Meaning: "outcomes" means results or effects.

Wrong options:

• outcmes: It leaves out the "o". Write "outcomes". Only the exact spelling gets the mark.
• outcome: "outcome" has no "s" at the end. The speaker says "outcomes", so write the "s".

Correct answer: determinants

Explanation: Listen again to "the social determinants of health". The word is for things, so you must use more than one.

Meaning: "determinants" means causes or factors.

Wrong options:

• determnats: It leaves out the "i" and it leaves out the "n". Check the letters: "determinants". A small spelling mistake loses the mark.
• determinant: "determinant" has no "s" at the end. The speaker says "determinants", so write the "s".

Correct answer: majority

Explanation: Here you hear "that vast majority of time". You need the word for the greater part.

Meaning: "majority" means the greater part.

Wrong options:

• majoraty: It has "a" where the word has "i". The right spelling is "majority". Every letter must be correct to get the mark.
• major: "major" is missing the ending. The speaker says "majority", with "ity" at the end.

Correct answer: executives

Explanation: The speaker says "Health care executives now routinely". Think of people who run organisations, more than one.

Meaning: "executives" means people who make decisions.

Wrong options:

• exeuctives: Two letters are in the wrong order. The right spelling is "executives". Every letter must be correct to get the mark.
• executive: "executive" has no "s" at the end. The speaker says "executives", so write the "s".

Correct answer: audacity

Explanation: You hear "had the audacity to". You need a word for a thing, person or idea that means boldness.

Meaning: "audacity" means bold or shocking nerve.

Wrong options:

• audactiy: Two letters are in the wrong order. Write "audacity". Only the exact spelling gets the mark.
• audacious: "audacious" is a close word, but it ends in "ous". The speaker says "audacity", which ends in "ty".