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English II · End Term · May 2026 · FN

English II · End Term · May 2026 FN

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Question 2 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
The word “idled” means:
6406537365477.
Worked hurriedly
6406537365478.
Rested lazily
6406537365479.
Shouted angrily
6406537365480.
Walked carefully

A published solution is not available for this question yet.

Report a correction for Q2

Question 3 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Which literary device is used in “A little silver is a good key”?
6406537365481.
Simile
6406537365482.
Hyperbole
6406537365483.
Alliteration
6406537365484.
Metaphor

A published solution is not available for this question yet.

Report a correction for Q3

Question 4 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Choose a substitute for the word “affected” as used in the passage.
6406537365485.
Truly felt
6406537365486.
Changed
6406537365487.
Pretended
6406537365488.
Avoided

A published solution is not available for this question yet.

Report a correction for Q4

Question 5 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
What effect does the repetition of “I am come” create?
6406537365489.
It creates a calm tone
6406537365490.
It shows Wang Lung is confident
6406537365491.
It makes the conversation funny
6406537365492.
It shows Wang Lung is nervous

A published solution is not available for this question yet.

Report a correction for Q5

Question 6 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
What does the phrase “elaborate patience " mean?
6406537365493.
The gateman is kind
6406537365494.
The gateman is pretending to be patient
6406537365495.
The gateman is confused
6406537365496.
The gateman is too tired

A published solution is not available for this question yet.

Report a correction for Q6

Question 7 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Which word would completely change the meaning if substituted for “ajar” in the sentence given below? “This time, since it was after high noon, the gates were ajar.”
6406537365497.
Slightly closed
6406537365498.
Slightly open
6406537365499.
Closed
6406537365500.
Partly open

A published solution is not available for this question yet.

Report a correction for Q7

Question 8 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Why does the author describe the gateman’s mole and long hair in detail?
6406537365501.
To make the gateman seem memorable through an unpleasant image
6406537365502.
To show Wang Lung admires him
6406537365503.
To explain the customs of the town
6406537365504.
To show the gateman is wealthy

A published solution is not available for this question yet.

Report a correction for Q8

Question 9 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Choose an antonym for “threshold”:
6406537365505.
Doorway
6406537365506.
Entrance
6406537365507.
Doorstep
6406537365508.
Ceiling

A published solution is not available for this question yet.

Report a correction for Q9

Question 10 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Why does the gateman loudly shout, “The bridegroom, the bridegroom”?
6406537365509.
To honour Wang Lung respectfully
6406537365510.
To embarrass Wang Lung
6406537365511.
To warn the household
6406537365512.
To help Wang Lung find his way

A published solution is not available for this question yet.

Report a correction for Q10

Question 11 MCQ · 2.0 marks

**Read the following passage and answer the given subquestions.** This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.  At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side. Source: The Good Earth – Pearl S Buck
Which word is closest to “bawling”?
6406537365513.
Roared
6406537365514.
Faltered
6406537365515.
Whisper
6406537365516.
Idled

A published solution is not available for this question yet.

Report a correction for Q11

Question 12 MCQ · 1.0 marks

**Read the speech segment given below and fill in the blanks with the appropriate discourse** **markers. Observe the tone and the punctuation of the passage and choose only the most** **fitting answer for every blank.** Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard Based on the above data, answer the given subquestions.
Fill in the blank [i] with the most fitting discourse marker among the options given below.
6406537365517.
As a result
6406537365518.
On the contrary, quite the contrary
6406537365519.
Aside from
6406537365520.
Yikes!

A published solution is not available for this question yet.

Report a correction for Q12

Question 13 MCQ · 1.0 marks

**Read the speech segment given below and fill in the blanks with the appropriate discourse** **markers. Observe the tone and the punctuation of the passage and choose only the most** **fitting answer for every blank.** Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard Based on the above data, answer the given subquestions.
Fill in the blank [ii] with the most fitting discourse marker among the options given below.
6406537365521.
Finally
6406537365522.
On the other hand
6406537365523.
But surely
6406537365524.
After that

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Question 14 MCQ · 1.0 marks

**Read the speech segment given below and fill in the blanks with the appropriate discourse** **markers. Observe the tone and the punctuation of the passage and choose only the most** **fitting answer for every blank.** Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard Based on the above data, answer the given subquestions.
Fill in the blank [iii] with the most fitting discourse marker among the options given below.
6406537365525.
Indeed
6406537365526.
Meanwhile
6406537365527.
Until
6406537365528.
Because

