2009年度全国职称英语等级考试真题及答案卫生类(A级)

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精品学习网整理编辑了,2009年度全国职称英语等级考试真题及答案卫生类(A级),希望对广大考生有所帮助!

第1部分:词汇选项(第1~15题,每题1分,共15分)

下面每个句子中均有1个词或短语划有横线,请为每处划线部分确定1个意义最为接近的选项。

1Whycan'tyoustopyoureternalcomplaining?

AeverlastingBlong

CtemporaryDboring

2Hundredsofbuildingswerewreckedbytheearthquake.

AshakenBdamaged

CfallenDjumped

3Thesepaintingsareconsideredbymanytobeauthentic.

AfaithfulBroyal

CgenuineDsincere

4Manyeconomistshavegivenintothefatallureofmathematics.

AattractionBsimplicity

CpowerDrigor

5Tenyearsaftertheevent,herdeathstillremainsapuzzle.

AmistBfog

CmysteryDsecret

6Johnwasirritatedbythenecessityforpoliteconversation.

AannoyedBtroubled

CthreatenedDaroused

7Academicrecordscannotbeduplicated.

AborrowedBpurchased

CrewrittenDcopied

8Theemphasisontheimportanceofeducationhasspurredscientificresearch.

AfastenedBencouraged

CraisedDinitiated

9Wehaveamplemoneyforthejourney.

AsomeBlittle

CextraDenough

10Thedoctor'spillsworkedmarvelsforme.

ApatientsBmiracles

CillnessDrecovery

11Mary'sperpetualmoaningnearlydrovememad.

AmonotonousBendless

CseriousDbitter

12Itwashardtosaywhythemandeservedsuchshabbytreatment.

AoldBunforgettable

CfunnyDunfair

13Youdidn'tadheretotheseprinciples.

AfollowBorder

CproveDhandle

14Thefarmersalsowanttousethewatertoirrigatethebarrenland.

AemptyBhairless

CbareDsmooth

15Anyonewhowantstoapplyforaloanneedreadthefollowingspecifications.

AexpressionsBwarnings

CinstructionsDadvertisements

第2部分:阅读判断(第16~22题,每题1分,共7分)

下面的短文后列出了7个句子,请根据短文的内容对每个句子做出判断:如果该句提供的是正确信息,请选择A;如果该句提供的是错误信息,请选择B;如果该句的信息文中没有提及,请选择C.

CancerDrugTrialsOftenHaltedEarly

Anincreasingnumberofclinicaltrialsfornewcancertreatmentsarebeinghaltedbeforetherisksandbenefitshavebeenfullyevaluated,sayItalianresearchers,whowarnthatthisgrowingtrendcouldputpatientsatriskofharmfromnewtherapiesrushedintouse.

Theresearcherslookedat25randomized,controlledclinicaltrialsthatwerestoppedearlybecausethetreatmentshadstartedtoshowbenefittopatients.

“Whenweanalyzed25trialsovera10-yearperiodbetween1997and2007,wefoundaconsistentincreaseinprematurelystoppedtrials-morethan50percentwerestoppedwithinthelastthreeyears,”studyco-authorGiovanniApolonesaidatanewsconferenceTuesday.

Of14trialshaltedearlyandpublishedbetween2005and2007,theresearchersfoundthat11(79percent)ofthemwereusedtosupportdrugapprovalapplicationssubmittedtotheEuropeanMedicinesAgencyandtheU.S.FoodandDrugAdministration.

“Thissuggestsastrongcommercialcomponentinstoppingtrialsprematurely.Infact,thisstrategycouldguaranteequickeraccesstothemarketforcompanies.Ontheotherhand,aquickerclinicaldrugdevelopmentmayleadtoan'immature'benefit/riskbalanceofnewdrugs,”Apolonesaid.

Heandhiscolleagues“areawarethattrialsstoppedearlybecausetheyareshowingbenefitmayresultinidentificationofpromisingnewtreatmentsforpatients.However,findingsobtainedfollowingthisstrategyshouldbeconsideredtobepreliminaryresultsthatrequiresubsequentconfirmation.”

Itcantakeseveralyearsforthelong-termbenefitsorharmfulsideeffectsofanewtreatmenttobecomeapparent,Apolonenoted,buttheaverageduration(持续时间)ofthe25studiesheandhiscolleaguesanalyzedwas30months,witharangefrom12to64months.

