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TOEFL IBT Reading Example #6

 Title: The Evolution and Impact of Antibiotic Resistance


[Paragraph 1]

The introduction of antibiotics in the early 20th century represented a turning point in the fight against bacterial infections, significantly reducing mortality rates. Sir Alexander Fleming's discovery of penicillin in 1928 marked the advent of the antibiotic era, transforming the medical landscape. These miracle drugs, capable of combating and eradicating numerous bacterial infections, drastically increased the survival rates of patients suffering from previously incurable ailments.


[Paragraph 2]

However, the efficacy of antibiotics has been increasingly compromised due to the rise of antibiotic resistance. This occurs when bacteria evolve to resist the effects of these drugs, rendering them ineffective. Overuse and misuse of antibiotics in both human medicine and agriculture has accelerated this worrying trend. Resistant bacteria survive antibiotic exposure, reproduce, and pass their resistant traits onto their offspring, exacerbating the problem.


[Paragraph 3]

The mechanisms through which bacteria acquire resistance are numerous and complex. One common method is through mutations that occur naturally in the bacterial genome. These mutations can alter the target of the antibiotic within the bacterium, making it less effective. In some cases, the bacterium may even produce enzymes that deactivate the antibiotic, rendering it harmless to the bacterial cell.


[Paragraph 4]

Another significant method of acquiring resistance is through horizontal gene transfer, where bacteria can exchange genetic material, including resistance genes, with other bacteria. This method enables bacteria to rapidly acquire resistance to multiple antibiotics, a phenomenon known as multi-drug resistance. Such resistant bacteria pose a grave public health threat, complicating and limiting treatment options.


[Paragraph 5]

The impact of antibiotic resistance on public health is immense. It threatens the effectiveness of treatment for common bacterial infections, increasing the risk of complications or death. The World Health Organization has warned that we may be entering a post-antibiotic era, where common infections and minor injuries could once again prove fatal due to ineffective antibiotics.


[Paragraph 6]

Tackling antibiotic resistance requires a multi-pronged approach. This includes prudent use of antibiotics, increased surveillance of resistance patterns, development of new antibiotics, and improved infection prevention and control. A global effort is needed to ensure antibiotics remain a viable tool in our medical arsenal.


[Paragraph 7]

In conclusion, antibiotic resistance is an evolutionary phenomenon, driven by human activity and natural bacterial processes. Understanding its mechanisms and impacts is crucial in developing effective strategies to manage it. The continued study of this topic is therefore a vital component of future medical research and public health policy.


[Paragraph 8]

The challenge of antibiotic resistance underscores the vital importance of biology and its implications for human health. As our understanding of these processes grows, so too does our capacity to develop innovative solutions to tackle this looming threat. Our ability to adapt and respond to these challenges will shape the future of medicine, and indeed, the future of humanity.



1. Negative Factual Information: All of the following are mentioned as methods of bacteria acquiring antibiotic resistance in paragraph 3 and 4 EXCEPT:

   a. Genome mutations

   b. Producing enzymes that deactivate antibiotics

   c. Feeding on antibiotics

   d. Horizontal gene transfer


2. Vocabulary: The word 'prudent' in paragraph 6 is closest in meaning to:

   a. Judicious

   b. Imprudent

   c. Rigorous

   d. Extensive


3. Inference: What can be inferred from the information in paragraph 2 about the misuse of antibiotics?

   a. It is solely responsible for the rise of antibiotic resistance.

   b. It does not affect the effectiveness of antibiotics.

   c. It accelerates the evolution of antibiotic resistance.

   d. It reduces the population of resistant bacteria.


