Doctors already know that people who smoke can damage their hearing. The latest study in the journal Tobacco Control,【C1】_______

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问题     Doctors already know that people who smoke can damage their hearing. The latest study in the journal Tobacco Control,【C1】________more than 3,000 US adults, suggests the same is true of passive smoking.
    Experts believe tobacco smoke may【C2】________blood flow in the small vessels of the ear. This could starve the organ of oxygen and lead to a build up of【C3】________waste, causing damage.  The harm is different【C4】________that caused by noise exposure or simple ageing.
    In the study, the researchers from the University of Miami and Florida International University looked at the hearing test results of 3,307 non-smoking volunteers— some who were ex-smokers and some who had never smoked in their lifetime. The tests measured【C5】________of hearing over low, mid and high noise frequencies.
    To【C6】________passive smoke exposure, the volunteers had their blood checked for a byproduct of nicotine, called cotinine, which is made when the body comes into【C7】________tobacco smoke. This【C8】________that people exposed to second-hand smoke were far more likely to have poorer hearing than others, and to a degree where they might struggle  to【C9】________a conversation in the【C10】________of background noise. Passive smoking increased their risk of hearing loss across all sound frequencies by about a third.
    Dr David Fabry, who led the research, said: "We【C11】________do not know exactly how much smoke you need to  be  exposed  to  in order to be at increased risk.
    【C12】________we do know that the【C13】________for damage is very low. Really, the safe level of exposure is no exposure."
    Dr Ralph Holme, head of another research team, said: "We already knew from our own research that regular【C14】________smoking is  a significant risk【C15】________leading to hearing loss and this new study is important as  it【C16】________the  increased  risks  posed by passive smoking too. Hearing loss can often be very【C17】________and lead to social isolation, if not quickly【C18】________Before you next【C19】________a cigarette, consider how it could impact not only【C20】________your own long-term hearing but your friends’ and relatives’ too."
【C9】

选项 A、start
B、end
C、carry
D、follow

答案D

解析 前半句提到,这些被动吸烟者的听力很有可能比常人差。空格前的struggle意为“奋斗,努力”,隐含有疲于应付、艰难处理某事之意,可推测他们在对话里面可能会听不清谈话内容。follow a conversation指“听清楚对话”,D项符合此处的语境。A项start和B项end分别表示“开始”和“结束”,很难开始或结束一个对话,不能体现出被动吸烟者的听力困难,不符合语义逻辑。C项carry通常与on搭配表示“继续”,此处没有on,语法不完整。
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