Read the following dialogue and answer questions 1-5.

Nurse:Good morning Victor.
Victor;Good morning madam.
Nurse:You look better this morning
Victor:Thank you. I feel better now. The pain on my leg isn't as much as it was when I came yesterday.
Nurse:Good to hear that. You will be well soon.
Victor:When will I be discharged? I am miceing home already.
Nurse :The doctor will examine you and recommend when you should be discharged.
Victor: I hope it will be today.
Nurse: Let us hope so. Get well soon.
Victor:Thank you madam.

1. At what time of the day were Victor and the nurse talking?
   
   1. Noon         
   2. Evening 
   3. Morning     
   4. Afternoon
2. Where did Victor spend the night!
   1. At home         
   2. At school
   3. At a hotel       
   4. In a hospital
3. What tells you that Victor did not want to stay any longer in the hospital?
   
   1. He was missing home.   
   2. He was missing school.
   3. The pain had reduced..   
   4. The doctor was to examine him.
4. How long had Victor been in the hospital?
   
   1. One month     
   2. One week
   3. A fortnight       
   4. One night.
5. Which of the following shows that Victor is a polite boy?
   
   1. I feel better now.     
   2. When will I be discharged
   3. Thank you mudum   
   4. I am missing home

Read the passage below and use it to answer questions 6 to 8.

Child responsibility involves him or her making decisions, being trusted and learning to take credit or blame for action done. Taking responsibility is not just about how the choices the child makes affect her, but also how her choices and actions affect other people. Being responsible can help your child feel important. It makes her feel that she is contributing to both the family and the community. One of the best ways to teach your child about responsibility is to be a role model for her own benefits and others. Look out for friends and neighbours, volunteer in your community and being dependable. Arrive to gatherings on time, admit when you are wrong. and apologize for mistakes. If your child sees adults doing these things, she is much more likely to do the same.

6. The best way to teach a child responsibility is,
   
   1. being a role model..                             
   2. taking them to school
   3. admitting when they are wrong           
   4. being dependable.
7. A responsible child will do all the following except
   1. volunteer in community work               
   2. admit when they are wrong.
   3. arrive in gathering on time.                   
   4. deny when caught in the wrong.
8. Which of the following people is not a good role model?
   
   1. A liar                     
   2. A priest
   3. A teacher               
   4. Volunteer.

Read the passage below and answer questions 9 to 11.

Not all work done by our children can be considered as child labour. Some activities may help children to acquire important livelihood skills and contribute to their day to day life. However, much of the work children carry out in agriculture is not child friendly. Such work is likely to be hazardous or to interfere with children's education. For instance, a child working in fields where pesticides have been applied, staying up all night on a fishing boot, or carrying loads so heavy that they harm the development of the child's body. Some of the key factors that contribute to child labour in rural areas are low family incomes, few livelihood alternatives, poor access to education and limited labour law enforcement

9. Not all work done by our children can considered as child labour because,
   
   1. they pose risk to the child.                                             
   2.  they are hazardous
   3. they help the child acquire some life skills                     
   4. they are easy
10. The following are the three factors that contribute to child labour except,
    
    1. limited labour laws                                                     
    2. low family income
    3. poor access to education                                           
    4. too young children
11. The best title for this passage is.
    
    1. Child rights                                                                   
    2. Working on the form
    3. Child labour                                                                   
    4. Fishing

Read the poem below and use it to answer questions 12 to 13.

To us these children are born.
And the task to care must be borne.
Their right with all might to protect.
Even if it cost us every single cent.

Children rights are human rights.
And always we choose to do right.
In our factories they shouldn't labour.
Or ask for food as Luugh it's a favour.

Education for them never bargain.
And health care should always gain.
Never to suffer in pain.
Or sleep in open plains.

12. The poem is talking about,
    
    1. adults                                                           
    2. child labour
    3. children's rights                                           
    4. health care.
13. The phrase "or sleep in open plaina" means the children have a right to
    
    1. shelter                                                             
    2. education
    3. clothes                                                               
    4. life

Read the passage below and use it to answer questions 14 to 15

One morning, a trader loaded his donkey with bags of salt to go to market to sell it. They had not walked far when they reached the river. As the river bank was very slippery the donkey slipped and fell into the river. The salt from the bags dissolved in the water. When the donkey got up, it noticed that the bags loaded on its back had become light. There was nothing the trader could do, except to return home. The next day, the trader again loaded his donkey with bags of salt. As they reached the slippery river bank, the donkey thought, "If I fall down in the water, my load will become light. "So it deliberately fell into the river

14. The word in the passage that is used to mean the sides of a river is_
    
    1. river side             
    2. river bank             
    3. slippery                 
    4. load
15. The donkey fell into the river because
    
    1. the load was heavy.                                                           
    2. the load was light
    3. it was morning                                                                     
    4. the river bank was slippery

Fill the blank spaces numbered 16 to 20 with the best answer from the choices.

The man realised the       16           trick. He then returned home and re-loaded his donkey.this time with bags of sponge .The       17            again set off on their journey. On reaching the river          18              the donkey again fell into the water. But instead of the load becoming lighter, it  became          19           .The man laughed and said, "You foolish donkey! Did you think you were smart and cleaver        20               I am cleverer than you."

Use the correct word to fill in the gaps for number 21 to 24.   

21. A                       of zebra was grazing by the roadside.
    
    1. herd                       
    2. heard                       
    3. flock                             
    4. swam
22. The girls saw the                of boys and ran away.
    
    1. bevy                         
    2. gang                       
    3. mob                                   
    4. congregation
23. By the time the game started the stadium was full of                     
    1. spectators                 
    2. mob                       
    3. throng                               
    4.  swam
24. We can't go out now, there is a                   of lions outside.
    
    1. group                             
    2. pack                   
    3. pride                                 
    4. herd

In questions 25 and 26, select the pronoun from the words used in the sentence. 

25. The teacher marked my exercise book
    
    1. book                               
    2. my                           
    3. exercise                     
    4.  teacher
26. I will have to go there myself.
    
    1. will                                   
    2. go                               
    3. have                       
    4. myself 

What is the plural of the underlined word in questions 27 to 29? 

27. He wrote the composition himself.
    
    1. herself                               
    2. myself                     
    3. themselves                   
    4. ourselves
28. I hurt myself while repairing the gate.
    
    1. ourselves                             
    2. himself                       
    3. themselves               
    4. yourselves
29. The cat hid itself among the trash cans.
    
    1. herself                                   
    2. myself                         
    3. themselves             
    4. ourselves

Write the sentence below in singular.

