1.

Use the prompts to make instructions about taking blood. Use either the

imperative or the Present Simple with you. Re-order the instructions and add additional
words where necessary:

Example: hands / wash / non-sterile / gloves / put on

(You) wash your hands and put on non-sterile gloves.
1)

ask / fist / patient / times / clench / several

2)

forget / to / equipment / prepare

3)

tourniquet / apply / near / site / vein

4)

forget / identity / check / patient

5)

stretch / out / ask / patient / arm / rest / on / pillow

6)

select / vein / appropriate

7)

introduce / patient / yourself

8)

clean / swab / area / alcohol

2.

Use the words in the brackets to make the instructions gentler. Add additional

words and change the punctuation where necessary:

1.

Keep your leg still (Id like / nice / for me / if you can).

2.

Tilt your head forward (could / slightly for me)

3.

Raise your arm a bit more. (now / Id like / for me / if you can).

4.

Pop up on the couch. (can / just / for me)

5.

Roll up your sleeve (could / for me / please).

6.

Bring your knees up further (just / a bit / for me)

7.

Tell me what your date of birth is. (Can / please)

8.

Lean forward. (if you can / just / slightly / for me)

9.

Move more towards the edge of the trolley. (can / just / a little / for

me / please)
10.
1.

Stand up. (can / for me / please)

Complete the sentences with one verb and one particle from each box:

Verbs: looked, get, cuts, take, got, wrote, pointed, was taken.
Particles: at, down, up, out, into, in, out, out
a)

Its not easy to __________ all this information __________ at once.

b)

The doctor __________ the prescription.

c)

He quickly __________ the habit of doing ward rounds.

d)

This tablet can help because it __________ the workload of your heart

__________.
e)

Are you sure you can __________ __________ without any help?

f)

He __________ __________ the patients notes carefully

g)

The nurse __________ __________ the mistake on the drug chart.

h)

His appendix __________ __________ when he was a child.

2.

Complete the sentences with may or can. Where you think side effects are

being pointed out, use can.

a)

In some people, the tablets __________ make them feel drowsy, so be

careful.
b)

It looks as if you __________ react to this tablet as well.

c)

Sometimes, this __________ make people feel dizzy. If that happens,

stop taking it.

d)

There __________ be some bruising after the blood test, but it will go

e)

With some patients, the drug __________ cause problems.

f)

Simvastatin __________ affect the liver, but it __________ not

away.

happen in your case.

3.

g)

The pain is unlikely to go away, but it __________ just ease a little.

h)

Some of these __________ cause some mild side effects.

Underline and correct the mistake in each sentence:

a)

You could try get way from your desk at work at least twice a day.

b)

You can to try to cycle once or twice a week.

c)

You should like to try spending more time walking.

d)

Do you think you could, for example, took up something more

strenuous.
e)

You shouldnt to overdo the exercise.

f)

People ought be more aware than they are of the damage exercise can

g)

You might like try starting by giving up the first cigarette of the day.

cause.

4.

Rewrite the suggestions using the words in brackets:

a)

You could try to eat lean meat where possible. (ought to)

b)

Have you ever thought of cutting out chocolate gradually? (might)

c)

You can, for example, walk up the stairs rather than using the lift.

(should)
d)

Its better to reduce the amount of food you eat gradually. (can)

e)

You might like to try going for a walk with a friend. (could, for

example)
f)

If you can, always go shopping by bus, or even on foot, rather than by

car. (shouldnt; should)

g)

Try to get into the habit of walking every day. (might)

h)

Instead of frying food, try to steam or bake it. (shouldnt; should)

WRITING TASK
Write an essay (one page) on the following topic:
Some people believe that urbanization is a Modern Disease. Explain if you agree with this
view and give your own opinion.

1. Correct the mistakes in the following sentences:

1. Could you just turn over your body, please?
2. Id like you walk slowly across the room.
3. Can you reading the first letter on the board?
4. Would you just to stand on the scales, please?
5. Now just try to press a little hard.
6. Lets having a look at you.
7. I wondering if you could show me your tummy.
8. Do you like to just slip off your socks and shoes?
9. Would you like wait outside for a few moments?
10. Try hard staying as still as possible.!
11. So, you can putting your things back on now!
12. Please tell me if you would feel any discomfort.
13. Do you think you would lie on your left side, please?
14. Could you find possibly someone to bring you to the clinic next week?

1.

Match the question with the answer:

1)

Can I ask how old you are?

2)

How long have you been married?

3)

What form of contraception do you use?

4)

Do you take any exercise?

5)

Have you ever had an X-ray of your chest?

