UPSTREAM C1 UNIT 7
Fit for Life
Mr. Mohamed El-Sheikh
Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
Language Focus
Cornea: the front layer of the eye
Pupil: at the center of the eye
eardrum: a thin piece of skin inside the ear
ear lobe: a large, fleshy part of the ear
airway: in the throat
nostril: an opening at the end of the nose
skull: a bony part of the head enclosing the brain
cheekbone: two bones in the bones below the eyes
jaw: lower part of the face below the mouth
incisor: teeth at the front of the mouth for biting food
Adam's apple: a lump that sticks out at the front of the neck
collarbone: two long bones running from the throat to the shoulders
palm: the inside part of the hand
spine: a row of bones down the neck
breastbone: a long, flat bone going from the throat to the bottom of the ribs
Ribcage: a structure of ribs in the chest
kneecap: bones at the front of the knees
Shin: front part of the legs between the knee and ankle
breathe: to move air into and out of the lungs
yawn: to open the mouth wide and take a lot of air into the lungs and slowly send it out, usually when tired or bored
blink: When you blink, you close and then open your eyes quickly once or several times, and when an eye blinks, it
does this
swallow: to cause food, drink, pills, etc. to move from your mouth into your stomach
digest: to change food in your stomach into substances that your body can use
wheeze: to make a high, rough noise while breathing because of some breathing difficulty
cough: to force air out of your lungs through your throat with a short loud sound
bruise: to develop a bruise or to cause someone or something to have a bruise
scar: to have or leave a scar
throb: If a part of your body throbs, you feel pain in it in a series of regular beats
Doctors to see:
Health problem/condition
Rash
1
Complaint
I've got these red blotches all
over my skin.
Which doctor to see
Dermatologist
Upstream C1 Unit 7 Fit for Life
Inflamed joints
I can't bend my knees or my
elbows.
Blurred vision
Everything is hazy.
Chest pain
It hurts when I breathe.
Hoarseness
My voice is disappearing.
Mr. Mohamed El-Sheikh
Orthopaedic/Orthopedic
surgeon
ophthalmologist
cardiologist
Ear, nose & throat surgeon
Health problems and treatments:
Health problem
Insomnia
arthritis
Pulled muscle
Indigestion
Eczema
Concussion
Fatigue
Bone fracture
Appendicitis
Treatment(s)
Acupuncture/Medically approved diet/Regular
exercise/homeopathy/hypnosis
Acupuncture/Medically approved diet/physiotherapy/regular
exercise/ homeopathy /hypnosis/surgery/creams/salves
Physiotherapy/sling/cast/bed rest
Medically approved diet/ regular exercise
Medically approved diet/ homeopathy/creams/salves
Bed rest
Vitamin tablets/bed rest
Surgery/sling/cast
Surgery
Sports and places:
Places
Track
Pitch
Ring
Rink
Court
Other
Outdoors
Sports
Go-kart racing/triathlon/marathon
Hockey
Boxing/wrestling
Ice hockey/ice skating
Badminton/squash/football
Archery/snooker/synchronized swimming/scuba diving/kayaking/
rock climbing/angling/golf/weightlifting/skydiving
Rowing/scuba diving/kayaking/rock climbing/angling/marathon/
hokey/golf/skydiving
Individual sports: archery/rowing/go-kart racing/scuba diving/kayaking/triathlon/rock
climbing/angling/marathon/golf/weightlifting/skydiving/ice skating
Indoor sports: boxing/badminton/snooker/wrestling/squash/weightlifting
Adjectives describing sports:
demanding: needing a lot of time, attention or energy
exhilarating: making you feel very excited and happy
hazardous: dangerous
rough: Rough ground is ground that is not used for any particular purpose and is not even and full of wild plants.
