A. Circle the correct option in these sentences. If both are correct, circle both. 1 Hello. Could/Can I speak to doctor Jones? 2 He could/was allowed to go home yesterday, because his symptoms disappeared. 3 The head nurse said I could/was allowed to go home. 4 Do you think I should/could be worried about these spots on my forehead? 5 You ought to/should enter that English contest! 6 You couldn’t/shouldn’t talk to pa ents like that! It’s rude! 7 You should write/have written two essays at the exam yesterday, not one! 8 No, you may/should not go out tonight, you’re ill! 9 Diana should have waited/been waiting for me in front of the hospital. I wonder where she went. 10 Yes, of course you can/are able to open the window if you’re too hot. C. Use the words in the box to complete the sentences in column A. Column B will help you. able • cannot • could • had • have • might • must • needn’t • mustn’t • should • will A B 1 I must have le my bag on the bus. certainty 2 In a few months, I’ll be able to donate blood again. future ability 3 I could drive when I was thirteen years old! past ability 4 No, you cannot have any more me. refusing a request 5 I think you should consider a career in neurosurgery. giving advice 6 I mustn’t forget to phone the doctor today! personal obliga on 7 I had to have a filling at the den st’s. obliga on in the past 8 You don’t have to do exercise D for homework. lack of obliga on 9 You will have to work harder if you want a good mark. future obliga on 10 Sean might have got stuck in traffic. possibility 11 I needn’t have worried about it so much, it was easy. lack of past obliga on B. Complete each second sentence using the word given, so that it has a similar meaning to the first sentence. Write 2 – 5 words in each gap. 1 His lights are on so I’m pre y sure Dan is at home. as Dan must be at home as his lights are on. 2 Susie’s car’s not here so she’s almost certainly taking her grandma to the doctor. be Susie must be taking her grandma to the doctor since her car’s not here. 3 There’s no way that boy’s Simon. He’s much taller! boy That boy can’t/couldn’t be Simon. He’s much taller! 4 I’m certain the doctor doesn’t think we’re coming today; we arranged it for next week. expecting The doctor can’t/couldn’t be expec ng us today; we arranged it for next week. 5 I bet the surgeons were exhausted a er such a difficult opera on! have The surgeons must have been exhausted a er such a difficult opera on! 6 The only explana on is that Evan talked to his doctor yesterday. talked Evan must have talked to his doctor yesterday. 7 There’s no way Casey stopped smoking, I don’t believe it. have Casey can’t/couldn’t have stopped smoking, I don’t believe it. D. Write one word in each gap When I broke my arm a week ago, I guess it should have hurt. But it didn’t! We were doing PE at school, and we were making a pyramid. We had to stand on each other’s shoulders. I was right at the top. We can’t/couldn’t have been doing it properly because suddenly the pyramid collapsed and we all fell. I landed on my arm. Mr Jenkins must have known immediately that I’d broken my arm because he sent someone to call an ambulance. I can s ll remember the feeling – my arm was numb, and looked very strange, but there was no pain at all. I remember thinking: “It can’t be broken. If it was broken, I’d be in agony.” I suppose not feeling any pain may/might/ could/ must have been because I was in shock. The plaster should/could/may/might come off in about three weeks but it may/might have to stay on longer. It depends whether the break has healed properly or not. The next three weeks may not be the best three weeks of my life – no basketball, no playing in the playground, no swimming – but I’m coun ng my blessings. It could/might have been a lot worse! All previous tasks and explana ons adapted from: Mann, Malcolm. Taylore-Knowles, Steve. Des na on B2. 2008. E. use the correct form of the words in brackets with modals in past in the gaps. 1 I don’t know why there weren’t any classes yesterday. There may/might/could have been a dean’s day, but I’m not sure. (BE) 2 You must have seen her. She was standing right next to you. (SEE) 3 She couldn’t have travelled to Russia. She hasn’t got a passport. (TRAVEL) 4 You needn’t have gone to the shop, I went there on my way home, so I bought everything myself. (GO) 5 We shouldn’t have made so many appointments for today, I’m afraid we won’t manage all of them. (MAKE) 6 We would have joined you at the conference, but we had to go for a lecture. (JOIN) 7 The doctors could/should have done more, I don’t understand why they gave up. (DO) 8 I must have told you before, I am absolutely sure I did. (TELL) 9 You could have spent more me on prepara on, you were just lazy. (SPEND) 10 I would have come to see you. I didn’t know you were ill! (COME) F. Use would + perfect infinitive in these third conditionals. Use the verbs in brackets. 1 If I had known about it, I would have told you. (TELL) 2 I would have stayed much longer, if I hadn’t had an exam. (STAY) 3 If I had known you had forbidden it, I wouldn’t have gone there. (NOT GO) 4 If I had decided to go there then, surely the car would have hit me. (HIT) 5 If I hadn’t eaten those peanuts last week, I wouldn’t have been rushed to hospital. (NOT RUSH)