B2 First Reading Part 1- Bear Advice

Bear Advice for Tourists Visiting Bulgaria.

There is a popular proverb in Bulgaria, “If you are (1) ________ of bears you shouldn’t
go in the forest”. This is good (2) ________ because Bulgaria is one of the few
countries in Europe with a (3) ________ and stable population of brown bears living
in forests and woodlands.
Bears (4) ________ generally peaceful animals and will try to avoid people but they
can (5) ________ become very aggressive if they feel threatened. If you are (6)
________ by a brown bear, it is best to make noise to try and scare them (7)
________ . Do take care not to make the bear feel trapped. A trapped brown bear is a
very (8) ________ animal.

1. a) friend b) afraid c) interested d) hunter

2. a) if b) that d) advice e) when

3. a) serious b) substantial c) endangeredd) dangerous

4. a) are b) though c) thought d) often

5. a) often b) even c) once e) quickly

6. a) confronted b) lost d) seen f) found

7. a) too b) off c) out d) into

8. a) beautiful b) awful c) dangerous e) intelligent

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B2 First

Key Word Transformations Exercise 1

In these exercises, you need to take the information in the first sentence and re-
write it, using the word in bold so that the second sentence has exactly the same
meaning. You cannot change the word in bold in ANY way. You must use a
minimum of TWO and a maximum of FIVE words for each space.
Contractions, which count as two words, should only be used for negatives: e.g.
don't / hadn't / wouldn't, etc.

1. Many people think Steve stole the money.

believed

Steve the money.

2. The strong winds blew down the two ancient trees during the storm.

blown

The two ancient trees the

storm.

3. He doesn't have enough money to buy the computer.

too

The computer to buy.

4. "You should start a new hobby, Mr. Jenkins", the doctor said.

take

The Doctor advised a new

hobby.

5. We have been waiting here since half past ten.

for

We have been waiting one hour.

6. The man suddenly realised that the neighbor was watching him.

watched

The man suddenly realised that he

the neighbor.

7. I could never have passed that exam without your help.

you

I could never have passed that exam

me.

8. We paid some people to landscape the garden for us last year.

had

We last year.

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FCE Part 7: Multiple Matching 
You are going to read a magazine article written by a hospital doctor. For questions 1- 10
choose from sections A-D. The sections may be chosen more than once.

My nightshift in A & E

A 
I am a senior registrar in A&E (Accident and Emergency​)​ in a major teaching
hospital. I qualified over 10 years ago and have been an A&E doctor for three
quarters of my career. On most daytime shifts, I am in charge of a section, such as the
resuscitation room, majors, minor injuries, children’s A&E or clinical decision unit.
When I work night shifts, I am in charge of the entire department, covering all those
areas.

B 
This is the diary of a typical night shift in my A&E department:
10.PM - The day shift is finishing; more doctors are going home than are starting for
the night shift. I start work and take a handover of all areas of the department. There
are 72 patients in A&E. Half of them haven’t seen a doctor yet. Ten of them haven’t
even seen a triage nurse who will decide how serious their case is. We don’t have
enough space for them all. All the beds in the resuscitation room (“resus”) are full.
Patients with chest pain are sitting on chairs, waiting for up to an hour for an
electrocardiogram (ECG) to make sure they’re not having a heart attack. Patients
with minor injuries have been waiting for more than three hours to see a doctor. That
waiting time is going to get longer.

C 
The ambulance service calls to say they’re bringing in a very unwell 80-year-old with
difficulty in breathing. He’s going to need the resuscitation room, but it’s still full. I
have to decide which of the sick patients in there can come out to a less high priority
area. Minutes later, another call from the ambulance service. They’re bringing in a
drunk man with a head injury. The new patient is being aggressive and difficult to
manage. Maybe he’s being difficult because he’s drunk; but maybe he has a brain
injury that’s causing this behaviour. He’s going to need to be in resus as well, and he
will take four or five members of staff to sort him out.

D 
One reason patients keep coming back to A & E is because the population is getting
older and carrying a higher burden of serious illness. We are getting better at
treating them but it's expensive.

8am​: Time to hand over to the day team - which is short of nurses. There are also two
unfilled consultant shifts and three unfilled junior doctor shifts. Nobody wants to do
A&E. I just want to crawl home and into bed.

Identify the paragraph which describes 

1. a medical problem related to alcohol?
2. the connection between age and medical costs?
3. the employment history of a doctor?
4. staff shortages?
5. an elderly patient?
6. medical tests?
7. how several staff will deal with one patient?
8. the writer’s duties/responsibilities?
9. the transition from night to daytime staff?
10. a shortage of hospital beds?