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May 2026 term · English II · BSHS1002

English II End Term: 13 September 2026 (May 2026 term)

The IIT Madras BS English II (English 2) End Term paper sat on 13 Sept 2026, in the May 2026 term: 90 questions for 100 marks in 180 minutes. Every question is below with its answer. Take it as a timed mock test to be marked, or read it through first.

Questions
90
Marks
100
Duration
180 min
MCQ
89
MSQ
1

Updated

Official paper: English2 13 Sep 26 · No negative marking.

Question 1

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

The word “idled” means:

  1. A

    Worked hurriedly

  2. B

    Rested lazily

  3. C

    Shouted angrily

  4. D

    Walked carefully

Show answer

Correct answer

  • B

    Rested lazily

Question 2

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Which literary device is used in “A little silver is a good key”?

  1. A

    Simile

  2. B

    Hyperbole

  3. C

    Alliteration

  4. D

    Metaphor

Show answer

Correct answer

  • D

    Metaphor

Question 3

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Choose a substitute for the word “affected” as used in the passage.

  1. A

    Truly felt

  2. B

    Changed

  3. C

    Pretended

  4. D

    Avoided

Show answer

Correct answer

  • C

    Pretended

Question 4

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

What effect does the repetition of “I am come” create?

  1. A

    It creates a calm tone

  2. B

    It shows Wang Lung is confident

  3. C

    It makes the conversation funny

  4. D

    It shows Wang Lung is nervous

Show answer

Correct answer

  • D

    It shows Wang Lung is nervous

Question 5

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

What does the phrase “elaborate patience " mean?

  1. A

    The gateman is kind

  2. B

    The gateman is pretending to be patient

  3. C

    The gateman is confused

  4. D

    The gateman is too tired

Show answer

Correct answer

  • B

    The gateman is pretending to be patient

Question 6

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Which word would completely change the meaning if substituted for “ajar” in the sentence given below?
“This time, since it was after high noon, the gates were ajar.”

  1. A

    Slightly closed

  2. B

    Slightly open

  3. C

    Closed

  4. D

    Partly open

Show answer

Correct answer

  • C

    Closed

Question 7

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Why does the author describe the gateman’s mole and long hair in detail?

  1. A

    To make the gateman seem memorable through an unpleasant image

  2. B

    To show Wang Lung admires him

  3. C

    To explain the customs of the town

  4. D

    To show the gateman is wealthy

Show answer

Correct answer

  • A

    To make the gateman seem memorable through an unpleasant image

Question 8

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Choose an antonym for “threshold”:

  1. A

    Doorway

  2. B

    Entrance

  3. C

    Doorstep

  4. D

    Ceiling

Show answer

Correct answer

  • D

    Ceiling

Question 9

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Why does the gateman loudly shout, “The bridegroom, the bridegroom”?

  1. A

    To honour Wang Lung respectfully

  2. B

    To embarrass Wang Lung

  3. C

    To warn the household

  4. D

    To help Wang Lung find his way

Show answer

Correct answer

  • B

    To embarrass Wang Lung

Question 10

+2 marksOne correct option

Read the following passage and answer the given subquestions.
This time, since it was after high noon, the gates were ajar and the keeper of the gate idled upon the threshold, picking his teeth with a bamboo sliver after his meal. He was a tall fellow with a large mole upon his left cheek, and from the mole hung three long black hairs which had never been cut. When Wang Lung appeared, he shouted roughly, thinking from the basket that he had come to sell something. “Now then, what?” With great difficulty, Wang Lung replied, “I am Wang Lung, the farmer.” “Well, and Wang Lung, the farmer, what?” retorted the gateman, who was polite to none except the rich friends of his master and mistress. “I am come—I am come—” faltered Wang Lung. “That I see,” said the gateman with elaborate patience, twisting the long hairs of his mole. “There is a woman,” said Wang Lung, his voice sinking helplessly to a whisper. In the sunshine, his face was wet. The gateman gave a great laugh. “So you are he!” he roared. “I was told to expect a bridegroom today. But I did not recognise you with a basket on your arm.” “It is only a few meats,” said Wang Lung apologetically, waiting for the gateman to lead him within. But the gateman did not move.
At last, Wang Lung said with anxiety, “Shall I go alone?” The gateman affected a start of horror. “The Old Lord would kill you!” Then, seeing that Wang Lung was too innocent, he said, “A little silver is a good key.” Wang Lung perceived at last that the man wanted money of him. “I am a poor man,” he said pleadingly. “Let me see what you have in your girdle,” said the gateman. And he grinned when Wang Lung, in his simplicity, actually put his basket upon the stones and, lifting his robe, took out the small bag from his girdle and shook into his left hand what money was left after his purchases. There was one silver piece and fourteen copper pence. “I will take the silver,” said the gateman coolly, and before Wang Lung could protest, the man had the silver in his sleeve and was striding through the gate, bawling loudly, “The bridegroom, the bridegroom!” Wang Lung, in spite of anger at what had just happened and horror at this loud announcing of his coming, could do nothing but follow, and this he did, picking up his basket and looking neither to the right nor left. Afterwards, although it was the first time he had ever been in a great family’s house, he could remember nothing. With his face burning and his head bowed, he walked through court after court, hearing that voice roaring ahead of him, hearing tinkles of laughter on every side.
Source: The Good Earth – Pearl S Buck

Which word is closest to “bawling”?