30. We should have returned their books by noon.
    
    1. I should have retuned my book by noon.
    2. He should have returned his book by noon.
    3. I should have returned his book by noon..
    4. We should have returned her book by noon.

COMPOSITION

WRITING

Write an interesting story about:

MY SCHOOL

MARKING SCHEME 

1. C
2. D
3. A
4. D
5. C
6. A
7. D
8. A
9. C
10. D
11. C
12. C
13. A
14. B
15. D
16. A
17. B
18. D
19. D
20. C
21. A
22. B
23. A
    
24. C
25. B
26. D
27. C
28. A
29. C
30. C
    

Complete the passage below     

It ___1___ during the December holiday___2___ our family was to ___3___ Amboseli Game Park. We set ___4___after having our breakfast which was as sweet as ___5__ . We travelled ___6___ our Father's car and reached Amboseli ___7___. We saw many wild animals___8___
as zebra ___9___ lions, antelopes ___10___ baboons.

Choose the correct word to complete the sentences below

11.  _______________________ sun was shining brightly
    
    1. An
    2. A
    3. The
    4. un
12. The girl was given ______________________ egg
    
    1. an
    2. the
    3. a
    4. un
13. She bought ______________________________________ golden necklace.
    
    1. an
    2. the
    3. un
    4. a

Which word is correctly spelt

14.  
    1. leratives
    2. cousen
    3. orphan
    4. payed
15.  
    1. villange
    2. address
    3. engeneer
    4. prumber

Which word is singular or plural of the underlined word

16. That lady has a beautiful dress
    
    1. Ladys
    2. ladyies
    3. Ladies
    4. Lades
17. The chef bought knives
    1. knife
    2. knifes
    3. knive
    4. knivies
18. The baby cried loudly
    1. babys
    2. babes
    3. babyies
    4. babies
19. Carol's teeth are white
    1. teethes
    2. toothes
    3. tooth
    4. teeth
20. Are these butterflies? 
    1. butterfly
    2. butterflyies
    3. butterflies
    4. butterflys

Complete these sentences

21. The pupils have learnt ___________________________________ this week
    
    1. a lot
    2. a lot of
    3. many
    4. more
22.  ______________________________________ parents have cleared the balance
    
    1. alot
    2. a lot of
    3. enough
    4. much
23. Last night it rained ________________________________
    
    1. more
    2. much
    3. a lot of
    4. alot
24. We were given ___________________________ work
    1. enough
    2. more
    3. alot
    4. many
25. I saw ____________________ people in the party.
    
    1. many
    2. more
    3. alot
    4. little

Complete these similes

26. As cool as _______________________________
    
    1. honey
    2. water
    3. ocean
    4. cucumber
27. As foolish as a ____________________________
    1. dove
    2. sheep
    3. pig
    4. goat
28. As clear as the______________________________
    1. moon
    2. sun
    3. star
    4. sky
29. As quiet as a ______________________________
    A. lake
    B. cave
    C. grave
    D. well
30. As clean as ______________________________
    1. new pins
    2. new dress
    3. new car
    4. cotton

Read the story below and answer questions   

Pato and Sina were wedding in August. The wedding preparation were almost complete when Pato got involved in a road accident. This was three weeks to the wedding day. Much of their plans were done in hospital. The matron always allowed Sina to stay a little longer after visiting hours. This gave them extra time to prepare for the wedding. There was going to be no dancing because the wedding reception was going to be in the hospital dining hall. The matron said the noise would disturb the other patients.

Among the invited guests were patients who were strong enough to attend, nurses, doctors, close relatives and a few friends. On the wedding day the hall was well decorated with multi-coloured balloons. Pato was in a dark blue suit, purple shirt and a matching tie. He sat on a wheelchair waiting for the bride to enter. Sina was in a cream wedding dress, matching shoes and a white feather on her hat.

31. Who was involved in a road accident? _______________________________________
    
    1. Pato
    2. Sina
    3. relative
    4. Everybody
32. The bride was called  ___________________________
    
    1. Pato
    2. Kate
    3. Silas
    4. Sina
33. Why would there be no dance? ___________________________________
    1. they did not practise
    2. there was no music
    3. not to disturb other patients
    4. there was no power
34. Where did Pato sit on the wedding day?
    1.  wheelchair
    2. sofa set
    3. stool
    4. chair
35. ______________________________ were not invited in the wedding.
    
    1. Nurses
    2. Doctors
    3. Other patients
    4. Pastors
36. The hall was decorated with _____________________________________________
    
    1. ribbons
    2. mutli - coloured balloons
    3. flowers
    4. nets
37. On the wedding day, Pato did not wear a _____________________________________
    1. tie
    2. suit
    3. shirt
    4. hat
38. Where was the wedding held? ______________________________________
    
    1. dining hall
    2. church
    3. ward
    4. hotel
39. What was on Sina's hat? ________________________________
    
    1. feather
    2. flower
    3. ribbon
    4. balloon
40. What was the colour of Pato's suit?
    1. black
    2. green
    3. dark blue
    4. navy blue

COMPOSITION

Write an interesting composition about

MY BEST FRIEND

_______________________________________________________________________________________________________

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_______________________________________________________________________________________________________

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_______________________________________________________________________________________________________

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_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

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MARKING SCHEME

1. B
2. C
3. A
4. D
5. A
6. C
7. D
8. A
9. C
10. B
11. C
12. A
13. D
14. C
15. B
16. C
17. A
18. D
19. C
20. A
21. A
22. B
23. D
24. B
25. A
26. D
27. B
28. D
29. C
30. A
31. A
32. D
33. C
34. A
35. D
36. B
37. D
38. A
39. A
40. C

QUESTIONS

Read the dialogue below then answer questions.

Mrs. Omondi :   Good morning class
Class:                Good morning teacher. How are you?
Mrs. Omondi :    I am fine thank you. Can I have all the home work books in the office now!
Achieng :           (standing up) I have not finished the work.
Mrs. Omondi :   Why have you not completed the work? It was supposed to be done at home yesterday.
Achieng:            My father gave me a lot of work yesterday. By the time I finished, I felt tired and went to sleep.
Mrs. Omondi :    What did he tell you to do?
Achieng:             He asked me to wash the utensils and clean the house because mother was not at home. Isn't that child labour?
Mrs. Omondi :    No, it isn't. That is helping parents at home. It is part of what you are taught at home. You need to grow up a responsible                                girl. Every child should help parents at home. Complete the work and bring your book after you are done.

1. At what time did Mrs Omondi get in class?
   
   1. In the afternoon
   2. Not told
   3. At night
   4. In the morning
2. Why did Mrs. Omondi go to the class?
   
   1. The lessons were about to start
   2. To greet the class
   3. To ask for the homework books
   4. To collect the noise makers
3. Which polite word was Achieng supposed to use before addressing the teacher?
   
