For question 1-8, read the text below and decide which answer (A, B, C or D) best fits each

gup
There is an example at the beginning (0)

Example:

A general B. typical C. usual D. norm

The British dental catastrophe

For most of us, going to the dentist every six months used to be the (0)……… True, we might
not have relished the (1)…… but at least it didn't mean taking out a second mortgage to pay for
any possible treatment, or queueing overnight in the rain with hundreds of others just for the
chance to register with an NHS dentist. But these days, few than half of us visit the dentist on a
regular basis and it's not hard to see why. There simply aren't enough dentists to round. Finding a
dentist (2)….. to provide NHS treatment can be almost impossible in some areas. Official figures
show that half the people in England have no (3)……. to an NHS dentist, while research shows
that not g to the dentist regularly will not only (4)……. to bad teeth, but it could also put you at
risk of serious health problems such as heart disease, stroke, diabetes and even mouth cancer.

Although it's difficult to make direct comparisons, a recent survey that compared access to NHS
dentists in Britain with access to dentists in other European countries and the US shows how
serious the situation has become. The survey found on (5) ............there were fewer than four
NHS dentists per 10,000 in England, compared with six dentists per 10,000 in the US. Things
tend to be worse away from major cities so if you live in the country, your chances of seeing a
NHS dentist are (6)….

The situation has arisen because dentists, overwhelmed by the pressures of NHS dentistry, are
increasingly moving inte private work. Dentists say NHS fees mean that they can't offer patients
a high-quality service. The current system make only minimal (7)…. for preventative work,
although dentists are trained to detect symptoms that could have implications for both your
dental and general health, and should (8)…..out for suspicious signs at every check-up.

1. A. ideal B. prospect C. opinion D.view

2. A. willing B. helpful C. beneficial D accustomed
3. A. access B. entrance C. allowance D commencement
4. A. move B.push C. lead D. submit
5. A. mean B. common C. average D. broad
6. A. slim B. skinny C. weak D. shallow
7. A. permission B. limitation C. existence D. allowance
8. A. search B. look C. scan D. anticipate
Part 2

For questions 9-16, read the text below and think of the word which best fits each gap. Use only
one word in each gap. There is an example at the beginning (0). Write your answers in
CAPITAL LETTERS.

Example: 0. REMEMBER

Memory lapse or dementia?

It's a horribly disconcerting experience - groping to (0).....................your best friend's name,

forgetting an arrangement that you made only yesterday or realising that your PIN number has
vanished into a memory black hole. These 'senior moments' affect us all at times, but when do
brief memory lapses or moments of confusion become something you (9)………………. to
worry about? The fear that you might, literally, be losing your mind, is one that can be very real
(10)………………..if you’ve seen a parent or relative develop Alzheimer’s Dementia affects
around 750.000 people in the UK, and although there are 100 different forms of it, Alzheimer’s
is the (11)…………………common. This disease destroys brain cells and as the structure and
chemistry of the brain become increasingly damaged, the person’s ability to remember,
understand and communicate gradually declines. It’s a paricularly cruel diasease because it robs
us of the memories that make us (12)………………………..we are, define our experience and
provide us with the means to communicate with other people.

Although lots of us experience memory problems at some time, in most (13)......…………..

these have (14).....………………..to do with dementia. It's important to put the risk into
perspective. The reality is that, although it does happen, dementia unusual under the age of 65.
For the majority of people memory lapses will be nothing (15) than occasions blips. It is
important to realise that your memory slows down a bit as you age, but this is a very gradual
decline, quite di ferent from the more dramatic deterioration that happens with Alzheimer's. The
most common early sign of a problem forgetting recently learned information.

(16) …………........it's normal to forget appointments and telephone numbers occasionally,

people with early dementia tend to forget more frequently and they also forget the same
information again later.
Part 3

Write your answers IN CAPITAL LETTERS

Example: 0. CRAVINGS

Why you can't say no to certain foods

Are you a chocoholic or a fast food addict? Don't blame yourself - certain
foods can trigger an eating binge, but there are ways to control the (0)
……………….. Even if you're a fairly disciplined eater, there are sure to
be foods you'll have no (17)………………….to. For some it's a bar of CRAVE
chocolate, for others a burger. You probably think there's no one to blame RESIST
but your weak-willed self. But the reassuring truth is that when it comes to
controlling your junk food intake, the odds are heavily stacked against
you. High-fat, high-sugar foods can act like an (18)…………………..
drug, making us crave even more of the same. In the States, where (19)
……………………. rates are reaching epidemic proportions, there's even ADDICT
a group called Junk Food Anonymous, which aims to help people recover
OBESE
from their (20)……………………… on synthetic or refined food. Fat is
often added food to make it more palatable so it's a good way of making DEPEND
(21)………………..., bland food seem tastier. Another reason certain
foods are so (22)………………………. is that they have very real effect
on our mood, making us feel more relaxed. EXPENSE

Our eating habits develop when we are young and as we move into
adulthood the chocolate that we were rewarded with as a young child RESIST
becomes a guilty (23)…………………. We might feel we've earned the
right to treat ourselves after a hard day at work, for example. Past (24)
…………………….. can reinforce bad eating habits that are difficult to
break free from. INDULGE

ASSOCIATE

Part 4
For questions 25-30, complete the second sentence so that it has a similar meaning to the first
sentence, using the word given. Do not change the word given. You must use between three and
six words, including the word given. Here is an example (0).

Example: 0. George should have worked harder if he wanted to pass the exam. succeeded

Had George worked harder,…… HE WOULD HAVE SUCCEEDED IN......... passing the exam.

Write the missing words IN CAPITAL LETTERS.

25. Did anything about his behaviour seem strange to you? Strike

Did anything about his behaviour…………………………………….strange?

26. She takes photographs as a hobby rather than as a job. much

Taking photographs…………………………………… a job as a hobby for her.

27. Ben needs to clean his car. High

It’s………………………………………………… his car.

28. I didn't turn the TV on because I didn't want to wake the baby. fear

I didn't turn the TV on......... ..........the baby.

29. I'm not surprised he looks tired if he only had three hours' sleep last night. given

It's not surprising that he looks so tired slept for three hours last night.

30. You'll need to practise every day if you want to be a professional musician. do

Only by………………………...you stand a chance of becoming a professional musician.