Professional Documents
Culture Documents
LEXICO – GRAMMAR
Choose the correct answer A, B, C, or D to each of the following questions. Write your answers
in the corresponding numbered boxes provided.
1. Fame made her lead a rather __________life, in her own private world.
A. faint B. secluded C. distant D. far-away
2. When the cost was __________ the advantages, the scheme looked good.
A. set against B. weighed up C. made up for D. settled up with
3. The little boy has rather __________ parents, who give him everything he asks for.
A. advantageous B. privileged C. gainful D. indulgent
4. When the company advertised the position, they were __________with applications.
A. dense B. filled C. inundated D. plentiful
5. I don’t believe there’s a ______ of evidence that could be held against him.
A. shred B. grain C. drop D. strain
6. She was so ill that it was ________ whether she would live or not.
A. win or lose B. come and go C. touch and go D. on and off
7. The renewed interest in Elizabethan times is evident in the _____ of new Hollywood films set during that
period.
A. spate B. hypocrisy C. transience D. demise
8. To his own great ________, professor Stephen has discovered a new method of diabetes treatment.
A. reputation B. name C. fame D. credit
9. The princess's nanny's autobiography really gives the _______ on life among the royals.
A. know-how B. low-down C. look-out D. show-down
10. Serena is still _______ ignorant of the fact that she is about to be made redundant.
A. delightedly B. blissfully C. jubilantly D. ecstatically
1|Page
selections that, just before the final, a German news channel broadcast Paul’s prediction live on TV. Paul’s
handlers, at an aquarium in the city of Oberhausen, turned him into an international superstar, A simple
50._________ was followed each time. Mussels were placed into two glass boxes. One box carried
Germany’s flag while the other had the flag of the opposing team. Paul then made his ‘prediction’ by
swimming towards one of the boxes and eating the tasty mussel inside.
Aquarium staff never claimed that this was a carefully controlled scientific 51._________. There did
indeed seem to be a lack of concrete 52._________ that Paul was making intelligent choices.
The day before the World Cup final, Paul at first swam towards the Spanish flag, before moving and
hovering over the German box. After a few moments, the octopus eventually returned to his first choice.
Occurrences like this 53._________, some doubt over whether Paul really did have ‘psychic’ powers.
Not everyone appreciated Paul. When Argentina lost to Germany in the quarter-final, Argentine fans
threatened to put him in a paella. The newspaper El Dia even printed a recipe for anyone who captured
Paul: All you need are some potatoes, olive oil and a little salt.’
The octopus sometimes erred in his predictions, although not often. His most famous mistake was
when he wrongly picked Germany over Spain in the 2008 European Championship. Spain won 1-0. Proof,
perhaps, that he was capable of 54._________ from his mistakes. Paul lived a happy and celebrated life
and died naturally in 2010. The world awaits the next animal oracle.
46. A question B doubt C shadow D disbelief
47. A surprise B shock C miracle D amazement
48. A forecast B foretold C envisaged D projected
49. A correct B detailed C strict D accurate
50. A action B procedure C performance D program
51. A examination B check C experiment D analysis
52. A evidence B figures C grounds D information
53. A made B gave C had D cast
54. A studying B learning C knowing D discovering
Read the following passage, then decide which word best fits each gap. Write your answers
in the numbered boxes provided.
College news
Professor Tim Scholes has been nominated 55._____________ a national award, the Taymon
Environmental Prize, in recognition of his research into the impact 56._____________ deforestation
57._____________ land in the Amazon basin. He is interested in both its potential benefits for agriculture
and the risk of desertification, a process by 58._____________ formerly fertile land becomes desert.
Scholes’s most recent study was undertaken 59._____________ part of an international project led by
Professor Clara Berminton.
According to Scholes, a lucrative prize 60._____________the Taymon would make a significant contribution
to funding for the next stage of his research. The awards ceremony will 61._____________ place in London
on 19 March. Scholes jokes that he 62._____________ well be the first person in the Taymon’s history to
be nominated six times without winning. 63._____________ this prove to be the case, though, Scholes
won’t be too upset. He believes the publicity generated by the event will raise awareness of the problem of
deforestation, if 64._____________else.
2|Page
The fact that taking a fake drug can powerfully improve some people’s health – the so-called placebo effect
– was long considered an embarrassment to the serious practice of pharmacology, but now things have
changed.
Several years ago, Merck, a global pharmaceutical company, was falling behind its rivals in sales. To
make matters worse, patterns on five blockbuster drugs were about to expire, which would allow cheaper
generic products to flood the market. In interviews with the press, Edward Scolnick, Merck’s Research
Director, presented his plan to restore the firm to pre-eminence. Key to his strategy was expanding the
company’s search into the anti-depressant market, where Merck had trailed behind, while competitors like
Pfizer and GlaxoSmithKline had created some of the best-selling drugs in the world. “To remain dominant in
the future,” he told one media company, “we need to dominate the central nervous system.”
