VIET NAM UNIVERSITY OF TRADITIONAL MEDICINE

Department of Foreign Languages

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TEST No. 005

A. READING COMPREHENSION

I. Read the following passage and choose the letter A, B, C, or D to indicate the correct answer to
each of the questions. (10 points)

ARE ANTI-OXIDANTS MAGIC BULLETS?

Anti-oxidants have recently become a buzzword in nutrition and cancer circles. There are a lot of new
stories and nutritional supplement advertisements claiming anti-oxidants as “magic bullets” that will
prevent the occurrence and / or spread of oral and other kinds of cancer. In trust, of course, there is no
“magic bullet” to prevent cancer, but there IS a growing body of research that shows that anti-oxidants
actually provide a kind of defense against this disease. To understand how, it is important to first examine
another set of compounds known as free radicals.
Free radicals are very unstable compounds, without the proper number of electrons, and they tend to react
quickly with neighboring compounds, trying to “steal” electrons from other molecules in an attempt to
regain stability. If they succeed, then the “victim” atom or molecule usually loses its electron balance and
becomes a free radical itself. This can start a chain reaction; and once the process is started, it can build
exponentially.
Our bodies naturally contain certain anti-oxidant enzymes such as superoxide dismutase, but we can also
get them from the foods we eat. The best known anti-oxidants are beta carotene, vitamins C and E, and
the mineral selenium, coenzyme Q10, tocotrienols, and polyphenols, which are substances found in most
plants.
Question 1. Why have anti-oxidants recently become a buzzword in nutrition and cancer circles?
A. They are supposed to occur and / or spread of cancer.
B. They are supposed to stop the occurrence and / or spread of cancer.
C. They are supposed to prevent the occurrence and / or spread of cancer.
D. They are magic bullets.
Question 2. What does “magic bullet” mean?
A. A weapon that will target a particular disease
B. A missile that will target a particular disease
C. A missile that will target many diseases.
D. Either A or B is correct.
Question 3. What shows that anti-oxidants actually provide a kind of defense against?
A. Nutrition and cancer circles. B. A growing body of research.
C. Nutritional supplement advertisements. D. A buzzword.
Question 4. What does the word “they” in line 1 paragraph 2 refer to?
A. Free radicals. B. Compounds. C. Electrons. D. Molecules
Question 5. How does facial radical try to “steal” electrons from other molecules?
A. By being very unstable compounds.
B. By having no the proper number of electrons.
C. By regaining stability.
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 D. By reacting quickly with neighboring compounds.
Question 6. How do anti-oxidants help to reduce the risk of cancer?
A. They give an electron to the free radical, thereby stabilizing it.
B. They remove an electron to the free radical, thereby stabilizing it.
C. They apply an electron.
D. They give electrons to the free radial to stabilize.
Question 7. What type of food should we eat to get more anti-oxidants?
A. Vegetables B. Nutrition C. Food D. Grains
Question 8. What is superoxide dismutase the example of?
A. Electrons. B. Molecules.
C. Anti-oxidant enzymes. D. Anti-oxidants.
Question 9. Apart from the natural ones, where can our bodies get anti-oxidant enzymes?
A. Nutrition. B. Foods we eat. C. Advertised foods. D. Fruits
Question 10. Where can the passage be taken from?
A. A diary. B. A book. C. A booklet. D. A medical journal.

II. Read the following passage and choose the letter A, B, C, or D to indicate the correct answer to
each of the questions. (10 points)

THREE MILLION TOBACCO DEATHS A YEAR IN CHINA BY MIDDLE OF CENTURY

China is underlying a catastrophic epidemic of smoking deaths. A third of all its young men will
eventually be killed by tobacco if current smoking patterns persist, according to research published Friday
November 20 (1998) in the British Medical Journal.

