Heath File 4
Heath File 4
Mark the letter A, B, C, or D to indicate the word(s) CLOSEST in meaning to the underlined
word(s) in each of the following sentences.
1. When I had a bad cough last habit that many people want A. bodily
week, the doctor told me to to change. B. active
take this antibiotic three A. custom C. outdoor
times daily after meals. B. routine D. athletic
A. medicine C. practice 12. If you don't tie your
B. vitamin D. tendency shoelaces properly, you
C. painkiller 7. The recipe says we need six might trip and fall during the
D. supplement ingredients: eggs, flour, race.
2. The pizza has a diameter of milk, sugar, butter, and A. correctly
30 centimeters, so it can feed vanilla. B. carefully
about four hungry people. A. component C. appropriately
A. width B. element D. thoroughly
B. circle C. material 13. John has regular
C. size D. item headaches that come every
D. measurement 8. Dust particles as small as afternoon around 3 o'clock.
3. After studying until one micron can enter your A. frequent
midnight, Jack needed an lungs when you breathe B. routine
energy drink to stay awake polluted air. C. consistent
for his morning exam. A. micrometer D. periodic
A. beverage B. particle 14. When the milk in your
B. stimulant C. speck refrigerator smells bad, you
C. refreshment D. measure should replace it with a fresh
D. booster 9. Children need calcium, an bottle.
4. The doctor will examine important mineral, to help A. substitute
your eyes and ears during their bones grow strong and B. exchange
your health check tomorrow healthy. C. change
morning. A. element D. swap
A. check B. nutrient 15. To do a proper squat,
B. treat C. substance keep your back straight and
C. inspect D. component lower your body as if sitting
D. observe 10. Fresh vegetables contain on an invisible chair.
5. Sarah's fitness improved a important nutrients that A. bend
lot after she started processed foods often lack. B. crouch
swimming and jogging every A. vitamin C. lower
day for three months. B. nourishment D. dip
A. health C. substance
B. strength D. element
C. condition 11. The teacher asked us to
D. ability do physical activities outside
6. Checking your phone first instead of sitting in the
thing in the morning is a classroom all day.
Mark the letter A, B, C, or D to indicate the word(s) OPPOSITE in meaning to the underlined
word(s) in each of the following sentences.
1. Every morning in my 6. After six months of 11. In our school pond, we
garden, I can see many medicine, my friend can see many small
living organisms like birds recovered from tuberculosis organisms swimming in the
and flowers. and returned to school. water.
A. moving animal A. sickness A. living thing
B. growing plant B. wellness B. water animal
C. non-living object C. illness C. artificial object
D. swimming fish D. tiredness D. small fish
2. During winter, infectious 7. The kind doctor gives 12. Students need both
diseases spread quickly in special treatment to sick mental and physical exercise
our school. children every afternoon. during the school day.
A. common cold A. care A. brain work
B. non-communicable B. medicine B. physical
conditions C. medical help C. thinking
C. winter illness D. medical neglect D. studying
D. flu season 8. After three months of daily 13. After playing in the park,
3. My mother always checks exercise, Tom has more we must wash our hands to
the food label carefully at strength in his arms and remove germs before lunch.
the supermarket before legs. A. dirty hands
buying. A. power B. bacteria
A. food package B. weakness C. clean surface
B. clear marking C. energy D. microbe
C. blank container D. muscle 14. Despite the difficult
D. product name 9. My sister's job at the factory homework, Mary shows
4. When it rains outside, I run is very repetitive, so she great enthusiasm in learning
on the spot in my room for wants to find new work. English.
30 minutes. A. changing A. excitement
A. walk slowly B. constant B. disinterest
B. move forward quickly C. regular C. happiness
C. exercise inside D. usual D. energy
D. stay active 10. Every Monday and 15. Good bacteria in yogurt
5. Last month, all children in Wednesday, we do twenty help our body stay healthy
our class got a vaccine to press-ups in our PE class. after lunch and dinner.
stay healthy. A. workout A. microorganism
A. protection B. standing position B. sterilizing agent
B. prevention C. exercise C. small germ
C. harmful agent D. movement D. living thing
D. medicine
TEST 1
Read the following advertisement and mark the letter A, B, C or D on your answer sheet to
indicate the option that best fits each of the numbered blanks from 1 to 6.
Small Daily Choices, Decades of Vibrant Living
• The revolutionary health approach transforms your aging process through (1)
______ decisions.
(2) ______ routines can add years to your life while improving your overall well-being.
