English Language & Literature

Discursive Passage

Class 10

Multiple Choice Questions Type

Discursive Passage 07

Read the passage and answer the questions that follow:

  1. “Cured yesterday of my disease, I died last night of my physician”, says Matthew Prior, a celebrated pharmacologist, while talking about the deleterious effects of drugs in his book, “The Remedy Worse than the Disease”. There is no dearth of patients dying of misguided treatment.
  2. In this era of drugs we must familiarise ourselves with the term ‘iatrogenic disease (physician caused ailment)’. When a physician administers medicines without a complete understanding of the patient‘s condition, drugs play havoc.
    A person may become the victim of a worse disease or even lose his life.
  3. With Analgin, for instance, special precautions should be taken in case of pregnancy, bronchial asthma, renal and hepatitic dysfunctions and blood-related disorders. It has been banned in several countries, including the USA and Sweden, because of its unexpected and negative effects that lead one even to death through an anaphylactic shock. An anaphylactic shock is a process that leads to a severe fall in the blood pressure, bronchoconstriction, the swelling of blood and lymph vessels and sometimes death because of the loss of fluid in these vessels. Anaphylaxis usually occurs suddenly, in minutes after the administration of a drug. The well-known drug, penicillin, and many other drugs, may cause anaphylaxis.
  4. The term “side-effects” is a part of an ailing layman‘s vocabulary but adverse drug reactions are known only to a more aware and literate patient. Ciprofloxacin, when given for an ear-infection, may cause vertigo and amoxycillin, while fighting a throat infection, may hurt the stomach. Similarly, while chemotherapy given for cancer may lead to indigestion and hair fall, steroids administered continuously may lead to obesity and diabetes.
  5. Drugs are meant to eliminate disease. In the quest for avoiding the misery of sickness, man has invented medicines that may themselves cause diseases. The illness caused by a drug may be short-term or long-term. Side effects are short-term and predictable. The unpredictable and bizarre reactions are termed as adverse reactions. A variety of drugs cure many ills but are also known to cause irregular heart beat and even sudden death.
  6. A strong sense of responsibility on the physician‘s part and an attitude of extreme caution on the patient‘s part can substantially help in covering at least some of the risks of medicines, if not all. There are many factors that help a doctor in his choice and use of the drug. The medical history of a patient, age, sex, personality, environment and education contribute in deciding the course of treatment. The very old and the very young are likely to suffer as their bodies are less tolerant. Older children may sometimes be more tolerant than the adults. The elderly tend to respond better to standard drug dosage. But the lower body size, slow blood flow to vital organs, decreasing metabolic
    capacity and tendency to multiple physical problems contribute to adverse reactions.

According to the author, what must we familiarise ourselves with, among the following?

(a) different types of viral diseases and their precautions.
(b) ailments caused due to a physician’s negligence.
(c) working conditions of the paramedical staff.
(d) career choices for becoming a physician.

(b) ailments caused due to a physician’s negligence.

Select the option that suitably completes the dialogue with reference to paragraph 4.
Eric: I don’t always believe in taking tablets when I am sick because I am afraid of all the horrible side-effects and reactions.
Otis: Your fear is misplaced. You should rather …………………

(a) educate yourself about the drugs and only take the doses prescribed by the physician.
(b) look for natural medicines and herbs whenever you feelsick.
(c) study and become a physician yourself so that you can understand drugs in detail.
(d) learn about the deadly side-effects of drugs and stay away from them.

(a) educate yourself about the drugs and only take the doses prescribed by the physician.

Choose the option that best conveys the message in – ‘Cured yesterday of my disease, I died last night of my physician’.

(a) Patients making a recovery overnight
(b) Physicians losing patients to irrational fear of drugs
(c) Patients dying of misguided treatment
(d) Physicians curing and then murdering patients

(c) Patients dying of misguided treatment

What are the symptoms of an anaphylactic shock? Choose one option from the following:

(a) Swelling of blood and lymph vessels.
(b) Sharp rise in the blood pressure.
(c) Hyperactivity and alertness.
(d) No signs of bronchoconstriction.

(a) Swelling of blood and lymph vessels.

Select the option with the underlined words that can suitably replace the word dearth (paragraph 1).

(a) The water supply in our city is severely affected by the drought that happened this summer.
(b) Things have changed a lot since the death of our last diligent leader.
(c) We took as much eggs with us as we liked because there was no scarcity of it on the farm.
(d) His did not keep any record of the dead subjects in order to appease his superiors

(c) We took as much eggs with us as we liked because there was no scarcity of it on the farm.

A Jargon is a literary term that is defined as the use of specific phrases and words in a particular situation, profession, or trade. From the options given below, select a Jargon word that appears in the para 2.

(a) iatrogenic
(b) havoc
(c) anaphylaxis
(d) ciprofloxacin

(a) iatrogenic

Select the qualities from paragraph 6, that the author wants the physicians and patients to adopt.
(1) haphazard
(2) responsible
(3) cautious
(4) negligent
(5) fastidious

(a) (1), (2) and (3)
(b) (1), (3) and (4)
(c) (1), (2) and (5)
(d) (2), (3) and (5)

(d) (2), (3) and (5)

Which of the following is an outcome of continuous steroid use?

(a) vertigo and stomach ache.
(b) indigestion and hair fall.
(c) obesity and diabetes.
(d) increased irritation and swelling.

(c) obesity and diabetes.

What does the writer inform in paragraph 3?

(a) Anaphylaxis happens to pregnant women only.
(b) Many common drugs may cause anaphylaxis.
(c) Only rare drugs are known to cause anaphylaxis.
(d) Anaphylaxis occurs few days after the administration of drugs.

(b) Many common drugs may cause anaphylaxis.

Choose the option that lists the quote best expressing the central idea of the passage.

(a) The power of community to create health is far greater than any physician, clinic or hospital. —Mark Hyman
(b) The good physician treats the disease; the great physician treats the patient who has the disease. —Sir William Osler
(c) Science has everything to say about what is possible. Science has nothing to say about what is permissible.—Charles Krauthammer
(d) Wherever the art of Medicine is loved, there is also a love of Humanity.—Hippocrates

(b) The good physician treats the disease; the great physician treats the patient who has the disease. —Sir William Osler

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