单选题 Telemedicine is the name for when doctors give advice to patients by telephone or the Internet, or when health care providers in rural areas connect with specialists in big cities. It has existed for a long time, but the rise of smartphone, tablets and webcam-equipped computers is raising telemedicine to new levels. Some health care systems in the United States now offer Virtual Urgent Care, on which patients see a doctor by video chat without having to leave home.
Ben Green is a nurse educator in the western state of Washington. He recently demonstrated how Virtual Urgent Care works. He used an iPad tablet and Skype—a video chat service. Firstly Doctor Green had the patient describe her symptoms, then he performed a physical exam by demonstrating what he wanted her to do.
Doctor Green decides that the problem is a silence infection. For medicine, he prescribes an antibiotic. He says about 75% patients have health problems that can be treated like this—through Virtual Urgent Care, that means a video chat could replace a visit to the doctor"s office. "Of course, patient safety is important to us. So if we feel like the patient is not safe to be treated in this manner, we"re going to suggest other alternatives for them," said Green.
The Franciscan Health System is based in Tacoma, Washington. Franciscan charges ＄35 for this kind of virtual house call, that is much less than the cost of going to an emergency room, a doctor"s office or an urgent care clinic.
After trying the video conference, Mr. Green says he would be happy to pay the ＄35, when he was recently home with a bad cold. "I would have paid twice that for the convenience of being taken care of without having to sit in a waiting room, wait, and get exposed to everyone else"s germs," he said.
Franciscan operates hospitals, clinics and a hospice for end-of-life care. Franciscan has a deal with a company called Carena to add Virtual Urgent Care by Skype or phone. Carena is one of several companies doing this kind of work around the country. But a company official says state rules have not kept progress with developments in telemedicine. The workers who provide Virtual Urgent Care must be separately licensed in each state where the company has business. For now, that means Carena doctors can treat patients in Washington State and California for example, but not in neighboring Oregon or Idaho.

单选题 Based on the 1st paragraph, which statement is true?

【正确答案】 D

【答案解析】[解析] 细节题。由第一段第二句“It has existed for a long time”可知：远程治疗已经有很长一段历史，这与A项内容不符。由第一段第二句“...but the rise of smartphone, tablets and webcam-equipped computers is raising telemedicine to new levels.”可知：远程治疗最近发展到新的高度，这与B项内容不符。由第一段第三句“Some health care systems in the United States now offer Virtual Urgent Care...”可知：只有部分医疗机构提供远程治疗，这与C项内容不符。由第一段第一句“...or when health care providers in rural areas connect with specialists in big cities.”可知：住在偏远地方的医生可以通过远程治疗向大城市的专家咨询看病，这与D项内容相符，所以本题正确答案是D。

单选题 By telemedicine, a patient should do the following EXCEPT ______.

【正确答案】 C

【答案解析】[解析] 细节题。由第二段第四句“...had the patient describe her symptoms, then he performed a physical exam by demonstrating what he wanted her to do.”可知：首先要让病人描述其症状，然后对其进行相应的检查，并告诉病人该怎么做，这分别与D项和A项的内容相符。由第一段第一句话“...give advice to patients by telephone or the Internet”可知进行在线交流是远程治疗的前提，与B项的表述一致。所以本题正确答案是C。

单选题 The advantages of telemedicine do NOT include ______.

单选题 Which of the following is true about telemedicine?

【正确答案】 D

【答案解析】[解析] 推理题。由最后一段第四句“...rules have not kept progress with developments in telemedicine.”可知：远程医疗还存在一些障碍，这与A项内容不相符。由最后一段最后一句“...doctors can treat patients in Washington State and California for example, but not in neighboring Oregon or Idaho.”可知：不是在所有的州都可以进行远程治疗，这与B项内容不符。由最后一段第五句“The workers who provide Virtual Urgent Care must be separately licensed...”，可知：提供远程治疗需要许可证，这与c项内容不符。由最后一段第四句“...rules have not kept progress with developments in telemedicine.”可知：政府的相关政策并没有与时俱进，D项明确指出只有相关政策得以改进，远程治疗才能进一步发展。所以本题正确答案是D。