English For Nursing Students
English For Nursing Students
English For Nursing Students
Compiled by
Dr. Atef M. Abdullah
1
English Grammar in Use
2
Present continuous (I am doing)
3
EXERCISES
1.1 Complete the sentences with one of the following verbs in the correct
form:
come get happen look make start stay try work
1. 'You're --- hard today.' 'Yes, I have a lot to do.'
2. I --- for Christine. Do you know where she is?
3. It --- dark. Shall I turn on the light?
4. They haven't got anywhere to I've at the moment. They --- with friends until they
find somewhere.
5. 'Are you ready, Ann?' 'Yes, I ---.'
6. Have you got an umbrella? It --- to rain.
7. You --- a lot of noise. Could you be quieter? I --- to concentrate.
8. Why are all these people here? What ---?
1.3 Put the verb into the correct form. Sometimes you need the negative (I'm
not doing etc.).
1. I'm tired. I'm going (go) to bed now. Goodnight!
2. We can go out now. it (rain) any more.
3. 'How is your new job?' 'Not so good at the moment. I --- (enjoy) it very much.'
4. Catherine phoned me last night. She's on holiday in France. She --- (have) a
great time and doesn't want to come back.
5. I want to lose weight, so this week I --- (eat) lunch.
6. Angela has just started evening classes. She --- (learn) German.
4
Present simple (I do)
B. We use the present simple to talk about things in general. We are not
thinking only about now. We use it to say that something happens all the time or
repeatedly, or that something is true in general. It is not important whether the
action is happening at the time of speaking:
* Nurses took after patients in hospitals.
* I usually go away at weekends.
* The earth goes round the sun.
Remember that we say: he/she/it -s. Don't forget the s:
I work ... but He works ... They teach ... but My sister teaches
5
EXERCISES
2.1 Complete the sentences using one of the following:
cause(s) close(s) drink(s) live(s) open(s) speak(s) take(s) place
6
Present continuous and present simple (1)
(I am doing and I do)
A. Study the explanations and compare the examples:
Use the Present continuous for something that is happening at or around the
time of speaking. The action is not finished.
* The water is boiling. Can you turn it off?
* Listen to those people. What language are they speaking?
* Let's go out. It isn't raining now.
* 'Don't disturb me. I'm busy.' 'Why? What are you doing?'
* I'm going to bed now. Goodnight!
* Maria is in Britain at the moment. She's learning English. Use the continuous for
a temporary situation:
* I'm living with some friends until I find a flat.
* 'You're working hard today.' 'Yes, I've got a lot to do.' See Unit I for more
information.
Use the Present simple for things in general or things that happen repeatedly.
* Water boils at 100 degrees celsius.
* Excuse me, do you speak English?
* It doesn't rain very much in summer.
* What do you usually do at weekends?
* What do you do? (= What's your job?)
* I always go to bed before midnight.
Use the simple for a permanent situation:
* My parents live in London. They have lived there all their lives.
* John isn't lazy. He works very hard most of the time.
B. I always do and I'm always doing
Usually we say 'I always do something' (= I do it every time):
* I always go to work by car. (not 'I'm always going')
You can also say 'I'm always doing something', but this has a different meaning.
For example: I've lost my key again. I'm always losing things.
'I'm always losing things' does not mean that I lose things every time. It means
that I lose things too often, more often than normal.
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EXERCISES
3.1 Are the underlined verbs right or wrong? Correct the verbs that are wrong.
1. Water boils at 100 degrees celsius.
2. The water boils. Can you turn it off?
3. Look! That man tries to open the door of your car.
5. The moon goes round the earth.
6. I must go now. It gets late.
7. I usually go to work by car.
8. 'Hurry up! It's time to leave.' 'OK, I come.'
3.2 Put the verb in the correct form, present continuous or present simple.
1. Let's go out. It (not/rain) now.
2. Julia is very good at languages. She (speak) four languages very well.
3. Hurry up! Everybody --- (wait) for you. –
4. '--- (you/listen) to the radio?' 'No, you can turn it off.' –
5. '--- (you/listen) to the radio every day?' 'No, just occasionally.'
6. The River Nile --- (flow) into the Mediterranean. -
8. 'How is your English?' 'Not bad. It --- (improve) slowly.'
8
Present continuous and present simple (2)
(I am doing and I do)
A. We use continuous tenses only for actions and happenings (they are
eating/it is raining etc.).
Some verbs (for example, know and like) are not action verbs. You cannot say
'I am knowing' or ,they are liking'; you can only say 'I know', 'they like'.
The following verbs are not normally used in continuous tenses:
like love hate want need prefer know realise suppose
mean understand believe remember belong contain consist depend
seem
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EXERCISES
4.1 Are the underlined verbs right or wrong? Correct the ones that are wrong.
1. I'm seeing the manager tomorrow morning.
2. I'm feeling hungry. Is there anything to eat?
3. Are you believing in God? No, I‘m an atheist
4. This sauce is great. It's tasting really good.
5. I'm thinking this is your key. Am I right?
4.2 Look at the pictures. Use the words in brackets to make sentences.
1. (you/not/seem/very happy today) You don't seem very happy today.
2. (what/you/do?)? Be quiet! (I/think)
3. (who/this umbrella/belong to?) I've no idea.
4. (the dinner/smell/good).
5. Excuse me. (anybody/sit/here?) No, it's free
6. Can you ring me back in half an hour? (I/have/dinner)
4.3 Put the verb into the correct form, present continuous or present simple.
1. Are you hungry? --- something to eat? (you/want)
2. Jill is interested in politics but she --- to a political party. (not/belong)
3. Don't put the dictionary away. I --- it. (use)
4. Don't put the dictionary away. I --- it. (need).
5. Who is that man? What ---? (he/want)
6. Who is that man? Why --- at us? (he/look)
7. George says he's 80 years old but nobody --- him. (believe)
8. She told me her name but I --- it now. (not/remember)
9. I --- of selling my car. (think) Would you be interested in buying it?
10. I used to drink a lot of coffee but these days I --- tea. (prefer)
10
Past simple (I did)
11
EXERCISES
5.1 Read what Sharon says about a typical working day: SHARON
I usually get up at 7 o'clock and have a big breakfast. I walk to work, which
takes me about half an hour. I start work at 8.45. I never have lunch. I finish work
at 5 o'clock. i'm always tired when I get home. I usually cook a meal in the
evening. I don't usually go out. I go to bed at about 11 o'clock. I always sleep well.
Yesterday was a typical working day for Sharon. Write she did or didn't do
yesterday.
1. She got up at 7 o'clock. 2. She --- a big breakfast.
3. She ---. 4. It --- to get to work. 5. --- at 8.45. 6. --- lunch. 7. --- at 5
o'clock. 8. --- tired when --- home. 9. --- a meal yesterday evening.
10. --- out yesterday evening. 11. --- at 11 o'clock. 12. --- well last night.
5.2 Put one of these verbs in each sentence:
buy catch cost drink fall hurt sell spend teach throw win write
1. Mozart --- more than 600 pieces of music.
2. 'How did you learn to drive?' 'My father --- me.'
3. We couldn't afford to keep our car, so we --- it.
4. I was very thirsty. I --- the water very quickly.
6. Don --- down the stairs this morning and --- his lag.
7. Jim --- the ball to Sue, who --- it.
8. Ann --- a lot of money yesterday. She --- a dress which --- l100.
5.3 Complete the sentences, Put the verb into the correct form, positive or
negative.
1. It was warm, so I _ _ off my coat. (take)
3. I knew Sarah was very busy, so I --- her. (disturb)
4. I was very tired, so I --- to bed early. (go)
5. The bed was very uncomfortable. I --- very well. (sleep)
6. Sue wasn't hungry, so she --- anything. (eat)
7. We went to Kate's house but she --- at home. (be)
8. It was a funny situation but nobody --- (laugh)
12
Past continuous (I was doing)
13
EXERCISES
6.1 What were you doing at the following times? Write one sentence as
in the examples. The past continuous is not always necessary (see the second
example).
1. (at 8 o'clock yesterday evening)
I was having dinner with some friends.
2. (at 5 o'clock last Saturday)
I was on a train on my way to London.
3. (at 10.15 yesterday morning)
6.2 Use your own ideas to complete these sentences. Use the past continuous.
2. The doorbell rang while I ---
3. We saw an accident while we ---
4. Mary fell asleep while she ---
5. The television was on but nobody ---
6.3 Put the verbs into the correct form, past continuous or past simple.
1. I (see) Sue in town yesterday but she --- (look) the other way.
2. I --- (meet) Tom and Ann at the airport a few weeks ago. They --- (go) to
3. I --- (cycle) home yesterday when suddenly a man --- (step) out into the road
in front of me. I --- (go) quite fast but luckily I --- (manage) to stop in time and ---
(not/hit) him.
6.4 Put the verbs into the correct form, past continuous or past simple.
1. Jane (wait) for me when I (arrive).
2. 'What --- (you/do) this time yesterday?' 'I was asleep.'
3. '--- (you/go) out last night?' 'No, I was too tired.'
5. How fast --- (you/drive) when the accident --- (happen)?
6. John --- (take) a photograph of me while I --- (not/look).
14
Present perfect (1)
(I have done)
15
EXERCISES
7.1 You are writing a letter to a friend. In the letter you give news about
yourself and other people. Use the words given to make sentences. Use the
present perfect.
Dear Chris,
Lots of things have happened since I last wrote to you.
1. I/buy/a new car
I've bought a new car.
2. my father/start/a new job
3. I/give up/smoking
4. Charles and Sarah/go/to Brazil
5. Suzanne/have/a baby
7.2 Read the situations and write sentences. Choose one of the following:
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Present perfect (2)
(I have done)
A. Study this example conversation:
When we talk about a period of time that continues from the past until now, we
use the present perfect (have been/have travelled etc.). Here, Dave and Jane are
talking about the places Jane has visited in her life (which is a period that
continues until now).
* Have you ever eaten caviar? (in your life)
* We've never had a car.
* 'Have you read Hamlet?' 'No, I haven't read any of Shakespeare's plays.'
* Susan really loves that film. She's seen it eight times!
