The document outlines the schedule and activities for an English language lesson, including discussions, exercises, and practice related to health, medicine, and the present perfect tense. It includes vocabulary building, speaking practice, listening exercises, games, and quizzes on these topics over the course of two 55 minute lessons.

1. English file Upper-
Intermediate
Unit 2A – present perfect – simple and
continuous

2. • Lead – photos and health (5 mins)
• Discussion questions – health / medicine (10 mins)
• Vocabulary building – medicine (10 mins)
• Speaking practice – vocabulary medicine (10 mins)
• Vocabulary – injuries and illnesses (15 mins)
• Discussion - What illnesses .......? (5 mins) 55
• Game / filler (10 mins)
• Pronunciation practice – different sounds (10 mins)
• Listening practice (1) – Street emergency – discussion (10 mins)
• Listening practice (1) – Street emergency – extracts (5 mins)
• Listening practice (2) – Street emergency – people (5 mins)
• Listening practice (2) – Street emergency – details (10 mins)
• Discussion – different emergencies (10 mins)
• Vocabulary from the class quiz (5 mins)

4. • How often do you visit the doctor for a check-up? Do you
think regular check-ups are important?
• What are some healthy habits you follow to prevent
illness?
• Do you have a first aid kit at home or in your car? What
items do you think are essential for a basic first aid kit?
• How do you usually find information about health and
medicine? Do you trust online sources?
• What are your thoughts on alternative medicine like
herbal remedies, acupuncture, and so on?

7. • running water = water from the tap
• damp cloth = slightly wet cloth
• rub (v) = to press two surfaces against each other and move
them backwards and forwards

8. • press (v) = to push sth closely and firmly against sth
• tip (v) = to move so that one end or side is higher than the other
• pinch (v) = to hold sth tightly between the thumb and finger
• bandage (n) = a strip of cloth used for tying around a part of the
body that has been hurt, in order to protect or support it

14. 1. a rash
2. sunburn
3. Her ankle’s swollen.
4. a temperature
5. Her finger’s
bleeding.
6. a headache
.

15. 7. Her back
hurts. / Her
back aches
8. She’s being
sick. / She’s
vomiting.
9. a cough
10. She’s
sneezing.

17. 1. He has a sore throat. B - It hurts when he talks or swallows food.
2. He has diarrhoea. D - He's been to the toilet five times this morning.
3. He feels sick. E- He feels that he's going to vomit.
4. He's fainted. C- It's so hot in the room that he's lost consciousness.
5. He has a blister on his foot. H- He's been walking in uncomfortable shoes.
6. He has a cold. F- He's sneezing a lot and he has a cough.
7. He has flu. A - He has a temperature and he aches all over.
8. He feels dizzy. G - He feels that everything is spinning round.
9. He's cut himself. I - He's bleeding.

19. 1. C. He's unconscious.
He's breathing, but his eyes are closed and he can't hear or feel anything.
2. He's had an allergic reaction.
G- He was stung by a wasp and now he has a rash and has difficulty breathing.
3. He's sprained his ankle. B - He fell badly and now it's swollen.
4. He has high blood pressure.
D - It's one hundred and eighty over one hundred and forty.
5. He has food poisoning. E - He ate some prawns that were off.
6.He's choking. F - He was eating a steak and a piece got stuck in his throat.
7. He's burnt himself. A - He spilt some boiling water on his hand.

21. pass out
lie down
throw up
get over
come round

22. eating out: an allergic reaction, food-poisoning, diarrhoea,
feeling sick, vomiting, stomach ache, choking
hiking in the mountains: a blister, hypothermia, a sprained
ankle, sunburn, be stung by an insect
doing sport: backache, a sprained ankle, a swollen ankle,
a blister
visiting a tropical country: sunburn, be stung by an insect

24. What should you do if you get a brain freeze
from eating ice cream too fast?
a) Scream in your head.
b) Press your tongue to the roof of your mouth.
c) Eat more ice cream; fight fire with fire!

25. Which of these is NOT a way to cure hiccups?
a) Holding your breath
b) Drinking water upside-down
c) Yelling "Boo!" at someone else

26. True or False: Cracking your knuckles will give you
arthritis.
a) True, better stop that habit!
b) Maybe, it depends on how loud the crack is.
c) False, it's just air bubbles popping.

27. Which food is NOT a "brain food"?
a) Pizza b) Chocolate c) Fish
?
?

28. Which of these is NOT a sign that you're
dehydrated?
a) Dark yellow urine b) Dry mouth
c) Increased hunger

29. True or False: You should wait an hour after
eating to go swimming.
a) True, unless you want to sink.
b) False, it's a myth.
c) Only if you ate a three-course meal.