Smoking already kills over 2,000 people every day in China. By 2050 this will be well over 8,000. China
now has the largest number of deaths from smoking of any country, having recently overtaken the USA.
However, the cause of death from smoking is different from that found in the USA and Europe. Most
Chinese die from chronic lung diseases whereas in the West, lung cancer is the major killer.

The findings are from the world’s largest ever investigation into tobacco deaths. Researchers from the
Chinese Academies of Preventive Medicine and Medical Sciences collaborated with Oxford University
(England) and Cornell University (USA), interviewing a million families of people who had died and a
quarter of a million other people. Professor Richard Peto of Oxford University told the London
conference: “Chinese adults severely underestimate smoking risks. A 1996 nationwide survey showed
that two-thirds believe smoking does little or no harm, 60% of Chinese adults don’t know that smoking
can cause lung cancer, and 96% don’t know it can cause heart disease. The truth is that half of all
persistent smokers get killed by tobacco. As two out of every three young men in China smoke, tobacco
will eventually kill about a third of all the young men in China.”

Question 11. The epidemic of smoking deaths in China is ……………..

A. disastrous. B. dangerous.
C. hazardous. D. Both B and C are correct.
Question 12. A catastrophic epidemic of smoking deaths in China is a consequence of ……………..
A. The number of its young male smokers.
B. The persistence of current smoking patterns.
C. Both A and B are correct. D. Neither A nor B is correct.
Question 13. By 2050, ……………..people will probably be killed by smoking every day in China.
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 A. Over 2,000. B. 8,000. C. more than 8,000. D. 2,000.
Question 14. …………….. used to have the largest number of deaths from smoking.
A. China. B. Europe. C. The USA. D. Both A and B are correct.
Question 15. The cause of most Chinese deaths is ……………..
A. lung diseases. B. long-term lung diseases.
C. lung cancer D. pneumonia
Question 16. …………….. educational institutions involved the world’s largest ever investigation into
tobacco deaths.
A. One B. Two C. Three D. Four
Question 17. …………….. were interviewed by researchers?
A. Families of people who had died of smoking.
B. 250,000 other people. C. Neither A nor B is correct. D. Both A and B are correct.
Question 18. Researchers carry out their investigation into tobacco deaths ……………..
A. by surveys B. by experiments.
C. by writing journals. D. All are correct.
Question 19. The word “underestimate” closest in meaning to ……………..
A. underrate B. undervalue.
C. Both A and B are correct. D. Neither A nor B is correct.
Question 20. …………….. get killed by tobacco
A. 50 % of all persistent smokers. B. Half of all smokers.
C. Two-thirds of all persistent smokers. D. Two-thirds of all smokers.

III. Fill in each numbered blank with one suitable word or phrase by circling A, B, C or D.

ORAL CANCER – RISK FACTORS

75% of those diagnosed (21)…………. oral cancer are smokers. When a smoker also drinks, the risks are
even higher. (22)…………., people who both smoke and drink are up to 15 times more likely to
(23)…………. oral cancer than those who don’t. If you add bad oral hygiene to smoking and alcohol,
then the risks become even greater.

One might think that once the patient has been diagnosed with oral cancer, it’s too late to stop
(24) …………..and drinking. However, one of the characteristics of oral cancer is that there is a
(25) ………….. to develop a second primary oral cancer. Approximately 15% of patients (26) …………..
continue to smoke and (27) ………….. alcohol after the first cancer is treated, go on to develop (28)
…………….. oral cancer within five years. Moreover, patients who smoke have a lower response to
radiation therapy and their survival rate is lower. It is therefore imperative that the patient change his or
her lifestyle immediately.

Apart (29) ………….. stopping smoking, moderating the use of alcohol and improving oral hygiene, a
change of diet may also be beneficial. There are studies that indicate a diet low in fruits and vegetables
could be a risk factor, and that (30) ………….., one high these foods may have a protective value against
types of cancer.