* What a boring film! It's the most boring film I've ever seen.
In the following examples too the speakers are talking about a period that
continues until now (recently/in the last few days/so far/since breakfast etc.):
* Have you heard from George recently?
* I've met a lot of people in the last few days.
* Everything is going well. We haven't had any problems so far.
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EXERCISES
8.1 You are asking somebody questions about things he or she has done.
Make questions from the words in brackets.
1. (ever/ride/horse?)
Have you ever ridden a horse?
2. (ever/be/California?)
3. (ever/run/marathon?)
4. (ever/speak/famous person?)
5. (always/live/in this town?)
6. (most beautiful place/ever/visit?) What
8.2 Complete Bs answers. Some sentences are positive and some negative. Use
a verb from this list:
be be cat happen have meet play read see see try
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Present perfect continuous (I have been doing)
19
EXERCISES
9.1 What have these people been doing or what has been happening?
1. They have been shopping.
2. She ---
3. They ---
4. He ---
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Present perfect continuous and simple
(I have been doing and I have done)
B. We use the continuous to ask or say how long (for an activity that is still
happening):
* How long have you been reading that book?
* Mary is still writing letters. She's been writing letters all day.
* They've been playing tennis since 2 o'clock.
We use the simple to ask or say how much, how many or how many times
(completed actions):
* How many pages of that book have you read?
* Mary has written ten letters today.
* They've played tennis three times this week.
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EXERCISES
10.1 Read the situations and write two sentences using the words in brackets.
1. Tom started reading a book two hours ago. He is still reading it and now he is on
page 53. (read/for two hours) He has been reading for two hours.
(read/53 pages so far) He has read 53 pages so far.
2. Linda is from Australia. She is travelling round Europe at the moment. She
began her tour three months ago. (travel/for three months) She --- (visit/six
countries so far) ---
3. Jimmy is a tennis player. He began playing tennis when he was ten years
old. This year he is national champion again--for the fourth time.
(win/the national championship four times) (play/tennis since he was ten)
4. When they left college, Mary and Sue started making films together. They still
make films. (make/ten films since they left college) They ---(make/films since they
left college)
10.2 For each situation, ask a question using the words in brackets.
1. You have a friend who is learning Arabic. You ask: (how
long/learn/Arabic?) How long have you been learning Arabic?
2. You have just arrived to meet a friend. She is waiting for you. You ask: (how
long/wait?)
3. You see somebody fishing by the river. You ask: (how many fish/catch?)
4. Some friends of yours are having a party next week. You ask: (how many
people/invite?)
5. A friend of yours is a teacher. You ask: (how long/reach?)
6. You meet somebody who is a writer. You ask: (how many books/write?) (how
long/write/books?)
7. A friend of yours is saving money to go on holiday. You ask: (how long/save?)
(how much money/save?)
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When ...? and How long ...? For and since
A. Compare When ...? (+ past simple) and How long ...? (+ present perfect): A:
When did it start raining?
B: It started raining an hour ago/at 1 o'clock. A: How long has it been raining?
B: It's been raining for an hour/since 1 o'clock. A: When did Joe and Carol first
meet?
B: They first met a long time ago/when they were at school. A: How long have Joe
and Carol known each other?
B: They've known each other for a long time./since they were at school.
B. We use both for and since to say how long something has been
happening. We use for when we say a period of time (two hours, six weeks
etc.):
* I've been waiting for two hours. for two hours two hours ago ->
* Sally's been working here for six months. (not 'since six months')
* I haven't seen Tom for three days. (not 'since three days')
We use since when we say the start of a period (8 o'clock, Monday, 1985 etc.):
* I've been waiting since 8 o'clock. since 8 o'clock 8 o'clock -> now since
8 o'clock/1977/Monday/Christmas/12 May/lunchtime/April/they were at school
* Sally's been working here since April. (= from April until now)
* I haven't seen Tom since Monday. (= from Monday until now)
* They've been married (for) ten years. (with or without for)
* They haven't had a holiday for ten years. (you must use for)
C. We say 'It's (a long time/two years etc.) since something happened':
* It's two years since I last saw Joe. (= I haven't seen Joe for two years/the last
time I saw Joe was two years ago)
* It's ages since we went to the cinema. (= We haven't been to the cinema for ages)
The question is How long is it since ...?
* How long is it since you last saw Joe? (= When did you last see Joe?)
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EXERCISES
12.1 Write questions with how long and when.
1. It's raining.(how long?) How long has it been raining? (when?) When did it start
raining?
2. Kate is learning Italian. (how long/learn?) (when/start/learn?)
3. I know Martin. (how long/know?) (when/first/meet?)
4. Bob and Alice are married. (how long?) (when?)
12.2 Read the situations and complete the sentences beginning in the way
shown.
1. (It's raining now. It's been raining since lunchtime.) It started raining at
lunchtime.
2. (Ann and I are friends. We first met years ago.) We've known each other for
years.
3. (Mark is ill. He became ill on Sunday.) He has ---
4. (Mark is ill. He became ill a few days ago.) He has ---
5. (Sarah is married. She's been married for two years.) She got ---
6. (You've got a camera. You bought it ten years ago.) I've ---
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Present perfect and past (1) (I have done and I did)
25
EXERCISES
13.2 Put the verbs in brackets in the correct form, present perfect or past
simple.
1. 'Where's your key?' 'I don't know. I've lost it.' (lose)
2. I was very tired, so I lay down on the bed and went to sleep. (be)
3. Mary --- to Australia for a while but she's back again now. (go)
4. 'Where's Ken?' 'He --- out. He'll be back in about an hour.' (go)
5. I did German at school but I --- most of it. (forget)
6. I meant to phone Diane last night but I --- (forget)
7. I --- a headache earlier but I feel fine now. (have)
8. Look! There's an ambulance over there. There --- an accident. (be)
9. They're still building the new road. They --- it. (not/finish)
10. 'Is Helen still here?' 'No, she --- out.' (just/go)
11. The police --- three people but later they let them go. (arrest)
12. Ann --- me her address but I'm afraid I --- it. (give, lose)
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Present perfect and past (2)
(I have done and I did)
A. Do not use the present perfect (I have done) when you talk about a
finished time (for example, yesterday/ten minutes ago/in 1985/when I was a
child). Use a past tense:
* The weather was nice yesterday. (not 'has been nice')
* They arrived ten minutes ago. (not 'have arrived')
* I ate a lot of sweets when I was a child. (not 'have eaten')
* A: Did you see the news on television last night? (not 'Have you seen') B: No, I
went to bed early. (not 'have gone')
Use a past tense to ask When ...? or What time ...?:
* When did they arrive? (not 'have they arrived')
* What time did you finish work? Compare:
Present perfect
* Tom has lost his key. He can't get into the house.
Here, we are not thinking of the past action. We are thinking of the present result
of the action: Tom doesn't have his key now.
Past simple
* Tom lost his key yesterday. He couldn't get into the house.
Here, we are thinking of the action in the past. We don't know from this
sentence whether Tom has his key now.
B. Compare present perfect and past: Present perfect (have done)
* I've done a lot of work today.
We use the present perfect for a period of time that continues from the past until
now. For example, today, this week, since 1985.
* It hasn't rained this week.
* Have you seen Ann this morning? (it is still morning)
* Have you seen Ann recently?
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EXERCISES
14.1 Are the underlined parts of these sentences right or wrong? Correct the
ones that are wrong.
1. _I've lost_ my key. I can't find it anywhere.
2. Have you seen the news on television last night?
3. _I've bought_ a new car. Do you want to see it? ---
4. _I've bought_ a new car last week. ---
5. Where _have you been_ yesterday evening? ---
6. Jenny _has left_ school in 1991. ---
7. I'm looking for Mike. _Have you seen_ him? ---
8. I'm very hungry. _I haven't eaten_ anything today. ---
9. Diane _hasn't been_ at work yesterday. ---
14.2 Make sentences from the words in brackets. Use the present perfect or
past simple.
1. (it/not/rain/this week) It hasn't rained this week.
2. (the weather/be/cold/recently) The weather ---
3. (it cold/last week) It ---
4. (I not/read/a newspaper yesterday) I ---
5. (I not/read/a newspaper today)
14.3 Put the verb into the correct form, present perfect or past simple.
1. I don't know where Amy is. Have you seen (you/see) her?
2. When I --- (get) home last night, I --- (be) very tired and I --- (go) straight to bed.
3. Your car looks very clean --- (you/wash) it?
4. George --- (not/be) very well last week.
5. Mr Clark --- (work) in a bank for 15 years. Then he gave it up.
6. Molly lives in Dublin. She --- (live) there all her life.
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Past perfect (I had done)
A. Study this example situation:
Sarah went to a party last week. Paul went to the party too but they didn't see
each other. Paul went home at 10.30 and Sarah arrived at 11 o'clock. So:When
Sarah arrived at the party, Paul wasn't there. He had gone home. Had gone is the
past perfect (simple):
I/we/they/you or he/she/it had (= I'd etc./he'd etc.) gone/seen/finished etc.
The past perfect simple is had + past participle (gone/seen/finished etc.). For a
list of irregular verbs
Sometimes we talk about something that happened in the past:
* Sarah arrived at the party.
This is the starting point of the story. Then, if we want to talk about things that
happened before this time, we use the past perfect (had ... ):
* When Sarah arrived at the party, Paul had already gone home. Some more
examples:
* When we got home last night, we found that somebody had broken into the flat.
* Karen didn't want to come to the cinema with us because she had already seen
the film.
* At first I thought I'd done the right thing, but I soon realised that I'd made a
serious mistake.
B. Had done (past perfect) is the past of have done (present perfect).
Compare:
present perfect
* Who is that woman? I've never seen her before.
* We aren't hungry. We've just had lunch.
* The house is dirty. They haven't cleaned it for weeks. past perfect
* I didn't know who she was. I'd never seen her before. (= before that time)
* We weren't hungry. We'd just had lunch.
C. Compare the past perfect (I had done) and past simple (I did):
* 'Was Tom at the party when you arrived?' 'No, he had already gone home.'
but 'Was Tom there when you arrived?' 'Yes, but he went home soon afterwards.'