   1. I am sorry
   2. Pardon
   3. Thank you
   4. Welcome
4. From the conversation, we learn that home work should be done.
   1. yesterday
   2. in the morning
   3. at home
   4. in school
5. Why did Achieng not finish her homework?
   1. She did not have the text books
   2. She arrived home late
   3. Her mother was not at home
   4. She was first after doing chores
6. According to Mrs. Omondi every child is supposed to:-
   1. help their parents at home
   2. get home early
   3. learn at home
   4. be taught by parents
7. Which lesson do we learn from the story?
   1. Achieng was very lazy
   2. Parents teach us to be responsible
   3. Homework is not for everybody
   4. We should not wash utensils at home

Read the passage below and answer the questions below.

Long ago, a wicked and lazy hunter was sitting under a tree, gazing idly at a large clearing below where a herd of fat antelopes were peacefully grazing. The hunter was thinking that is was far too hut to bother himself with a long and tiring stalk through the bushes, when he suddenly noticed a movement off to the right. It was a female cheetah which had chosen this herd to hunt.

Keeping downwind of the herd, she was moving closer to them slowly, inch by inch and keeping well under cover. The hunter watched, fascinated, as she crept closer and closer to an antelope which had unwisely wandered away from the main herd.

Suddenly, she gathered her long legs under her and sprang forward like an arrow. With dazzling speed she raced down upon the antelope and caught it just as it started to leap away. Panting from her effort, the cheetah dragged her prize away to some shade on the edge of the clearing. The hunter watched, marvelling at the speed and skill he had just witnessed. But as he watched, he saw to his surprise that three beautiful cheetah cubs had also been watching and waiting in the shade.

Now the hunter was filled with envy for the cubs and wished that he too could have such a good hunter to provide for him.

8. What was the hunter doing under the tree?
   1. Resting after a good hunt
   2. Waiting for the cheetah to hunt
   3. Grazing the antelopes
   4. Watching the antelopes
9. A herd is to antelope as a ________________________ is to sheep.
   
   1. litter
   2. flock
   3. troup
   4. pride
10. What was the hunter thinking about?
    
    1. How to catch on antelope
    2. What his family was going to eat
    3. How hot it was for him to walk through the bushes.
    4. His good hunting skills
11. He saw a cheetah that was:-
    1. moving up and down
    2. preparing to catch an antelope
    3. looking after the herd
    4. attacking the herd of antelope
12. Why do you think the cheetah kept under cover?
    
    1. It was afraid of antelope
    2. It didn't want to scare the antelope away
    3. It is the fastest animal
    4. It wanted to see the antelope well
13. The antelope that was caught by the cheetah:-
    
    1. was away from the others
    2. ran very fast
    3. was limping
    4. was the smallest
14. What is the opposite of the word beautiful?
    
    1. Dull
    2. Bright
    3. Angry
    4. Ugly
15. Which is the best title for the passage?
    1. A long time ago
    2. The beautiful cheetah
    3. The unlucky antelope
    4. The hunter

Read the broken passage and use the choices below to complete the blank spaces.

The spectators ___16___ Umoja Football Team happily. The team had scored a ___17___. The experienced ___18___ passed the ball swiftly from one to the other as they ran skillfully from comer to corner. The opponents put ___19___spirited efforts but they were not fruitful. The ___20 ___ whistle was blown and the fans celebrated their team's win.

For questions 21-23, choose the best alternative to complete the sentences.

21. Jane is ________________________ than Stella
    1. tall
    2. tallest
    3. taller
    4. more taller
22.  You have to carry those glasses ___________________ than last time.
    
    1. more carefully
    2. most carefully
    3. carefuller
    4. careful
23. Elephant is the ____________________________ animal in the forest.
    1. heavyest
    2. heavier
    3. heavy
    4. heaviest

For questions 24 and 25, choose the plural of the underlined word.

24. The chief summoned all the villagers.
    
    1. chieves
    2. chiefes
    3. chief
    4. chiefs
25. He gave me a ripe mango
    
    1. mangos
    2. mangoes
    3. mango
    4. mangos'

In questions 26 and 27, select the correct order of adjectives to complete the sentences.

26. The chef baked a ___________________________ cake
    
    1. white circular big
    2. big white circular
    3. big circular white
    4. circular big white
27. He bought a _______________________ ruler
    
    1. small rectangular blue
    2. blue rectangular small
    3. rectangular blue small
    4. small blue rectangular

In questions 28 and 29.choose the best verb to complete the sentences    

28. My father had _______________________________ us to school.
    1. took
    2. take
    3. taken
    4.  taked
29. She is ___________________________ a letter
    
    1. write
    2. writing
    3. wrote
    4. written

In question 30, complete the sentence using the correct preposition.

30. The cat went out _________________________ the window
    1. in
    2. at
    3. through
    4. of

COMPOSITION

Write an interesting composition about:-

DECEMBER HOLIDAY

MARKING SCHEME

1. D
2. C
3. A
4. C
5. D
6. A
7. B
8. D
9. B
10. C
11. B
12. B
13. A
14. D
15. C
16. A
17. D
18. B
19. B
20. C
21. C
22. A
23. D
24. D
25. B
26. B
27. A
28. C
29. B
30. C

QUESTIONS

Read the following conversation and then answer questions 1 to 5.    

Kadzo:   Hello Katana. How was the competition? Mkala told me that you met your match.
Katana:  Hello Kadzo. Yeah, Mkala is right. I used to think I am the best runner in this county until I met one Kobole from Makongeni.
Kadzo:   Well, I think Mr. Maloba will have to do something extra in his coaching, else, it may get stiffer and stiffer.
Katana:  We have time. The best thing is that I was the second after Kobole. The first three are to represent the region nationally.
Kadzo:   I wish you all the best as you plan to train for the same. I shall encourage Mr. Maloba to try new coaching methods on you.
Katana:  Thank you so much Kadzo. I am looking forward to emerging the best nationally.

1. Possibly, which sports activity did Katana take part in?
   1. Football.
   2. Basketball.
   3. Netball.
   4. Athletics.
2. According to this conversation, who is Mr Maloba?
   
   1. An athlete.
   2. A trainee.
   3. A teacher.
   4. A coach. 
3. Which one of the following describes Katana's character?
   1. Accepts defeat and plans to be better. 
   2. Stubborn and never allows competition.
   3. Lazy and plans to practise more and more
   4. Hard working but never plans to better himself.
4. From this conversation, it is true to say that the competition was
   1. easy.
   2. stiff.
   3. noble.
   4. hard.
5. By the end of the conversation,  seems
   
   1. hopeful.
   2. worried.
   3. defeated.
   4. winning.