Question 21. A. to B. about C. with D. for

Question 22. A. In fact B. Besides C. Even though D. However
Question 23. A. grow up B. develop C. promote D. expand
Question 24. A. smoke B. smoked C. smoking D. smokes

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Question 25. A. trendy B. type C. kind D. tendency
Question 26. A. who B. which C. when D. where
Question 27. A. overdose B. abuse C. misuse D. over
Question 28. A. other B. the other C. another D. others
Question 29. A. from B. of C. about D. in
Question 30. A. converse B. comparatively C. conversely D. regularly

B. GRAMMAR AND VOCABULARY

I. Choose the best answer A, B, C or D to complete the following sentences.

Question 31. I tried to play it …………….. at first but it started to get really painful.
A. down B. reduce C. reducing D. up
Question 32. I …………….. coming to see you because I hoped it might go away.
A. take off B. put off C. stop by D. come off
Question 33. It is really hard to study when it…………….. all the time.
A. hurts B. hurting C. was hurt D. is hurting
Question 34. I came down ……………..a cold about a week and I was just getting over it when these
spots started to break out on my stomach.
A. to B. about C. with D. for
Question 35. At first, I thought it was something I …………….. up at the gym.
A. have picked B. had picked C. is picked D. was picked
Question 36. In addition, there is a strong association between otalgia and cancer, so the ……………..
must approach cases of otalgia with thoroughness and concern.
A. physician B. biologist C. geographer D. historian
Question 37. This is because many nerves that supply he ear also have distributions in other parts of the
head, …………….. the neck and thorax.
A. as well as B. so C. therefore D. so that
Question 38. Special attention must …………….. to the examination of the patient.
A. is paid B. was paid C. being paid D. be paid
Question 39. Ask the patient to swallow and look for any …………….. at the front of neck.
A. abnormal B. abnormality C. abnormalities D. abnormally
Question 40. The patient describes the pain as a dull ache, …………….. radiates to the side of the face
and the temporal region.
A. when B. what C. where D. which
Question 41. She …………….. no previous occurrence and denies tinnitus or exudates.
A. has had B. had had C. has been having D. had
Question 42. …………….. the ears, eyes, sinuses, facial muscles, nasopharyngeal tract, neck, and thorax
revealed no abnormalities.
A. Examination to B. Examination for C. Examination of D. Examination about
Question 43. …………….., the patient has a partially erupted lower right wisdom tooth with signs of
pericoronal inflammation.
A. beside it B. In addition C. Besides it D. In additional
Questions 44. I would …………….. if you would see the patient and advise if you think the otalgia is of
dental or TMJ origin.
A. be grate B. being grated C. be grateful D. be gratefully
Question 45. Most of those……………..diabetes are people with overweight and obesity.
A. diagnosed with B. diagnosis C. diagnosed to D. diagnosing

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Question 46. The patient has poor oral hygiene but her teeth are well conserved with no …………….. of
caries.
A. improvement B. proof C. example D. evidence
Question 47. She has an impacted lower right 3 molar …………….. with pericoronitis.
rd

A. associates B. associated C. association D. associating

Question 48. Radiographs, X rays revealed that the …………….. left wisdom tooth is also impacted.
A. lower B. higher C. tighter D. taller
Question 49. I would recommend removal of both these teeth as they …………….. the possible cause of
the otalgia.
A. can being B. may C. might D. could be
Question 50. I noted that the patient can only open her mouth …………….. 30mm.
A. appropriate B. approximate C. approximately D. appropriately