  1. A

    Roared

  2. B

    Faltered

  3. C

    Whisper

  4. D

    Idled

Show answer

Correct answer

  • A

    Roared

Question 11

+1 markOne correct option

Read the speech segment given below and fill in the blanks with the appropriate discourse markers. Observe the tone and the punctuation of the passage and choose only the most fitting answer for every blank.
Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard
Based on the above data, answer the given subquestions.

Fill in the blank [i] with the most fitting discourse marker among the options given below.

  1. A

    As a result

  2. B

    On the contrary, quite the contrary

  3. C

    Aside from

  4. D

    Yikes!

Show answer

Correct answer

  • B

    On the contrary, quite the contrary

Question 12

+1 markOne correct option

Read the speech segment given below and fill in the blanks with the appropriate discourse markers. Observe the tone and the punctuation of the passage and choose only the most fitting answer for every blank.
Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard
Based on the above data, answer the given subquestions.

Fill in the blank [ii] with the most fitting discourse marker among the options given below.

  1. A

    Finally

  2. B

    On the other hand

  3. C

    But surely

  4. D

    After that

Show answer

Correct answer

  • C

    But surely

Question 13

+1 markOne correct option

Read the speech segment given below and fill in the blanks with the appropriate discourse markers. Observe the tone and the punctuation of the passage and choose only the most fitting answer for every blank.
Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard
Based on the above data, answer the given subquestions.

Fill in the blank [iii] with the most fitting discourse marker among the options given below.

  1. A

    Indeed

  2. B

    Meanwhile

  3. C

    Until

  4. D

    Because

Show answer

Correct answer

  • A

    Indeed

Question 14

+1 markOne correct option

Read the speech segment given below and fill in the blanks with the appropriate discourse markers. Observe the tone and the punctuation of the passage and choose only the most fitting answer for every blank.
Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard
Based on the above data, answer the given subquestions.

Fill in the blank [iv] with the most fitting discourse marker among the options given below.

  1. A

    Particularly

  2. B

    Ultimately

  3. C

    Unfortunately

  4. D

    Goodness

Show answer

Correct answer

  • D

    Goodness

Question 15

+1 markOne correct option

Read the speech segment given below and fill in the blanks with the appropriate discourse markers. Observe the tone and the punctuation of the passage and choose only the most fitting answer for every blank.
Jemima Puddle-Duck set out to find a nesting place far away from the farm because she wanted to hatch her own eggs. She found a clearing in the woods, where she encountered a certain foxy gentleman. Mr. Fox: Madam, have you lost your way? Jemima: Oh, no, no! [i] _______, though it’s most civil of you to ask, I am trying to find a really convenient dry nesting place so that I may hatch my eggs myself. Mr. Fox: Is that so? [ii] _______, the farmyard… Jemima: Yes, one would think that would be the very place. Mr. Fox: But no? Jemima: One cannot call one’s eggs one’s own. That infuriating hen! She truly believes that she is the only one with the patience to hatch a clutch of eggs! Well, really! Mr. Fox: Oh, [iii] _______? How interesting! I wish I could meet with that fowl. [Licking his lips] I would teach her to mind her own business. But as for the nest, there is no difficulty. I have a sack full of feathers in my woodshed. Jemima: Oh, but…oh, too kind, but I couldn’t put you to the trouble…the inconvenience… Mr. Fox: Oh no, Madam, you will be in nobody’s way. You may sit there for as long as you like [leads her to the woodshed]. Jemima [to herself]: [iv] _______! I have never seen so many feathers in one place. They must be sufficient for filling at least two quilts. Very comfortable, though, and perfect for making my nest. So warm, so dry! Mr. Fox [when he sees Jemima exiting the woodshed after laying her egg]: Oh, must you go? Surely… Jemima: No, no, no, I have imposed on your hospitality quite far enough, and already, the others will be wondering what has kept me from the yard so late. But, I shall return to lay more eggs tomorrow. Mr. Fox: Yes, yes, of course. Yes, more eggs, [v] _______, dear lady! Transcribed and adapted from: The Tale of Jemima Puddle Duck - Thom Goddard
Based on the above data, answer the given subquestions.

Fill in the blank [v] with the most fitting discourse marker among the options given below.

  1. A

    In spite of

  2. B

    Nevertheless

  3. C

    Of course

  4. D

    Moreover

Show answer

Correct answer

  • C

    Of course

Question 16

+1 markOne correct option

Read the following passage and answer the given subquestions.
After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department. The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.

After a month’s gap, the import of personal computers from China, including laptops and tablets, surged _____ to $276 million in December.

  1. A

    $11.6 million and $13.6 million

  2. B

    overall decline was 17 percent

  3. C

    66.1 percent and 41.8 percent, respectively

  4. D

    11.3 percent

  5. E

    stood at 89.4 percent

Show answer

Correct answer

  • D

    11.3 percent

Question 17

+1 markOne correct option

Read the following passage and answer the given subquestions.
After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department. The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.

The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of _____.

  1. A

    $11.6 million and $13.6 million

  2. B

    overall decline was 17 percent

  3. C

    66.1 percent and 41.8 percent, respectively

  4. D

    11.3 percent

  5. E

    stood at 89.4 percent

Show answer

Correct answer

  • C

    66.1 percent and 41.8 percent, respectively

Question 18

+1 markOne correct option

Read the following passage and answer the given subquestions.
After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department. The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.