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Question 15 MCQ · 1.0 marks

**Read the speech segment given below and fill in the blanks with the appropriate discourse** **markers. Observe the tone and the punctuation of the passage and choose only the most** **fitting answer for every blank.** Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard Based on the above data, answer the given subquestions.
Fill in the blank [iv] with the most fitting discourse marker among the options given below.
6406537365529.
Particularly
6406537365530.
Ultimately
6406537365531.
Unfortunately
6406537365532.
Goodness

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Question 16 MCQ · 1.0 marks

**Read the speech segment given below and fill in the blanks with the appropriate discourse** **markers. Observe the tone and the punctuation of the passage and choose only the most** **fitting answer for every blank.** Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard Based on the above data, answer the given subquestions.
Fill in the blank [v] with the most fitting discourse marker among the options given below.
6406537365533.
In spite of
6406537365534.
Nevertheless
6406537365535.
Of course
6406537365536.
Moreover

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Question 17 MCQ · 1.0 marks

**Read the following passage and answer the given subquestions.** After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department.  The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.
After a month’s gap, the import of personal computers from China, including laptops and tablets, surged _____ to $276 million in December.
6406537365694.
$11.6 million and $13.6 million
6406537365695.
overall decline was 17 percent
6406537365696.
66.1 percent and 41.8 percent, respectively
6406537365697.
11.3 percent
6406537365698.
stood at 89.4 percent

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Question 18 MCQ · 1.0 marks

**Read the following passage and answer the given subquestions.** After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department.  The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.
The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of _____.
6406537365699.
$11.6 million and $13.6 million
6406537365700.
overall decline was 17 percent
6406537365701.
66.1 percent and 41.8 percent, respectively
6406537365702.
11.3 percent
6406537365703.
stood at 89.4 percent

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Question 19 MCQ · 1.0 marks

**Read the following passage and answer the given subquestions.** After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department.  The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.
These marginal players accounted for _____ worth of shipments to India in December.
6406537365704.
$11.6 million and $13.6 million
6406537365705.
overall decline was 17 percent
6406537365706.
66.1 percent and 41.8 percent, respectively
6406537365707.
11.3 percent
6406537365708.
stood at 89.4 percent

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Question 20 MCQ · 1.0 marks

**Read the following passage and answer the given subquestions.** After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department.  The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.
China’s share in total shipments of these items to India _____ in December.
6406537365709.
$11.6 million and $13.6 million
6406537365710.
overall decline was 17 percent
6406537365711.
66.1 percent and 41.8 percent, respectively
6406537365712.
11.3 percent
6406537365713.
stood at 89.4 percent

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Question 21 MCQ · 1.0 marks

**Read the following passage and answer the given subquestions.** After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department.  The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.
In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the _____.
6406537365714.
$11.6 million and $13.6 million
6406537365715.
overall decline was 17 percent
6406537365716.
66.1 percent and 41.8 percent, respectively
6406537365717.
11.3 percent
6406537365718.
stood at 89.4 percent

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Question 22 MCQ · 1.0 marks

**Read the following resume overview and answer the given subquestions.** Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.
Which sentence in the overview should ideally be avoided?
6406537365784.
Graduated from Christ University in 2023
6406537365785.
Worked on educational research projects
6406537365786.
Skilled in content writing and editing
6406537365787.
I am a hardworking and passionate individual

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Question 23 MCQ · 1.0 marks

**Read the following resume overview and answer the given subquestions.** Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.
Why do you think the selected sentence is inappropriate in a resume?
6406537365788.
It is too short
6406537365789.
It contains grammatical errors
6406537365790.
Personal qualities should be shown through experience, not self-description
6406537365791.
It does not mention education

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Question 24 MCQ · 1.0 marks

**Read the following resume overview and answer the given subquestions.** Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.
Based on what you have learned in your course lectures, which detail is presented here correctly?
6406537365792.
Communication skills
6406537365793.
Graduation year and institution
6406537365794.
Passionate individual
6406537365795.
Public speaking

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Question 25 MCQ · 1.0 marks

**Read the following resume overview and answer the given subquestions.** Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.
Which section best demonstrates Priya's area of expertise?
6406537365796.
Passionate individual
6406537365797.
Excellent communication skills
6406537365798.
Educational research projects related to multilingual classrooms
6406537365799.
Public speaking

