Professional Documents
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to affect most men over the age of 45 (with various levels of severity). Overall, the number of men with BPH
increases progressively with age. By age 60, 50 percent of men will have some signs of BPH. By age 85, 90
percent of men will have signs of the condition. About one-third of these men will develop symptoms that
require treatment. Prostate enlargement, or BPH, is not a malignant condition, but it does put pressure on the
urethra and can cause a number of urinary symptoms such as frequent urination, urinary urgency, the need to
get up at night to urinate, difficulty starting urination, a reduction in the force of the urine stream, terminal
dribbling, incomplete emptying of the bladder, and even the inability to urinate at all.
The prostate, a small gland that produces fluid for semen, is in an ideal position to cause trouble. The
gland wraps snugly around the urethra, the tube that carries urine from the bladder. It’s a tight squeeze-and it
only gets tighter as men grow older. As symptoms progress, a man may also be at higher risk of bladder stones
and bladder infection. The kidneys may be damaged from back pressure caused by the retention of large
amounts of urine in the bladder. There may be sudden blockage of the urinary tube, making urination
impossible, and not infrequently, blood may be detected in the urine. The exact mechanism for the enlargement
of the prostate gland remains unclear; however, there are certain factors that are obviously involved. As men
age, the male sex hormone dihydrotestosterone(DHT) starts to build up in the prostate, which causes the
prostate to slowly enlarge.
The Vahlensieck, AUSI and I-PSS rating systems are used to evaluate the severity of symptoms associated
with BPH. All these methods are based on a limited number of questions associated with a numbered score: the
total score is an evaluative index of BPH-associated severity, which can be from “mild” to “moderate” or
“severe”. Severe symptoms that are associated with a very large prostate may require surgery.
1. The world ‘snugly’ in line 10 could best be 4. The word it in line 5 refers to...
replaced by which of the following? (A) prostate enlargement
(A) Stoutly (D) Warmly (B) the symptoms
(B) Softly (E) Neatly (C) the number of men
(C) Tightly (D) the treatment
(E) the malignant condition
2. What is the main idea of the first paragraph?
(A) The prostate enlargement in various age 5. The following conditions are the
(B) The effect of prostate enlargement indications of prostate enlargement,
(C) The cause of prostate enlargement EXCEPT ...
(D) The definition of prostate enlargement (A) a terminal dribbling
(E) The characteristic of prostate (B) a nighttime get up
enlargement (C) a weak urinary stream
(D) a frequent urination
3. What can be inferred about the prostate? (E) an innability to urinate
(A) it blocks urinary tube
(B) it causes bladder trouble
(C) it produces urine fluids
(D) it manufactures semen
(E) it attaches to the urethra
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equally like to function as cooks or prostitutes. Nightingale was particularly concerned with the appealing
conditions of medical care for the legions of the poor and indigent. She announced her decision to her family in
1845, evoking intense anger and distress from her family, particularly her mother.
Florence Nightingale's career in nursing began earnest in 1851 when she received four-month training in
Germany as a deaconess of Kaiservverth. She undertook the training over strenuous family objections
concerning the risk and social implications of such activity, and the Chatolic foundations of the hospital. While
at Kaiserwerth, Florence reported having her most important intense and compelling experience of her divine
calling.
Nightingale's work inspired massive public support through out England, where she was celebrated and
admired as "The Lady of The Lamp" after the Grecian lamp she always carried in her tireless evening and night-
time visits to injured soldiers. Nightingale's lamp also allowed her to work late every night, maintaining
meticulous medical records for the hospital, and writing personal letters to the family of every 20 soldier who
died in the hospital.
In 1883, Queen Victoria awarded Florence with the Royal Red Cross and in 1907 she became the first
woman to be awarded the Order of merit. She couldn't leave her bed after 1896 and died on August 13,1910.
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professional, but advance in technology have made the once unthinkable prospect, more common. The absence
of the key place of evidence - the corpse - process unique problems for both prosecutors and defense attorneys,
according to Thomas "Tad" Dibiase, a Washington-based lawyer who runs a website chronicling "no body"
murders. He said the majority of such cases and in convictions or guilty pleas. The body can tell you how the
murder occurred," he said "it can tell you when the murder occurred, it can tell you where the murder occurred,
so by taking away the body you take away all the elements from a case that makes it enormously difficult.”
The New Jersey case was initially treated as a missing person's case no connection was made between the
fire and the teens "disappearance". In the decades since, any clues have been all but obliterated. The site of the
fire is now a housing complex and additional case were reported lost in a court-house flood.
11. What is the main idea of the passage? 14. When was the murder of five Newark
(A) The site of the murder is an important teenagers solved?
clue (A) 1978 (D) 2011
(B) The weapon in the murder has a (B) 1990 (E) 2012
significant role (C) 2010
(C) The prosecutors were the key elements
of a case 15. The author mentions all of the following
(D) The executant of the murder is arrested about the New Jersey cases EXCEPT...
(E) The bodies were the key piece of (A) the bodies of the teens was still
evidence missing
(B) it was the longest running murder
12. The word 'their' in paragraph 1 refers to... case in the US
(A) the teens (C) the site of the fire is now a housing
(B) the murderers complex
(C) the police (D) the case files is now court-house
(D) the prosecutors flood
(E) the corpse (E) It was originally treated as a missing
person's case
13. In paragraph 3, the word ‘ obliterated’ is
closest meaning to ...
(A) protected (D) restored
(B) preserved (E) eliminated
(C) scattered
16. The word ‘thus’ in line 6 refers to ... 19. From the third paragraph, we know
(A) Carcass chiller that....
(B) Space the carcass adequately (A) Hot boning have some potential
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(C) Space the carcass adequately in the advantages
refrigerated room (B) Hot boning often result in the
(D) better air movement and prevention of toughening of meat
microbial contamination (C) Hot boning following electrical
(E) refrigerated room stimulation
(D) Hot boning is the best choice of
17. Hot boning is becoming very popular chilling carcass
because ... (E) Boning labor is decreased and
(A) it causes meat to be very tender storage yields increased
(B) it helps conserve energy and is less
expensive than conventional methods 20. The word "bovine" in line 3 is nearest in
(C) meat tastes better when the bone is meaning to...
adequately seared along with the meat (A) cold
(D) it reduces the weight of the carcass (B) electrically stimulated
(E) it uses modern methods (C) beef
(D) pork
18. What is the main idea of the first paragraph? (E) meat
(A) Saving energy for processing food
(B) Meat processing industry’s technique
(C) Hot boning technique
(D) explanation of hot boning
(E) simple technique for processing meat