These marginal players accounted for _____ worth of shipments to India in December.

  1. A

    $11.6 million and $13.6 million

  2. B

    overall decline was 17 percent

  3. C

    66.1 percent and 41.8 percent, respectively

  4. D

    11.3 percent

  5. E

    stood at 89.4 percent

Show answer

Correct answer

  • A

    $11.6 million and $13.6 million

Question 19

+1 markOne correct option

Read the following passage and answer the given subquestions.
After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department. The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.

China’s share in total shipments of these items to India _____ in December.

  1. A

    $11.6 million and $13.6 million

  2. B

    overall decline was 17 percent

  3. C

    66.1 percent and 41.8 percent, respectively

  4. D

    11.3 percent

  5. E

    stood at 89.4 percent

Show answer

Correct answer

  • E

    stood at 89.4 percent

Question 20

+1 markOne correct option

Read the following passage and answer the given subquestions.
After a month’s gap, the import of personal computers from China, including laptops and tablets, surged [1] _____ to $276 million in December. This occurred when total imports of such items contracted by 0.8 percent, according to the latest data from the commerce department. The same month witnessed a decline in the import of personal computers from countries/regions like Singapore and Hong Kong, which saw a decrease of [2] _____. These marginal players accounted for [3] _____ worth of shipments to India in December.  China’s share in total shipments of these items to India [4] _____ in December. It was 76.4 percent for the April-December period of FY24. In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the [5] _____.  Last year, on the third of August, the central government announced plans to categorise products in the information technology hardware segment, such as laptops, tablets, all-in-one personal computers, ultra-small form factor computers, and servers, under the “restricted” level.  This announcement led to a surge in the import of laptops and tablets in September (by 41.8 percent) and October (by 29.7 percent), amid fears of licensing requirements. However, after the industry expressed serious concerns over the decision– which was originally aimed at reducing import dependence on China and ensuring a trusted supply chain– the government deferred the implementation until November 1.  In a further step-down, the government announced that it would not restrict the import of such electronic products from any territory, while also introducing a new contactless import authorisation system. Excerpted from: Mishra, Ranjan Asit. “PC Imports from China up over 11%.” *Business Standard*, Mumbai, 29 Feb 2024, p. 1.

In November, when the government’s online monitoring system for the import of electronic hardware items became operational, imports from China contracted by 14 percent, while the _____.

  1. A

    $11.6 million and $13.6 million

  2. B

    overall decline was 17 percent

  3. C

    66.1 percent and 41.8 percent, respectively

  4. D

    11.3 percent

  5. E

    stood at 89.4 percent

Show answer

Correct answer

  • B

    overall decline was 17 percent

Question 21

+1 markOne correct option

Read the following resume overview and answer the given subquestions.
Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.

Which sentence in the overview should ideally be avoided?

  1. A

    Graduated from Christ University in 2023

  2. B

    Worked on educational research projects

  3. C

    Skilled in content writing and editing

  4. D

    I am a hardworking and passionate individual

Show answer

Correct answer

  • D

    I am a hardworking and passionate individual

Question 22

+1 markOne correct option

Read the following resume overview and answer the given subquestions.
Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.

Why do you think the selected sentence is inappropriate in a resume?

  1. A

    It is too short

  2. B

    It contains grammatical errors

  3. C

    Personal qualities should be shown through experience, not self-description

  4. D

    It does not mention education

Show answer

Correct answer

  • C

    Personal qualities should be shown through experience, not self-description

Question 23

+1 markOne correct option

Read the following resume overview and answer the given subquestions.
Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.

Based on what you have learned in your course lectures, which detail is presented here correctly?

  1. A

    Communication skills

  2. B

    Graduation year and institution

  3. C

    Passionate individual

  4. D

    Public speaking

Show answer

Correct answer

  • B

    Graduation year and institution

Question 24

+1 markOne correct option

Read the following resume overview and answer the given subquestions.
Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.

Which section best demonstrates Priya's area of expertise?

  1. A

    Passionate individual

  2. B

    Excellent communication skills

  3. C

    Educational research projects related to multilingual classrooms

  4. D

    Public speaking

Show answer

Correct answer

  • C

    Educational research projects related to multilingual classrooms

Question 25

+1 markOne correct option

Read the following resume overview and answer the given subquestions.
Priya Raman Bengaluru | 9876543210 | priyaraman@gmail.com   Graduated from Christ University in 2023 with a Master's degree in English Literature. I am a hardworking and passionate individual with excellent communication skills. Worked on educational research projects related to multilingual classrooms. Skilled in content writing, editing, and public speaking.

Which improvement would make the overview more precise?

  1. A

    Remove the institution name

  2. B

    Add more adjectives

  3. C

    Mention the exact duration of project experience

  4. D

    Add family details

Show answer

Correct answer

  • C

    Mention the exact duration of project experience

Question 26

+1 markOne correct option

Read the following email and answer the given subquestions.
From: X@mailbox.com
To: madhura@kollipress.com
Subject: __________________________
Dear Madhura,
I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly.
We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure.
Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X

Choose the appropriate Subject

  1. A

    Thiruchengode Tales - A classic that needs to come back

  2. B

    Enquiry concerning: Thiruchengode Tales

  3. C

    Request for Reprint Permission: Thiruchengode Tales

  4. D

    Need permission for reprinting Thiruchengode Tales

Show answer

Correct answer

  • C

    Request for Reprint Permission: Thiruchengode Tales

Question 27

+1 markOne or more correct options

Read the following email and answer the given subquestions.
From: X@mailbox.com
To: madhura@kollipress.com
Subject: __________________________
Dear Madhura,
I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly.
We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure.
Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X

In case Madhura responded in the negative to the request, choose an appropriate response for a reply mail. Keep in mind that the reprint is important to you and will constitute a significant part of your upcoming catalogue.