6)

Can I ask you about your parents?

7)

What did your father die from?

8)

Have you ever lived in a tropical country?

9)

Is there anything which is worrying you at the moment?

10) What do you do?

11) How many cigarettes do you smoke?
12) How much do you drink?
13) When did your periods first begin?
14) Which childhood illness do you have?

a)

I cycle to work normally.

b)

About twenty a day.

c)

Im not sure, just old age, I think!

d)

My husband uses a condom.

e)

Yes, I worked in East Africa for two years.

f)

Im fifty-five.

g)

When I was fifteen, I think.

h)

Yes, but it was a long time ago.

i)

One or two glasses of wine each day.

j)

I work in a clothing factory.

k)

I think I only had measles.

l)

Twenty-five years. Its our silver wedding this year!

m)

Theyre both dead now.

n)

Nothing more than the usual daily problems.

3.

Use the prompts to make instructions about taking blood. Use either the

imperative or the Present Simple with you. Re-order the instructions and add additional
words where necessary:

Example: hands / wash / non-sterile / gloves / put on

(You) wash your hands and put on non-sterile gloves.
9)

ask / fist / patient / times / clench / several

10)

forget / to / equipment / prepare

11)

tourniquet / apply / near / site / vein

12)

forget / identity / check / patient

13)

stretch / out / ask / patient / arm / rest / on / pillow

14)

select / vein / appropriate

15)

introduce / patient / yourself

16)

clean / swab / area / alcohol

4.

Use the words in the brackets to make the instructions gentler. Add additional

words and change the punctuation where necessary:

1.

Keep your leg still (Id like / nice / for me / if you can).

2.

Tilt your head forward (could / slightly for me)

3.

Raise your arm a bit more. (now / Id like / for me / if you can).

4.

Pop up on the couch. (can / just / for me)

5.

Roll up your sleeve (could / for me / please).

6.

Bring your knees up further (just / a bit / for me)

7.

Tell me what your date of birth is. (Can / please)

8.

Lean forward. (if you can / just / slightly / for me)

9.

Move more towards the edge of the trolley. (can / just / a little / for

me / please)
10.

Stand up. (can / for me / please)

1. Circle the correct form:

a) The trolley prepared / is prepared / prepares before the procedure carried /
have been carried / is carried out.
b) We rarely performed / perform / are performing operations like this under
general anaesthetic.
c) The weekly ward rounds are leading / led / are led by a consultant.
d) What is done / is doing / are done next is the most important part of the
procedure.
e) The tube inserts / is inserted / is inserting very carefully.
f) Normally patients are given / give / giving leaflet about the procedure.
g) She is used / used / use a swab to clean the wound.

h) The doctor is obtaining / obtained / is obtained consent and then anaesthetize

/ anaesthetized / anaesthetizing the area.
i) What happen / happens / is happened next is the labeling of the bottles.
j) A considerable amount of time spent / is spend / is spent on planning
operation.
2. Use prompts to make sentences in the Present Tense Simple, active or passive. Use
the words in the given order:
1.

procedure / perform / nurse / in / this / practice

2.

nurse / use / spray / numb / patients / throat

3.

doctor / repeat / explanation / patient / if / necessary

4.

patients / rarely / react / instruments

5.

appointments / arrange / receptionist

6.

wound / clean

7.

painkiller / inject / as / required

8.

doctor / explain / procedure / patient

9.

syringe / insert / into / the / training / manikin/ just / here

10.

nurse / examine / patient / first

5.

Complete the sentences with one verb and one particle from each box:

Verbs: looked, get, cuts, take, got, wrote, pointed, was taken.
Particles: at, down, up, out, into, in, out, out
i)

Its not easy to __________ all this information __________ at once.

j)

The doctor __________ the prescription.

k)

He quickly __________ the habit of doing ward rounds.

l)

This tablet can help because it __________ the workload of your heart

__________.
m)

Are you sure you can __________ __________ without any help?

n)

He __________ __________ the patients notes carefully

o)

The nurse __________ __________ the mistake on the drug chart.

p)

His appendix __________ __________ when he was a child.

1.

What did the people say? Change the reported speech sentences into direct

speech:
1. Doctor Jones said that he would finish at 5 p.m.
2. Mrs Dean asked if she could change the appointment.
3. I enquired when the clinic would start.
4. The caller said the child was very sick.
5. The nurse asked how I got there on my own.
6. The receptionist asked what the patients hospital number was.
7. He said he had had the illness once before.
8. The doctor asked if I had ever had the illness before.
9. The patient said the problem had been getting worse.
10. The consultant said he would come immediately.