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27 Choose the correct sentence, as in the example.

Example:

1 a) You can't have called a taxi. I would have driven you to the station.

b) You needn't have called a taxi. I would have driven you to the station.

2 a) Robert can't be very talented. He plays the piano, the violin and the flute.

b) Robert must be very talented. He plays the piano, the violin and the flute.

3 a) If Jane sings well in the competition, she might win a prize. b) If Jane sings well in the competition, she couldn't win a prize.

4 a) You must go to the bank. I can lend you some money. b) You don't need to go to the bank. I can lend you some money.

5 a) Terry looks tired. He must have been studying all night. b) Terry looks tired. He mustn't have been studying all night.

6 a) Sarah needn't be away on holiday I saw her in the shop this morning. b) Sarah can't be away on holiday. I saw her in the shop this morning.

7 a) We didn't need to catch the early train so we woke up late. b) We needn't have caught the early train so we woke up late.

8 a) I would love to come with you, but I could finish my report. b) I would love to come with you, but I have to finish my report.

9 a) You couldn't drive a car without a driving licence. b) You mustn't drive a car without a driving licence.

10 a) You must be on the platform by 10 o'clock or else the train will leave without

you. b) You could be on the platform by 10 o'clock or else the train will leave without

you.

28 Read the situations and write what you would say using should, ought

to, could, might, and the correct tense of the infinitive, as in the example.

Example:

1 Your best friend failed a very important exam because she hadn’t studied. What do you say to her?

You ...should/ought to/might/could have studied for the exam…

2 Adam borrowed your favourite CD without asking you. You want him to ask you next time. What do you say to him?

………………………………………………………………………………………………

3 One of your classmates misses the school bus every morning because he gets up late. What do you say to him?

………………………………………………………………………………………………4 Your younger sister took your scarf and didn't put it back in the right place. You want her to replace it next time. What do you say to her? ……………………………………………………………………………………………….

5 You arranged to meet your friend at 6 o'clock. He came at 7 o'clock but he didn't call you to tell you he'd be late. What do you say to him?

……………………………………………………………………………………………

6 Fred lost his keys in town yesterday. He didn't report it to the police. What do you say to him?

……………………………………………………………………………………………….

29 Use the prompts and make up three sentences each about doctors and nurses.

Example: Doctors should listen to their patients.

30 In groups, think of three sentences about the following situations using appropriate modals. Each correct set of sentences gets a point. The group with the most points is the winner.

Suggested situations

  • Your friend is in bed with a bad cold

  • Your friend is upset because she’s put on weight

  • Your brother has failed his exam

  • Your uncle has been fired from his job

Example: You shouldn’t go to school. You ought to see a doctor, etc.

31 Write a set of five rules about what students need to do while at school/university.

Example: Students have to study hard.

3 2 Match these words with the pictures.

ambulance nurse surgeon paramedic patient stretcher

33 Complete the following newspaper report with the correct form of these verbs.

rush treat injure fight

Serious incident

A zoo keeper was very seriously.......... today when he was attacked by a tiger at Whitesnade zoo in Yorkshire. Martin Kelly was attacked as he fed the animal in front of several visitors. He was .......... to hospital in York where doctors are .......... to save his life. Two elderly women who witnessed the whole attack were.......... for shock.

34 Match these descriptions with the pictures.

1 His leg's in plaster.

2 His arm's in a sling.

3 He's walking on crutches.

4 He needs a walking stick.

5 His ankle's bandaged up.

6 He had to have stitches.

7 He's in a wheelchair.

8 He can't walk without a zimmer.

35 Look at the following sentences about people's medical condition and decide whether the news is good (G) or bad (B).

1 It's nothing serious.

2 The victim is in a critical condition.

3 She's in a stable condition.

4 We expect him to make a full recovery.

5 I'm afraid there's nothing more we can do.

6 Her condition has deteriorated overnight.

7 She suffered only minor injuries.

8 She's in a coma.

SPEAKING

36 Work in pairs. Talk together (about 2-3 minutes) about the events which are illustrated in the picture. Finish the exchange of ideas by making up a story.

37 Ask each other questions in order to elicit information about personal experience of being to hospital.

●Have you ever been to hospital?

●What was it like?

●How did you feel?

●What were the doctors and nurses like?

●Describe what happened to you.

38 The pictures below show different ways in which people look after their health and keep fit. Work with a partner. Choose one of the pictures and describe it to your partner. Try to talk for one minute.

Describe:

• what you can see • the people and what you think they do there/why they are there

• how they might be feeling

39 Both pictures above show people doing something good for their health. Talk together about things you do to keep fit and healthy. Try to talk for about three minutes.

Tip!

Remember to respond to what your partner says, and to ask him/her questions.

Do not just give your own opinion-this is a conversation!

WRITING

4 0 Write a story of your own (about 100 words), which starts with the sentence. Your story must be connected with the topic “Health and medicine”.

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