C
The Saint Lukas train doesn’t accept passengers — it accepts only the sick. The Saint Lukas is one of five government-sponsored medical trains that travel to remote towns in central and eastern Russia. Each stop lasts an average of two days, and during that time the doctors and nurses on board provide rural (乡村) populations with basic medical care, X-ray scans and prescriptions.
“People started queuing to make an appointment early in the morning,” says Emile Ducke, a German photographer who traveled with the staff of the Saint Lukas for a two-week trip in November through the vast regions (区域) of Krasnoyarsk and Khakassia.
Russia’s public health care service has been in serious need of modernization. The government has struggled to come up with measures to address the problem, particularly in the poorer, rural areas east of the Volga River, including arranging doctor’s appointments by video chat and expanding financial aid programs to motivate doctors to practice medicine in remote parts of the country like Krasnoyarsk.
The annual arrival of the Saint Lukas is another attempt to improve the situation. For 10 months every year, the train stops at about eight stations over two weeks, before returning to the regional capital to refuel and restock (补给). Then it starts all over again the next month. Most stations wait about a year between visits.
Doctors see up to 150 patients every day. The train’s equipment allows for basic checkups. “I was very impressed by the doctors and their assistants working and living in such little space but still staying focused and very concerned,” says Ducke. “They were the best chance for many rural people to get the treatment they want.”
28. How is the Saint Lukas different from other trains?
A. It runs across countries.
B. It reserves seats for the seniors.
C. It functions as a hospital.
D. It travels along a river.
29. What can we infer from paragraph 3 about Krasnoyarsk?
A. It is heavily populated.
B. It offers training for doctors.
C. It is a modern city.
D. It needs medical aid.
30. How long can the Saint Lukas work with one supply?
A. About a year.
B. About ten months.
C. About two months.
D. About two weeks.
31. What is Ducke’s attitude toward the Saint Lukas’ services?
A. Appreciative. B. Doubtful.
C. Ambiguous. D. Cautious.
参考答案：CDDA
文章主旨：
本文是一篇说明文，介绍了由俄罗斯政府资助圣卢卡斯火车，专门为其中东部偏远贫困地区提供医疗服务，及其运作方式和对当地居民的意义。
答案详解：
28. C。事实细节题。根据第一段The Saint Lukas train doesn’t accept passengers — it accepts only the sick. The Saint Lukas is one of five government-sponsored medical trains that travel to remote towns in central and eastern Russia.圣卢卡斯列车不接纳乘客，只接纳病人。圣卢卡斯号是五列政府资助的医疗列车之一，前往俄罗斯中部和东部的偏远城镇。可知，圣卢卡斯火车为偏远地区的人们提供基本医疗服务，C. It functions as a hospital.它的功能是医院。因此应选C。
其它选项含义：A. It runs across countries. 它横跨多个国家。B. It reserves seats for the seniors.它为老年人保留座位。D. It travels along a river.它沿着河流行进。
29. D。推理判断题。第三段Russia’s public health care service has been in serious need of modernization. 俄罗斯的公共卫生保健服务迫切需要现代化。The government has struggled to come up with measures to address the problem, particularly in the poorer, rural areas east of the Volga River, including arranging doctor’s appointments by video chat and expanding financial aid programs to motivate doctors to practice medicine in remote parts of the country like Krasnoyarsk.政府一直在努力提出解决这一问题的措施，特别是在伏尔加河以东较贫穷的农村地区，包括通过视频聊天安排医生预约，扩大财政援助计划，以激励医生到克拉斯诺亚尔斯克等偏远地区行医。
由此推断，克拉斯诺亚尔斯克需要医疗援助，D. It needs medical aid.它需要医疗救助因此应选D。
其它选项含义：A. It is heavily populated. 它人口稠密。B. It offers training for doctors.它为医生提供培训。C. It is a modern city.这是一个现代化的城市。
30. D。事实细节题。题干含义：How long can the Saint Lukas work with one supply?圣卢卡斯用一个补给能工作多久?根据第四段第二句 For 10 months every year, the train stops at about eight stations over two weeks, before returning to the regional capital to refuel and restock.每年有10个月的时间，火车在两周内停在大约8个车站，然后返回地区首府加油和补充物资。可知，圣卢卡斯火车每次补给能维持约两周时间，因此应选D。
31. A。观点态度题。由最后一段中 Ducke 说的话 “I was very impressed by the doctors and their assistants working and living in such little space but still staying focused and very concerned.”“我对医生和他们的助手印象深刻，他们在这么小的空间里工作和生活，但仍然保持专注和非常关心。”和 “They were the best chance for many rural people to get the treatment they want.”“这是许多农村人获得他们想要的治疗的最佳机会。”可知，Ducke 对圣卢卡斯火车上的医生及其助理的专注、关心以及他们为偏远地区人们提供的医疗援助是赞赏的，感激的，A. Appreciative.欣赏的，感激的，因此应选A。
其它选项含义：B. Doubtful. 怀疑的 C. Ambiguous.模棱两可的 D. Cautious.谨慎的
参考译文：
圣卢卡斯列车不接纳乘客，只接纳病人。圣卢卡斯号是五列政府资助的医疗列车之一，前往俄罗斯中部和东部的偏远城镇。每一站平均停留两天，在此期间，车上的医生和护士向农村人口提供基本医疗服务、x光扫描和处方。
“人们一大早就开始排队预约，”德国摄影师埃米尔·杜克说。去年11月，他与圣卢卡斯的工作人员一起进行了为期两周的旅行，穿越了克拉斯诺亚尔斯克和哈卡斯的广大地区。俄罗斯的公共卫生保健服务迫切需要现代化。政府一直在努力提出解决这一问题的措施，特别是在伏尔加河以东较贫穷的农村地区，包括通过视频聊天安排医生预约，扩大财政援助计划，以激励医生到克拉斯诺亚尔斯克等偏远地区行医。
圣卢卡斯号每年的抵达是改善这种情况的又一尝试。每年10个月，列车在两周内停靠8个车站，然后返回首都加油和补充物资。然后下个月又重新开始。大多数站点的访问间隔大约为一年。
医生每天最多要看150个病人。火车的设备允许进行基本检查。Ducke说:“医生和他们的助手在这么小的空间里工作和生活，但仍然保持专注和非常关注，这给我留下了深刻的印象。”“这是许多农村人获得他们想要的治疗的最佳机会。”
