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WRITING

WRITING

WRITING

TEST 3

INSTRUCTIONS:
For this section of the test, a proctor will give you a special answer form. Make sure that your
name appears correctly on the front of the form.
Using a Number 2 pencil ONLY, write as much as you can, as well as you can, in an
original, 35-minute composition on ONE of the two topics below.
1. Many people believe that the clothes you wear or the car you drive reflect who you are.
This is why some people wear only expensive brands or designer clothes and drive
expensive foreign cars. Are you such a person? Do you think such status symbols make
the mane? Be sure to support your opinion with reasons and explanations.

OR
2. How many times have you met a totally incompetent person in a high position and
wondered how such things are possible? What do you think counts more in finding a job,
what you know or who you know? Be sure to support your opinion with reasons and
explanations.

DO NOT TURN THE PAGE UNTIL


YOU ARE TOLD TO DO SO
1

LISTENING TEST

LISTENING TEST

LISTENING TEST

Part 1: Short Conversations


For each question in your test booklet, you will hear a short conversation. The conversation has a
short title to tell you what it is about. Listen to the conversation and choose the letter of the choice
that best answers the question that appears in your test booklet. You will not hear the question;
you will see it and read it. You will read it quietly to yourself. Use your pencil to mark your
answer on your answer sheet. You are allowed to take notes in the test booklet.
Example X:
Walking Across Campus
Mary wants to go to______.
a. the library
b. her house
c. a class

The perfect gift


1. How does the man feel about her discovery?
a. He is just as thrilled.
b. He prefers conventional gifts.
c. He likes the suspense.
Weather conditions
2. What will she probably end up doing?
a. going to the mountains
b. staying home
c. going to the coast
Summer camp job
3. What doesnt she want?
a. to have to care for very young children
b. to be out of doors
c. to sleep in a cabin
Picking a book to read
4. What will she probably do?
a. Read the DaVinci Code.
b. Get a new book Helens read.
c. Try to find a book through the net.
A trip to the dentist
5. What is the womans problem?
a. She doesn't like taking antibiotics.
b. Shes afraid of dentists.
c. Her tooth must come out.
Backyard picnic
6. Which of the following is true?
a. Hell probably cook something.
b. The man and woman are neighbors
c. Shell probably bring a salad.
2

LISTENING TEST

LISTENING TEST

LISTENING TEST

Technology buff
7. What does he say about women?
a. They are technologically inclined.
b. They cant follow manuals.
c. They have no interest in technology.
Noisy neighbor
8. What is the womans problem?
a. She has turned him down.
b. She needs to get a battery.
c. She doesn't like to apologize.
Part 2: Longer Conversations
In this section you will hear a few longer conversations. After each conversation you will read
between 3 and 5 questions. Listen to each conversation and answer the questions that appear in
your test booklet.
At the mall: A friends request
9. What is Jill complaining about?
a. the money she owes
b. her lack of restraint in shopping
c. her many vulnerabilities
10. Who does Jill blame for her condition?
a. the society and our way of life
b. credit card companies
c. her mother
11. Which trap is Jack referring to?
a. the buy now, pay later plan of credit companies
b. buying things she doesnt need
c. of living in the environment she does
12. Jill spends money _________.
a. because she is ill
b. to feel fulfilled
c. because her mother does
13. What does Jack suggest she do?
a. Follow his instructions.
b. Restructure her repayments.
c. Switch to a different credit card company.
A discussion in the office
14. What is the womans problem?
a. She cant drive at night.
b. She gets lost easily.
c. She cant read road maps.
15. What is special about this new map?
a. It is only for women.
b. It has been simplified.
c. It involves spatial tasks.
3

