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1. 1
Name: ................................................. Mark: .........
Use of English Level 2
Vocabulary and Grammar (50 points)
1 Circle the word or phrase that doesn’t belong in each group. Then write the word or phrase next to
the correct group. (6 points)
1. bleed • sneeze • cough • break into • feel dizzy ................................................
2. attack • ankle • grab • fight • break into ................................................
3. cycle lane • traffic jam • slum • speed limit • motorway ................................................
4. motorway • rainforest • canyon • mountain • sand dune ................................................
5. shoulder • knee • feel dizzy • spine • ankle ................................................
6. neighbourhood • residential area • sand dune • suburb • slum ................................................
2 Write the words below next to their descriptions. Make any necessary changes. (5 points)
raw ■ frozen ■ mineral ■ muscle ■ intestine ■ chin ■ bite ■ brain ■ wrist ■ heart
1. It’s in your head. ................................................
2. It’s the opposite of cooked. ................................................
3. An insect can cause it. ................................................
4. Calcium and magnesium are examples. ................................................
5. You can wear a bracelet on it. ................................................
6. They help your body move. ................................................
7. It’s part of your face below your mouth. ................................................
8. It helps blood travel around your body. ................................................
9. It describes very cold food in the fridge. ................................................
10. It’s part of your digestive system. ................................................
3 Match A to B to form sentences. (4 points)
A
1. Laura sometimes eats white bread,
2. Tina exercises and eats plenty of vegetables,
3. Paula must take allergy medicine
4. Diana’s foot is bleeding,
5. My mum had a back operation,
6. Carla doesn’t eat meat,
7. Monica was sick
8. Tara likes helping other people,
B
..... a. every time she gets a bee sting.
..... b. and now she’s recovering in hospital.
..... c. but she usually prefers wholegrain.
..... d. because she had eaten bad food.
..... e. so she regularly donates blood.
..... f. so she succeeds in staying healthy.
..... g. so I’ll get her a bandage.
..... h. but she gets protein from eggs and cheese instead.

2. 2
Use of English Level 2
4 Complete the words in the sentences below. (5 points)
1. Giraffes have got very long n ..... ..... ..... ..... .
2. My s ..... ..... ..... ..... ..... ..... is full because I ate a big meal.
3. I have a s ..... ..... ..... t ..... ..... ..... ..... ..... , so it hurts to talk.
4. Broccoli contains v ..... ..... ..... ..... ..... ..... ..... A, B9, C, E and K.
5. Jessie lay on her b ..... ..... ..... on the grass, looking up at the sky.
6. There are 206 b ..... ..... ..... ..... in the adult human body.
7. My friend isn’t well – I hope she g ..... ..... ..... b ..... ..... ..... ..... ..... soon!
8. Kate wears a wedding ring on the fourth f ..... ..... ..... ..... ..... of her left hand.
9. I’ve just picked these tomatoes from my garden, so they are very f ..... ..... ..... ..... .
10. I read the label on the packet to see how many c ..... ..... ..... ..... ..... ..... ..... were in the food.
5 Complete the sentences with the verbs in brackets. Use the First Conditional. (4 points)
1. Alexandra ............................................... (prepare) dinner if she ............................................... (reach) the campsite
before us.
2. If Mum ............................................... (fry) the potatoes, Sonya ............................................... (not eat) them.
3. If you ............................................... (read) the ingredients, you ............................................... (discover) that chocolate
is full of fat.
4. What ............................................... Jim ............................................... (do) if he ............................................... (feel) dizzy during
the marathon?
5. You ............................................... (not have) enough energy if you ............................................... (not consume) enough
protein.
6. If you ............................................... (bake) me a birthday cake, ............................................... you ............................................... (use)
vegan ingredients?
7. Our school ............................................... (not permit) students to join the class trip unless they ...............................................
(bring) a hat.
8. If we ............................................... (not find) cheap flights, we ............................................... (not travel) to Berlin.
