Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 9 to 13.

Scientists have experimented with a new procedure for alleviating the damage caused by strokes. Strokes are frequently caused by a blood clot lodging in the tree of arteries in the head, choking the flow of blood. Some brain cells die as a direct result of the stroke, but others also die over several hours because the proteins spilling out of the first cells that die trigger a chemical chain reaction that kills the neighboring cells.

The current method of reducing the amount of damage is to give a clot dissolver, known as TPA, as soon as possible. But generally TPA is not given to the patient until he or she reaches the hospital, and it still does not immediately stop the damage.

The new technology, still in the research stage, involves chilling the area or the entire patient. It is already known that when an organ is cooled, damage is slowed. This is why sometimes a person who has fallen into an icy pond is not significantly harmed after being warmed up again. The biggest issue is the method of cooling. It is not feasible to chill the head alone. Doctors have chilled the entire body by wrapping the patient in cold materials, but extreme shivering was a problem.

The new idea is to cool the patient from the inside out. Several companies are studying the use of cold-tipped catheters, inserted into the artery in the groin and threaded up to the inferior vena cava, which is a large vein that supplies blood to the abdomen. The catheter is expected to cool the blood that flows over it, thus allowing cooler blood to reach the area of the stroke damage.

It is not expected that the cooling will be substantial, but even a slight decrease in temperature is thought to be helpful. In effect, the patient is given a kind of forced hypothermia. And doctors believe it is important to keep the patient awake so that they can converse with the patient in order to ascertain mental condition.

Studies continue to determine the most effective and least damaging means of cooling the patient in order to reduce this damage.

According to the passage, all of the following are true except that _____.

A. some cells die immediately when a person has a stroke, and others die later 

B. the protein from dead cells kills other cells 

C. cells die only as a direct result of the stroke 

D. TPA is effective in removing blood clots

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 9 to 13.

Scientists have experimented with a new procedure for alleviating the damage caused by strokes. Strokes are frequently caused by a blood clot lodging in the tree of arteries in the head, choking the flow of blood. Some brain cells die as a direct result of the stroke, but others also die over several hours because the proteins spilling out of the first cells that die trigger a chemical chain reaction that kills the neighboring cells.

The current method of reducing the amount of damage is to give a clot dissolver, known as TPA, as soon as possible. But generally TPA is not given to the patient until he or she reaches the hospital, and it still does not immediately stop the damage.

The new technology, still in the research stage, involves chilling the area or the entire patient. It is already known that when an organ is cooled, damage is slowed. This is why sometimes a person who has fallen into an icy pond is not significantly harmed after being warmed up again. The biggest issue is the method of cooling. It is not feasible to chill the head alone. Doctors have chilled the entire body by wrapping the patient in cold materials, but extreme shivering was a problem.

The new idea is to cool the patient from the inside out. Several companies are studying the use of cold-tipped catheters, inserted into the artery in the groin and threaded up to the inferior vena cava, which is a large vein that supplies blood to the abdomen. The catheter is expected to cool the blood that flows over it, thus allowing cooler blood to reach the area of the stroke damage.

It is not expected that the cooling will be substantial, but even a slight decrease in temperature is thought to be helpful. In effect, the patient is given a kind of forced hypothermia. And doctors believe it is important to keep the patient awake so that they can converse with the patient in order to ascertain mental condition.

Studies continue to determine the most effective and least damaging means of cooling the patient in order to reduce this damage.

The word “alleviating” in the first sentence is closest in meaning to _____.

A. causing

B. devastating

C. reducing

D. increasing

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 9 to 13.

Scientists have experimented with a new procedure for alleviating the damage caused by strokes. Strokes are frequently caused by a blood clot lodging in the tree of arteries in the head, choking the flow of blood. Some brain cells die as a direct result of the stroke, but others also die over several hours because the proteins spilling out of the first cells that die trigger a chemical chain reaction that kills the neighboring cells.

The current method of reducing the amount of damage is to give a clot dissolver, known as TPA, as soon as possible. But generally TPA is not given to the patient until he or she reaches the hospital, and it still does not immediately stop the damage.

The new technology, still in the research stage, involves chilling the area or the entire patient. It is already known that when an organ is cooled, damage is slowed. This is why sometimes a person who has fallen into an icy pond is not significantly harmed after being warmed up again. The biggest issue is the method of cooling. It is not feasible to chill the head alone. Doctors have chilled the entire body by wrapping the patient in cold materials, but extreme shivering was a problem.

The new idea is to cool the patient from the inside out. Several companies are studying the use of cold-tipped catheters, inserted into the artery in the groin and threaded up to the inferior vena cava, which is a large vein that supplies blood to the abdomen. The catheter is expected to cool the blood that flows over it, thus allowing cooler blood to reach the area of the stroke damage.

It is not expected that the cooling will be substantial, but even a slight decrease in temperature is thought to be helpful. In effect, the patient is given a kind of forced hypothermia. And doctors believe it is important to keep the patient awake so that they can converse with the patient in order to ascertain mental condition.

