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The doctors       to operate on the woman because her husband had not given permission.
A.would refuseB.have refusedC.refuseD.refused
D

试题分析:考察时态。句意:因为她的丈夫不允许,所以医生拒绝给这个女士动手术。根据句中的had not given permission可知这是一个过去完成时,是发生在前面一句之前的事情,故前面的主句使用一般过去时。故D正确。
点评:英语中的时态主要由动词的形式决定,因此在学习英语时态时,要注意分析动词形式及具体语境,想象在那个特定的时间动作所发生的背景,这个动作是经常性动作、一般性动作、进行性动作、完成性动作还是将要发生的动作。
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