(江蘇版)2019屆高考英語(yǔ)一輪復(fù)習(xí) 第一部分 基礎(chǔ)考點(diǎn)聚焦 Unit 2 Fit for life知能演練輕松闖關(guān) 牛津譯林版選修7
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1、 Unit 2 Fit for life A卷 單項(xiàng)填空 1.(2018·泰州二中模擬)He accidentally________ he had quarreled with his wife and that he hadn’t been home for a couple of weeks. A.let out B.took care C.made sure D.made out A 解析:let out“泄露; 一不留神說(shuō)出”; take care“注意; 小心”; make sure“確信; 證實(shí)”; make out“辨認(rèn)出來(lái)
2、”。 2.The governments are very________ about setting a new policy and make no decision until they are quite sure it is the right one. A.particular B.concerned C.cautious D.certain C 解析:句意:政府對(duì)制定新政策非常謹(jǐn)慎, 直到他們確信是正確的才會(huì)做出決定。 particular “特別的”; concerned “擔(dān)憂的”; cautious “小心的, 謹(jǐn)慎的”; certain “確信”。 3.(2
3、018·南京第三高級(jí)中學(xué)月考)—When did you get there yesterday? —We arrived there at eight o’clock________. A.sharply B.right C.sharp D.rightly C 解析:答語(yǔ)句意:我們?cè)诎它c(diǎn)整準(zhǔn)時(shí)到達(dá)。 sharp“準(zhǔn)時(shí)地”。 4.My friend, Bob, takes ________ possession of most of the company’s shares, and the rest are in ________ possession of other w
4、orkers. A.不填; a B.不填; the C.the; the D.the; a B 解析:句意:我的朋友 Bob 擁有公司大多數(shù)股份, 剩余的都由其他的員工持有。 take possession of sth. 和 in the possession of sb. 均為固定搭配, 意思分別為“占有某物”和“被某人占有”。 故答案為B。 5.To his disappointment, the opinion he had stuck to ________ out wrong. A.turn B.turning C.turned
5、 D.be turned C 解析:注意句中的to的賓語(yǔ)是定語(yǔ)從句中被省略了的關(guān)系代詞, 而所要填的空是謂語(yǔ)形式, 根據(jù)語(yǔ)境用一般過(guò)去時(shí), turn out是系動(dòng)詞, 沒(méi)有被動(dòng)形式。 6.It is required that all traffic participants should ________ the traffic rules to make traffic safer and faster. A.perform B.possess C.observe D.support C 解析:句意:要求所有交通參與者應(yīng)遵守交通規(guī)則, 使交通更安全, 更快。 pe
6、rform“表現(xiàn)”; possess“擁有”; observe“遵守; 觀察”; support“支持”。 7.—What do you think of the present business conditions? —Good, but also many________ risks. A.influential B.confidential C.potential D.preferential C 解析:influential“有影響的”; confidential“機(jī)密的”; potential“潛在的”; preferential“優(yōu)惠的”。 8.(大綱全
7、國(guó)卷)Today there are more airplanes ________more people than ever before in the skies. A.carry B.carrying C.carried D.to be carrying B 解析:考查非謂語(yǔ)動(dòng)詞。句意:現(xiàn)在天空中比以前有更多的飛機(jī),這些飛機(jī)能搭載更多的人。分析結(jié)構(gòu)可知,此處是there be結(jié)構(gòu),主語(yǔ)more airplanes后接了非謂語(yǔ)動(dòng)詞;并且,airplanes與carry之間為主動(dòng)關(guān)系,故用現(xiàn)在分詞作后置定語(yǔ),所
8、以B項(xiàng)正確。 9.(2018·南通如東縣四校調(diào)研)—Why does the lake smell terrible? —Because large quantities of water________. A.have polluted B.is being polluted C.has been polluted D.have been polluted D 解析:large quantities of...作主語(yǔ)時(shí), 謂語(yǔ)動(dòng)詞和quantities一致, 主語(yǔ)和pollute直接構(gòu)成被動(dòng)關(guān)系, 所以選D。 10.To our puzzlement, the wri
9、tten record of our conversation doesn’t________what was actually said. A.contribute to B.subscribe to C.correspond to D.submit to C 解析:句意:使我們不解的是, 我們談話的書(shū)面記錄與我們實(shí)際說(shuō)的話不一致。 contribute to“有助于”; subscribe to“訂閱, 同意”; correspond to“與……相一致, 符合”; submit to“屈從, 聽(tīng)從”。 11.Every time I take part in a f
10、riend’s big party, I always go to talk to those who just sit alone so that they don’t feel ________. A.let out B.wiped out C.made out D.left out D 解析:考查動(dòng)詞短語(yǔ)辨析。 句意:每次我參加朋友的大型聚會(huì)時(shí)總是與那些獨(dú)自坐著的人交談, 以免他們覺(jué)得自己被孤立了。 feel left out表示“被忽視, 覺(jué)得被冷落”, 符合句意。 let