extreme: a sport that is very dangerous and exciting
individual: Played individually
indoor: played indoors/ happening, used or situated inside a building
adventurous: having new or difficult things, or exciting and often dangerous
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invigorating: making someone feel fresher, healthier and more energetic
Mr. Mohamed El-Sheikh
Adjective-noun collocations:
Adjectives
Excruciating (extremely painful) / nagging (unpleasant & continues for a long time)
Full (complete) / miraculous (surprising/difficult to believe)
Internal (inside the body)/ massive (large)
Contagious (infectious) / mysterious (strange, not known or not understood)
On-the-spot (without delay)/ outpatient (without staying in hospital)
Lightning (quick) / automatic (done without thinking about it)
Rigorous (careful) / annual (happening once a year)
Sports (relating to sport)/ nasty (dangerous or violent)
Examples:
Catch/Develop/Contract/Suffer:
catch develop contract
√
√
√
suffer
√
√
√
√
3
√
√
‫برد‬
‫حرارة‬/‫حمى‬
‫نوبة قلبية‬
‫التهاب سحائى‬
‫انفلونزا‬
‫التهاب رئوى‬
‫مرض الكبد‬
a cold
a fever
a heart
attack
meningitis
the flu
pneumonia
liver
trouble
Noun
pain
recovery
bleeding
disease
treatment
reflexes
tests
injury
Upstream C1 Unit 7 Fit for Life
√
√
Mr. Mohamed El-Sheikh
‫جرثومة المعدة‬
√
√
‫التهاب الكبد‬
‫انهيار عصبى‬
√
√
‫السعال الديكى‬
√
√
√
‫الحصبة‬
‫المالريا‬
‫اعتام العين‬
‫السل‬
‫السكة الدماغية‬
√
√
√
a stomach
bug
hepatitis
a mental
breakdown
whooping
cough
measles
malaria
cataracts
tuberculosis
a stroke
Idioms:
Idiom
be over the hill
be given a clean bill of health
be black and blue
be fit as a fiddle
have butterflies in one's stomach
kick up one's heels
scare the life out of someone
be of sound mind and body
have nerves of steel
keep a stiff upper lip
meaning
be old
when a doctor says that someone is healthy
with dark marks on your skin caused by being hit
or having an accident
as healthy as ever
be nervous
to waste time waiting for someone or something
to frighten somebody very much
be both mentally and physically fit
be very brave
be strong
Examples:
12345678910-
If you are of sound mind and body, nobody has any right to disagree to what you state in your will.
I know the operation will be difficult for you, but keep a stiff upper lip and everything will be fine.
Don't try and tell me I can't play football if I want. I maybe eighty-five, but I am as fit as a fiddle.
The famous golf pro joked that he was over the hill and that it was time for him to retire.
Of course you've got butterflies in your stomach. It's not every day that someone participates in the
Olympic Games.
My doctor said I am healthy and gave me a clean bill of health.
The boxer will be black and blue after all of the bunches he is taking.
I am planning to have fun and kick up my heels at the party tonight.
The haunted house is going to scare the life out of Jane.
You have to have nerves of steel to do extreme sports.
Fixed Phrases with "under":
Phrase
under pressure
under normal conditions
4
meaning
really stressed
usually
Upstream C1 Unit 7 Fit for Life
under the circumstances considering the way things are
under age
not old enough
under suspicion
being investigated
Mr. Mohamed El-Sheikh
Examples:
1- I'd like to come and play basketball with you, but I've been really stressed (under pressure) at work this week.
2- Usually (Under normal conditions), we don't allow non-members into the gym. However, it's very quiet tonight, so
we'll make an exception this one time.
3- Peter said he'd like to come, but considering the way things are (under the circumstances), he'd better stay at
home with his sick daughter.
4- Sorry, but you can't come under the sport's club. You're not old enough (You are under age).
5- The doctor is being investigated (under suspicion) for writing out false prescriptions.
Important Vocabulary:
Expression: a word or group of words used in a particular situation or by particular people
In English there are many common expressions about parts of the body, such as "close to my heart" and "see eye to
eye".
Insist: to state or demand forcefully, especially despite opposition
The doctor insisted that Paul should stay in bed for at least three days.
Truly: really existing; in fact
The new gym is truly a fitness fanatic's paradise.
Alter: to change something, usually slightly, or to cause the characteristics of something to change
Jenner's discovery of vaccination literally altered the course of medicine.
Bad: unpleasant; causing difficulties or harm
Ten years ago I had a really bad accident with my motorcycle, and I haven't ridden one since.
Deep: being a long way down from the top or surface
He tried to relax by taking deep breaths, but he was far too nervous.
Phrasal verbs:
clear sth away: to make a place tidy by removing things from it or putting them where they should
be
After the nurse had cleared away her lunch tray, May tried to take a nap.
clear sth out: to tidy a place by getting rid of things that you do not want
The recently retired ball player cleared out his locker and sadly left the stadium.
clear (sth) up: If an illness clears up, or if medicine clears an illness up, the illness goes away
If that rash hasn't cleared up by next week, we'll have to put you on stronger antibiotics.
hold sb/sth back: If you hold something back, you stop it coming or advancing
After being defeated in the final round, the young tennis player could barely hold back her tears of
disappointment
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Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
hold off: delay
Doctors held off telling the patient about their suspected diagnosis until more test could be
conducted.
hold out: extend
The athlete held out the baton to her team mate who just barely managed to grab it.
hold up: rob
The man was shot as he attempted to hold up the bank and was rushed to hospital.
