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1. 1
Answer Key
MODULE 4 SECTION REVIEWS
Section A Review Page 1
1. a 6. b 11. a 16. b
2. c 7. c 12. c 17. a
3. b 8. c 13. b 18. c
4. c 9. b 14. a 19. c
5. a 10. b 15. c 20. b
Section B Review Page 1
1. b 6. c 11. a 16. a
2. a 7. a 12. a 17. c
3. b 8. c 13. c 18. b
4. a 9. b 14. a 19. c
5. c 10. c 15. b 20. b
Section C Review Page 1
1. a 6. a 11. a 16. c
2. b 7. c 12. b 17. b
3. c 8. a 13. c 18. b
4. b 9. b 14. b 19. c
5. b 10. b 15. a 20. a

2. 2
Answer Key
MODULE 4
Use of English Level 1
Vocabulary and Grammar Page 1
1 1. tablet 5. neck
2. frozen 6. back
3. calories 7. brain
4. tasty 8. get better
2 1. healthy 7. bites
2. vitamins 8. breathing problems
3. minerals 9. wholegrain
4. sweet 10. raw
5. fats 11. dizzy
6. bandages 12. bitter
3 1. was sick 6. cough
2. temperature 7. get worse
3. recover 8. pain
4. stomach 9. bleed
5. get better 10. cut
4 1. stings 6. blood
2. fresh 7. ribs
3. bones 8. elbows
4. chin 9. cooked
5. sneeze 10. spine
Page 2
5 1. add, will taste
2. will be, doesn’t take
3. aren’t, won’t eat
4. won’t be, eat
5. make, will you eat
6. don’t have, will give
7. will damage, continue
8. won’t lose, consume
9. doesn’t stop, will develop
10. Will Samantha become, doesn’t pass
6 1. wouldn’t feel, went
2. were, would quit
3. would eat, tasted
4. didn’t cost, would buy
5. wouldn’t hurt, got
6. would recommend, didn’t contain
7. didn’t smell, would try
8. would look, cut
9. listened, would learn
10. didn’t have, would come
7 1. Mum will get worried if you don’t call her now.
2. If Sam didn’t eat so much, he would be thinner.
3. I would start studying for the test now if I were you.
4. We won’t go to the beach if it rains tomorrow.
5. We would swim in the sea every day if we lived
closer to it.
6. Unless the taxi arrives soon, we will miss the
concert.
Page 3
8 1. hadn’t forgotten, would have bought
2. would have become, had studied
3. had inspected, would have closed
4. would have eaten, had got
5. would have been, hadn’t cooked
6. had returned, wouldn’t have received
7. hadn’t drunk, wouldn’t have become
8. would have won, had taken part
9 1. would … surprise 6. would have broken
2. had told 7. stays
3. would see 8. will learn
4. looked 9. practise
5. hadn’t backpacked 10. won’t succeed
MODULE 4
Competences Assessment Level 1
Written Comprehension Page 4
1 1. F 2. T 3. F 4. F 5. T
Page 5
2 1. d 2. c 3. e 4. b 5. a
Written Production
Accept all logical and grammatically correct answers.
Oral Comprehension Page 6
Sophie: Hey Dad, what’s for dinner?
Dad: Tonight it’s chicken curry.
Sophie: That green curry with the fried rice? Ugh. It was
too salty, and I think I got an upset stomach
from the coconut cream.
Dad: No, that was the spicy Thai curry. You’re right. It
would have tasted better if I hadn’t put so much
salt in it. Tonight, I’m making Indian chicken
masala curry with boiled rice. We had it last
Tuesday, remember?
Sophie: Mmm. It was really tasty, with white rice?
Dad: Yes, but this time, we’re having brown rice
instead of white.
Sophie: Oh, but brown rice is horrible!
Dad: Brown rice is healthier than white. It’s got more
nutrients and minerals – like magnesium …
Sophie: Mag-what?
Dad: Mag-ne-si-um – it keeps your heart healthy.
Brown rice is also a complex carbohydrate.
That means it doesn’t cause your blood sugar
to rise quickly.
Sophie: We learnt about that in biology class. So, if
Grandpa ate it, it would help his diabetes.
Dad: Exactly. Brown rice has also got about 43%
more protein that white rice. That’s what
Dr Shafir said on Health101 – or was it
DietSOS? 
Sophie: Dad, I understand, but not everything they say
in these health podcasts is right. 
Dad: Well, it’s a known fact that brown rice contains
a nutrient called manganese, and that protects
the brain. You’ve got a maths exam in two
days, Sophie, so …

3. 3
Answer Key
1 1. a 2. c 3. b 4. c 5. c
2 1. T 2. F 3. T 4. F 5. F
Oral Production
Accept all logical and grammatically correct answers.
Sophie: Dad, I understand, but not everything they
say in these health podcasts is right.
Dad: Well, it’s a known fact that brown rice
contains a nutrient called manganese, and
that protects the brain. You’ve got a maths
exam in two days, Sophie, so …
Sophie: It’s not until next Friday. Sorry, Dad. If you
make brown rice, I’ll just order a pizza.
Dad: Oh, I give up. White rice it is – it’ll be ready
in 20 minutes.
Sophie: Thanks Dad! I’m looking forward to your
delicious curry.