Read the passage and then answer questions 6 to 9.

A journey by train is interesting as well as educative. Such a very important event happened in Samira's life. Last week she went on her first train journey. She travelled with her family to Voi where her uncle lived. They left home at dawn and went to the SGR terminus. After purchasing a ticket, they got into the train. Suddenly, the train blew its whistle and started the journey. It seemed to Samira that the trees, houses and stations all went hurriedly back to Nairobi. She was very excited. She really enjoyed her first journey.

6. With whom did Samira travel to Voi? Her
   
   1. classmates.
   2. teachers
   3. friends.
   4. family.
7. How many times had Samira travelled by train before?
   
   1. She had never travelled.
   2. Thrice.
   3. Twice.
   4. Once
8. What did they do at the SGR terminus? They
   
   1. closed all the windows.
   2. purchased a ticket.
   3. saw trees moving backwards.
   4. enjoyed their journey.
9. Where was Samira's family living? 
   1. In Voi.
   2. At the SGR terminus.
   3. In Nairobi.
   4. We are not told.

Read the passage and then answer questions 10 to 12.

Technology refers to the use of tools, machines, materials, techniques and sources of power to make work easier and more productive. While Science is more concerned with how and why things happen, technology deals with making things happen.

Technology has brought about efficiency and quality in the manufacturing sector. Technology advancement has reduced the risk involved in manufacturing enterprises. A lot of improvement has been seen in health facilities. Technology therefore should be here to stay.

10. The passage says that technology has
    1. brought tools and machines.
    2. made work easier
    3. killed manufacturing industries
    4. increased death rates.
11. The writer says that Science is concerned with
    
    1. how and why things happen
    2. making things happen.
    3. making work easier.
    4. improving human life.
12. According to the passage, a lot of improvement has been seen in
    1. agriculture sector. 
    2. production of goods. 
    3. health facilities.
    4. some schools in the country.

Read the passage and then answer questions 13 to 15.

Matayo is a famous farmer. He keeps livestock like cattle, goats, sheep and chicken. He also grows crops like maize, potatoes and vegetables. When the work is not much, he works by himself. Sometimes his family helps him with weeding, planting or harvesting. There are times when the work is too much for him alone. He hires a tractor which ploughs the land ready for planting. Planting is done by hands. He adds manure to the soil to make it fertile.

13. Matayo works in a
    
    1. school.
    2. farm.
    3. market.
    4. butchery.
14. According to the passage, Matayo does not grow
    
    1. vegetables.
    2. potatoes.
    3. pumpkins.
    4. maize.
15. Who sometimes helps Matayo in the farm? His
    
    1. family.
    2. friends.
    3. workers.
    4. tractor.

Read the passage below. It contains blank spaces numbered 16 to 20. For each blank space, select the best alternative from the choices given.

One day, rabbit was boasting about how___16___ he could run. He was laughing at the turtle for being so___17___. Much to the rabbit's surprise, the turtle challenged him to a ___18___. The rabbit thought this was a good joke and___19___ the challenge. The fox was the ___20___ of the competition because he was fair. As soon as it began, the rabbit ran away ahead of the turtle, just like everyone thought. The rabbit got halfway point and could not see the turtle anywhere.

For questions 21 to 23. choose the plural of the underlined words

21. Mueni's tooth hurts.
    
    1. teeth
    2. tooths
    3. teeths
    4. tooth
22. Mukami is an honest lady.
    1. ladyes
    2. ladys
    3. lady's
    4. ladies
23. A big ship capsized in the ocean.
    
    1. ships
    2. sheep
    3. sheeps
    4. ship

In questions 24 to 26, choose the best word from alternatives to fill the blank spaces.

24. We have been studying ______________ eight o'clock.
    1. at
    2. for
    3. on
    4. since
25. Every citizen __________________ the right to free speech.
    1. have
    2. is
    3. get
    4. has
26. Kanini and her brother are ________________________ their kites
    1. flying
    2. flew
    3. fly
    4. flown

For questions 27 to 30. complete the sentences with the correct adverbs.

27. The man drives his van
    
    1. slowest.
    2. slowly
    3. slower.
    4. slowness.
28. The game ranger walked very
    1. caring.
    2. careless.
    3. careful.
    4. carefully.
29. Grade five learners were singing
    1. happily.
    2. happy.
    3. happier.
    4. happiest
30. Maimuna waited for her guardian.
    1. patience.
    2. patient.
    3. patiently.
    4. patients.

MARKING SCHEME

1. D
2. D
3. A
4. B
5. A
6. D
7. A
8. B
9. C
10. B
11. A
12. C
13. B
14. C
15. A
16. D
17. B
18. A
19. C
20. D
21. A
22. D
23. A
24. D
25. D
26. A
27. B
28. D
29. A
30. C

COMPOSITION  

The following is the beginning of a story. Complete it in your own words making it as interesting as possible.

I knew I could do anything I put my mind to. last holidays I decided to ................................

QUESTIONS

Read the passage below. It contains blank spaces numbered 1 to 15. For each blank space, choose the best answer from the choice.

It was as ___1___ as usual at the bank. ___2___had John finished his transaction than he heard a commotion coming from the other side of the room. Suddenly, a man dressed___3___ all black with a mask on, ___4___ into the bank brandishing a gun. He ___5___ everyone to get down on the floor and ___6___their valuables.

The bank customers were in a state of ___7___, some were crying and others were trying to hide___8___ the desks. John's heart was pounding as he9 on the floor.

The robber then jumped___10___ the counter, and commanded the cashiers to surrender ___11___ the money they had. ___12___ disobeyed. The robber put all the cash into a bag he had brought with him. As the robber was about to___13___ his escape, a security guard who was on duty entered the bank. The robber tried to point his gun at the guard but it was___14___late. He managed to disarm him and hold him ___15___ the police arrived.

In questions 16 to 18, choose the word that means the same as the underlined words.

16. The new teacher doesn't put up with poor performance.
    1. understand
    2. tolerate
    3. condemn
    4. encourage
17. The villagers managed to extinguish the fire.
    1. put down
    2. put off
    3. put away
    4. put out
18. The twins obviously take after their mother.
    1. admire
    2. follow
    3. resemble
    4. imitate

In questions 19 and 20, choose the best alternative to complete the sentences.    

19. It was _________________ hot to stand in the sun.
    1. so
    2. rather
    3. too
    4. very
20. He prefers chicken stew
    
    1. to beef stew.
    2. than beef stew.
    3. for beef stew.
    4. but beef stew.