Choose the correct answer:
1. The patient’s disorder was quickly ………….. but treating it would take much longer.
a. eradicated
b. contradicted
c. diagnosed
d. converted
2. The woman was suffering from a highly ……….. disease so she was kept in isolation.
a. contagious
b. catching
c. infected
d. deadly
3. One of the boxers was badly cut around the eye so the …………… stopped the fight.
a. judge
b. umpire
c. referee
d. arbiter
4. Sheila made an appointment with her doctor as she’d had a …………… pain in her side for days.
a. nagging
b. fierce
c. distressing
d. critical
5. The tennis star walked off the …………… and refused to continue the game.
a. pitch
b. track
c. rink
d. court
6. My husband and I just can’t …………….. on the issue of private medical insurance.
a. turn a blind eye
b. see eye to eye
c. bat an eyelid
d. cast our eyes
7. Bob missed the last train so he put his luggage in a ………… and set out to find a hotel for the night.
a. closet
b. locker
c. cupboard
d. dresser
8. Angry demonstrators shouted ……………. in protest against the government.
a. mottos
b. jingles
c. slogans
d. phrases
9. Tina found herself out of breath as she climbed the …………. flight of stairs.
a. sheer
b. high
c. abrupt
d. steep
10. From a very early age children are able to …………. Right from wrong.
a. distinguish
b. judge
c. decide
d. separate
11. The ……………… in the man’s left eye was so badly damaged that he needed a transplant.
a. corn
b. corner
c. cornea
d. cornet
12. Cats’ ………………. expand enormously, which is why they can see well in the dark.
a. pupils
b. students
c. puppets
d. kittens
13. Suzie’s ear infection was so bad that her ……………………. actually burst.
a. eardrop
b. eardrum
c. ear lobe
d. earflaps
14. Richard had one of his ………………….. pierced because he wanted to wear a diamond earring.
a. eardrops
b. eardrums
c. ear lobes
d. earflaps
15. The patient almost died after accidentally swallowing something that caused a blockage in his ………
a. airbase
b. airbag
c. airbridge
d. airway
16. The X-rays showed that the woman had a fractured ……………. and several broken bones.
a. skull
b. skin
c. scar
d. scarf
17. Little Stewart fell on the pavement and broke one of his ……………… .
a. ancestors
b. incisions
c. incisors
d. sizzlers
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Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
18. James was in agony after breaking his …………………. while playing rugby.
a. collarbone
b. collar
c. bonehead
d. bone marrow
19. Curvature of the …………… is often the result of sleeping on a soft mattress.
a. spinner
b. spiral
c. spine
d. spinal
20. A symptom of indigestion is a sharp pain under the ………………...
a. collarbone
b. breastbone
c. breaststroke
d. breastplate
21. The biology teacher explained to the young students that the ………………. protects the heart and
other vital organs.
a. collarbone
b. collar cage
c. rib cage
d. rib cap
22. Skateboarders are advised to wear pads on their legs to protect their ………….. from injury.
a. collarbone
b. collarbone
c. kneecaps
d. ribcaps
23. After falling off her bike, Dora’s …………. and elbows were so badly scraped that her mother took her
to hospital.
a. shins
b. shines
c. chins
d. skirts
24. The elderly gentleman must have problems with his chest because he coughs and ……………. the
whole time.
a. breathes
b. yawns
c. wheedles
d. wheezes
25. It’s only manners to cover your mouth when you ……………….
a. breathe
b. breath
c. yawn
d. exhale
26. Halfway through the meeting she had a …………….. headache, so she asked to be excused and went
home.
a. throbbing
b. throb
c. throbbed
d. thrilling
27. I thought Catherine was about to cry, but she ……………. a few times and then gave me a halfhearted smile.
a. bleached
b. blinked
c. blackened
d. cried
28. When I was ill, I had to ……………… about five tablets three times a day.
a. swallow
b. follow
c. swell
d. swear
29. The boy’s eye was badly ………., so his mother put an ice pack over it to stop the swelling.
a. browsed
b. breezed
c. bruised
d. braced
30. Rich food is hard to …………., so it’s better to avoid eating it late at night.
a. ingest
b. digest
c. swallow
d. resist
31. Because the workman was suffering from ……………. vision, he was advised not to drive or operate
any heavy machinery.
