Communicative II Final Exam

Harambee University
Faculty of Healthy
Department of BSC Nursing and Pharmacy
Final Examination of the Course Communicative English Language Skills II (FLEn 1012)
for Second Year Weekend Students
Name of the Instructor: Basha T. Time allowed: 50’
Maximum Mark: 30% Exam Date: 19/10/2014
Name: _____________________________________ ID No.__________________________________
Department: _______________________ Section: ______
Modality (underline): Regular Extension Weekend
General Direction:
 Attempt all questions

 Make sure that the exam paper contains __6 pages including the cover page.
 Follow the instructions in each part and write your answers on the space/answer sheet
provided.
 Switch off your mobile phone.
 Any kind of cheating or attempting to cheat or/and letting others to cheat will
disqualify your result (F) on the course.
DO NOT TURN THIS PAGE UNTIL YOU ARE TOLD TO DO SO!

ONLY FOR THE COURSE TEACHER
EXAM ITEMS
Reading Grammar vocabulary

Total
True/False Choice Choice Matching
5% 10% 10% 5% 30%
Communicative English Language Skills II Final-exam Page 1

Part I: Reading; read the following passage, and answer the questions that underlie
instruction I and II.
1 Millions of people in the United States are affected by eating disorders. More than 90% of those
afflicted are adolescents or young adult women. Although all eating disorders share some
common manifestations, anorexia nervosa, bulimia nervosa, and binge eating each have
distinctive symptoms and risks.
2 People who intentionally starve themselves (even while experiencing severe hunger pains) suffer
from anorexia nervosa. The disorder, which usually begins around the time of puberty, involves
extreme weight loss to at least 15% below the individual’s normal body weight. Many people
with the disorder look emaciated but are convinced they are overweight. In patients with
anorexia nervosa, starvation can damage vital organs such as the heart and brain. To protect
itself, the body shifts into slow gear: Menstrual periods stop, blood pressure rates drop, and
thyroid function slows. Excessive thirst and frequent urination may occur. Dehydration
contributes to constipation, and reduced body fat leads to lowered body temperature and the
inability to withstand cold. Mild anemia, swollen joints, reduced muscle mass, and light-
headedness also commonly occur in anorexia nervosa.
3 Anorexia nervosa sufferers can exhibit sudden angry outbursts or become socially withdrawn.
One in ten cases of anorexia nervosa leads to death from starvation, cardiac arrest, other medical
complications, or suicide. Clinical depression and anxiety place many individuals with eating
disorders at risk for suicidal behavior.
4 People with bulimia nervosa consume large amounts of food and then rid their bodies of the
excess calories by vomiting, abusing laxatives or diuretics, taking enemas, or exercising
obsessively. Some use a combination of all these forms of purging. Individuals with bulimia who
use drugs to stimulate vomiting, bowel movements, or urination may be in considerable danger,
as this practice increases the risk of heart failure. Dieting heavily between episodes of binging
and purging is common.
5 Because many individuals with bulimia binge and purge in secret and maintain normal or above
normal body weight, they can often successfully hide their problem for years. But bulimia
nervosa patients—even those of normal weight—can severely damage their bodies by frequent
binge eating and purging. In rare instances, binge eating causes the stomach to rupture; purging
may result in heart failure due to loss of vital minerals such as potassium. Vomiting can cause
the esophagus to become inflamed and glands near the cheeks to become swollen. As in anorexia
nervosa, bulimia may lead to irregular menstrual periods. Psychological effects include
compulsive stealing as well as possible indications of obsessive-compulsive disorder, an illness
characterized by repetitive thoughts and behaviors. Obsessive compulsive disorder can also
accompany anorexia nervosa. As with anorexia nervosa, bulimia typically begins during
adolescence. Eventually, half of those with anorexia nervosa will develop bulimia. The condition
occurs most often in women but is also found in men.
6 Binge-eating disorder is found in about 2% of the general population. As many as one-third of
this group are men. It also affects older women, though with less frequency. Recent research
shows that binge-eating disorder occurs in about 30% of people participating in medically
supervised weight-control programs. This disorder differs from bulimia because its sufferers do
not purge. Individuals with binge-eating disorder feel that they lose control of themselves when
eating. They eat large quantities of food and do not stop until they are uncomfortably full. Most
sufferers are overweight or obese and have a history of weight fluctuations. As a result, they are
prone to the serious medical problems associated with obesity, such as high cholesterol, high
blood pressure, and diabetes. Obese individuals also have a higher risk for gallbladder disease,
heart disease, and some types of cancer. Usually they have more difficulty losing weight and
keeping it off than do people with other serious weight problems. Like anorexic and bulimic
sufferers who exhibit psychological problems, individuals with binge-eating disorder have high
rates of simultaneously occurring psychiatric illnesses, especially depression.
Instruction I: Write ‘True’ if the statement is correct and write ‘False’ if it is incorrect
based on the information in the passage.
1) Individuals with binge-eating disorder feel that they lose control of themselves during eating.
2) Obsessive compulsive disorder can also accompany anorexia nervosa.
3) Paragraph 6 indicates that binge-eating disorder patients experience low blood pressure.
4) Clinical depression and anxiety place many individuals with eating disorders at risk for
suicidal behavior.
5) Binge-eating disorder is found in about 20% of the general population.
Instruction II: Choose the best answer from the following based on the passage
1. Fatalities occur in what percent of people with anorexia nervosa?
A. 2% B. 10% C. 15% D. 30%

