Elizabeth Blackwell was born in England in 1821, and emigrated to New York City when she was ten years old.  One day she decided that she wanted to become a doctor. That was nearly impossible for a woman in the middle of the nineteenth century. After writing many letters seeking admission to medical school, she was finally accepted by a doctor in Philadelphia. So determined was she that she taught at school and gave music lessons to earn money for her tuition. In  1849,  after  graduation  from  medical  school,  she  decided  to  further  her  education  in Paris. She wanted to be a surgeon, but a serious eye infection forced her to abandon the idea. Upon returning to the United States, she found it difficult to start her own practice because she was a woman. By 1857 Elizabeth and her sister, also a doctor, along with another female doctor, managed to open a new hospital, the first for women and children. Beside being the first physician and founding her own hospital, she also established the first medical school for women. 41:  Elizabeth Blackwell moved to America in_____. A. 1849               B. 1831              C. 1821       D. 1857 42:  What was nearly impossible for a woman to do in the middle of the 19th century? A. To become a doctor   B. To write many letters  C. To emigrate to New York City      D. To teach music at schools 43:  What did she decide to do in 1849? A. To graduate from education school            B. To further her study in Paris C. To give music lessons                     D. To earn money for her tuition 44:  Why was it difficult for her to start her own practice in the United States? A. Because her sister was a doctor                   B. Because she couldn’t graduate from medical school C. Because she has a sister                         D. Because she was a woman 45: The word “she” in the last sentence refers to_____. A. Elizabeth’s sister’s friend      B. Elizabeth’s friend        C. Elizabeth Blackwell          D. Elizabeth’s sister