Choose the word whose underlined part is pronounced differently from that of the others.

A.exhaust          
B.anxious               
C.exist
D.exact

He arrived at the hotel with only ___________  luggage.
A.a little     
B. a few  
C.few     
D.little

Read the following passage  and mark the letter (A, B, C or D) on your answer sheet to indicate the correct answer to each for  the question  from 61 to 70.
            The Mayo Clinic in Rochester, Minnesota, where staff physicians practice a special integrated approach to patient care, is one of the lasgest medical facilities in the world. The clinic staff consists of a 12-member, committee-based of governors and 900 physicians and medical personnel whose records are updated by approximately 200 auxiliary personnel. About 800 resident doctors assist the full-time physicians as a phase of their training in medicine and surgery while they acquire their specializations. The Mayo approach to treatment has been hailed for its almost miraculous patient recovery rate.
            William Worral Mayo was born in Manchester, England, immigrated to the United States in 1845, and immediately began his medical training. In 1860, he took an active part in organizing the Minnesota Territory and accepted the position of an Army surgeon during a Sioux Indian outbreak. This appointment became a stepping stone for his advancement to the post of provost surgeon for the southern portion of the state in 1863. His personal dedication and courage became legendary when a cyclone struck Rochester, and he was placed in charge of an emergency hospital.
            William Worral Mayo provided crucial assistance to his sons in launching their team practice in 1889, while they were holding positions at St. Mary’s Hospital. William James became recognized for his surgical skill in gallstone, cancer, and abdominal operations. He and his brother, Charles Horace, founded the Mayo Graduate School of Medicine and donated $1.5 million to establish the foundation for contributions. Charles William, the son of Charles Horace Mayo, became a member of the board of governors at the Mayo Graduate School and an alternate delegate to the United Nations General Assembly before retiring from the clinic in 1963.
            William James Mayo presided in the American Medical Association and served in the Army military corps as a brigadier general in the medical reserve.  Charles Horace was a professor of surgery and a health officer of Rochester subsequent to serving in the armed forces between 1914 and 1918. The Mayo practice became known far and wide for its success in surgical procedures. In 1914, the practice moved into its own medical center, and today the number of patients equals approximately 280,000 per annum. Since the clinic opened in 1907, 4.5 million patients have been treated there.
In addition to their medical expertise, what common characteristics distinguished the careers of the Mayo brothers?
A.Funding of schools in minnesota
B.Positions on the board of directors
C.Military and political service
D. Donations for poor patients

Choose the option A, B, C or D that best suits the meaning of the italicised word(s) 
The government announced that there would be a cut in taxes.
A.notified  
B. advertised     
C.introduced  
D.warned

Inside house                            .
A.there is no pollution     
B.there are no toxic chemicals             
C.carbon monoxide is produced by gas cookers
D.there is no carbon monoxide

Read the following passage and mark the letter A, B, C or D on your answer sheet to indicate the correct word or phrase that best fits each of the numbered blanks from 46 to 50.
VIRTUAL DOCTORS
Clare Harrison rarely falls ill and hates going to the doctor’s when she does. So when she recently (46) _________ out in a painful rash down one side of her body she emailed her symptoms, (47) _______ also included a (48) _________ fever, to e-doc, the internet medical service. Two hours later she was diagnosed as having shingles (Herpes Zoster) by her online doctor, who prescribed a special cleansing solution for the rash and analgesics to help relieve the pain. 
Health advice is now the second most popular topic that people search for on the internet, and online medical consultation is big business. Sites vary enormously in what they offer, with services ranging from the equivalent of a medical agony aunt to a live chat with a doctor via email. They are clearly (49) _________ a demand from people who are too busy or, in some cases, too embarrassed to discuss their medical (50) _________ with their GP.
(50) 
A.harm                                   
B.story                        
C.hardship                              
D.complaint

When she came home from school yesterday, her mother          in the kitchen.
A. cooked      
B.was cooking   
C.is cooking 
D.cooks

The word "one" in line 4 refers to the ______________ .
A.mismatch theory
B.field
C.ancestral environment      
D.modern environment

The living conditions in the rural areas of the country ______ during the past five years.
A.had been improved
B.have been improved
C.had improved
D.were improved

III/ Choose the word or phrase - a, b, c or d - that best completes the sentence or substitutes for the underlined word or phrase.
My uncle, who is an accomplished guitarist, taught me how to play.
A.skilful                   
B.famous                 
C.perfect                                
D.modest