Directions: There are 10 questions in this part of the test. Read the passag

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问题    Directions: There are 10 questions in this part of the test. Read the passage through. Then, go back and choose one suitable word or phrase marked A, B, C, or D for each blank in the passage.
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the  (41) roles of producer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a  (42) buyer with various inducements of price, quality, and utility, and it is the buyer who makes the  (43)  . Where circumstances permit the buyer no choice because there is effectively only one seller and the product is relatively  (44)  , government usually asserts monopoly and places the industry under price and other regulations.  (45) of these conditions prevails in most of the health-care industry.
In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer.  (46) an individual has chosen to see a physician-and even then there may be no real choice-it is the physician who usually makes all significant  (47) decisions: whether the patient should return "next Wednesday", whether drugs should be prescribed, etc. It is a rare and sophisticated patient who will  (48) such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.
This is particularly significant in  (49) to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed and announce when the patient may be  (50)  . [br] (48)

选项 A、object
B、inquire
C、disagree
D、challenge

答案 D

解析上文提到，病人就医过程中的所有重大决定都是医生做出的。由本句又可以推断，一般的病人是不会就这些专业决定提出疑问或反对意见的，只有极少数老于世故的人会这么做。因此，从意义角度看，object“反对”、disagree“不同意”和challenge“对……提出挑战”均可填入。但A和C是不及物动词，不可直接带宾语，故正确答案是D项challenge。inquire意为“询问”，也是不及物动词，且与句意不合。

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