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אל ךא ,תוחונינה וא ןויסינה ,םידדמה דחאב ןייטצהל ףידעש רמול היהי ןוכנ םימוחתהמ הזיאב
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10. Akashi Kaikyo bridge, which connects the island of Awaji with the rest of Japan, Text II (Questions 18-22)
spans almost four kilometers.
(1) In recent years people have become increasingly concerned about the dangers of
(1) Japan is connected to Awaji Island, a distance of more than four kilometers from
prescribing certain medications to teenagers. It has been shown that antidepressants
it, by the Akashi Kaikyo bridge.
sometimes have different effects on teenagers than on adults. Among these
(2) A span of nearly four kilometers is the crucial element in the Akashi Kaikyo
medications is a group known as Selective Serotonin Reuptake Inhibitors (SSRI),
bridge that connects Japan with Awaji Island.
(5) which were developed in the 1950's, and are used to treat clinical depression in adults.
(3) Connecting the rest of Japan with the island of Awaji is the nearly four kilometer
It was believed that they would work just as well on teenagers.
long Akashi Kaikyo bridge.
(4) One way to the island of Awaji from the Japanese mainland is a four kilometer This belief came into question in the late 1990's, when it was observed that the
long bridge, named Akashi Kaikyo. drug Paroxetine - an SSRI often marketed under the name Paxil - was causing adverse
reactions in teenagers. These included sudden mood swings, increased temper, deep
(10) depression, and in certain cases, suicide. While the exact number of teenage suicides
11. Few places in the world are as hot as the Lut Desert in Iran.
linked to Paxil is unclear, one report linked 22 of 26 teen suicides in Canada to the
(1) The Lut Desert in Iran is usually less hot than other places in the world. drug.
(2) The Lut Desert in Iran is one of a few hot places in the world. The discovery that Paxil could cause teenagers to commit suicide had two major
(3) The Iranian Lut Desert is one of the hottest places on earth. consequences. First, it led to several major studies of the drug and its effect on teens,
(4) Some places in the world are Hotter than the Iranian Lut Desert. (15) including one conducted by GSK - the company that manufactures Paxil. Second, it

led to the inclusion of warnings in the drug's package inserts.
12. During 1999, Tobacco companies advertising expenses reached an all time peak of The Paxil story is not over. In 2004 the FDA released a report that found GSK
8.24 billion dollars. withheld information about Paxil's potentially harmful side-effects. The report states

(1) The amount of money spent by tobacco companies on advertising in 1999 is that GSK knew there were risks in giving the drug to kids and teenagers, but didn't
unlikely to ever be surpassed. (20) want to hurt the reputation of the drug. Since then there have been many lawsuits
against GSK, and the company has paid out millions in settlement claims.
(2) Spending 8.24 billion dollars on advertising during 1999 allowed tobacco
companies to reach a peak number of customers.
(3) The all time peak in tobacco sales recorded in 1999 was due to the high Questions
advertising budget of 8.24 billion dollars.
18. "This belief" mentioned (line 7) refers to the belief that -
(4) Advertising by tobacco companies was never as high as the record budget of
8.24 billion dollars in 1999. (1) anti-depressants are an effective way of treating depression
(2) SSRI are just as safe for teenagers as for adults
(3) doctors can prevent teens from taking drugs
אבה דומעל וכישמה
(4) teenagers rarely suffer from depression