I haven’t read any medical books or articles on the subject for a long time, so I’m ____________with recent developments.

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.

The first thing to do when you have a trip abroad is to check that your passport is valid. Holders of out-of-date passports are not allowed to travel overseas. Then you can prepare for your trip. If you don't know the language, you can have all kinds of problems communicating with local people. Buying a pocket dictionary can make a difference. You'll be able to order food, buy things in shops and ask for directions. It's worth getting one. Also there's nothing worse than arriving at your destination to find there are no hotels available. The obvious way to avoid this is to book in advance. This can save you money too. Another frustrating thing that can happen is to go somewhere and not know about important sightseeing places. Get a guide book before you leave and make the most of your trip. It's a must.

Then, when you are ready to pack your clothes, make sure they are the right kind. It's no good packing sweaters and coats for a hot country or T-shirts and shorts for a cold one. Check the local climate before you leave.

Also, be careful how much you pack in your bags. It's easy to take too many clothes and then not have enough space for souvenirs. But make sure you pack essentials, what about money? Well, it's a good idea to take some local currency with you but not too much. There are conveniently located cash machines (ATMs) in most big cities, and it's usually cheaper to use them than change your cash in banks. Then you'll have more money to spend. When you are at your destination, other travellers often have great information they are happy to share. Find out what they have to say. It could enhance your travelling experience.

(Adapted from Pearson Test of English General Skills)

What is the passage mainly about?

He was wearing very shabby, dirty clothes and looked very____________.

You____________by my secretary next week.

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

Marie didn’t turn up at John’s birthday party. I feel so sorry for that.

Attempts must be made to____________the barriers of fear and hostility which divide the two communities.

Her boy friend is said____________in the army two years ago.

Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following questions.

I have bought a present for my brother, and now I need some____________.

Paul is a very____________character, he is never relaxed with strangers.

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

One is supposed to expend far more energy in marathon run than expected.

The local council recommended that John____________to the head of the apartment.

I only tell my secrets to my____________ friend as she never reveals them to anyone.

Mark the letter A, B, C, or D on your answer sheet to indicate the word whose underlined part differs from the other three in pronunciation in each of the following questions.