5 OPTIMISE YOUR GRAMMAR | Higher B1

Modals (1): ability, obligation, B: Well, he (3)        still be at his

grandmother’s.
advice, permission A: I guess so. I’ll try calling him. He (4)       
be able to answer his phone.
1 Complete the sentences using the words
in brackets and an appropriate modal verb. may | must | ought to
1 Ssh! Read the notice. 
 C: How is Sue doing?
(it / say / not / speak / in library) D: She’s OK, but she (5)        need an
2 Look at this video of Mum on the ice.  operation.
 C: That’s not good. She (6)        be in a lot
(it / show / she / ice-skate / when / she / of pain.
be younger) D: She was, but the doctor prescribed some
3 Great! It’s casual day tomorrow.  medicine. It (7)        be less painful now.

(we / not / wear / school uniform) 4 Find the mistake in each sentence and
4 I think it’s time to go to bed for a while.  correct it.
 1 The nurse says you should to take this medicine
(doctor / say / you / have a rest / in the three times a day.       
afternoon) 2 Doing the housework with a broken leg mustn’t
5 Last night we stayed up until 11 o’clock  be easy.       
 3 Alana may to feel up to going to school tomorrow,
(because / we / finish / the science project) but I’m not sure.       
2 Complete the second sentence so that it has 4 Taking care of people who are very ill should be
hard work.       
a similar meaning to the first. Use no more
than three words. Sometimes, more than
one answer is correct. Unit round-up
1 The doctor says he must operate before the
infection spreads. 5 Complete the text with the correct form of
the verbs in the box.
The doctor says he             
before the infection spreads. allow | be able to care for | can be
2 You have my permission to do some exercise can help | have to follow
every day, but no more than half an hour at first. have to take care of | let | should investigate
You              do some exercise
every day, but no more than half an hour at first.
3 I don’t think I have to keep taking this medicine. Animal Help

I think I              keep taking Pet therapy is becoming increasingly common

this medicine. in hospitals and nursing homes. The idea is that
animals (1)              people
4 It’s a difficult decision, so you can take your time recover from illnesses. Pet therapy
before making it. (2)              in all hospitals yet for
It’s a difficult decision, so you              reasons of health and safety. But where animals
to make it just yet. are (3)              in they appear
to cheer up the patients. Obviously hospital
staff (4)              certain rules.
Modals (2): possibility, probability, Although dogs are the most common animals used,
certainty others can be used as well. For example, horses
can help people with learning problems, and small
3 Complete the conversations with the pets, like rabbits, provide comfort to people who
correct form of the verbs in the boxes. (5)              larger animals. One
Sometimes, more than one answer advantage of pet therapy is that ill people
is correct. (6)              an animal full-time.
This is something that (7)             
can | may | might | should difficult for people who are very sick, have
mobility problems or emotional issues. We
A: Do you know where Steve is? (8)              all new ideas that
B: I’m not sure. He (1)        be at the gym. might help. Perhaps one day all hospitals will adopt
A: No, he (2)        be there. His gym bag is pet therapy.
by the door.

Optimise B1 Optimise B1 Teacher’s Resource Centre © Macmillan Publishers Limited 2017.

This sheet may be photocopied and used within the class.
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