11、out“發(fā)出(叫聲), 泄露”; wipe out“擦掉, 消滅”; make out “辨別出, 辨認(rèn)出”。 12.Do let your father know all the truth. He appears ________ everything. A.to tell B.to be told C.to be telling D.to have been told D 解析:句意:一定要把一切真相告訴你爸爸。 他看上去已經(jīng)知道一切事情。 句中 tell 后面沒(méi)有賓語(yǔ), 故用不定式的被動(dòng)式, 又因?yàn)椤爸酪磺小卑l(fā)生在“告訴真相”之前, 要用完成式。 所以正確答案
12、是 D項(xiàng) 。 13.Parents are supposed to make their own personal ________ until they feel their teens are responsible enough to drive safely. A.restriction B.a(chǎn)pproval C.permission D.a(chǎn)chievement A 解析:考查名詞辨析。 句意:家長(zhǎng)應(yīng)該(對(duì)他們的孩子)做出他們自己的個(gè)人的約束, 直到他們覺(jué)得自己的孩子足夠負(fù)
13、責(zé)、能夠安全駕駛。 until從句表明主句說(shuō)的是父母對(duì)孩子應(yīng)該有約束, restriction表示“約束, 限制”, 符合句意。 approval“贊成, 同意”; permission“準(zhǔn)許”; achievement“成就”。 14.It is important to have your eyes examined regularly to check for any sign of eye disease that may not have any ________. A.symptom B.similarity C.sample D.shadow A 解析:句意:定期
14、檢查眼睛看看是否有跡象產(chǎn)生可能沒(méi)有任何癥狀的眼疾很重要。 A項(xiàng)意為“癥狀”, 符合句意; B項(xiàng)意為“類(lèi)似”, C項(xiàng)意為“樣本”, D項(xiàng)意為“陰影”, 都與語(yǔ)意不符。 15.—I’m a bit nervous about speaking in public this afternoon. —________!I’m sure you can make it. A.Go ahead B.Never give up C.Good luck D.Take it easy D 解析:句意:——我對(duì)今天下午在公共場(chǎng)合的演講有點(diǎn)緊張。 ——?jiǎng)e緊張!我相信你能行的。 Go ahead “
15、去吧, 繼續(xù)”; Never give up “永遠(yuǎn)別放棄”; Good luck “祝你好運(yùn)”; Take it easy “別緊張”。 閱讀理解 A British International Schools in China Harrow International School Beijing The mission statement of the school is “Leadership for a better world” , which draws on the great tradition of famous leaders studying in Har
16、row School such as Winston Churchill and Pundit Nehru. Established in 2005, the Harrow International School Beijing is known for its reputation for having the highest academic standards and close personal tutoring. All students have a personal tutor to take care of their personal concerns. The tu
17、ition fee per year ranges from 80,100 to 258,400 yuan ($12,600-40,600) for half day, pre-nursery to year 13. Read more via . Dulwich College Shanghai Dulwich College Shanghai is made up of about 1,500 students from age 2 to age 18, with over 40 different nationalities. Dulwich College Shanghai ope
18、ned in 2003 and has been recognized as one of the best international schools in Shanghai. About 70 percent of the school’s teachers are British. The school’s annual payment ranges from 225,500 to 269,500 yuan($35,500-42,000) for year 1 to year 13.Click here to know more. Wellington College Interna
19、tional Shanghai Wellington College, UK, is one of the world’s top coeducational day and boarding schools founded by royal sponsor on behalf of Queen Victoria in 1859. Wellington College International Shanghai opened its doors in 2014 and now has over 600 students, aged 2 to 18 years old. Annual tu
20、ition ranges from 234,000 to 285,000 yuan($36,800-44,800) for year 1 to year 13. Wellington College also has a campus in Tianjin. Click here to learn more about both locations. The British School of Guangzhou Established in 2005 for students aged 2 to 18, the British School of Guangzhou has gained
21、 a reputation for academic excellence. The school’s two campuses are located about 25 minutes north of Guangzhou’s city center, overlooking scenic South Lake. The annual tuition ranges from 157, 840 to 197,690 yuan($24,800-31,000) for year 1 to year 13. Click here to know more. 【解題導(dǎo)語(yǔ)】 本文主要介紹了中國(guó)的幾所英
22、國(guó)國(guó)際學(xué)校。 1.If you want to make friends with students from different countries, you may choose ________. A.Harrow International School Beijing B.Dulwich College Shanghai C.Wellington College International Shanghai D.The British School of Guangzhou B 解析:細(xì)節(jié)理解題。根據(jù)第二段中的“with over 40 different nationa
