Unit01

1

In sickness and in health

Reading

SB pages 10–12

Lexical cloze

A

Text 1 is about people who are obsessed with exercise. Text 2 gives one person’s view of the benefits of vitamin pills.

Text 3 describes the advantages of physical work for the treatment of bad backs.

B

Text 1

1 C on the spot is a set phrase meaning in one fixed place

2 B puts off is an idiomatic phrasal verb meaning to postpone

3 C coming to terms with is a set phrase meaning to accept the way things are

4 D the moment you do something is a set expression equivalent to as soon as you do something

5 A take heart is a set phrase meaning to feel more positive about something

6 C previous experience is a collocation

Text 2

7 D emotionally and physically drained is a collocation

8 B pick myself up is an idiomatic phrasal verb meaning to recover from some difficulty

9 C pleaded to try, because influenced and urged are followed by me, and recommended is followed by that or -ing

10 A out loud is a set phrase meaning in a voice that can be heard

11 C a sparkle in my eyes is a set phrase meaning a feeling of enthusiasm

12 B cut down on is an idiomatic phrasal verb meaning to reduce in amount

Text 3

17 A exhilaration is the appropriate word in context, meaning a sense of excitement

18 B soothed is the appropriate word in context, meaning that pain and tension are removed

Comprehension

C

Text 1

1 People who take regular exercise see those who don’t as being less important and they prefer not to waste time talking to them.

2 It can be negative because it can make you over-confident about your health. It is also time-consuming, expensive and you can’t stop because you lose your fitness.

3 The path to true contentment lies in sitting at home on the sofa by the fire doing nothing.

Text 2

1 An advertisement through the post prompted the writer to try the pills for his/her depression. 2 The pills had a positive effect and made the writer

glad to be alive.

3 The writer believes there is a link between feeling well physically and feeling well emotionally. Text 3

1 Initially it made his back feel good.

2 A rub-down is a kind of massage to relieve pain in the muscles. Goldman thought rub-downs were unnecessary.

3 He concludes that hard physical work can be beneficial physically and mentally.

Vocabulary

Collocation

D

1 d the correct, legal or best place for you, e.g. The chairman took his rightful place at the head of the table.

2 g a feeling of being healthy in both your mind and your body, e.g. A sense of emotional and physical well-being is important to our happiness.

3 h the instant of understanding, e.g. He saw what he had done wrong in a moment of realisation. 4 e to do some form of physical activity, e.g. You

should take more exercise to lose weight. 5 b when someone gives the appearance of not

paying attention, e.g. I could tell she wasn’t listening to me from the far-off look in her eyes. 6 a to affect something either positively or

negatively, e.g. Giving up cigarettes will have a wonderful effect on your health.

7 f the amount of medicine you have been advised to take, e.g. It’s dangerous to take more than the recommended dose of these pills.

8 c a way of stressing that the price is too high, e.g. the restaurant we went to last night was ridiculously expensive.

Idioms

F

1 g 2 h 3 c 4 f 5 a 6 e 7 d 8 b

Expressions with

come

G

1 come to terms with 6 came down with 2 comes down heavily on 7 came round 3 comes out with 8 come in for 4 come to the point 9 come round to 5 came up with

Language in use

SB pages 13–15

The sporting life

1 pins: bowling

running shoes: athletics a football: football

a tennis racket / racquet: tennis ice skates: ice skating

a paddle: canoeing a golf club: golf weights: weightlifting 2 bowling: bowling shoes

athletics: a stopwatch

football: boots, shin pads, goalposts tennis: a net, balls

ice skating: protective clothing canoeing: a safety helmet, a life jacket golf: balls, tees, a glove

weightlifting: a belt 3 bowling: alley

athletics: track football: pitch tennis: court ice skating: rink canoeing: rapids golf: course weightlifting: gym 4 alley: skittles

track: motor-racing, pitch: rugby, polo,

court: squash, badminton, rink: ice-hockey

rapids: rafting course: horse-racing gym: gymnastics, aerobics

Cloze

A

B, C

1 whether (connector)

2 well / much (adverb / part of a connector) 3 not (adverb) / nothing (pronoun)

4 on (preposition) 5 are (verb)

6 forms / examples (nouns) 7 to (preposition) 8 both (determiner) 9 greater (adjective) 10 any (determiner) 11 up (preposition) 12 their (pronoun) 13 take (verb) 14 which (pronoun) 15 makes (verb)

Structure

Defining and non-defining relative clauses

D

‘that are also pleasing to the eye’

‘both of which demand high standards of balance, co-ordination and suppleness.’

