Read the following passage about heart attacks and mark the letter A, B, C, or D on your answer sheet to indicate the option that best fits each of the numbered blanks from 1 to 5.

Mounting evidence shows that more young adults are experiencing heart problems than in previous decades. Heart attacks occur when blood flow to the heart (1) ______. One reason is the growing number of lifestyle-related health problems, (2) ______. Other factors like tobacco, cocaine, marijuana, and alcohol use have been associated with increased risks of heart attack in younger adults, too.

The major risk factors—high blood pressure, high cholesterol, diabetes, and obesity—can damage arteries over time. While these conditions may be inherited, (3) ______ often play a larger role.

(4) ______. A recent survey found that 47% of people under 45 don’t believe they’re at risk for heart disease, and one-third of adults wouldn’t confidently recognize heart attack symptoms. Half of 3,500 younger adults with significant risk factors didn’t believe they were at risk before their heart attack occurred. Even fewer said their doctors warned them—especially women.

Experts say that getting young adults to care about heart health is a unique challenge. (5) ______. Experts emphasize early prevention, since untreated risk factors lead to worse outcomes over time.

Question 1.

A. that is partially or completely blocking

B. is partially or completely blocked

C. is getting a blockage completely

D. has been incompletely blocked

Question 2.

A. mainly associated with poor diet and physical inactivity

B. which are influenced by diet and regular exercise

C. that are closely linked to poor diet and physical inactivity

D. largely resulting from poor diet and physical inactivity

Question 3.

A. the unhealthy lifestyle choices kept in childhood

B. unhealthy lifestyle choices starting in childhood

C. people keep unhealthy lifestyle choices in childhood

D. choosing unhealthy lifestyle in childhood

Question 4.

A. There is unawareness among young adults due to these risks

B. Being aware of the risk, many young adults are taking risks

C. Despite these risks, many young adults remain unaware

D. Because of these risks, many young adults remain unaware

Question 5.

A. When they neglect their heart health, it is often due to pressure from work and family duties

B. While they are busy with careers and families, they consider long-term health risks carefully

C. As they are busy with careers and families, this group often overlooks their heart health

D. Although they are busy with careers and families, they manage to take good care of their heart health