答案：A

　　20．A.discovered

　　B．affected

　　C．improved

　　D．kept

　　解析：根据前文内容可知，这里表示小事情影响了病人的就医经历。

　　答案：B

　　三、阅读理解

　　The Royal Society for the Protection of Birds (RSPB) has launched its annual search to find the farmer that does the most for nature.

　　The Nature of Farming Award aims to find the farmer who has put in the most work on their land to help threatened countryside species.The competition is run by the RSPB，supported by Butterfly Conservation and Plantlife，and sponsored by The Telegraph.

　　Last year’s winners，Carolyne and Somerset Charrington of Treshnish Farm，said，“We were extremely proud to have been chosen as the winners of the Nature of Farming Award last year.It was a huge boost to our confidence and proved that what we’ve been doing in terms of farming and conservation is working.We have a popular coastal path that brings locals and visitors onto the farm daily，and it’s great to share their enjoyment of the wildlife they encounter here.”

　　The competition closes on April 20，when eight regional winners will be picked out.A panel(评判小组)of experts will decide which four should reach the national finals.There will also be a list of highly appreciated farmers，to recognize their efforts in their support of farmland wildlife.

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