Select all that apply.

  1. A

    While we understand the challenges, is there room for negotiation or compromise that could make the reprint more viable?

  2. B

    I appreciate your prompt and honest response, although it's disheartening to hear.

  3. C

    While we respect your decision, we wonder if there are specific concerns or conditions that led to the denial.

  4. D

    We respect your decision, and if circumstances change in the future, we would be open to revisiting this discussion.

Show answer

Correct answers

  • A

    While we understand the challenges, is there room for negotiation or compromise that could make the reprint more viable?

  • C

    While we respect your decision, we wonder if there are specific concerns or conditions that led to the denial.

Question 28

+1 markOne correct option

Read the following email and answer the given subquestions.
From: X@mailbox.com
To: madhura@kollipress.com
Subject: __________________________
Dear Madhura,
I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly.
We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure.
Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X

Choose the appropriate option to fill the blank in the closing line of the mail.

  1. A

    We look forward to your guidance on the necessary steps

  2. B

    We only wish you share our passion for local literature

  3. C

    We will wait patiently on your approval

  4. D

    We hope you reply positively

Show answer

Correct answer

  • A

    We look forward to your guidance on the necessary steps

Question 29

+1 markOne correct option

Read the following email and answer the given subquestions.
From: X@mailbox.com
To: madhura@kollipress.com
Subject: __________________________
Dear Madhura,
I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly.
We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure.
Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X

What does the sender assure the recipient about in the email?

  1. A

    Promoting a New Book

  2. B

    Adhering to Licensing Guidelines

  3. C

    Discussing Religious Significance

  4. D

    Collaborating on Literary Events

Show answer

Correct answer

  • B

    Adhering to Licensing Guidelines

Question 30

+1 markOne correct option

Read the following email and answer the given subquestions.
From: X@mailbox.com
To: madhura@kollipress.com
Subject: __________________________
Dear Madhura,
I hope this mail finds you well. I am writing to request permission for the reprint of Thiruchengode Tales, a cherished work that holds immense cultural and religious significance in our community. As we aim to revive interest in our local literary heritage, we believe featuring this classic in our upcoming publication catalogue will contribute significantly.
We assure you that we will adhere to any conditions or guidelines regarding licensing and credits set forth by your publication. Your favorable response to this request would greatly enhance our efforts to preserve and promote this local literary treasure.
Thank you for considering our proposal, and _____________ for obtaining the reprint permission. Best regards, X

Choose the appropriate details to be mentioned in the signature of the mail.

  1. A

    Contact, Address

  2. B

    Publisher Address, Office Phone

  3. C

    Publication Name, Address, Contact

  4. D

    Educational Qualification, Contact Number

Show answer

Correct answer

  • C

    Publication Name, Address, Contact

Question 31

+1 markOne correct option

Answer the given subquestions :

Identify the implied meaning of the sentence below: (Note that the word with stress is marked in bold).
“We heard John talking.”

  1. A

    We heard John talking, but we didn’t see him

  2. B

    We heard John talking, but didn’t hear Mary

  3. C

    We heard John talking, and we heard him singing

  4. D

    We heard John talking, but others didn’t

Show answer

Correct answer

  • A

    We heard John talking, but we didn’t see him

Question 32

+1 markOne correct option

Answer the given subquestions :

Identify the implied meaning of the sentence below: (Note that the word with stress is marked in bold).
I thought you were a medical doctor.

  1. A

    I thought you were a medical doctor, not someone with a PhD

  2. B

    I thought you were a doctor, but I didn’t know for sure

  3. C

    I thought you were a doctor but not currently practicing

  4. D

    I thought you were a nurse

Show answer

Correct answer

  • A

    I thought you were a medical doctor, not someone with a PhD

Question 33

+1 markOne correct option

Answer the given subquestions:

Choose the appropriate option:
“He spent ___ of his money on luxurious products.”

  1. A

    So many

  2. B

    Many

  3. C

    So much

  4. D

    any of

Show answer

Correct answer

  • C

    So much

Question 34

+1 markOne correct option

Answer the given subquestions:

Choose the appropriate option:
“As ____ as three shooting stars may be spotted this week.”

  1. A

    Much

  2. B

    Many

  3. C

    So many

  4. D

    Both Much and Many

Show answer

Correct answer

  • B

    Many

Question 35

+1 markOne correct option

Analyse the following set of statements.
Statement 1: The teacher scolded the students. Statement 2: The students were scolded by the teacher
Based on the above Statements, answer the given subquestions.

In Statement 1, “the students” is the ___

  1. A

    Predicate

  2. B

    Subject

  3. C

    Agent

  4. D

    Object

Show answer

Correct answer

  • D

    Object

Question 36

+1 markOne correct option

Analyse the following set of statements.
Statement 1: The teacher scolded the students. Statement 2: The students were scolded by the teacher
Based on the above Statements, answer the given subquestions.

