Cancer Care, Closer Home
Cancer Care, Closer Home
According to the Indian Council of Medical Research, India had more than 14 lakh cancer patients in
2023. Experts reckon that this figure is very likely an underestimate — the actual disease burden
could be 1.5 to 3 times more than the reported cases. Though India has a screening programme for
cervical, oral and breast cancers — these constitute more than a third of the country’s cancer burden
— detection rates are among the lowest in the world. Late detection of malignancy, and therefore
late initiation into treatment, is amongst the biggest public health challenges in the country. The
problem is particularly serious in rural areas. That’s why the government’s initiative to equip all
district hospitals with a cancer care centre is much-needed. According to a blueprint drawn up by the
Union health ministry, every such facility will have an oncologist or a trained medical officer, along
with two nurses, a pharmacist and a multi-purpose worker.
The number of cancer specialists required by the country varies according to surveys. However, even
by conservative estimates, India is short of at least 2,000 oncologists. Some district centres, especially
in the Northeast and Kerala, do offer specialised cancer care. However, at least 50 per cent of
oncologists operate from urban centres. Drafting specialists could, therefore, be a challenge for the
new programme. For starters, the government could upscale the use of mobile clinics in rural areas. A
large section of patients, many of them women, do not come forward for screening. The new
initiative could link up with hospitals which send teams to people’s doorsteps and work sites for
diagnostic tests. Policymakers should also find ways to encourage the use of digital tools, such as
telemedicine, at the new rural cancer units and link them through the National Cancer Grid. This will
allow the exchange of expertise between rural and urban facilities.
Cancer treatment can be emotionally taxing and patients in rural areas face additional mental health
challenges due to limited support groups. That’s why several patients discontinue therapy. The
provision of counseling services at the new centres could help ensure continuity in treatment. This
could be complemented with telehealth counseling services to provide mental health support to rural
patients. The government would do well to use advancements in technology to mitigate deficits in
resources. [Practice Exercise]
Red/blue coloring of words in the sentence indicates subject verb relationship; where ‘red’
denotes ‘subject’ and ‘blue’ denotes ‘verb’.
Vocabulary
1. Reckon (verb) – Estimate, Calculate, 12. Oncologist (noun) – Cancer specialist,
Consider, Believe, Think Cancer doctor, Tumor expert, Oncology
physician, Cancer physician क
2. Likely (adjective) – Probable, Possible,
Expected, Plausible, Anticipated 13. For starters (phrase) – Initially, To begin
with, First of all, At first, In the beginning
3. Underestimate (noun) – Underestimation,
Underestimation, Lowball, Misjudgment,
Undervaluation क क 14. Upscale (verb) – Upgrade, Enhance,
Improve, Expand, Elevate क
4. Screening (noun) – Testing, Examination,
Check-up, Detection, Assessment 15. Come forward (phrase) – Volunteer, Step
up, Offer, Present oneself, Emerge
5. Constitute (verb) – Form, Comprise, Make
up, Represent, Compose क
16. Diagnostic (adjective) – Analytical, Testing,
6. Malignancy (noun) – Cancer, Tumor,
Investigative, Identificatory, Evaluative
Carcinoma, Growth, Disease क
क
7. Initiation (noun) – Start, Beginning,
17. Policymaker (noun) – Decision-maker,
Commencement, Launch, Introduction
Legislator, Administrator, Regulator,
Planner
8. Equip (with) (verb) – Provide, Supply,
18. Expertise (noun) – Skill, Knowledge,
Furnish, Arm, Outfit क Proficiency, Mastery, Competence
21. Telehealth (noun) – the provision of 23. Deficit (noun) – Shortfall, Lack, Deficiency,
healthcare remotely by means of Insufficiency, Gap क
telecommunications technology.
C. Lucid
D. Obnoxious
8. Select the most appropriate option that can substitute the underlined segment in the given
sentence.
The elusive moon peeked from behind the clouds, illuminating the earth with its gentle glow
A. glowing up the earth for
B. empowering the earth via
C. lighting up the earth with
D. encouraging the earth with
9. Select the most appropriate synonym of the given word.
Vivid
A. Varied
B. Soothing
C. Bright
D. Dull
10. Select the most appropriate option that can substitute the underlined segment in the given
sentence.
Do you know the purpose of a fire extinguisher? It helps to put up with an engulfing fire, in
case of an emergency.