Theyalsofoundthatatthetimefiveofthestudieswerestopped,they'denrolledlessthan40percentofthetotalnumberofpatientsplannedforfinalanalysis.

“Clinicaltrialsneedtostopearlyforsuperiorbenefitwheneverthere'sproofbeyondreasonabledoubtthatthenewtreatmentreallyissuperior.Thatwouldbeanethicalobligation,”StuartPocock,aprofessorofmedicalstatisticsattheLondonSchoolofHygieneandTropicalMedicineintheUnitedKingdom,saidatthenewsconference.“However,toomanytrialsarestoppedearlyclaimingefficacy(功效)withoutstrongevidencebeingavailable.”

16Thenumberofprematurelystoppedclinicaltrialshasincreasedrecently

ARightBWrongCNotmentioned

17Thetrialswerestoppedearlybecausethetreatmentsprovedtobeofnovalue

ARightBWrongCNotmentioned

18The25trialsinvolvedroughlythesamenumberofparticipants

ARightBWrongCNotmentioned

19Someofthetrialswereprobablystoppedearlyforcommercialreasons.

ARightBWrongCNotmentioned

20Participantsinthetrialswerehappywhentheywerestoppedearly

ARightBWrongCNotmentioned

21Someofthetrialsweretooshorttoshowtheirlong-termeffects

ARightBWrongCNotmentioned

22StuartPocockbelievedthatinnocaseshouldclinicaltrialsstopearly

ARightBWrongCNotmentioned

第3部分:概括大意与完成句子(第23~30题,每题1分,共8分)

下面的短文后有2项测试任务:(1)第23~26题要求从所给的6个选项中为第1~4段每段1选择个最佳标题;(2)第27~30题要求从所给的6个选项中为每个句子确定1个最佳选项。

Cancer

1Cancerisagroupofmanyrelateddiseasesthatbeginincells,thebody'sbasicbuildingblocks.Thebodyismadeupofmanytypesofcells.Normallycellsgrowanddividetoproducemorecellsastheyareneededtokeepthebodyhealthy.Sometimes,thisorderlyprocessgoeswrong.Newcellsformwhenthebodydoesnotneedthem,andoldcellsdonotdiewhentheyshould.Theextracellsformamassoftissuecalledagrowthortumor.Benign(~良性的)tumorsarenotcancer.Theycanoftenberemovedand,inmostcases,theydonotcomebackMalignant(恶性的)tumorsarecancer.Cellsinmalignanttumorsareabnormalanddividewithoutcontrolororder.

2Scientistshavelearnedthatcanceriscausedbychangesingenesthatnormallycontrolthegrowthanddeathofcells.Certainlifestyleandenvironmentalfactorscanchangesomenormalgenesintogenesthatallowthegrowthofcancer.Manygene

changesthatleadtocanceraretheresultoftobaccouse,diet,exposuretoultravioletradiationfromthesun,orexposuretocarcinogens(致癌物)intheworkplaceorintheenvironment.Somegenealterationsareinherited.

3Cancertreatmentcanincludesurgery,radiationtherapy,chemotherapy(化疗),hormonetherapy,andbiologicaltherapy.Thedoctormayuseonemethodoracombinationofmethods,dependingonthetypeandlocationofthecancer,whetherthediseasehasspread,thepatient'sageandgeneralhealth,andotherfactors.Becausetreatmentforcancercanalsodamagehealthycellsandtissues,itoftencausessideeffects.Patientsanddoctorsgenerallydiscussthetreatmentoptions,weighingthelikelybenefitsofkillingcancercellsandtherisksofpossiblesideeffects.

4Havingcancerdoesnotalwaysmeanhavingpain.Whetherapatienthaspainmaydependonthetypeofcancer,theextentofthedisease,andthepatient'stoleranceforpain.Mostpainoccurswhenthecancergrowsandpressesagainstbones,organs,ornerves.Painmayalsobeasideeffectoftreatment.However,paincangenerallyberelievedorreducedwithprescriptionmedicinesorover-the-counterdrugsrecommendedbythedoctor.

23Paragraph1。

24Paragraph2。

25Paragraph3。

26Paragraph4。

ADoescanceralwayscausepain?

BCancancerbeprevented?

CWhatiscancer?

DHowcommoniscancer?