LISTENING TEST

LISTENING TEST

LISTENING TEST

16. The Institute of Psychiatry Research showed _________.


a. women only use one side of their brain
b. men use both sides of their brain
c. women are not good at spatial tasks
During an on-campus rock concert
17. According to the man _________.
a. the concert is for a charitable cause
b. the music of the 20th century was better
c. Sinatra sang songs about the war
18. How does she feel about the concert music?
a. Shes too old for this kind of music.
b. She doesn't find it creative
c. The music makes her want to dance
19. What does the man claim Sinatra did?
a. He served as a medic.
b. He awoke deep feelings in his fans.
c. He fought along with the rest of American males.
20. What does she say about the concert singers?
a. They are using some of Sinatras techniques.
b. They are not aware of what theyre doing.
c. Their voices complement the band.
Part 3: Extended Discourse
In this section you will hear a presentation and an extended dialogue. You will listen to each
twice, and then you will answer several questions.
A visit to a famous pen factory
21. What where the earliest pens made from?
a. reeds
b. sea rushes
c. bamboo sticks
22. Where is the reed pen still used?
a. in Egypt
b. in Pakistan
c. in India
23. What were reed pens replaced by?
a. writing on scrolls
b. writing on parchment
c. quills
24. Why did Europeans start using quills?
a. They were more advanced.
b. They couldnt get reeds after the fall of the Roman Empire.
c. They had better results with quills.

LISTENING TEST

LISTENING TEST

25. When did metal nib pens go on the market?


a. 1803
b. 1822
c. 1879
26. What did the Caliph of Egypt request?
a. a reservoir fountain pen
b. a pen with a nib
c. a pen that wouldnt dirty him
27. Who designed the BIC pen?
a. a student in Paris
b. the Biro brothers
c. a Hungarian writer
28. The Biro pen _________.
a. is made of a rotating ball at its tip
b. was first sold in 1940
c. was first patented in Argentina
29. The two Biro brothers _________.
a. worked as chemists
b. had to flee Nazi Germany
c. introduced erasable ballpoint pens
30. Erasable ballpoint pens _________.
a. were patented in Argentina
b. were produced by Juan Jorge Meyne
c. were introduced when Erasermate went on the market

LISTENING TEST

LISTENING TEST

LISTENING TEST

LISTENING TEST

Planning a family getaway


31. What does Miriam want to do?
a. Get away from her family for a
weekend.
b. Find a place to go with her family.
c. Learn some history.

38. Why do they need cowboy boots?


a. They help when you go horseback
riding.
b. Its part of the ranch outfit.
c. Theyre good for hiking.

32. What is the Miner Family Ranch?


a. a place for miners to rest
b. a family owned mine
c. a family resort and ranch

39. What does Miriam say about George?


a. He loves nature.
b. Hes not too keen on nature trips.
c. Hell be hard to convince to come.

33. According to Miriam, the ranch


_________.
a. is located where the first saloon used
to be
b. is on a mine that is still active
c. is owned by a miner

40. What does Jack say about the price?


a. Its expensive.
b. They cant afford to go.
c. Because meals are included, the
price is reasonable.

34. What does she say about the Main Lodge?


a. It opened in 1970.
b. It has five luxury suites.
c. It is where the cowboys sleep.
35. What is the ranches most popular
attraction?
a. the trout fishing
b. the horseback riding program
c. working with cattle
36. What can men do at the ranch?
a. plan a barbeque
b. give fishing lessons
c. catch a trout and grill it
37. Jack will go on the trip provided
_________.
a. he can assist with the cattle
b. George wants to go
c. he can get fishing lessons

THIS IS THE END OF THE PRACTICE


LISTENING TEST.
DO NOT RETURN TO THE PREVIOUS
SECTION.
DO NOT TURN THE PAGE UNTIL
YOU ARE TOLD TO DO SO.
6

GRAMMAR TEST

GRAMMAR TEST

GRAMMAR TEST

48. "Did you go to the dance last weekend?"


"No, but I wish I ______.
a. could
b. had
c. had had
d. would

41. "Is it easy to find a waitressing job?"


"Well, ______ any other qualifications,
thats all you'll be able to do."
a. to not have
b. not to have
c. not have
d. not having

49. "They live right downtown."


"I could never ______ such a thing."
a. be used to
b. have used to
c. get used to
d. used to

42. We couldnt believe Jack didnt get into


university even though he is ______
conscientious student.
a. such
b. so
c. very
d. such a

50. "What are you doing here today?"


"I ______ on vacation, but things didnt
work out that way."
a. was gone
b. were to go
c. went
d. was to have gone

43. "You should take up a hobby ______ you


enjoy."
a. if
b. which
c. when
d. where

51. "I waited for you at the restaurant for an


hour last night."
"I'm sorry ______ you sitting there so
long."
a. to keeping
b. having kept
c. about to keep
d. to have kept

44. "Do you want some more coffee?"


"No, I have had ______ much already."
a. too very
b. too many
c. much too
d. that
45. "How did you like my driving?"
"As far as ______, Im never coming with
you again."
a. concerned with that
b. it concerns
c. that is concerned
d. concerning that

52. "Am I to blame for Susan's expulsion?"


