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18. My teenage son always wants to sleep ___ on the weekends A. in B. at C. for D. up 19. A healthy ____ between work and play ensures that everyone has a chance to enjoy their lives. A. balance B. control C. equality D. share 20. An active lifestyle has many health ____. A. care B. issues C. needs D. benefits Mark the letter A, B, C, or D on your answer sheet to indicate the most suitable response to complete each of the following exchanges. 21. Laura and Tom are talking about keeping fit. Laura: “Do you think it's important for young people to keep fit?” Tom: “____” A. Why do they need to keep fit? B. It's very important for old-aged people to have a healthy lifestyle. C. I do think so. As the main labour force of the country, they must be strong. D. It doesn't cost much to work out in the gym these days. 22. Jack is inviting Linda to his birthday party. Jack: “Would you like to come to my birthday party next week?" Linda: “_______’’ A. Why not? B. Yes, I'd love to. C. I don’t think so. D. No, I’d love to. Mark the letter A, B, C or D on your answer sheet to indicate the underlined part that needs correction in each of the following questions. 23. I have sent an email to Jack last week, but he hasn't replied. A. to B. have sent C. but D. hasn’t 24. Van Cliburn studies piano from 1951 to 1954 and won multiple awards between 1958 and 1960. A. won B. between C. from D. studies 25. Premature babies are more likely to suffer to breathing difficulties in childhood. A. childhood B. Premature C. likely D. to Mark the letter A, B, C, or D on your answer sheet to indicate the sentence that is closest meaning to each of the following questions. 26. They last ate raw fish two weeks ago. A. They have eaten raw fish for two weeks. B. They ate raw fish since two weeks. C. They haven't eaten raw fish for two weeks. D. They didn't eat raw fish since two weeks. 27. She started driving to work one month ago. A. She has driven to work since one month. B. It is one month when she started driving to work. C. She has driven to work for one month. D. It was one month after she started to work. 28. I haven't met my grandparents for five years. A. I often met my grandparents five years ago. B. I last met my grandparents five years ago. C. I have met my grandparents for five years. D. I didn't meet my grandparents five years ago. Mark the letter A, B, C or D on your answer sheet to indicate the sentence that best combines each pair of sentences in the following questions. 29. Mr. Diamond lives in Singapore. He moved there in 2010. A. Mr. Diamond has lived in Singapore since 2010.

risk behaviours include, for example, tobacco use, poor eating habits, and lack of physical activity, which contribute to the development of chronic disease. Typical activities for health promotion, disease prevention, and wellness programs include: communication (raising awareness about healthy behaviors for the general public), education (empowering behavior change and actions through increased knowledge), policy, systems, and environment (making systematic changes – through improved laws, rules, and regulations, functional organizational components, and economic, social, or physical environment – to encourage, make available, and enable healthy choices.) (Adapted from https://www.ruralhealthinfo.org/) 36. Which best serves as the title for the passage? A. Understanding Health Promotion B. Social Determinants of Health C. Defining Health Promotion and Disease Prevention D. What do you know about disease prevention? 37. The word “empower” in paragraph 1 is closest in meaning to ______. A. affect B. pursue C. allow D. insist 38. What does disease prevention focus on? A. Wide range of social and environmental interventions B. Specific efforts reducing the development and severity of chronic diseases C. Attitudes and active decisions made by an individual D. Positive health behaviours and outcomes 39. The word “that” in paragraph 3 refers to ______. A. attitudes active decisions B. Wellness C. health behaviours D. outcomes 40. According to the last paragraph, modifiable risk behaviours contribute to the development of ______. A. tobacco use B. eating habits C. physical activity D. chronic diseases WRITING: Rewrite the sentences without changing their meaning, using the given words. 1. He started to learn English when he was in grade 6.  He has _______________________________________________________________________ 2. This is the first time I have been abroad.  I have ________________________________________________________________________ 3. They last wrote to each other five years ago.  They haven’t __________________________________________________________________ 4. I haven’t seen Bob since I went to London.  I last _________________________________________________________________________ 5. How long have you prepared everything for the project?  When ________________________________________________________________________

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