* Ann wasn't at home when I phoned. She was in London.
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EXERCISES
15.1 Read the situations and write sentences from the words in brackets.
1. You went to Jill's house but she wasn't there. (she/go/out) She had gone out.
2. You went back to your home town after many years. It wasn't the same as
before. (it/change/a lot)
3. I invited Rachel to the party but she couldn't come. (she/arrange/to do something
else)
4. You went to the cinema last night. You arrived at the cinema late. (the
film/already/begin)
5. I was very pleased to see him again after such a long time. (I/not/see/him for
five years)
15.2 Read the situations and write sentences ending with before. Use the verb
given in brackets.
1. The man sitting next to me on the plane was very nervous. It was his first flight.
(fly) He had never flown before. OR He hadn't flown before.
2. A woman walked into the room. She was a complete stranger to me. (see) I ---
before.
3. Simon played tennis yesterday. He wasn't very good at it because it was his first
game. (play) He ---
4. Last year we went to Denmark. It was our first time there (be) We ---
15.3 Put the verb into the correct form, past perfect (I had done etc.) or past simple
(I did etc.).
1. 'Was Tom at the party when you arrived?' 'No, he had gone (go) home.'
2. I felt very tire when I got home, so I --- (go) straight to bed.
3. The house was very quiet when I got home. Everybody --- (go) to bed.
4. Sorry I'm late. The car --- (break) down on my way here.
30
Past perfect continuous (I had been doing)
B. You can say that something had been happening for a period of
time before something else happened:
* Our game of tennis was interrupted. We'd been playing for about half an hour
when it started to rain very heavily.
* Ken gave up smoking two years ago. He'd been smoking for 30 years.
C. Had been ~ing (past Perfect continuous) is the past of have been ~ing
(present perfect continuous). Compare: present perfect continuous
* I hope the bus comes soon. I've been waiting for 20 minutes. (before now)
* He's out of breath. He has been running. past perfect continuous
* At last the bus came. I'd been waiting for 20 minutes. (before the bus came)
* He was out of breath. He had been running.
D. Compare had been doing and was doing (past continuous):
* It wasn't raining when we went out. The sun was shining. But it had been
raining, so the ground was wet.
* Ann was sitting in an armchair watching television. She was tired because she'd
been working very hard.
31
EXERCISES
16.1 Read the situations and make sentences from the words in brackets.
1. I was very tired when I arrived home. (I/work/hard all day)
I had been working hard all day.
2. The two boys came into the house. They had a football and they were both very
tired. (they/play/football)
3. There was nobody in the room but there was a smell of cigarettes.
(somebody/smoke/in the room)
4. Ann woke up in the middle of the night. She was frightened and didn't know
where she was. (she/dream)
5. When I got home, Mike was sitting in front of the TV. He had just turned it off.
(he/watch/TV)
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Used to (do)
A. Study this example situation:
Dennis stopped smoking two years ago. He doesn't smoke any more. But he used
to smoke.
He used to smoke 40 cigarettes a day.
'He used to smoke' = he smoked regularly for some time in the past, but he
doesn't smoke now. He was a smoker, but now he isn't
33
Exercises
4. I rarely cat ice cream now but I --- it when I was a child.
5. Jim --- my best friend but we aren't friends any longer.
7. There --- a hotel opposite the station but it closed a long time ago
8. When you lived in London, --- to the theatre very often?
18.3 Compare what Carol said five years ago and what she says today: FIVE
YEARS A GO
I travel a lot,
I play the piano. I'm very lazy.
I don't like cheese. I've got a dog.
I'm a hotel receptionist. I've got lots of friends.
I never read newspapers. I don't drink tea.
I go to a lot of parties. TODAY
I eat lots of cheese now.
I work very hard these days.
I don't know in people these days. I work in a bookshop now.
I don't go away much these days. My dog died two years ago.
34
(I'm) going to (do)
A. 'I am going to do something' = I have already decided to do it, I intend to do it:
* A: There's a film on television tonight. Are you going to watch it? B: No, I'm
tired. I'm going to have an early night.
* A: I hear Ruth has won some money. What is she going to do with it? B: She's
going to buy a new car.
* A: Have you made the coffee yet?
B: I'm just going to make it. (just = right at this moment)
* This food looks horrible. I'm not going to eat it.
35
EXERCISES
20.1 Answer the questions. You are going to do all these things but you
haven't done them yet. Use going to and the word(s) in brackets.
1. Have you cleaned the car? (tomorrow) Not yet. I'm going to clean it tomorrow.
2. Have you phoned Sally? (later) Not yet. ---
3. Have you done the shopping? (this afternoon) Not yet. ---
4. Have you read the paper? (after dinner) Not ---
5. Have you had dinner? (just) ---
20.3 Read the situations and complete the dialogues. Use going to.
1. You have decided to write some letters this evening.
FRIEND: Are you going out this evening? You: No, I'm going to write some
letters.
2. You are a smoker but you have decided to give it up soon. FRIEND: Smoking is
very bad for you.
YOU: I know. ---
20.4 What is going to happen in these situations? Use the words in brackets.
1. There are a lot of black clouds in the sky. (rain) It's going to rain.
2. It is 8.30. Jack is leaving his house. He has to be at work at 8.45 but the
journey takes 30 minutes. (late) He ---
3. There is a hole in the bottom of the boat. A lot of water is coming in through the
hole. (sink) The boat ---
4. Emma is driving. There is very little petrol left in the tank. The nearest petrol
station is a long way away. (run out) She ---
36
I will and I'm going to
A. Future actions
Study the difference between will and going to: Sue is talking to Helen:
SUE: Let's have a party
HELLEN: That's a great idea. We'll invite lots of people.
will ('ll): We use will when we decide to do something at the time of speaking.
The speaker has not decided before. The party is a new idea.
Later that day, Helen meets Dave:
HELLEN: Sue and I have decided to have a party. We're going to invite lots of
people.
going to: We use (be) going to when we have already decided to do something.
Helen had already decided to Invite lots of people before she spoke to Dave.
Compare:
* 'George phoned while you were out.' 'OK. I'll phone him back.'
but * 'George phoned while you were out.' 'Yes, I know. I'm going to phone him
back.'
37
EXERCISES
23.1 Complete the sentences using will ('ll) or going to.
1. A: Why are you turning on the television? B: I'm going to watch the news.
(I/watch)
2. A: Oh, I've just realised. I haven't got any money.
B: Haven't you? Well, don't worry. --- you some. (I/lend)
3. A: I've got a headache.
B: Have you? Wait there and --- an aspirin for you. (I/get)
4. A: Why are you filling that bucket with water? B: --- the car. (I/wash)
5. A: I've decided to repaint this room.
B: Oh, have you? What colour --- it? (you/paint)
6. A: Where are you going? Are you going shopping?
38
Have something done
The roof of Jill's house was damaged in a storm, so she arranged for somebody
to repair it. Yesterday a workman came and did the job.
Jill had the roof repaired yesterday.
This means: Jill arranged for somebody else to repair the roof. She didn't repair it
herself.
We use have something done to say that we arrange for somebody else to do
something for us. Compare:
* Jill repaired the roof. (= she repaired it herself)
* Jill had the roof repaired. (= she arranged for somebody else to repair it) Study
these sentences:
* Did Ann make the dress herself or did she have it made?
* 'Are you going to repair the car yourself?' 'No, I'm going to have it repaired.'
Be careful with word order. The past participle (repaired/cut etc.) is after the object
(the roof your hair etc.):
have + object + past participle
Jill had the roof repaired yesterday. Where did you have your hair cut?
Your hair looks nice. Have you had it cut?
Julia has just had central heating installed in her house. We are having the house
painted at the moment.
How often do you have your car serviced?
B. You can also say 'get something done' instead of 'have something done'
(mainly in informal spoken English):
* When are you going to get the roof repaired? (= have the roof repaired)
* I think you should get your hair cut.
39
EXERCISES
45.1 Tick (V) the correct sentence, (a) or (b), for each picture.
1. SARAH
a Sarah is cutting her hair.
b Sarah is having her hair cut.
2. BILL
a Bill is cutting his hair.
b Bill is having his hair cut.
3. JOHN
a John is cleaning his shoes.
b John is having his shoes cleaned.
4. SUE
a Sue is taking a photograph.
b Sue is having her photograph taken.
45.2 Why did you do these things? Answer using 'have something done'. Use
one of these verbs: clean cut repair service
1. Why did you take your car to the garage? _To have it serviced._
2. Why did you take your jacket to the cleaner's? To ---
3. Why did you take your watch to the jeweller's? ---
4. Why did you go to the hairdresser? ---
40
Question tags (do you? isn't it? etc.)
You haven't seen Mary today, have you? No, I'm afraid not.
It was a good film, wasn't it? Yes. I really enjoyed it.
Have you? and wasn't it? are question tags (= mini-questions that we often put
on the end of a sentence in spoken English). In question tags, we use an auxiliary
verb (have/was/will etc.).
We use do/does/did for the present and past simple (see also Unit 50):
* 'Karen plays the piano, doesn't she?' 'Well, yes, but not very well.'
* 'You didn't lock the door, did you?' 'No, I forgot.'
B. Normally we use a negative question tag after a positive sentence:
positive sentence + negative tag Mary will be here soon, won't she? There was a lot
of traffic, wasn't there?
Jim should pass the exam, shouldn't he?
... and a positive question tag after a negative sentence:
negative sentence + positive tag Mary won't be late, will she? They don't like us,
do they?
You haven't got a car, have you?
Notice the meaning of yes and no in answer to a negative sentence:
* You're not going out today, are you? Yes. (Yes, I am going out)
C. The meaning of a question tag depends on how you say it. If your
voice goes down, you aren't really asking a question; you are only inviting the
listener to agree with you:
* 'It's a nice day, isn't it?' 'Yes, lovely.'
* 'Tim doesn't look well today, dose he? 'No, he looks very tired.'
* She's very pretty. She's got beautiful eyes, hasn't she? But if the voice goes up, it
is a real question:
We often use a negative sentence + positive tag to ask for things or information,
or to ask somebody to do something. The voice goes up at the end of the tag in
sentences like these:
* 'You haven't got a pen, have you?' 'Yes, here you are.'
