Meaning: "patients" means people receiving medical care.

Wrong options:

• patiants: It has "a" where the word has "e". The right spelling is "patients". Every letter must be correct to get the mark.
• patient: "patient" has no "s" at the end. The speaker says "patients", so write the "s".

Correct answer: sedentary

Explanation: You hear "he was kept sedentary for". This is a describing word that ends in ary.

Meaning: "sedentary" means spending much time sitting and not moving.

Wrong options:

• sedentery: It has "e" where the word has "a". The right spelling is "sedentary". Every letter must be correct to get the mark.
• sedate: That is about calming, not this describing word.

Correct answer: progressive

Explanation: Listen for "is a progressive exercise program". You need a describing word that shows gradual increase, it ends in ive.

Meaning: "progressive" means increasing step by step over time.

Wrong options:

• progresive: It leaves out the "s". Check the letters: "progressive". A small spelling mistake loses the mark.
• progress: "progress" is missing the ending. The speaker says "progressive", with "ive" at the end.

Correct answer: endurance

Explanation: On the recording you hear "The outcome is better endurance". The blank needs a word for a thing showing lasting ability.

Meaning: "endurance" means the ability to keep doing activity for a long time.

Wrong options:

• endurence: It has "e" where the word has "a". Check the letters: "endurance". A small spelling mistake loses the mark.
• endure: "endure" is a close word, but it ends in "e". The speaker says "endurance", which ends in "ance".

Correct answer: failure

Explanation: Listen again to "congestive heart failure". This is the name of a condition, so use a word for a thing, person or idea.

Meaning: "failure" means the condition when the heart does not work well.

Wrong options:

• faliure: Two letters are in the wrong order. Write "failure". Only the exact spelling gets the mark.
• fail: "fail" is missing the ending. The speaker says "failure", with "ure" at the end.

Correct answer: oxygen

Explanation: Here you hear "increase their oxygen consumption". You need the name of the gas used by the body.

Meaning: "oxygen" means the gas the body uses to make energy.

Wrong options:

• oxigen: It has "i" where the word has "y". Check the letters: "oxygen". A small spelling mistake loses the mark.
• oxygenate: "oxygenate" has an extra "ate" at the end. The speaker says "oxygen".

Correct answer: circulation

Explanation: The speaker says "improves peripheral circulation in". Use the word for the flow of blood. It ends in ion.

Meaning: "circulation" means the flow of blood around the body.

Wrong options:

• circulaton: It leaves out the "i". Check the letters: "circulation". A small spelling mistake loses the mark.
• circulate: "circulate" is a close word, but it ends in "e". The speaker says "circulation", which ends in "ion".