a. hazy
b. hazard
c. blurt
d. blurred
32. The ……………………… in his voice is due to smoking too many cigarettes.
a. hoarseness
b. horsebox
c. horseback
d. hoarse
33. Everything in the room seemed …………… to her just before she collapsed on the floor.
a. hazardous
b. clear
c. noisy
d. hazy
34. Tim loves strawberries, but unfortunately they bring him out in red ……………. all over his body.
a. bleaches
b. blotches
c. blotters
d. batches
35. The ………………….. suggested laser treatment to correct his patient’s farsightedness.
a. cardiologist
b. dermatologist
c. ophthalmologist d. orthopaedic surgeon
36. South African ………………….. Christian Bernard carried out the first heart transplant operation.
a. cardiologist
b. dermatologist
c. ophthalmologist d. orthopaedic surgeon
37. The ………………….. recommended a new drug to treat the teenager’s skin complaint.
a. cardiologist
b. dermatologist
c. ophthalmologist d. orthopaedic surgeon
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Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
38. After months of suffering with a bad back, I eventually made an appointment to see a/an ……………..
a. cardiologist
b. dermatologist
c. ophthalmologist d. orthopaedic surgeon
39. The child had trouble breathing through the nose, so the doctor referred him to a/an …….. specialist.
a. ENT
b. dermatologist
c. ophthalmologist d. orthopaedic surgeon
40. The elderly lady needed a walking frame to get about as she was crippled with …………….
1. Eczema
b. arthritis
c. concussion
d. insomnia
41. A ……………….. muscle in her neck prevented her from working on her computer.
a. dragged
b. sprained
c. hung
d. pulled
42. A new wonder drug on the market has brought relief to thousands of people suffering from ………...
a. acupuncture
b. homeopathy
c. surgery
d. eczema
43. The boy was rushed to hospital with ……………. after falling off his horse during a polo match.
a. eczema
b. concussion
c. insomnia
d. indigestion
44. The climbers struggled on for days before the cold and …………. finally forced them to turn back.
a. fatalism
b. fatuousness
c. fatigue
d. badminton
45. David’s leg was set in plaster after he suffered a bone …………… during an accident.
a. fraction
b. faction
c. friction
d. fracture
46. Kelly was said to be suffering from acute …………… after complaining that her abdomen was swollen
and painful.
a. appendix
b. appendicitis c. appendage
d. phoenix
47. There is said to be more than 100,000 doctors practising ………………… around the world today.
a. homesickness
b. homeopathy
c. homeostasis
d. homeotherm
48. After the woman injured her arm, it was in a …………… for quite a few weeks.
a. sling
b. slang
c. slogan
d. swing
49. Frank’s leg is in a ………, he broke it again!
a. cask
b. cast
c. task
d. kiosk
50. According to the sports trainer’s …………….., the athlete had set a new world record.
a. clock
b. stopwatch
c. time
d. alarm clock
51. The referee gave the footballer a red card and sent him off the pitch.
a. referent
b. reference
c. referral
d. referee
52. Sam packed his racket and ……………… in his sport’s bag and set off for the badminton tournament.
a. shuttles
b. shuttlecocksc. space shuttles
d. balls
53. The ice hockey player slammed the …………… into the back of the net to score the winning goal.
a. shuttlecock
b. puck
c. pucker
d. buck
54. The sports ………………….. claimed that it was the most exciting match of the season.
a. commentary
b. forecast
c. commentator
d. economist
55. One of the racing drivers skidded on the wet ……………... before crashing into the barrier.
a. tarmac
b. terminalia
c. tarantula
d. tarnish
56. The footballer was suffering from a painful ankle …………….. and was carried off the pitch.
a. sprang
b. sprain
c. spree
d. sprig
57. Hockey players wear ………………… to protect their legs from injury.
a. shin splints
b. shingles
c. shinguards
d. helmets
58. Bob borrowed someone’s bow and arrow at the ……………. festival and managed to score a bull’s eye
on his very first shot.
a. badminton
b. boxing
c. wrestling
d. archery
59. Peter has a games room in his house and invited me for a game of ………………..
a. angling
b. kayaking
c. snooker
d. synchronized swimming
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Mr. Mohamed El-Sheikh
60. During one of the most popular ………….. events in England, one of rowers dropped his oar and his
team was disqualified.
a. rowing
b. go-cart racing
c. snooker
d. synchronized swimming
61. The boy and his father went ……………. last weekend and they really enjoyed the speed and
competition.