41
EXERCISES
51.1 Put a question tag on the end of these sentences.
1. Tom won't be late, will her? No, he's never late.
2. You're tired, aren't you? Yes, a little.
3. You've got a camera, ---? Yes, why? Do you want to borrow it?
4. You weren't listening, ---? Yes, I was!
5. Sue doesn't know Ann, ---? No, they've never met.
6. Jack's on holiday, ---? Yes, he's in Portugal.
7. Ann's applied for the job, ---? Yes, but she won't get it.
8. You can speak German, ---? Yes, but not very fluently.
9. He won't mind if I use his phone, ---? No, of course he won't.
10. There are a lot of people here, ---? Yes, more than I expected.
11. Let's go out tonight, ---? Yes, let's.
12. This isn't very interesting, ---? No, not very.
13. I'm too impatient, ---? Yes, you are sometimes.
14. You wouldn't tell anyone ---?No, of course not.
15. Listen, ---? OK, I'm listening.
16. I shouldn't have lost my temper, ---? No, but never mind.
17. Don't drop that vase, ---? No, don't worry.
18. He'd never met her before, ---?, No, that was the first time.
51.2 Read the situation and write a sentence with a question tag. In each
situation you are asking your friend to agree with you.
1. You look out of the window. The sky is blue and the sun is shining. What
do you say to your friend? (beautiful day) _It's a beautiful day, isn't_
2. You're with a friend outside a restaurant. You're looking at the prices, which
are very high. What do you say? (expensive) It ---
3. You've just come out of the cinema with a friend'. You really enjoyed the
film. What do you say to your friend? (great) The film ---
42
Countable and uncountable nouns (1)
A. A noun can be countable or uncountable. Compare:
#1 Countable
* I eat a banana every day. * I like bananas.
Banana is a countable noun.
A countable noun can be singular (banana)or plural (bananas).
Countable nouns are things we can count. So we can say 'one banana', 'two
bananas' etc. Examples of nouns usually countable:
* There's a beach near here. * Ann was singing a song.
* Have you got a ten-pound note?
* It wasn't your fault. It was an accident.
#2 Uncountable
* I eat rice every day. * I like rice.
Rice is an uncountable noun.
An uncountable noun has only one form(rice).
Uncountable nouns are things we cannot count. We cannot say 'one rice', 'two
rices' etc.
B. #1 You can use a/an with singular countable nouns:
a beach a student an umbrella
You cannot use singular countable nouns alone (without a/the/my etc.):
* I want a banana. (not 'I want banana')
#2 You cannot normally use a/an with uncountable nouns. We do not say 'a
sand' or 'a music'. But you can often use a ... of:
a bowl of rice a drop of water a piece of music a game of tennis etc. You can
use uncountable nouns alone (without the/my/some etc.):
* I eat rice every day. * There's blood on your shirt.
C. #1 You can use some and any plural countable nouns:
* We sang some songs. * Did you buy any apples?
We use many and few with plural countable nouns:
* We didn't take many photographs.
* I have a few jobs to do.
43
EXERCISES
68.1 Some of these sentences need a/an. Correct the sentences which are
wrong. If the sentence is already correct, put 'RIGHT'.
1. Jim goes everywhere by bike. He hasn't got car. a car_
2. Ann was listening to music when I arrived.
3. We went to very nice restaurant last weekend.
4. I clean my teeth with toothpaste.
5. I use toothbrush to clean my teeth.
6. Can you tell me if there's bank near here?
7. My brother works for insurance company in London.
68.2 Complete the sentences using one of the following words. Use a/an where
necessary. accident biscuit blood coat decision electricity key letter
moment question sugar
1. It wasn't your fault. It was _an accident._
2. Listen! Can you hear _music?_
3. I couldn't get into the house because I didn't have ---.
4. It's very warm today. Why are you wearing ---?
5. Do you take --- in your coffee?
6. Are you hungry? Would you like --- with your coffee?
68.3 Complete the sentences using one of the following words. Sometimes the
word needs to be plural (-s). air country day friend meat language
letter patience people photograph queue space
1. I had my camera but I didn't take many _photographs._
2. There are seven --- in a week.
3. A vegetarian is a person who doesn't eat ---.
4. Outside the cinema there was --- of people waiting to see the film.
5. I'm not very good at writing ---.
6. Last night I went out with some --- of mine.
7. There were very few --- in the shops today. They were almost empty.
Countable and uncountable nouns (2)
44
A. Many nouns can be used as countable or uncountable nouns,
usually with a difference in meaning. Compare:
#1 Countable
* Did you hear a noise just now? (= a particular noise)
* I bought a paper to read. (= a newspaper)
* There's a hair in my soup! (= one single hair)
* You can stay with us. There is a spare room. (= a room in a house)
* I had some interesting experiences while I was away. (= things that happened to
me)
* Enjoy your holiday. Have a good time!
#2 Uncountable
* I can't work here. There's too much noise. (not 'too many noises')
* I need some paper to write on. (= material for writing on)
* You've got very long hair. (not 'hairs') (= all the hair on your head)
* You can't sit here. There isn't room. (= space)
B. Coffee/tea/beer/juice etc. (drinks) are normally uncountable:
* I don't drink coffee very often.
But they can be countable when you are thinking of a cup/a glass etc. So you
can say:
* (in a restaurant) Two coffees and an orange juice, please.
C. There are some nouns that are usually uncountable in English but
often countable in other languages. For example:
accommodation behaviour damage luck permission traffic
bread furniture luggage progress weather chaos information
news scenery work
These nouns are usually uncountable, so: i) you cannot use a/an with them (you
cannot say 'a bread', 'an advice' etc.) and ii) they are not normally plural (we do
not say 'breads', 'advices' etc.).
* I'm going to buy some bread. or .. a loaf of bread. (not 'a bread')
* Enjoy your holiday! I hope you have good weather. (not 'a good weather')
45
EXERCISES
69.1 Which of the underlined parts of these sentences is correct?
1. 'Did you hear _noise/a noise- just now?' 'No, I didn't hear anything.' ('a noise'
is correct)
2. a. If you want to know the news, you can read _paper/a paper._
b. I want to write some letters but I haven't got _a paper/any paper_ to write on.
3. a. I thought there was somebody in the house because there was _light/a
light_ on inside. b. _Light/A light_ comes from the sun.
4. a. I was in a hurry this morning. I didn't have _time/a time_ for breakfast.
b. 'Did you enjoy your holiday?' 'Yes, we had _wonderful time/a wonderful
time._'
5. Sue was very helpful. She gave us some very useful _advice/advices._
6. We had _very good weather/a very good weather_ while we were on holiday.
7. We were very unfortunate. We had _bad luck/a bad luck._
8. It's very difficult to find a _work/job_ at the moment.
9. Our _travel/journey_ from London to Istanbul by train was very tiring.
10. When the fire alarm rang, there was _total chaos/a total chaos._
69.2 Complete the sentences using these words. Sometimes you need the
plural (-s).
chair experience experience furniture hair information job
luggage permission progress work
1. I didn't have much _luggage_--just two small bags.
2. They'll tell you all you want to know. They'll give you plenty of ---
3. There is room for everybody to sit down. There are plenty of ---
4. We have no ---, not even a bed or a table.
5. 'What does Alan look like?' He's got a long beard and very short ---
6. Carla's English is better than it was. She's made ---
7. George is unemployed. He's looking for a ---
8. George is unemployed. He's looking for ---
9. If you want to leave work early, you have to ask for ---
10. I don't think Ann will get the job. She hasn't got enough ---
11. Rita has done many interesting things. She should write a book about her ---
46
Countable nouns with a/an and some
47
EXERCISES
70.1 What are these things? Try and find out if you don't know.
1. an ant? _It's an insects._
2. ants? bees? _They're insects._
3. a cauliflower?
4. chess?
5. a violin? a trumpet? a flute?
6. a skyscraper?
7. Earth? Mars? Venus? Jupiter?
8. a tulip?
9. the Rhine? the Nile? the Mississippi?
10 a pigeon? an eagle? a crow? Who were these people?
11. Beethoven? _Has was a composer._
12. Shakespeare?
70.2 Read about what these people do and say what their jobs are. Choose
one of these jobs:
driving instructor interpreter journalist nurse pilot plumber travel
agent waiter
1. Stella looks after patients in hospital. _She's a nurse._
2. George works in a restaurant. He brings the food to the tables. He ---
3. Mary arranges people's holidays for them. She ---
4. Ron works for an airline. He flies aeroplane. ---
5. Linda teaches people how to drive. ---
6. Dave fits and repairs water pipes. ---
7. Jenny writes articles for a newspaper. ---
8. John translates what people are saying from one language into another,
so that they can understand each other. ---
48
Some and any
A. In general we use some (also somebody/someone/something) in
positive sentences and any (also anybody etc.) in negative sentences (but
see also Sections C and D):
#1 some
* We bought some flowers.
* He's busy. He's got some work to do.
* There's somebody at the door.
* I'm hungry. I want something to eat.
#2 any
* We didn't buy any flowers.
* He's lazy. He never does any work.
* There isn't anybody at the door.
* I'm not hungry. I don't want anything to eat.
We use any in the following sentences because the meaning is negative:
* She went out without any money. (She didn't take any money with her.)
* He refused to eat anything. (He didn't eat anything.)
* Hardly anybody passed the examination. (= almost nobody passed) B. In most
questions we use any:
* 'Have you got any luggage?' 'No, I haven't.'
* 'Has anybody seen my bag?' 'Yes, it's under the table.'
49
EXERCISES
84.1 Complete the sentences with some or any.
1. We didn't buy _any_ flowers.
2. This evening I'm going out with --- friends of mine.
3. 'Have you seen --- good films recently?' 'No, I haven't been to the cinema for
ages.'