6 Complete the sentences with two of the verbs in brackets. Use the Second Conditional. (5 points)
1. Jane .................................................................. better if she .................................................................. her hair. (sound / brush / look)
2. If I .................................................................. you, I .................................................................. that mushroom. (not eat / be / have)
3. Ben .................................................................. a tablet if he .................................................................. a headache. (not take / not have / make)
4. I .................................................................. that guava if it .................................................................. so bad! (drink / not smell / eat)
5. If you .................................................................. harder, you .................................................................. better marks. (work / hear / get)
7 Choose the correct answer. (5 points)
1. Helen exercises every day. If she doesn’t exercise / won’t exercise / didn’t exercise so often, she
wouldn’t be / won’t be / wasn’t so fit.
2. Lucy has got bad skin – and it doesn’t improve / won’t improve / wouldn’t improve unless she
includes / included / will include more vitamins in her diet.
3. It’s too bad Detective Peters doesn’t work here anymore. If he worked / works / work here, he solves /
solved / would solve the case.
4. Dad eats only wholegrain bread. If he didn’t find / wouldn’t find / doesn’t find any in the market today,
he baked / will bake / would bake his own bread.
5. This coffee shop serves incredible desserts. If it doesn’t offer / didn’t offer / won’t offer such delicious cakes,
it doesn’t attract / didn’t attract / wouldn’t attract so many customers.
6. Jackie has a great idea for a business! If she starts / will start / would start her own business, she doesn’t
regret / won’t regret / regrets it.
7. Dan doesn’t have enough money for a new car. If he has / had / will have more money, he buys / will buy /
would buy one.
8. I’ve invited some friends for dinner tonight. If you aren’t / won’t be / wouldn’t be busy, do you join /
will you join / would you join us?
9. It’s freezing outside! You catch / will catch / would catch a cold unless you wear / wore / would wear
your warm coat.
10. The children live far from school. They would walk / will walk / walked there if they lived / will live /
would live closer.

3. 3
Use of English Level 2
8 Complete the sentences with the pairs of verbs below. Use the Third Conditional. (8 points)
not walk / not meet ■ receive / be ■ go / eat ■ not be / buy ■ wear / not feel ■ not fall / see
set out / rain ■ arrive / travel
1. The restaurant .................................................................. better reviews if the chefs ..................................................................
more professional.
2. If we .................................................................. to Italy on holiday, we .................................................................. authentic Italian food.
3. Billy .................................................................. from his bicycle if he .................................................................. the hole in the road.
4. If I .................................................................. to school that day, I .................................................................. my friend on the way.
5. We .................................................................. on the hike earlier if it .................................................................. yesterday morning.
6. If Sophie .................................................................. a coat, she .................................................................. so cold.
7. We .................................................................. sooner if we .................................................................. by air.
8. If those boots .................................................................. so expensive, I .................................................................. them.
9 Complete the text with the words below. (8 points)
had ■ was ■ can ■ have ■ is ■ hasn’t ■ could ■ hadn’t
If someone had told Amber Bourke years ago that a person can hold their breath for five
minutes, she wouldn’t 1.
............................................... believed it. But while she 2.
...............................................
travelling in Sinai, Egypt, she saw people diving without any breathing equipment. They were
freedivers. Freedivers try to see how deep they 3.
............................................... dive on a single breath.
Amber tried it and discovered that she 4.
............................................... dive down 18 metres on one breath.
Amber began competing in 2012, and she 5.
............................................... stopped since then. In 2018, she
dived down 73 metres! She would have broken a world record if she 6.
............................................... lost
consciousness when she reached the surface.
What 7.
............................................... happened? If a diver stays underwater too long, there’s a chance that
their oxygen will drop so much that the brain will shut down to protect itself from damage. And
that’s what happened to Amber. Freediving looks easy, but a lot of training 8.
...............................................
required. Do you want to try it?

4. 4
Name: ................................................. Mark: .........
