2024年全国甲卷 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.
答案解析：
28. 第一段明确提到，圣卢卡斯列车不接受乘客，只接受病人。它是一列政府赞助的医疗列车，为偏远地区的居民提供基本医疗护理。这表明圣卢卡斯列车与其他列车不同，它充当了医院的功能。故选C。
29. 第三段提到，俄罗斯公共卫生服务亟需现代化，尤其是在伏尔加河以东的贫困农村地区，包括克拉斯诺亚尔斯克。政府正在努力采取措施解决这个问题，这表明克拉斯诺亚尔斯克需要医疗援助。故选D。
30. 第四段中提到，每年有10个月的时间，列车在两个星期内停靠大约8个站点，停靠完这些站点后，列车返回地区首府进行加油和补给。可知，圣卢卡斯号一份补给可以维持大约两周。故选D。
31. 最后一段中，摄影师Emile Ducke表示，他对于医生和他们在如此小的空间里工作和生活印象深刻，他们非常专注并且非常关心病人。他认为对于许多农村人来说，这是他们获得所需治疗的最好机会。这表明Ducke对圣卢卡斯列车提供的服务是感激和赞赏的。故选A。
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