4. I didn't have --- money, so I had to borrow ---.
5. Can I have --- milk in my coffee, please?
6. I was too tired to do --- work.
7. You can cash these traveller's cheques at --- bank.
8. Can you give me --- information about places of interest in the town?
9. With the special tourist train ticket, you can travel on --- train you like.
10. If there are --- words you don't understand, use a dictionary.
84.2 Complete the sentences with some- or any- + -body/-thing/-where.
1. I was too surprised to say _anything._
2. There's --- at the door. Can you go and see who it is?
3. Does --- mind if I open the window?
4. I wasn't feeling hungry, so I didn't eat ---.
5. You must be hungry. Would you like --- to eat?
6. Quick, let's go! There's --- coming and I don't want --- to see us.
7. Sally was upset about --- and refused to talk to ---.
8. This machine is very easy to use --- can learn to use it in a very short time.
9. There was hardly --- on the beach. It was almost deserted.
10. 'Do you live --- near Jim?' 'No, he lives in another part of town.'
11. We slept in a park because we didn't have --- to stay.
12. 'Where shall we go on holiday?' 'Let's go --- warm and sunny.'
13. They stay at home all the time. They never seem to go ---.
15. Why are you looking under the bed? Have you lost ---?
16. --- who saw the accident should contact the police.
17. Sue is very secretive. She never tells --- (2 words)
50
Adjectives: word order (a nice new house), Adjectives after verbs (You look
tired)
51
EXERCISES
98.1 Put the adjectives in brackets in the correct position.
1. a beautiful table (wooden/round) _a beautiful round wooden table_.
2. an unusual ring (gold) ---.
3. a new pullover (nice) ---.
4. a new pullover (green) ---.
5. an old house (beautiful) ---.
6. black gloves (leather) ---.
7. an American film (old) ---.
8. a long face (thin) ---.
9. big clouds (black) ---.
10. a sunny day (lovely) ---.
11. a wide avenue (long) ---.
12. a metal box (black/small) ---.
13. a big cat (fat/black) ---.
98.2 Write the following in another way using the first .../the next ..../the last ...
1. the first day and the second day of the course _the first two days of the course_
2. next week and the week after _the next two weeks_
3. yesterday and the day before yesterday ---
4. the first week and the second week of September ---
5. tomorrow and a few days after that ---
6. questions 1, 2 and 3 of the examination ---
7. next year and the year after ---
8. the last day of our holiday and the two days before that ---
98.4 Choose the correct word.
1. This tea tastes a bit _strange._ (strange/strangely)
2. I always feel --- when the sun is shining. (happy/happily)
3. The children were playing --- in the garden. (happy/happily)
4. The man became --- when the manager of the restaurant asked him to leave.
(violent/violently)
52
Adjectives and adverbs (1) (quick/quickly) A. Look at these examples:
* Our holiday was too short - the time went very quickly.
* The driver of the car was seriously injured in the accident.
Quickly and seriously are adverbs. Many adverbs are made from an adjective + -1y:
adjective: quick serious careful quiet heavy bad
adverb: quickly seriously carefully quietly heavily badly
For spelling, see Appendix 6.
Not all words ending in -ly are adverbs. Some adjectives end in -ly too, for
example: friendly lively elderly lonely silly lovely
B. Adjective or adverb?
#1 Adjectives (quick/careful etc.) tell us about a noun. We use adjectives
before nouns and after some verbs, especially be:
* Tom is a careful driver. (not 'a carefully driver')
* We didn't go out because of the heavy rain. * Please be quiet.
* I was disappointed that my exam results were so bad.
We also use adjectives after the verbs look/feel/sound etc. (see Unit 98D):
* Why do you always look so serious?
Compare:
* She speaks perfect English.(adjective + noun)
* She speaks English perfectly.(verb + object + adverb)
Compare these sentences with look:
* Tom looked sad when I saw him. (= he seemed sad, his expression was sad)
* Tom looked at me sadly. (= he looked at me in a sad way)
C. We also use adverbs before adjectives and other adverbs. For example:
reasonably cheap (adverb + adjective) terribly sorry (adverb + adjective)
incredibly quickly (adverb + adverb)
* It's a reasonably cheap restaurant and the food is extremely good.
* Oh, I'm terribly sorry. I didn't mean to push you. (not 'terrible sorry')
* Maria learns languages incredibly quickly.
* The examination was surprisingly easy.
53
EXERCISES
99.1 Complete the sentences with adverbs. The first letter(s) of each adverb
are given.
1. We didn't go out because it was raining _heavily._
2. Our team lost the game because we played very ba---.
3. I had little difficulty finding a place to live. I found a flat quite ea---.
4. We had to wait for a long time but we didn't complain. We waited pa---.
5. Nobody knew George was coming to see us. He arrived unex---.
6. Mike keeps fit by playing tennis reg---.
99.2 Put in the right word.
1. The driver of the car was _seriously_ injured. (serious/seriously)
2. The driver of the car had serious_ injuries. (serious/seriously)
3. I think you behaved very ---. (selfish/selfishly)
4. Rose is --- I upset about losing her job. (terrible/terribly)
5. There was a --- change in the weather. (sudden/suddenly)
6. Everybody at the party was --- dressed. (colourful/colourfully)
99.3 Complete each sentence using a word from the list. Sometimes you
need the adjective (careful etc.) and sometimes the adverb (carefully etc.).
careful(ly) complete(ly) continuous(ly) financial(ly) fluent(ly)
happy/happily nervous(ly) perfect(ly) quick(ly) special(1y)
1. Our holiday was too short. The time passed very _quickly._
2. Tom doesn't take risks when he's driving. He's always ---.
3. Sue works --- She never seems to stop.
4. Alice and Stan are very --- married.
5. Monica's English is very --- although she makes quite a lot of mistakes.
6. I cooked this meal --- for you, so I hope you like it.
7. Everything was very quiet. There was --- silence.
8. I tried on the shoes and they fitted me ---.
9. Do you usually feel --- before examinations?
10. I'd like to buy a car but it's --- impossible for me at the moment.
54
Enough and too
A. The position of enough
Enough goes after adjectives and adverbs:
* He didn't get the job because he wasn't experienced enough. (not 'enough
experienced')
* You won't pass the examination if you don't work hard enough.
* She shouldn't get married yet. She's not old enough. The opposite is too. (too
hard/too old etc.):
* You never stop working. You work too hard. Enough normally goes before
nouns:
* He didn't get the job because he didn't have enough experience. (not
'experience enough')
* I'd like to go away on holiday but I haven't got enough money.
* Some of us had to sit on the floor because there weren't enough chairs. You
can also use enough alone (without a noun):
* I'll lend you some money if you haven't got enough. The opposite is too
much.../too many ...:
* We can't go away on holiday. It costs too much (money).
* There are too many people and not enough chairs.
B. We say enough/too ... for (somebody/something):
* I haven't got enough money for a holiday.
* He wasn't experienced enough for the job.
* This shirt is too big for me. I need a smaller size.
* They spoke too quickly for us to understand.
C. We say:
The food was very hot. We couldn't eat it.
and: The food was so hot that we couldn't eat it. but: The food was too hot to
eat. (without 'it') Some more examples like this:
* The wallet was too big to put in my pocket. (not 'too big to put it')
* These boxes are too heavy to carry. (not 'too heavy to carry them')
* The water wasn't clean enough to swim in.
55
EXERCISES
102.1 Complete these sentences using enough with one of the following
adjectives or nouns:
adjectives: big old warm well,
nouns: cups milk money qualifications room time
1. She shouldn't get married yet. She's not _old enough._
2. I'd like to buy a car but I haven't got ---.
3. Have you got --- in your tea or would you like some more?
4. Are you ---? Or shall I switch on the heating?
5. It's only a small car. There isn't --- for all of you.
6. Steve didn't feel --- to go to work this morning.
7. 1 didn't answer all the questions in the exam. I didn't have ---.
102.2 Complete the answers to the questions. Use too or enough with the
word in brackets.
1. Is she going to get married? (old) No, she's not _old enough to get married._
2. I need to talk to you about something. (busy) Well, I'm afraid I'm --- to you now.
3. Let's go to the cinema. (late) No, it's --- to the cinema.
4. Why don't we sit in the garden? (warm) It's not --- in the garden.
5. Would you like to be a politician? (nice) No, I'm --- a politician.
6. Do you want to play tennis today? (energy) No, I haven't got --- tennis today.
7. Did you hear what he was saying? (far away) No, we were --- what he was
saying.
102.3 Make one sentence from two. Complete the new sentence using too or
enough.
1. We couldn't cat the food. It was too hot. _The food was, too hot to eat._
2. I can't drink this coffee. It's too hot. This coffee is ---.
3. Nobody could move the piano. It was too heavy. The piano ---.
4. I don't wear this coat in winter. It isn't warm enough. This coat ---
5. I can't explain the situation. It is too complicated. The situation ---.
6. Three people can't sit on this sofa. It isn't wide enough. This sofa ---.
7. We couldn't climb over the wall. It was too high. The wall ---.
8. You can't see some things without a microscope, They are too small. Some ---.
56
International Council of Nurses
Code for Nurses
57
American Nurses' Association
Code for Nurses
1- The nurse provides service with respect for human dignity
and the uniqueness of the client.
2- The nurse safeguards the client's right to privacy by protecting
information of a confidential nature.
3- The nurse acts to safeguard the client when health care and
safety are affected by the incompetent, unethical or illegal
practice of any person.
4- The nurse assumes responsibilities for individual nursing,
judgments and actions.
5- The nurse maintains competence in nursing.
6- The nurse uses individual competence and qualifications as
criteria in seeking consultation, accepting responsibilities and
delegating nursing activities to others.
7- The nurse participates in activities that contribute to the
development of the profession's body of knowledge.
8- The nurse participates in the profession's efforts to implement
and improve standards of nursing.
9- The nurse participates in the profession's efforts to maintain
conditions of employment conducive to high quality nursing
care.
10- The nurse participates in the profession's efforts to maintain
the integrity of nursing.
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Code of Professional Conduct for the Nurse Midwife and
Health Visitor in the United Kingdom
Each registered nurse midwife and health visitor will act, at all
times, in such way that:
1- Safeguard and promote the clients' interests, well being and health.
2- Serve the interest of society.
3- Justify public trust and confidence.
4- Uphold the reputation of the profession, assuming
responsibilities in nursing practice.