• People (3) ______ the Quantum Aging philosophy experience remarkable improvements in
energy levels. Our coaches explain longevity secrets (4) ______ participants during each
personalized session.
• Our experts will help you (5) ______ back on your feet after years of neglecting your health
and wellness needs. (6) ______ a longer, more vibrant life requires making small but
significant choices every day.
✦ Join Quantum Aging today and discover how tiny daily decisions can compound into decades
of extraordinary health and vitality!
1: A. mind B. mindful C. mindfulness D. minded
2: A. Morning exercise consistent B. Consistent morning exercise
C. Exercise consistent morning D. Exercise morning consistent
3: A. adopting B. which adopted C. adopted D. was adopted
4: A. to B. for C. with D. at
5: A. bring B. take C. do D. get
6: A. Living B. To live C. To living D. live
Read the following leaflet and mark the letter A, B, C or D on your answer sheet to indicate the
option that best fits each of the numbered blanks from 7 to 12.
Thriving Beyond Tomorrow: The New Science of Extended Wellness
• Modern wellness practices differ from (7) ______ in their focus on long-term health outcomes
rather than quick fixes. Scientists are constantly (8) ______ how lifestyle choices affect our
longevity and quality of life.
• Recent (9) ______ in nutritional science have revealed the importance of micronutrients for
cellular health. (10) ______ common misconceptions, aging is not simply an inevitable decline
but a process that can be optimized.
• The (11) ______ of preventive medicine has transformed how we approach healthcare in the
21st century. A (12) ______ of studies have demonstrated the benefits of regular exercise for
maintaining cognitive function.
7: A. others B. another C. the others D. other
8: A. working on B. thinking over C. going through D. looking into
9: A. methods B. discoveries C. theories D. publications
10: A. On top of B. Because of C. In spite of D. With regard to
11: A. philosophy B. advancement C. implementation D. regulation
12: A. quantity B. bunch C. piece D. number
Mark the letter A, B, C or D on your answer sheet to make a meaningful exchange or text in
each of the following questions from 13 to 17.
13: a. Alex: A garden? What do you do there?
b. Alex: Hi! Do you like my new phone? It can show pictures in the air!
c. Jordan: Wow! That's cool. I like simple things. I go to a garden every day.
A. c-b-a B. c-a-b C. a-b-c D. b-c-a
14: a. Maya: A plant that sends messages? What does it say?
b. Liam: That's nice. I have a smart plant at home. It sends messages to my phone.
c. Maya: I want to see it! Can I visit your home?
d. Maya: Look at my smart watch! It tells me when I need to drink water.
e. Liam: It says "I need water" or "Too much sun!" It's like a pet.
A. b-e-d-a-c B. d-b-a-e-c C. d-b-c-a-e D. e-b-a-c-d
15: Dear Mr. Kim,
a. We can now grow new parts for your body! It is like magic. When you are old, some parts stop
working well.
b. Now, we can make new skin, bones, and more.
c. I think this can help you. Please come to my office next week. We can talk more about your
options.
d. How are you? I am Dr. LK. I want to tell you about new medicine for old bodies.
e. Your own cells help make these new parts. They are safe because they come from you. This
treatment is not painful and very effective.
Best wishes,
Dr. LK
A. c-a-e-d-b B. a-d-e-b-c C. d-a-b-e-c D. e-b-a-d-c
16: a. Countries should help old people with money. This can help them live better and longer.
b. Many old people worry about money. This worry can make them sick. Stress is bad for health.
c. Having money means better health for old people. They can eat well, see doctors, and live in
safe homes.
d. Some old people cannot pay for doctors. This is a big problem. They do not get help when they
are sick.
e. Old people need money to stay healthy. When they have enough money, they can buy good
food and medicine.
A. d-a-e-b-c B. b-a-e-d-c C. e-b-d-a-c D. a-b-d-e-c
17: a. People who believe in God often feel happy. Happy people get sick less. Religion can be
good for both mind and body.
b. Praying can make people feel calm. When people feel calm, their bodies can heal better. Stress
is bad for health.
c. Many people pray and go to church. Studies show that these people often feel less sad and live
longer.
d. Some religions say no to smoking and drinking. This is good for the body. These rules help
people stay healthy.
e. Going to church helps people make friends. Friends can help when you are sick. They can
bring food and medicine.
A. c-b-c-d-a B. c-a-c-b-d C. c-d-c-b-a D. c-e-a-d-b
Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate
the option that best fits each of the numbered blanks from 18 to 22.