EWhatcausescancer?

FHowiscancertreated?

27Canceroccurswhencellsmthebodydividewithout

28Genealterationsmaybecausedby

29Treatmentforcancermayalsobringaboutsome

30Cancerpatientsmaydifferintheir

Aprescriptionmedicines

Bcontrolororder

Ctoleranceforpain

Dvariousfactors

Enormalgenes

Fdifferentgenessideeffects

第4部分:阅读理解(第31~45题,每题3分,共45分)

下面有3篇短文,每篇短文后有5道题。请根据短文内容,为每题确定1个最佳选项。

第一篇YouthEmancipationinSpain

TheSpanishGovernmentissoworriedaboutthenumberofyoungadultsstilllivingwiththeirparentsthatithasdecidedtohelpthemleavethenest.

Around55percentofpeopleaged18-34inSpainstillsleepintheirparents'homes,saysthelatestreportfromthecountry'sstate-runInstituteofYouth.

Tocoax(劝诱)youngpeoplefromtheirhomes,theInstitutestarteda“YouthEmancipation(解放)”programthismonth.Theprogramoffersguidanceinfindingroomsandjobs.

Economistsblameyoungpeople'sfamilydependenceontheprecarious(不稳定的)labormarketandincreasinghousingprices.Housingpriceshaverisen17percentayearsince2000.

Culturalreasonsalsocontributetotheproblem,saysociologists(社会学家)。FamilytiesinsouthEurope-Italy,PortugalandGreece-arestrongerthanthoseinmiddleandnorthEurope,saidSpanishsociologistAlmudenaMorenoMinguezinherreport“TheLateEmancipationofSpanishYouth:KeyforUnderstanding”。

“Ingeneral,youngpeopleinSpainfirmlybelieveinthefamilyasthemainbodyaroundwhichtheirprivatelifeisorganized”saidMinguez.

InSpain-especiallyinthecountryside,itisnotuncommontofindentiregroupsofaunts,uncles,cousins,niecesandnephews(外甥/侄子)alllivingonthesamestreet.TheyregularlygettogetherforSundaydinner.

Parents'toleranceisanotherfactor.Spanishparentsacceptlate-nightpartyingandarewaryofsettingbedtimerules.

“Achildcanarrivehomeatwhatevertimehewants.Ifparentscomplainhe'llputupafightandcallthefatherafascist,”saidJoseAntonioGomezYanez,asociologistatCarlosI11UniversityinMadrid.

Mothers'willingnesstodochildren'shouseholdchores(家务)worsenstheproblem.DionisioMasso,a60-year-oldinMadrid,hasthreechildrenintheir20s.Theeldest,28,hasagirlfriendandajob.Butlifewithmumisgood.

“Hismumdoesthewashandcooksforhim;intheend,heliveswell,”Massosaid.

31The“YouthEmancipation”programalmsathelpingyoungpeople

Afightforfreedom.

Bfightagainstsocialinjustice.

Cgetridoffamilyresponsibilities,

Dliveinanindependentway.

32Itcanbeinferredfromparagraph5thatfamilytiesarestrongerinPortugalthanin

AFinland.

BGreece.

CSpain.

DItaly.

33Youngpeople'sfamilydependencecanbeattributedtoallthefollowingfactorsEXCEPT

Aparents'tolerance.

Bhousingproblems.

Cculturaltraditions.

Dunwillingnesstogetmarried

34WhichofthefollowingstatementsisNOTtrueofDionisioMasso?

ASheis60yearsold.

BShehasaboyfriend.

CShehasthreechildren

DShelivesinMadrid

35Thephrase“waryof”mparagraph8couldbebestreplacedby

Atiredof.

Bafraidof.

Ccautiousabout.

Dworriedabout.

第二篇SurprisedbyaMiracle

Ihadbeenworkinginthetraumaunitatalocalhospitalforaboutayear.Yougetusedtofamiliesthinkingthata“coma”(昏迷)patientismovingtheirhandordoingsomethingthattheywereaskedtodo.“Followingcommands”iswhatwecallitoftenit's“wishfulthinking”onthefamilies'part.Nursescaneasilybecomecallous(麻木不仁的)toit.

