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A thermometer label says: “Clean the tip with alcohol before and after each use.” When should the tip be cleaned?

1. AOnly after each use
2. BOnly once a week
3. COnly when it looks dirty
4. DBefore and after each use

Many birds fly south in the autumn. They travel to warmer places where food is easier to find. In the spring, they return north to build nests and raise their young. Why do many birds fly south in the autumn?

1. ATo find food more easily in warmer places
2. BTo find cooler places to rest
3. CTo escape from larger birds that hunt them
4. DTo build nests and raise their young

Ana’s grandmother keeps a small notebook by the phone. She writes down every doctor’s appointment, the name of each medicine she takes and the phone numbers of her children. Why does Ana’s grandmother most likely keep the notebook?

1. ATo keep a list of her favourite recipes for dinner
2. BTo help her remember important information
3. CTo write stories for her grandchildren
4. DTo practise her handwriting every day

“The new staff canteen has more seats and longer opening hours. However, the prices have gone up, and some staff now bring lunch from home.” What is the most likely reason some staff bring lunch from home?

1. AThe canteen serves only breakfast.
2. BThe canteen has become more expensive.
3. CThe canteen has too few seats now.
4. DThe canteen closes earlier than before.

“The storm knocked down power lines across the county. Schools closed, and many families spent the night by candlelight.” What was the effect of the fallen power lines?

1. ASchools opened earlier the next day.
2. BFamilies bought new power lines.
3. CThe storm became stronger.
4. DMany homes had no electricity.

“I couldn’t put the book down. I read it in one night and was sad when it ended.” What is the reader’s opinion of the book?

1. AThe reader enjoyed it very much.
2. BThe reader thought it was frightening.
3. CThe reader found it too long.
4. DThe reader did not finish it.

“I have been a nurse for thirty years,” the speaker said, “and I have never seen a team work as hard as this one. Still, hard work cannot replace enough staff.” What is the speaker’s main point?

1. AThe team works hard, but more staff are needed.
2. BThirty years is a long time to be a nurse.
3. CThe team does not work hard enough.
4. DHard work is more important than the number of staff on duty.

“Discharge note: Walk for 10 minutes three times a day in week 1. Increase to 20 minutes three times a day in week 2. Avoid lifting anything heavier than 5 kg (about 11 lb) for 6 weeks.” Which activity is allowed in week 2?

1. AWalking 20 minutes three times a day
2. BWalking 60 minutes without a rest
3. CCarrying a 10 kg bag of shopping
4. DLifting a 7 kg box onto a shelf