Years ago, doctors often said that pain was a normal part of life. In particular, when older patients __47__ of pain, they were told it was a natural part of aging and they would have to learn to live with it.

　　Times have changed. Today, we take pain __48__. Indeed, pain is now considered the fifth vital sign, as important as blood pressure, temperature, breathing rate and pulse in __49__ a person's well-being. We know that chronic (慢性的) pain can disrupt (扰乱) a person's life, causing problems that __50__ from missed work to depression.

　　That's why a growing number of hospitals now depend upon physicians who __51__ in pain medicine. Not only do we evaluate the cause of the pain, which can help us treat the pain better, but we also help provide comprehensive therapy for depression and other psychological and social __52__ related to chronic pain. Such comprehensive therapy often __53__ the work of social workers, psychiatrists (心理医生) and psychologists, as well as specialists in pain medicine.

　　This modern __54__ for pain management has led to a wealth of innovative treatments which are more effective and with fewer side effects than ever before. Decades ago, there were only a __55__ number of drugs available, and many of them caused __56__ side effects in older people, including dizziness and fatigue. This created a double-edged sword: the medications helped relieve the pain but caused other problems that could be worse than the pain itself.

　　A) result

　　B) involves

　　C) significant

　　D) range

　　E) relieved

　　F) issues

　　G) seriously

　　H) magnificent

　　I) determining

　　J) limited

　　K) gravely

　　L) complained

　　M) respect

　　N) prompting

　　O) specialize

　　(一)考点

　　1.词汇：实词(抽象名词、动词、形容词、副词)

　　2.语法：句子结构分析能力

　　3.逻辑：上下文联系

　　(二)秘诀

　　1.直奔选项，标识词性

　　名词(n.)、动词(v., vt., vi.)、形容词(a.)、副词(ad.)

　　A) result v/n

　　B) involves v 第三人称单数

　　C) significant a.

　　D) range v/n

　　E) relieved v+ed或视为a.

　　F) issues n复数或v+s

　　G) seriously ad.

　　H) magnificent a.

　　I) determining v. GERund

　　J) limited v+ed或视为a.

　　K) gravely ad.

　　L) complained v+ed

　　M) respect v/n

　　N) prompting v. gerund

　　O) specialize v.

　　2.细读开篇，把握主题

　　Years ago, doctors often said that pain was a normal part of life.该句表明文章的主题为病痛这一现象，读者即可利用先前对这一问题的背景知识帮助理解全文。

　　3.分析空缺，确定词性

　　如54空，根据上下文可确定该空为主语，所以需要一单数名词，而选项中单数名词有result, range, respect，根据文字本身的含义及其后的介词for判断答案为respect。

　　4.辨别词义，结合前后

　　如第55空，number前面缺一个形容词，而形容词前面为there were only a，带有一定的负面意义，由此判断为limited

　　注：

　　1.直接选定答案：如52空，根据上下文可确定该空需要一个复数名词，选项中符合条件的只有F) issues。

　　2.选项中若有相似或相反的，其一常为答案。

　　3.选项中若有同源词，其一常为答案。