Onthisparticularnightduringvisitinghours,mypatient'swifecame~n.IhadtakencareofhimforseveralnightsIwasveryfamiliarwithhiscareandwhathewasabletodo.Actually,hedidn'tdoanything.Hebarelymovedatall,evenwhensomethingwouldobviouslyhurthim,suchassuctioning(抽吸)Hiswifewasveryshort,about5feettall.Shehadtostandonastooltoleanoverhim,sothatshecouldseehisfaceandtalktohim.SheclimbeduponthestoolIspoketoherforafewminutes,andthensteppedouttotendtomyotherpatient.Afewminuteslater,shecamerunningoutoftheroom.Inanexcitedvoice,shesaid,“Donna,he'smovinghishand!”

Iimmediatelythoughtthatitwasprobablyherimagination,andthathehadnotactuallydoneitonpurpose.Hehadbeenthereaboutamonthatthetimeandhadnevermadeanymovementsonpurpose.Iaskedherwhathadhappenedandshesaid,“1askedhimtosqueezemyhandandhedid!”

Thisledmetoanothertrainofquestioning.“But,didheletgowhenyouaskedhimto?”Shesaidyes,thathehaddoneexactlywhatsheasked

Iwentintotheroomwithher,notreallybelievingthatIwouldseeanythingdifferentthanIhadalwaysseen.ButIdecidedthatitwouldbebettertopacify(抚慰)herthantomakeherthinkthatIdidn'tbelieveherorthatshewassomehowmistaken.

Sheaskedhimtosqueezeherhand,whichhedid.

Isaid,“Well,askhimtoletgo.”Hecontinuedtosqueezeforamoment,sothatwhenhefinallydidletgo,Ireallystilldidn'tbelievethathehaddoneitonpurpose.

So,Isaid,“Askhimtoholduponefinger.”Hedidasasked.

Well,hmm,thiswasstartingtogetmyattention.Ilookedathim,hisfacestillsomewhatswollen(肿胀的)andhiseyesstillclosed.“Stickoutyourtongue!”Isaid.Hedidit.Ialmostfellonthefloor.ItwasthefirsttimeIhadeverseenanyone“wakeup.”

36Thefirstparagraphindicatesthatmoreoftenthannotacomapatient

Aisfoundtobefollowingcommands.

Biscalloustonurses'commands.

Cisusedtofollowingcommands.

Disthoughttobefollowingcommands.

37Whatconditionhadthepatientbeeninbeforethatparticularnight?

AHehadtalkedonlywithhiswife.

BHehadmovedonlywhenhurt.

CHehadbarelymovedatall

DHehadbeentoolazytodoanything.

38Howdidtheauthorfeeluponfirsthearingwhattheexcitedwifesaid?

AShewasdoubtful.

BShewasamused.

CShewasscared.

DShewasshocked

39Whatdidthepatientdoonthatparticularnight?

AHesqueezedandletgohiswife'shand.

BHehelduponeofhisfingers.

CHestuckouthistongue.

DAlloftheabove.

40Whydidtheauthoralmostfallonthefloor';

ABecauseshehadbeenworkingtoohard.

BBecauseshehadbeendeceived.

CBecauseshehadbeentripped

DBecauseshecouldhardlybelievehereyes

第三篇SlowingAging:WaytoFightDiseasesin21stCentury

AgroupofagingexpertsfromtheUnitedStatesandtheUnitedKingdomsuggestthatthebeststrategyforpreventingandfightingamultitudeofdiseasesistofocusonslowingthebiologicalprocessesofaging.

“Thetraditionalmedicalapproachofattackingindividualdiseases-cancer,diabetes,heartdisease,Alzheimer'sdisease(早老性痴呆病)andParkinson'sdisease(帕金森氏病)-willsoonbecomelesseffectiveifwedonotdeterminehowallofthesediseaseseitherinteractorsharecommonmechanismswithaging,”saysS.JayOlshansky,professorofepidemiologyattheUniversityofIllinoisatChicagoSchoolofPublicHealthandseniorauthorofthecommentary.

Middle-agedandolderpeoplearemostoftenimpactedbysimultaneousbutindependentmedicalconditions.Acureforanyofthemajorfataldiseaseswouldhaveonlyamarginalimpactonlifeexpectancy(预期寿命)andthelengthofhealthylife,Olshanskysaid.

Theauthorssuggestthatanewparadigm(模式)ofhealthpromotionanddiseasepreventioncouldproduceunprecedentedsocial,economicandhealthdividendsforcurrentandfuturegenerationsiftheagingpopulationisprovidedwithextendedyearsofhealthylife.

