Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 30 to 35

The coronavirus is usually transmitted by droplets, such as those produced when coughing and sneezing, and by direct or indirect contact with secretions infected by the virus. The virus may also shed in blood, urine and faeces, and, therefore, there is potential for transmission through contact with a wide range of bodily fluids. Certainly, person-to-person spread has been confirmed in community and healthcare settings across Asia and into Europe. There is also a possibility that asymptomatic carriers may be able to infect people. Public Health England (PHE) has classified the COVID-19 infection as an airborne, high consequence infectious disease (HCID) in the UK.

The application of infection prevention and control (IPC) principles are already widely used by healthcare professionals within hospital and community settings to both prevent the spread of infections and to control outbreaks when they do occur. The WHO has issued interim guidance regarding IPC when COVID-19 is suspected. This advice is echoed by guidance issued by PHE.

PHE suggests the coronavirus may pose complications, such as illness pneumonia or severe acute respiratory infection. They also suggest that patients with long-term conditions or are immunocompromised are at risk of these complications. It is important that as first-line staff, midwives are also familiar with the recommended IPC principles and measures, and ensure they have the appropriate personal protective equipment (PPE) when caring for a patient with suspected COVID-19.

The word “interim” in paragraph 2 mostly means ______.

Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following questions

Many parents tend to make their children study hard in the belief that good education will enable them to            in the future

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

(Adapted from https://www.encida.dk/)

The word “This” in paragraph 3 refers to ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

(Adapted from https://www.encida.dk/)

Which of the following is infered according to the article?

Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following questions

The telephones______by Alexander Graham Bell

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

(Adapted from https://www.encida.dk/)

The word “premature” in paragraph 1 is closest in meaning to ______.

Mark the letter A, B, C, or D on your answer sheet to indicate the option that best completes each of the fol­lowing exchanges

Daisy wants to invite her classmate, Joe, to her birthday party.

- Daisy: “Listen, I am having a birthday party next Friday. Do you want to come?”

- Joe: “______ What time does it start?”

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

(Adapted from https://www.encida.dk/)

The word “afflicted” in paragraph 1 most probably means ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

(Adapted from https://www.encida.dk/)

Which of the following best serves as the title for the article?

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

(Adapted from https://www.encida.dk/)

Which is NOT mentioned in the article as a symptoms caused by exposure to high noise levels?

Mark the letter A, B, C, or D on your answer sheet to indicate the sentence that is closest in meaning to each of the following questions

“Mum, please don’t tell Dad my mistake!” the boy said.

Mark the letter A, B, C, or D on your answer sheet to indicate the word(s) OPPOSITE in meaning to the underlined word(s) in each of the following questions 

Overpopulation in big cities has severely affected the air and water quality

Mark the letter A, B, C, or D on your answer sheet to indicate the sentence that best combines each pair of sentences in the following questions

Julian dropped out of college after his first year. Now he regrets it

Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following questions

Air pollution is getting   serious in big cities in the world

Mark the letter A, B, C, or D on your answer sheet to indicate the sentence that best combines each pair of sentences in the following questions

Right after the boy got out of his house, it started to rain heavily

Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following questions

I'd like to speak to the person in_______please