In questions 21 and 22, select the correct arrangement to make sensible paragraphs.

21.  
    1. Moreover, a strict routine and discipline to practice is mandatory. 
    2. One must be willing to be pushed beyond their limits.
    3. To succeed in sports is a dream for many but a reality for few. 
    4. In the end, the mind and the body get into the right shape for success.
       1. (iii), (ii), (i), (iv) 
       2. (iii), (ii), (iv), (i)
       3. (iii), (i), (iv), (ii)
       4. (iii), (i), (ii), (iv)
22.  
    1. Maria and I have been great friends.
    2. We met last week for the first time in four years and it was like we never separated.
    3. It wasn't difficult to connect due to our shared interest in music.
    4. As fate would have it, we separated in the fourth Grade.
       1. (i), (ii), (iii), (iv)
       2. (i), (iv), (iii), (ii)
       3. (i), (iii), (iv), (ii)
       4. (i), (ii), (iv), (iii)

In questions 23 to 25. select the best alternative to fill the blank spaces.

23. We bought _____________________ dolls
    
    1. two other new small plastic 
    2. two other small new plastic
    3. two small new plastic other
    4. other two new small plastic
24. The _________________ pit was dug for rubbish disposal.
    
    1. feet-ten
    2. ten-feet
    3. ten-foot
    4. foot-ten
25. Mbugua was exempted _________________________ doing the work because he was ill.
    1. off
    2. from
    3. at
    4. with

Read the passage below and answer questions 26 to 38.

Whatever it was that prompted me to go to Singapore is very trivial. In fact it was an afterthought that I didn't really plan for. The most important thing was that I learnt the meaning of loneliness and the fear of getting into the unknown. I should say that it did me a world of good.

On the twenty-fifth of February this year, I was crossing into another foreign country to "seek my fortune". With the passport in my hand, I glanced over the number of stamps on the page. Suddenly, a feeling of fear overcame me. How in the world am I going to find my way in Singapore? I knew I could not retreat because I had taken up the job of a home-teacher! And all my life, my interest had never been in teaching!

So with a brave heart, I ventured into the Lion City. I was first assigned a home in Tiong, a place I had never heard of before. I consoled myself that it was difficult to get lost here, especially with the efficient bus service. When I finally reached my destination, my expectations were ruined when I was confronted with the buildings that looked the same. The flats stood up like great giants looking down at me, perhaps laughing their heads off at my helplessness. As it was already seven o'clock in the evening, I walked aimlessly in the area. People, young and old, males and females came and went, but they seemed to be more in a hurry than I was. Where they were going, I had not the faintest idea. The careless attitude in them made me sick. There I stood, and I would stand there forever if I did not venture to take the initiative myself. I picked up my courage and walked slowly to the next block.

Rather unwillingly, I asked a passing boy about the whereabouts of the assigned home. He pointed to a block nearby. Feeling relieved, I walked towards the block and realized that it was really the correct one. I hurriedly walked towards the nearest lift. Before long, I was on my way to the seventh floor. At long last, I reached my destination. For me then, happiness was having found the place! I looked at my watch. It showed just a few minutes after eight. Now I realized the one-hour of fruitless search in the dark had seemed like eternity!

Now not only do I know what loneliness really is. Now I know what fear is like. Fear and loneliness only exist when you are in the unknown. When the unknown is opened to you, automatically, fear and loneliness vanish.

26. According to the first paragraph, the writer 
    1. had really wanted to go to Singapore.
    2. had a long desire to visit Singapore. 
    3. had elaborate plan for the visit to Singapore.
    4. did not put much thought into the visit to Singapore.
27. What does the phrase seek my fortune mean?
    
    1. Looking for a job.
    2. Finding a means of livelihood. 
    3. Trying to survive alone.
    4. Gaining more experience.
28. We can conclude that the writer felt fear because
    
    1. he did not know how to find his way in the new country.
    2. he did not have anything to do in Singapore.
    3. he was already feeling the loneliness. 
    4. it was the first time to travel outside his country.
29. The writer could not get back because he had
    
    1. nowhere else to go.
    2. already crossed the border.
    3. already taken up a teaching job.
    4. started home-teaching already.
30. From the passage, we can say that the writer 
    1. had been teaching in this country.
    2. had never been keen on teaching. 
    3. found teaching an interesting career.
    4. was looking forward to home-teaching.
31. Tiong was
    
    1. a place in Lion City.
    2. a city next to Lion City.
    3. familiar to the writer.
    4. a school where the writer worked.
32. The writer thought it was not easy to lose his way in Tiong because
    1. it was a small area.
    2. the area had a good bus service.
    3. the area had many buses.
    4. the writer had visited the area before.
33. What confronted the writer the moment he got to Tiong? The
    1. houses looked very big.
    2. houses had similar colours.
    3. houses appeared the same. 
    4. area was very new to him.
34. It is true to sat that the
    1. writer was in a hurry like everyone else.
    2. town people walked towards the same direction.
    3. town people did not care about the writer
    4. people in the town were just roaming the streets.
35. The word aimlessly as used in the passage implies that the writer was walking
    1. leisurely to pass the time.
    2. to no particular destination. 
    3. slowly and lazily.
    4. hurriedly to his destination.
36. What did the writer decide to do to find the assigned-home?
    1. He asked everyone at the nearby blocks. 
    2. He asked his way from a young boy.
    3. He looked around and saw it.
    4. One of his students pointed him the way.
37. We can conclude that when the writer reached his destination, he felt
    1. surprised.
    2. amazed
    3. relaxed.
    4. relieved.
38. Which of the following is the most suitable title for the passage?
    1. Facing the fear of the unknown.
    2. Travelling to Singapore.
    3. Lost in Tiong.
    4. Fear and loneliness.

Read the following passage and answer questions 39 to 50.   

Self-esteem is a crucial aspect of one's mental and emotional well-being. It is the belief and confidence one has in their own abilities and self-worth. A person with healthy self-esteem feels positive about themselves, their abilities and their future. They trust their own abilities and feel capable of handling the challenges that life throws their way. However, when self-esteem is low, it can lead to negative thoughts and feelings, such as self-doubt, self-criticism, and a lack of confidence. This can contribute to mental health issues such as depression and anxiety.

Low self-esteem can manifest in various ways, such as constantly seeking validation from others, avoiding new experiences and opportunities or feeling inadequate in social situations. This can have a detrimental impact on one's relationships, career and overall life satisfaction. Building and maintaining a healthy self-esteem is essential for living a fulfilling life.

