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Academic English Instructions: Choose the best answer. 11. Upon physical examination, muscle wasting at the base of the thumb and an inability to hot from cold were noted. a. distinguish 12. These symptoms and findings raise tuberculosis. b. distinguishable a. continue a. suspicious b. suspiciously c. suspicion d. suspect 13. Training the patient to monitor blood sugar levels is an ongoing action as it requires monitoring. b. continuous c. continuously 14. Having an annual eye check is an ongoing action as it should be done monitor any diabetes-related eye complications. b. regular c. distinguishably of a possible diagnosis of pulmonary d. distinguishing 20. Dr. Murray may explain a. complicate d. continuation to a. regularize c. regularly d. regularity 15. Visiting a is an ongoing action as they can provide ongoing guidance and support in managing the patient's diet. a. nutrition b. nutritional c. nutrient d. nutritionist 16. Training the patient to give insulin injections is an immediate action as it needs to be done promptly to ensure proper insulin a. administration b. administrative c. administratively d. administer 17. Arranging counseling, if necessary, is an ongoing action to provide ongoing support for the patient's mental well-being. d. psychologically 18. Having an annual dental check is an ongoing action as regular dental care is important for with diabetes to maintain oral health. a. psychiatrist b. psychology c. psychological a. individuals b. individually c. individual d. individualize 19. Dr. Murray may advise Mrs. Thurston and Mark to make certain lifestyle changes to manage diabetes a. affect b. effect c. effective d. effectively that diabetes, if not well managed, can lead to various b. complicated c. complicatedly d. complications

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: a fibreglass chimney; a rock front door; of? on stilts? se. Give reasons. Scramped esn't cost very Idn't you like attractive to me. st get very cold. do you read it? al idea of t of the question ose the rmation How the are not ct How would you like to live in a castle, a tree house or even underground? This might not be as unusual as you think. It seems that these days more and more people want to live somewhere special and out of the ordinary, and if they can't buy what they want they are quite 5 prepared to build it from scratch. If an underground home doesn't appeal to you, how about living in the tree tops? Dan Garner, a tree surgeon from Gloucestershire, certainly thinks that this is the way to go up in the world. 35 For John Mew and his wife Josephine their home really is their castle. They have built their own English castle in the Sussex countryside. The building is brand new with all the luxuries you would expect from a house that cost 1 more than £350,000 to build. However, when you first see it from the outside it would be easy to think that you are looking at an ancient monument. The building has a lot of the features of a traditional castle, including a keep, a moat and a drawbridge. "My choice of house is 1 somewhat eccentric and building it was very hard work, but we've got the perfect place to live," Mew says. Although some would say that the building is impractical and may be cold in harsh British winters, he certainly has got a unique and spacious home. "When our family became short of space at home our solution was to build a luxury tree house in the garden. The tree house is built into a spruce tree six metres above the ground. It has one main room, a bedroom and a balcony running around two sides." Garner is so happy 40 with this practical extension to his home that he thinks he can convince more people of the benefits of living in the trees. He wants to set up his own enterprise making more of the deluxe tree dwellings, saying, "Tree houses are airy, secure and comfortable and the only disadvantage 45 is that they might not be suitable for people who suffer from hay fever or a fear of heights!" 2 If you don't look carefully, you might not even see the home that Jonathan Ridley-Jones and Shanon Ridd built at all! That's because the house is a converted underground water tank. The only thing that can be seen from the surface is a door leading into the hillside. "We've 2 never wanted to live in an ordinary house," Shanon says. "Living below ground means that our home is quiet and very cosy none of the usual draughts. It doesn't damage the local surroundings and has very low fuel bills. Some of our friends find it dark and feel shut in 3 when they first visit, but they soon get used to it!" Even people who live in more ordinary settings sometimes can't resist doing something to make them stand out from the crowd. One extreme example of this 50 is Bill Heines' house in Headington, Oxfordshire. Until one morning in 1986, his house looked much like all the others in his street, when suddenly overnight a 7.5 m long fibreglass shark appeared to have crashed through the roof. The shark was a sculpture by local artist John 55 Buckley. At first some people complained that it might be dangerous or that it spoilt the look of the neighbourhood, but engineers checked that the sculpture was safe and the 'Headington shark' has become a well-known and popular landmark. It seems that no matter where you live, 60 you can always do something to make sure your house says something about who you are. 4 5 D It Why Ridle AI B 6 C D 7 Wh Ric A B 4 C D V

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B) INTER-RAIL EUROPE FROM BRITISH RAIL INTERNATIONAL The new Inter-Rail 26+ Pass offered by British Rail International is for people who would like to mix Some of the popular attractions of Europe with some of the more นทนรual experiences that can happen when you get off the tourist route. Whatever your tastes, and wherever you want to go, people of every age from 26 to 106 (and over!) will enjoy the freedom to travel as they please at astonishingly good value prices - a fifteen-day pass costs E209 and a one month pasS Costs just E269. Both give you unlimited second-class rail travel in the nineteen European countries listed at the end of this leaflet. Those countries which are not listed do not recognize Inter-Rail 26+, Planning your trip You can get brochures, maps and accommodation guides from the National Tourist Offices for each country you plan to visit. Some of the addresses are listed in this leaflet but we leave all that to you! However, the International Rail Centre at Victoria Station, London SWIV 1JY, offers a special journey-planning service. A route can be prepared, complete with any train reservations that you need, for a minimum fee of around f15, depending on the amount of work involved. Write to the above address, giving as much detail as possible about your dates of travel and preferred departure times. What else do you need to know? Reservations are required for certain trains in Europe and an extra charge is payable on some express trains. It is usually possible, however, to find an alternative local or regional service. How to book? Inter-Rail 26+passes are available from certain British Rail stations and travel agents approved by British Rail International. For further enquiries, please call 0171834 2345 or write (or call in at) the International Rail Centre, Victoria Station, London SWIV 1JY To qualify for Inter-Rail 26+you must have lived in Europe for at least six months and hold a valid passport - please bring it with you when you book. Under 26? Inter-Rail is available to under 26s for one month's unlimited travel in 26 countries at a cost of f249 - less than f10 per country. Please ask for a leaflet.

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