38 What treatment did Carmen get?
(A) Exercise and a healthy diet.
(B) Cerebral surgery and scalp replacement.
(C) Surgery in the neck and joints.
(D) Cervical spine surgery and a hip replacement.

34 According to the passage, what might dolphins’ language allow them to do? (A) To communicate with other types of sea creatures. (B) To form communities among themselves. (C) To identify human races through consciousness. (D) To design a wide selection of languages.

35 In the passage, which of the following words is the closest in meaning to the word “exhibits”? (A) Claims. (B) Examines. (C) Challenges. (D) Displays.

36 According to this passage, which of the following is true about Carmen? (A) It was too painful for Carman to bike, hike or swim because of the disease. (B) Carman began to have symptoms of lupus when she was 13 years old. (C) It took Carmen almost three decades to get an accurate official diagnosis. (D) Carman was finally diagnosed of guttate psoriasis arthritis in her 40s.

37 According to this passage, which of the following is NOT true about psoriasis? (A) Psoriasis is a type of skin condition that can affect small children. (B) Spondylitis is a type of psoriatic arthritis that can affect the bones in the pelvis. (C) Psoriatic arthritis is a chronic disease and its damages to the bones are irreversible. (D) Psoriatic arthritis can be properly treated with the help of dermatologists.

39 What does the word “excruciating” mean in this passage? (A) Intense. (B) Imaginary. (C) Exciting. (D) Endurable.

40 What is the purpose of this passage? (A) To provide financial support for the National Psoriasis Foundation. (B) To increase awareness about different types of psoriasis. (C) To provide accurate symptoms of psoriasis. (D) To urge patients to seek help from dermatologists.

41 (A) author (B) nature (C) culture (D) lecture

42 (A) invited (B) inserted (C) invented (D) increased

43 (A) stuck to (B) stood for (C) took off (D) detached from

44 (A) amiable (B) adorable (C) achievable (D) affordable