31. ache
allergic
bandage
choking
emergency
infection
injury
pressure
rash
sick
stomach
temperature
unconscious

32. 1. ti (before on), ss, sh, ci; the most common is sh
2. /dʒ/
3. /k/ and /tʃ/; /tʃ/ is more common

35. • cholesterol /kə'lestərɔːl/ = a substance found in blood, fat, and most tissues
of the body. Too much cholesterol can cause heart disease.
• indigestion /ɪndɪ'dʒestʃən/ = pain caused by difficulty in digesting food
• injection /ɪn'dʒekʃn/ = an act of injecting sb with a drug or other substance
• operation /ɒpə'reɪʃn/ = the process of cutting open a part of a person’s body
in order to remove or repair a damaged part
• scratch /skrætʃ/ = cut or damage your skin slightly with sth sharp
• surgeon /'sɜːdʒən/ = a doctor who is trained to perform surgery (= medical
operations that involve cutting open a person’s body)
• syringe /sɪ'rɪndʒ/ = a plastic or glass tube with a long hollow needle that is
used for putting drugs, etc., into a person’s body or for taking a small
amount of blood from a person

38. pulse
having a heart attack
calm her down
in shock
ambulance turned up
tripped and fell
was still conscious
very painful
fell backwards
called an ambulance
took him away

39. Jane: Yes because she used to be a nurse.
Daniel: Yes because it happened right in front of him.
Alison: No because she didn’t know what to do.

40. Jane
1. She was out shopping with her husband.
2. A man. He was lying on the ground.
3. She felt his pulse and started doing cardiac massage.
4. An ambulance came and took the man to hospital.
5. a) She felt quite calm (because she knew what to do).
b) She felt pleased (because she was able to do something).

41. Daniel
1. He was cycling to work.
2. An old lady. She tripped and fell into the road.
3. He helped move her and then helped her sit up until the
ambulance came.
4. She was taken to hospital and he visited her there.
5. a) He felt worried (because he thought someone might steal
his rucksack.
b) He felt glad (because he was able to do something).

42. Alison
1 She was waiting for the bus.
2 A big, tall man. He fell backwards and hit his head on the pavement.
3 She didn’t really do anything.
4 An ambulance arrived, and the paramedics took him away on a
stretcher.
5 a) She felt helpless (because she didn’t know what to do).
b) She felt ashamed of not helping the man (because he was a bit
dirty).

45. Discussing healthy snacks at nursery
You are at the nursery.
Candidate A: You work in the nursery and you want to tell B about
your concern that B’s child never eats the nursery healthy snacks
they give the child. You suggest that B introduces some of the food
at home and explain why.
Candidate B: You are a parent of a child in the nursery. You ask for
information about the snacks the nursery gives. You are uneasy
about giving your child the snacks and say what your child likes and
doesn’t like.
Make a plan and agree on the next step.

46. Discussing an accident on the street
You are on a city street.
Candidate A: You saw an accident happen and want to tell B, a
passerby, about what you saw. You explain the details of the
accident and check if B also witnessed it.
Candidate B: You are walking down the street. A tells you
about an accident they just saw. You ask for more details and
say whether you saw the accident or not.

47. Discussing a near miss with a car
You are at a busy intersection.
Candidate A: You saw a pedestrian nearly get hit by a car. You
want to tell B, the pedestrian, about the close call. You advise
them to be more careful crossing streets.
Candidate B: You are the pedestrian. A tells you about how you
nearly got hit by a car. You react with surprise and discuss
how you didn't see the car coming.
Agree on looking out for traffic more carefully in the future.

50. Lesson two

51. • Lead – photos – visits to the doctors (5 mins)
• Discussion questions – doctors visits (10 mins)
• Grammar – Listening – What symptoms? (5 mins)
• Grammar – Listening – medical opinion (5 mins)
• Grammar – Listening – choosing options (5 mins)
• Grammar – Presentation – PPS vs PPC (5 mins)
• Grammar – Exercises – PPS vs PPC (15 mins) 50
• Game / filler (10 mins)
• Grammar – speaking questions – PPS vs PPC (5 mins)
• Reading – confessions of a cyberchondriac – vocabulary (5 mins)
• Reading – confessions of a cyberchondriac – summary (5 mins)
• Reading – confessions of a cyberchondriac – definitions (5 mins)
• Reading – confessions of a cyberchondriac – comprehension (10 mins)
• Reading – confessions of a cyberchondriac – discussion (5 mins)
• Writing skills – informal email – correcting (5 mins)
• Writing skills – informal email – expressions (5 mins)
• Writing skills – informal email – useful language (5 mins)
• Writing skills – informal email – planning (5 mins)
• Vocabulary from the class quiz (5 mins)

53. • What are some reasons people might go to the doctor
when there's actually nothing wrong with them?
• How do you feel about "Dr. Google"? Is it helpful or
harmful to look up symptoms online before going to a real
doctor?
• Do you believe in the concept of a "second opinion" from
another doctor? Why or why not?
• What's the most unusual or funny reason you've heard of
someone going to the doctor?
• What are some cultural differences you've noticed in how
people approach going to the doctor?

