2014 UNDH International Diploma of English for Health Professionals Final Grammar Test 30 min.

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1 2014 UNDH International Diploma of English for Health Professionals Final Grammar Test 30 min. 1. There have been outbreaks of smallpox in the western world in the past ten years. a) hardly any b) hardly no c) hardly d) almost none 2. Nurses, contact with patients gives them a privileged relationship, can help medication advice. a) who b) whom c) that d) whose 3. When the cells lining the walls of the duodenum are stimulated by the acid and fat content of the chyme, they produce a number of hormones, travel in your blood to the three other essential organs in the digestive process, your gall bladder, liver and pancreas. a) some of what b) some of which c) some of that d) some of whom 4. normal people are able to produce protective antibodies, but in the capacity to differentiate potentially harmful substances from harmless ones is absent. a) Every / any / some b) Any / such / some c) Whole / such / any d) All / such / some 5. Before birth a baby gets all the oxygen it needs from its mother s placenta, lungs contain no air and all little air sacs (alveoli) are flat. a) / the / the b) / / c) / the / d) the / the / the 6. A new experimental drug beats aspirin at heart attacks and stroke without harming the stomach. a) prevent b) to preventing c) preventing d) prevented 7. belching is socially unacceptable in many cultures, it plays a useful role in the digestive process. a) When b) Although c) However d) For 8. The ability of doctors to diagnose Alzheimer s disease in recent years, but this a process of elimination and final diagnosis can be confirmed only by post-mortem. a) have improved / remained b) is improving / remains c) improves / remains d) has improved / remains 9. One or two drinks a day seem to cut by one-third the risk of developing clogged arteries in the legs a painful, sometimes dangerous condition that tends to afflict the elderly. Alcohol probably helps legs the same way it helps the heart - good HDL cholesterol. a) by raising b) with raising c) raising d) in raising 10. Hair dye shows its true colours. Research suggests dyes that are applied daily until the desired color - Grecian Formula, for example may leave dangerous residues of lead on hands and bathroom surfaces. a) will achieve b) is achieved c) achieves d) has achieved 1

2 11. media contain substances to inhibit the growth of bacteria, but not the species of interest. a) Some / many b) Some / much c) Any / all d) Some / the whole 12. Nearly half the U.S. population suffers some form of chronic illness, such as diabetes, arthritis or ulcers. Together, the conditions account for 75 % of all medical expenses. a) of b) with c) by d) from 13. Obese mothers have twice the normal risk of bearing babies with neurological defects. And thin women, they don t reduce their risk by taking folic acid, a vitamin known to prevent such abnormalities. a) unlike b) like c) as d) despite of 14. Don t chew the fat. The mere taste of fatty food - it isn t swallowed promotes an increase in the concentration of fat in the blood. a) even b) if c) even whether d) even if 15. Research shows that HIV much more readily infects the blood of subjects inoculated with tetanus vaccine. The findings suggest that people immune systems are challenged by other infections the flu, a parasite or other disease might be more susceptible to the AIDS virus. a) of which b) whom c) whose d) which 16. Adults troubled by anxiety or depression twice as likely as their calm, happy peers to develop hypertension later in life. a) should be b) may be c) aren t d) must be 17. When grains and cereals are refined, the cellulose or dietary fibre is often removed. White rice and white flour, for example, contain nutritional value, as well as virtually no fibre. a) some b) much c) little d) a little 18. Bacteria by the Dutch naturalist Anton van Leeuwenhoek with the aid of a simple microscope of his own construction. a) were first observed b) was first observing c) have first observed d) was first observed 19. Smoking can prevent growth of the. As few as five cigarettes a day may inhibit their ability to grow to normal size, a study of teenagers suggests. a) foot b) lungs c) gallbladder d) teeth 20. Pregnant women avoid tobacco smoke their own and people s. The fumes can pass toxic compounds to the fetus that ultimately trigger childhood leukemia or other cancers. a) should / should b) should / may c) may / may d) may / should 21. Interferon appears to stop the of a particular hard-to-treat brain tumour called malignant meningioma. 2

