38. The word "refinement" as it is used in paragraph 5 most nearly means ＿＿＿.
(A) reduction
(B) cultivation
(C) refutation
(D) denotation
(E) deterioration

34. Based on the information in the last two paragraphs, which of the following is true? (A) Symptoms can always be identified as evidence of particular diseases. (B) A pulmonary embolus refers to a blockage of an artery in the womb. (C) Medical diagnosis and criminal investigation are alike to some extent. (D) A doctor should look after a patient as carefully as a deerstalker. (E) Standardized treatment is more effective than individualized care.

35. The phrase "bread and butter" in paragraph 4 is closest in meaning to ＿＿＿. (A) negotiation (B) foundation (C) resolution (D) plantation (E) annexation

36. Which of the following best describes what the passage is about? (A) Structural Barriers and Solutions in the New Zealand Mental Health System (B) Bipolar Disorder Symptoms of Māori in New Zealand (C) Staffing-Accessibility in the New Zealand Health System (D) Indigenous Populations and Institutional Racism in New Zealand (E) Transformational Change of District Health Boards in New Zealand

37. Which of the following could best replace the word "whānau" as used in paragraphs 3 and 5? (A) structural reforms (B) community-based treatment (C) mental health conditions (D) health inequities (E) family or support networks

39. Based on the information in the passage, which of the following is NOT true? (A) Mental health care for BD generally requires DHB services and can include periods of inpatient or community-based treatment delivered by MDT within a psychiatric care model. (B) Indigenous populations experience higher community prevalence rates of BD, including Māori the Indigenous peoples of New Zealand. (C) BD patients criticized the clinic hours, visitation times and ward rounds, and all the BD patients went through the same processes for scheduling appointments in New Zealand. (D) The composition of services and teams can differ between DHBs, and experiences of care may change depending on where a BD patient lives in New Zealand. (E) Clinical and cultural competencies of psychiatrists and psychologists influenced accessibility of staff with specialist skills to treat Māori with BD.

40. Based on the information in the passage, which of the following is true? (A) There is good evidence that institutional racism drives inequitable access to effective care for Māori with BD in paragraph 1. (B) It can be inferred that access to equitable health care as described in paragraph 3 is limited for Māori due to the lack of resources for particular services or the environmental features. (C) Information about structural features of the New Zealand health system is not constrained by accessibility through insufficient resources in specific services in paragraph 3. (D) In the major health system reforms in New Zealand described in paragraph 4, accessibility has been provided for Māori and staff are now clinically and culturally competent. (E) The staffing-accessibility described in paragraph 5 suggests that institutional racism does not drive inequity in access to effective care for Māori with BD.

41. What can be inferred from the first three paragraphs? (A) The author of this passage is known as a pioneer in cosmetic surgery study. (B) My Beautiful Mommy is a first-person narrative, told from a mother's perspective. (C) The most appropriate answer to the blank in paragraph 3 is "recuperation". (D) Cosmetic surgery is as compulsory as an entomological transformation. (E) My Beautiful Mommy is a fictional picture book, so its content is unreliable.

42. What is the most appropriate answer to the blank in paragraph 4? (A) tank(B) tuck(C) tube(D) tame(E) turn

43. Based on the information in this passage, which of the following statements about My Beautiful Mommy is NOT true? (A) It is a book written for children aged from 4 to 7. (B) It is an illustrated medical guide for cosmetic surgeons. (C) It is a book for parents and kids to read together. (D) It is the first picture book on cosmetic surgery. (E) It is a picture book referring to "mommy makeover."

44. Which of the following statements comes closest to this passage's argument? (A) Cosmetic surgery shouldn't be performed on women with children. (B) It's better for women to undertake cosmetic surgery before pregnancy. (C) Children should be properly informed of their parents' cosmetic surgery. (D) "Mommy makeover" should be banned because it is harmful to children. (E) Parents' cosmetic surgery brings more joy than fear to their children.