His plan hinged on the success of an experimental anti-depressant codenamed MK-869. Still in
clinical trials, it was a new kind of medication that exploited brain chemistry in innovative ways to promote
feelings of well-being. The drug tested extremely well early on, with minimal side effects. Behind the
scenes, however, MK-869 was starting to unravel. True, many test subjects treated with the medication felt
their hopelessness and anxiety lift. But so did nearly the same number who took a placebo, a look-alike pill
made of milk sugar or another inert substance given to groups of volunteers in subsequent clinical trials to
gauge the effectiveness of the real drug by comparison. Ultimately, Merck’s venture into the anti-depressant
market failed. In the jargon of the industry, the trials crossed the “futility boundary”.
MK-869 has not been the only much-awaited medical breakthrough to be undone in recent years by
the placebo effect. And it’s not only trials of new drugs that are crossing the futility boundary. Some
products that have been on the market for decades are faltering in more recent follow-up tests. It’s not that
the old medications are getting weaker, drug developers say. It’s as if the placebo effect is somehow
getting stronger. The fact that an increasing number of medications are unable to beat sugar pills has
thrown the industry into crisis. The stakes could hardly be higher. To win FDA* approval, a new medication
must beat placebo in at least two authenticated trials. In today’s economy, the fate of a well-established
company can hang on the outcome of a handful of tests.
Why are fake pills suddenly overwhelming promising new drugs and established medicines alike?
The reasons are only just beginning to be understood. A network of independent researchers is doggedly
uncovering the inner workings and potential applications of the placebo effect.
A psychiatrist, William Potter, who knew that some patients really do seem to get healthier for
reasons that have more to do with a doctor’s empathy than with the contents of a pill, was baffled by the
fact that drugs he had been prescribing for years seemed to be struggling to prove their effectiveness.
Thinking that a crucial factor may have been overlooked, Potter combed through his company’s database of
published and unpublished trials – including those that had been kept secret because of high placebo
response. His team aggregated the findings from decades of anti-depressant trials, looking for patterns and
trying to see what was changing over time. What they found challenged some of the industry’s basic
assumptions about its drug-vetting process.
Assumption number one was that if a trial were managed correctly, a medication would perform as
well or badly in a Phoenix hospital as in a Bangalore clinic. Potter discovered, however, that geographic
location alone could determine the outcome. By the late 1990s, for example, the anti-anxiety drug
Diazepam was still beating placebo in France and Belgium. But when the drug was tested in the U.S., it was
likely to fail. Conversely, a similar drug, Prozac, performed better in America than it did in Western Europe
and South Africa. It was an unsettling prospect: FDA approval could hinge on where the company chose to
conduct a trial.
Mistaken assumption number two was that the standard tests used to gauge volunteers’
improvement in trials yielded consistent results. Potter and his colleagues discovered that ratings by trial
observers varied significantly from one testing site to another. it was like finding out that the judges in a
tight race each had a different idea about the placement of the finish line.
3|Page
After some coercion by Potter and others, the National Institute of Health (NIH) focus on the issue
in 2000, hosting a three-day conference in Washington, and this conference launched a new wave of
placebo research in academic laboratories in the U.S. and Italy that would make significant progress toward
solving the mystery of what was happening in clinical trials.
In one study last year, Harvard Medical School researcher Ted Kaptchuk devised a clever strategy
for testing his volunteers’ response to varying levels of therapeutic ritual. The study focused on a common
but painful medical condition that costs more than $40 billion a year worldwide to treat. First, the volunteers
were placed randomly in one of three groups. One group was simply put on a waiting list; researchers know
that some patients get better just because they sign up for a trial. Another group received placebo
treatment from a clinician who declined to engage in small talk. Volunteers in the third group got the same
fake treatment from a clinician who asked them questions about symptoms, outlined the causes of the
illnesses, and displayed optimism about their condition.
Not surprisingly, the health of those in the third group improved most. In fact, just by participating
in the trial, volunteers in this high-interaction group got as much relief as did people taking the two leading
prescription drugs for the condition. And the benefits of their “bogus” treatment persisted for weeks
afterward, contrary to the belief- widespread in the pharmaceutical industry – that the placebo response is
short-lived.
Studies like this open the door to hybrid treatment strategies that exploit the placebo effect to make
real drugs safer and more effective. As Potter says, “To really do the best for your patients, you want the
best placebo response pls the best drug response.”
(Adapted from Wired Magazine)
Questions 72-76
Do the following statements agree with the claims of the writer?
Write
YES if the statement agrees with the claims of the writer
NO if the statement contradicts with the claims of the writer 72. Merck’s experience with
NOT GIVEN if it is impossible to say what the writer thinks about this MK-869 was unique.
73. These days, a small
number of unsuccessful test results can ruin a well-established drugs company.
74. Some medical conditions are more easily treated by a placebo than others.
75. It was to be expected that the third group in Kaptchuk’s trial would do better than the other two
groups.