Competences Assessment Level 2
Written Comprehension (20 points)
1 Read the health website and tick (✓) the sentences T (true) or F (false). Then correct the false
sentences. (10 points)
understand essential information • understand specific information
HOME ǀ QUESTIONS ǀ GETTING HERE ǀ ABOUT US
TEEN HEALTH
Our doctors answer
your questions.
Ever since I was a child, I’ve suffered from an upset stomach and
headaches. I’ve seen several doctors over the years, but none of them found
the cause of the problem. And the symptoms got worse! Then, last month,
I was tested for celiac disease - and finally, the mystery was solved! If I had
only known about it earlier, I would have avoided years of pain! Why did it take
so long to diagnose me correctly? And how do I live with this disease?
About one in every 100 people in the world has celiac disease,
but it can take years to diagnose it. This is because the symptoms of celiac
disease are similar to those of many other diseases, especially wheat
allergies and non-celiac gluten sensitivity (NCGS).
Gluten is a protein. It’s found in grains like wheat, rye and barley – the main
ingredients in most breads, pastas and cereals. If you have celiac disease,
any gluten you eat will damage the small intestine in your stomach. This
stops your body from getting important vitamins and minerals from your
food.
Unfortunately, there is no cure for celiac disease. Your health won’t improve
unless you make the change to a 100% gluten-free diet. Here’s my advice:
• Meet with a dietician and learn which foods you can and can’t eat. Bread
made from rice, potato or quinoa flour is safe to eat, for example. Find tasty
gluten-free recipes to prepare on the Celiac Disease Foundation website.
• Before you buy food products, read the list of ingredients carefully. Some
“wheat-free” foods can contain other grains with gluten in them.
• Gluten-free foods often come into contact with foods containing gluten.
Small pieces of wheat toast can easily get into butter or jam jars – and into
your stomach! So be careful.
• Join a support group for teens with celiac. They will be happy to share
experiences and tips. If I were you, I’d ask them where to find the best
gluten-free pizza!
Good luck!

5. 5
Competences Assessment Level 2
JANET: Desde que era niña he sufrido malestar estomacal y dolores de cabeza. He visitado a varios
médicos a lo largo de los años, pero ninguno encontró la causa del problema. ¡Y los síntomas
empeoraron! Luego, el mes pasado,
Me hicieron la prueba de la enfermedad celíaca y, finalmente, ¡el misterio quedó resuelto! ¡Si lo
hubiera sabido antes, habría evitado años de dolor! ¿Por qué tardó tanto en diagnosticarme
correctamente? ¿Y cómo vivo con esta enfermedad?
DR MIKE: Aproximadamente una de cada 100 personas en el mundo tiene enfermedad celíaca, pero
puede llevar años diagnosticarla. Esto se debe a que los síntomas de la enfermedad celíaca son
similares a los de muchas otras enfermedades, especialmente las alergias al trigo y la sensibilidad al
gluten no celíaca (SGNC).
El gluten es una proteína. Se encuentra en cereales como el trigo, el centeno y la cebada, los
ingredientes principales de la mayoría de los panes, pastas y cereales. Si tiene enfermedad celíaca,
cualquier gluten que ingiera dañará el intestino delgado en su estómago. Esto impide que su cuerpo
obtenga vitaminas y minerales importantes de los alimentos.
Desafortunadamente, no existe cura para la enfermedad celíaca. Su salud no mejorará a menos que
realice el cambio a una dieta 100% libre de gluten. Este es mi consejo:
• Reúnase con un dietista y aprenda qué alimentos puede y no puede comer. El pan elaborado con
harina de arroz, patata o quinua es seguro para comer, por ejemplo. Encuentre deliciosas recetas
sin gluten para preparar en el sitio web de la Celiac Disease Foundation.
• Antes de comprar productos alimenticios, lea atentamente la lista de ingredientes. Algunos
alimentos "sin trigo" pueden contener otros cereales con gluten.
• Los alimentos sin gluten a menudo entran en contacto con alimentos que contienen gluten.
Pequeños trozos de tostada de trigo pueden meterse fácilmente en los frascos de mantequilla o
mermelada, ¡y en el estómago! Así que ten cuidado.