‘which seem to demand muscular strength more than any other physical requirement’

‘who take part in weightlifting’

‘which demands enormous physical strength’

A relative pronoun introduces a relative clause, e.g. that, which, who, whose, whom, where, when and why.

E

1 The first sentence is a defining relative clause. The sentence tells us that of all the golfers it was the one who attended the dinner that had won two previous championships. The sentence tells us which golfer we are referring to.

The second sentence is a non-defining relative clause. The sentence tells us that there is likely to be only one golfer in question. The fact that the golfer

2 The relative pronoun can be omitted in the second sentence. This is because it is the object of the verb in the relative clause. In this case the subject is spectators. The relative pronoun cannot be omitted in the first sentence because it is the subject of the verb in the relative clause. This rule only applies to defining relative clauses. In non-defining relative clauses the relative pronoun can never be omitted.

3 That cannot be used in the second sentence. This is because that is never used in a non-defining relative clause. In this case which should be used. The first sentence is a defining relative clause. 4 That cannot be used after a preposition in a relative

clause. In this case which should be used. Whom is used after a preposition when referring to people. Also it is a non-defining relative clause.

5 The relative pronoun is whose and it refers to the boxer. It is a possessive relative pronoun meaning belonging to.

6 The relative pronoun which refers back to the whole of the previous clause ‘he resigned as manager of the club.’

F

1 The American journalist who / that interviewed the tennis champion reminded me of my brother.

See E 1.

2 The liver, which is about 30 centimetres long, helps in the digestion of food.

See E 1 and E 3.

3 We decided to engage the two young dancers who / that / whom we had seen perform on television.

See E 2.

4 The new concert hall, which holds two thousand people, was opened yesterday.

See E 1 and E 3.

5 The band ICE, whose manager has just resigned, is/are currently touring the USA.

See E 5.

6 He had never had any formal education, which amazed me.

See E 6.

G

The relative pronoun can only be omitted in sentence 3.

Reduced clauses

H

1 Athletes using these techniques show a marked improvement in performance. The verb is active. 2 Competitors selected when they are young stand a

greater chance of being successful. The verb is passive.

3 Trainers working with up-and-coming athletes say that more money needs to be spent on facilities. The verb is active.

4 The stadium being built for the event is already an architectural talking point. The verb is passive but refers to something not completed yet.

I

1 The losing team, who were humiliated by their defeat, trudged towards the dressing room. The verb is passive.

2 The champion, who was beaming with joy, received her gold medal.

The verb is active.

3 The English FA cup, which was founded in 1871, is the oldest football cup competition.

The verb is passive.

J

1 Thinking of how their lives would be together, the couple were pronounced man and wife (by the vicar).

2 Looking through the binoculars, I saw that the distant eagle seemed to be preparing to swoop on its prey.

3 I began to realise she was no longer my baby girl when I saw her dressed in her new school uniform.

Comprehension and summary

SB pages 16–17

Under the weather

1

writer’s cramp, a sprained ankle, tennis elbow, a torn ligament, eye strain, a splitting headache, an ear infection, a slipped disc

Comprehension

A

Both texts were written by doctors.

The first text was written by a doctor who has also been a patient.

B

a question 4 ‘What impression does the writer give …’

b question 2

c questions 1 and 6 ‘Which word is used … ?’, ‘Which two words … contrast with …?’ d questions 3 and 5 ‘ Explain why the writer has

chosen to use the phrase / expression …’

C

Text 1

1 shuttling (line 14)

The writer mentions shuttling between clinics, the operating theatre, the wards, etc. in lines 15–18

2 a war

‘You begin to think of the patients as the enemy and the nurses as your first line of defence against them.’ (line 22)

3 to imply that doctors on their rounds are distant and uninterested

An armada is a large fleet or group of ships which would be impossible to stop.

Text 2

4 that by making things complicated they seem to be in control

‘Illusory’ is something that seems real but is not and it applies to the ‘sense of control’ so the doctors create a false sense of reality.

5 to show that a patient’s problems are fairly ordinary compared to the difficulty of dealing with their expectations of the doctor.

A pedestrian is a person walking in the street, but as an adjective it can suggest that something is common or ordinary. In this context, it refers to the patient’s angina which suggests that the doctor regards this illness as something uninteresting or unimportant.