Sleep is very important for our health. Good sleep helps us live longer. Many doctors study how
sleep affects our life. (18) ______. They also check if we wake up a lot during the night. If we
sleep well, our body can fix itself. Had people slept better in the past, (19) ______. The way we
sleep, which changes as we get older, can tell doctors about our health. People (20) ______. They
also have more heart problems; moreover, they feel tired all day. Bad sleep makes our body
weak; therefore, we cannot fight illness well. Having analyzed data from over 50,000 participants
across three continents, researchers concluded that consistent, (21) ______. They say we should
sleep seven to eight hours each night. We should also go to bed at the same time every day.
Doctors tell us to turn off phones before bed. The light from screens makes it hard to fall
asleep. (22) ______. When we follow these simple rules, we sleep better. Good sleep helps our
brain work well. It also helps our heart stay strong. Children need more sleep than adults. Older
people often sleep less at night. If we want to live longer, we must take care of our sleep. Recent
studies show that deep sleep is the most important kind. During deep sleep, our brain removes
harmful waste.
18: A. They prepare delicious meals for children every morning
B. They look at how many hours we sleep each night
C. They design colorful posters to decorate school hallways
D. They collect various plants from forests around the world
19: A. they might have lived longer lives which they enjoyed
B. they might have lived longer lives
C. they might have lived longer lives who were happier
D. they might having lived longer lives
20: A. who sleep less than six hours each night often get sick more
B. sleeping less than six hours each night will often got sick more
C. whom slept less than six hours each night have often gotten sick more
D. they sleep less than six hours each night often getting sick more
21: A. quality sleep significantly extending healthy lifespan
B. quality sleep, significantly extended healthy lifespan
C. quality sleep significantly extends healthy lifespan
D. quality sleep having significantly extended healthy lifespan
22: A. They should say we also not drink tea early in the week
B. They also say we should not drink coffee late in the day
C. We also say they should not drink water long in the night
D. They not also suggest we should avoid coffee early for health
Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate
the best answer to each of the following questions from 23 to 30.
Chronic inflammation contributes to many health problems like heart disease, diabetes, and
some cancers. An anti-inflammatory diet rich in fruits, vegetables, whole grains, and healthy fats
helps fight inflammation. These diets include foods with antioxidants and omega-3 fatty acids,
while limiting processed foods, refined sugars, and saturated fats. Studies show that these eating
patterns may reduce inflammatory markers and lower disease risk.
The Mediterranean diet is a good example of anti-inflammatory eating that has been well-
studied. It includes olive oil, nuts, fish, and many plant foods with anti-inflammatory properties.
The DASH diet and traditional Asian diets have similar benefits. People following these diets
show lower levels of inflammatory markers compared to those eating typical Western diets.
Research indicates that the combination of various nutrients working together provides greater
benefits than individual supplements alone.
Adopting anti-inflammatory eating habits requires gradual changes, not strict diets. Experts
suggest starting with small steps, like adding more vegetables to meals or choosing nuts and fruits
as snacks. Drinking enough water and regular exercise enhance these benefits. People with health
conditions should talk to doctors before changing their diet. Meal planning and preparation can
make the transition easier and more sustainable for long-term success.
Anti-inflammatory diets offer protection against age-related diseases when followed
long-term. People in regions with these traditional diets have fewer chronic conditions and live
longer. Diet is just one part of health, though. Managing stress, getting enough sleep, and
avoiding tobacco are also important. As research advances, nutrition advice may become more
personalized based on genetics and individual needs. The growing field of nutrigenomics studies
how food interacts with our genes.
23: According to the passage, which of the following is NOT mentioned as a component of anti-
inflammatory diets?
A. Omega-3 fatty acids B. Olive oil C. Whole grains D. Fermented foods
24: The word “limiting” in paragraph 1 is OPPOSITE in meaning to ______.
A. restricting B. reducing C. minimizing D. increasing
25: The word “supplements” in paragraph 2 could be best replaced by ______.
A. dietary products B. medications C. additives D. vitamins
26: The word “their” in paragraph 3 refers to ______.
A. doctors B. people with health conditions
C. experts D. vegetables
27: Which of the following best paraphrases the underlined sentence in paragraph 4?
A. Long-term dietary restrictions are necessary to reverse damage caused by age-related
inflammatory conditions.
B. Following anti-inflammatory eating patterns consistently over time may help prevent diseases
associated with aging.