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Question 26 MCQ · 1.0 marks

**Read the following resume overview and answer the given subquestions.** Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.
Which improvement would make the overview more precise?
6406537365800.
Remove the institution name
6406537365801.
Add more adjectives
6406537365802.
Mention the exact duration of project experience
6406537365803.
Add family details

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Question 27 MCQ · 1.0 marks

**Read the following email and answer the given subquestions.** From: X@mailbox.com To: madhura@kollipress.com Subject: __________________________ Dear Madhura, I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly. We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure. Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X
Choose the appropriate Subject
6406537365804.
Thiruchengode Tales - A classic that needs to come back
6406537365805.
Enquiry concerning: Thiruchengode Tales
6406537365806.
Request for Reprint Permission: Thiruchengode Tales
6406537365807.
Need permission for reprinting Thiruchengode Tales

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Question 28 MSQ · 1.0 marks

**Read the following email and answer the given subquestions.** From: X@mailbox.com To: madhura@kollipress.com Subject: __________________________ Dear Madhura, I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly. We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure. Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X
In case Madhura responded in the negative to the request, choose an appropriate response for a reply mail. Keep in mind that the reprint is important to you and will constitute a significant part of your upcoming catalogue.
6406537365808.
While we understand the challenges, is there room for negotiation or compromise that could make the reprint more viable?
6406537365809.
I appreciate your prompt and honest response, although it's disheartening to hear.
6406537365810.
While we respect your decision, we wonder if there are specific concerns or conditions that led to the denial.
6406537365811.
We respect your decision, and if circumstances change in the future, we would be open to revisiting this discussion.

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Question 29 MCQ · 1.0 marks

**Read the following email and answer the given subquestions.** From: X@mailbox.com To: madhura@kollipress.com Subject: __________________________ Dear Madhura, I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly. We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure. Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X
Choose the appropriate option to fill the blank in the closing line of the mail.
6406537365812.
We look forward to your guidance on the necessary steps
6406537365813.
We only wish you share our passion for local literature
6406537365814.
We will wait patiently on your approval
6406537365815.
We hope you reply positively

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Question 30 MCQ · 1.0 marks

**Read the following email and answer the given subquestions.** From: X@mailbox.com To: madhura@kollipress.com Subject: __________________________ Dear Madhura, I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly. We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure. Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X
What does the sender assure the recipient about in the email?
6406537365816.
Promoting a New Book
6406537365817.
Adhering to Licensing Guidelines
6406537365818.
Discussing Religious Significance
6406537365819.
Collaborating on Literary Events

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Question 31 MCQ · 1.0 marks

**Read the following email and answer the given subquestions.** From: X@mailbox.com To: madhura@kollipress.com Subject: __________________________ Dear Madhura, I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly. We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure. Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X
Choose the appropriate details to be mentioned in the signature of the mail.
6406537365820.
Contact, Address
6406537365821.
Publisher Address, Office Phone
6406537365822.
Publication Name, Address, Contact
6406537365823.
Educational Qualification, Contact Number

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Question 32 MCQ · 1.0 marks

Answer the given subquestions :
**Identify the implied meaning of the sentence below: (Note that the word with stress is** **marked in bold).** “We **heard** John talking.”
6406537365537.
We heard John talking, but we didn’t see him
6406537365538.
We heard John talking, but didn’t hear Mary
6406537365539.
We heard John talking, and we heard him singing
6406537365540.
We heard John talking, but others didn’t

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Question 33 MCQ · 1.0 marks

Answer the given subquestions :
**Identify the implied meaning of the sentence below: (Note that the word with stress is** **marked in bold).** I thought you were a **medical** doctor.
6406537365541.
I thought you were a medical doctor, not someone with a PhD
6406537365542.
I thought you were a doctor, but I didn’t know for sure
6406537365543.
I thought you were a doctor but not currently practicing
6406537365544.
I thought you were a nurse

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Question 34 MCQ · 1.0 marks

Answer the given subquestions:
Choose the appropriate option: “He spent ___ of his money on luxurious products.”
6406537365545.
So many
6406537365546.
Many
6406537365547.
So much
6406537365548.
any of