4. 4
Answer Key
MODULE 4
Use of English Level 2
VOCABULARY and Grammar Page 1
1 1. break into, feel dizzy 4. motorway, sand dune
2. ankle, break into 5. feel dizzy, ankle
3. slum, motorway 6. sand dune, slum
2 1. brain 6. muscles
2. raw 7. chin
3. bite 8. heart
4. minerals 9. frozen
5. wrist 10. intestines
3 1. c 3. a 5. b 7. d
2. f 4. g 6. h 8. e
Page 2
4 1. necks 6. bones
2. stomach 7. gets better
3. sore throat 8. finger
4. vitamins 9. fresh
5. back 10. calories
5 1. will prepare, reaches
2. fries, won’t eat
3. read, will discover
4. will … do, feels
5. won’t have, don’t consume
6. bake, will … use
7. won’t permit, bring
8. don’t find, won’t travel
6 1. would look, brushed 4. would eat, didn’t smell
2. were, wouldn’t eat 5. worked, would get
3. wouldn’t take, didn’t have
7 1. didn’t exercise, wouldn’t be
2. won’t improve, includes
3. worked, would solve
4. doesn’t find, will bake
5. didn’t offer, wouldn’t attract
6. starts, won’t regret
7. had, would buy
8. aren’t, will you join
9. will catch, wear
10. would walk, lived
Page 3
8 1. would have received, had been
2. had gone, would have eaten
3. wouldn’t have fallen, had seen
4. hadn’t walked, wouldn’t have met
5. would have set out, had rained
6. had worn, wouldn’t have felt
7. would have arrived, had travelled
8. hadn’t been, would have bought
9 1. have 5. hasn’t
2. was 6. hadn’t
3. can 7. had
4. could 8. is
MODULE 4
Competences Assessment Level 2
Written Comprehension Pages 4 and 5
1 1. F – Janet discovered she had celiac disease
a month ago / last month.
2. F – Celiac disease affects the stomach, small
intestine
3. T
4. T
5. F – The only remedy for celiac disease is a 100%
gluten-free diet.
2 1. upset stomach, headaches
2. wheat, rye, barley
3. bread made rice flour / potato flour / quinoa flour,
gluten free pizza
4. dietician, teens with celiac (in a support group)
5. butter, jam
Written Production
Accept all logical and grammatically correct answers.
Oral Comprehension Page 6
Presenter: Welcome to our health podcast. With us
today is Dr John Thomas to tell us about the
results of a survey on nutrition. Dr Thomas …
Dr Thomas: In 2017, the British Nutrition Foundation did
a survey. They asked 5,000 5-to-16-year-olds
questions about different types of food and
found that many of the children didn’t know
where everyday foods come from. For
example, fish fingers are a popular fried food
in the UK. If I asked you what fish fingers are
made from, you would probably say – well, at
least I hope you would say – fish! But 18% of
the 5-to-7-year-olds in the survey thought fish
fingers are made from chicken! Yes, fish and
chicken are both types of protein – but they’re
certainly not the same thing! And 13% of
8-to-11-year-olds thought pasta comes from
an animal. What’s more, a quarter – that’s
one in four – of 5-to-11-year-olds thought
cheese comes from plants. Incredible, isn’t it?
If I hadn’t read the results of the survey,
I wouldn’t have believed it!
But if you thought this was only a problem
among younger children, you’d be wrong.
The government recommends eating a
minimum of five fruits or vegetables every
day. Would you believe that 11% of both the
younger and older children consider
fruit-flavoured sweets part of their 
five-a-day? True, sweets are tasty, but they
aren’t very healthy. They don’t contain
vitamins and minerals like fresh fruit!
The results of this survey are quite worrying.
If children continue to eat badly, they’ll have
serious health problems later in life. That’s

5. 5
Answer Key
1 1. nutrition 4. cheese
2. 16 5. sweets
3. chicken
2 1. Five thousand 4. fruit
2. UK 5. health
3. pasta
Oral Production
Accept all logical and grammatically correct answers.
five-a-day? True, sweets are tasty, but
they aren’t very healthy. They don’t
contain vitamins and minerals like fresh
fruit!
The results of this survey are quite
worrying. If children continue to eat badly,
they’ll have serious health problems later
in life. That’s why it’s so important to teach
all children where foods come from and
what’s in them. Their future health
depends on it.

