WorksheetsENGLISH TEST TKA Part 2
Total questions: 20
Worksheet time: 10mins
Many environmental scientists argue that the effects of climate change are not limited to rising global temperatures, but also include extreme weather events such as hurricanes, floods, and droughts. A recent study has shown that developing countries are the most vulnerable, as they often lack the infrastructure and resources to cope with such disasters. The text also highlights that although international agreements have been made to reduce carbon emissions, many industrial nations continue to prioritize economic growth over environmental sustainability. Based on the information in the passage, what is the main idea being emphasized?
International agreements have no impact on climate change
Climate change only increases global temperature
Developing countries suffer the most from climate change
Economic growth and environmental sustainability often conflict
Hurricanes and floods are unrelated to climate change
In the past two decades, communication has transformed drastically. Social media has enabled people to connect instantly, share knowledge, and build communities across borders. However, it also creates problems such as misinformation, cyberbullying, and decreased face-to-face interaction. The lecturer in the passage suggests that students should evaluate both the advantages and disadvantages before forming a conclusion. What should students do according to the lecturer?
Use it as frequently as possible to share information
Avoid it completely to prevent misinformation
Focus only on the benefits and ignore the risks
Analyze both positive and negative impacts before deciding
Consider it as the best tool for education without limitations
Despite the importance of renewable energy, many governments don’t invest enough funds, which leads to slow progress in combating climate change. The sentence contains a grammatical inaccuracy that may confuse readers if not corrected. You are asked to carefully analyze the subject-verb agreement and auxiliary usage in the sentence. Which of the following options makes the sentence grammatically correct?
Many governments doesn’t invest enough funds
Many governments don’t invests enough funds
Many governments doesn’t invests enough funds
Many governments don’t invest enough funds
Many governments didn’t invest enough funds
Last week, Maria said, “I am preparing my research presentation for the international conference.” Her teacher later reported this to the principal. You are asked to transform Maria’s direct speech into reported speech. Remember that tense changes are required when reporting past events, and pronouns should also be adjusted. Which of the following sentences is correct?
Maria said she prepares her research presentation
Maria said she was preparing her research presentation
Maria said she had prepared her research presentation
Maria said she is preparing her research presentation
Maria said she has prepared her research presentation
By the time the new library was officially opened, students had already borrowed digital resources provided by the school’s online system. This initiative showed that learners adapted quickly to technological changes in education. The text suggests that traditional facilities, though important, may not always be the primary source of knowledge in the modern era. What is the main emphasis of this passage?
Students no longer need a library for learning
Online resources are increasingly utilized before physical facilities
Libraries remain the only reliable source of knowledge
Digital resources are less effective than printed books
Students are reluctant to adapt to technology
In a clinical case, a 52-year-old man presents with persistent hypertension that does not improve despite lifestyle modifications and regular exercise. He reports a family history of cardiovascular disease and his BMI indicates overweight status. His blood pressure consistently measures above 150/95 mmHg over three separate visits. Considering the current guidelines, what is the most appropriate initial pharmacological management for this patient?
Lifestyle modifications only
Thiazide diuretics
Beta-blockers as first-line therapy
Calcium channel blockers
High-dose statins immediately
A researcher is studying the effects of nutrition on childhood obesity in a primary school population. He collects data on BMI, dietary habits, and physical activity levels. The study design involves following the same children for five years to see how their habits influence obesity risk. What type of research design is most appropriate to classify this study?
Cross-sectional study
Case-control study
Randomized controlled trial
Cohort study
Meta-analysis
A 68-year-old woman comes with complaints of frequent urination, excessive thirst, and unexplained weight loss over the last two months. Laboratory results show elevated fasting blood glucose at 180 mg/dL. The physician suspects type 2 diabetes mellitus. Which diagnostic test provides the strongest confirmation for the diagnosis?
Random blood glucose measurement
Oral glucose tolerance test (OGTT)
HbA1c test ≥ 6.5%
Fasting blood glucose on a single occasion
Urinalysis for glucose presence
A public health officer is evaluating the effectiveness of a vaccination program against measles in a rural community. He compares the incidence of measles cases before and after the vaccination campaign, using official health records. Which epidemiological measure is most suitable to determine the program’s success?