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Question 35 MCQ · 1.0 marks

Answer the given subquestions:
Choose the appropriate option: “As ____ as three shooting stars may be spotted this week.”
6406537365549.
Much
6406537365550.
Many
6406537365551.
So many
6406537365552.
Both Much and Many

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Question 36 MCQ · 1.0 marks

**Analyse the following set of statements.** Statement 1: The teacher scolded the students. Statement 2: The students were scolded by the teacher Based on the above Statements, answer the given subquestions.
In Statement 1, “the students” is the ___
6406537365582.
Predicate
6406537365583.
Subject
6406537365584.
Agent
6406537365585.
Object

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Question 37 MCQ · 1.0 marks

**Analyse the following set of statements.** Statement 1: The teacher scolded the students. Statement 2: The students were scolded by the teacher Based on the above Statements, answer the given subquestions.
In Statement 2, “by the teacher” is the ____
6406537365586.
Subject
6406537365587.
Object
6406537365588.
Adjunct

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Question 38 MCQ · 1.0 marks

Answer the given subquestions
**The scope of the focus adverb in the following sentence is limited to:** “Only one person lived in that large house.”
6406537365597.
One person
6406537365598.
Large house
6406537365599.
In that large house
6406537365600.
None of these

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Question 39 MCQ · 1.0 marks

Answer the given subquestions
**The scope of the focus adverb in the following sentence is limited to:** “Knowing Mrs. Todd to be a widow, who had little beside this slender business and the income from one hungry lodger to maintain her, one’s energies and even interest were quickly bestowed.”
6406537365601.
Energies and interest
6406537365602.
Interest
6406537365603.
Quickly bestowed
6406537365604.
Mrs. Todd

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Question 40 MCQ · 1.0 marks

**Answer the given subquestions based on the sentence below:** "The displayed ornaments glittered in the dazzling lights."
The verb in this sentence is:
6406537365723.
Displayed
6406537365724.
Glittered
6406537365725.
Dazzling
6406537365726.
All of these

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Question 41 MCQ · 1.0 marks

**Answer the given subquestions based on the sentence below:** "The displayed ornaments glittered in the dazzling lights."
In the main data, there are ___ verb/s and ___ participle/s.
6406537365727.
0, 3
6406537365728.
3, 0
6406537365729.
1, 2
6406537365730.
2, 1

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Question 42 MCQ · 1.0 marks

Answer the given subquestions.
**Identify the correct reported form for the following.** "I will come to the party," she said.
6406537365824.
She said she would come to the party.
6406537365825.
She says she will come to the party.
6406537365826.
She says she would come to the party.
6406537365827.
She said she comes to the party.

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Question 43 MCQ · 1.0 marks

Answer the given subquestions.
**Identify the correct reported form for the following.** "I have finally finished my assignment," he announced.
6406537365828.
He announces he finally finished his assignment.
6406537365829.
He announces he finally has finished his assignment.
6406537365830.
He announced he finally finishes his assignment.
6406537365831.
He announced he had finally finished his assignment.

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Question 44 MCQ · 1.0 marks

**“Go big or go home” is an example of oxymoron. This statement is:**
6406537365553.
True
6406537365554.
False

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Question 45 MCQ · 1.0 marks

**“Get busy living or get busy dying.” What is the figure of speech used here?**
6406537365555.
Paradox
6406537365556.
Oxymoron
6406537365557.
Antithesis
6406537365558.
Metaphor

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Question 46 MCQ · 1.0 marks

**Consider the following sentences.** Sentence 1 - “That was oddly specific.” Sentence 2- “I do not like that specific flavour.” The word “specific” is:
6406537365559.
Predicative in the first sentence and attributive in the next
6406537365560.
Attributive in the first sentence and predicative in the next
6406537365561.
Predicative in both the sentences
6406537365562.
Attributive in both the sentences

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Question 47 MCQ · 1.0 marks

**Consider the following sentence.** “Where Tinker Creek flows under the sycamore log bridge to the tear-shaped island, it is slow and shallow, and fringed thinly in cattail marsh.” “Sycamore”, “log” and “cattail” are examples of:
6406537365563.
Predicative adjectives
6406537365564.
Complementary adjectives
6406537365565.
Noun modifiers
6406537365566.
None of these

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Question 48 MCQ · 1.0 marks

**Choose the appropriate option:** “One of the many advantages of our new office was that it had ____ of space.”
6406537365567.
So many
6406537365568.
Lots
6406537365569.
Lot
6406537365570.
Both So many and Lots

