UNIT 1: A LONG AND HEALTHY LIFE

TEST 1
Mark the letter A, B, C, or D on your answer sheet to indicate the word whose underlined part is
pronounced differently from that of the rest in each of the following questions.
1. A. yogurt B. suffer C. muscle D. instruct
2. A. exhausted B. excited C. confused D. disappointed
Mark the letter A, B, C, or D on your answer sheet to indicate the word that differs from the rest in
the position of the main stress in each of the following questions.
3. A. treatment B. disease C. infect D. routine
4. A. energy B. properly C. examine D. nutrient

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 questions.
5. Life expectancy for both men and women has improved greatly in the past twenty years.
A. Living standard B. Longevity C. Life skills D. Lifeline
6. Since the appointment of a skillful manager, the department has gone from strength to strength.
A. become more and more successful B. become more and more difficult
C. become more and more active D. become more and more stressful
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 questions.
7. I found a website advertising an effective way to lose weight in one month.
A. drop B. gain C. waste D. maintain
8. Stress may weaken your immune system
A. lengthen B. enlarge C. strengthen D. shorten
Mark the letter A, B, C, or D to indicate the correct answer to each of the following questions.
9. This year, so far, we ____ £ 16,000 and are still counting.
A. has raised B. have been raised C. have raised D. raised
10. ____ in this mansion 5 years ago?
A. Did you live B. You lived C. Have you lived D. Did you lived
11. Recently, a gang of enterprising New Zealanders ____ an incredible scheme to raise awareness of
depression and mental health issues.
A. has introduced B. was introduced C. introduced D. have introduced
12. Although he was on the whole very suspicious of the project, Mr Adams ____ to cooperate.
A. didn't promise B. promised C. has promised D. hasn't promised
13. It is now over seventy years since Lindbergh ____ across the Atlantic.
A. has been flying B. flew C. had flown D. has flown
14. It is ____ most delicious pasta that I have ever eaten.
A. a B. an C. the D. no article
15. The doctor needs an assistant with ____ good knowledge of nutrition.
A. a B. the C. an D. no article
16. Pain is a natural warning that you’re ill or____.
A. injured B. injure C. injury D. injurious
17. I swim twice a week to try to ____ fit.
A. keep B. make C. consider D. see
18. My teenage son always wants to sleep ___ on the weekends
A. in B. at C. for D. up
19. A healthy ____ between work and play ensures that everyone has a chance to enjoy their lives.
A. balance B. control C. equality D. share
20. An active lifestyle has many health ____.
A. care B. issues C. needs D. benefits
Mark the letter A, B, C, or D on your answer sheet to indicate the most suitable response to complete
each of the following exchanges.
21. Laura and Tom are talking about keeping fit.
Laura: “Do you think it's important for young people to keep fit?”
Tom: “____”
A. Why do they need to keep fit?
B. It's very important for old-aged people to have a healthy lifestyle.
C. I do think so. As the main labour force of the country, they must be strong.
D. It doesn't cost much to work out in the gym these days.
22. Jack is inviting Linda to his birthday party.
Jack: “Would you like to come to my birthday party next week?"
Linda: “_______’’
A. Why not? B. Yes, I'd love to. C. I don’t think so. D. No, I’d love to.
Mark the letter A, B, C or D on your answer sheet to indicate the underlined part that needs
correction in each of the following questions.
23. I have sent an email to Jack last week, but he hasn't replied.
A. to B. have sent C. but D. hasn’t
24. Van Cliburn studies piano from 1951 to 1954 and won multiple awards between 1958 and 1960.
A. won B. between C. from D. studies
25. Premature babies are more likely to suffer to breathing difficulties in childhood.
A. childhood B. Premature C. likely D. to

Mark the letter A, B, C, or D on your answer sheet to indicate the sentence that is closest meaning to
each of the following questions.
26. They last ate raw fish two weeks ago.
A. They have eaten raw fish for two weeks. B. They ate raw fish since two weeks.
C. They haven't eaten raw fish for two weeks. D. They didn't eat raw fish since two weeks.
27. She started driving to work one month ago.
A. She has driven to work since one month. B. It is one month when she started driving to work.
C. She has driven to work for one month. D. It was one month after she started to work.
28. I haven't met my grandparents for five years.
A. I often met my grandparents five years ago. B. I last met my grandparents five years ago.
C. I have met my grandparents for five years. D. I didn't meet my grandparents five years ago.