23、lities...recognized as one of the best international schools in Shanghai.”可知,Dulwich College Shanghai這所學(xué)校有來(lái)自40多個(gè)國(guó)家的學(xué)生,而且是上海最好的國(guó)際學(xué)校之一,所以在這所學(xué)校你能夠交到來(lái)自不同國(guó)家的朋友,即B項(xiàng)正確。 2.What do the last two schools have in common? A.They both have two campuses. B.Their annual tuition fees are the same. C.They are bot
24、h sponsored by the royal family. D.They are both the world’s best boarding schools. A 解析:細(xì)節(jié)理解題。根據(jù)第三段中的“also has a campus in Tianjin”和第四段中的“The school’s two campuses are located about”可知,這兩所學(xué)校都有兩個(gè)校區(qū),即A項(xiàng)正確。 3.In which section of a website can we probably read this passage? A.Lifestyle. B.O
25、pinion. C.International News. D.Culture Exchange. D 解析:文章出處題。本文主要介紹了中國(guó)的幾所英國(guó)國(guó)際學(xué)校,這些國(guó)際學(xué)校存在中英兩國(guó)之間教育文化方面的交流,即D項(xiàng)正確。 B Many of us have heard stories about teachers who can “see” into a student’s future. Even if a student is not performing well, they can predict success. We are convinced that this a
26、bility, this gift, is evidence that they were “called to teach”. If the gift of sight is evidence, how greater must be the gift of touch. I have a story. I grew up in the fifties in a poor African American neighborhood in Stockton, California, which had neither sidewalks nor an elementary school. E
27、ach day, always in groups at our parents’ insistence, my friends and I would leave home early enough to walk eight blocks to school and be in our seats when the bell rang. For four blocks, we walked on dusty roads. By the fifth block, we walked on sidewalks that led to lovely homes and to Fair Oaks
28、Elementary School. It was at Fair Oaks, in a sixth grade English class, that I met Ms. Victoria Hunter, a teacher who had a huge influence on my life. During reading periods, she would walk around the room, stop at our desks, stand over us for a second or two, and then touch us. Without saying any
29、thing to us (nothing could break the silence of reading periods), she would place two fingers lightly on our throats and hold them there for seconds. I learned many years later when I was a student at Stanford University that teachers touch the throat of students to check for sub-vocalization(默讀), w
30、hich slows down the reading speed. I did not know at the time why Ms. Hunter was touching our throats, but I was a serious and respectful student and so, during silent reading period, I did what Ms. Hunter told us to do. I kept my eyes on the material I was reading and waited for her to place her fi
31、ngers lightly on my throat. One day, out of curiosity, I raised my head from my book—though not high—so that I could see Ms. Hunter, a white woman from Canada, moving up and down the rows, stopping at the desks of my classmates. I wanted to see how they reacted when she touched their throats. She w
32、alked past them. I was confused. Did she pass them by because they were model students? What did we, the students who were touched, not do right? I sat up straighter in my chair, thinking that my way of sitting might be the problem. I was confused. Several days later, I watched again, this time rais
33、ing my head a little higher. Nothing changed. Ms. Hunter touched the same students. Always, she touched me. She touched me with her hands. She also touched me with her belief in my ability to achieve. She motivated me by demanding the best from me and by letting teachers I would meet in junior high