6 friendly and charming

Patients want ‘real doctors’ who appear efficient because they think they are being treated better rather than a doctor who appears friendly and charming.

Summary writing

Identifying information

D

how doctors and patients generally feel about each other

E

1 2 4 5 7

Sentences 3, 6, and 8 are not relevant to the task as they don’t refer to the attitudes held by doctors and patients towards each other.

F

1 Text 2 line 7 ‘some illusory sense of control’ and line 15 ‘They want nurses and doctors dashing in and out’

2 Text 1 line 5 ‘make patient–doctor communication virtually impossible’ and Text 2 lines 25 and 27 ‘just clam up on me’ and ‘stopped taking me seriously’

G

Sample summary

Firstly, both texts mention that doctors and patients have difficulty communicating with each other. Also doctors sometimes regard patients as an intrusion into hospital efficiency, while patients feel that doctors won’t listen to what they say and often seem to be avoiding them. Besides this, doctors feel that patients expect them to give an impression of control which may be false. (61 words)

Listening

SB page 18

Alternative medicine

1 Hypnotherapy is a kind of treatment that creates a state of relaxation and concentration by using hypnosis.

2 Acupuncture is a Chinese method of treating pain or illness by using special thin needles which are pushed into the skin in particular parts of the body. 3 Acupressure, or Shiatsu, is the application of

pressure through massage to certain parts of the body to relieve pain.

4 Herbalism is the use of certain herbs or plants to treat various illnesses.

Multiple-choice questions

Identifying the context

A

Extract 1: Two friends comparing an experience of hypnosis.

Extract 2: An advertisement for a hypnosis technique. Extract 3: A journalist speaking on a radio programme Extract 4: A woman describing a disastrous holiday.

Listening for specific information

Speaking

SB page 19

Themed discussion

A

Possible answers

relaxing, public health, soothing, protection,

therapeutic / therapy, prevention, treatment, diseases, sense of well-being, injection, contentment, hypodermic needles, beneficial, innoculation, good for your skin, apprehensive /scared / fearful, alternative medicine, health scheme /policy, health club,

conventional medicine

Speculating

B

… could / may / might be … I would assume …

… appear / seem to be … I get the impression … … look as though / if …

Evaluating

D

Possible answer

I think the idea the first picture attempts to convey is that there is a variety of ways in which we can take care of our health and ensure fitness. However, I don’t think it gets its message across very well because it shows a rather expensive form of treatment or therapy that most people may not be able to afford.

Writing

SB pages 20–21

A proposal

A

1 The proposal is for the senior manager. The style should be formal, professional and impersonal. 2 The reader will expect to find suggestions /

recommendations for ways in which the health and fitness of staff at the company could be improved. 3 Using the results of the questionnaire as the basis

for the suggestions / recommendations would give the proposal a sense of authenticity.

4 There will be a balance of both. The investigation of existing facilities will be with reference to the results of the questionnaire. The new ideas will be the suggested plan of action or recommendations based on these results.

Analysing the sample

B

1 The style is formal and impersonal

2 The proposal is divided into sections. Each section has a short heading.

3 This type of layout makes the proposal easier to read. The required information is clearly

presented.

Writing skills

Making recommendations

C

Positive proposals

I suggest that we investigate ways Consideration should be given to … I would strongly recommend providing The restaurant menu could be revised

Clarifications

… as this would result in … … since this would result in … … on the grounds that …

… this would have the additional advantage of … as this would help …

D

Possible answers

1 It would be a good idea to go cycling regularly, and this would have the additional advantage of helping you to get fit.

2 I am opposed to the idea of allowing cigarette advertising on TV, since this will result in more young people smoking

3 Consideration should be given to having a more balanced diet, as this would enable us to feel healthier and lose weight.

4 It would be inadvisable to open a wine bar at school, on the grounds that it would inevitably lead to students developing bad habits.

5 I would strongly recommend playing sports regularly because this would allow people to feel more energetic.

6 I suggest we stop watching TV so much because this might encourage us to get more exercise.

Unit 1 Overview key

SB pages 22–23

Lexical cloze

A

1 C 2 C 3 B 4 A 5 C 6 C 7 C 8 C 9 D 10 C 11 B 12 D

Cloze

B

6 much / far / considerably 14 this 7 reason 15 time 8 taking

Word formation