In Statement 2, “by the teacher” is the ____

  1. A

    Subject

  2. B

    Object

  3. C

    Adjunct

Show answer

Correct answer

  • C

    Adjunct

Question 37

+1 markOne correct option

Answer the given subquestions

The scope of the focus adverb in the following sentence is limited to:
“Only one person lived in that large house.”

  1. A

    One person

  2. B

    Large house

  3. C

    In that large house

  4. D

    None of these

Show answer

Correct answer

  • A

    One person

Question 38

+1 markOne correct option

Answer the given subquestions

The scope of the focus adverb in the following sentence is limited to:
“Knowing Mrs. Todd to be a widow, who had little beside this slender business and the income from one hungry lodger to maintain her, one’s energies and even interest were quickly bestowed.”

  1. A

    Energies and interest

  2. B

    Interest

  3. C

    Quickly bestowed

  4. D

    Mrs. Todd

Show answer

Correct answer

  • B

    Interest

Question 39

+1 markOne correct option

Answer the given subquestions based on the sentence below:
"The displayed ornaments glittered in the dazzling lights."

The verb in this sentence is:

  1. A

    Displayed

  2. B

    Glittered

  3. C

    Dazzling

  4. D

    All of these

Show answer

Correct answer

  • B

    Glittered

Question 40

+1 markOne correct option

Answer the given subquestions based on the sentence below:
"The displayed ornaments glittered in the dazzling lights."

In the main data, there are ___ verb/s and ___ participle/s.

  1. A

    0, 3

  2. B

    3, 0

  3. C

    1, 2

  4. D

    2, 1

Show answer

Correct answer

  • C

    1, 2

Question 41

+1 markOne correct option

Answer the given subquestions.

Identify the correct reported form for the following.
"I will come to the party," she said.

  1. A

    She said she would come to the party.

  2. B

    She says she will come to the party.

  3. C

    She says she would come to the party.

  4. D

    She said she comes to the party.

Show answer

Correct answer

  • A

    She said she would come to the party.

Question 42

+1 markOne correct option

Answer the given subquestions.

Identify the correct reported form for the following.
"I have finally finished my assignment," he announced.

  1. A

    He announces he finally finished his assignment.

  2. B

    He announces he finally has finished his assignment.

  3. C

    He announced he finally finishes his assignment.

  4. D

    He announced he had finally finished his assignment.

Show answer

Correct answer

  • D

    He announced he had finally finished his assignment.

Question 43

+1 markOne correct option

“Go big or go home” is an example of oxymoron. This statement is:

  1. A

    True

  2. B

    False

Show answer

Correct answer

  • B

    False

Question 44

+1 markOne correct option

“Get busy living or get busy dying.” What is the figure of speech used here?

  1. A

    Paradox

  2. B

    Oxymoron

  3. C

    Antithesis

  4. D

    Metaphor

Show answer

Correct answer

  • C

    Antithesis

Question 45

+1 markOne correct option

Consider the following sentences.
Sentence 1 - “That was oddly specific.” Sentence 2- “I do not like that specific flavour.”
The word “specific” is:

  1. A

    Predicative in the first sentence and attributive in the next

  2. B

    Attributive in the first sentence and predicative in the next

  3. C

    Predicative in both the sentences

  4. D

    Attributive in both the sentences

Show answer

Correct answer

  • A

    Predicative in the first sentence and attributive in the next

Question 46

+1 markOne correct option

Consider the following sentence. “Where Tinker Creek flows under the sycamore log bridge to the tear-shaped island, it is slow and shallow, and fringed thinly in cattail marsh.” “Sycamore”, “log” and “cattail” are examples of:

  1. A

    Predicative adjectives

  2. B

    Complementary adjectives

  3. C

    Noun modifiers

  4. D

    None of these

Show answer

Correct answer

  • C

    Noun modifiers

Question 47

+1 markOne correct option

Choose the appropriate option:
“One of the many advantages of our new office was that it had ____ of space.”

  1. A

    So many

  2. B

    Lots

  3. C

    Lot

  4. D

    Both So many and Lots

Show answer

Correct answer

  • B

    Lots

Question 48

+1 markOne correct option

“The auditorium was quite large.” The implied meaning here is:

  1. A

    The auditorium was not large enough

  2. B

    The auditorium was large enough

  3. C

    Both the auditorium was not large enough and the auditorium was large enough

  4. D

    None of these

Show answer

Correct answer

  • B

    The auditorium was large enough

Question 49

+1 markOne correct option

Identify the type of sentence. “Get out of the arena.”

  1. A

    Indicative

  2. B

    Interrogative

  3. C

    Imperative

Show answer

Correct answer

  • C

    Imperative

Question 50

+1 markOne correct option

Identify the tense: “We have been waiting for two hours at the counter.”

  1. A

    Past continuous

  2. B

    Present perfect continuous

  3. C

    Past perfect continuous

  4. D

    Simple past

Show answer

Correct answer

  • B

    Present perfect continuous

Question 51

+1 markOne correct option

Consider the following sentences and choose the option that correctly identifies the adverbs of degree in the given sentences.
Sentence 1- Your watch is five minutes too fast. Sentence 2- Do not crowd your work so closely together. Sentence 3- These mangoes are almost ripe. Sentence 4 - You are altogether mistaken.

  1. A

    Fast, closely, almost, mistaken

  2. B

    Too, so, almost, altogether

  3. C

    Too fast, closely together, almost ripe, altogether mistaken

  4. D

    Fast, together, ripe, altogether

Show answer

Correct answer

  • B

    Too, so, almost, altogether

Question 52

+1 markOne correct option

Identify the conjunctive adverb in the following sentence. “He’s rather uncommunicative; still, everyone seems to like him.”