5- Maintain and improve knowledge and competence.
6- Work in an open and co-operative manner with health care
professionals.
7- Recognize the dignity of each client and respond to his or
her need for care irrespective of the ethnic origin, religion, etc.
8- Avoid any abuse with patients.
9- Protect all confidential information concerning client in the
course of profesional practice.
10- Assist professional colleagues to develop their professional
competence and assist others in the care team.
11- Refuse any gift, favour or hospitality from clients currently
in your care which might be interpreted as seeking to obtain
preferential considerations.
12- Report to authority circumstances that may compromise standards
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Comprehension Passages
60
Role of Friends
1. The role friends play in our lives has become significantly
greater than at any other time in our history. Today many of us
live and work at great distances from where we were born or
grew up and are separated from our original families. The pain
we feel when we are away from our families can be significant.
(i) Why has the role of friends become much more important in
our lives?
(ii) How do friendships grow?
62
Robots
63
1. On the basis of your reading of the passage, answer any
four of the following questions:
(i) Where will the humans start living in future?
(ii) How can you say that Robots are increasingly used in the
field of education?
(iii) What can you say about the future of Robot in the
classroom?
(iv) What major problem is the world facing today?
(v) What kinds of fuels will be used in future?
64
A Healthy Body
2. Our health is, of course, important not only to us, but also to
our families and even to our employers. No wonder then that
companies everywhere have a stake in the health and fitness of
their employees and are willing to spend considerable
money towards this purpose. Japanese companies particularly
excel in this and the more successful among them start off the
day with a body bending and stretching session and even singing
the company song designed to promote loyalty and motivation
among the workforce! This is considered an important factor
contributing to high productivity and quality. Here is a lesson
which has been emulated elsewhere in the world and could
work wonders in India. It is estimated that some 20,000
American firms have established in-house health clubs.
Typical of these is the soft drink manufacturer. Pepsi Cola
which has spent about $2 million in setting up a health club at
its head office in New York State. Such expenditure has proved
to be a wise investment in achieving better efficiency and higher
productivity. It has, indirectly, also helped reduce the premium
on the health insurance of its staff. This business has grown so
large that hundreds of consultancies have sprung up for the
management of health clubs and fitness centres. In some cases
t,here is a nominal contribution by the employees on the premise
that they will value and use the facilities all the more. Some
insurance companies have teamed up with employers in such
65
ventures as better health contributes to a longer life and hence
more premium! Though many firms in India have generous
medical schemes, the movement towards health clubs and the
like is yet to gain momentum.
(i)What are prerequisites for high effect and good quality work?
(ii) How do Japanese companies ensure loyalty and motivation?
(iii) What do you mean by 'wise investment'?
(iv) Why do companies have health clubs?
(v) What does it mean by saying that "the idea of having
health clubs in companies is yet to gain momentum?
(vi) Japanese companies are particularly excellent in which thing
(vii) Why do companies take care of their employees‘ health?
(viii) What is directly affected by physical health?
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Good Manners
Good manners are not inherited. And they don't come naturally to
intelligent people. They have to be learnt and practised. They are
based upon the concept of consideration for others. They are
easy to acquire and there is nothing more profitable. Good
manners are a necessary complement in every walk of life,
especially in business. Organisations with competent and well-
mannered representatives enjoy a good reputation. The morale,
productivity and profits of such an organization will be high.
And this, in turn, will attract more business. There is no
particular place or time when a person should show or begin his
elementary courtesy. Courtesy, etiquette and manners are tools
that one should always carry with oneself, wherever one goes.
The first step to success in life is treating others as courteously as
we would wish others to treat us.
Questions :
(a) What is meant by good manners?
(b) How are good manners acquired?
(c) In what fields are good manners needed?
(d) How is a business organisation profited if it has well-
manneredstaff?
(e) Where should we observe courtesy?
(f) What is the first step for success in life?
67
Good Technical and Communication Skills
68
Remember you are not a comedian who must offend as many
people as you can to be witty.
69
Happiness
On a cloudy day, the clouds hide the sun, but the sun is always
there. Happiness is like the sun, it is often hidden by the clouds
of thoughts, worries and desires. We have to scatter and dissolve
them experience happiness.
You don't have to create happiness. All you have to do is calm
down your mind because when there are a quiet mind and inner
peace, there is happiness. Happiness is not something far away
and unattainable. Happiness does not depend on circumstances,
objects or events. It is an inseparable part of our consciousness,
of our essence, but hidden and covered from sight, by our
thoughts, desires and worries.
The mind is always in a constant race from one thought to
another, from one worry to another. It constantly moves from
one object or task to another, never standing still. This
restlessness hides the happiness that is within you.
It is like a choppy sea that hides the bottom. When the sea gets
calm you can see the bottom. In the same way, when the mind
gets quiet you sense the happiness that is within you.
You cannot see a treasure at the bottom of a stormy and muddy
lake, though it is there. However, when the wind stops, the water
becomes still, and the mud sinks, you can see the treasure. The
treasure is there, whether you see it or not. So is happiness. It is
always there, only hidden by thoughts, desires and worries.
You can experience more and more happiness in your life. Only
your thoughts stand in your way of experiencing it. Next time
you feel happy, stop for a moment and watch the state of your
mind. You will be surprised to discover that it is calm, and there
is almost no thought in your mind. Since the mind is not
accustomed to staying in this peaceful state for long, it soon
becomes active again and the sense of happiness disappears.
The experience of mystics down the ages has shown that
happiness is inherent in our souls; it is not something to be
gained anew. All that is necessary to do is to uncover it.
70
1. On the basis of your understanding of the above passage
answer the questions given below:
71
Health
Man does not live by food alone. Water is vital to human health
and fitness. Although it is not a nutrient per se as are
carbohydrates, fats, proteins, vitamins and minerals. It, in fact, is
a key nutrient in as much as no life is possible without it.
Whereas we can do for weeks without food, we cannot live
without water longer than a couple of days. Water approximates
60 per cent of the body weight of human adults. The total
amount of water in a man weighing 70 kilograms is
approximately a little over 40 litres. It is an excellent solvent –
more substances are soluble in water than in any other liquid
known so far. This makes it an ideal constituent of the body
fluids which sustain life-supporting chemical reactions. It
dissolves varied products of digestion and transports them to the
rest of the body. Likewise, it dissolves diverse metabolic
wastes and helps drain them out of the body. Besides, it
performs a variety of functions some well known and well
understood while others not so well appreciated yet vital. The
no less important role of water is to distribute/dissipate the
body heat efficiently, thereby regulating the body‘s
temperature. Water accomplishes this role ideally because it has
thermal conductivity ensuring rapid heat from one part to the
other. Above all, water has a high specific heat, implying that it
takes a lot of heat to raise the temperature of water and likewise
much heat must be lost to lower its temperature. Drinking a lot of
water is an inexpensive way to stay healthy. Even excess of water
is harmless. Water therapy drinking a litre or so the first thing in
the morning is kidney- friendly. The water regulation in the
body is affected by the hypothalamus in two ways i.e.,(i) by
creating the sensation of thirst which makes us drink water
and (ii) by controlling the excretion of water and urine. If water
regulation fails, medical emergency ensues.
1. Man cannot live for more than a couple of days
(a) Without food (b) without water (c) without oxygen (d)
without fruits
Questions
To this must be added the fact that more than 50 per cent of the
skilled scientific manpower in the world is now engaged in the
armaments industry. How appropriate it is that all this valuable
skill should be devoted to the manufacture of weapons of death
in a world of poverty is a question that must touch the scientific
conscience.
A meeting of biologists on the long-term worldwide
biological consequences of Nuclear War added frightening
dimensions to those forecasts. Its report suggested that the long
biological effects resulting from climatic changes may at least be
as serious as the immediate ones.
(d) What is the synonym of the word, 'disposed of'? (Para 4) (i)
prepared (ii) motivated (iii) changed (iv) thrived
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SCIENCE AND TECHNOLOGY
(a) catching (b) expounding (c) sustaining (d) restraining (e) controlling
2. According to the passage, the question of abortion is
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(a) ignored (b) hotly debated (c) unanswered (d) left to the
scientists to decide (e) already settled
82
(a) insulted (b) talked about
(c) killed (d) misused
83
Acupuncture
In acupuncture, no drug is injected into the body, so it has no
adverse effects. The stimulation of acupuncture points was done
so far by very thin, sharp sliver needles. The prick is almost
painless. But now techniques like the use of laser beams (without
using needles) are being used in which there is no prick, no pain.
These are readily acceptable to children and those patients who
are scared of needles. For every patient, there is a separate set of
needles, which is sterilized after every use, so there should not be
any fear of infection. Initially three of four courses of
acupuncture treatment are given (one course is of ten days) to
control asthma and usually the patient is off medicine by that
time. After this, one sitting, weekly or fortnightly, is continued
for some time, so as to prevent relapse. At the time of Holi or
Diwali when there is a change of season, there is a tendency of
relapse, so once/twice a week sittings are given during the period
of three seasons, which generally results in an almost cure in
children and young patients(up to the age of 25-30 years).
Relapses are generally unusual. In older age groups though some
damage to lungs has been done due to prolonged disease and
medication, yet considerable improvement is possible resulting in
decrease in severity and frequency of attacks.
Tick the correct option:
1) Acupuncture has no adverse effects because:
(a) only needles are used
(b) no drug is injected
(c) no pricks are made in the body
(d) the body is not touched at all
4) ‗Severity‘ means:
(a) seriousness/acuteness
(b) harshness
(c) unkindness
(d) extreme pain
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Alexander Fleming
Questions:
Q1: How is penicillin different from Pencilliumnotatum?
A- Penicillin is separated from penicilliumnotatum.
Q2: Why wasn't penicillin given to people to save their lives as
soon as it was produced?
A- It's effects were changeable.
Q3: In world war, why did most wounded men die?
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A- The wounds let bacteria enter their bodies.
Q4: That vaccine?
A- Can stop people from getting a cretin disease.
Q5: Why didn't Felming enter medical school until he was 21
years?
A- He had to work to earn money.
Q6: that germs are?
A- Bacteria which cause diseases.
