39. As peristalsis continues, the waste products of digestion move into the ____ intestine.
(A) large
(B) upper
(C) middle
(D) central 

40. According to the article, when Patrick Manson first came to Taiwan,_____ (A) he only cared for 16 westerners in the IMCS office at Takao. (B) he was only 22 years old. (C) he tried to learn about how to treat elephantiasis. (D) there was no any doctor in Takao.

41. Regarding David Manson Memorial Hospital, which of the following is true? (A) Patrick Manson's younger brother, David Manson, raised funds to build it. (B) It was built by Patrick Manson to treat cases of elephantiasis in Xiamen. (C) Dr. James L. Maxwell had practiced medicine there. (D) It was built in Qijin after David Manson died.

42. What was the breakthrough Patrick Manson made in medical science? (A) He examined Ross's medical discovery about the vector of ailments such as Japanese encephalitis and dengue fever. (B) There were many cases of elephantiasis in Taiwan. (C) He built a microscope to examine blood samples. (D) The mosquito could host the kind of parasite to transmit human ailments.

43. Why does the author consider the hospital "state-of-the-art"? (A) Because there were many consulting rooms and outdated medical instruments. (B) Because it looked artistic. (C) Because it was advanced at the time. (D) Because all of the doctors mentioned in the article came from Scotland.

44. According to this article, what can be done if one would like to know about the Mansons and early medical history of Kaohsiung? (A) Trace the precise location of the David Manson Memorial Hospital. (B) Visit the Museum of Kaohsiung Medical University. (C) Read about James L. Maxwell who had also practiced medicine in Taiwan. (D) Visit the two Schools of Tropical Medicine in the UK. 

45. Judging from the above passages, the narrator (the author Paul Kalanithi himself), was not_____. (A) a medical student. (B) a physician. (C) a neurosurgeon. (D) a psychiatrist.

46. According to the CT scan images the narrator was seeing,_____ (A) he discovered a special kind of cancer that might benefit the patient suffering back pain. (B) the scans showing lungs with tumor, deformed, and a full lobe of the liver obliterated could let him find out more cancer patients in the hospital. (C) he could tell the spread of his own cancer. (D) he was able to diagnose a rare case of cancer.

47. What does the narrator mean by saying he "didn't know what back pain felt like"? (A) Because he was a healthy person. (B) Because he had not enough knowledge about anatomy, physiology and different languages. (C) Because he did not have the same illness. (D) Because he was not listening to his patients.

48. The doctor was in a room _____(A) where he used to play the role of doctor. (B) where hundreds of his patients died after complex operations. (C) where his patients were checked in, received the plastic arm bracelets and put on blue hospital gowns. (D) all of the above.

49. Why does the narrator said: "Maybe I just didn't want to say the word cancer out loud..."? (A) Because he needed to check more scans to be sure. (B) Because the fact was hard to accept. (C) Because it would ruin the patient's confidence. (D) Because it was more suitable to keep his voice down in the hospital.

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