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.

Health Policy Matters

Public policy plays a decisive role in shaping the health of a population, although its effects often go unnoticed by the general public. While medical treatment tends to attract the most attention, many of the biggest improvements in public health have come about through policy measures rather than clinical breakthroughs (0) ALONE. Governments can, for example, introduce regulations aimed at reducing smoking, improving air quality and ensuring access to clean water. Such measures do not simply respond to illness; they also help to (1) .......... it in the first place. Good policy also depends on careful planning and reliable evidence. If decisions are based purely on ideology, they may fail to (2) .......... the needs of the people they are supposed to protect. By contrast, policies grounded in research are more likely to (3) .......... about lasting change. Even so, effective reform is rarely immediate, as health outcomes are influenced by housing, education and income, all of which are closely (4) .......... to one another. For this reason, experts often argue that governments should not (5) .......... health policy in isolation. A successful strategy usually involves cooperation across departments and a willingness to invest in long-term solutions. Although such action may be costly at first, it can (6) .......... pressure on hospitals later on. In the end, the real challenge lies not in knowing what improves health, but in finding the political will to (7) .......... it into practice and to (8) .......... with the consequences of inaction.

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 role of public policy in health"

Tone: Standard
Level: C1

Created on:

May 15, 2026

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