34、 school know that I should be challenged, that I would be serious about my work. I am convinced that she touched me because she could “see” me in the future. That was true of all of us at Fair Oaks who sat still and silent as Ms. Hunter placed her fingers lightly on our throats. We left Fair Oaks as
35、 “best students”, entered John Marshall Junior High School, finished at the top of our high school class, and went on to earn graduate degrees in various subjects. Ms. Hunter saw us achieving and she touched us to make certain that we would. I was not surprised that she came to my graduation ceremo
36、ny at Edison High School in Stockton or that she talked to me about finishing college and earning a Ph.D.She expected that of me. She gave me a beautifully wrapped box. Inside was a gift, the beauty of which multiplies even as it touches me: a__necklace__to__which__I__can__add__charms__for__each__st
37、age__of__ my__life. 【解題導(dǎo)語(yǔ)】 文章講述Ms. Hunter通過(guò)觸摸學(xué)生喉嚨來(lái)確保他們有正確的學(xué)習(xí)方法, 這對(duì)作者有很大的影響。 4.According to the writer, what is a special ability many good teachers possess? A.The ability to make all students behave well. B.The ability to treat different students in the same way. C.The ability to discover a s
38、tudent’s potential to succeed. D.The ability to predict the near future of a poor student. C 解析:細(xì)節(jié)理解題。根據(jù)第一段的“Many of us have heard stories about teachers who can ‘see’ into a student’s future. Even if a student is not performing well, they can predict success. We are convinced that this ability,”可
39、知很多老師擁有的特殊的能力是發(fā)現(xiàn)學(xué)生有成功的潛力。 故C正確。 5.When she saw Ms. Hunter walk past some students without touching their throats, the writer felt________. A.disturbed B.puzzled C.a(chǎn)shamed D.a(chǎn)nnoyed B 解析:細(xì)節(jié)理解題。根據(jù)第四段的“I wanted to see how they reacted when she touched their throats. She walked past them. I was
40、 confused.”可知當(dāng)作者看見(jiàn)Ms. Hunter從一些學(xué)生旁邊走過(guò)沒(méi)有觸摸他們的喉嚨, 她感到很困惑。 故B正確。 6.According to the passage, how did Ms. Hunter motivate the writer? A.By correcting the way she sat. B.By having high expectations of her. C.By sending her a valuable necklace. D.By communicating with her parents often. B 解析:推理判斷題。
41、根據(jù)文章第五段作者對(duì)于老師這種做法的認(rèn)識(shí):She motivated me by demanding the best from me可以判斷作者認(rèn)為老師對(duì)自己關(guān)注是因?yàn)槔蠋煂?duì)自己有更高的期望, 于是作者決心在學(xué)習(xí)上更加努力勤奮。 故B正確。 7.What does the writer mean by “a necklace to which I can add charms for each stage of my life” in Paragraph 6? A.A gift which encourages me to do well on the journey of my lif
42、e. B.A gift which becomes more and more valuable as time goes by. C.A necklace which I wear on all important occasions in my life. D.A necklace which suits me and adds to my charm. A 解析:句意理解題。 根據(jù)文章最后一段的“I was not surprised that she came to my graduation ceremony at Edison High School in Stockton
43、 or that she talked to me about finishing college and earning a Ph.D.She expected that of me.”可知這個(gè)項(xiàng)鏈鼓勵(lì)作者在人生道路上走得更好。 故A正確。 8.The writer’s attitude towards Ms. Hunter might be described as ________. A.disappointed B.grateful C.doubtful D.sympathetic B 解析:推理判斷題。 根據(jù)文章第一段的“If the gift of sight is
44、 evidence, how greater must be the gift of touch. I have a story.”和第五段的“She also touched me with her belief in my ability to achieve. She motivated me by demanding the best from me”可知作者字里行間都表露了對(duì)老師的感激。 故B正確。 9.Which of the following serves as the best title for the story? A.Ms. Hunter’s Surprise