There are several ways to improve self-esteem. One of the most important is to practice self- compassion. Treating oneself with kindness and understanding is essential for building self-esteem. When working or studying, set realistic goals and celebrate small successes. This builds one's confidence and boosts self-esteem.

Surrounding oneself with positive and supportive people can provide a sense of validation and encouragement, which can help to build self-esteem. Engaging in activities and hobbies that bring joy and a sense of accomplishment can also be beneficial for self-esteem. Additionally, changing negative thought patterns and learning to challenge limiting beliefs can help to improve self-esteem. Finally, practising mindfulness and self-reflection can help one to understand themselves better, which can lead to a deeper sense of self-worth and confidence.

It is important to remember that self-esteem is not a fixed trait and can fluctuate over time. It is an ongoing process of self-awareness, self-care and self-improvement. Seeking help from a therapist or counsellor can be beneficial in addressing and improving self-esteem. With effort and determination, anyone can improve their self-esteem and live a happier, more fulfilling life.

39. Self-esteem emphasizes on the belief and confidence in
    
    1. personal abilities and self-worth. 
    2. appearance end self-worth 
    3. intelligence and own abilities 
    4. one's happiness and self-worth.
40. A person with a healthy self-esteem should be
    
    1. pessimistic.
    2. uncertain
    3. doubtful.
    4. optimistic.
41. All the following statements are true about self-esteem. Which one is not?!t 
    1. helps one to deal with challenges 
    2. makes one be sure of one's abilities
    3. makes one proud of past success.
    4. makes one certain of one's future.
42. How can one know that people have low self-esteem? They
    
    1. doubt and criticize themselves.
    2. feel positive about themselves.
    3. have some confidence.
    4. do away with negative feelings.
43. Depression and anxiety are caused by 
    1. a healthy self-esteem.
    2. mental diseases.
    3. anger and stress.
    4. a low self-esteem.
44. The word constantly means that same as
    1. continually.
    2. sometimes
    3. rarely.
    4. occasionally.
45. A poor self-esteem can negatively impact all the following except one's
    
    1. fulfillment.
    2. concentration.
    3. occupation.
    4. relationships.
46. Self-compassion is treating oneself with
    1. understanding and criticism. 
    2. kindness and care.
    3. satisfaction and understanding.
    4. understanding and kindness.
47. ...realistic goals are goals that 
    1. are easy to achieve.
    2. one is able to achieve. 
    3. are difficult to achieve.
    4. everybody has set.
48. Friends can boost one's self-esteem by
    1. validating and encouraging us.
    2. setting realistic goals for us.
    3. celebrating small successes with us. 
    4. having confidence in their abilities.
49. Practising mindfulness and self-reflection helps one to
    
    1. change negative thoughts. 
    2. remove limiting beliefs.
    3. understand oneself better.
    4. have a sense of fulfillment.
50. It is the writer's opinion that
    1. everybody has a high self-esteem. 
    2. it is very difficult to develop self-esteem.
    3. one's self-esteem remains constant. 
    4. anybody can develop high self-esteem.

MARKING SCHEME

1. A
2. A
3. C
4. A
5. D
6. A
7. B
8. D
9. A
10. C
11. A
12. B
13. A
14. D
15. C
16. B
17. D
18. C
19. C
20. A
21. A
22. C
23. B
24. C
25. B
26. D
27. B
28. A
29. C
30. B
31. A
32. B
33. C
34. C
35. B
36. B
37. D
38. A
39. A
40. D
41. C
42. B
43. D
44. A
45. C
46. D
47. B
48. A
49. C
50. D

 Read the following conversation and then answer questions 1 to 5.   

Toti:         Hello Hamsa. How are you doing? You have really grown tall this year. Almost the height of our class teacher Mr. Tosha.
Hamsa:   Haa! Toti I'm doing well. You have grown tall as well. Christmas was well with you, right? As a matter of fact, you are already taller                   than Mr. Tosha!
Toti:         I think this has been made possible because I have always followed the rule of three that Ms Kobole taught us.
Hamsa:   The rule of three? What is that? During all of her lessons in Home Science, I have never heard of such.
Toti:         Ob! Hamsa. I can remember that the day the teacher taught us that, you had gone for a competition in Marema school. The rule                    of  three simply means eating a meal with the right amounts of energy giving foods, protective foods and body building foods. 
Hamsa:    In other words, a balanced diet, ult?
Toti:          Exactly. This has really helped me maintain good health.
Hamsa:    I have actually been doing the same. Additionally, I have been drinking enough of clean and safe water and exercising regularly.
Toti:         That is right Hamsa. In our meals, we also need to include minerals such as iron, phosphorous and calcium.

1. According to this conversation, what is the similarity between Toti and Hamsa?
   1. They are both short boys.
   2. Both of them are taller than their class teacher.
   3. They have both grown tall.
   4. Both of them have grown short.
2. Where was Hamsa when Toti learned about the rule of three from Ms Kobole?
   
   1. At home. 
   2. in the field.
   3. Playing. 
   4. In Marema school.
3. In simpler terms, the rule of three means,eating
   
   1. fruits and vegetables.
   2. a balanced diet.
   3. adequate food.
   4. food in adequate amounts.
4. According to the conversation, the rule of three doesn't involve
   
   1. locally available foods.
   2. body building foods.
   3. energy giving foods.
   4. protective foods.
5. All the following minerals have been mentioned in the passage except
   1. iron.
   2. vitamins.
   3. calcium.
   4. phosphorous.

Read the passage and then answer questions 6 10 9.   

Every child has a number of rights, some of which they know and some they don't. A child enjoys the right to education when he or she is taken to school and all the academic needs met in good time. Right to shelter is enjoyed when a child is provided with somewhere good to live. This protects them from harsh weather conditions like cold. Children must also be provided with nutritious meals as a way of meeting their right to good food. Other rights include right to play which helps them relate well with their friends and agemates and right to air their views. However, they should know their responsibilities both in school and at home. For instance, it is their responsibility to help in cleaning and taking good care of property. -

6. A child enjoys his or her right to education when
   
   1. his or her parent provides good clothes 7. for him or her.
   2. he or she is exposed to academic activities and needs met early enough.
   3. his or her parent gives him or her good food.
   4. he or she is allowed to air his or her views
7. According to this passage, how is right to play helpful to a child? It makes them
   
   1. pass school tests.
   2. grow stronger and stronger.
   3. interact with their friends.
   4. open minded.
8. Which one of the following child rights has not been highlighted in the passage? Right to
   1. play.
   2. education.
   3. entertainment. 
   4. feeding.
9. The writer says that it is the responsibility of a child to
   
   1. help in cleaning and take care of property.
   2. help in cleaning.
   3. take good care of proper
   4. provide basic needs for his or her family.