a. badminton
b. go-cart racing
c. snooker
d. synchronized swimming
62. Mike won a bronze medal in the ………………. competition after pinning his opponent to the floor.
a. badminton
b. snooker
c. wrestling
d. archery
63. The ………………. team were in and out of the pool all day long, practicing for their upcoming display.
a. rowing
b. go-cart racing
c. snooker
d. synchronized swimming
64. My father’s favourite pastime is …………… even though he rarely catches any fish.
a. angling
b. kayaking
c. snooker
d. synchronized swimming
65. When the boys finished their game of ……………….., they were exhausted.
a. squish
b. squash
c. squinch
d. squab
66. The spectators cheered loudly as the final runner rounded the ………. and staggered towards the
finishing line.
a. track
b. pitch
c. court
d. rink
67. The cricket match was postponed because the ………….. was too wet after a recent storm.
a. court
b. rink
c. track
d. pitch
68. The reporters clambered into the ……….. as soon as the boxing match was over, hoping to interview
the new heavyweight champion of the world.
a. ring
b. rink
c. track
d. pitch
69. Every Saturday morning, Jill has a private skating lesson at the local ice-skating …….. in town.
a. ring
b. rink
c. track
d. pitch
70. One of the tennis players was ordered off …………… after insulting the umpire.
a. court
b. rink
c. track
d. pitch
71. Bob likes to take a/an ………………… shower before work.
a. vigorous
b. inveigle
c. invigorating
d. vague
72. The marathon runner wasn’t sure if he had enough ………….. to finish the race.
a. stamen
b. stamina
c. insomnia
d. stamp
73. After twisting his ankle, the athlete was in …………….. pain and collapsed to the ground.
a. excruciating b. extenuating
c. exculpatory
d. invigorating
74. The swimmer tried to ignore the ……………. pain in his neck until the race was over.
a. invigorating
b. soothing
c. gnarled
d. nagging
75. Although the stunt artist had very few visible injuries, he was found to be suffering from ………….
bleeding which almost killed him.
a. internal
b. external
c. diurnal
d. nocturnal
76. The ………………. diseases unit of the hospital was off-limits to everyone except authorised personnel.
a. continuous
b. continual
c. contaminated
d. contagious
77. Her injury wasn’t serious enough to be admitted to hospital, but she had to attend the …………..
treatment centre almost every other day.
a. inpatient
b. on-the-spot
c. outrageous
d. outpatient
78. The woman had to undergo a series of ………… tests before the heart transplant surgery could go
ahead.
a. annual
b. rigorous
c. vigorous
d. rigorously
79. Even after months of medical tests, the child’s illness continued to ………. her doctors.
a. baffle
b. buffoon
c. panel
d. raffle
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Mr. Mohamed El-Sheikh
80. The common symptoms of …………….. are fever, severe headache and stiffness in the neck.
a. menopause
b. menagerie
c. meniscus
d. meningitis
81. Harry’s persistent cough and breathing difficulties were finally diagnosed as a serious bout of ……….
a. arthritis
b. pneumonia
c. hepatitis
d. mental breakdown
82. On a recent trip to Spain the girls caught a stomach ………… that ruined their holiday.
a. insect
b. fly
c. bug
d. midge
83. ……………… can be cured if treatment starts very soon after infection.
a. Arthritis
b. Pneumonia
c. Hepatitis
d. Mental breakdown
84. After the death of her husband, Mandy suffered from acute depression and her family were afraid
she was on the verge of a …………………...
a. arthritis
b. pneumonia
c. hepatitis
d. mental breakdown
85. The child was coughing and gasping for breath while suffering from …………. cough.
a. whooping
b. weeping
c. woop woop
d.whoopee
86. Employers often consider job applicants to be over the ………… once they reach 35-40 years of age.
a. mountain
b. cliff
c. hill
d. summit
87. After months of hospital tests and treatment, Fred was finally given a clean ……….. of health.
a. cheque
b. receipt
c. bill
d. prescription
88. Fortunately, Tom didn’t break any bones in the accident, although he was ………… from head to toe.
a. red and white
b. black and red
c. black and blue
d. black and white
89. The man had hardly ever had a day’s illness in his life and at 80 he was fit as a …………..
a. violin
b. lute
c. fiddle
d. fiddler
90. I had …………… in my stomach as I was waiting to go on stage for my very first live performance.
a. flies
b. butterflies
c. insects
d. bugs
91. Jonathan really kicked up his …………. at the annual dancing festival and hardly sat down all night.
a. nails
b. knees
c. shins
d. heels
92. The doctor ……………. the life out of me when he said that I needed to see a specialist.
a. scared
b. frightened
c. petrified
d. agitated
93. My grandmother is of …………… mind and body despite recently celebrating her 90th birthday.
a. profound
b. stiff
c. sound
d. voice
94. Workmen who construct high-rise flats must have nerves of …………. to undertake such a job.
a. iron
b. steel
c. wood
d. platinum
95. Although he tried to assure everyone that he was fine, his attempt at keeping a stiff upper ………
failed when he saw how upset his family were.
