UNIVERSITI TEKNOLOGI MARA FINAL EXAMINATION
COURSE COURSE CODE EXAMINATION TIME
INTERMEDIATE ENGLISH / MAINSTREAM ENGLISH II BEL260/250 APRIL 2010 3 HOURS
INSTRUCTIONS TO CANDIDATES 1. This question paper consists of two (2) parts : PART A : Section 1 (5 Questions) Section 2 (6 Questions) Section 3 (5 Questions) PART B : (1 Question) 2. 3. Answer ALL questions from both parts in the Answer Booklet. Do not bring any material into the examination room unless permission is given by the invigilator. Please check to make sure that this examination pack consists of: i) ii) the Question Paper the Answer Booklet - provided by the Faculty
DO NOT TURN THIS PAGE UNTIL YOU ARE TOLD TO DO SO
This examination paper consists of 10 printed pages
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PART A: READING COMPREHENSION (20 MARKS) Section 1: Passage I (5 Marks) Study the table below and answer the questions that follow. SLEEP PROBLEMS AND DISORDERS TYPES • Insomnia - Almost everyone will be affected by insomnia at some point. It is a short-term chronic inability to get high quality sleep. It can be caused by a variety of reasons including stress, a change in time zones, an altered sleep schedule and poor bedtime habits. • Sleep apnoea is a very serious, and even lifethreatening sleep disorder. Breathing stops or gets very shallow while sleeping. Each pause in breathing lasts about 10 to 20 seconds. The pauses can occur around 20 to 30 times an hour. During the episodes, the sleeper suffer$ from a brief lack of oxygen. He wakes up to breathe again and this disrupts his sleep. • Narcolepsy, though not chronic, causes extreme sleepiness and may even make a person fall asleep suddenly and without warning. Specific causes of narcolepsy are not known but people with narcolepsy lack hypocretin, a brain chemical which regulates sleep and wakefulness. SYMPTOMS • Lack of sleep • Tossing and turning • Not feeling refreshed after a night's sleep and excessive daytime tiredness TREATMENTS • Self help techniques, including improved sleep hygiene, relaxation and cognitive behavioural therapy (CBT), can ease the problem. • Medications should be a last resort - they do not provide lasting treatment and have numerous side effects. • The Continuous Positive Airway Pressure Device (CPAP) is a device worn while sleeping. It is the most recommended treatment for sleep apnoea. CPAP can take some getting used to, but provides effective relief when used correctly. • Self-help treatments, like losing weight, using pillows to elevate your head or sleeping on your side, can also be effective remedies for mild to moderate sleep apnoea. • Narcolepsy may be genetic but it also appears to be influenced by environmental triggers. Treatment requires a combination of medication, behavioural treatments, and counselling.
• Frequent gaps in breathing during sleep • Gasping or choking for air to restart breathing • Loud snoring • Not feeling refreshed after a night's sleep and excessive daytime tiredness
• Intermittent, uncontrollable episodes of falling asleep during the daytime • Excessive daytime sleepiness
• Sudden loss of muscle control during emotional situations Adapted from: http://www.helpquide.org/life/sleep disorders.htm CONFIDENTIAL
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Someone who has just arrived in the United States of America by plane from Malaysia may suffer from insomnia. a) b) c) TRUE FALSE NOT STATED (1 mark)
Taking medication is the best way of dealing with the problem of insomnia. a) b) c) TRUE FALSE NOT STATED (1 mark)
All three types of sleep problems and disorders, if not treated properly, could lead to death. a) b) c) TRUE FALSE NOT STATED (1 mark)
Using a CPAP is an effective but uncomfortable and expensive way to deal with sleep...