Use of English

Level C1

Part 1 - Multiple Choice

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For Questions 1-8, read the text below and decide which answer best fits each gap.

Medical Ethics

Modern medicine has made extraordinary progress, but each breakthrough seems to raise a fresh set of moral questions. Advances that once appeared purely beneficial are now often viewed with caution, as doctors, patients and lawmakers try to (0) STRIKE a balance between innovation and responsibility. One of the main concerns is informed consent: patients must fully understand the risks involved before agreeing to a procedure, rather than being (1) .......... into decisions by fear or confusion. Another issue arises when limited resources force hospitals to (2) .......... between patients, especially in emergency situations. In such cases, medical staff may have to make rapid judgments that are legally defensible but still ethically (3) .......... . Genetic testing has also opened up debate, since it can reveal information that affects not only the individual but also their relatives, raising questions about privacy and the right to remain (4) .......... of certain facts. Meanwhile, developments in artificial intelligence promise greater accuracy in diagnosis, yet many experts warn against placing (5) .......... trust in systems whose reasoning may not be transparent. Even end-of-life care remains deeply controversial, as families and doctors may (6) .......... over whether treatment should be continued at all costs. What makes these dilemmas so difficult is that there is rarely a solution that leaves everyone satisfied; more often, society must simply (7) .......... with uncertainty and try to establish rules that reflect both compassion and fairness. For this reason, ethical debate in medicine is unlikely to (8) .......... any time soon.

What to do

In this part, you read a text with eight gaps and choose the best word from four options to fit each gap.

Nothing prepares you for this test better than reading.

Read a lot. Candidates who often read in English (for work, for fun) find this part of the test manageable, while those who never read tend to find it very hard.

If you are 100% sure that two of the 4 choices are completely identical, then neither can be the answer. There is always only one word that fits grammatically and has the right meaning.

Usually the correct option will be part of a fixed phrase or collocation, a phrasal verb, a connector or the only word that fits grammatically in the gap.

Strategy

  1. Read the title and the whole text quickly to understand its general meaning before you attempt the task.
  2. Check the words before and after the gap.
  3. Choose the best option.
  4. When you have finished, read the text again with the words inserted to check that it makes sense.

Instructions

For Questions 1-8, read the text below and decide which answer best fits each gap.

Exercise Details

Author

Bejenaru Alexandru

@bejenaru-alexandru

User Prompt

"Create an exercise about the ethical issues in modern medicine"

Tone: Standard
Level: C1

Created on:

May 12, 2026

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