55. 1. A cough, headaches, a temperature
2. A brain tumour
3. A blood test
4. He should wait a few days, take paracetamol, and
go to bed early.

56. • They think he’s a pain in the
neck.
• We call someone who behaves
like this ’a hypochondriac’.

58. 1. I haven’t been feeling well for a few days.
2. I’ve been coughing a lot and I keep getting headaches.
3. What have you been taking for the headaches?
4. How many tablets have you taken today?
5. And have you taken your temperature this morning?
6. Yes. I’ve taken it five or six times already.
7. I think I need a blood test. I haven’t had one for two
months.

65. ‘ve known
Have you been
working out
hasn’t done
‘ve moved
‘ve been arguing
‘ve been walking
Have you been
using
‘ve cut

67. Why did a man visit the doctor after eating sushi?
a) He thought he turned into a fish after hallucinating
b) He had a 5-foot tapeworm.
c) He thought the sushi chef had poisoned him.

68. Why did a man go to the ER with a headache?
a) He had a knife lodged in his head.
b) He was wearing his hat too tight.
c) He thought his brain was expanding and too big.

69. What did a patient have stuck in their nose?
a) A toy car
b) A pea plant growing
c) A diamond ring

70. What did a patient ask to be removed?
a) A tattoo of their ex's name
b) A "third nipple"
c) A microchip they believed was implanted by aliens

71. What did a woman have in her eye for 28 years?
a) A piece of glass b) A contact lens
c) An eyelash

72. Why did a woman visit the doctor with stomach issues?
a) She swallowed a toothbrush.
b) She ate too much chocolate.
c) She was "pregnant" with a twins.

74. 1. Do you often get colds?
How many colds have you had in the last three months?
2. Do you take any vitamins or supplements?
How long have you been taking them?
3. Do you drink much water?
How many glasses have you drunk today?
4. Do you do any exercise? What (do you do)?
How long have you been doing it?

75. 5. Do you eat a lot of fruit and vegetables?
How many portions have you had today?
6. Do you walk to school / work / university?
How far have you walked today?
7. How many hours do you sleep a night?
Have you been sleeping well recently?
8. Are you allergic to anything?
Have you ever had a serious allergic reaction?

76. 1. Do you often get colds?
How many colds have you had in the last three months?
2. Do you take any vitamins or supplements?
How long have you been taking them?
3. Do you drink much water?
How many glasses have you drunk today?
4. Do you do any exercise? What (do you do)?
How long have you been doing it?
5. Do you eat a lot of fruit and vegetables?
How many portions have you had today?
6. Do you walk to school / work / university?
How far have you walked today?
7. How many hours do you sleep a night?
Have you been sleeping well recently?
8. Are you allergic to anything?
Have you ever had a serious allergic reaction?

82. 1. haven’t (punctuation)
2. temperature
(spelling)
3. for (grammar)
4. Luckily (spelling)
5. Anything exciting?
(punctuation)
6. is (grammar)
7. software company
(punctuation)
8. they’re (grammar)

83. 9. May
(punctuation)
10. recommend
(spelling)
11. sightseeing
(spelling)
12. you’ll be
able to show
(grammar)

84. • emailed, messaged, or phoned. = been in touch
• reading and replying to = catching up on my emails
• Have you been doing anything fun? = What have you been
doing? Anything exciting?
• I don’t have any more news. = that’s all for now
• send my best wishes to = give my regards to

85. for
to
not
hope

86. hear
to
luck
feel*
for
give
forward
care
best
PS

94. (real or imagined) symptoms of illness

96. 1. When the writer found out that she had a fast heart rate, she
b. googled the possible causes.
2. At the hospital, she discovered that she
d. was suffering from a chest infection and cyberchondria.
3. Since she returned from the hospital, she
a. has been obsessively checking her symptoms online.
4. It's difficult to know from online information whether a condition
e. is rare or very common.
5. A lot of online medical information
c. isn't very reliable or up to date.

97. open-heart surgery
miracle cures
under the weather
scare stories
worst-case scenarios
heart rate
Life-threatening illness

101. Extras