Q7: Why did Fleming grow germs?
A- To study them.
Q8: How many years passed between the discovery of penicillin
and use it?
A- Twelve.
Q9: to advantages of penicillin are mention ...one of the
advantages is….?
A- It's comes from a very common moulds.
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A MIRACLE CURE
88
a) hazard people's lives b) cut people's pains c)
boost people's immune system d) help people heal
7. Quacks do not....
a) offer "panacea" b) disappoint people's hopes
c) give money-back guarantees d) satisfy customers
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BACTERIA
90
Bacteria reproduce by simple cell division. Under ideal
conditions their reproduction is very rapid. One bacterium
divides to form two.
These two divide to form four. In a few hours, these
could be millions of bacteria.
Some bacteria are very useful to humans. They are used to
make such foods as cheese, sour cream, yogurt, vinegar, and
tea. They are also used in tanning hides and making medicines.
91
THE LIVER
92
body c) the largest gland of the stomach d) the largest filter of
digestive juice
93
RIVER OF LIFE: BLOOD
94
Blood is often called the "gift of life". Many lives are saved
each year by blood transfusions.
95
The Many Faces of Medicine
―Take two aspirin and go to bed,‖ one doctor advises. ―No, no.
Drink this herbal tea,‖ says another. ―Don´t listen to them,‖
argues the acupuncturist. ―Come here and let me put some
needles in your back.‖
Who has the best remedy? All of them, some people would say,
because they believe that there is more than one approach to
healing and many ways to practice medicine.
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and flowers to make teas to treat disease. Native Americans have
used plant products to treat such illnesses as high blood pressure
and coughs. At first, modern scientists laughed at herbal healers
and called their methods ―grandmother´s remedies.‖ Today,
however, these same researchers are testing certain elements in
plants for the possible treatment of cancer and AIDS.
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drawn from a variety of cultures. Hopefully, this approach will
prove to be the best one of all.
99
AIDS
Acquired Immune Deficiency Syndrome, i.e., AIDS is one of the
latest medical tragedies that has become the dominant public
health concern. It was not known before 1981 and even now
there is a lot about it that we don‘t know. It is not a disease, but a
condition caused by a virus known as HIV (Human Immune
Deficiency Virus). It attaches itself to the genetic material of the
human Cell and infects it. Human body is infected by HIV in
three ways : Sexual relation with an infected person, transmitted
through infusion of blood or blood products, and transmitted by
HIV infected mother to the newborn child before, during and
after birth. Once the person is infected, the immune system of the
person will be completely destroyed and will eventually fall prey
to any disease. AIDS has no cure and there is no vaccine that can
prevent HIV infection so far. The only way to be away from
AIDS and to prevent HIV transmission is the ‗safe behaviour‘ of
the human beings. Use of disposable syringe in transfusion of
blood should be concerned.
Questions
100
4. What should be concerned in transfusion of blood is:
(a) use of expensive syringe (b) use of disposable syringe
(c) use of extra fine apparatus (d) use of already used syringe
101
Smoking
Questions
102
4. Three countries where the incidence of smoking is going up, are:
(a) Pakistan, India and Sri Lanka (c) India, Indonesia and Canada
(b) China, India and Bangladesh (d) India, Indonesia and China
103
Health and Happiness
Questions
104
attitude
(c) a lot of spiritual intelligence (d) everything needed for it
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Doctors
When most people are ill with a non-life threatening condition
they will most often see a General Practitioner, a GP, also called
a Family Doctor. These doctors generally work in the local
community in surgeries rather than in hospitals, so they are
convenient for people to see for a consultation. However, other
GPs can work in a very wide range of areas, such as in hospitals,
in education and for insurance companies.
As the name suggests, GPs are doctors that do not have a
specialty, such as a brain surgeon or cancer specialist: they are
able to diagnose and treat all the possible diseases and problem
that one of their patients might have. They can treat and manage
most illnesses and perform some minor surgeries in their
practice. Then for more serious cases they will refer the patient to
a specialist that will work in a hospital.
If you are ill and need to see a GP you will normally need to
make an appointment. Sometimes you can just walk into the
surgery and see a doctor, but that is not very likely as GPs are
normally very busy and all their appointment times will be fully
booked. Often you have to wait several hours if not at least one
of two days before you can get an appointment with a GP. If you
are too ill to wait you have to go to a hospital and visit the
accident and emergency department.
GPs also make house-calls. These are when the GP comes to
your house to treat you or see a patient. Most often a GP has to
make house-calls to see elderly people who cannot get to the
surgery easily. They might be ill and need to doctor to give them
medicine or it could be that the GP just want to check on them
and make sure that they are ok.
If you are ill, the doctor will normally prescribe you some
medicine and tell you to go away for a few days before you go
back and visit them again if you have not started to get better.
The GP will also explain how you can have a better lifestyle that
could prevent you from becoming ill in the first place. They will
normally recommend that you stop smoking cigarettes (if you
do), not to drink too much alcohol and to get exercise. Once you
have your prescription you will need to visit a pharmacy to get
the medicine the doctor prescribed you.
Questions
1) What is the difference between a specialist and a GP?
106
A) There is no difference, they are both doctors.
B) The GP normally works in a hospital and the specialist
works in a surgery. C) A GP can treat patients with many
different illnesses, while the specialist focuses on one area only.
D) You need to be referred to a GP but not to a specialist.
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MEDICAL SPECIALISTS
108
emergency rooms. Emergency specialists give immediate
treatment.
There are many other medical specialists. These specialists,
doctors, nurses, and other medical people, all work together to
help their patients. They not only heal people who are sick, but
also they try to prevent diseases.
I. Answer the following questions.
1. What are doctors, nurses, and other medical people?
2. Please, name some diseases vaccinations prevent.
3. How many important jobs have doctors? and what are they?
4. What do ophthalmologists do?
5. What do dentists do?
6. What do surgeons use operations for?
7. Who do obstetricians care for ? and when?
8. What kinds of illness can a family doctor treat?
9. Where do ambulances, and sometimes helicopters take patients to ?
10. What do specialists, doctors, nurses and other medical people
work together for ?
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A & E Departments
A Every day of the year people come through the doors of A&E
departments. Some walk and some come on stretchers. They may be
victims of road traffic accidents, violence, accidents at home, self-
harming, poisoning, burns, and so on.
B A&E is for people who are seriously injured, perhaps unconscious or
losing a lot of blood. Hospitals usually say that A&E departments
are only for critical or life-threatening situations.
C Some people go to A&E with minor injuries like sprains, insect
bites, cuts and nose bleeds. They should not be there. Usually they
have to wait a long time before they are examined and sometimes
staff will send them away.
D When A&E departments have multiple casualties, after a major
incident like a train crash, they have to decide who is a priority and
who can wait. To do this they use a procedure called triage.
E They sort patients into groups. There are those who need immediate
surgery, those who are stable but need hospital care, and those who
only need first aid. People who are going to die are not a priority for
medical care.
F Nursing in A&E is fast moving and interesting. The high level of
stress can sometimes mean that staff suffer emotional problems.
A&E staff are well known for their dark sense of humour – they say
it helps to deal with the stress of the job.
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THE MIND AND THE BODY
113
When this happens, they cannot be resolved until the tensions
are released. To release these muscular tensions, one must feel
them as a limitation of self-expression. In other words, the
body and the mind must work hand in hand to overcome the
problem.
Questions:
1. Coronavirus infects , _, and
2. What are the dangerous variations of Coronavirus?
3. Why this virus is named Corona?
4. What are the symptoms?
5. Who named the virus?
6. What does covid-19 stand for?
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Why study English?
What‘s the aim of learning English at the University? There
are several reasons for it: historical, academic, economic,
practical, intellectual, entertainment, etc. But every student has
his personal motivation which is often the mixture of reasons
mentioned above.
For most students English is the proper language to speak
with the rest of the nations, the so-called lingua franca. It may
provide a role of a neutral means of communication between
different ethnic groups in the emerging multicultural world.
Part of the students especially those who connect their future
career with business and trade understand that they may need
English. Any multinational business will wish to establish
offices in the major English-speaking countries, especially the
USA and Great Britain. So you should be knowledgeable about
how to communicate with multicultural audiences and markets.
There are many other international areas where you can‘t
do without English. English is the language of international
air traffic control, and is developing its role in maritime,
emergency services and international political relations. The
tourist and advertising industries are also English-dependent.
There are those who need English as source of
information, mainly professional. Most of the scientific,
technological, and academic information in the world is
expressed in English, and over 80 percent of all the
information stored in electronic retrieval systems is in English.
Linguistic proficiency will increase career prospects of a
specialist in any field. That‘s why more than 50 percent of the
English course is devoted to studying English for professional
purposes.
All students want to know English as the main language
of popular music and its advertising. It is also the main
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language of the satellite broadcasting, home-computers, and
video-games. You can‘t make use of them without English.
Personally I want to know foreign languages because I have
always been interested in foreign countries, their cultures and
peoples. Learning foreign languages is important for me because
I want to know what is going on around me in the world.
Language not only broadens the mind, it enriches us culturally.
We learn to appreciate ways of life which may be different from
our own. It equips students with the communicative competence
which is the universal competence of today.
Questions:
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Learning English
Today, millions of people want to learn or improve their
English but it is difficult to find the best method. Is it better to
study in Birthday, millions of people want to learn or improve
their English but it is difficult to find the best method. Is it better
to study in Britain or America or to study in your own country?
The advantages of going to Britain seem obvious. Firstly,
you will be able to listen to the language all the time you are in
the country. You will be surrounded completely by the language
wherever you go. Another advantage is that you have to speak
the language if you are with other people. In Egypt, it is always
possible, in the class, to speak Arabic if you want to and the
learning is slower.
On the other hand, there are also advantages to staying at
home to study. You don't have to make big changes to your life.
As well as this, it is also a lot cheaper than going to Britain but it
is never possible to achieve the results of living in the UK. If you
have a good teacher in Egypt, I think you can learn in a more
concentrated way than being in Britain without going to a school.
So, in conclusion, I think that if you have enough time and
enough money, the best choice is to spend some time in the UK.