C. Anti-inflammatory food regimens provide immediate benefits but require lifelong
commitment to maintain results.
D. Consuming specific nutrients for extended periods can cure most health problems that
typically occur in older age.
28: Which of the following is TRUE according to the passage?
A. People in regions with traditional anti-inflammatory diets typically experience fewer chronic
conditions and longevity.
B. Individual supplements provide greater health benefits than consuming nutrients from whole
foods in combination.
C. Anti-inflammatory diets require strict adherence to specific meal plans and immediate
elimination of all processed foods.
D. The DASH diet and Mediterranean diet have fundamentally different approaches to reducing
inflammatory markers in the body.
29: In which paragraph does the writer mention how to start an anti-inflammatory diet?
A. Paragraph 1 B. Paragraph 2 C. Paragraph 3 D. Paragraph 4
30: In which paragraph does the writer mention people living longer in certain regions?
A. Paragraph 2 B. Paragraph 1 C. Paragraph 4 D. Paragraph 3
Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate
the best answer to each of the following questions from 31 to 40.
Chronic stress has emerged as a significant factor in accelerating cellular aging, particularly
through its effects on telomeres—protective caps at the end of chromosomes that shorten with
age. When individuals are under the weather due to prolonged stress, their bodies produce
excessive cortisol, which can damage cellular structures and accelerate the aging process.
Research has shown that people with high stress levels often exhibit shorter telomeres, which is
associated with various age-related diseases including cardiovascular problems, diabetes, and
cognitive decline.
[I] Mindfulness meditation represents one of the most thoroughly researched stress
reduction approaches with documented benefits for cellular health. [II] This practice involves
focusing one’s attention on the present moment without judgment, which helps break the cycle of
rumination that often characterizes chronic stress. [III] A study found that participants who
completed an eight-week mindfulness program showed significant increases in telomerase
activity—an enzyme that helps rebuild telomeres. Physical exercise constitutes another powerful
intervention, with both aerobic and resistance training shown to boost telomerase activity. [IV]
Sleep quality plays a crucial role in stress management and cellular repair processes.
During deep sleep phases, the body engages in essential maintenance activities, including DNA
repair mechanisms that help preserve telomere length. Cognitive behavioral therapy for insomnia
has shown promise in improving sleep quality. Dietary interventions also merit consideration,
with Mediterranean and plant-based diets rich in antioxidants appearing to support telomere
preservation. These approaches work synergistically—combining multiple stress management
techniques typically yields more significant benefits than any single method alone.
The implications of this research extend beyond individual health to public policy and
healthcare systems. As evidence accumulates regarding the cellular impact of chronic stress,
medical professionals increasingly recognize stress management as a legitimate clinical
intervention rather than merely a lifestyle choice. Workplace wellness programs that incorporate
stress reduction techniques have shown promising results in improving employee health markers.
While more research is needed to fully understand the relationship between stress management
and cellular aging, the existing evidence suggests that how we respond to life's challenges may
significantly influence our biological aging trajectory.
31: The phrase “under the weather” in paragraph 1 could be best replaced by ______.
A. stressed out B. burned out C. worn down D. broken down
32: The word “their” in paragraph 1 refers to ______.
A. telomeres B. individuals C. chromosomes D. cellular structures
33: Where in paragraph 2 does the following sentence best fit? Additionally, maintaining strong
social connections can buffer against stress-induced cellular damage.
A. [I] B. [II] C. [III] D. [IV]
34: Which of the following is NOT mentioned as a benefit of stress management techniques?
A. Reduced healthcare costs B. Increased telomerase activity
C. Improved sleep quality D. Preservation of telomere length
35: Which of the following best summarises paragraph 3?
A. Cognitive behavioral therapy effectively treats insomnia, while Mediterranean diets provide
antioxidants that repair DNA and preserve telomeres during deep sleep cycles.
B. Multiple stress management techniques should be implemented simultaneously rather than
individually to maximize cellular repair and telomere preservation benefits.
C. Quality sleep enables DNA repair during deep phases, while therapies and dietary changes
support telomere health, with combined approaches yielding optimal benefits.
D. Deep sleep activates maintenance processes that Mediterranean diets enhance, making
cognitive behavioral therapy unnecessary for those with proper sleep habits.
36: The word “maintenance” in paragraph 3 is OPPOSITE in meaning to ______.
A. preservation B. restoration C. conservation D. deterioration
37: Which of the following best paraphrases the underlined sentence in paragraph 4?