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Question 49 MCQ · 1.0 marks

**“The auditorium was quite large.” The implied meaning here is:**
6406537365571.
The auditorium was not large enough
6406537365572.
The auditorium was large enough
6406537365573.
Both the auditorium was not large enough and the auditorium was large enough
6406537365574.
None of these

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Question 50 MCQ · 1.0 marks

**Identify the type of sentence.** “Get out of the arena.”
6406537365575.
Indicative
6406537365576.
Interrogative
6406537365577.
Imperative

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Question 51 MCQ · 1.0 marks

**Identify the tense:** “We have been waiting for two hours at the counter.”
6406537365578.
Past continuous
6406537365579.
Present perfect continuous
6406537365580.
Past perfect continuous
6406537365581.
Simple past

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Question 52 MCQ · 1.0 marks

**Consider the following sentences and choose the option that correctly identifies the adverbs** **of degree in the given sentences.** Sentence 1- Your watch is five minutes too fast. Sentence 2- Do not crowd your work so closely together. Sentence 3- These mangoes are almost ripe. Sentence 4 - You are altogether mistaken.
6406537365589.
Fast, closely, almost, mistaken
6406537365590.
Too, so, almost, altogether
6406537365591.
Too fast, closely together, almost ripe, altogether mistaken
6406537365592.
Fast, together, ripe, altogether

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Question 53 MCQ · 1.0 marks

**Identify the conjunctive adverb in the following sentence.** “He’s rather uncommunicative; still, everyone seems to like him.”
6406537365593.
Rather
6406537365594.
Still
6406537365595.
Seems
6406537365596.
To like him

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Question 54 MCQ · 1.0 marks

**Identify the type of sentence for the following sentence:** "She will go to the park if it stops raining."
6406537365605.
Simple
6406537365606.
Compund
6406537365607.
Complex

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Question 55 MCQ · 1.0 marks

**Find the subordinate clause in the sentence.** “John, who graduated last year, won the outstanding alumni award.”
6406537365608.
Outstanding Alumni Award
6406537365609.
won the outstanding alumni award
6406537365610.
who graduated last year
6406537365611.
no subordinate clause

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Question 56 MCQ · 1.0 marks

**In the sentence, what is the object of the verb “eat”?** "Harita likes to eat confectionery."
6406537365612.
Haritha
6406537365613.
likes
6406537365614.
to eat
6406537365615.
confectionery

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Question 57 MCQ · 1.0 marks

**Identify the adverbial clause in the sentence below.** “I watched the sunset, amazed by the vibrant colors that painted the sky, as the waves gently crashed against the shore.”
6406537365616.
Adverbial clause: amazed by the vibrant colors that painted the sky
6406537365617.
Adverbial clause: as the waves gently crashed against the shore
6406537365618.
None of these

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Question 58 MCQ · 1.0 marks

**Which of the following sentences is complex?**
6406537365619.
If you are not ready to present the speech, it is better to let the organising committee know.
6406537365620.
She will come home or I will stay back at her place.
6406537365621.
Seema is innocent, so she has appealed to the court.
6406537365622.
James has been feeling under the weather, yet he decided to go to work.

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Question 59 MCQ · 1.0 marks

**The clause _____ is used as a subordinate clause in the sentence.** “India, which is crowded with 1.4 billion people, is also a stronghold for wildlife.”
6406537365623.
Also a stronghold for wildlife
6406537365624.
Which is crowded with 1.4 billion people
6406537365625.
India is also a stronghold for wildlife
6406537365626.
With 1.4 billion people

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Question 60 MCQ · 1.0 marks

**Choose the correct modal verb to fill in the blank. See the hint or context provided and** **choose only the most appropriate option to fill the blank.** "Though black pepper berries are fully viable, they are not generally used for raising plantations as seedlings _____ not be genetically uniform." Hint: To make a rational and conclusive assumption about a future outcome
6406537365667.
Could
6406537365668.
May
6406537365669.
Will
6406537365670.
Might

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Question 61 MCQ · 1.0 marks

**Choose the correct modal verb to fill in the blank. See the hint or context provided and** **choose only the most appropriate option to fill the blank.** “Wordsworth _____ have contributed more poems, but the real star of the collection was Coleridge's first version of The Rime of the Ancient Mariner.” Hint: To show that the speaker acknowledges the possibility of something but does not concede that it is relevant to the discussion at hand
6406537365671.
Will
6406537365672.
Would
6406537365673.
Can
6406537365674.
May