This is simply not possible for most people, so being here in
Egypt is the only viable option. The most important thing to do in
this situation is to maximize your opportunities: to speak only
English in class and to try to use English whenever possible
outside the class.
Q4: People who don't have a lot of time and money should...?
a) Learn English in Britain.
b) Try and speak English in class more often.
c) Go to Italy to learn English.
Q5 Viable means:
a) Best.
b) Practice.
c) Dangerous.
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Dialogues
120
Doctor & Patient
Doctor: Good-bye.
121
At The Pharmacy
122
Job Interview
124
At the Bank
Bank Clerk: Good morning, welcome to the Grammar Bank. How can I
help you?
Customer: Good morning. I would like to open a bank account.
Bank Clerk: Sure thing. What kind of account would you like to open? A
savings account or a checking account?
Customer: What's the difference?
Bank Clerk: A checking account is designed to use for everyday
transactions. Yet; the money in a savings account is meant to stay in the
account and earn interest over time.
Customer: I see, actually I want to apply for a credit card. That's why I
need an account.
Bank Clerk: Okay then, you probably want a checking account.
Customer: Well, thank you. I'd like that.
Bank Clerk: Sure, we will have you fill out an application form, please.
Customer: No problem.
Bank Clerk: How much of a credit limit were you looking for?
Customer:I would like a $10,000 spending limit.
Bank Clerk: Alright, we will see what we can do. We might be able to get
you one of our gold cards with a $10,000 spending limit.
Customer: Wonderful. Will I also collect points when I use the card?
Bank Clerk: Sure, with our gold card you will get 10 reward points for
every dollar spent.
Customer: Perfect, I have filled out the form. Do you need anything else?
Bank Clerk: You just need to deposit a minimum of $250 into your new
checking account.
Customer: Very well, here you are.
Bank Clerk: Thank you, your account is set up now and your credit card
will be mailed to your address within 5 to 10 business days.
Customer: Thank you for your help, have a good day.
Bank Clerk: Thank you, you too.
125
Introducing Yourself
Two Students (at University)
126
Choose the correct answer
1 He often swimming.
a) go b) goes c) is going d) going
2 like going to school?
a) Does he b) Is he c) He is d) He does
3I want to go out tonight.
a) not b) am not c) don‘t d) are not
4 I‘m very good English
a) in b) from c) at d) of
5 Who are you waiting ?
a) for b) from c) to d) at
6 I can‘t stand exams.
a) do b) to do c) does d) doing
7 I‘m taking my car to the .
a) doctor b) dentist c) mechanic d) plumber
8 The only vegetables in the house are .
a) cheese b) carrots c) apples d) oranges
9 What ? Yoga.
a) are you doing b) do you do c) you do d) you are doing
10 I` the computer every day.
a) use b) using c) not use d) am using
11 Mum and Dad are sitting in garden.
a) a b) an c) – d) the
12 My friend has got old dog.
a) the b) an c) a d) –
13 Could we look at the , please?
a) card b) list c) food d) menu
14 The police don‘t know who the bank.
a) thief b) stole c) robbed d) escaped
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15 My father born in 1960.
a) was b) is c) did d) –
16 When married?
a) did you get b) you got c) you were d) you
17 He want us to come to the party.
a) didn‘t b) wasn‘t c) not d) hasn‘t
18 Who‘s the boy the middle of the photo?
a) on b) in c) at d) to
19 I saw a very film at the weekend.
a) scared b) scary c) scare d) scaring
20 I along the road when I heard a noise.
a) walk b) have walked c) walked d) was walking
21 I got an e-mail from Mark yesterday and today.
a) other b) other one c) another one d) another ones
22 school, I went home.
a) Before b) After c) Afterwards d) Later
23 we were talking, a policeman told us to move.
a) When b) During c) While d) Same time
24 It‘s a cold day. Put your on.
a) jumper b) tie c) belt d) blouse
25 Are you wearing trainers with no ? Isn‘t that uncomfortable?
a) shoes b) trousers c) skirt d) socks
26 This coat is longer yours.
a) than b) from c) that d) as
27 This is the day of my life.
a) bad b) worse c) worst d) better
28 What‘s the expensive DVD player in the shop?
a) more b) most c) much d) very
29 This walk is very . I need to sit down.
a) tire b) tiring c) more tired d) tired
30 I‘d like to try this dress, please.
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a) up b) in c) on d) out
31 This room is small.
a) to b) too much c) enough d) too
32 We had a very time on holiday.
a) enjoy b) enjoyment c) enjoyed d) enjoyable
33 I love going on holiday.
a) sightseeing b) seeing sights c) seeing the sights d) sightsee
34 Hello. Is there there?
a) somebody b) anybody c) nobody d) everybody
35 It‘s not fair. wants to play football with me.
a) Nobody b) Somebody c) Anybody d) Not anybody
36 I haven‘t got money left.
a) no b) none c) any d) some
37 There‘s a lovely from the window.
a) sight b) view c) look d) see
38 I be home by 8 o‘clock
a) can‘t b) can c) haven‘t d) have to
39 I‘m sorry, I go with you.
a) can b) don‘t have to c) can‘t d) haven‘t
40 to phone your mum?
a) You have b) You do have c) Can you d) Do you have
41 Are you laughing me?
a) to b) at c) from d) for
42 The at the circus were really funny.
a) clowns b) acrobats c) gymnasts d) magicians
43 This hand computer is very easy to use.
a) held b) used c) carried d) lifted
44 What do after you leave school?
a) are you b) you are going to c) will you d) do you
45 We will here for twenty years.
a) to live b) live c) living d) lived
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46 If you any problems, I will come and help you.
a) have b) had c) will have d) do have
47 We won‘t catch the train if you hurry.
a) won‘t b) aren‘t c) don‘t d) didn‘t
48 Where if you have a holiday this year?
a) you go b) are you going c) did you go d) will you go
49 Can you make a cup of coffee, please?
a) I b) me c) for me d) to me
50 The window is . You see, it has three sides.
a) triangle b) rectangle c) triangular d) rectangular
51 This chair is quite nice but you need some on it.
a) pillows b) curtains c) carpets d) cushions
52 You should put your clothes in the , not on the floor.
a) shelf b) chair c) bedspread d) wardrobe
53 Have you your homework?
a) do b) did c) done d) doing
54 I haven‘t you your money.
a) gave b) given c) giving d) give
55 Come out of the school and right.
a) take b) along c) turn d) move
56 You have to go the cinema.
a) along b) turn c) across d) past
57 You should more exercise.
a) do b) to do c) doing d) done
58 It was a great to win so many matches.
a) achieve b) achievement c) achieved d) achieving
59 You showed incredible to save those children
a) danger b) preparation c) bravery d) recovery
60 to do anything special this weekend?
a) Are you doing b) Will you c) Do you d) Are you going
61 I to wait here until the shops open.
a) going b) will c) go d) ‘m going
62 We dinner with our friends this evening.
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a) going to have B ‘re having c) will have d) have
63 Who this song? It‘s beautiful
a) did write b) write c) wrote d) written
64 What usually do at the weekend?
a) are you b) you c) you do d) do you
65 We‘re going to the tennis for a game.
a) pitch b) room c) court d) studio
66 Are you going to take in the school show?
a) place b) part c) care d) up
67 Our school is the same it was 50 years ago.
a) than b) as c) like d) what
68 I‘d go for a meal
a) prefer b) like c) rather d) want
69 He‘s very good at sports. He‘s very .
a) logical b) practical c) athletic d) creative
70 Hey! Come and look this. Isn‘t it amazing?
a) to b) at c) for d) after
71 We won‘t have another holiday this year, ?
a) will we b) won‘t we c) do we d) don‘t we
72 That was a great meal, ?
a) isn‘t it b) was it c) wasn‘t it d) is it
73 While I , I saw a shark in the water.
a) swam b) swim c) was swimming d) have swum
74 Do you believe dreams?
a) of b) at c) for d) in
75 I think this restaurant is the best in town. So,
a) do I b) am I c) I think d) do I think
76 A thousand cakes a week in this café.
a) is sold b) are sold c) sell d) sold
77 I‘m taking medicine because I‘ve got a throat.
a) pain b) sore c) hurt d) ache
78 I‘m to animal hair.
a) sneezing b) allergic c) ill d) cough
79 I wish people wouldn‘t drop in the street.
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a) graffiti b) pollution c) litter d) vandalism
80 Where‘s Phil? He‘s never late. There be something wrong
a) must b) can‘t c) will d) may
81 This is a nice place to live.
a) quite b) bit c) great d) really
82 I‘ve done this before, this is the first time.
a) yet b) already c) ever d) never
83 Have you read the book I gave you ?
a) already b) ever c) yet d) ago
84 up early on holiday is not right!
a) Getting b) Get c) Got d) To get
85 I love films. You know, films about the past like Braveheart.
a) animated b) historical c) fantasy d) science fiction
86 Oh no! He‘s driving too fast. Look out! He crash!
a) will b) may c) won‘t d) is going to
87 I came this book in a little shop in London.
a) over b) up c) across d) through
88 DVDs are good, the cinema is better.
a) Although b) However c) So d) But
89 I know you‘re about your exam results but try not to
worry too much.
a) delighted b) anxious c) annoyed d) furious
90 Please phone me as soon as you home.
a) will get b) are getting c) get d) got
91 What shall we do today? How about to the cinema?
a) go b) to go c) going d) let‘s go
92 I can‘t stop singing this song. It‘s so .
a) repetitive b) catchy c) monotonous d) relaxing
93 That‘s the woman children were so polite.
a) whose b) who c) which d) that
94 You can have a cake or an ice cream.
a) both b) also c) not only d) either
95 My father told my sister her boyfriend again.
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a) don‘t see b) to not see c) never see d) not to see
96 Are you happy your grades?
a) for b) with c) from d) at
97 If you harder, you would be rich.
a) worked b) would work c) have worked d) will work
98 You happy if you were alone.
a) won‘t be b) wouldn‘t be c) aren‘t d) weren‘t
99 This job is a better than my old one.
a) much ` b) even c) lot d) more
100 There were only a people at the party.
a) little b) many c) lot of d) few
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References:
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