  1. A

    Rather

  2. B

    Still

  3. C

    Seems

  4. D

    To like him

Show answer

Correct answer

  • B

    Still

Question 53

+1 markOne correct option

Identify the type of sentence for the following sentence: "She will go to the park if it stops raining."

  1. A

    Simple

  2. B

    Compund

  3. C

    Complex

Show answer

Correct answer

  • C

    Complex

Question 54

+1 markOne correct option

Find the subordinate clause in the sentence. “John, who graduated last year, won the outstanding alumni award.”

  1. A

    Outstanding Alumni Award

  2. B

    won the outstanding alumni award

  3. C

    who graduated last year

  4. D

    no subordinate clause

Show answer

Correct answer

  • C

    who graduated last year

Question 55

+1 markOne correct option

In the sentence, what is the object of the verb “eat”? "Harita likes to eat confectionery."

  1. A

    Haritha

  2. B

    likes

  3. C

    to eat

  4. D

    confectionery

Show answer

Correct answer

  • D

    confectionery

Question 56

+1 markOne correct option

Identify the adverbial clause in the sentence below. “I watched the sunset, amazed by the vibrant colors that painted the sky, as the waves gently crashed against the shore.”

  1. A

    Adverbial clause: amazed by the vibrant colors that painted the sky

  2. B

    Adverbial clause: as the waves gently crashed against the shore

  3. C

    None of these

Show answer

Correct answer

  • B

    Adverbial clause: as the waves gently crashed against the shore

Question 57

+1 markOne correct option

Which of the following sentences is complex?

  1. A

    If you are not ready to present the speech, it is better to let the organising committee know.

  2. B

    She will come home or I will stay back at her place.

  3. C

    Seema is innocent, so she has appealed to the court.

  4. D

    James has been feeling under the weather, yet he decided to go to work.

Show answer

Correct answer

  • A

    If you are not ready to present the speech, it is better to let the organising committee know.

Question 58

+1 markOne correct option

The clause _____ is used as a subordinate clause in the sentence. “India, which is crowded with 1.4 billion people, is also a stronghold for wildlife.”

  1. A

    Also a stronghold for wildlife

  2. B

    Which is crowded with 1.4 billion people

  3. C

    India is also a stronghold for wildlife

  4. D

    With 1.4 billion people

Show answer

Correct answer

  • B

    Which is crowded with 1.4 billion people

Question 59

+1 markOne correct option

Choose the correct modal verb to fill in the blank. See the hint or context provided and choose only the most appropriate option to fill the blank.
"Though black pepper berries are fully viable, they are not generally used for raising plantations as seedlings _____ not be genetically uniform." Hint: To make a rational and conclusive assumption about a future outcome

  1. A

    Could

  2. B

    May

  3. C

    Will

  4. D

    Might

Show answer

Correct answer

  • C

    Will

Question 60

+1 markOne correct option

Choose the correct modal verb to fill in the blank. See the hint or context provided and choose only the most appropriate option to fill the blank.
“Wordsworth _____ have contributed more poems, but the real star of the collection was Coleridge's first version of The Rime of the Ancient Mariner.” Hint: To show that the speaker acknowledges the possibility of something but does not concede that it is relevant to the discussion at hand

  1. A

    Will

  2. B

    Would

  3. C

    Can

  4. D

    May

Show answer

Correct answer

  • D

    May

Question 61

+1 markOne correct option

Which of the following statements about the given sentence is true?
“She cannot eat that much.”
Statement 1 - The negation forces a separation of tense from the main verb Statement 2 - The negation does not force a separation of tense from the main verb

  1. A

    1 only

  2. B

    2 only

  3. C

    Neither 1 nor 2

Show answer

Correct answer

  • B

    2 only

Question 62

+1 markOne correct option

Choose the correct modal verb to fill in the blank. See the hint or context provided and choose only the most appropriate option to fill the blank.
“_____ you be willing to step into a machine, be dematerialized, and then recomposed thousands of miles away?”
Context: To ask a polite and formal question about an imagined scenario with focus on intent and willingness

  1. A

    Would

  2. B

    Could

  3. C

    Shall

  4. D

    Will

Show answer

Correct answer

  • A

    Would

Question 63

+1 markOne correct option

Fill in the blank with the correct modal verb.
“Being a parent _____ be extremely challenging.” (denoting a general possibility).

  1. A

    Should

  2. B

    Might

  3. C

    May

  4. D

    Can

Show answer

Correct answer

  • D

    Can

Question 64

+1 markOne correct option

Choose the correct modal verb to fill in the blank. See the hint or context provided and choose only the most appropriate option to fill the blank.
Shall we do the roll call? It _____ take more than a few minutes. Hint: To indicate a requirement in terms of what is most probably the case

  1. A

    Couldn’t

  2. B

    Mightn’t

  3. C

    Will not

  4. D

    Shouldn’t

Show answer

Correct answer

  • D

    Shouldn’t

Question 65

+1 markOne correct option

Which of these sentences has a that-clause embedded as the object of the verb in the matrix predicate?

  1. A

    That he was to go to bed hungry dismayed Reddy fox.

  2. B

    Tabaqui sat still, rejoicing in the mischief that he had made.

  3. C

    That Mowgli was a man’s cub was now known to the whole jungle.