"No, in your position, I probably ______
the same."
a. would do
b. did
c. would have done
d. must have done

46. "Did he call to cancel his reservation?"


"He might ______, but I dont know."
a. have
b. do
c. have done
d. done

53. "I don't know how I'll ever unlock this


drawer."
______ the key might help."
a. To have found
b. To find
c. Finding
d. Having found

47. "Did you have a test today?"


"No, no sooner ______ down than there
was a fire drill."
a. we sat
b. we had sat
c. had we sat
d. our sitting

54. They are first cousins."


"I thought they must be related. They
look so ______.
a. the same as
b. much like
c. alike
d. just like
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7

GRAMMAR TEST

GRAMMAR TEST

GRAMMAR TEST

62. I bought a new car ______ in Sweden.


a. that manufactured
b. manufacturing
c. manufactured
d. was manufactured

55. "What qualifications must one have for the


position?"
They want someone persuasive, ______
that means."
a. whatever
b. so
c. what
d. which

63. "Do I have to do that?"


"Yes. It doesnt matter ______ you want
to or not."
a. because
b. as if
c. either
d. whether

56. "Why doesn't she do anything about her


appearance?"
"She's ______ lazy to let such things worry
her."
a. very
b. such a
c. so
d. too

64. "Were you surprised by the election


results?"
"Yes, they were different ______ I had
expected."
a. that
b. from
c. than
d. to

57. "Should I mail the invitation to the Smiths?"


"Why don't you ______?
a. give to Mary it.
b. to Mary give it
c. give Mary it
d. give it to Mary

65. The part ______ repair the car was


ordered today.
a. needed to
b. needing
c. needs to
d. needing to

58. "Why don't you like Italian cars, they're


faster?"
"Because I prefer ______ any day."
a. German made car
b. a made in Germany car
c. a German made car
d. a car made in German

66. "Will you help me with this sometime?"


"Sure, ______, I could do it right now."
a. even so
b. on the other hand
c. however
d. in fact

59. It seems ______ he knows what he's doing.


a. though
b. as though
c. like if
d. to be

67. Do you think ______ be stricter crime


laws?
a. there should
b. it should
c. should there
d. should

60. "What did you think of Mr. Morris' lecture?"


"I found it very ______.
a. informing
b. informative
c. informational
d. informed

68. Because of the state of worldwide


economics, many factories ______ close.
a. having been
b. had have to
c. have been
d. have had to

61. We were lucky because the insurance


company paid for our ______ after we were
robbed.
a. losses
b. lost
c. loosing
d. loose

69. "I dont think John solved the problem


very well."
"Oh, really? What ______ have done?"
a. will he
b. would you
c. will you
d. would he
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8

GRAMMAR TEST

GRAMMAR TEST

70. Air pollution is ______ problem than water


pollution is.
a. not less
b. not a less
c. no less a
d. no a less

GRAMMAR TEST

76. I wish I had a car ______ give you a ride.


a. that I can
b. that I could
c. so that I can
d. so that I could
77. The conclusion ______ in that article states
that this medicine is effective.
a. is present
b. presented
c. is presented
d. presenting

71. Mary had to lean ______ the counter to


open the window.
a. above
b. over
c. after
d. around

78. Only if it rains, ______.


a. the match will cancel
b. the match will be cancelled
c. will the match cancel
d. will the match be cancelled

72. This newspaper has more ______ than that


newspaper.
a. popularity
b. popular
c. popularization
d. popularly

79. ______ people were expected at the


meeting.
a. All that
b. More than
c. Many more
d. Much more

73. Thank goodness ______ hurt in the train


accident.
a. didnt more people get
b. didnt get more people
c. more didnt get people
d. more people didnt get

80. That office building ______ a large


reception area.
a. had lack
b. lacked
c. was lack of
d. lacked in

74. Id like ______ this with you before the


meeting.
a. to discuss about
b. discussing about
c. the discussing of
d. to discuss
75. The President says the company is making
more cars this year than last year.
______ attribute the increase in
productivity?
a. Does he
b. What to
c. To what does he
d. What does he