Read the passage and then answer questions 10 to 12.    

Many people, especially the young ones, do not really understand or even imagine how people in the past stayed without clothes on them or just had pieces of animal hides and skins barely covering their bodies, imagining this even looks funny. Look at this, young boys and girls seated naked and their teacher gets in class with parts of the body visible to all!

Nowadays, clothes are made in all styles and fashions for all people, young and old. There are suits, vitenge, scarfs, headgears and ties. Others wear necklaces, bracelets, bangles, earrings and others. A part from clothing, there are fashion shows which are organized where different designers bring models who wear their styles and compete infront of judges and spectators.

10. What is unimaginable to many people?  How
    
    1. people lived in the past.
    2. clothes were made in the past.
    3. people stayed without clothes in the past.
    4. old people made clothes in the past.
11. What was used in the past as clothes?
    1. Animal hids and skins.
    2. Pieces of animals.
    3. Pieces of papers.
    4. Leaves and grass.
12. Who bring mods to fashion shows?
    1. Competitors.
    2. Designers.
    3. Judges.
    4. Spectators.

Read the pessage and then answer questions 13 to 15.   

I hardly slept that night. I kept on thinking about the following day. We were to have a schoo! trip to Amboseli National Park. Those who had paid for the trip were lucky. They would see many animals like zebras, elephants, gazelles, buffaloes and giraffes among others. My parents had made the payment and I would accompany the other pups.

We were to travel by bus. The bus arrived very early in the morning. The class teacher read the list as we boarded the bus. I selected a seat next to the window where I would enjoy locking outside as we travelled.

13. The writer kept on thinking about
    1. the animals they would see.
    2.  the next day.
    3. Amboseli National Park.
    4. those who were lucky.
14. According to this passage, who were unlucky? Those who
    
    1. would see different animals.
    2. never paid for the trip.
    3. paid for the trip.
    4. were in the writer's class.
15. The writer would accompany other pupils because
    
    1. they had paid for him. 
    2. their class teacher said so.
    3. he liked their company. 
    4. he had paid for the trip.

Read the passage below. It contains blank spaces numbered 16 to 29. For each blank.space. select the best alternative from the choices given.

I love school ____16____ a lot. This is because I get more time to do what I love. Teachers sometimes give us assignments to keep us ____17___ during this period. They know we usually don't read our___18___ and this makes us forget everything we learn during the school term. I ____19____ my assignment within the first two weeks so that I have the rest of the time to ____20____.

For questions 21 to 23. choose the correct question tags to complete the sentences.

21. Yesterday you were late for classes,
    1. were'nt you?
    2. were you?
    3. aren't you?
    4. are you?
22. I am the tallest basketball player,
    1. am I?
    2. aren't I?
    3. can't I?
    4. isn't it?
23. She did not come to school yesterday,
    1. didn't she?
    2. did he?
    3. did she?
    4. didn't she?

For questions 24 10 27. choose the correct conjuctions to complete the sentences.

24. Muthoni won the race ________________ was given a trophy.
    1. but
    2. and
    3. yet
    4. because
25. France played very well _________________ lost the final to Argentina.
    1. also
    2. or
    3. but
    4. for
26. You can either buy a smartphone _______________ a new suit.
    1. or
    2. because
    3. for
    4. since.
27. We have been here __________________  eight in the morning.
    
    1. but
    2. for
    3. yet
    4. since

For questions 28 to 30, choose the best alternative to complete the given sentences.   

28. There wasn't ___________________ milk in the jar.
    
    1. some
    2. a lot of
    3. lots of
    4. a lot
29. Elders are people who have lived
    1. more.
    2. life.
    3. a lot.
    4. a lot of.
30. My mother _______________ an apple everyday.
    1. bought
    2. but
    3. buying
    4. buyer

MARKING SCHEME

1. C
2. D
3. B
4. A
5. B
6. B
7. C
8. C
9. A
10. C
11. A
12. B
13. B
14. B
15. D
16. A
17. B
18. C
19. D
20. A
21. A
22. B
23. C
24. B
25. C
26. A
27. D
28. B
29. C
30. A

COMPOSITION

DO NOT JUDGE A BOOOK BY ITS COVER

QUESTIONS

Read the passage below. It contains blank spaces numbered 1-15. For blank spaces choose the best alternative from the choices given

I ___1___to study late ___2___ the night to prepare for my essay. ___3___ in the hall ___4___ everyone also was ___5___, a ___6___ slight noise frightened me. I ___7___ that ___8___ was someone ___9___me.
Every time the curtain ___10___ in the ___11___, my heart missed ___12___. When my ___13___ dog ___14___, I broke ___15___  in goose bumps.

For questions 16-18, choose the correct form of adjective 

16. Joy is my ____________________ sister.
    1. older
    2. eldest
    3. more old
    4. elder
17. Of the twins, Tom is the ______________________ one.
    1. clever
    2. more cleverer
    3. cleverer
    4. cleverest
18. Nairobi is the ________________ city in Kenya.
    1. most populous
    2. more populous
    3. most pepulace
    4. most dense

For questions 19-20, complete appropriately

19. Do you prefer coffee______________ tea?
    1.  or
    2. and
    3.  to
    4. with
20. Scarcely had I walked in, ____________-
    A. than he arrived
    B. when he arrived
    C. as he arrived
    D. unitl he arrived

Use the correct form of the verb in the following questions.

21. None of my friends __________________ that has been going on.
    A. attend
    B. are attending
    C. attends
    D. attending
22. Either Kay or her friends ___________________ come.
    A. have
    B. has
    C. is
    D. were being

For questions 23-25, select the best preposition.

23. I told him _____________________ his face that he was a disgrace to our family.
    
    1. on
    2. in
    3. at
    4. to
24. How much money do you have, __________________ you?
    1. by
    2. with 
    3. in
    4. on
25. We congratulated them _____________________________ their incredible performance.
    
    1. for
    2. on
    3. with
    4. of

Read the passage below to answer questions 26-38

Is it possible to predict the future? Can we know something before it has taken place? For those of us who do not think it possible, let us look at the case of Janet Henley.

One day, Janet, a colleague of Linda's, a nurse, told Linda that she had dreamt something terrible. Apparently, in her dream, Linda was trapped in a store-room in the hospital and fire was engulfing her. Janet could not remember the ending to the dream. Linda laughed it away as "Overwork!" The dream came again two days later. This time, she saw Linda trying hard to escape but unable to do so because the door was stuck. However, Janet also saw a large hammer in the corner of the room. She related the events to Linda again. Two days later, she dreamt the same thing again. This time she was scared as the number ten kept appearing too.