a. face
b. lip
c. nostril
d. forehead
96. During the golf tournament, he played alongside some of the top ………. from Europe and America.
a. cons
b. pros
c. proms
d. probs
97. …………… the circumstances, Mary was extremely lucky to have survived such a terrible accident.
a. Under
b. Over
c. In
d. According
98. The police finally caught up with the two men who were under …………. of burglary.
a. the circumstances b. pressure
c. suspicion
d. age
99. Under …………… conditions, the long journey wouldn’t have bothered him, but the bad weather was
making driving almost impossible.
a. usual
b. normal
c. common
d. natural
100.
The local government is under ……………….. from various environmental groups to clean up
the town’s polluted river.
a. the circumstances b. pressure
c. suspicion
d. age
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101.
Because she is under ……….., she isn’t allowed to vote in the forthcoming general elections.
a. the circumstances b. pressure
c. suspicion
d. age
102.
Nowadays, manufacturers often use catchy ……………. to advertise their products.
a. proverbs
b. slogans
c. wisdoms
d. verses
103.
The idea of building a fully equipped medical centre in the village was close to his ………., so
he was thrilled when they finally approved his plans.
a. stomach
b. eye
c. heart
d. chest
104.
The teenager didn’t always see ………….. with her parents, but she knew they loved her
dearly.
a. eye to eye
b. eyes to eyes
c. face to face
d. person to person
105.
As I ran home in the storm, the wind was so strong that it ………….. lifted me off my feet.
a. laterally
b. literally
c. lately
d. fortunately
106.
The couple planned to ………… the loft into a playroom for their children.
a. covet
b. alert
c. converse
d. convert
107.
The doctor ……….. the patient’s prescription when he saw that the tablets weren’t doing her
much good.
a. altered
b. sheltered
c. rendered
d. wrote
108.
The thief ………….. himself as a woman by wearing a blond wig and a long dress, but his
masculine voice gave him away.
a. diagnosed
b. disgusted
c. disguised
d. disgorged
109.
The motorist sustained multiple injuries in the accident and is said to be in ………… condition.
a. political
b. criticized
c. crucial
d. critical
110.
When Simon left home for medical school, it was a perfect opportunity for his mother to
…………… his room.
a. clear out
b. clear away
c. clear up
d. hold out
111.
The teenager’s spots on her forehead finally …………. after a course of antibiotics.
a. cleared out
b. cleared away
c. cleared up
d. held out
112.
Mum asked the children to ……………. the pots and pans after dinner.
a. clear out
b. clear away
c. clear up
d. hold out
113.
The child ……….. his plate for a second helping of his favourite chocolate pudding.
a. cleared out
b. cleared away
c. cleared up
d. held out
114.
A customer overcame a thief as he attempted to …… one of the town’s busiest supermarkets.
a. clear out
b. hold up
c. clear up
d. hold out
115.
The patient couldn’t hold ………… her tears of joy when the doctor gave her the good news.
a. up
b. back
c. out
d. off
116.
The doctor tried to hold …………… the operation for as long as possible, in the hope that the
patient’s condition would stabilize.
a. up
b. back
c. out
d. off
117.
Tina got soaked coming home from work because she forgot to take her umbrella from her
…………...
a. lock
b. locket
c. locker
d. mocker
118.
Athletes have to be careful while handing over the ……….. so as not to drop it.
a. button
b. baton
c. batch
d. butane
119.
When the children saw the snow in the garden, they …………. their jackets and ran out to
play.
a. gripped
b. grabbed
c. griped
d. graded
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Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
120.
Jill watches her favourite soap opera every afternoon while her baby daughter takes a ……...
a. nap
b. nip
c. nab
d. nob
121.
Doctors had no trouble ……… Carl’s illness and it wasn’t long before he was completely cured.
a. examining
b. testing
c. diagnosing
d. prescribing
122.
Nowadays, aromatherapy is a popular form of alternative ……………..
a. disease
b. perfume
c. illness
d. medicine
123.
