Subscribe Us

Header Ads

Upstream Intermediate B2 Unit 5

Hamdi Ahmad Sultan November 21, 2025
‘Routine’ is usually seen as a negative term nowadays, largely because we no longer belong to a society of nine-to-fivers. We live in what is fast becoming a 24- hour society, where everything is open all hours. You can buy your groceries at midnight, book your holiday on the Internet at 3 am, and do business online at the crack of dawn. Before you join the 24-hour revolution , however, take a minute to listen to what your body is trying to tell you – that a round-the-clock lifestyle is not what nature intended.
In an area of our brains called the hypothalamus, we have a ‘body clock’ that controls our body’s natural rhythms. It tells us when it’s the right time to eat, sleep, work and play. It plays an important part in our physical and psychological well-being. It is, in fact, what makes us tick and it controls many things including our hormones , temperature, immune functions and alertness. It synchronises all these like a conductor with an orchestra; it regulates tempo and brings in all the different instruments on time to make music rather than random noise. If we try to ignore our body clocks, or even to switch them off for a while, we not only deprive ourselves of much needed rest but we also run the risk of seriously damaging our health.
Ignoring your body clock and changing your body’s natural rhythms can not only make you depressed , anxious and accident prone , it can lead to much more serious health problems. For example, heart disease , fatigue , ulcers , muscular pain , and frequent viral infection can all result from trying to outsmart our body clocks. Altering our patterns of sleeping and waking dramatically affects our immune system . While we sleep the body’s repair mechanisms are at work; when we are awake natural killer cells circulate around our bodies and cause more damage. Our digestive system is affected, too – high levels of glucose and fat remain in our bloodstream for longer periods of time and this can lead to heart disease.
Unfortunately, we were not designed to be members of a 24-hour society. We can’t ignore millions of years of evolution and stay up all night and sleep all day. We function best with a regular pattern of sleep and wakefulness that is in tune with our natural environment. Nature’s cues are what keep our body clocks ticking rhythmically and everything working in harmony . So, next time you think a daily routine is boring and predictable , remember that routine may well save your life in the long run.

Ex:5 a page 72
Look at the table and match the problems with the symptoms.

Matching Exercise

1. can't sleep d heat stroke
2. a bloated, painful stomach a insomnia
3. headache, fever, aching muscles c flu
4. high temperature, nausea, dizziness g overtired
5. a painful muscle contraction e cramp
6. difficulty breathing, wheezing h hay fever
7. can't stop yawning b indigestion
8. runny nose, sore eyes, sneezing i acne
9. sports and red lumps on the face and neck f asthma

Ex: 5 a page 72
Look at the table and match the problems with their causes

Matching Exercise


Ex: 6 a page 72
Match the words in column A to those in column B to make collocations

1. splitting h cold
2. black b eye
3. sprained c wrest
4. travel e muscle
5. pulled a headache
6. food f poisoning
7. sore i bleed
8. streaming d sickness
9. nose g throat

Ex: 5 b page 72
In pairs, use the table to talk about health problems, as in the example. Which of these problems have you experienced? Click n drop words from the box into the gap.

1. If you have difficulty breathing and you are , then you probably have asthma. This is usually caused by an to dust or animals.
2. If you can't sleep then have probably got . This is usually caused by stress or anxiety.
3. lf you can't stop yawning, then you are probably . This is usually caused by not getting enough sleep.
4. lf you have a headache, fever and aching muscles then you've probably got . This is usually caused by .
5. lf you have a painful muscle contraction, then you've probably got This is usually caused by doing too much .
6. If you have spots and red lumps on the face and neck then you've probably got . This is usually caused by under the skin.
7. If you have a high temperature, nausea and dizziness then you've probably got , This is usually caused by spending too much in the sun.
8. If you have a runny nose and sore eyes and you can't stop sneezing, then you've probably got. This is usually caused by an allergy to .
9. If you have a bloated, painful , then you’ve probably got . This is usually caused by eating too much, too quickly.

Ex: 6 a page 72
Match the words in column A to those in column B to make collocations, then say what might give you each problem. Click n drop words from the box into the gap.

1. You may get a if you are in a fight.
2. You may get a wrest if you play tennis.
3. You may get travel if you sit in the back seat of the car.
4. You may get a pulled if you play sports without warming up properly beforehand.
5. You may get food if you eat meat that hasn't been cooked properly.
6. You may get a throat if you have a cold.
7. You may get cold if you get wet on a cold day.
8. You may get a nose if you fall over.
9. You may get a headache if you work on a computer for too long.

Ex: 6 b page 72
Match the collocation with the advice

1. If you have a black eye, a you should put some ice on it
2. If you have a sprained wrest, f you should suck a throat lozenge.
3. If you have a travel sickness, c you should get some fresh air.
4. If you have a pulled muscle, d you should rest the injured part.
5. If you have food posoning, g you should ask the doctor to prescribe some medicine.
6. If you have a sore throat, e you should drink plenty of fluids.
7. If you have a straeming cold, h you should pinch your nose.
8. If you have a nose bleed, b you should put it in a sling.