Case fatality rate
Prevalence rate
Incidence rate
Mortality rate
Relative risk
During a health policy debate, policymakers are considering mandatory labeling of packaged foods to include calorie counts and sugar content. The intention is to encourage healthier consumer choices and reduce obesity prevalence. Which principle of public health ethics is most relevant to justify this intervention?
Beneficence
Non-maleficence
Justice
Autonomy
Utility
In a neurology ward, a patient presents with sudden weakness on the left side of the body, slurred speech, and facial drooping. The attending physician suspects an ischemic stroke and orders an urgent CT scan to rule out hemorrhage. Given the time-sensitive nature of this condition, early intervention with thrombolytic therapy can drastically improve patient outcomes. Which artery is most likely occluded in this clinical scenario?
Middle cerebral artery
Anterior cerebral artery
Basilar artery
Posterior communicating artery
Vertebral artery
A 58-year-old male with a history of uncontrolled hypertension suddenly collapses and becomes unresponsive. On examination, he has unequal pupils and loss of consciousness. A CT scan reveals a massive intracerebral hemorrhage. Considering the risk factors, location, and pathophysiology, which brain structure is most commonly affected in hypertensive hemorrhages?
Cerebellum
Basal ganglia
Medulla oblongata
Thalamus
Occipital lobe
A 30-year-old female presents with recurrent episodes of unilateral throbbing headache associated with nausea, vomiting, and photophobia. The attacks last for several hours and are often preceded by visual disturbances such as flashing lights. Based on the clinical features, which neurotransmitter imbalance plays a central role in the pathophysiology of this disorder?
Dopamine
Acetylcholine
Serotonin
GABA
Glutamate
A patient is diagnosed with Parkinson’s disease after showing symptoms of resting tremor, bradykinesia, and rigidity. The disease is associated with the progressive degeneration of dopaminergic neurons. Which specific brain region is primarily affected in Parkinson’s disease?
Substantia nigra pars compacta
Hippocampus
Amygdala
Subthalamic nucleus
Caudate nucleus
A 40-year-old man presents with sudden, severe, “thunderclap” headache described as the worst headache of his life. He has neck stiffness but no focal neurological deficits. A CT scan shows no abnormalities, but suspicion for subarachnoid hemorrhage remains high. What is the next best diagnostic step?
MRI of the brain
Lumbar puncture
Carotid Doppler ultrasound
Electroencephalogram
Cerebral angiography
A 65-year-old patient has difficulty understanding spoken language but can speak fluently, although the words often lack meaning. This condition is associated with damage to a specific cortical area involved in language comprehension. Which area is most likely affected?
Broca’s area
Wernicke’s area
Angular gyrus
Prefrontal cortex
Supplementary motor area
During a neurological examination, a patient exhibits spastic paralysis, hyperreflexia, and a positive Babinski sign on the right side of the body. These findings indicate an upper motor neuron lesion. Which of the following locations is most likely involved?
Anterior horn of spinal cord
Cerebral cortex
Neuromuscular junction
Peripheral nerves
Muscle fibers
A 22-year-old man develops sudden weakness in both legs after a viral infection. Neurological examination shows absent deep tendon reflexes, flaccid paralysis, and preserved sensation. Cerebrospinal fluid analysis reveals elevated protein with normal cell count (albuminocytologic dissociation). What is the most likely diagnosis?
Multiple sclerosis
Myasthenia gravis
Guillain-Barré syndrome
Amyotrophic lateral sclerosis
Poliomyelitis
A 50-year-old man presents with progressive weakness and muscle wasting in both upper and lower limbs, accompanied by fasciculations. Sensory functions remain intact. The disease eventually affects respiratory muscles, leading to death. Which motor neurons are affected in this condition?
Only upper motor neurons
Only lower motor neurons
Both upper and lower motor neurons
Cerebellar neurons
Sensory neurons
A 36-year-old woman presents with double vision that worsens with fatigue and improves with rest. Physical examination reveals ptosis and weakness in extraocular muscles. She is diagnosed with myasthenia gravis. Which receptor is targeted by autoantibodies in this disorder?
Dopamine receptor
Nicotinic acetylcholine receptor
Muscarinic acetylcholine receptor
GABA receptor
Serotonin receptor
