49.What does this passage mainly address to?
(A) the most common reasons to see a rheumatologist
(B) managing the pain of joint replacement
(C) relationship between weather and joint pain
(D) risk factors for mortality in systemic lupus

49.What does this passage mainly address to? (A) the most common reasons to see a rheumatologist (B) managing the pain of joint replacement (C) relationship between weather and joint pain (D) risk factors for mortality in systemic lupus

50.According to this passage, which statement is true about Heather Bukiri’s research? (A) Additives contributes to joint inflammation. (B) Barometric pressure can cause joint pain. (C) Less than half of Bukiri’s patient suffer from weather-related joint pain. (D) About 65% of Bukiri’s patients are diagnosed with gout.

51.What does a rheumatologist do? (A) deals with failure and serious chronic conditions of the kidneys (B) treats allergies and disease of the immune system, such as asthma (C) treats and manages feet and lower limbs pain and diseases as well as injuries, to help keep people active and pain free (D) specializes in arthritis and other musculoskeletal conditions and systemic autoimmune diseases

52.What role does learning motivation play in academic success according to the passage? (A) It acts as a barrier to engagement and achievement. (B) It serves as the driving force behind engagement, persistence, and achievement. (C) It has no significant impact on academic success. (D) It only affects students’ attitudes, not their actual performance.

53.According to the passage, what is a consequence of students feeling disconnected from their studies? (A) Increased curiosity and enthusiasm. (B) Enhanced engagement and participation. (C) Struggles to find meaning and relevance. (D) Deep understanding and mastery of concepts.

54.Which of the following ideas is not highlighted as a consequence of lacking motivation in the passage? (A) Disengagement from studies and tasks. (B) Development of apathy towards academic endeavors. (C) Increased academic achievement and performance. (D) Underachievement and struggles with coursework.

55.According to the passage, what is not mentioned about astronauts’ life adjustment in space? (A) the diet (B) the gravity (C) family relationship (D) the Earth’s daily rhythms

56.According to the passage, which is not true about astronauts? (A) Every organ system is impacted after a space journey. (B) Some physiological changes can be found after a space travel. (C) There are no symptoms of blood disorders during a space travel. (D) Astronauts’ experiences of a space travel can give information for scientists to research into diseases.

57.About Odette Laneuville’s study, which is true? (A) The research team was from the US. (B) Astronauts’ immune systems did not return to normal after they came back to earth. (C) The research team collected data from astronauts from the International Space Station. (D) While the astronauts were at the International Space Station, the astronauts’ immune functions were normal.

58.According to the passage, what is the main purpose of bilingual education programs? (A) To effectively enforce the English as an international language policy in schools. (B) To immerse students in an environment where two languages are used for instruction. (C) To prioritize the use of the students’ native languages in academic settings. (D) To emphasize the importance of one language over another in education settings.

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