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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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12.Parallel Structure คำเชื่อม = and, but, or, as, than, like, except เชื่อมคำประเภทเดียวกัน - Nouns My best friend collects stamps, coins, and postcards. Adjectives The workers were ready, able, and determined to do a great job. ๑ Modified Nouns A positive attitude can lead to both physical success and spiritual fulfillment. ๑ Verbs She usually eats breakfast and has a cup of coffee in the morning. e Infinitives | would rather pay for my education than receive financial aid. Participial phrases Driving through the countryside and speaking to the people, Sam began to understand the culture better. ๑ Adverbs They encouraged us to work carefully and effectively. Abverbial Phrases They will arrive in less than an hour and in time for the meeting. ๑Clauses The salesman expected that he would present his product, that there would be time for him to show his slide presentation, and that prospective buyers would ask him questions. 1. Many industries depend on air conditioning to keep the air in their plants clean 1 2 3 and cool, and controlling the moisture level. 4 2. A new born child responds to the world with reflexes such as grasping, sucking, 1 2 or it turns its head when touched on the mouth. 3 4 3. The domestic dog is generally loyal, courageous, intelligence, and adaptable. 1 2 3 4 4. Maps have lines, words, Symbolic, and colors that show the distribution and 1 2 3 arrangement of the Earth's geographical features. 4

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The sun heats the earth in the tyres and this heat is stored and slowly release. แปลว่าอะไรหรอคะ

An Earthshiอ = Well, back in the 1970s the first Earthship was designed and built by an architect named Mike Reynolds. He Imagine a home that is made from waste and yet doesn't produce any. Sounds out of this world, doesn't itp) Aง P -The Perfect Green Home wanted to create an environmentally friendly house that would generate its own electricity and heatingมร local materials and recycled products. The first Earthship was built using car tyres, earth, cans and bottles. Today, anyone canท order an Earthshin i- apackage and build it themselves. The package contains everything that is needed except the tyres. But don' Worry. They can be found at most local dumps!! The tyres are used as the Earthship's bricks. They are placed in the shape that you want the house to be and then they are filled with earth. This is the basis of the house's heating system. The sun heats the earth in the tyres and this heat is stored and slowly released. Heat from the sun is also used to create electricity, and rainwater is filtered and stored in tanks under the house. Dirty water from the kitchen and bathroom is also filtered and reused for the toilet. The Earthship is the dream green home. It costs close to nothing, it will be built very quickly and there aren't any bills to pay. So why don't you 15 think about building your own Earthship and help protect the Earth? 1rubbish heaps

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Read the text carefully. Years ago there wasn't a problem with rubbish because things like plastic and disposable nappies hadn't been invented. There wasn't so much packaging on items you bought either. But now with everything so over packaged wrapped and disposable we are suffering the consequences of far too much waste. The trouble is not everything can be recycled or will rot away. You used to be able to get a refund on glass bottles when you took them back to the shop. Now they are either collected from your house by the council or you can take them to a bottle bank. The fact that paper can be recycled and is easy to dispose is great, but remember paper is made from trees, which are important to the environment. The rainforests have been slowly disappearing for a while now. We need them not just because it helps with the climate. They are important as like all plants they give us oxygen. They are also a home to many animals who rely on them for their survival. The best waste is organic, dead leaves; carrot tops, onion skinร and so on all rot down and make fertile soil. This in turn will help the plants and vegetables giving them much needed food. So if youน are able to have a compost heap in your garden you'll be helping the environment and your garden wil love you for it. Acid rain is another serious problem it is damaging to plants and is caused by pollutants such as sulphur dioxide and nitrogen oxides. These come from the burning of coal, oil and gas. Dropping litter is not just a lazy thing to do it makes work for other people, is bad for the environment and looks ugly. So think before you drop litter either bin it or keep it and then bin it. When rivers and seas are polluted by waste we are not only stealing their beauty but were spoiling it for ourselves too. Our health can also suffer. Sadly accidents do occur; oil slicks sometimes happen and wreck the environment. Aninmals tend to suffer the most from these incidents. We should really have in place something that will prevent so much destruction, rather than just waiting for it to happen, then trying to clean up the damage. Nuclear waste has been the cause of controversy over the years. Radioactive material leaking out would be very serious indeed, it can cause real harm. This is why it is the most worrying. Although we are trying to stop the hole in the ozone layer getting any bigger, nuclear waste is still a serious problem. The 0zone layer protects us from harmful ultra - violet rays. Its hole has been caused by chlorofluorocarbons (cfc's) a chemical that was found in some products. Refrigerators used to contain them. So do we care enough about the earth we have inherited and our passing onto future generations? Or is it now all too late to do anything? Each one of us can make a difference and each and every one of us is responsible to the environment. It takes care of us; we should take care of it. Source: http://www.childrenswebmagazine.com/Environment.htm (slightly adapted) A) Say who or what the following words refer to. 7. these 1. them 8. it 2. they 9. their 3. them 10. these 4. นร 11. we 5. who 12. them 6. them 13. it

