Pathways Listening, Speaking, and Critical Thinking, 2e Level 4: Unit Test
Name: ________________________ Class: ___________________ Date: __________
UNIT 8: HEALTH AND TECHNOLOGY
VOCABULARY: Lesson A
Read the text. Notice the bold words. Then choose the correct answer for each bold word.
The ability of doctors and other medical professionals to save lives and lessen suffering has improved by
leaps and bounds since the last century. In the past, if you had to consult a doctor, he or she might be able to give
a diagnosis and tell you why you were sick, but would probably lack the tools or medicines to treat your
condition. These days, in contrast, doctors can prescribe a range of medicines and treatments for most common
illnesses. They can also run a wide range of tests to clarify exactly what is wrong and which treatment is the best
option. Not only that, but we have gadgets, such as smart watches and fitness trackers, that can tell us whether our
bodies are in good shape or not. It’s not all good news, though. Modern-day patients have a tendency to expect or
even demand to be given some medicine when they visit the doctor, and doctors are reluctant to refuse this
demand even if treatment isn’t actually needed. As a result, certain medicines are becoming less effective against
some diseases, a phenomenon known as drug resistance that may have major implications for public health.
1. If you describe something as changing by leaps and bounds, you mean that it changes ____.
a. quickly but negatively
b. rapidly and significantly
c. slowly or gradually
2. To consult somebody means to ask him or her for an opinion or ____.
a. advice
b. gifts
c. news
3. If somebody performs a diagnosis, he or she assesses the ____.
a. cost or value of something
b. current condition of something
c. best way of doing something
4. To clarify something means to make it clearer or easier to ____.
a. compromise
b. reorganize
c. understand
5. A gadget is a tool or machine, usually small, that ____.
a. can be bought cheaply
b. is not especially popular
c. serves a useful function
6. If a person has a tendency to do something, he or she is very ____.
a. happy when doing it
b. likely to do it
c. worried about doing it
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Pathways Listening, Speaking, and Critical Thinking, 2e Level 4: Unit Test
Name: ________________________
7. If somebody is reluctant about something, he or she is ____.
a. unable to make it
b. unlucky to have it
c. unwilling to do it
VOCABULARY: Lesson B
Choose the correct word from the box to complete each sentence. One of the words will not be used.
detect nutritional resolve
notify repetitive sedentary
8. My doctor prescribed a new medicine for me and told me that if I took it for one week, it would definitely
________________ my skin problem.
9. My new glasses can ________________ when I’m sitting too close to a computer screen or television. When I do
that, they vibrate slightly to warn me. It’s pretty amazing!
10. Studies have shown that a ________________ lifestyle can be bad for one’s health. Unfortunately, many people
spend a lot of time sitting in front of a computer these days.
11. I love my fitness tracker! Not only does it measure the food I eat and every activity I do, but I can also set it to
________________ me with an alarm if I have been inactive for too long.
12. My sister used to check Instagram and other social media sites dozens of times every day. She had to stop, though,
because she developed an injury due to the constant ________________ movement of her thumb.
LISTENING FOR MAIN IDEAS
Listen to a discussion and take notes on a piece of paper. Then choose the correct answer.
(U8 Track 1)
13. Who are the speakers?
a. Woman: A politician
Man: A doctor.
b. Woman: A doctor.
Man: A radio host
c. Woman: A radio host.
Man: A doctor
d. Woman: A radio host.
Man: A researcher
14. What does the man mainly discuss?
a. Dangerous diseases he has diagnosed
b. Situations that his patients find hard
c. The pros and cons of a new technology
d. Things that concern him as a doctor
© 2018 National Geographic Learning, a Cengage Learning Company 2
Pathways Listening, Speaking, and Critical Thinking, 2e Level 4: Unit Test
Name: ________________________
LISTENING FOR DETAILS
Listen to the discussion. Write the phrase you hear from the box that best completes each sentence. You
will not use all the phrases. (U8 Track 1)
enough knowledge in danger public health
fix problems medical technology real problem
his health negative effects very healthy
15. The speaker claims that bacterial resistance could have a serious effect on ________________________.
16. The speaker worries that people have become used to the idea that technology will ________________________,
but fears that it won’t.