She got up the next day and felt depressed When she reached the hospital, she realized that the date that day was the tenth. She told Linda, "Please be careful - remember my dream - it's the tenth today." Linda shrugged it off as another crazy dream

At about eleven in the morning, Linda had to get some plasters and bandages for an emergency case from the store-room. As she was rummaging through the shelves for more bandages, she smelt smoke. Before she knew it, there was an explosion and bottles started cracking in the heat. She ran to the door to escape and found it locked. Suddenly, she remembered Janet's dreams. Looking around her frantically, she saw a large hammer leaning against the wall! She grabbed it quickly, broke the lock and scrambled out to safety.

After the firemen had put out the fire and everyone was safe, Linda related what had happened in the store-room to Janet. She added, "I remember you saying there was a hammer in your dream. You know what - that's what saved me. You are psychic!"

It was a scary thought for Janet but she was pleased that her dreams had saved Linda. She never dreamt anything like that again but she could never understand how she knew about the fire.

Was it really a dream or was it a premonition? Was it God's way or just a fantastic coincidence? As you can see, there is no rational explanation — or, at least, I cannot think of one. Can you?

26. According to paragraph one, it's true to say that
    
    1. It is not possible to predict the future. 
    2. Everyone thinks it's impossible to predict the future.
    3. Some people believe it's possible to predict the future.
    4. We always know things before they happen.
27. What was Janet's first dream about Linda?
    1. Linda was killed in a fire.
    2. Linda was trapped in a lift with fire engulfing her.
    3. There was a hammer in a corner
    4. Linda was trapped in a store-room with fire engulfing her.
28. What would the meaning of the word colleague be as used in the passage?
    
    1. Workmate
    2. Acquaintance
    3. Ally
    4. Antagonist
29. According to Linda, Janet's dreams were as a result of
    
    1. tension
    2. anger
    3. burnout
    4. exhaustion
30. On the night before the actual fire, Janet
    
    1. was very depressed
    2. dreamt about the number ten
    3. slept well
    4. dreamt that Linda managed to escape
31. What did Janet think the number ten meant in her dream?
    
    1. Linda would be trapped at ten O'clock 
    2. It would happen on her tenth birthday
    3. Linda would be caught in the fire on the tenth
    4. Ten bottles would explode in the store-room
32. Linda went to the storeroom because
    1. she needed some peace
    2. there was an explosion
    3. she had to get some medical items there 
    4. she was to swathe bandages and plasters
33. Linda believed in Janet's story when
    1. Janet said, "I told you!"
    2. She found herself locked in the storeroom C
    3. The fireman arrived
    4. She saw the bottles exploding
34. What saved Linda from dying in the fire?
    1. The broken lock
    2. The hammer in Janet's dream and its position
    3. The explosion broke the lock
    4. The firemen saved her
35. Janet was scared when the whole incident was over because
    1. her friend was safe
    2. the store-room was on fire
    3. the firemen arrived late
    4. her dream became reality
36. Was the whole thing a dream? 
    1. It was coincidence
    2. There was no explanation for what happened
    3. It was God's way
    4. It was only a dream
37. Who is a psychic?
    1. A person who sees a hammer in a dream
    2. A person who can predict a fire
    3. A person that is able to know what ma happen in future
    4. A nurse with special power
38. What is a suitable title for the passage?
    1. Premonition
    2. Friendship
    3. Crazy dreams
    4. A fire

Read the passage below to answer questions 39-50   

A visit to a healthcare provider is often not a very exciting undertaking. Patients and their family members are in an uneasy state during the time. Many healthcare professioanls that we interact with during such visits do not make it any better.

Most of us have come across cold doctors, harsh nurses, insensitive dentists, slack laboratory assistants, unhelpful pharmacists among other not-so- caring healthcare professionals. Experience with such staff makes patients feel worse about their medical condition.

Why is customer experience in healthcare lagging? Why are our experiences in hospitals, doctors' and dentists' clinics laboratories, pharmacies and other health-service providers frequently below par?

Two to three decades ago, healthcare services in Kenya were mainly public. Growing up, those were our natural choices, locally, we had a renowned health centre for outpatient services, there was the general hospital and a few missionary hospitals not too far away. This may not have been the case for every Kenyan. Today, it is different both public and private healthcare servies in most counties are a stone's throw away and some are next to each other. The number of healthcare providers has soared.

Most patients are spoilt for choice. Despite this, many of our local providers do not seem to have improved their experience considerably. The healthcare industry seems to be trailing in its focus on the customer. Kudos to the few providing an exceptional experience.

In the public sector, healthcare services continue to face a myriad or indequancies. There has been frequent labour unrest. There is also lack of adequate supplies, and facilities are poorly maintained. As a result, most Kenyans continue to experience sloppy public healthcare services. The customer
experience in public heathcare certainly needs improvement.

39. According to the paragrah one, a visit to a health care provider
    
    1. is a walk in the park
    2. B. is a tall order
    3. is a rosy affair
    4. is a professional one
40. Who among the followng is not a healthcare professional?
    
    1. Doctors
    2. Laboratory assistants
    3. Quacks
    4. Pharmacists
41. The word slack has been underlined. What does it mean according to the passage?
    
    1. Loose
    2. Quiet
    3. Calm
    4. Lazy
42. According to paragraph four sentence one, it is true to say that
    
    1. there were no private hospitals then 
    2. healthcare services were topnotch
    3. there were few private hospitals
    4. there were many private hospitals
43. Three decades is equivalent to
    1. thirty years
    2. three years
    3. ten years
    4. three hundred years
44. The number of healthcare providers has soared, means that they have
    1. become better
    2. gone up
    3. improved
    4. stagnated
45. Most patients are spoilt for choice means that patients
    1. have fewer choices
    2. have spoilt the healthcare provides
    3. have a wide array of hospitals to choose from
    4. cannot decide what to do.
46. Who is the customer mentioned in paragraph six?
    1. The doctor
    2. The patient
    3. The professional
    4. The healthcare providers
47. Which one of the following is not an inadequacy in the healthcare services?
    1. Cheap drugs
    2. Poor maintenance of facilities
    3. Inadequate medicines
    4. Strikes by doctors
48. The customer care in public healthcare is
    1. good
    2. wanting
    3. impressive
    4. okay
49. A stone's throw away as used in the passage means
    1. by the road
    2. near a quarry
    3. very near
    4. in the outskirt
50. The best title for the passage would be
    1. A visit to a hospital
    2. Patients and doctors confidentiality
    3. Minimising patients pain by healthcare providers
    4. Private healthcare providers