Eating too much pastry gives Sarah …………., so she tries to avoid it whenever possible.
a. indigestion
b. digestion
c. diagnosis
d. stomach bug
124.
The family doctor recommended that Brian try ……………… as a treatment for pain relief.
a. acuity
b. acumen
c. acupuncture d. acuteness
125.
The patient felt ………….. when she was told that her doctor couldn’t see her for a week.
a. fragrant
b. fragile
c. frustrating
d. frustrated
126.
During her long illness, Mary felt …………. about being confined to the house for so long.
a. glorious
b. gloomy
c. glad
d. glacial
127.
Fitness enthusiasts swear by exercise as a ………… remedy for overall well-being.
a. sovereign
b. severe
c. savage
d. svelte
128.
Yoga is said to be an excellent …………… of both body and mind.
a. invigilator
b. accumulator
c. dominator
d. invigorator
129.
Newscasters on most of the major TV channels ………… the minister’s speech on health
reform last night.
a. quoted
b quitted
c. quivered
d. quizzed
130.
When the doctor reprimanded Tina for forgetting to take her medicine, she didn’t …….. a
word.
a. shutter
b. cutter
c. utter
d. butter
131.
The doctor’s ……………. concern was that his patient received the best possible treatment.
a. mental
b. fundamental
c. departmental
d. developmental
132.
Tim’s ear infection was so severe that his doctor prescribed a five-day course of …………...
a. antibodies
b. anticyclones
c. antibiotics
d. antiquarians
133.
It was difficult for the nurse to find a suitable ………… in which to inject the drug.
a. vain
b. vein
c. vale
d. van
134.
Anyone who has poor …………… of the blood should seek medical advice before flying.
a. circuitry
b. circumference
c. circulation
d. circularity
135.
After years of suffering from a heart complaint, Tom needed to have a heart ……… replaced.
a. valve
b. vale
v. veil
d. vain
136.
The first symptoms of ………… include fever, head and body pains and sometimes vomiting.
a. smallpox
b. small ad
c. small beer
d. smallness
137.
A …………. of Alexander Fleming, Ernest Duchesne, is said to have first discovered the
antibiotic properties of penicillin in 1896.
a. contender
b. contemptible
c. contemporary
d. contemporaneous
138.
……………. medicine is valuable because it reduces the risk of becoming sick and having to
suffer the consequences of more serious illnesses.
a. Preventable
b. perfective
c. Preventive
d. Precautious
139.
The majority of Darwin’s peers ………. his theory of evolution, believing it to be totally
misleading.
a. contracted
b. accepted
c. accredited
d. contradicted
140.
Wendy promised to …………… the task of looking after her ailing father.
a. undertake
b. understand
c. underachieve
d. undercharge
12
Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
141.
The government is trying to ………….. the idea that the National Health Service is in decline.
a. disparage
b. disparate
c. dispatch
d. dispel
142.
The heart is an organ in your chest that …………. blood around your body.
a. repels
b. propanes
c. propagates
d. propels
143.
The man had a painful ulcer on his leg that was caused by a blocked ………...
a. artefact
b. artery
c. arterial
d. artichoke
144.
William Harvey made medical history with his theory that the heart was at the centre of the
………………. system.
a. circulatory
b. digestive
c. muscular
d. nervous
145.
Doctors were …………. by the woman’s strange symptoms and suggested that she undergo
various tests.
a. fuzzed
b. puzzled
c. muzzled
d. nuzzled
146.
It was months before the doctor solved the ………. of Tim’s constant backache.
a. fiddle
b. middle
c. riddle
d. bible
147.
Don’t stand so close while the machine is in ………….
a. motion
b. notion
c. ration
d. fashion
148.
He received a copy of a medical journal ……… Life and Science.
a, entailed
b. entitled
c. entented
d. entangled
149.
The decline of conditions in hospitals has ………… the idea of free, high-quality health care.
a. debacled
b. debased
c. debarred
d. debunked
150.
People were under the ………….. that the earth was flat until Copernicus suggested otherwise.
a. miscommunication
b. misconception
c. misconduct
d. miscalculation
151.
Roger will undergo a …………… transplant as soon as a suitable donor is found.
a. river
b. liver
c. livery
d. liverish
152.
This year, with the higher sales volume, our company is on a new financial …………...
a. footing
b. legging
c. nosing
d. eying
153.
…………… fumes overcame many workers during a recent chemical plant explosion.
a. Dead
b. deaden
c. deadly
d. deadlock
154.
The theory of human evolution has …………. scientists for many decades.
a. intruded
b. intuited
c. inundated
d. intrigued
155.