Theynotethatalllivingthings,includinghumans,possessbiochemicalmechanismsthatinfluencehowquicklyweageand,throughdietary(饮食的)interventionorgeneticalteration,itispossibletoextendlifespantopostponeaging-relatedprocessesanddiseases.

Furtherresearchinlaboratorymodelsisexpectedtoprovidecluestoanddeeperunderstandingofhowexistinginterventions,suchasexerciseandgoodnutrition,mayleadtolifelongwell-being.

Theauthorsalsoproposegreatlyincreasedfundingforbasicresearchintothe

“fundamentalcellular(细胞的)andphysiologicalchangesthatdriveagingitself.”

“Webelievethatthepotentialbenefitsofslowingagingprocesseshavebeen

underrecognizedbymostofthescientificcommunity,“saidOlshansky.”Wecallonthehealth-researchdecision-makerstoallocatesubstantialresourcestosupportanddeveloppracticalinterventionsthatslowaginginpeople.“

Anincreaseinage-relateddiseasesandescalatinghealthcarecostsmakethisthetimefora“systematicattackonagingitself,”theauthorswrite.

Olshanskyandcolleaguescontendthatmodernmedicineisalreadyheavilyinvestedineffortstoextendlife,andtheyarguethatafreshemphasisonaginghasthepotentialtoimprovehealthandqualityoflifefarmoreefficientlythaniscurrentlypossible.

41Theexpertsbelievethetraditionalapproachofattackingindividualdiseases

Aisthebeststrategyforfightingdiseases.

Bfocusesonslowingagingprocesses.

Chasgoneoutofdate.

Dneedstobeimproved.

42Theauthorsholdanewparadigmofhealthpromotionanddiseaseprevention

Acouldhavegreatpotential.

Bcouldbetooexpensive.

Ccouldbetoocomplicated.

Dcouldbeopposedbymanypeople.

43ItispossibletoextendlifespanbymeansofallthefollowingEXCEPT

Adietaryintervention.

Bgeneticalteration.

Caging-relatedprocesses.

Dexercise.

44Theauthorsarguethatmoremoneyshouldbespenton

Amaintainingthewell-beingoftheelderly.

Blookingafterthesick.

Cextendingthelifeofthedying.

Ddevelopingaging-slowinginterventions.

45WhichstatementisNOTtrueaccordingtotheauthors?

ATherearenowmoreage-relateddiseases.

BHealthcarecostsareontherise.

CAsystematicattackonagingisneeded.

DToolittlehasbeendonetoextendlife.

第5部分:补全短文(第46~50题,每题2分,共10分)

下面的短文有5处空白,短文后有6个句子,其中5个取自短文,请根据短文内容将其分别放回原有位置,以恢复文章原貌。

MyLifeatRenda

Ilearnedveryquicklythatbeingateachingassistant(TA)attheUniversityofIowawouldbedifferentfrombeingateacheratRenminUniversity.

(46)Eyesstaring,mouthsopen,studentsexaminedmybignose,whileIwaswritingmynameontheblackboard.

AtIowa,whenmyfirstclassesbegan,halfofmystudentsstillhadn'tarrived.Wheneveryonefinallyfoundaseat,ringingcell-phonesandloudyawns(哈欠)interruptedmyopeningremarks.ItisnotthatAmericanstudentsweredisrespectful.(47)Theywere,however,farmoreskepticalthanthestudentsIhadatRenda.ThetruthisIcouldn'tfaultthemfortheirskepticism.Under-graduatesatlargeUSuniversities-especiallyfreshmenandsophomores-oftenhaveseveralclassesasemesterhandledbyTAs.Insomecases,theTAsetsthecoursecontent.(48)Mosthavegoodintentions,butveryfewareaseffectiveasprofessors.

Everyteacherhastoconfrontobstaclestolearning-nomatterwhattheculture.Studentswhotalkduringlectures,studentswhocheat,studentswhoquestionthegradetheygetforapaperorproject-dealingwiththeseisallpartofthejob.(49)Thedifference,Ithink,isthatintheUSIhadtoswallowmoreofmypride.(50)Ihadaresponsibilitytoteachthem,ofcourse,butIhadtodosoindirectly-asaguidewhohimselfhadafewthingstolearnfromthestudents.