II. Choose A, B, C, or D to indicate the underlined part that needs correcting. (10 points)

Question 51. Oral cancer is more prevalent at the over 40s but is not unknown in a younger age group.
A B C D
Question 52. It is a particularly dangerous cancer because diagnostic is often late.
A B C D
Question 53. The success for treatment depends on the stage at which the cancer is diagnosed.
A B C D
Question 54. Small cancers are high curable by surgery or radiation with success rates over 90%.
A B C D
Question 55. Do not eat or drink something for 8 hours prior to the appointment.
A B C D
Question 56. Diagnosis is based on clinic examination and is confirmed by biopsy.
A B C D
Question 57. You should be accompanied by a responsible adult who can take you home before the
A B C D
operation.
Question 58. The removal of impacted lower wisdom teeth is not a minor operator.
A B C D
Question 59. You may feeling as though you have toothache in the other teeth in front of the socket.
A B C D
Question 60. It is imperative that the patient changes his or her lifestyle immediately.
A B C D

C. WRITING

I. Choose A, B, C or D to indicate the sentence which is closest in meaning to the given one.

Question 61. He has gotten over his illness now.

A. He has recovered from his illness now B. He had recovered from his illness now.
C. He is recovering about his illness now. D. He recovers about his illness now.
Question 62. She regrets putting off going to see the dentist.
A. She regretting postpone going to see the dentist.
B. She regrets going to postpone see the dentist.
C. She regrets postponing going to see the dentist.
D. She regrets postpone going to see the dentist.
Question 63. The pain after her operation was terrible but she put up with it.
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 A. The pain after her operation is terrible but she tolerated it.
B. The pain after her operation been terrible but she tolerated it.
C. The pain after her operation was being terrible but she tolerated it.
D. The pain after her operation was terrible but she tolerated it.
Question 64. It wasn’t easy to quit smoking but she preserved.
A. It isn’t easy to quit smoking but she stuck with it.
B. It wasn’t easy to quit smoking but she stuck with it.
C. It wasn’t easy to quit smoked but she stuck with it.
D. It isn’t easy to quit smoking but she stuck with it.
Question 65. A classmate passed the illness on to the patient
A. The patient gets the illness from a classmate.
B. The patient infected with the illness from a classmate.
C. The patient was infected by a classmate.
D. The patient receives the illness a classmate.
Question 66. I prefer to treat TMJ dysfunction as conservatively as possible.
A. I like treat TMJ dysfunction as conservatively as possible.
B. I am interested in treating TMJ dysfunction as conservatively as possible.
C. I am fond of treating TMJ dysfunction as conservatively as possible.
D. Both B and C are correct.
Question 67. The physician should communicate belief in the patient’s ability to quit smoking.
A. The physician should communicate belief in the patient’s competence to give up smoking.
B. The physician should communicate belief in the patient’s ability to gave up smoking.
C. The physician should communicate belief in the patient’s ability to escaped smoking.
D. The physician should communicate belief in the patient’s competence to given up smoking.
Question 68. Because of the threat of cancer, a biopsy was performed immediately.
A. Because of cancer the threat of, a biopsy was performed immediately.
B. Owing to the threat of cancer, a biopsy was performed immediately.
C. Because of the threat of cancer immediately, a biopsy was performed.
D. Due of the threat of cancer, a biopsy was performed immediately.
Question 69. Halitosis can be cut into three types: intra-oral, extra-oral and psychogenic.
A. Halitosis can be separated to three types: intra-oral, extra-oral and psychogenic.
B. Halitosis can be cut into three types: intra-oral, extra-oral and psychogenic.
C. Halitosis can be divide into three types: intra-oral, extra-oral and psychogenic.
D. Halitosis can be divided into three types: intra-oral, extra-oral and psychogenic.
Questions 70. You should play cigarettes and alcohol drinks down.
A. You should limited cigarettes and alcohol drinks.
B. You should give up cigarettes and alcohol drinks.
C. You should understate cigarettes and alcohol drinks.
D. You should stop cigarettes and alcohol drinks.