A. This research impacts not only personal wellbeing but also influences governmental
regulations and medical institutions.
B. Personal health findings have prompted new investigations into policy reform and healthcare
delivery improvements.
C. Individual health concerns are increasingly being addressed through policy changes and
healthcare system modifications.
D. The findings primarily affect personal health outcomes but may eventually influence policy
and healthcare decisions.
38: Which of the following is TRUE according to the passage?
A. Cognitive behavioral therapy has proven more effective than dietary interventions for
preserving telomere length in clinical trials.
B. Workplace wellness programs have consistently demonstrated significant reductions in
healthcare costs across all industries.
C. Participants who completed an eight-week mindfulness program showed significant increases
in telomerase activity that helps rebuild telomeres.
D. Research conclusively establishes that aerobic exercise contributes more to telomerase activity
than maintaining social connections.
39: Which of the following can be inferred from the passage?
A. Mediterranean diets have been scientifically proven more effective than plant-based diets for
preventing telomere shortening.
B. Workplace wellness programs focusing on mindfulness meditation produce better health
outcomes than exercise-based interventions.
C. Genetic factors play a more significant role in determining telomere length than lifestyle
factors or stress management techniques.
D. Our emotional responses to stressful situations have measurable biological effects that can
accelerate or slow cellular aging processes.
40: Which of the following best summarises the passage?
A. Chronic stress accelerates cellular aging through telomere shortening, while interventions like
mindfulness, exercise, sleep quality, and diet can mitigate this damage and influence biological
aging trajectories.
B. Telomeres protect chromosomes but shorten with age, causing diseases like cardiovascular
problems and diabetes, which can be prevented through mindfulness meditation and workplace
wellness programs.
C. Medical research shows mindfulness meditation increases telomerase activity more effectively
than exercise, sleep, or diet, leading to professional recognition of stress management as clinical
intervention.
D. Healthcare systems should incorporate stress reduction techniques into public policy as
legitimate clinical interventions rather than viewing them as lifestyle choices to improve
population health outcomes.
TEST 2
Read the following advertisement and mark the letter A, B, C or D on your answer sheet to
indicate the option that best fits each of the numbered blanks from 1 to 6.
The 100-Year Project: Start Your Journey to a Century of Wellness Today
- The revolutionary (1) ______ program transforms lives daily. Our (2) ______ offers
personalized plans for everyone seeking longevity.
- People (3) ______ our program report improved health within weeks. Our coaches send helpful
reminders (4) ______ clients every morning.
- You’ll be back on (5) ______ with our supportive community guiding you every step of the
way. We encourage living healthier rather than (6) ______ on quick fixes.
❖ Join The 100-Year Project today and take the first step toward your century of wellness!
1: A. wellnessity B. wellness C. well D. wellnessly
2: A. wellness comprehensive strategy B. strategy comprehensive wellness
C. comprehensive strategy wellness D. comprehensive wellness strategy
3: A. following B. which followed C. was followed D. followed
4: A. for B. with C. to D. at
5: A. course B. path C. journey D. track
6: A. to focus B. focus C. focusing D. to focusing
Read the following leaflet and mark the letter A, B, C or D on your answer sheet to indicate the
option that best fits each of the numbered blanks from 7 to 12.
Time Enriched: Where Modern Science Meets Timeless Health Wisdom
- Time Enriched invites you to discover a revolutionary approach to wellness that combines
cutting-edge scientific research with ancient healing traditions.
- While some health products focus solely on modern ingredients, (7) ______ integrate time-
tested remedies from around the world. Our experts have carefully (8) ______ the most effective
natural compounds that promote longevity and vitality.
- The (9) ______ of our formulations is backed by extensive clinical trials and centuries of
traditional use. (10) ______ the fast-paced modern lifestyle, our products make it easy to
maintain optimal health with minimal effort.
- Our commitment to (11) ______ ensures that every ingredient is ethically sourced and
environmentally friendly. We offer (12) ______ of options for those seeking natural solutions to
common health concerns.
7: A. others B. the others C. other D. another
8: A. worked out B. looked into C. brought up D. carried on
9: A. quality B. development C. composition D. effectiveness
10: A. Regardless of B. Subsequent to C. In spite of D. Prior to
11: A. quality B. sustainability C. innovation D. excellence
12: A. plenty B. lots C. many D. several
Mark the letter A, B, C or D on your answer to make a meaningful exchange or text in each of
the following questions from 13 to 17.
