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Embed code for: Reading Practice Test for LEE-3
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This is the third reading practice test for Level Exit Exam for the Foundation Program
1 Part A: Circle T if the statement is true and F if it is false. 1. Vitamin D helps absorb dietary calcium and phosphate. T F 2. Taking too much of vitamin D can become toxic to the body. T F 3. A Birmingham Lab testing has revealed that a large number of people had Taken a higher dose of vitamin D. T F 4. Taking supplementary vitamin D is compulsory during the Autumn and Winter For the British every day. T F 5. Deficiency of vitamin D can cause diseases related to bones of human body. T F Part B: Circle the best answer from the options given below. 6. What is the main idea of paragraph 3? a. The diseases that can cause due to the deficiency of vitamin D. b. How much vitamin D is needed to take by people. c. How older people should take vitamin D. 7. What is the main idea of paragraph 4? a. people with limited exposure to the sun can suffer from vitamin D deficiency. b. It discusses how obesity can lead to deficiency of vitamin D. c. It describes the types of people who are at risk of vitamin D deficiency. Part C: Circle the best answer 8. Choose the word closet in meaning to optimum in paragraph 2 from the options given below. a. minimum b. improvement c. ideal 9. Chose the word opposite in meaning to absorption in paragraph 4 from the options given below. a. digestion b. emission c. depletion Part D: Write short answers to the questions below. 10. According to European Food Safety Authority, what is the maximum level of vitamin D recommended for adults? ____________________________________________________________________________ 11. According to Dr. Sarah, what can cause some health complications due to excessive vitamin D? ____________________________________________________________________________ 2 12. Why do British people have vitamin d deficiency during autumn and winter? ____________________________________________________________________________ 13. What advice does Rob Hobson give to people to meet their vitamin D requirement? ____________________________________________________________________________ Part E: Complete the table with information from the text. Figures Fact Figure 50% 14.__________________________________________________________ 15._______ samples of blood were tested by a Birmingham Lab Part F: Fill in the missing words in the text below. Choose words from the box. There are two extra words Your doctor will start by taking your health 16. __________________ to determine if you’ve been experiencing symptoms that could indicate 17. ________________ D deficiency. A doctor will likely order a blood 18. _____________ for the serum concentration of 25(OH)D. This is the type of vitamin D that 19. _________________ in the blood. It’s considered a good reflection of how much vitamin D you’ve 20. __________________ from sun exposure and taken in from foods. If your vitamin D levels are low and you’re having 21. ______________ of bone pain, a doctor may recommend a special 22. ______________ to check for bone density. Doctors use this painless scan to evaluate a person’s bone health. Doctors often 23. ________________ vitamin D deficiencies by prescribing or 24. ___________________ vitamin D supplements. The amount you should take usually 25. __________________ on how low your vitamin D levels are. (Retrieved from http://www.healthline.com/health/vitamin-d-deficiency?m=0#Complicate) absorbed history recommending depends circulates symptoms test treat scan vitamin sample give 3 Too much of THIS vitamin could be TOXIC - symptoms include diarrhea and headaches By Olivia Lerche Adequate intakes of Vitamin D are needed to absorb dietary calcium and phosphate, and to maintain healthy bones, muscles and immunity. As it is fat soluble, however, excess vitamin D stays in the body and high intakes can build up to toxic levels. A Birmingham lab that provides a vitamin D blood testing service found that, out of 14,806 samples tested, 454 - 3.1 per cent - had vitamin D levels within the toxic range. In most cases, this resulted from taking vitamin D supplements at doses above 100mcg (4,000 IU) per day. Some had taken doses as high as 300,000 IU to 900,000 IU in the form of a liquid supplement, which is crazy and dangerous without medical supervision.” Public Health England recently recommended that everyone takes a supplement supplying 10mcg (400 IU) vitamin D per day during autumn and winter. This is viewed as a minimum amount to prevent deficiency diseases such as rickets and osteomalacia - bone softening in adults). Higher intakes of 25 mcg to 50mcg vitamin D3 may be more appropriate to maintain optimum blood levels, especially in older people who have reduced dietary absorption. The European Food Safety Authority have set a tolerable upper intake level, for adults, of 100mcg (4,000 IU) vitamin D per day from all sources – food and supplements, although typical dietary intakes are only around 3 mcg per day. Higher intakes of vitamin D3 are sometimes needed, but these should ideally be used under medical supervision as high concentrations are toxic. Dr Sarah Brewer, GP and Medical Director at Healthspan said: “Excess vitamin D leads to raised levels of calcium which can cause headache, loss of appetite, nausea, vomiting, diarrhoea or constipation, palpitations and fatigue.” Vitamin D deficiency is common in the UK, especially during autumn and winter, when UV levels are too low for us to synthesis vitamin D in the skin. Research has revealed more than 50 per cent of adults have insufficient levels of vitamin D, while 16 per cent have severe deficiency during winter and spring. People who are most at risk of vitamin D deficiency include pregnant and breast-feeding women, teenagers and young women, infants and children under the age of five years, people aged 65 and over, those with limited sun exposure, housebound, wearing clothes that cover all the skin, or using sunblock and people with darker skin, people with inflammatory bowel disease and other bowel conditions associated with poor fat absorption. Obesity can also lead to deficiency as vitamin D is fat soluble, and higher intakes are needed to maintain adequate blood levels. Symptoms of vitamin D deficiency can include constipation, muscle weakness, irritability, depression and an increased susceptibility to infection. Severe vitamin D deficiency will cause bone pain, affect growth and lead to bone deformities in children (rickets) and bone softening in adults (osteomalacia). Rob Hobson, Healthspan Head of Nutrition said: “Vitamin D is found in liver, oily fish, cod liver oil, eggs and fortified foods. Dietary intakes are less than 3mcg per day, however, which makes supplements particularly important during autumn and winter, and for older people.” If you spend short periods of time in the sun on most days, without sunscreen, from early April to the end of September, (without burning) you should make sufficient vitamin D to meet your needs if the UV index is greater than 3. (Retrieved from http://www.express.co.uk/life-style/health/780355/vitamin-D-deficiency-) ___________ vitamin D deficiencies by prescribing or 24. ___________________ vitamin D supplements. The amount you should take usually 25. __________________ on how low your vitamin D levels are. (Retrieved from http://www.healthline.com/health/vitamin-d-deficiency?m=0#Complicate) absorbed history recommending depends circulates symptoms test treat scan vitamin