17. The speaker believes that scientists have ________________________ to reduce the annual number of deaths
from malaria, but they don’t do it because it’s not important to them.
18. The speaker worries that we do not consider the ________________________ on our health of using new
technologies or materials, such as plastic, before we use them.
19. Another reason the speaker thinks technology is a problem is that it can fail. For example, if a hospital needs
technology to care for patients, those patients could be ________________________ if the power goes out.
LISTENING SKILL: Listening for Assessments
Listen to three short conversations in which the speakers make assessments. Then choose the correct
answer.
20. What assessments do the speakers make? (U8 Track 2)
a. The man makes a positive assessment, but the woman makes a negative one.
b. The man makes a negative assessment, but the woman makes a positive one.
c. Both speakers make a positive assessment.
d. Both speakers make a negative assessment.
21. What assessments do the speakers make? (U8 Track 3)
a. The man makes a positive assessment, but the woman makes a negative one.
b. The man makes a negative assessment, but the woman makes a positive one.
c. Both speakers make a positive assessment.
d. Both speakers make a negative assessment.
22. What assessments do the speakers make? (U8 Track 4)
a. The man makes a positive assessment, but the woman makes a negative one.
b. The man makes a negative assessment, but the woman makes a positive one.
c. Both speakers make a positive assessment.
d. Both speakers make a negative assessment.
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Pathways Listening, Speaking, and Critical Thinking, 2e Level 4: Unit Test
Name: ________________________
PRONUNCIATION: Dropped Syllables
Listen to the sentences and notice the word with a dropped vowel sound in one of the syllables. Choose the
answer with the correct dropped syllable underlined.
23. In which syllable is the vowel sound dropped? (U8 Track 5)
a. vegetable
b. vegetable
c. vegetable
d. vegetable
24. In which syllable is the vowel sound dropped? (U8 Track 6)
a. elementary
b. elementary
c. elementary
d. elementary
e. elementary
25. In which syllable is the vowel sound dropped? (U8 Track 7)
a. deliberately
b. deliberately
c. deliberately
d. deliberately
e. deliberately
26. In which syllable is the vowel sound dropped? (U8 Track 8)
a. comfortable
b. comfortable
c. comfortable
d. comfortable
GRAMMAR FOR SPEAKING: Noun Clauses with That
Write the words in parentheses in the correct order to complete each sentence with a that clause. Use only
the words in parentheses.
Example: I’m sure that you will get (get / sure / that / will / you) a good grade on your assignment.
27. It’s ______________________________________ (attend / interesting / many / people / that / will) the
demonstration on campus.
28. Many students ______________________________________ (agree / college / raise / shouldn’t / that / the)
tuition fees next year.
29. The college needs a new dorm, but people ______________________________________ (cause / construction /
the / that / will / worry) pollution.
© 2018 National Geographic Learning, a Cengage Learning Company 4
Pathways Listening, Speaking, and Critical Thinking, 2e Level 4: Unit Test
Name: ________________________
30. If you’re in Professor Smith’s class, don’t ______________________________________ (forget / give / loves /
she / that / to) surprise pop quizzes.
SPEAKING SKILL: Emphasizing Important Information
Read the sentence. Where is the best place to add the emphasizing expression in parentheses? Choose
Position A, Position B, or Position C.
31. In order to become more healthy [A] and stay that way, [B] exercising regularly [C] is one of the best things we
can do.
(we need to keep in mind that)
a. Position A
b. Position B
c. Position C
32. Numerous studies have shown that diet and health are linked [A], and [B] eating junk food can have a harmful
impact on our bodies [C].
(it’s important to remember that)
a. Position A
b. Position B
c. Position C
33. I overheard [A] some of you saying that you have so many assignments [B] you don’t have time to see your
friends, but [C] studies suggest that people who spend time with their friends tend to feel less stress. So try to find
a balance in your lives, OK?
(I’d like to point out that)
a. Position A
b. Position B
c. Position C
34. Winter is coming, and you’re all no doubt expecting to come down with the usual seasonal illnesses, such as colds
and flu, but [A] washing your hands [B] with soap for at least 20 seconds has been shown to [C] limit the spread
of such infectious diseases.