13: a. Tom: Yes, I love them! They help me learn English.
b. Mai: Hi Tom! Do you like your new smart glasses?
c. Mai: Really? How?
A. a-b-c B. b-a-c C. c-a-b D. a-c-b
14: a. Lin: That's fast! What food did you get?
b. Lin: Hello Amir! What are you doing?
c. Lin: Yes, please! I'm very hungry.
d. Amir: I'm ordering food on my phone. The delivery robot comes in 15 minutes.
e. Amir: I ordered pizza and salad. Do you want some?
A. d-a-e-b-c B. b-c-e-d-a C. a-b-c-d-e D. b-d-a-e-c
15: Dear Lee,
a. My doctor says these simple things help us live longer and better. Early good habits are
important!
b. I try not to eat too much sugar. My mother says it is bad for health.
c. How are you? I am fine. I want to talk about health.
d. I started eating more fruits and vegetables. I also walk every day for 20 minutes.
e. Do you exercise? What foods do you eat? I also drink a lot of water and sleep 8 hours.
Let's meet soon and walk together! Please call me this weekend.
Your friend,
LK
A. e-a-b-c-d B. a-c-d-e-b C. c-d-a-e-b D. d-a-c-e-b
16: a. Good health is important. Everyone wants to live a long life. All people need good doctors
and medicine.
b. But many people cannot get good healthcare. Some people have money for doctors. Other
people do not have money. This is not fair.
c. We need to share healthcare with everyone. All people should have doctors and medicine. It
does not matter if they have money or not.
d. Schools can teach about health. Governments can help poor people. Doctors can work in small
towns too.
e. If everyone gets good healthcare, all people can live longer. We can have a happy and healthy
world together.
A. a-b-c-d-e B. b-a-d-c-e C. c-d-b-a-e D. d-a-b-c-e
17: a. Art helps the brain stay strong. Old people who make art remember things better. They can
think more clearly when they do creative things.
b. Art makes people feel good. When old people paint or sing, they feel less sad. They forget their
pain or problems.
c. Everyone can enjoy art. You do not need to be young to start. Old people can learn new art
skills every day and stay healthy longer.
d. Art is good for old people. When people get old, they can paint, sing, or dance. These activities
make them happy.
e. Making art helps old people meet friends. They can join art classes or music groups. They talk
and laugh together.
A. d-b-c-a-e B. d-e-b-a-c C. d-c-b-e-a D. d-a-e-b-c
Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate
the option that best fits each of the numbered blanks from 18 to 22.
Intergenerational relationships are connections between people of different ages. These
relationships help both older and younger people live better and longer lives. Many activities (18)
_____. Older people often feel happier when they talk to children and young adults. They can
share stories about their past and teach important life lessons. Young people (19)_____.
Grandparents love to play with their grandchildren; furthermore, they feel more useful and
needed. Children enjoy hearing old stories, and they learn important lessons about history.
Walking in the park together, (20)______. Studies show that older people who regularly interact
with younger generations often live longer and have better mental health. These relationships
help reduce feelings of loneliness in older adults. (21)____. They can understand aging better and
feel less afraid of getting old. Simple activities like cooking, gardening, or reading together create
strong bonds between generations. These connections make communities stronger and healthier
for everyone. Research indicates that elderly people with regular contact with youth have stronger
immune systems. Schools that invite seniors to volunteer report better behavior from students.
(22)______. Doctors now recommend intergenerational activities as part of healthy aging plans.
Even short weekly interactions between generations can improve mood and cognitive function in
older adults.
18: A. which create conflicts between young and old people when forcing them to interact
together
B. that both young and old people avoiding due to their different interests in modern society
C. having disappointed many families when attempted across different generations
D. are enjoyed by both young and old people when they spend time together
19: A. had listened to these complaints developed skepticism about traditional teachings
B. will be respecting these traditions would sacrifice critical thinking for cultural preservation
C. whom analyze these myths often misinterpret ancient values through modern perspectives
D. who listen to these stories learn valuable wisdom from the past
20: A. exercising adults and children sitting indoors missing sunlight
B. having argued frequently while sharing confined living spaces
C. older adults and children both get exercise and fresh air
D. isolated from society yet connected through digital screens
21: A. Young people often resent advice hurts relationships with seniors
B. Elders impose outdated values cause conflict with teenagers
C. Modern youth rejects tradition suffers from disconnection
D. Young people also benefit by learning patience and respect for elders
22: A. Segregated facilities dividing generations by interests receive more funding community
approval
B. Community centers with programs for mixed age groups see higher attendance and
participation
C. Modern recreational spaces limiting intergenerational contact prevents conflicts wastes fewer
resources
D. Age-specific programs catering to separate demographics show better outcomes minimize
disagreements
Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate
the best answer to each of the following questions from 23 to 30.
