Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

The word “premature” in paragraph 1 is closest in meaning to ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated

Which of the following best serves as the title for the article?

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated

The word “This” in paragraph 3 refers to ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated

In Western Europe, an annual loss of at least one million healthy years is resulted from ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated

Which of the following is infered according to the article?

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated.

Which is NOT mentioned in the article as a symptoms caused by exposure to high noise levels?

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 36 to 42.

The authors noted that while other forms of pollution are decreasing, noise pollution has been increasing. This conclusion is reinforced by the fact that there has been an increase in the number of people who have been complaining about excessive noise in the WHO region. Populations that are exposed to high noise levels can be afflicted by other symptoms such as: stress reactions, sleep-stage changes, and clinical symptoms like hypertension and cardiovascular diseases. All these impacts can contribute to premature mortality. It is important to note that these adverse health problems impact all age groups including children and adolescents. In fact, it has been reported that children who live and or study in an area afflicted with noise pollution tend to suffer from stress, impairments in memory and attention as well as difficulty reading.

 “In Western Europe, the guidelines say, traffic noise results in an annual loss of at least one million healthy years”. Traffic noise is currently ranked second among environmental threats to public health.

The danger of noise pollution is more present to us when we are asleep. Because the human ear is so sensitive, it never rests, it is always working, picking up and transmitting sounds for our brains to interpret. This always on working process is where the danger lies, though you may be sleeping, sounds are still being picked up and processed. The most common side effects of this phenomenon are sleep disturbance and tiredness, impaired memory, judgment, and psychomotor skills. The other more serious outcomes of this can be the triggering of the body’s acute stress response, which raises blood pressure and heart rate as the body and brain go into a state of hyperarousal. According to the European Environment Agency, at least 10,000 cases of premature deaths from noise exposure occur each year, although incomplete data mean this number is significantly underestimated

The word “afflicted” in paragraph 1 most probably means ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 30 to 34.

The coronavirus is usually transmitted by droplets, such as those produced when coughing and sneezing, and by direct or indirect contact with secretions infected by the virus. The virus may also shed in blood, urine and faeces, and, therefore, there is potential for transmission through contact with a wide range of bodily fluids. Certainly, person-to-person spread has been confirmed in community and healthcare settings across Asia and into Europe. There is also a possibility that asymptomatic carriers may be able to infect people. Public Health England (PHE) has classified the COVID-19 infection as an airborne, high consequence infectious disease (HCID) in the UK.

The application of infection prevention and control (IPC) principles are already widely used by healthcare professionals within hospital and community settings to both prevent the spread of infections and to control outbreaks when they do occur. The WHO has issued interim guidance regarding IPC when COVID-19 is suspected. This advice is echoed by guidance issued by PHE.

PHE suggests the coronavirus may pose complications, such as illness pneumonia or severe acute respiratory infection. They also suggest that patients with long-term conditions or are immunocompromised are at risk of these complications. It is important that as first-line staff, midwives are also familiar with the recommended IPC principles and measures, and ensure they have the appropriate personal protective equipment (PPE) when caring for a patient with suspected COVID-19

What is the main idea of the passage?

Mark the letter A, B, C, or D on your answer sheet to indicate the word(s) CLOSEST in meaning to the un­derlined word(s) in each of the following questions

The charming old buildings and cottages are a throwback to the colonial past

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct word or phrase that best fits each of the numbered blanks from 26 to 30.

Wind is a clean source of renewable energy that produces no air or water pollution. And since the wind is free, operational costs are nearly zero (26) ______ a turbine is erected. Mass production and technology advances are making turbines cheaper, and (27) ______ governments offer tax incentives to spur wind-energy development.

Drawbacks include complaints from (28) ______ that wind turbines are ugly and noisy. The slowly rotating blades can also kill birds and bats, but not nearly as many as cars, power lines, and high-rise buildings do. The wind is also variable: If it's not blowing, there's no electricity generated.

Nevertheless, the wind energy industry is (29) ______ . Thanks to global efforts to combat climate change, such as the Paris Agreement, renewable energy is seeing a boom in growth, in (30) ______ wind energy has led the way. From 2000 to 2015, cumulative wind capacity around the world increased from 17,000 megawatts to more than 430,000 megawatts. In 2015, China also surpassed the EU in the number of installed wind turbines and continues to lead installation efforts

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 30 to 34.

The coronavirus is usually transmitted by droplets, such as those produced when coughing and sneezing, and by direct or indirect contact with secretions infected by the virus. The virus may also shed in blood, urine and faeces, and, therefore, there is potential for transmission through contact with a wide range of bodily fluids. Certainly, person-to-person spread has been confirmed in community and healthcare settings across Asia and into Europe. There is also a possibility that asymptomatic carriers may be able to infect people. Public Health England (PHE) has classified the COVID-19 infection as an airborne, high consequence infectious disease (HCID) in the UK.

The application of infection prevention and control (IPC) principles are already widely used by healthcare professionals within hospital and community settings to both prevent the spread of infections and to control outbreaks when they do occur. The WHO has issued interim guidance regarding IPC when COVID-19 is suspected. This advice is echoed by guidance issued by PHE.