45、 B.Ms. Hunter’s Challenge C.A Teacher’s Touch D.A Teacher’s Memory C 解析:標(biāo)題歸納題。 從這篇文章給讀者講述的故事和第一段的主題句“If the gift of sight is evidence, how greater must be the gift of touch. I have a story.”可知老師的觸摸給了作者鼓勵(lì)和嚴(yán)格的要求, 使學(xué)生能達(dá)到應(yīng)該有的高度。 故C正確。 B卷 完形填空 If you’re the smartest person in your circle, you’
46、re in the wrong circle—you’ve outgrown it. It’s time to move to the next __1__. This saying encourages people to __2__ more by hanging out with those who are more driven and __3__ than they are. I heard this saying __4__ to me from my daughter’s friend this past week. Ally, Wes and I have been runn
47、ing for upcoming __5__. I’m going to do another 5K and Ally and Wes are going to do the 12-mile obstacle course.__6__, their training is more intense than mine, but when I was in __7__ with them last week, Wes suddenly said, “You should __8__with us!” “You mean do what you’re doing?” I asked, with
48、a surprised __9__ on my face. “Exactly,” he answered. “You can do it! You __10__ need someone to push you.” As much as I __11__ to admit it, he was right. I needed to __12__ outside my comfort zone. I always let them run ahead of me, content to run at my own comfortable pace. But that was the __1
49、3__—I’d grown too comfortable with my training. I hadn’t been pushing myself. Ever since I had the surgery in April, I was a little __14__ about running again.I was afraid to even try __15__ that night when Wes pushed me into it—and outside my comfort zone. He was right! I was able to run—only abo
50、ut 5 minutes at a time before I had to walk again—but it was a(n) __16__. And that was all I needed to get back at it—no longer afraid to train harder. Recently I have __17__ my “training circle” to include Ally and Wes, and he wasn’t afraid to push me. So, how are the circles in your life? Are yo
51、u being __18__ in every area of your life, or are you very comfortable these days, not being __19__ at all, still living inside your comfort zone? If you’re the most __20__ one, then it’s time to get into a new circle or at least add to your existing ones. 【解題導(dǎo)語(yǔ)】 如果你在一個(gè)圈子里首屈一指的話,那么你就該改變一下,走出安樂(lè)窩了。
52、1.A.pattern B.level C.item D.standard B 解析:根據(jù)文章第一句話可知,此處指是改變?nèi)ψ樱簿褪且苿?dòng)到下一個(gè)“層級(jí)(level)”的時(shí)候了。 2.A.appreciate B.pay C.a(chǎn)chieve D.solve C 解析:這句話鼓勵(lì)人們“取得(achieve)”更多的成就。 3.A.honest B.experienced C.potential D.mature B 解析:根據(jù)
53、語(yǔ)境及空前的“more driven”可知,此處指與那些更有干勁和“經(jīng)驗(yàn)豐富的(experienced)”人為伍,向他們學(xué)習(xí)。 4.A.directly B.immediately C.suddenly D.gradually A 解析:此處指上周作者從女兒的朋友口中聽(tīng)到了這句“直接(directly)”對(duì)自己說(shuō)的話。 5.A.sports B.exams C.races D.performances C 解析:從下文的“another 5K”
54、“the 12-mile obstacle course”可知,此處指的是即將到來(lái)的“競(jìng)賽(races)”。 6.A.Hopefully B.Thankfully C.Fortunately D.Obviously D 解析:根據(jù)語(yǔ)境可知,作者的女兒及其朋友的訓(xùn)練強(qiáng)度“明顯(Obviously)”大于作者的。 7.A.company B.love C.touch D.relation A 解析:根據(jù)下文的“You mean do what you’re doing?”可知,此處指但是上周,當(dāng)作者“和
55、他們一起(company)”去訓(xùn)練時(shí),Wes對(duì)作者說(shuō)作者應(yīng)該和他們一起參加同樣強(qiáng)度的“訓(xùn)練(train)”。in company with sb.意為“和某人一起”。 8.A.play B.exercise C.train D.go C 解析:參見(jiàn)上題解析。 9.A.appearance B.view C.manner D.look D 解析:對(duì)于Wes這樣的提議,作者應(yīng)該是覺(jué)得不可思議,因而臉上流露出一副吃驚的“表情(look)”。 10.A.still B.just
56、 C.even D.never B 解析:根據(jù)語(yǔ)境可知,此處指Wes說(shuō):“你能做到,你只是(just)需要有人敦促你”。 11.A.expected B.a(chǎn)greed C.hated D.failed C 解析:根據(jù)語(yǔ)境可知,此處指作者心中明白Wes說(shuō)的是對(duì)的,就是“不愿意(hated)”承認(rèn)。 12.A.spread B.shift C.immigrate D.step D 解析:此處指作者需要“走出(step)”自己的安樂(lè)窩。 13.A.opinion B.sight C.comment D.problem