II. Choose A, B, C or D to indicate the sentence whose words are arranged in the correct order.

Question 71. Brushing/ teeth/ your/ is/ not/ regularly/about/ just/ good/ looking/ have/ and/ breath/ fresh/
about / healthy / it’s / staying /, /
A. Brushing your teeth regularly is not just about looking good and having fresh breath, it’s about
staying heathy.
B. Brushing your teeth is not just about looking good and having fresh breath regularly, it’s about
staying heathy.
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 C. Brushing your teeth is not just regularly about looking good and having fresh breath, it’s about
heathy staying.
Brushing your teeth regularly is not about looking good and just having fresh breath, it’s about heathy
staying.
Question 72. newest / that / the / cigarette / conclusively / is / finds / many / to / linked / diseases /
smoking / report
A. The newest report finds that cigarette smoking is conclusively linked to many diseases.
B. The newest report finds cigarette smoking that is conclusively linked to many diseases.
C. The newest report conclusively finds that cigarette smoking is to linked many diseases.
D. The newest report finds that many diseases is conclusively to linked cigarette smoking.
Question 73. The/ everywhere / toxins/ blood/ from /smoke /go/ cigarette/ the/ flows.
A. The cigarette toxins from smoke go everywhere the blood flows.
B. The toxins from cigarette smoke go everywhere the blood flows.
C. The toxins from cigarette smoke go the blood flows everywhere.
D. The toxins from cigarette smoke go flows everywhere the blood.
Question 74. We/ prevent /our /youth/ must/ up/ from /this / habit/ taking /dangerous.
A. We must prevent taking up our youth from this dangerous habit.
B. We must prevent from taking up our youth this dangerous habit.
C. We must prevent our youth from taking up this dangerous habit.
D. We must prevent our youth dangerous from taking up this habit.
Question 75. When /patient/ came/ the / and / consulting/ the/ room, he/ into/ was/ coughing/ wheezing.
A. When the patient came into consulting room, he was the coughing and wheezing.
B. When came into the consulting room the patient, he was coughing and wheezing.
C. When the patient came into the consulting room, he was coughing and wheezing.
D. When he was coughing and wheezing the patient came into the consulting room.
Question 76. an/ your/ inch/ of/ about/ and/ floss/ tightly /thumb/ forefinger/ between/hold.
A. Hold about an inch of floss tightly between your thumb and forefinger.
B. Hold about an inch of floss between your thumb and forefinger tightly.
C. Hold about between your thumb and forefinger an inch of floss tightly.
D. Hold tightly about an inch of floss between your thumb and forefinger.
Question 77. of / against/ the/ and/ floss/ one/ side/press/ the/ tooth/ move/ the/ and/ floss /and/ down.
A. Press one side of the floss against the tooth and move the floss up and down.
B. Press the floss against one side of the tooth and move the floss up and down.
C. Press the floss one side of the tooth and move against the floss up and down.
D. Press up and down the floss against one side of the tooth and move the floss.
Question 78. vigorous / do / the/ activity/ for /month/ one /after /operation/.
A. Do vigorous for one month activity after the operation.
B. Do one month vigorous for activity after the operation.
C. Do vigorous activity for one month after the operation.
D. Do for vigorous activity one month after the operation.
Question 79. surgeon/ new/ general’s /expands/ report/ list/ disease/ of/ caused /smoking/ by / Today’s
A. Today’s new surgeon general’s report expands list of disease caused by smoking.
B. Today’s new surgeon report general’s expands list of disease caused by smoking.
C. Today’s new surgeon general’s report caused by smoking expands list of disease.
D. Today’s new surgeon expands list of disease caused by smoking general’s report.
Question 80. do / I / not / that / a / a / is / not / of / know / fine / conclusive / needle / biopsy / node.
A. I not know that a needle biopsy of a node fine is not conclusive.
B. I do not know that a fine needle biopsy of a node is not conclusive.
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 C. I not know that a fine biopsy of a node needle is not conclusive.
D. I not know that a biopsy fine needle of a node is not conclusive.

III. Write a composition of 100 – 150 words on

CHANGING DIET OR EXCERCISING APPROPRIATELY PEOPLE PREVENT ILLNESS

THE END

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