AInmystudents'minds,Ihadlittletoofferthem,exceptperhapssomesamplequestionsforthemid-termexam.

BInothers,theTAworksasagraderanddiscussionleader

CIencounteredtheseinChina,andIfacedthemintheUS

DOntheotherhand,beingtaughtbyagraduatestudentisnotnecessarilybad.

EMostwerepolite,oratleast,indifferent

FBackatRenda,Ihadwalkedintomyfirstclassesfeelinglikeacelebrity

第6部分:完形填空(第51~55题,每题1分,共15分)

下面的短文有15处空白,请根据短文内容为每处空白确定一个最佳选项。

MiddleAge:ALowPointforMost

Peoplearoundtheglobehittheheightoftheirmiseryanddepressioninmiddle(51),anewinternationalstudysuggests.ThefindingbyBritishandAmericanresearcherswasbasedonananalysisofwell-beingamongapproximately2millionpeoplein80nations.Withfewexceptions,theobservationappearstoapplyacrosstheboard,regardless(52)gender(性别),culture,geography,wealth,jobhistory,education,andmarriageorparentalstatus.

“Thescientificfactseemstobethathappinessandpositivementalhealthfollowagiant'U'(53)throughlife,”saidstudyauthorAndrewJ.Oswald,aprofessorofeconomicsatWarwickUniversityinWarwickshire,England.“Fortheaverageperson,it'shighwhenyou're20,andthenitslowly(54)andbottomsoutinyour40s.Butthegoodnewsisthatyour(55)healthpicksupagain,andeventuallygetsbacktothehighlevelsofyouryouth.”

Thefindingwas(56)onthepoolingofseveraldifferentsourcesofhappinessdata,including:twomulti-decadehappiness/satisfactionsurveys(firstlaunchedinthe1970s),involvingabout500,000AmericanandWesternEuropeanmenandwomen;fourroundsofthe80-nation“WorldValuesSurvey”(57)between1981and2004inNorthAmerica,EasternandWesternEurope,Asia,Africa,Australia,andCentralandSouthAmerica;anda2004-2007survey(58)nearly1millionBritons.

Thebottom-line:Formostpeoplethroughouttheworld,thehighestprobabilityfor(59)strikingisaround44yearsofage.

IntheUnitedStates,however,someas-yetunexplained(60)differenceswereobserved,withhappinessamongmendippingthemostintheirearly50s,whereaswomenhittheirnadir(最低点)aroundtheageof40.

Theresearcherscautionedthatcheerfulpeopletendtolivelongerthanunhappy(61)-afactthatmighthaveskewed(使偏斜)theoverallfinding.Buttheyalsosuggestedthatevidenceofahappiness(62)mightsimplyreflectamidlifechoicetogiveuplong-heldbutnolongertenable(守得住的)aspirations(志向),followedbyasenior'ssenseofgratitudeforhavingsuccessfullyendured(63)othersdidnot.

“Thatsaid,somemightfindithelpfulsimplytounderstandthegeneral(64)ofmentalhealthastheygothroughtheirownlife,”saidOswald.“Itmightbeusefulforpeopletorealizethatiftheyare(65)intheir40sthisisnormal.Itisnotexceptional.Andjustknowingthismighthelp.“

51AageBplaceCheightDdegree

52AofBforCtoDby

53AcolorBsizeCshapeDletter

54AimprovesBmovesCrisesDfalls

55AmentalBpersonalCgeneralDphysical

56AfocusedBconcludedCdecidedDbased

57AmeasuredBconductedCcheckedDinspected

58AcallingBcountingCinvolvingDpassing

59AcancerBdepressionCaccidentDinjury

60AraceBgenderCeducationDincome

61AmenBpeopleCwomenDcouples

62AcurveBlineCaxisDtable

63AunlessBbecauseCwhileDif

64AmoodsBfiguresCviewsDtrends

65AweirdBlowColdDweak

【参考答案】

1A2B3C4A5C

6A7D8B9D10B

11B12D13A14C15C

16A17B18C19A20C

21A22B23C24E25F

26A27B28D29F30C

31B32A33D34B35C

36D37C38A39D40D

41D42A43C44D45D

46F47E48B49C50A

51A52A53C54D55A

56D57B58C59B60B

61B62A63C64D65B