Doctors recognize obesity as a health problem. So why is it so hard for them to talk to their patients about it?

The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don't know what to say.

So while doctors may tell patients they are overweight, the conversation often ends there，said Christine C. Ferguson, director of the Stop_Obesity_Alliance.Without being told about options for diabetes, she said，“Doctors don't feel they have good information to give.They felt they didn't have adequate tools to address this problem.”

The lack of dialogue hurts patients，too.The patient survey, of over 1,000 adults，found that most overweight patients don't even know that they' re too heavy.Only 39 percent of overweight people surveyed had ever been told by a health care provider that they were overweight.

Of those who were told they were obese,90 percent were also told by their doctors to lose weight，the survey found. In fact most have tried to lose weight and may have been successful in the past—and many are still trying，the survey found.And many understand that losing even a small amount of weight can have a positive impact on their health and reduce their risk of obesity?related diseases like hypertension and diabetes.

Dr. William Bestermann Jr.，medical director of Holston Medical Group，in Kingsport, Tenn. , which ranks the 10th in obesity among metropolitan areas in the United States，said the dialogue had to be an ongoing one and could not be dropped after just one mention of the problem.“If you're to be successful with helping your patients lose weight，you have to talk to them at actually every visit about their progress，and find something to encourage them and coach them，” he said.

He acknowledged that many doctors tend to be not optimistic.

“Part of this is that there's this common belief，and doctors are burdened by it，too，that overweight people are weakwilled and just don't have any willpower and are self?indulgent and all that business，”he said.“If you think that way, you're not going to spend time having a productive conversation.”

1．What is the“Stop Obesity Alliance”most probably in Paragraph 3?

A．An organization of doctors specializing in obesity.

B．An organization of patients suffering from obesity.

C．A research group that conducts special surveys about overweight people.

D．A research group dealing with doctor?patient relationship.

2．How many of the patients surveyed have been advised by their doctors to lose weight?

A．About 350.　　　　　　　B．About 390.

C．About 900.　　　　　　 D．1,000.

3．What can be inferred about obesity patients in Paragraph 5?

A．They are not as hopeless as doctors think they are.

B．Most of them have tried hard to lose weight, but in vain.

C．Without their doctors' constant coaching, there is little chance of their succeeding in losing weight.

D．Most of them have just given up their hope of becoming less heavy.

4．According to the passage, which factor contributes to the lack of dialogue between doctors and patients?

A．Most doctors just never think of warning their patients about their weight problem.

B．Many doctors find it difficult to persuade overweight people to lose weight.

C．Most patients are too weak?willed to do anything about their weight.

D．Many patients tend not to trust their doctors about their weight problem.

5．Which of the following is the best title of the passage?

A．Obesity in the US

B．Trouble of Overweight Americans

C．Talk More，Help Better

D．Doctors or Patients—Who to Bear More Blame?

By midnight the floor was wet with beer. One young technician slipped and bumped into another. They struggled, ________ trying to get the other in a head-lock.

A. every　 B. all　　 C. everyone 　 D. each

They _____a lot through group work on the sports field.
   A. earned   B. gained   C. won   D. achieved

For second degree burns, ____________ cloths cool ____________ ____________ them back in the cold water, ____________ them out and ____________ them on the burned area ____________ ____________ ____________ ____________ for about an hour until pain is not so bad.

We should spend more time on 　　　matters. That means saying less and doing more.

　 A．optimistic　 B．specific　　 C．practical　 D．social

Do you still remember the chicken farm _______ we visited three months ago?

A. where　　　　 B. when　　　　　 C. that　　　　　 D. what

The boss has given everyone a special holiday, so we　 go to work tomorrow.

A．can’t　　　　　 B．mustn’t 　　　　 C．needn’t　　　　 D．shouldn’t

—Could I use your computer for a few moments, please?

— ______. I’m not using it myself.

A. Come on　　 B. It depends　 C. Go ahead　 D. That’s great

Jo was doing a lot of exercise to build up her　　 .

A. strength B. power C. force D. energy

________, the teacher asked whether anyone wished to ask a question.

A. Finishing his lecture　　　　 B. To finish the lecture　　

C. Having finished his lecture　　 D. Finished the lecture