57、D 解析:呼應(yīng)首段首句,指作者以自己覺(jué)得舒服的速度來(lái)訓(xùn)練,這就是“問(wèn)題(problem)”所在。 14.A.particular B.nervous C.confused D.excited B 解析:此處是倒敘,指作者四月份動(dòng)了手術(shù)之后,對(duì)再次跑步感到有點(diǎn)“緊張(nervous)”。下文中的“afraid”亦是提示。 15.A.since B.if C.a(chǎn)fter D.until D 解析:那時(shí)候也是Wes鼓勵(lì)作者重新開(kāi)始跑步的。在Wes敦促作者之前,作者甚至都不敢試一下。until“直到……為止,在……以前”。 16.A.stop
58、 B.start C.end D.distance B 解析:作者之前害怕跑步,后來(lái)能跑五分鐘,這是個(gè)(好的)“開(kāi)始(start)”。 17.A.entered B.traced C.drawn D.enlarged D 解析:根據(jù)語(yǔ)境可知,最近作者“擴(kuò)大(enlarged)”了訓(xùn)練圈子。 18.A.shocked B.challenged C.stricken D.frightened B 解析:根據(jù)語(yǔ)境可知,此處指的是你在生活中的任何一個(gè)領(lǐng)域都挑戰(zhàn)自我嗎?challenge“挑戰(zhàn)”符合語(yǔ)境。 19
59、.A.shaken B.stretched C.punished D.stimulated B 解析:這些天你是否依然非常舒服地生活在你的安樂(lè)窩里,沒(méi)有“全力以赴(stretched)”?stretch“使全力以赴,使發(fā)揮出全部本領(lǐng)”。 20.A.confident B.special C.suitable D.independent C 解析:如果你是圈子中最“適合的(suitable)”,那么是時(shí)候進(jìn)到一個(gè)新的圈子里了。 閱讀理解 A Karen,grown up in a very traditional family in the w
60、estern United States,maintained high moral(道德的)standards throughout her youth.In 1984,at the age of 23,she married Bill.They were__blessed__with two children,a boy and a girl. By 1991 their love had deepened,and they were happy.Later that year,Bill developed a white spot on his tongue.He visited a
61、doctor. One day shortly after that,Bill called Karen to sit beside him.He said with tears in his eyes that he loved her and wanted to live forever with her.The doctor suspected that he had been infected with HIV,the virus that leads to AIDS. The family was tested.Bill and Karen’s results were posi
62、tive.Bill had become infected before he met Karen;then he passed the virus on to Karen.The children’s results were negative.Within three years,Bill was dead,“I don’t know how to express what it is like to watch the once handsome man you love and intend to live with forever dying slowly.I cried many
63、nights.He died three months short of ten years of our marriage,” says Karen.Though a doctor told Karen that she would soon follow her husband into death,she is still alive.The infection has progressed to the early stages of AIDS. Karen is one of about 30 million people now living with HIV/AIDS,a fi
64、gure larger than the combined populations of Australia,Iceland and Paraguay.According to one UN report,Africa has 21 million of these victims.By the turn of the century that number could reach 40 million and the disease will bring on the greatest disaster in human history.Of the world’s sexually act
65、ive adults aged 15 to 49,1 in 100 has already been infected with HIV.Of these,only 1 in 10 realizes that he or she is infected.In some parts of Africa,25 percent of adults are infected. Since the beginning of spread of AIDS in 1981,about 11.7 million people have died of it.It is roughly calculated
66、that in 1997 alone,about 2.3 million people died of it.Nevertheless,there are fresh reasons for optimism in the battle against AIDS.During the past few years,there has been a drop in new AIDS cases in wealthy nations.In addition,promising drugs hold out hope of better health and longer life. 【解題導(dǎo)語(yǔ)】 本文作者通過(guò)一個(gè)故事介紹了艾滋病所帶來(lái)的痛苦以及目前醫(yī)學(xué)對(duì)艾滋病防治研究的進(jìn)展。 1.By telling the story of Karen,the author intends to________. A.warn people against high risk behaviors B.stress the importance of med
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