  4. D

    The leader of the political party assured his followers that he would be out of jail in no time.

Show answer

Correct answer

  • D

    The leader of the political party assured his followers that he would be out of jail in no time.

Question 66

+1 markOne correct option
  1. A

    Brackets

  2. B

    Colon

  3. C

    Comma

  4. D

    Full stop

Show answer

Correct answer

  • C

    Comma

Question 67

+1 markOne correct option

Reduction of a word to one of its parts is called:

  1. A

    Blending

  2. B

    Clipping

  3. C

    Borrowing

Show answer

Correct answer

  • B

    Clipping

Question 68

+1 markOne correct option

Which of the following is an example of middle clipping?

  1. A

    Gym

  2. B

    Flu

  3. C

    Phone

  4. D

    Gram

Show answer

Correct answer

  • B

    Flu

Question 69

+1 markOne correct option

The reported speech of this sentence uses:
“Did you come by car?”

  1. A

    if clause

  2. B

    whether clause

  3. C

    that clause

  4. D

    both if clause and whether clause

Show answer

Correct answer

  • D

    both if clause and whether clause

Question 70

+1 markOne correct option

Which sentence uses a countable noun?

  1. A

    Much water was wasted.

  2. B

    Many books were sold.

  3. C

    Much information is available.

  4. D

    Little knowledge is dangerous.

Show answer

Correct answer

  • B

    Many books were sold.

Question 71

+1 markOne correct option

Which of the following options cannot be used to fill in this blank?
"There isn't much ___ left."

  1. A

    Rice

  2. B

    Water

  3. C

    Bread

  4. D

    Apple

Show answer

Correct answer

  • D

    Apple

Question 72

+1 markOne correct option

Answer True or False
A: Malcolm delivered the packets B: The packets were delivered by Malcolm
The object in A is the agent of action in B

  1. A

    True

  2. B

    False

Show answer

Correct answer

  • B

    False

Question 73

+1 markOne correct option

Choose the odd one out from the following based on negative elements.

  1. A

    Anybody

  2. B

    Somebody

  3. C

    Anyone

  4. D

    Anything

Show answer

Correct answer

  • B

    Somebody

Question 74

+1 markOne correct option

“Running helped him to win the medal." Running here is called ___

  1. A

    Gerund

  2. B

    Verb

  3. C

    Present participle

  4. D

    Participle

Show answer

Correct answer

  • A

    Gerund

Question 75

+1 markOne correct option

What type of conditionals are the following?
“If it rains, I will stay indoors.”

  1. A

    Zero

  2. B

    First

  3. C

    Second

  4. D

    Mixed

Show answer

Correct answer

  • B

    First

Question 76

+1 markOne correct option

Choose the most appropriate implied meaning from the following:
“He studied for the exam, but failed.”

  1. A

    He always fails

  2. B

    He did not study enough

  3. C

    He expected to pass the exam

  4. D

    He expected to fail

Show answer

Correct answer

  • C

    He expected to pass the exam

Question 77

+1 markOne correct option

Select the odd one out :

  1. A

    En masse

  2. B

    Impromptu

  3. C

    À la carte

  4. D

    Bouquet

Show answer

Correct answer

  • B

    Impromptu

Question 78

+1 markOne correct option

Choose the most appropriate option:
“He switched on the presentation ___ the students could note down relevant portions.”

  1. A

    Because

  2. B

    Instead

  3. C

    So that

  4. D

    Due to

Show answer

Correct answer

  • C

    So that

Question 79

+1 markOne correct option

Identify the number of prefixes in the following sentence.
“We watched Midnight in Paris for the umpteenth time when I went to her home for the festival.”

  1. A

    2

  2. B

    3

  3. C

    1

  4. D

    0

Show answer

Correct answer

  • D

    0

Question 80

+1 markOne correct option

Select the odd one out:

  1. A

    Reflect

  2. B

    Redundant

  3. C

    Reality

  4. D

    Redo

Show answer

Correct answer

  • D

    Redo

Question 81

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Which of the following sequences most accurately reflects the overall structure of the passage?

  1. A

    Claim - Example - Definition - Counter argument- Conclusion

  2. B

    Definition - Policy history - Critique - Comparative evidence - Normative conclusion

  3. C

    Anecdote - Policy history - Statistics - Recommendation

  4. D

    Statistics- Problem - Solution - Rebuttal - Summary

Show answer

Correct answer

  • B

    Definition - Policy history - Critique - Comparative evidence - Normative conclusion

Question 82

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Which of the following accurately captures the cause–effect logic used in the passage?

  1. A

    Insurance schemes exist - healthcare improves

  2. B

    Pandemic - insurance schemes expanded

  3. C

    International declarations - universal healthcare achieved

  4. D

    Underfinancing of primary care - reliance on private sector

Show answer

Correct answer

  • D

    Underfinancing of primary care - reliance on private sector

Question 83

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

If the passage were reduced to a single disagreement, which would it be?

  1. A

    Whether healthcare is a human right

  2. B

    Whether insurance schemes should exist at all

  3. C

    Whether financial protection alone can deliver equitable healthcare

  4. D

    Whether international organisations affect national policy

Show answer

Correct answer

  • C

    Whether financial protection alone can deliver equitable healthcare

Question 84

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Which sentence in the passage performs the role of a turning point from background to critique?