4. Factual Information: According to paragraph 5, what does the World Health Organization warn about?

   a. The dangers of overusing antibiotics

   b. The return of fatal common infections and minor injuries due to ineffective antibiotics

   c. The increase in bacterial genome mutations

   d. The underreporting of antibiotic-resistant cases


5. Vocabulary: The word 'looming' in paragraph 8 is closest in meaning to:

   a. Distant

   b. Beneficial

   c. Imminent

   d. Negligible


6. Negative Factual Information: Which of the following is NOT mentioned as a strategy to tackle antibiotic resistance in paragraph 6?

   a. Prudent use of antibiotics

   b. Research on bacterial genome mutations

   c. Increased surveillance of resistance patterns

   d. Development of new antibiotics


7. Sentence Simplification: Which of the following best expresses the essential information in the highlighted sentence in paragraph 4: "This method enables bacteria to rapidly acquire resistance to multiple antibiotics, a phenomenon known as multi-drug resistance."

   a. Bacteria become resistant to multiple antibiotics through a phenomenon known as multi-drug resistance.

   b. Multi-drug resistance is the only way bacteria can acquire resistance to multiple antibiotics.

   c. The rapid acquisition of resistance to multiple antibiotics by bacteria is made possible through this method.

   d. This method of resistance is only possible in the presence of multiple antibiotics.


8. Vocabulary: The word 'compromised' in paragraph 2 is closest in meaning to:

   a. Strengthened

   b. Undermined

   c. Balanced

   d. Exaggerated


9. Inference: What can be inferred from the information in paragraph 7 regarding the continued study of antibiotic resistance?

   a. It is not considered a priority in public health policy.

   b. It is crucial for developing strategies to manage antibiotic resistance.

   c. It is focused only on the human activity driving resistance.

   d. It has already provided all the answers needed to tackle antibiotic resistance.


10. Prose summary: An introductory sentence for a brief summary of the passage is provided below. Complete the summary by selecting the THREE answer choices that express the most important ideas in the passage.

   

   "The passage discusses the evolution and impact of antibiotic resistance, as well as possible solutions."


   a. Antibiotic resistance is caused by natural bacterial processes and human misuse and overuse of antibiotics.

   b. Resistant bacteria pose a significant threat to public health, making common infections potentially fatal.

   c. Global efforts are needed to tackle antibiotic resistance, including prudent use of antibiotics and increased research.

   d. The discovery of antibiotics in the early 20th century made all bacterial infections curable.

   e. All bacteria have the same resistance mechanisms.

   f. The misuse of antibiotics is beneficial for public health.



1. Negative Factual Information: Answer - c. Feeding on antibiotics. Explanation: The text mentions that bacteria can acquire antibiotic resistance through genome mutations, producing enzymes that deactivate antibiotics, and horizontal gene transfer, but not by feeding on antibiotics.


2. Vocabulary: Answer - a. Judicious. Explanation: 'Prudent' is used in the context of careful, thoughtful use of antibiotics, which aligns with the meaning of 'judicious'. 


3. Inference: Answer - c. It accelerates the evolution of antibiotic resistance. Explanation: The second paragraph mentions that overuse and misuse of antibiotics contribute to the acceleration of antibiotic resistance.


4. Factual Information: Answer - b. The return of fatal common infections and minor injuries due to ineffective antibiotics. Explanation: This is exactly what the World Health Organization warns about according to paragraph 5.


5. Vocabulary: Answer - c. Imminent. Explanation: 'Looming' refers to something perceived as threatening and about to occur, similar to 'imminent'.


6. Negative Factual Information: Answer - b. Research on bacterial genome mutations. Explanation: The strategies mentioned in paragraph 6 are prudent use of antibiotics, increased surveillance of resistance patterns, development of new antibiotics, and improved infection prevention and control. Research on bacterial genome mutations is not mentioned as a strategy.


7. Sentence Simplification: Answer - c. The rapid acquisition of resistance to multiple antibiotics by bacteria is made possible through this method. Explanation: This choice best captures the original sentence's intent by keeping the core idea that this method allows bacteria to quickly develop resistance to various antibiotics.


8. Vocabulary: Answer - b. Undermined. Explanation: 'Compromised' is used in the text to refer to the diminished efficacy of antibiotics due to resistance, a meaning close to 'undermined'.


9. Inference: Answer - b. It is crucial for developing strategies to manage antibiotic resistance. Explanation: Paragraph 7 implies that ongoing research on antibiotic resistance is key to creating effective strategies to deal with this issue.


10. Prose summary: Answer - a, b, c. Explanation: These choices best summarize the key points discussed in the passage: the causes of antibiotic resistance, its significant threat to public health, and the global efforts required to tackle the problem.


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