• Únase a un grupo de apoyo para adolescentes celíacos. Estarán encantados de compartir
experiencias y consejos. ¡Si yo fuera tú, les preguntaría dónde encontrar la mejor pizza sin gluten!

6. 6
Competences Assessment Level 2
¡Buena suerte!
T F
1. Janet discovered she had celiac disease when she was a little girl. ..... .....
...................................................................................................................................................................................................
2. Celiac disease affects the brain. ..... .....
...................................................................................................................................................................................................
3. Celiac disease prevents your body from absorbing the nutrients it needs. ..... .....
...................................................................................................................................................................................................
4. One per cent of the world population suffer from celiac disease. ..... .....
...................................................................................................................................................................................................
5. The only remedy for celiac disease is special medication. ..... .....
...................................................................................................................................................................................................
2 Use the information given in the text to name the following. (10 points)
1. two possible symptoms of celiac disease ............................................... ...............................................
2. two food ingredients containing gluten ............................................... ...............................................
3. two suitable foods for people with celiac ............................................... ...............................................
4. two types of people Dr Mike recommends getting help from ............................................... ...............................................
5. two examples of foods easily contaminated by gluten ............................................... ...............................................
Written Production (10 points)
Option 1: Posts for a Health Forum
Write two posts for a health forum. Ask for advice about health
or nutrition. Then give advice. Include the following:
a. Post 1: State the problem and ask for help.
b. Post 2: Give advice and offer 2-3 solutions or tips.
Option 2: A Report
Write a report about a restaurant you’ve eaten in. It can be real
or imaginary. Include the following:
a. the type of food served
b. a meal you enjoyed
c. if the meal was healthy and why
provide information • give suggestions
present main points in an organised manner • describe food

7. 7
Competences Assessment Level 2
Oral Comprehension (10 points)
1 Listen to the podcast and choose the correct
answer. (5 points)
1. The 2017 survey was about popular food /
nutrition / health.
2. Children aged 5 to 7 / 11 / 16 years old
participated in the survey.
3. Many 5-7-year-olds thought fish fingers
are made from vegetables / cheese / chicken.
4. A quarter of 5-11-year-olds thought fish / pasta /
cheese comes from plants.
5. According to the survey, 11% of children include
sweets / fresh fruit / vegetables as part of
their 5-a-day.
2 Listen again and complete the sentences with
a word or a number. (5 points)
1. ............................................... people participated in the
survey.
2. Fish fingers are popular in the ............................................... .
3. Thirteen per cent of 8-11-year-olds think
............................................... comes from an animal.
4. Eleven per cent of the participants
think ...............................................-flavoured sweets are
good for you.
5. Eating badly can cause ...............................................
problems.
Oral Production (10 points)
Student A
1 You have got the medical problems below at
different times. Ask your doctor what you should
do for each problem.
1. temperature
2. headache
3. coughing
4. sore throat
5. bee sting
2 Now you are the doctor. Your partner will ask for
advice. Tick (✓) the correct advice for each of your
partner’s problems and answer his / her questions.
..... a. Lie down and rest.
..... b. Use bandages to stop bleeding.
..... c. Have food like tea and toast.
..... d. Take an allergy tablet twice a day.
..... e. Stay in bed, drink a lot, take tablets to
reduce temperature.
Student B
1 You are a doctor. Your partner will ask for advice.
Tick (✓) the correct advice for each of your
partner’s problems and answer his / her questions.
..... a. Drink a lot; take tablets to reduce pain.
..... b. Use aloe vera; take anti-allergy tablets if
necessary.
..... c. Take a tablet every six hours to reduce
temperature.
..... d. Drink tea with honey.
..... e. Take cough medicine as needed.
2 You have got the medical problems below. Ask
your doctor what you should do for each problem.
1. sneezing
2. upset stomach
3. feeling dizzy
4. flu
5. deep cut
understand main points • understand relevant details
exchange information • give instructions