  1. A

    “UHC is grounded in the universal human right to health…”

  2. B

    “The subsequent UN resolution on UHC reaffirmed this agenda…”

  3. C

    “In practice, recent reforms in many countries…have undermined the primary care approach”

  4. D

    “Conversely, when public health insurance schemes are designed…”

Show answer

Correct answer

  • C

    “In practice, recent reforms in many countries…have undermined the primary care approach”

Question 85

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Why does the author refer to the Bhore Committee?

  1. A

    To show that current policy contradicts earlier national vision

  2. B

    To appeal to authority without critique

  3. C

    To provide historical detail

  4. D

    To criticise pre-Independence thinking

Show answer

Correct answer

  • A

    To show that current policy contradicts earlier national vision

Question 86

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Match the following sentence to their structural role:
“UHC is grounded in the universal human right to health…”

  1. A

    Policy prescription

  2. B

    Critical transition

  3. C

    Empirical support

  4. D

    Normative claim

Show answer

Correct answer

  • D

    Normative claim

Question 87

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Match the following sentence to their structural role:
“Evidence suggests that patients often have to incur out-of-pocket expenditure.”

  1. A

    Policy prescription

  2. B

    Critical transition

  3. C

    Empirical support

  4. D

    Normative claim

Show answer

Correct answer

  • C

    Empirical support

Question 88

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Match the following sentence to their structural role:
“In practice, recent reforms…have undermined the primary care approach.”

  1. A

    Policy prescription

  2. B

    Critical transition

  3. C

    Empirical support

  4. D

    Normative claim

Show answer

Correct answer

  • B

    Critical transition

Question 89

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Match the following sentence to their structural role:
“It is imperative for India to take this path…”

  1. A

    Policy prescription

  2. B

    Critical transition

  3. C

    Empirical support

  4. D

    Normative claim

Show answer

Correct answer

  • A

    Policy prescription

Question 90

+1 markOne correct option

Read the following article titled “Not Just Insurance, Indians Need Universal Healthcare”, published in The Indian Express. Answer the given subquestions.
December 12 was Universal Health Coverage (UHC) Day. This year’s theme was “Unaffordable health costs? We’re sick of it!’’ This draws attention to a growing frustration with the rising financial burden of healthcare. In observing UHC Day, it is important to distinguish between universal health coverage and universal healthcare. The latter goes beyond coverage for illness alone and encompasses equitable access to comprehensive primary healthcare — preventive, promotive, curative, rehabilitative, and palliative.
UHC is grounded in the universal human right to health, articulated in several international covenants and reinforced by the World Health Organisation (WHO) in the Alma-Ata Declaration, 1978. However, the WHO’s 2010 World Health Report emphasised financial reform and risk protection as a pathway to UHC. The subsequent UN resolution on UHC reaffirmed this agenda, and later, UHC was included in the Sustainable Development Goals.
In practice, recent reforms in many countries, including India, have undermined the primary care approach and privileged financial protection through public health insurance. These schemes focus on covering costs for hospitalisation and often define packages for different disease conditions. Evidence suggests that patients often have to incur out-of-pocket expenditure. Such expenditure is due to services that are not covered or inadequately covered by packages, or due to abuse of coverage provision by service providers.
Conversely, when public health insurance schemes are designed within a well-financed public health system, with robust primary and secondary care working as gatekeepers, the outcomes seem to be better. Several East Asian countries adopted UHC through an insurance approach, but have also strengthened primary and secondary care over time. An ageing population and chronic diseases have necessitated such changes. Countries like China and South Korea have near-universal insurance coverage, but the cost to the exchequer has been very high. Nearly a decade ago, China decided to contain costs and invest in strengthening primary and secondary care, focusing on prevention, early detection and follow-up care. Efforts were made to invest in human resources and comprehensive population outreach programmes.
A commitment to public spending is an important aspect of strengthening primary and secondary levels of care. East Asian and several Southeast Asian countries have robust public systems with a private presence in provisioning. A strong public sector seems to act as a bulwark to regulate the private sector in terms of quality and cost. Even in these countries, the private sector’s power to influence policy is an unresolved issue.
India has a legacy of being committed to universal healthcare as articulated by the Bhore Committee just before Independence. In fact, the committee opined that public insurance schemes must not be introduced until a robust primary healthcare system is in place. Despite this, chronic underfinancing of primary healthcare has resulted in weak public sector provisioning, contributing to increased reliance on the private sector. National Sample Survey data show growing reliance of the poor on increasingly expensive privately provided healthcare — an important contributor to household indebtedness.
Despite initiatives such as the National Rural Health Mission (NRHM, now NHM), systemic weaknesses remain. Some states sought to address inequity in access and the rising cost of care through public health insurance programmes. In 2008, the Rashtriya Swasthya Bima Yojana insurance scheme was launched and subsequently, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana. With these initiatives, the focus on universal health coverage came to stay.
The Covid pandemic drew attention to inequities in access to health insurance schemes and the need to shift from universal health coverage to universal healthcare in many countries. Given multiple health challenges, it is imperative for India to take this path with increased public investment in comprehensive primary healthcare and social determinants of health.

Which paragraph most effectively anticipates and absorbs a counter argument without explicitly stating it?

  1. A

    WHO policy paragraph

  2. B

    Insurance schemes paragraph

  3. C

    East Asian countries paragraph

  4. D

    Bhore Committee paragraph

Show answer

Correct answer

  • C

    East Asian countries paragraph