Regenerative medicine is a promising healthcare field today that continues to advance
rapidly. It focuses on repairing damaged tissues through cellular therapies and tissue engineering
developed by researchers worldwide. Scientists are making significant progress growing tissues
from stem cells, which can become different cell types when properly stimulated. These
remarkable advances offer genuine hope for millions of patients with age-related conditions
previously considered untreatable by conventional medical approaches.
The process begins with carefully collecting stem cells from embryonic tissues, adult
tissues, or through innovative cellular reprogramming techniques. These specialized cells grow in
sophisticated laboratories that precisely mimic natural body conditions. Skilled researchers use
specific growth factors and biocompatible scaffolds to guide cells into becoming functional
tissues with appropriate structures. The ultimate goal is creating viable tissues for successful
transplantation without immune rejection, which remains a significant challenge for medical
professionals in this evolving field.
Regenerative medicine faces several substantial obstacles despite its tremendous potential.
Ethical issues regarding stem cell sources have caused intense debates among scientists,
policymakers, and religious organizations globally. The prohibitively high research costs
significantly limit treatment accessibility for average patients. Regulatory frameworks differ
dramatically across countries, creating inconsistent approval processes that hinder progress.
However, dedicated researchers firmly believe these challenging barriers can be overcome
through continuous innovation and interdisciplinary collaboration among medical specialties.
The potential impact on aging populations could be truly revolutionary in coming
decades. As global demographics shift toward older populations, demand for effective treatments
for age-related conditions will inevitably rise. Debilitating diseases like heart disease, diabetes,
Parkinson's, and arthritis might eventually be treated by replacing damaged tissues with custom
lab-grown alternatives. This transformative approach could fundamentally change healthcare
from merely managing chronic conditions to potentially curing them, substantially extending both
lifespan and health span—the valuable period of life spent in good health without significant
disease.
23: According to the passage, which of the following is NOT mentioned as a challenge facing
regenerative medicine?
A. Technical limitations in creating complex organ systems
B. Ethical issues regarding stem cell sources
C. High research costs limiting treatment accessibility
D. Inconsistent regulatory frameworks across countries
24: The word “property” in paragraph 1 is OPPOSITE in meaning to ______.
A. incorrectly B. adequately C. appropriately D. suitably
25: The word “precisely” in paragraph 2 could be best replaced by ______.
A. generally B. exactly C. vaguely D. occasionally
26: The word “its” in paragraph 3 refers to ______.
A. obstacles B. research C. tissue engineering D. regenerative medicine
27: Which of the following best paraphrases the underlined sentence in paragraph 4?
A. The benefits for senior citizens might be slightly improved as medical technologies advance
over time.
B. The innovations in youth treatments will eventually create better outcomes for aging adults
eventually.
C. The effects on elderly people may transform healthcare fundamentally in the next twenty to
thirty years.
D. The research on population aging has demonstrated revolutionary changes in recent scientific
studies.
28: Which of the following is TRUE according to the passage?
A. Ethical debates about stem cells involve scientists, policymakers, and religious groups
worldwide.
B. Regenerative therapies have eliminated immune rejection issues in most tissue transplantation
cases.
C. Most countries have standardized regulations to expedite regenerative medicine research
approval.
D. The cost of regenerative treatments has decreased significantly due to technological
innovations.
29: In which paragraph does the writer mention how new tissues are grown?
A. Paragraph 1 B. Paragraph 2 C. Paragraph 3 D. Paragraph 4
30: In which paragraph does the writer mention how regenerative medicine might affect aging
populations?
A. Paragraph 2 B. Paragraph 1 C. Paragraph 4 D. Paragraph 3
Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate
the best answer to each of the following questions from 31 to 40.
Spending time in nature is good for our health. Many studies show that being in parks,
forests, or near water makes people feel better. When we walk in green spaces, our stress levels
go down. Our blood pressure also becomes lower. Getting outdoors regularly is truly worth its
weight in gold for our overall wellbeing. Even looking at pictures of nature can help us feel
calmer. Doctors now sometimes tell patients to spend time outside as part of their treatment.
Research indicates these benefits occur across all age groups worldwide.