PHE suggests the coronavirus may pose complications, such as illness pneumonia or severe acute respiratory infection. They also suggest that patients with long-term conditions or are immunocompromised are at risk of these complications. It is important that as first-line staff, midwives are also familiar with the recommended IPC principles and measures, and ensure they have the appropriate personal protective equipment (PPE) when caring for a patient with suspected COVID-19

The word “interim” in paragraph 2 mostly means ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct word or phrase that best fits each of the numbered blanks from 26 to 30.

Wind is a clean source of renewable energy that produces no air or water pollution. And since the wind is free, operational costs are nearly zero (26) ______ a turbine is erected. Mass production and technology advances are making turbines cheaper, and (27) ______ governments offer tax incentives to spur wind-energy development.

Drawbacks include complaints from (28) ______ that wind turbines are ugly and noisy. The slowly rotating blades can also kill birds and bats, but not nearly as many as cars, power lines, and high-rise buildings do. The wind is also variable: If it's not blowing, there's no electricity generated.

Nevertheless, the wind energy industry is (29) ______ . Thanks to global efforts to combat climate change, such as the Paris Agreement, renewable energy is seeing a boom in growth, in (30) ______ wind energy has led the way. From 2000 to 2015, cumulative wind capacity around the world increased from 17,000 megawatts to more than 430,000 megawatts. In 2015, China also surpassed the EU in the number of installed wind turbines and continues to lead installation efforts

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct word or phrase that best fits each of the numbered blanks from 26 to 30.

Wind is a clean source of renewable energy that produces no air or water pollution. And since the wind is free, operational costs are nearly zero (26) ______ a turbine is erected. Mass production and technology advances are making turbines cheaper, and (27) ______ governments offer tax incentives to spur wind-energy development.

Drawbacks include complaints from (28) ______ that wind turbines are ugly and noisy. The slowly rotating blades can also kill birds and bats, but not nearly as many as cars, power lines, and high-rise buildings do. The wind is also variable: If it's not blowing, there's no electricity generated.

Nevertheless, the wind energy industry is (29) ______ . Thanks to global efforts to combat climate change, such as the Paris Agreement, renewable energy is seeing a boom in growth, in (30) ______ wind energy has led the way. From 2000 to 2015, cumulative wind capacity around the world increased from 17,000 megawatts to more than 430,000 megawatts. In 2015, China also surpassed the EU in the number of installed wind turbines and continues to lead installation efforts

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 30 to 34.

The coronavirus is usually transmitted by droplets, such as those produced when coughing and sneezing, and by direct or indirect contact with secretions infected by the virus. The virus may also shed in blood, urine and faeces, and, therefore, there is potential for transmission through contact with a wide range of bodily fluids. Certainly, person-to-person spread has been confirmed in community and healthcare settings across Asia and into Europe. There is also a possibility that asymptomatic carriers may be able to infect people. Public Health England (PHE) has classified the COVID-19 infection as an airborne, high consequence infectious disease (HCID) in the UK.

The application of infection prevention and control (IPC) principles are already widely used by healthcare professionals within hospital and community settings to both prevent the spread of infections and to control outbreaks when they do occur. The WHO has issued interim guidance regarding IPC when COVID-19 is suspected. This advice is echoed by guidance issued by PHE.

PHE suggests the coronavirus may pose complications, such as illness pneumonia or severe acute respiratory infection. They also suggest that patients with long-term conditions or are immunocompromised are at risk of these complications. It is important that as first-line staff, midwives are also familiar with the recommended IPC principles and measures, and ensure they have the appropriate personal protective equipment (PPE) when caring for a patient with suspected COVID-19
The coronavirus can be found in all of the following EXCEPT ______.

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the questions from 30 to 34.

The coronavirus is usually transmitted by droplets, such as those produced when coughing and sneezing, and by direct or indirect contact with secretions infected by the virus. The virus may also shed in blood, urine and faeces, and, therefore, there is potential for transmission through contact with a wide range of bodily fluids. Certainly, person-to-person spread has been confirmed in community and healthcare settings across Asia and into Europe. There is also a possibility that asymptomatic carriers may be able to infect people. Public Health England (PHE) has classified the COVID-19 infection as an airborne, high consequence infectious disease (HCID) in the UK.

The application of infection prevention and control (IPC) principles are already widely used by healthcare professionals within hospital and community settings to both prevent the spread of infections and to control outbreaks when they do occur. The WHO has issued interim guidance regarding IPC when COVID-19 is suspected. This advice is echoed by guidance issued by PHE.

PHE suggests the coronavirus may pose complications, such as illness pneumonia or severe acute respiratory infection. They also suggest that patients with long-term conditions or are immunocompromised are at risk of these complications. It is important that as first-line staff, midwives are also familiar with the recommended IPC principles and measures, and ensure they have the appropriate personal protective equipment (PPE) when caring for a patient with suspected COVID-19

What does the word “They” in the last paragraph refer to?

Mark the letter A, B, C, or D on your answer sheet to indicate the word(s) CLOSEST in meaning to the un­derlined word(s) in each of the following questions

The 1960s building boom in Zürich completely changed the rural landscape