2. Which of the following consequences do all the eating disorders mentioned in the passage
have in common?
A. heart ailments B. stomach rupture
C. swollen joints D. diabetes
3. According to the passage, people with binge-eating disorder are prone to all of the following
EXCEPT
A. loss of control. B. depression
C. low blood pressure. D. high cholesterol
4. Which of the following is NOT a statement about people with eating disorders?
A. People with anorexia nervosa commonly have a blood-related deficiency.
B. People with anorexia nervosa perceive themselves as overweight.
C. The female population is the primary group affected by eating disorders.
D. Fifty percent of people with bulimia have had anorexia nervosa.
5. People who have an eating disorder but nevertheless appear to be of normal weight are most
likely to have
A. obsessive-compulsive disorder. B. bulimia nervosa.
C. binge-eating disorder. D. anorexia nervosa.
6. Glandular functions of eating-disorder patients slow down as a result of
A. lowering body temperatures. B. excessive thirst and urination.
C. protective measures taken by the body. D. the loss of essential minerals.
7. The inability to eliminate body waste is related to
A. dehydration. B. an inflamed esophagus.
C. the abuse of laxatives. D. weight-control programs.
8. According to the passage, which of the following is true of bulimia patients?
A. They may demonstrate unpredictable social behavior.
B. They often engage in compulsive exercise.
C. They are less susceptible to dehydration than are anorexia patients.
D. They frequently experience stomach ruptures.
9. Which of the following represent up to two-thirds of the binge-eating disorder population?
A. older males B. older females
C. younger males D. younger female

10. What the word … “afflicted” paragraph 1 (line 2) means:
A. disproved B. motivated C. undistorted D. ravaged
Part II: Grammar Focus
Instruction I: Choose the best answer from the following alternatives, and write your
answer on the space provided on answer sheet.
1. Ayelech gave her sister the car. This is the same as __________.
A. Her sister was given the car B. The car was given to her sister
C. Her sister is given to the car D. A and B
2. A: We don’t have any bread.
B: I know. I __________________ some from the shop.
A. will get B. am going to get C. get D. am getting
3. Ten city buses _________ in the garage this week. They will be in service next week.
A. are being repaired B. were repaired C. have repaired D. were repairing
4. There are no English books on the shelves now. They ________ to the new library.
A. were taken B. had taken C. took D. was taken
5. A: Why do you need to borrow my suitcase?
B: Because I __________________ my mother in Scotland next month.
A. Will visit B. am going to visit C. am visiting D. B and C
6. It is not really our house yet. It _____________.
A. have been paid for C. hasn’t been paid for
B. hasn’t paid in D. wasn’t paid for
7. Since his death, John Milton's poems ________ translated into several languages.
A. was B. has been C. have been D. is being
8. Genet: Your phone is ringing, Tola.
Tola: Ok. I ___________ it.
A. will answer B. am going to answer C. answer D. am answering

9. I ____________ you as soon as I____________ there.
A. will phone/will arrive C. am going to phone/ will arrive
B. phone/arrive D. will phone/ arrive
10. Firomsa: What are your plans after you leave university?
Fikre: I __________________ in a hospital in Ethiopia. I leave in 2015 E.C.
A. will work B. am going to work C. work d. working

Part III: Vocabulary
Instruction I: Choose the best letter from (A-H) that has similar meaning with the word
underlined in the following sentences.
A. ravage C. deny E. instrument G. dilute

B. dead D. tool F. proved H. abundant
1) The speaker demonstrated her knowledge of the subject by an excellent speech.

2) The departed lying here gave their lives for their country.
3) I hope that club does not deprive poor children of the opportunity to participate in sports.
4) Floods often devastate the rice crop, the area’s principal export, resulting in a year of great
torture for the inhabitants.
5) An odometer is a device for measuring distance traveled.
Bonus (3%): Change the following sentences to passive
1. Active: Does Eden love you?
Passive: ___________________________________________________________________
2. Active: The students are taking a communicative II mid-exam.
Passive: ___________________________________________________________________
Answer Sheet
Name __________________________ ID __________ Dept ____________ Section ___
Reading Passage/Comprehensions III. Vocabulary ( write only the letter)
I. True or False
1 2 3 4 5 2 3 4 5
1
II. Multiple Choices

1 2 3 4 5 6 7 8 9 10
I. Grammar Focus: Multiple Choice

1 2 3 4 5 6 7 8 9 10

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Harambee University

Name of the Instructor: Basha T. Time allowed: 50’

Maximum Mark: 30% Exam Date: 19/10/2014

Name: _____________________________________ ID No.__________________________________

Department: _______________________ Section: ______

Modality (underline): Regular Extension Weekend

 Attempt all questions

DO NOT TURN THIS PAGE UNTIL YOU ARE TOLD TO DO SO!

Reading Grammar vocabulary

5% 10% 10% 5% 30%

Communicative English Language Skills II Final-exam Page 1

Communicative English Language Skills II Final-exam Page 3

Communicative English Language Skills II Final-exam Page 4

A. will answer B. am going to answer C. answer D. am answering

A. will work B. am going to work C. work d. working

Communicative English Language Skills II Final-exam Page 5

A. ravage C. deny E. instrument G. dilute

1) The speaker demonstrated her knowledge of the subject by an excellent speech.

II. Multiple Choices

I. Grammar Focus: Multiple Choice

Communicative English Language Skills II Final-exam Page 6

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