(let me stress that)
a. Position A
b. Position B
c. Position C
© 2018 National Geographic Learning, a Cengage Learning Company 5
Pathways Listening, Speaking, and Critical Thinking, 2e Level 4: Unit Test
Name: ________________________
SPEAKING TASK
Read the question. Spend 15 seconds thinking about how to respond. Then speak for up to 45 seconds.
35. What do you think is the most important thing for a city to have: low levels of pollution, good public
transportation, or many parks and green spaces? Why? Support your point of view with details and examples.
© 2018 National Geographic Learning, a Cengage Learning Company 6
ID: U
UNIT 8: HEALTH AND TECHNOLOGY
Answer Section
1. ANS: B PTS: 2 REF: Lesson A TOP: Vocabulary
2. ANS: A PTS: 2 REF: Lesson A TOP: Vocabulary
MSC: AWL
3. ANS: B PTS: 2 REF: Lesson A TOP: Vocabulary
4. ANS: C PTS: 2 REF: Lesson A TOP: Vocabulary
MSC: AWL
5. ANS: C PTS: 2 REF: Lesson A TOP: Vocabulary
6. ANS: B PTS: 2 REF: Lesson A TOP: Vocabulary
7. ANS: C PTS: 2 REF: Lesson A TOP: Vocabulary
MSC: AWL
8. ANS: resolve
PTS: 2 REF: Lesson B TOP: Vocabulary MSC: AWL
9. ANS: detect
PTS: 2 REF: Lesson B TOP: Vocabulary MSC: AWL
10. ANS: sedentary
PTS: 2 REF: Lesson B TOP: Vocabulary
11. ANS: notify
PTS: 2 REF: Lesson B TOP: Vocabulary
12. ANS: repetitive
PTS: 2 REF: Lesson B TOP: Vocabulary
13. ANS: C PTS: 3 REF: Lesson A | Lesson B
TOP: Listening for Main Ideas MSC: TOEFL
14. ANS: D PTS: 3 REF: Lesson A | Lesson B
TOP: Listening for Main Ideas MSC: TOEFL
15. ANS: public health
PTS: 3 REF: Lesson A | Lesson B TOP: Listening for Details
MSC: IELTS
16. ANS: fix problems
PTS: 3 REF: Lesson A | Lesson B TOP: Listening for Details
MSC: IELTS
17. ANS: enough knowledge
PTS: 3 REF: Lesson A | Lesson B TOP: Listening for Details
MSC: IELTS
© 2018 National Geographic Learning, a Cengage Learning Company 1
ID: U
18. ANS: negative effects
PTS: 3 REF: Lesson A | Lesson B TOP: Listening for Details
MSC: IELTS
19. ANS: in danger
PTS: 3 REF: Lesson A | Lesson B TOP: Listening for Details
MSC: IELTS
20. ANS: B PTS: 3 REF: Lesson B TOP: Listening Skill
21. ANS: D PTS: 3 REF: Lesson B TOP: Listening Skill
22. ANS: A PTS: 3 REF: Lesson B TOP: Listening Skill
23. ANS: B PTS: 3 REF: Lesson B TOP: Pronunciation
24. ANS: D PTS: 3 REF: Lesson B TOP: Pronunciation
25. ANS: C PTS: 3 REF: Lesson B TOP: Pronunciation
26. ANS: B PTS: 3 REF: Lesson B TOP: Pronunciation
27. ANS: interesting that many people will attend
PTS: 3 REF: Lesson A TOP: Grammar for Speaking
28. ANS: agree that the college shouldn’t raise
PTS: 3 REF: Lesson A TOP: Grammar for Speaking
29. ANS: worry that the construction will cause
PTS: 3 REF: Lesson A TOP: Grammar for Speaking
30. ANS: forget that she loves to give
PTS: 3 REF: Lesson A TOP: Grammar for Speaking
31. ANS: B PTS: 3 REF: Lesson A TOP: Speaking Skill
32. ANS: B PTS: 3 REF: Lesson A TOP: Speaking Skill
33. ANS: C PTS: 3 REF: Lesson A TOP: Speaking Skill
34. ANS: A PTS: 3 REF: Lesson A TOP: Speaking Skill
35. ANS:
Answers will vary.
PTS: 10 REF: Lesson A | Lesson B TOP: Speaking Task: Free Speaking
MSC: TOEFL
© 2018 National Geographic Learning, a Cengage Learning Company 2