The ………………. says these forests are inhabited by unfriendly trolls.
a. country-lore
b. galore
c. solore
d. galore
156.
…………….. produces immunity to a more serious infectious disease known as smallpox.
a. Cattlepox
b. Cowpox
c. Goatpox
d. Sheeppox
157.
The woman sued the hospital after ……………. an illness from a blood transfusion.
a. contradicting
b. counteracting
c. contracting
d. contrasting
158.
Milking cows was once a ……………… job but now it’s done by modern machinery.
a. cook maid's
b. shopmaid's
c. robomaid's
d. dairymaid's
159.
The doctor explained that the ………… on Julie’s body was an allergic reaction to something
she’d eaten.
a. rash
b. rush
c. bush
d. gush
160.
The young boy’s mother warned him not to ……………. the spots on his face for fear they
became infected.
a. snatch
b. scratch
c. smash
d. slash
161.
The surgeon used a ………….. to make an incision in the patient’s chest.
a. sculpture
b. sculptor
c. knife
d. scalpel
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Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
162.
The latest statistics on infectious diseases are …………… alarming, especially in countries
without proper sanitation.
a. undoubted
b. undoubting
c. undoubtedlyd. undauntly
163.
The new drug will treat thousands of infected people, but unfortunately it is not …………..
available.
a. universe
b. universal
c. universally
d. university
164.
Cholera is a ……………. infection caused by drinking contaminated water or by eating
contaminated food.
a. bacterial
b. bacteria
c. bacterium
d. bacteriological
165.
All animals and plants are made up of millions of …………….
a. cells
b. ceils
c. ceilings
d. cecums
166.
She prefers to take soluble aspirin when she has a headache because it can be …………. in
water.
a. resolved
b. solved
c. dissolved
d. desolved
167.
His research came to a …………. end when he learnt that the government had withdrawn
further funding.
a. deadly
b. dead
c. dial
d. dual
168.
The latest drug on the market for treating hay fever is said to be highly ……….. and relieves
people of their distressing symptoms in no time.
a. infectious
b. effervesce
d. effeminate
d. efficacious
169.
There are two types of bacteria: one causes disease while the other is ……………….
a. patient
b. nonpathogenic
c. pathogenic
d. non-patient
170.
The rescue plane ……………. into a thousand pieces after crashing into the snow-covered
mountain.
a. disintegrated
b. disinvested
c. disinterred
d. disjoined
171.
On returning from holiday, David was horrified when he saw a piece of cheese on the kitchen
table that was covered in …………...
a. moult
b. mount
c. mould
d. moulder
172.
The medical team …………….. that the man’s condition could have resulted from a childhood
illness.
a. hypotenused
b. hyphenated
c. hypothesized
d. hyped up
173.
The rescue party received ……….. for saving the life of two young skiers who had been buried
in the snow for more than twelve hours.
a. accredit
b. credit
c. discredit
d. noncredit
174.
Certain types of ……….., such as mushrooms, are edible while others are extremely
poisonous.
a. fungal
b. fungicide
c. fungoid
d. fungus
175.
While on an excursion in the country, the young couple carved their initials in the …………. of
a tree.
a. park
b. bark
c. sap
d. root
176.
As the girls relaxed by the side of the river, the long flowing branches of the ………. tree
shaded them from the midday sun.
a. willow
b. willowy
c. wily
d. willy
177.
Vitamins are chemical compounds that cannot be ……………. by the human body.
a. improvised
b. despised
c. synthesized
d. chastised
178.
…………….. acid, more commonly known as aspirin, is used to treat aches and pains.
a. Salicylic
b. Salient
c. Saline
d. Salivary
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Upstream C1 Unit 7 Fit for Life
Mr. Mohamed El-Sheikh
179.
………………….. are derivatives of fatty acids that are produced in most tissues of the body.
a. Prosciuttos
b. Prostaglandins
c. Prostate
d. Prostheses
180.
…………….. accelerate and control all biochemical processes in the body.
a. Regimes
b. Proteins
c. Lysozymes
d. Enzymes
181.
The driver whose car was wrecked in the accident was so angry that he burst a blood …….. in
his nose.
a. vessel
b. vest
c. vet
d. vex
182.
The doctor put some drops in the patient’s eyes to measure the …………. of her pupils.
a. deletion
b. dilation
c. delectation
d. delibration
183.
He is said to have died of a ………….. after a blood vessel ruptured in his brain.
a. stroke
b. strike
c. strain
d. strait
15