Ex: 9 a page 73
Fill in the gaps with words from the box. Click n drop words from the box into the gap.

1. I find visiting an art gallery quite .
2. I.m not very fond going to art galleries.
3. I'm quite keen strolling through the park.
4. I really love hiking.
5. I am not very in hiking but I enjoy camping.
6. I prefere getting with friends to going shopping.
7. I prefer reading a good book going to he cinema.
8. I the North Coast to Sharm El Sheikh for a summer holiday.
9. I'd rather go cycling go to the gym.
10. I'd listen to music than play music.
11. I'd rather a photo with the famous scientist than his in an autograph.
12. Which do you prefer more watching TV playing computer games?

Ex: 10 a page 73
Fill in the gaps with suitable form of words from the box. Click n drop words from the box into the gap.

1. I felt (disappoint) when I failed the test.
2. Failing the test was (disappoint).
3. I felt (thrill) when I went on the roller coaster.
4. Going to the roller coaster was (thrill).
5. I felt (tire) after I went to the gym.
6. Going to the gym was .
7. I felt (embarrass) when I fell down the stairs.
8. Falling down the stairs was (embarrass).
9. I felt (frighten) when I heard the explosion.
10. Hearing the explosion was (frighten).
11. I felt (excite) when I saw Dr. Magdy Yacoub.
12. Seeing Dr. Magdy Yacoub was .
13. I felt (annoy) when I was stuck in a traffic jam.
14. Being stuck in a traffic jam was (annoy).
15. I felt (fascinate) when I saw the dinosaurs in the museum.
16. Seeing the dinosaurs in the museum was .
17. I felt (confuse) when I heard about the problem.
18. Hearing about the problem was .
19. I feel (relax) when I listened to music.
20. Listening to music is (relax).
21. I feel (bore) when I have nothing to do.
22. Having nothing to do is .
23. I felt (relieve) to be back home at last.
24. Being back home at last is .

Ex: 12 a page 73

Match the character adjetives to the definitions.

1. sociable c hate change/new ideas
2. sentimental h can be trusted
3. conervative b show pity/love
4. perfectionist f be sure of your abilities
5. arrogant j can't wait for long
6. confident e think you are better than others
7. moody d want things to be perfect
8. relaible i make sensible decisions
9. practical g change feelings frequently
10. impatient a like going to parties

Ex: 10 b page 73
Fill in the gaps with adjectives from the box. Click n drop words from the box into the gap.

1. Rob is a very person. If he isn't attending a party, he is giving a aprty at his home. He is always among his friends.
2. My manager is a person. One minute he is smiling, another he is shouting at everybody.
3. I think Bill is s a , because he wants everything to be perfect, and won't accept any falts.
4. I wouldn't say Sarah is , because she certainly does not think she is better than other people.
5. James is very because he can always be trusted to do what you want him to do.
6. He is a very person. He always looks like he's wearing his father's clothes.
7. Being in your abilities is something and being is another thing. Ther's a thin line between the two feelings.
8. Sarah is a person. She got rid os the dining room and turned it into a children's room. They don't receive any guests after all.
9. He is a good teacher, but sometimes he is a bit with slow learners.

Made with ♥ Hamdi Ahmed Sultan | Teacher of English. Damanhur, Egypt| © 2025



Ex: 13 page 74
Read the sentneces and match the verbs/modals in bold to their meanings

1. Surgeons must wear masks during an operation. b It would be a good idea.
2. You ought to have an annual check-up. f It is not necessary. but you can if you want.
3. You must clean your teeth every day. c This is important; it is essential.
4. You need to sleep for at least 7 hours a night. d it is important that you do this.
5. You mustn't smoke in here. g it would be a good idea not to do this.
6. You don't have to drive me to the station. e You are not allowed to do this. It is forbidden.
7. You shouldn't be rude to your mother. a This is necessary.

Ex: 14 a page 74
Use the prompts and make up three sentences each about doctors and nurses. Click n drop words from the box into the gap.

1. Doctors study medicine at university.
2. Nurses do shift work.
3. Doctors visit their patients at home.
4. Nurses be impatient.
5. Doctors be kind to patients.
6. Nurses enjoy working with people.
7. Doctors work long hours.
8. Doctors explain treatment to their patients.
9. Patients listen carefully to their doctor's advice.
10. Patients tell their doctors what medicine they are taking.
11. Patients take any medication without a doctor's prescription.

Ex: 19 page 74
Match the modals in bold to their meaning.

