负责，但由地方当局管理，所以A项错误。

41. C。细节理解题。根据最后一自然段最后一句可知，建立国家保健中心的最初目的是为农村居民提供免费的基本健康护理，而不是针对所有的人，所以前两项错误。

45. The biggest problem for the NHS is ______________.

A. many hospitals are too old to be used

B. some services are in the charge of individuals

C. more and more patients go to GPs for treatment

D. there is not enough money for further reform

[答案与解析]　 41-45 　CCBDD　

国家保健中心由中央政府直接负责，但由地方当局管理。建立国家保健中心的最初目的

是为农村居民提供免费的基本健康护理，尤其儿童、孕妇等可享受免费治疗。

44. What does the underlined word “exempt” probably mean?

A. suffering　　　　　　　　　　　　 B. different　 　　　　　 　　　 C. prevented　　　　　　　　　　　 D. free

43. All the following statements about GPs are true except that they ____________.

A. take care of the local people’s health

B. often take part in competitions to see who is the best

C. work under high pressure nowadays

D. have more responsibilities than before