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Section 3: Grammar and vocabulary practice

The Past Perfect Tense
Active Passive

I gone I told
You heard You asked
He assisted He taken
She had seen She had been seen
It come It used
We helped We shown
They asked They sent

The past perfect tense is used for an action in the past which happened before another action,
also in the past, for example.

1. The doctor told them that John had sustained a fracture.
2. The nurse took John’s pulse and blood pressure after she had admitted him.
3. Soon after John had returned to the ward, he began to regain consciousness.
4. The past perfect is often used with.
Before, after, as soon as, until, when.
Complete the following sentences with the past perfect tense

1. We (give)………………him first aid by the time the ambulance arrived.
2. The doctor wanted to know what the nurse (do)………………………………
3. Mary didn’t get home until after her parents (go)………………………to bed

4. I found my way to the clinic after I (ask)………………………the theatre sister the way.
5. You lost your new gloves soon after you (buy)………………………them, didn’t you.
6. When John (recover)………………………from his operation, he was sent home.
7. The doctor did not arrive until the patient (finish)………………………their breakfast.

8. As soon as the surgeon (examine)………………………the x-rays he started the operation.
Complete the following sentences with the correct past simple or past perfect tense of the
verb in bracket.
Remember, the past perfect marks the earlier of the actions.

1. The nurse who admitted John (ask)………………………what (happen)………………to him.
2. He (tell)………………her that he (be knocked)………………down.
3. Mary (work)……………at the hospital for six months before she(meet)……………Jane.

4. When the nurse(set)…………………the trolley, she (take)…………………it into the ward.
5. After the disposable instruments (be used)……………they (be thrown)……………away.
6. After the surgeon (examine)………………the patient, he (tell)………………him there was
nothing to worry about.

7. Jane’s headache (not, get)………………better until she (take)………………several Aspirins.
8. The radiographer(tell)……………the patient not to move until she (take)……………the x-ray.
9. When she (take)…………the x-ray, the radiographer (take)…………the patient back to the ward.
10. After they (have)……………………their dinner, they (go)……………………to the cinema.

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