76. Kaptchuk’s research highlights the fact that combined drug and placebo treatments should be avoided.
Your answers:
72. 73. 74. 75. 76.
Questions 77-81
Complete the summary using the list of words, A-I, below.
As a result of concerns about increasing 77. _________________________ in the drugs industry, the
pharmaceutical company Merck decided to increase its 78. _________________________in the anti-
depressant market. The development of the drug MK-869 was seen as the way forward.
Initially, MK-869 had some 79. _________________________, but later trials revealed a different picture.
Although key 80. _________________________ could be treated with the drug, a sugar pill was proving
equally effective. In the end, the 81. _________________________indicated that it was pointless
continuing with the development of the drug.
A activity D patients G symptoms
B prices E tests H competition
C success F diseases I criticism
4|Page
Questions 82-85
Choose the correct letter A, B, C or D.
82. Which of the following is true of William Potter’s research?
A. It was based on recently developed drugs that he had recommended.
B. It included trial results from a range of drugs companies.
C. Some of the trial results he investigated had not been made public.
D. Some of his findings were not accepted by the drugs industry.
83. What did William Potter’s research reveal about the location of drugs trials?
A. The placebo effect was weakest in the U.S.
B. The results were not consistent around the world.
C. Results varied depending on the type of hospital.
D. The FDA preferred drugs to be tested in different countries.
84. What does the “tight race” refer to in the passage?
A. the standard tests B. consistent results C. ratings by trial observers D. testing sites
85. What significant discovery was made by Ted Kaptchuk?
A. The effects of a placebo can last longer than previously thought.
B. Patients’ health cam improve while waiting to undergo a trial.
C. Patients respond better to a placebo if they are treated by the same clinician throughout the trial.
D. Those conducting a placebo trial need to know the subjects’ disorder well.
You are going to read an article about electronic books and reading. For questions 8 6 - 9 5 ,
choose from the sections {A - D). The sections may be chosen more than once.
In which section does the writer mention
an example of superseded technology that still has a certain appeal? 86
an analogy used to emphasise how seriously an idea is taken? 87
an anxiety she shares with other like-minded people? 88
a development that questions our assumptions about what reading actually entails? 89
the willingness of writers to experiment with new ideas? 90
the idea that books have always been part of an ongoing interactive process? 91
a seeming contradiction in her own attitudes? 92
a belief that the fundamental nature of reading will change? 93
finding pleasure in another readers' reactions to a book? 94
a view that a prediction is somewhat exaggerated? 95
WRITING
Read the following passage and use your own words to summarize it. Your summary should be
between 100 and 120 words long. (15 points)
Cultivation theory, first developed by sociologist George Gebner in the 1960s, attempts to explain the effects
that mass media has on the attitudes of the public. In its simplest form, cultivation theory says that mass media, such as
television and radio, helps to form our view of the world. Our understanding of how the world works and our feelings
about the world are heavily influenced by mass media. This assumption of cultivation theory has often been extended to
the actions of people as well, but this is a misinterpretation. Cultivation theory says that mass media helps to influence
our beliefs, not our actions. For example, a person who watches a large number of violent television shows is likely to
believe that the world is a dangerous and unsafe place. But there is no evidence that watching such programs will cause
the viewer to act in a violent manner themselves.
According to cultivation theory, the more a person is exposed to mass media, the more that person relies on
mass media for an understanding of reality. This is important because what is shown as reality in the mass media is
often quite different from what actually happens in the real world. For example, if a person watched a great number of
police dramas on TV, that person might believe that police are frequently involved in gun battles with criminals. But in
real life, most police go through their entire careers without ever firing their weapons. This is just one example of how
mass media can give the public an accurate view of reality. In another example, television typically shows characters that
are attractive and wealthy, leading to the unrealistic expectation that most people in real life should be attractive and
wealthy also.
6|Page
Mass media has an especially powerful effect on the attitudes of younger people because they typically have
less real-life experience, and therefore must rely more on mass media to gain an understanding of reality. The result is
that younger individuals often have a highly unrealistic view of the world. This unrealistic viewpoint will naturally come
into conflicts with real life as they grow older. For example, as younger people grow up, many of them will begin to
realize that they are unable to live the upper-class lifestyle they have constantly seen on television. This can lead to
strong feelings of frustration and depression.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Part 2: The charts below give information about endangered plants around the world.
Summarize the information by selecting and reporting the main features, and make comparisons where
relevant. (15 pts)
4%
5% Critically endangered
7%
Endangered
20%
Vulnerable
64% Safe
Insufficient data
7|Page
Plant species at risk in different habitats
Desert 0.50%
Wetlands 4.30%
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
8|Page
Part 3: Essay writing (30 points)
At present, science is developing quickly, but some people still have a high opinion of artists.
What can the arts tell us of life that science cannot?
Give reasons for your answer and include any relevant examples from your own knowledge or experience.
Write at least 350 words.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
THE END
9|Page