Read the following passage. It contains blank spaces numbered 1 to 15. For each blank space, choose the best answer from the choices given.
Leprosy is a ______1______ disease caused by a bacteria. It______2______ be easily cured with a combination of drugs, ______3______ detected early.
When not treated, it can leads to ______4______ deformities. Patients can also turn blind and may never be sensitive to pain _______5______ heat because their nerves ______6______ damaged.
The incubation period is the time it takes to develop ______7______ a disease once the bacteria gets into ______8_______ body is three to ten years or more depending ______9_______ a person's immunity.
In Kenya, leprosy is among the 15 neglected tropical diseases. ______10______ , it is under the tuberculosis programme, ______11______ because of the similarities ______12______the bacteria that _____13______T.B and leprosy. The country was declared leprosy-free ______14______ 1989 after reporting _____15______ than two cases in 10000 people.
For questions 16 and 17, choose the alternative that forms a sensible paragraph.
- one needs to exercise personal hygiene
- Corona virus disease is a pandemic
- to guard against it
- and avoid touching unnecessary surfaces
- which has killed many people
- iii, i, iv, ii, v
- i, ii, iii, v, iv
- ii, v, iii, i, iv
- iv, i, iii, v, ii
- was so hilarious
- dying with laughter ii
- that we were left
- Walter's story
- iv, i, ili, ii
- iv, i, ii, iii
- iv, iii, ii, i
- iv, ii, i, iii
Choose the sentence which is grammatically correct to answer questions 18.
- Irene was engrossed in her story book
- Of the twins, Lena is the tallest
- Neither the teacher nor the pupils has gone home
- She entered into the class and smiled
In question 19, write the statement in indirect speech.
- She says, "I was writing a letter to my brother".
- She said that she was writing a letter to my brother
- She says that I am writing a letter to my brother
- She said that she is writing a letter to her brother
- She says that she was writing a letter to her brother
For question 20 and 21, choose the word which is correctly spelt.
For questions 22 and 23, choose the same meaning of the underlined words.
- It seldom rains in Moyale.
- My clothes are totally drenched.
For questions 24 and 25, choose question tags.
- Let us sanitize, _____________?
- will we
- shall we
- won't we
- can't we
- John said that it won't rain, _______________?
- did he
- didn't he
- will it
- won't it
Read the following passage and then answer questions 26 to 38.
A neurosurgeon has been suspended for opening up the head of the wrong patient in one of the worst cases of medical malpractice to become public at Moi Referral Hospital.
Two men had been wheeled into the facility unconscious last weekend. One needed brain surgery to remove a blood clot in his brain while the other only required medical attention to heal a trauma swelling in his head, medically known as closed head injury.
However, a horror mix-up of identification tags saw the wrong man wheeled into theatre and his skull opened. Doctors did not realise the mistake until hours into the surgery, when they discovered there was no blood clot in the brain of the man sprawled on the operating table.
They had cut open the head of the wrong patient in a dizzying case of medical malpractice that once again casts the spotlight on the country's biggest referral hospital.
The mix-up also raises questions about pre-surgery procedures in Kenyan hospitals, especially on how to ensure the right patient is operated at the right place. It also calls to question doctors' lack of commitment to their patients to ensure they receive the care they need to get well. The competence and organisation of the doctors is in question
The Daily Nation, which investigated the scandal since Wednesday, will not publish details of the patients out of respect for their privacy and because it was not clear yesterday If their families had been informed of the operation.
Last evening, hospital management threw out this report by dramatically having security guards escort her out of the premises for making enquiries about the incident.
In an effort to limit the damage following our enquiries, the hospital's chief operating officer Ms Lily issued a statement announcing the suspension of four medics who were at work on the fateful night. They included the neurosurgeon, the ward nurse, theatre receiving nurse and the anaesthetics.
"The management has suspended the admission rights of a neurosurgery registrar and issued him with a show-cause letter for apparently operating on the wrong patient," said Ms Lily.
The fact that Ms Lily was referring to the operation as "apparent" is probably an indication that the hospital was unwilling to publicly admit the error, and also that some of its procedures may have put the welfare of patients at risk.
- The opening up the head of a wrong patient according to the first paragraph can best be termed as
- quite intentional
- rather deliberate
- act of negligence
- Which word can best replace the word suspended as used in the passage?
- The word unconscious as used in the passage is the opposite of
- Which one of the following is the best reason why the patierit was to undergo the operation?