6. 6
Answer Key
MODULE 4
Use of English Level 3
VOCABULARY and Grammar Page 1
1 1. trails 7. dreams
2. getting worse 8. suburbs
3. kept quiet 9. put together
4. planets 10. is bleeding
5. sneezes 11. went backpacking
6. took part 12. litter
2 1. raw 6. species
2. architecture 7. dentist
3. blood 8. recover
4. campsite 9. ancient
5. ocean 10. pavement
3 1. guide 5. cause
2. tales 6. jam
3. allowance 7. bag
4. stomach 8. lanes
Page 2
4 Possible answers
1. bitter / salty / spicy / sweet
2. by sea, by air
3. heart / muscle / brain / bone / intestines / spine
4. caring / confident / outgoing / shy
5. thief / victim / jury / judge / murderer
5 1. lie, am lying
2. was, were
3. never took, had never taken
4. didn’t have, hasn’t had
5. Does, Do
6. took, was taken
7. doesn’t usually make, isn’t usually made
8. have, had
9. is, was
10. used, use
6 1. going to 4. worst 7. are
2. had 5. will 8. for
3. Are there 6. should
7 Accept all logical and grammatically correct answers.
Page 3
8 1. If Paul doesn’t return my skateboard tomorrow,
I won’t lend him anything again.
2. I won’t talk to Karen unless she apologises.
3. The residents wouldn’t have survived the earthquake
if the rescue workers hadn’t found them.
4. If Brian had the money, he would buy a new computer.
5. You mustn’t smoke on the aeroplane.
6. Hot chocolate with chilli peppers was drunk by
Mayans.
7. People in England didn’t use to drink tea (before the
17th century).
8. You don’t have to wash the dishes.
9 1. c 3. b 5. a 7. b 9. c 11. b
2. c 4. a 6. b 8. a 10. a 12. a
MODULE 4
Competences Assessment Level 3
Written Comprehension Pages 4 and 5
1 1. a 2. a 3. b 4. b 5. c
2 1. symptoms of celiac disease / things Janet
suffered from as a child / for years
2. has / has got / suffers from celiac disease
3. start / change to a 100% gluten-free diet /
stop eating gluten
4. tell / teach you / Janet which foods you / she can
and can’t eat
5. get help / tips from / share her experiences with
other teens with celiac
Written Production
Accept all logical and grammatically correct answers.
Oral Comprehension Page 6
Presenter: Welcome to our health podcast. With us
today is Dr John Thomas to tell us about
the results of a survey on nutrition.
Dr Thomas …
Dr Thomas: In 2017, the British Nutrition Foundation did
a survey. They asked 5,000 5-to-16-year-olds
questions about different types of food and
found that many of the children didn’t know
where everyday foods come from. For
example, fish fingers are a popular fried food
in the UK. If I asked you what fish fingers are
made from, you would probably say – well, at
least I hope you would say – fish! But 18% of
the 5-to-7-year-olds in the survey thought fish
fingers are made from chicken! Yes, fish and
chicken are both types of protein – but they’re
certainly not the same thing! And 13% of
8-to-11-year-olds thought pasta comes from
an animal. What’s more, a quarter – that’s one
in four – of 5-to-11-year-olds thought cheese
comes from plants. Incredible, isn’t it? If
I hadn’t read the results of the survey,
I wouldn’t have believed it!
But if you thought this was only a problem
among younger children, you’d be wrong. The
government recommends eating a minimum
of five fruits or vegetables every day. Would
you believe that 11% of both the younger and
older children consider fruit-flavoured sweets
part of their five-a-day? True, sweets are
tasty, but they aren’t very healthy. They don’t
contain vitamins and minerals like fresh fruit!
The results of this survey are quite worrying.
If children continue to eat badly, they’ll have
serious health problems later in life. That’s
why it’s so important to teach all children
where foods come from and what’s in them.
Their future health depends on it.

7. 7
Answer Key
1 1. 2017
2. chicken
3. 13
4. (a minimum of) five fruits or vegetables
5. where foods come from and what’s in them
2 1. Five 4. Thirteen
2. 16 5. worrying
3. plants
Oral Production
Accept all logical and grammatically correct answers.