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Question 62 MCQ · 1.0 marks

**Which of the following statements about the given sentence is true?** “She cannot eat that much.” Statement 1 - The negation forces a separation of tense from the main verb Statement 2 - The negation does not force a separation of tense from the main verb
6406537365675.
1 only
6406537365676.
2 only
6406537365677.
Neither 1 nor 2

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Question 63 MCQ · 1.0 marks

**Choose the correct modal verb to fill in the blank. See the hint or context provided and** **choose only the most appropriate option to fill the blank.** “_____ you be willing to step into a machine, be dematerialized, and then recomposed thousands of miles away?” Context: To ask a polite and formal question about an imagined scenario with focus on intent and willingness
6406537365678.
Would
6406537365679.
Could
6406537365680.
Shall
6406537365681.
Will

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Question 64 MCQ · 1.0 marks

**Fill in the blank with the correct modal verb.** “Being a parent _____ be extremely challenging.” (denoting a general possibility).
6406537365682.
Should
6406537365683.
Might
6406537365684.
May
6406537365685.
Can

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Question 65 MCQ · 1.0 marks

**Choose the correct modal verb to fill in the blank. See the hint or context provided and** **choose only the most appropriate option to fill the blank.** Shall we do the roll call? It _____ take more than a few minutes. Hint: To indicate a requirement in terms of what is most probably the case
6406537365686.
Couldn’t
6406537365687.
Mightn’t
6406537365688.
Will not
6406537365689.
Shouldn’t

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Question 66 MCQ · 1.0 marks

**Which of these sentences has a that-clause embedded as the object of the verb in the matrix** **predicate?**
6406537365690.
That he was to go to bed hungry dismayed Reddy fox.
6406537365691.
Tabaqui sat still, rejoicing in the mischief that he had made.
6406537365692.
That Mowgli was a man’s cub was now known to the whole jungle.
6406537365693.
The leader of the political party assured his followers that he would be out of jail in no time.

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Question 67 MCQ · 1.0 marks

Source diagram or notation
6406537365719.
Brackets
6406537365720.
Colon
6406537365721.
Comma
6406537365722.
Full stop

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Question 68 MCQ · 1.0 marks

**Reduction of a word to one of its parts is called:**
6406537365731.
Blending
6406537365732.
Clipping
6406537365733.
Borrowing

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Question 69 MCQ · 1.0 marks

**Which of the following is an example of middle clipping?**
6406537365734.
Gym
6406537365735.
Flu
6406537365736.
Phone
6406537365737.
Gram

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Question 70 MCQ · 1.0 marks

**The reported speech of this sentence uses:** “Did you come by car?”
6406537365738.
if clause
6406537365739.
whether clause
6406537365740.
that clause
6406537365741.
both if clause and whether clause

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Question 71 MCQ · 1.0 marks

**Which sentence uses a countable noun?**
6406537365742.
Much water was wasted.
6406537365743.
Many books were sold.
6406537365744.
Much information is available.
6406537365745.
Little knowledge is dangerous.

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Question 72 MCQ · 1.0 marks

**Which of the following options cannot be used to fill in this blank?** "There isn't much ___ left."
6406537365746.
Rice
6406537365747.
Water
6406537365748.
Bread
6406537365749.
Apple

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Question 73 MCQ · 1.0 marks

**Answer True or False** A: Malcolm delivered the packets B: The packets were delivered by Malcolm The object in A is the agent of action in B
6406537365750.
True
6406537365751.
False

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Question 74 MCQ · 1.0 marks

**Choose the odd one out from the following based on negative elements.**
6406537365752.
Anybody
6406537365753.
Somebody
6406537365754.
Anyone
6406537365755.
Anything

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Question 75 MCQ · 1.0 marks

**“Running helped him to win the medal." Running here is called ___**
6406537365756.
Gerund
6406537365757.
Verb
6406537365758.
Present participle
6406537365759.
Participle

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Question 76 MCQ · 1.0 marks

**What type of conditionals are the following?** “If it rains, I will stay indoors.”
6406537365760.
Zero
6406537365761.
First
6406537365762.
Second
6406537365763.
Mixed