THIS IS THE END OF THE CELP


GRAMMAR TEST
DO NOT RETURN TO THE PREVIOUS
SECTION.
DO NOT TURN THE PAGE UNTIL YOU
ARE TOLD TO DO SO.
9

READING TEST

READING TEST

READING TEST

Environment
As part of a class at school you have to read this article from a sociology book. Read it and
answer the questions that follow.
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Few experts doubt the fact that social environment plays a major role in
determining whether or not someone develops a mental disorder (#87), but there are
many different theories about how this influence is expressed. One of the earliest
theories among psychotherapists was that mental disorders are caused by disturbances
in the individuals early psychological development in the family. For example, it is
generally believed that parental love and affection are vital (#81) to the normal
maturation of a child. Children who are rejected by their parents may display a
variety of psychological problems, including anxiety, insecurity, low self-esteem and
hostility. 1.
Parental standards of discipline are also important for proper development.
Children have to feel that someone is watching over them and guiding their actions.
Harsh, rigid standards may produce either a hostile and rebellious child, or a passive,
guilt-ridden one. Lack of discipline is thought to encourage antisocial and aggressive
tendencies. Others feel that the children of overprotective parents develop passivedependant personalities. Everything must be done in moderation. It must be noted,
however, that most of these conditions would not really qualify as mental disorders
by most psychiatric standards. 2.
One theory that does deal with mental disorders was developed by George
Bateson, a well-known anthropologist. Bateson and his colleagues attributed
schizophrenia (#88) to the double bind some parents place on their children. For
example, when a mother tells her son I love you but flinches or pulls away every
time he touches her, the child receives two contradictory messages at the same time
(#82) and becomes confused as to which one is true. As a result, he may come to
mistrust and misinterpret normal communications and eventually become seriously
disoriented. 3.
On the whole, however, the critics have not been kind to those who held early
parental influences responsible for major mental disorders (#84). For one thing, they
say that this approach is too vague about the exact conditions that cause mental
disorders. Almost every family has some conditions that developmental theorists
consider conducive to psychological disorder, but most children do not develop
mental disorders. Moreover, many contemporary critics feel that this approach
unfairly blames parents for everything that goes wrong with their children (#84), and
that it produces unnecessary parental guilt and anxiety about whether or not theyve
fulfilled their roles as good parents. 4.

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10

READING TEST

READING TEST

81. What according to the passage do children


need to mature?
a. rigid standards
b. a double bind
c. parental love
d. overprotective parents

READING TEST

86. What is the authors attitude toward


mental disorders?
a. They are caused by an unstable
environment.
b. They are found in the early
development stages.
c. They are caused by lack of
communication.
d. Parents should not be blamed for
everything.

82. What is a simple explanation of the


double bind?
a. the inability to express feelings
b. the lack of human contact
c. not wanting to be touched
d. saying one thing and acting in a
contradictory manner

87. What is crucial to developing a healthy


mentality?
a. strict discipline
b. a healthy social environment
c. little or no discipline
d. having a dependant personality

83. What is the meaning of the word


conducive in line 29?
a. eliminating
b. responsible
c. explicit
d. illuminating

88. Which mental disorder did George


Bateson deal with?
a. schizophrenia
b. disorientation
c. communication disorders
d. passiveness

84. What does the author claim is unfair?


a. suffering from mental disorders
b. blaming parents for everything that
goes wrong with a child
c. being seriously disoriented
d. parental standards of discipline

89. At which point in the passage would


the following sentence best fit? Were
this the case, a great many people
would be classified as having mental
disorders.
a. 1
b. 2
c. 3
d. 4

85. What is the meaning of the word vague in


line 27?
a. prominent
b. elusive
c. unclear
d. condescending

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11

READING TEST

READING TEST

READING TEST

Parent Child Relationship


This is one of the articles your teacher has provided as background reading for your assignment.
Read it and answer the questions that follow.
1
2
3
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We usually assume that an innate characteristic of human beings is the close