Mark the letter A, B, C or D on your answer sheet to indicate the sentence that best combines each
pair of sentences in the following questions.
29. Mr. Diamond lives in Singapore. He moved there in 2010.
A. Mr. Diamond has lived in Singapore since 2010.
 B. Mr. Diamond lived in Singapore since 2010.
C. Mr. Diamond has lived in Singapore in 2010.
D. Mr. Diamond has left Singapore since 2010.
30. She got a rare liver disease when she was only twenty. Now she still suffers from it.
A. She has suffered from a rare liver disease since she was only twenty.
B. She suffered from a rare liver disease since she was only twenty.
C. She suffered from a rare liver disease when she was only twenty.
D. She suffered from a rare liver disease for twenty years.

Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate the
correct word or phrase that best fits each of the numbered blanks
Whether you were once much more (31)____ active or have never been one to exercise regularly, now
is a great time to start an exercise and fitness regimen. Getting and staying in (32)____ is just as
important for seniors as it is for younger people. Getting your heart rate up and challenging your
muscles benefits virtually every system in your body and improves your physical and mental health in
(33) ____ways. Physical activity helps maintain a healthy blood pressure, reduces inflammation,
improves blood sugar levels, strengthens bones, and helps stave off depression.(34)____, a regular
exercise program can lead to better quality sleep, reduce your risk of some cancers, and is linked to
longer life. Many older adults hesitate to get moving because they’re unfamiliar (35)____ the types of
exercise and fitness. The good news is that any kind of movement is better than being sedentary, so
there’s nothing wrong with starting small and working your way up to longer workouts.
(Adapted from: [Link]
31. A. physical B. physically C. physics D. physicality
32. A. shape B. format C. shade D. formula
33. A. much B. each C. many D. little
34. A. In contrast B. In sum C. In addition D. In general
35. A. with B. on C. about D. at

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the
correct word for each of the questions.
Health promotion and disease prevention programs focus on keeping people healthy. Health
promotion programs aim to engage and empower individuals and communities to choose healthy
behaviours and make changes that reduce the risk of developing chronic diseases and other morbidities.
Defined by the World Health Organization, health promotion is: “The process of enabling people to
increase control over, and to improve, their health. It moves beyond a focus on individual behaviour
towards a wide range of social and environmental interventions.”
Disease prevention differs from health promotion because it focuses on specific efforts aimed at
reducing the development and severity of chronic diseases and other morbidities.
Wellness is related to health promotion and disease prevention. Wellness is described as the
attitudes and active decisions made by an individual that contribute to positive health behaviours and
outcomes.
Health promotion and disease prevention programs often address social determinants of health, which
influence modifiable risk behaviours. Social determinants of health are the economic, social, cultural,
and political conditions in which people are born, grow, and live that affect health status. Modifiable
risk behaviours include, for example, tobacco use, poor eating habits, and lack of physical activity,
which contribute to the development of chronic disease. Typical activities for health promotion, disease
prevention, and wellness programs include: communication (raising awareness about healthy behaviors
for the general public), education (empowering behavior change and actions through increased
knowledge), policy, systems, and environment (making systematic changes – through improved laws,
rules, and regulations, functional organizational components, and economic, social, or physical
environment – to encourage, make available, and enable healthy choices.)
(Adapted from [Link]
36. Which best serves as the title for the passage?
A. Understanding Health Promotion
B. Social Determinants of Health
C. Defining Health Promotion and Disease Prevention
D. What do you know about disease prevention?
37. The word “empower” in paragraph 1 is closest in meaning to ______.
A. affect B. pursue C. allow D. insist
38. What does disease prevention focus on?
A. Wide range of social and environmental interventions
B. Specific efforts reducing the development and severity of chronic diseases
C. Attitudes and active decisions made by an individual
D. Positive health behaviours and outcomes
39. The word “that” in paragraph 3 refers to ______.
A. attitudes active decisions B. Wellness C. health behaviours D. outcomes
40. According to the last paragraph, modifiable risk behaviours contribute to the development of
______.
A. tobacco use B. eating habits C. physical activity D. chronic
diseases

WRITING: Rewrite the sentences without changing their meaning, using the given words.
1. He started to learn English when he was in grade 6.
 He has _______________________________________________________________________
2. This is the first time I have been abroad.
 I have ________________________________________________________________________
3. They last wrote to each other five years ago.
 They haven’t __________________________________________________________________
4. I haven’t seen Bob since I went to London.
 I last _________________________________________________________________________
5. How long have you prepared everything for the project?
 When ________________________________________________________________________