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Question 77 MCQ · 1.0 marks

**Choose the most appropriate implied meaning from the following:** “He studied for the exam, but failed.”
6406537365764.
He always fails
6406537365765.
He did not study enough
6406537365766.
He expected to pass the exam
6406537365767.
He expected to fail

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Question 78 MCQ · 1.0 marks

**Select the odd one out :**
6406537365768.
En masse
6406537365769.
Impromptu
6406537365770.
À la carte
6406537365771.
Bouquet

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Question 79 MCQ · 1.0 marks

**Choose the most appropriate option:** “He switched on the presentation ___ the students could note down relevant portions.”
6406537365772.
Because
6406537365773.
Instead
6406537365774.
So that
6406537365775.
Due to

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Question 80 MCQ · 1.0 marks

**Identify the number of prefixes in the following sentence.** “We watched Midnight in Paris for the umpteenth time when I went to her home for the festival.”
6406537365776.
2
6406537365777.
3
6406537365778.
1
6406537365779.
0

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Question 81 MCQ · 1.0 marks

**Select the odd one out:**
6406537365780.
Reflect
6406537365781.
Redundant
6406537365782.
Reality
6406537365783.
Redo

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Question 82 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
Which of the following sequences most accurately reflects the overall structure of the passage?
6406537365627.
Claim - Example - Definition - Counter argument- Conclusion
6406537365628.
Definition - Policy history - Critique - Comparative evidence - Normative conclusion
6406537365629.
Anecdote - Policy history - Statistics - Recommendation
6406537365630.
Statistics- Problem - Solution - Rebuttal - Summary

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Question 83 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
Which of the following accurately captures the cause–effect logic used in the passage?
6406537365631.
Insurance schemes exist - healthcare improves
6406537365632.
Pandemic - insurance schemes expanded
6406537365633.
International declarations - universal healthcare achieved
6406537365634.
Underfinancing of primary care - reliance on private sector

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Question 84 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
If the passage were reduced to a single disagreement, which would it be?
6406537365635.
Whether healthcare is a human right
6406537365636.
Whether insurance schemes should exist at all
6406537365637.
Whether financial protection alone can deliver equitable healthcare
6406537365638.
Whether international organisations affect national policy

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Question 85 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
Which sentence in the passage performs the role of a turning point from background to critique?
6406537365639.
“UHC is grounded in the universal human right to health…”
6406537365640.
“The subsequent UN resolution on UHC reaffirmed this agenda…”
6406537365641.
“In practice, recent reforms in many countries…have undermined the primary care approach”
6406537365642.
“Conversely, when public health insurance schemes are designed…”

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Question 86 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
Why does the author refer to the Bhore Committee?
6406537365643.
To show that current policy contradicts earlier national vision
6406537365644.
To appeal to authority without critique
6406537365645.
To provide historical detail
6406537365646.
To criticise pre-Independence thinking

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Question 87 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
**Match the following sentence to their structural role:** “UHC is grounded in the universal human right to health…”
6406537365647.
Policy prescription
6406537365648.
Critical transition
6406537365649.
Empirical support
6406537365650.
Normative claim

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Question 88 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
**Match the following sentence to their structural role:** “Evidence suggests that patients often have to incur out-of-pocket expenditure.”
6406537365651.
Policy prescription
6406537365652.
Critical transition
6406537365653.
Empirical support
6406537365654.
Normative claim

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Question 89 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
**Match the following sentence to their structural role:** “In practice, recent reforms…have undermined the primary care approach.”
6406537365655.
Policy prescription
6406537365656.
Critical transition
6406537365657.
Empirical support
6406537365658.
Normative claim

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Question 90 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
**Match the following sentence to their structural role:** “It is imperative for India to take this path…”
6406537365659.
Policy prescription
6406537365660.
Critical transition
6406537365661.
Empirical support
6406537365662.
Normative claim

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Question 91 MCQ · 1.0 marks

**Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”,** **published in The Indian Express. Answer the given subquestions.** December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative. UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals. In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers. Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near- universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes. A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue. India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness. Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay. The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.
Which paragraph most effectively anticipates and absorbs a counter argument without explicitly stating it?
6406537365663.
WHO policy paragraph
6406537365664.
Insurance schemes paragraph
6406537365665.
East Asian countries paragraph
6406537365666.
Bhore Committee paragraph

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