3 a) development b) develop c) grow d) growth 22. This breakdown will involve a three delay. a) hours b) -hour c) hour d) hour s 23. Taxes have increased 25 percent in the years. a) by / two last b) of / two last c) by / last two d) from / last two 24. Travelling by air him sick. a) lets b) does c) has d) makes 25. Why if you don t enjoy it? a) to smoke b) smoking c) smoke d) a smoke 26. The success of his first novel enabled his whole time to writing. a) to devote b) himself to devote c) him to devote d) for him to devote 27. Mrs. Pricklet for over 5 months now. a) is dead b) died c) has been dead d) was dead 28. Though he works late at his office, he still takes college courses three nights. a) in every week b) per weekly c) in each week d) a week 29. The project runs into dollars. a) million b) millions c) millions of d) million of 30. The document was drawn up by a six commission. a) men s b) man c) men d) man s 31. It is estimated that 2 jobs in Britain are bound up with the EEC. a) millions of b) millions c) million of d) million 32. The nurse asked how. a) did I feel b) I feel c) I felt d) I have felt 33. Their blood cholesterol needs. a) be lowered b) lowering c) to be lowest d) to lower 34. The AIDS epidemic is getting. 3

4 a) bad and worse b) bad an worst c) worst and worst d) worse and worse 35. In Japan people die of cancer as of heart disease. a) as many as twice b) more than twice as much c) as many more d) more than twice as many 36. Smoking will be in workplaces. a) forbidding b) forbidden c) forbade d) forbid 37. The anaesthetist asked him what. a) the problem was b) was the problem c) the problem is d) is the problem 38. The stress league is rated from ten to zero the rate, the pressure. a) the higher / the greater b) the highest / the greatest c) higher / greater d) highest / greatest 39. He mentioned that his father had died. a) last year b) the previous year c) next year d) the following year 40. The physiotherapist advised the patient. a) do not worry b) did not worry c) not worry d) not to worry 41. Nurse Brown is seriously ill. a) said to be b) said she is c) told to be d) told she is 42. Look! The cardiologist put the pacemaker in position. a) is likely to b) is about to c) will be d) is due to 43. I think you seen your doctor earlier about that hay fever. a) may have b) must have c) should have d) could 44. American researchers are interested in new carried out by the Institut Pasteur. a) experiments b) experience c) experiences d) experiment 45. Doctor Mac Carthy has two stethoscopes he ever uses. a) none of which b) neither of which c) both of which d) all of which 46. «Do you think I should undergo the operation soon, Doctor?». a) the sooner, the better b) sooner, better c) the soonest, the best d) soonest, best 47. The child s nose profusely when he fell off his bicycle. a) bled b) bleed c) blood d) bleeding 4

5 48. The skin a route for the delivery of drugs. a) has become recently b) has recently become c) recently became d) recently has become 49. The new policy has been down by the committee. a) laid b) lied c) led d) lain 50. «You can let me know tomorrow». The doctor told him that, a) he can let me know tomorrow b) he could let him know tomorrow c) he could let him know the next day d) they could let me know the next day 51. His temperature reached 39.5 two hours ago and a) raises b) still rises c) is still rising d) is raising 52 «Tell me the things I should do now». The trainee asked me. a) to tell him the things we should do then b) tell her the things he should do then c) to tell her the things she should do then d) to tell her the things she should do now 53. This is a new device to help. a) the deafs b) the deaf c) deafs d) deaf 54. is matter discharged from the trachea, bronchi and lungs through the mouth. a) Spit b) Soap c) Semen d) Sputum 55. diabetes affects 2 % of the world s population according to WHO sources. a) Some b) The c) An d) 56. The annual general meeting of the American Academy of Orthopaedic surgeons take place in Orlando in October next. a) will be b) is due to c) is likely d) will be due 57. A recent study of 44, 000 males that dietary fibre fights heart disease. a) is confirmed b) has confirmed c) is confirming d) had confirmed 58. Ear problems can by means of an otoscope, radiotomography or audiometric tests. a) be diagnosing b) have been diagnosed c) have been diagnosing d) be diagnosed 59. Vitamin C is non-toxic in large quantities : HIV patients at the National Institutes for Health in the US 60 g a day. a) are being given b) are been given c) have being given d) have given 60. The B vitamins are necessary because they enable energy from foods. a) be released b) being released c) to be released d) to being released 5