1. I should have phoned my mum on her birthday. d He didn't do it, because it became unnecessary.
2. You needen't have bought a ticket, because we had an extra one. f He didn't do it, because it wasn't necessary.
3. He ought not to have shouted at his neighbour. b He did it, although it was not necessary.
4. Jim drove me to work, so I didn't have to walk. e He didn't have the ability to do it.
5. He couldn't / wasn't able to play football until his leg healed. a He didn't do it although it was necessary.
6. He didn't need to go to the supermarket, because his wife had already done the shopping. c He did it but it was the wrong thing to do.

Ex: 20 page 75
Fill in could(n’t) have, ought (not) to have, needn’t have, should(n’t) have or didn’t need to. Click n drop words from the box into the gap.

1. We took our time because we be there until 11 o'clock.
2. You / gone to see a doctor if you were feeling so ill.
3. Andy / said that to Julie. He really upset her, didn't he?
4. I was busy last Saturday, so I gone to his party even if I'd wanted to.
5. You come to pick me up - there are plenty of taxis.
6. He / arrived by now, because he left at least an hour ago.
7. If you had sprained your ankle, you / walked here.
8. You / let Paul know what we were doing - he was waiting for us.
9. We take an exam at the end of the course.

Ex: 23 b page 75. .Fill in the correct question tags. Click n drop words from the box into the gap.

1. They bought some flowers, ?
2. He hasn't called yet, ?
3. Ann looks tired, ?
4. Stop talking. / ?
5. Let's have dinner together, ?
6. He will keep our secret, ?
7. You booked the tickets, ?
8. We are going out tonight, ?
9. Dad will be on time, ?
10. She won't forget, ?

Ex:24 a page 75
Fill in the gaps with the correct prepositions. All prepositions are used more than once. Click n drop.

1. Look! That dress is identical the one Jane was wearing last night.
2. I think he is jealous Sally because of all the money she is making.
3. We offered to hep her but she insisted doing it herself.
4. James thinks it's an excellent plan but I am not so keen the idea.
5. Everyone has been very kind me since the accident.
6. That book made a really strong impression Emma. She can't stop talking about it.
7. Come to the fair. Everyone is welcome to join .
8. I recent years there has been a large increase the number of people who take regular exercise.
9. The tests are identical those carried out last year.
10. She had always been very jealous her sister's blonde hair.
11. She insisted seeing her lawyer before she said a single word.
12. Mike made quite an impression the girls at the tennis club.

Matching Quiz #25
Match the beginnings and endings


Ex: 25 page 76
Fill in the correct particles, then explain the phrasal verbs. click n drop.

out . off . for . round . with . give . (a)round . after . going . down . goes . up . away . on . back
1. I have seen this film before. Don't worry - I won't give the ending.
2. The fire was giving a lot of heat.
3. The car was running fine this morning but on the way home the engine suddenly gave .
4. It was obvious that they would lose, but they still wouldn't give .
5. he said he would do it - I can't believe he went on his word.
6. I feel very ill today; I hope I am not going down flu.
7. Erica left a bit suddenly, maybe you should go her and check she's OK.
8. The dog went him when he tried to open the gate.
9. I'm afraid there won't be enough food to go .
10. The shop is giving a sample pack to every customer.
11. That new oil-heater doesn't give much heat.
12. At the end of the race his legs gave and he couldn't move.
13. Don't offer him a cigarette; he's trying to give .
14. We still haven't given hope of finding her alive.
15. The government went back its decision to close the mines.
16. She's gone on the appointment. She's not coming.
17. Half of our class has gone with flu.
18. The police went him but he got away.
19. Our dog always for the postman.
20. Aren't you going that scholarship to Harvard University?
21. Are there enough sandwiches to go ?
22. More unusual diseases are round these days.
23. Al Ahly won't away the name of the new player.

Matching Quiz #29
Match the beginnings and endings


Ex: 29 page 77
Fill in the gaps with phrases from the box. click n drop.

1. Stop - I didn't say you looked fat in the red dress - I said you looked very slim in the black.
2. It's going to be a good summer - .
3. You need to work in the accident department.
4. This secret kept worrying me; I'm glad to .
5. Martin loves chocolate and biscuits. He's really got .
6. Thanks for listening. I needed to .
7. There's something wrong with the car but I can't .
8. Surgeons need to have so that the sight of blood and injuries wouldn't shock them.
9. I'm sure something is going to go wrong today. I can .
10. I didn't say that. Please don't .
11. The boss told a few jokes when the meeting started.
12. Did you see Sarah of the English teacher?
13. He said that he would think about it, but in fact he had .
14. She has . She never stays in one place for more than a month and she goes traveling again.
15. I think Professor Jones has really with his latest invention.|

full-width

Made with ♥ Hamdi Ahmed Sultan | Teacher of English. Damanhur, Egypt| © 2025

Tags

Post a Comment

0 Comments

Thanks for you comment