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Part One: Grammar Items 1 - 15: Error recognition Instruction: Read the following statements and choose the underlined part that is grammatically wrong. Objective: Students can be able to classify passive form. Items 1 - 15: Error recognition 1. The first time of motorcycle race on record in Thailand take place in 1960. 1 2 3 4 2. For the world's starving millions, find enough food to keep body and soul together 1 2 3 has become the paramount concern in life. 4 3. I hadn t know the bad news when he told me. 1 2 3 4 4. A high rate of TV watching among children in poorer suburban areas and in the 1 provinces, compared to those living in large urban centers, is often because poverty 2 4 and lack of other kinds of entertainment in the area. 5 5. Jenny told Christina that he would look forward to see him soon. 1 2 3 4 6. Famous novel on mental disorders are being continually supplemented by dramatic 1 2 3 presentations in the theaters, in the movies, and on television. 4 7. The number of students want to pass the examination. 1 2 3 4 8. Deep sea fish are well adapted to their environments, but they have not yet learned 1 2 what to avoid their greatest predator - man. 3 4 9. Natural selection defines as the process that directs the course or evolution by 1 2 preserving those traits best adapted for an organism's survival. 3 4

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1.4 Everyday English Giving/Reacting to news b) Explain the words in the Check these words box. Then complete the sentences with the correct form of Check these words the verbs in Read the example. Use the language in the box and the facts below to act out Current rate, become extinct. brackets. rise, rapidly, Imelt, habitat, lose similar exchanges. 1 If deforestation (continue) Giving news Reacting to news at the current rate, the rainforests ๑ Oh, how awful. You won't believe this! Listen to this! ๑ Oh, no! Did you That's (disappear). unbelievable. 2 If we (recycle) one That's terrible. aluminium can, we (have) Is that true? That's a pity! know that .? enough energy to run a TV for three hours. (do) more to Are you That's a serious? shame. 3 Unless we help the environment, many endangered species (become) extinct. A leaky toilet can waรte 340,000 litres of water every yeaT. 4 Sea levels (rise) rapidly if At least 30 milion acres of rainforest are lost a year. (melt). the polar ice caps ไess than 1% of Chinese cities have clean air. 5 Unless we (act) now, We (not/have) fresh air in the future. eople cut doพn more than 3 billion trees a year. 6 Many birds (lose) their habitats It takes 450 years for a plastic bottle to biodegrade. unless we (stop) cutting down trees. Speaking & Writing A: You Wont betieve this. A (eaky toilet can Waste 340,000 titres of water every year. 8: Are ycu Serous? 6 a) In three minutes, write three things you remember from the text. Then tell your partner. Grammar b) THNK In your opinion, which Conditionat type 1 environmental issue is the most serious? 5 3) Read the box. Find examples in the text. When do we use conditional type 1? Why? In three minutes, write a few sentences on the topic. Read them to the class. c) ICT H - Eresent Simple + aill + Sase for of the maiส rerd Use the Internet and/or other available ปseะ to tk aboutapssble Suaton nthe present or future. resources to prepare 3 presentation on ways to help protect the environment Note: Unless = H not Use these key wordระ hela the

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