and immediate attachment between the newborn child and its parents, especially its
mother. Because abandonment or abuse of children seems to defy such beliefs, we are
baffled by reports of widespread parental abuse of children. A look at the past may
provide a different perspective of the present (#90).
According to some scholars, maternal indifference to infants may have been
typical of the Middle Ages. There is evidence that in the sixteenth and seventeenth
centuries parents showed little affection for their children, and anthropologist Edward
Jackson argues that this indifference was probably typical among people of Western
Europe, even in the eighteenth and nineteenth centuries. The death of young children
seems to have been accepted casually, and although overt infanticide was frowned
upon, allowing children to die was sometimes encouraged, or at least tolerated (#92).
For example, in Western Europe it was common for mothers to leave infants at
foundling hospitals or with rural wet nurses, both of which resulted in very high
mortality rates (#94). Whether these practices were typically the result of economic
desperation, the difficulty of raising an out-of-wedlock child, or lack of attachment to
an infant is not clear, but many well-to-do married women casually chose to give their
infants to wet nurses, despite the higher mortality risks. This clearly suggests that the
reasons were not always economic difficulty nor the fear of social stigma (#93).
While the practice of open infanticide and child abandonment may have been
relatively widespread in parts of Western Europe, it does not seem to have been
prevalent in either England or America. Indeed, authorities in both those countries in
the sixteenth and seventeenth centuries prosecuted infanticide cases more vigorously
than other forms of murder. It seems that the practice of leaving infants with wet
nurses went out of fashion in England by the end of the eighteenth century.
By the eighteenth century in Western Europe, parents were expressing more
interest in their children and more affection for them, and by the nineteenth century,
observers were beginning to criticize parents for being too child-centered (#96).
Nevertheless, parents were still not prevented from abusing their own children, as long
as it did not result in death.
Because the parent-child relationship was regarded as sacred and beyond State
intervention, it was not until the late nineteenth century that reformers in England were
able to persuade law-makers to pass legislation to protect children from abusive
parents (#97). Ironically, efforts to prevent cruelty to animals preceded those to
accomplish the same ends for children by nearly half a century.

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12

READING TEST

READING TEST

90. Why does the author give us a look at past


practices?
a. as proof of the mother/child
attachment.
b. to explain why people have children.
c. to help solve child abuse.
d. to shoot down the assumption we have
of the child/parent attachment theory.

READING TEST

95. The phrase well-to-do in line 17 refers


to _______________.
a. financial standing
b. a persons kind actions
c. someone who helps others
d. someone who is handy
96. What does the passage claim about 19th
century parents?
a. They were self-centered
b. They lavished too much love on their
children
c. They were critical parents
d. They did not abuse their children

91. Which word is closest in meaning to the


word defy in line 3?
a. go against
b. support
c. evoke
d. acknowledge

97. How were children protected from


abusive parents?
a. They were not protected.
b. Laws were passed to protect them.
c. The parents were afraid of being
criticized.
d. They were taken to hospitals.

92. What does the author say was tolerated in


the 16th and 17th centuries?
a. infanticide
b. letting a child die
c. child abuse
d. maternal indifference
93. What was the main reason Western
European mothers left their children to be
raised at hospitals or by wet nurses?
a. They lacked the funds to raise them.
b. They didnt love their children.
c. the social stigma of the un-wed
mother
d. Scholars arent really sure.

98. Why does the author use the word


Ironically in line 34?
a. He finds it ironic that parents would
harm their children.
b. Cruelty to animal laws were passed
before laws to protect children.
c. He doesnt believe the parent/child
relationship is sacred.
d. He finds reform ironic.

94. What was the problem with foundling


hospitals?
a. Many children died there.
b. They were very expensive.
c. They placed a social stigma on the
child raised there.
d. Their methods were later prosecuted.

99. One can infer from the passage that


_______________.
a. the author is trying to be ironic.
b. the author blames women for child
abuse.
c. children should be protected.
d. many children died in the 18th and
19th centuries.

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13

READING TEST

READING TEST

READING TEST

The First Harvest Meal or Thanksgiving Celebration


Imagine you are taking a class in sociology. This is the introduction to a chapter on social
functions and behavior. Read it and answer the questions which follow.
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Thanksgiving, or the Harvest meal as it is also called, has become a symbol of