Studies continue to determine the most effective and least damaging means of cooling the patient in order to reduce this damage.

What is the passage mainly about?

A. The dangers of cooling the body. 

B. New pharmaceutical methods for reducing stroke damage that are being researched. 

C. Causes and effects of strokes. 

D. A new method of cooling the body to reduce stroke damage that is being researched.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 9 to 13.

Scientists have experimented with a new procedure for alleviating the damage caused by strokes. Strokes are frequently caused by a blood clot lodging in the tree of arteries in the head, choking the flow of blood. Some brain cells die as a direct result of the stroke, but others also die over several hours because the proteins spilling out of the first cells that die trigger a chemical chain reaction that kills the neighboring cells.

The current method of reducing the amount of damage is to give a clot dissolver, known as TPA, as soon as possible. But generally TPA is not given to the patient until he or she reaches the hospital, and it still does not immediately stop the damage.

The new technology, still in the research stage, involves chilling the area or the entire patient. It is already known that when an organ is cooled, damage is slowed. This is why sometimes a person who has fallen into an icy pond is not significantly harmed after being warmed up again. The biggest issue is the method of cooling. It is not feasible to chill the head alone. Doctors have chilled the entire body by wrapping the patient in cold materials, but extreme shivering was a problem.

The new idea is to cool the patient from the inside out. Several companies are studying the use of cold-tipped catheters, inserted into the artery in the groin and threaded up to the inferior vena cava, which is a large vein that supplies blood to the abdomen. The catheter is expected to cool the blood that flows over it, thus allowing cooler blood to reach the area of the stroke damage.

It is not expected that the cooling will be substantial, but even a slight decrease in temperature is thought to be helpful. In effect, the patient is given a kind of forced hypothermia. And doctors believe it is important to keep the patient awake so that they can converse with the patient in order to ascertain mental condition.

Studies continue to determine the most effective and least damaging means of cooling the patient in order to reduce this damage.

According to the passage, what causes a stroke?

A. Low blood flow

B. A blood clot sticking in an area of the brain 

C. Hot blood

D. A patient choking on food

Ex 4. Rewrite the sentences based on given words.

3. The three injured men were taken to the hospital by some local people. After that, the ambulance came.

—> The three injured men .................................................................................................. (by the time)

4. The children left the house. Then the house collapsed.

—> The children .....................................................................................................(before)

A FIRST-AID COURSE

This is the (1)_____________ room in a large hospital. A paramedic is wheeling a patient on a stretcher (2)___________ the emergency room where a doctor is waiting to treat the (3)________. The patient doesn’t look (4)_________. His head is bandaged and his eyes are closed. A nurse is pushing an empty wheelchair towards the exit. She is probably (5)_____________ it to a patient in the ambulance.

The eye (6)__________ on the wall is used to check people’s eyesight. The chart consist of about (7)______________ letters ranging in size from about 5 centimeters in (8)_________ at the top of the chart to about one centimeter at the bottom.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 9 to 13.

Scientists have experimented with a new procedure for alleviating the damage caused by strokes. Strokes are frequently caused by a blood clot lodging in the tree of arteries in the head, choking the flow of blood. Some brain cells die as a direct result of the stroke, but others also die over several hours because the proteins spilling out of the first cells that die trigger a chemical chain reaction that kills the neighboring cells.

The current method of reducing the amount of damage is to give a clot dissolver, known as TPA, as soon as possible. But generally TPA is not given to the patient until he or she reaches the hospital, and it still does not immediately stop the damage.

The new technology, still in the research stage, involves chilling the area or the entire patient. It is already known that when an organ is cooled, damage is slowed. This is why sometimes a person who has fallen into an icy pond is not significantly harmed after being warmed up again. The biggest issue is the method of cooling. It is not feasible to chill the head alone. Doctors have chilled the entire body by wrapping the patient in cold materials, but extreme shivering was a problem.

The new idea is to cool the patient from the inside out. Several companies are studying the use of cold-tipped catheters, inserted into the artery in the groin and threaded up to the inferior vena cava, which is a large vein that supplies blood to the abdomen. The catheter is expected to cool the blood that flows over it, thus allowing cooler blood to reach the area of the stroke damage.

It is not expected that the cooling will be substantial, but even a slight decrease in temperature is thought to be helpful. In effect, the patient is given a kind of forced hypothermia. And doctors believe it is important to keep the patient awake so that they can converse with the patient in order to ascertain mental condition.

Studies continue to determine the most effective and least damaging means of cooling the patient in order to reduce this damage.

According to the passage, the method of chilling from the inside out is being considered for all of the following reasons except _____.

A. it is not possible to chill the head alone 

B. cold dissolves blood clots 

C. chilling from the inside out avoids shaking 

D. drugs are not helpful in stopping the chain reaction.