Physical health improves when we have access to nature. [I] People who live near parks
often exercise more. [II] They walk, run, or ride bikes on paths and trails. Getting sunshine helps
our bodies make vitamin D, which keeps our bones strong. [III] Children who play outside
regularly are less likely to become overweight and may have better eyesight. [IV] Natural
surroundings also strengthen our immune systems against common illnesses.
Mental health benefits from nature are clear too. Time in natural settings can reduce
feelings of anxiety and depression. Students who study with a view of trees or plants can focus
better. Office workers with plants nearby report feeling happier at work. After difficult life
events, people often find comfort in quiet natural places. The sounds of birds singing or water
flowing create a peaceful feeling that helps the mind rest. These experiences stimulate production
of feel-good hormones in our brains.
Scientists continue to discover new ways that nature helps us. Hospital patients who can
see trees from their windows often recover faster than those who cannot. Elderly people who
garden regularly tend to live longer. Communities with more green spaces have lower crime rates
in many cases. As our world becomes more digital, the healing power of nature becomes even
more important. Making parks and natural areas available to everyone should be a priority for
healthy communities. Even short nature breaks can counteract negative effects of technology use.
31: The phrase “worth its weight in gold” in paragraph 1 could be best replaced by ______.
A. breaks down B. pays off C. looks up D. falls through
32: The word “their” in paragraph 1 refers to ______.
A. doctors B. pictures C. studies D. patients
33: Where in paragraph 2 does the following sentence best fit?
Fresh air is cleaner than indoor air in many places.
A. [I] B. [II] C. [III] D. [IV]
34: Which of the following is NOT mentioned as a benefit of nature in the passage?
A. Lower blood pressure B. Reduced anxiety and depression
C. Improved sleep quality D. Strengthened immune system
35: Which of the following best summarises paragraph 3?
A. Exposure to natural settings improves mental health by reducing negative emotions, enhancing
focus, providing comfort, and stimulating beneficial hormones.
B. Nature sounds like birds and water create peaceful environments that help students focus on
academic work and improve overall test scores.
C. Office productivity increases dramatically when plants are added to workspaces as they create
visual interest and filter toxins from indoor environments.
D. People experiencing trauma should seek treatment in outdoor settings rather than traditional
therapy since nature provides superior healing benefits.
36: The word “depression” in paragraph 3 is OPPOSITE in meaning to ______.
A. isolation B. anxiety C. fatigue D. contentment
37: Which of the following best paraphrases the underlined sentence in paragraph 4?
A. Recovery times for hospital patients tend to decrease when their rooms provide visual access
to natural tree environments.
B. Hospitals with landscaped grounds containing numerous trees report significantly lower
average patient admission durations.
C. Patients express greater satisfaction with medical care when treatment facilities incorporate
natural elements in building design.
D. Research suggests that hospital room windows should ideally face garden areas rather than
urban views for optimal psychological effects.
38: Which of the following is TRUE according to the passage?
A. Hospital patients who can see trees from their windows typically experience faster recovery
times than those with views of urban landscapes.
B. Regular exposure to natural water environments is more beneficial for reducing depression
than forest settings according to controlled medical studies.
C. Modern technology has largely eliminated our biological need for natural environments,
though brief outdoor breaks remain psychologically comforting.
D. Children who attend schools with outdoor learning programs score consistently higher on
standardized tests than those in traditional classroom settings.
39: Which of the following can be inferred from the passage?
A. Healthcare systems could reduce treatment costs significantly by incorporating nature-based
therapies into standard medical protocols.
B. Urban planners should prioritize creating accessible green spaces in city designs to promote
public health and reduce crime rates.
C. Schools without windows or access to natural settings may inadvertently contribute to
students' attention problems and academic difficulties.
D. Our emotional responses to stressful situations have measurable biological effects that can
accelerate or slow cellular aging processes.
40: Which of the following best summarises the passage?
A. Chronic stress accelerates cellular aging through telomere shortening, while interventions like
mindfulness, exercise, sleep quality, and diet can mitigate this damage and influence biological
aging trajectories.
B. Telomeres protect chromosomes but shorten with age, causing diseases like cardiovascular
problems and diabetes, which can be prevented through mindfulness meditation and workplace
wellness programs.
C. Medical research shows mindfulness meditation increases telomerase activity more effectively
than exercise, sleep, or diet, leading to professional recognition of stress management as clinical
intervention.
D. Healthcare systems should incorporate stress reduction techniques into public policy as
legitimate clinical interventions rather than viewing them as lifestyle choices to improve
population health outcomes.