cooperation and interaction between English colonists and Native Americans.
Although this feast is considered by many to be the very first Thanksgiving
celebration, it was actually in keeping with a long tradition of celebrating the harvest
and giving thanks for a successful bounty of crops (#103). 1. Native American
groups throughout the Americas, including the Pueblo, Cherokee, Creek and many
others organized harvest festivals, ceremonial dances, and other celebrations of
thanks for centuries before the arrival of Europeans in North America (#109).
Historians have also recorded other ceremonies of thanks among European
settlers in North America, including British colonists in Berkeley Plantation, Virginia.
At this site near the Charles River in December of 1619, a group of British settlers led
by Captain John Woodlief knelt in prayer and pledged "Thanksgiving" to God for
their healthy arrival after a long voyage across the Atlantic. This event has been
acknowledged by some scholars and writers as the official first Thanksgiving among
European settlers on record. Whether at Plymouth, Berkeley Plantation, or throughout
the Americas, celebrations of thanks have held great meaning and importance over
time (#100). The legacy of thanks, and particularly of the feast, have survived the
centuries as people throughout the United States gather family, friends, and enormous
amounts of food for their yearly Thanksgiving meal. 2.
It would be interesting to know what foods topped the table at the first harvest
feast. Historians aren't completely certain about the full bounty, but it's safe to say
the pilgrims weren't gobbling up pumpkin pie or playing with their mashed
potatoes. At the time of the 1621 feast we know that the pilgrims did have game,
turkeys, corn and squash. 3.
However, the only two items that historians know for sure were on the menu
are venison and wild fowl, which are mentioned in primary sources. The most
detailed description of the "First Thanksgiving" comes from Edward Winslow from A
Journal of the Pilgrims at Plymouth, in 1621. In the journal he explains how after the
harvest had been gathered, the governor sent four men out fowl hunting. So we
might after a special manner rejoice together after we had gathered the fruit of our
labors. (#104, #107). These four men in one day killed as much fowl as, the
company needed for almost a week. They were joined in their celebrations by 90
Indians and their king Massasoit. The pilgrims entertained and feasted their guests for
3 days. In return, the Indians went out and killed five deer, which they brought to the
plantation (#108) and bestowed upon the governor, the captain, and others. And
although it was not always as plentiful as it was at that particular time, they celebrated
the harvest and the goodness of God.
As Winslow wrote: We are so far from want that we often wish you partakers
of our plenty.

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14

READING TEST

READING TEST

100. According to the passage, which was the


first Thanksgiving?
a. the one in Virginia
b. the Plymouth Thanksgiving
c. the one between English colonists and
Native Americans
d. it is not quite certain

READING TEST

105. The author says in lines 21-22: but its


safe to say the pilgrims werent gobbling
up pumpkin pie or playing with their
mashed potatoes. This refers to
________________.
a. the pilgrims eating habits
b. our lack of table manners
c. how we eat
d. what was not on the first Thanksgiving
menu

101. What according to the passage is venison,


in line 26?
a. a type of game bird
b. deer meat
c. another name for turkey
d. a type of squash

106. The word feast in line 17 is closest in


meaning to ________________.
a. holiday
b. celebration
c. feat
d. expectations

102. At which point in the passage would the


following sentence fit best? It is just as
important a holiday as Christmas is.
a. 1
b. 2
c. 3
d. 4

107. The expression after we had gathered


the fruit of our labors refers to
________________.
a. having picked the fruit
b. working as laborers
c. having collected the harvest
d. having gathered everyone together

103. What according to the passage is


Thanksgiving?
a. a celebration of thanks
b. a family holiday
c. a European holiday
d. a Native American holiday

108. How did the Indians repay their hosts?


a. by hunting fowl
b. by entertaining the pilgrims
c. by honoring the governor
d. by hunting venison

104. Who was Edward Winslow?


a. a governor
b. a hunter
c. a pilgrim
d. a famous historian

109. What does the author claim about the


Native Americans?
a. They had Thanksgiving celebrations
before the pilgrims came.
b. They cooperated amongst
themselves.
c. They learned about Thanksgiving
from the pilgrims.
d. They were better hunters than the
pilgrims.

GO ON TO THE NEXT PAGE


15

READING TEST

READING TEST

READING TEST

Hospitals
At your doctors office you see this article in a medical magazine. It catches your interest so
you read it. After reading it, answer the questions that follow.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