- To heal the trauma swelling in the head
- To get rid of the blood clot
- To relieve the patient of the severe headache
- The hospital had the required equipment and personnel
- The identification tags are meant to
- put on patients headed for the theatre only
- cause a bit of mix-up among patients
- correctly identify the patients
- make work easier
- When did the doctors realise that they were working on the wrong patient?
- Immediately they had opened his head
- After an hour into the operation
- After hours into the surgery
- When they could not spot the clot in the brain
- According to the passage it is true to say that
- it was the norm of the health facility to carry out wrong surgeries
- the health facility suffers breakdown of communication
- the health practitioners were incompetent and negligent
- the families of the patients did not create clear information.
- Which one of the following could not be an-example-of pre-surgery procedures?
- Correct labelling of the patient
- Ensuring the right patients gets operated on the right place
- The doctor knowing about the patient in details
- Washing the patient before an operation
- What do you think was the main reason why details of the patients could not be published?
- In the interest of time
- The reporter was thrown out of the hospital premises
- In respect of the patients' privacy
- It was still too early to draw any conclusion
- What was done in attempt to limit the damage?
- Suspension of four medics
- Closure of the hospital
- Employ new medics
- Launching investigations
- What is in the passage that show the hospital was unwilling to admit the error?
- Suspending those involved
- Referring to the case as apparent
- Hiding the patients
- Giving the patients medicine
- The most appropriate summary for the passage is;
- The unfortunate incident at the hospital
- How doctors want people to die
- The medicine that never worked
- Unprocedural operation
- A person who looks after the sick in the
- mid wife
Read the passage below and then answer questions 39 to 50.
Tumaini is my best friend and neighbour. Her life was all in a mess due to insufficient finances in their family. Her problem always tormented my mind.
Due to financial instability, her family could not afford a basic need such as shelter. Luckily, her jobless father got employed as a casual worker. This raised optimism in the family and Tumaini felt relieved.
One day, father came home and asked his children to prepare for school. Everyone became jovial. Tumaini was subdued in looking for her school uniform when her father told her that she had to get married to his friend or remain a home girl.
The agony of dropping out of school at class seven greatly saddened Tumaini. She wept bitterly day and night. She tried to convince her parents how she longed for school but all these fell on deaf ears. The reality dawned on her when her father became a cold blooded beast and threatened to throw her out if she continued with her chronic wails.
With the knowledge gained from our child rights club, I came to reality with the denial of Tumaini's rights to education. I could not sit back and watch her being molested. I gathered courage and took the initiative to inform Tumaini's parents about her rights.
When I explained to them all the rights of children, and how much Tumaini needed education as her brothers did, they partly agreed and they became inquisitive about these rights issues. I showed them the "child magazine" which I had carried. With this, they came face to face with Tumaini's violated rights and promised to take her back to school. She is now attending school and living with her parents. We should all ensure all children go to school.
- Tumaini's main problem according to the first paragraph is
- Lack of money
- sufficient finances
- her father
- her father's friend
- The statement, "her problem always tormented my mind" was said by
- her father
- the writer
- the father's friend
- One of these statements is true according to the second paragraph
- Tumaini's father got a casual job
- Tumaini was assisted to go to school
- The family could not afford basic needs
- Her father's friend was ready to marry Tumaini
- How many choices was Tumaini given by her father?
- The correct meaning of the underlined word jovial according to the passage is
- extremely happy
- emotionally disturbed
- rather perplexed
- very moody
- Tumaini cried bitterly because
- her father turned into a beast
- of lack of basic needs
- of the idea of ending her education so early D
- her mother did not rescue her
- Which of the following rights was Tumaini being denied?
- Right to food
- Right to shelter
- Right to freedom
- Right to education
- The source of knowledge about children's rights for Tumaini's friend was
- child rights clubs
- child magazine
- her family
- school lesson
- One could replace the word "chronic wails" in the fourth paragraph with
- continued torment
- raised hopes
- endless weeping
- ceaseless problems
- What words could be used to best describe Tumaini's friend?
- Determined and aware
- Cold and bitter
- Loving and familiar
- Loving and courageous
- "____________, but all these fell on deaf ears" means
- the parents disrespected her pleas
- her parents pretended not to understand
- her parents were deaf
- her parents became deaf and dumb
- Three of the following are true about Tumaini except
- Tumaini was withdrawn from school
- Her parents did not mind her education being stopped
- Tumaini was to get married at an early age
- Her parents were determined to respect the culture
- Read the heading of the composition carefully and write your composition.
Below is the beginning of a composition. Write it, making it as interesting as you can:
We woke up at the crack of dawn intending to catch the early bus to the city since we came from a very remote village ........................................................................................................................
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