UNIT 1: A LONG AND HEALTHY LIFE

TEST 2
Mark the letter A, B, C, or D on your answer sheet to indicate the word whose underlined part is
pronounced differently from that of the rest in each of the following questions.
1. A. balanced B. yoga C. fatty D. natural
2. A. concerned B. raised C. developed D. maintained
Mark the letter A, B, C, or D on your answer sheet to indicate the word that differs from the rest in
the position of the main stress in each of the following questions.
3. A. proper B. contain C. immune D. prevent
4. A. exercise B. infectious C. mineral D. energy

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 questions.
5. Edwin was feeling a little off - colour, so he decided to stay in rather than go out for dinner.
A. nervous B. ill C. confused D. strong
6. The first step in boosting Nagano’s life span was a campaign to reduce salt consumption and
promote a healthier diet and lifestyle.
A. decreasing B. reducing C. increasing D. maintaining
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 questions.
7. Many of these treatments and new developments have the potential to prolong and improve the
quality of life.
A. strengthen B. lengthen C. shorten D. widen
8. I noticed that you was looking a little under the weather. You coughed a lot
A. as pale as a ghost B. green around the gills C. out of sorts D. in the pink
Mark the letter A, B, C, or D to indicate the correct answer to each of the following questions.
9. I ____ to help students at a special school twice since I finished grade 11.
A. have volunteered B. am volunteered C. was volunteering D. volunteered
10. Last Sunday, the Youth Union ____ a campaign to help students with disabilities.
A. has launched B. launched C. was launched D. was launching
11. I ______ to New York three times this year.
A. have been B. was C. were D. has been
12. Also in 2012, [Link] _____her first novel, The Casual Vacancy, for adults, which _____into
44 languages up to now and _____for TV by the BBC in 2015.
A. published/ has been translated/ was adapted
B. published/ was translated/ was adapted
C. has published/ has been translated/ has been adapted
D. has published/ was translated/ has been adapted
13. Hughes, 26, a sports therapist, _____ 53 marathons in 53 days in 53 different UK cities.
A. completed B. has completed C. have completed D. was complete
14. Before you go to _____ bed, avoid having coffee or energy drinks.
A. a B. an C. the D. no article
15. I prefer fruits and vegetables _____ fast food and junk food
A. of B. for C. than D. to
16. Sugar-free foods can be helpful if you have diabetes and it is best to support overall wellness and
blood sugar _____.
A. regulation B. regularly C. regular D. irregular
17. In China, it is believed that Tai Chi can delay ageing and prolong life, increase flexibility, _____
muscles and tendons, and aid in the treatment of heart disease.
 A. strengthen B. decrease C. increase D. strain
18. The doctor told him to _____ on his drinking to have a good health.
A. look at B. cut down C. work out D. suffer from
19. Science has shown that many types of chronic diseases are ____ people's bad eating habits.
A. associated to B. related in C. caused with D. attributed to
20. Increasing numbers of children are _____ from mental health problems due to bad habits
A. suffering B. recovering C. harming D. improving
Mark the letter A, B, C, or D on your answer sheet to indicate the most suitable response to complete
each of the following exchanges.
21. Nam and Lan are talking about the topic of healthy lifestyle and longevity.
Nam: “What are the main health problems young people face?”
Lan: “______”
A. There are so many health problems these days.
B. Fitness centres are mushrooming.
C. Diabetes and obesity are the biggest threats to them.
D. It is easy for young people to overcome their health problems
22. Nam and Lan are talking about the topic of healthy lifestyle and longevity.
Nam: “Do you know an apple a day can help you keep fit, build healthy bones and prevent disease
like cancer?”
Lan: “______”
A. I would love to. B. It’s a good idea. C. That’s incredible. D. You must like apple.
Mark the letter A, B, C or D on your answer sheet to indicate the underlined part that needs
correction in each of the following questions.
23. That house on the corner has been empty since the past few months
A. on B. been C. since D. months
24. I feel at home in this village because we lived here for six years now.
A. in this village B. I C. lived D. because
25. My grandmother keeps telling us that if we catch a cold, we should try natural remedies before
drinking any medicine.
A. telling B. catch C. natural remedies D. drinking
Mark the letter A, B, C, or D on your answer sheet to indicate the sentence that is closest meaning to
each of the following questions.
26. Tim last attended a live concert three months ago.
A. Tim didn’t attend a live concert three months ago.
B. Tim hasn’t attended a live concert for three months.
C. Tim has three months to attend a live concert.
D. Tim has attended a live concert for three months.
27. It started to rain at 2 o’clock and it is still raining.
A. It has been started to raining for2 o’clock. B. It has been raining since 2 o’clock
C. It has been raining for 2 o’clock. D. It has been raining in 2 o’clock.
28. I haven't heard from him for five years.
A. I last heard from him for five years. B. I didn't hear from him for five years.
C. I last heard from him five years ago. D. I have heard from him for five years.
Mark the letter A, B, C or D on your answer sheet to indicate the sentence that best combines each
pair of sentences in the following questions.
29. Stephen bought that house in 2000. He still lives in that house now.
A. Stephen lived in that house since 2000.
B. Stephen has been lived in that house since 2000.
C. Stephen has lived in that house since 2000.
D. Stephen hasn’t lived in that house since 2000.
30. They got the news of John’s death last week. Now the news still shocks them.
A. The news of John’s death has shocked them last week.
B. The news of John’s death have shocked them since last week.
C. The news of John’s death shocked them since last week.
D. The news of John’s death has shocked them since last week.

Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate the
correct word or phrase that best fits each of the numbered blanks
Keeping fit and healthy may seem difficult, but there are a few easy-to-follow guidelines. Firstly, a
balanced diet (31)_____ means selecting food that is low in salt and sugar is absolutely essential.
Experts recommend reducing the amount of fat in our diet, as too much can (32)_____ heart problems.
Secondly, it is important to fit exercise (33)_____ your daily routine. This can be done by simply
walking as much as possible and climbing stairs instead of taking the lift. Exercise is necessary to
maintain a healthy body, as well as increasing energy levels and making you feel (3 4)_____fitter and
happier. Finally, staying relaxed is another reason for good health. Too much stress can lead to a
variety of illnesses, from headaches to high blood pressure. Whenever possible, do things you enjoy
and treat yourself occasionally. (35)_____, the message is simple - enjoy yourself but learn to respect
your body too. It's all a question of getting a balance right.
(Adapted from FCE Use of English)
31. A. who B. when C. whose D. which
32. A. solve B. improve C. prevent D. cause
33. A. to B. of C. at D. about
34. A. general B. generally C. generalize D. generality
35. A. So B. Or C. Although D. Since

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the
correct word for each of the questions.
Everyone knows that good sleep is vitally important for our health. Not everyone knows how
important it is to sleep in the dark. A new report says that sleeping with the light on could be bad for
our health. Researchers say that turning off the light when we sleep helps to keep away diabetes and
heart diseases. Sleeping with thelight on could increase the risk of getting these diseases. The
researchers said that around 40 percent of people sleep with some sort of artificial light. They said even
the light from a television or alarm clock could affect our health. They added that the worst thing to
sleep with is a main light. Sleeping in the dark is more difficult for people who live in cities where
there is a lot of outdoor light at night.
Dr Phyllis Zee, who is an expert in sleep medicine, said that it is healthier for us to turn off all lights
when we sleep. Her team conducted a study of the blood sugar levels of 20 people after nights of sleep.
The people who slept with a light on had higher blood sugar levels the next morning compared to those
who slept in total darkness. Dr. Zee said this is because light stimulates brain activity, which raises
blood sugar levels. She said there are three things we can do to reduce the risk of illness. The first thing
is we should turn off the lights. Moreover, we should never sleep with white or blue light. Finally, it is
a good idea to use a blackout curtain or wear an eye mask.
(Adapted from: [Link]
36. What is the best title for the passage?
A. Light and the risk of illness B. Sleep and light
C. Sleep and the risk of illness D. Sleep and sleep medicine
37. According to the passage, why do people who live in cities find sleeping in the dark difficult?
A. Because all people in cities never turn off the lights when they sleep.
B. Because they sleep with an artificial light, like a television.
C. Because there is a lot of outdoor light at night in cities.
D. Because people in cities like sleeping with white or blue light.
38. The word "stimulates" in paragraph 2 is closest in meaning to ______________
A. increases B. generates C. encourages D. expands
39. The pronoun "They" in paragraph 1 refers to ______________
A. The researchers B. People sleeping with lights on
C. Diabetes and heart diseases D. People in cities
40. Which of the following is NOT mentioned as the things that we can do to reduce the risk of illness?
A. Use a blackout curtain or wear an eye mask. B. Never sleep with white or blue light.
C. Sleep with the light from a television or alarm clock. D. Turn off the light.

WRITING: Rewrite the sentences without changing their meaning, using the given words.
1. Mr. Thanh started teaching English in Ho Chi Minh City in 2018.
 Mr. Thanh has _________________________________________________________________
2. When did you have this computer?
 How long _____________________________________________________________________
3. The last time he met his family was 5 months ago.
 He hasn’t _____________________________________________________________________
4. I haven’t been to the zoo for over the year.
 The last time ___________________________________________________________________
5. I have never stayed in such an expensive hotel before.
 This is ________________________________________________________________________