Hospitals were originally hospices, a place of refuge where the poor could go
and die. Not until modern times did the hospital become a place where sick and
injured people were given medical treatment. Today hospitals are the nerve centers of
the medical profession. A hospital determines which physicians will be allowed to
use the hospital and thus which patients will be admitted. Some hospitals are deeply
involved in teaching and research, and an increasing number offer a wide range of
outpatient services through clinics and emergency rooms. 1
In most industrialized nations, hospitals are either owned directly by the
government or are operated under tight governmental controls. In the United States
the ownership and control of hospital services rests in many different hands. The
federal government has special hospitals for military personnel and veterans, and
many countries operate their own hospital systems, which often carry a heavy share
of the burden of providing health care for the poor. Most hospitals, however, are
owned by such diverse private groups as universities, religious organizations,
physicians, health plans, and charities. Of all types, the fastest growing are the large
corporate hospital chains. 2
This trend toward corporate ownership has had some beneficial effects.
Hospital chains often provide more comfort and convenience for patients and have
introduced computerized billing facilities and other efficient management practices
(#119). Moreover, many of these chains have set up emergency centers in suburban
malls and business districts that often provide faster and more convenient care at
lower cost than traditional health care services. 3
Yet on the whole, this trend is a worrisome one (#118). One fear arises from
the shift in control that goes with corporate ownership. Traditional hospitals are
usually run by their physicians, but the corporate chains are controlled by
professional managers who are likely to have far less understanding of medical
practice and the needs of patients (#113). The greatest concerns, however, center on
finances. Although the corporate hospitals provide more services to patients, they also
charge higher rates than the traditional nonprofit hospitals. Moreover the corporate
hospitals have tended to ignore the enormous health care needs of the poor and focus
on the people with good health insurance who are already well cared for. These
hospitals have often been charged with performing wallet biopsies before
admitting any patient who does not have a dire need for emergency care. Even the
lower-cost emergency-care centers often take Visa and MasterCard but not Medicaid
(the government health care program for the poor). Defenders of the corporate
hospitals argue that they have no more responsibility to provide free services to the
poor than any other business (#115), and that it is up to the nonprofit hospitals to
carry that cost (#116). The problem with that argument is that the corporate hospitals
are skimming off the most lucrative business that the nonprofit hospitals once used to
cover their losses from treating the poor. As a result, more and more nonprofit
hospitals are going bankrupt (#120) often to be bought up by the corporate chain
and closed to the poor. That, of course, creates acute overcrowding (#117) and an
inevitable decline in the quality of care at those hospitals that still try to meet the
needs of all people. 4
GO ON TO THE NEXT PAGE
16

READING TEST

READING TEST

110. What does this passage deal with?


a. government run hospitals
b. changing hospital trends
c. modern Medicaid
d. ideal emergency hospitalization

READING TEST

116. What according to the author did the


earlier hospitals not do?
a. make a profit
b. research
c. teach
d. offer emergency services

111. At which point in the passage would the


following sentence best fit? Even those
who can not afford to pay for such needs.
a. 1
b. 2
c. 3
d. 4
112. What is the authors attitude at the end of
the passage?
a. one of discouragement
b. one of acute optimism
c. one of total indifference
d. one of heavy responsibility

117. What has happened to the original


hospitals?
a. They no longer teach.
b. They have become overcrowded.
c. Research funds have been cut.
d. They no longer treat emergencies.
118. What is the authors attitude toward
corporately owned hospitals?
a. He is in favor of them.
b. He likes them because they are
cheap.
c. He is skeptical about them.
d. He likes their efficiency.

113. What is true about hospitals run by


professional managers?
a. They cater to the poor.
b. They have better doctors.
c. They lack the ability to understand
patient needs.
d. They have low profit expectations.

119. What might corporate hospitals be


compared to?
a. the original hospices
b. expensive retreats
c. efficient offices
d. emergency centers

114. What are wallet biopsies referred to in


line 32?
a. having to pay for a biopsy
b. making sure someone has Medicaid
c. making sure emergency cases are
treated first
d. checking out a persons financial
condition before giving him
healthcare

120. What is one result corporate hospitals


have produced?
a. They are providing better medical
care.
b. The poor are getting better care.
c. Medical care is now faster.
d. They are bankrupting nonprofit
hospitals.

115. What is true about corporately owned


hospitals?
a. They do extensive research.
b. They are managerially ineffective.
c. They are run like any other business.
d. They have become overcrowded.

THIS IS THE END OF THE TEST. YOU


ARE NOT ALLOWED TO WORK ON
PREVIOUS SECTIONS. PLEASE WAIT
FOR FURTHER INSTRUCTIONS.
17

SPEAKING

SPEAKING

TEST 3
Description

What is the best book you ever read? Why?

What is your least favorite food?

Who is your favorite singer?

Narration
A story related to:

a time your parents wouldnt agree to something you really wanted

the worst day of your life

some kind of award or prize or contest you won

Supported Opinion

What do you think youll be doing 10 years from now?

What do you think makes a good friend?

What is it that drives people to want to be famous?

18

SPEAKING

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