A. turn over
B. put out
C. stand out
D. run away with
11. Select the most appropriate meaning of the underlined phrase.
Those who have died cannot be brought back to life.
A. Abstract
B. Retract
C. Extract
D. Resurrect
12. Select the most appropriate ANTONYM of the given word.
Frugal
A. Cheap
B. Profligate
C. Thrifty
D. Happy
13. Select the most appropriate ANTONYM of the given word.
Ambrosian
A. Malodorous
B. Pleasing
C. Faithful
D. Vengeful
14. Select the option that rectifies the INCORRECT spelling in the given sentence.
Pleasee allow me to start
A. Pleasse
B. Pleesse
C. Pleeasse
D. Please
15. Select the correct spelling of the incorrectly spelt word in the given sentence.
He was suspended from the party due to his suspiscious activities
A. Suspeceous
B. Suspicius
C. Suspicious
D. Suspitious
16. Select the most appropriate meaning of the given idiom.
Grease someone's palm
A. To abuse someone
B. To flatter someone
C. To beat someone
D. To bribe someone
17. Select the INCORRECTLY spelt word.
A. Admittance
B. Admissible
C. Admission
D. Admited
18. The following sentence has been split into four segments. Identify the segment that contains
a grammatical/spelling error.
He was lying at / his bed when he / saw the snake entering / through the window
A. saw the snake entering
B. through the window
C. his bed when he
D. he way lying at
19. Select the most appropriate option to fill in the blank.
The storm caused extensive damage to homes, ___________ many families homeless.
A. Is left
B. leaving
C. leave
D. To leave
20. Select the correct idiom to substitute the underlined segment in the following sentence.
His remarks made the matter worse
A. Added fuel to the fire
B. Made a splash
C. Spilled the beans
Answers
1. C 2. B 3.A 4. B 5. D 6.A 7. A 8. C 9. C 10.B 11.D
12. B 13.A 14.D 15.C 16.D 17.D 18.D 19.B 20.A 21.B 22.B
23. C 24.C 25.B [Practice Exercise]
Explanations
1. C) Concerned and solution-oriented
The author highlights India’s cancer burden and underscores both the challenges and potential
solutions (like district cancer centres, mobile clinics, and telemedicine). This conveys a serious
concern along with a focus on finding and implementing practical remedies.
A: While the passage raises concern, it does not use fear-mongering or an exaggerated tone; it
presents factual information and possible solutions.
B: The passage does not celebrate the current situation; it points out significant gaps and the
need for urgent action.
D. Sarcastic: There is no mocking or ironic tone; the passage maintains a factual and
constructive approach.
2. B) Emphasizing the importance of early detection and improved rural cancer care
The passage underscores India’s cancer burden, particularly in rural areas, and discusses the
need for systematic screening, timely detection, and strengthening cancer care in district
hospitals and rural settings.
A: The passage does not recommend alternative medicine. It focuses on standard oncology
practices and infrastructure.
C: It mentions urban centres have more oncologists but does not depict them as entirely
successful or the main focus.
D: Cost issues are not central to the passage; it primarily addresses resource gaps and
strategies for better reach.
3. A) Lack of awareness and reluctance to undergo screening
The passage highlights that many people, particularly women, do not come forward for
screening due to lack of awareness and reluctance. This is a major reason for late detection.
B: The passage states that oncologists are concentrated in urban areas, not that they are
unavailable. The issue is more severe in rural settings.
C: The passage does not suggest that cost is the reason people avoid screening. The issue is
more related to accessibility and awareness.
D: No government policy restricts cancer screening; instead, the government is trying to
improve screening facilities.
4. B) To improve early detection and treatment in rural areas
The passage emphasizes the problem of late detection and inadequate rural cancer care. The
government’s initiative aims to address this issue by providing local access to screening and
treatment.
A: While urban hospitals may be overburdened, this is not the main reason for district hospital
expansion.
C: The passage does not mention eliminating private hospitals; it focuses on improving rural
access to care.
D: The passage does not discuss alternative therapies but focuses on enhancing existing
medical infrastructure.
5. D) Patients and their families who actively participate in screening programs
The passage highlights the importance of screening and early detection, which requires people
in rural areas to actively participate. Without their involvement, the initiative would not be
fully effective.
A: While they design policies, the success depends on community participation, not just
officials.
C: The passage does not mention any such unethical practice; urban hospitals continue to treat
cancer patients.
B: While research funding is helpful, the passage focuses on local healthcare infrastructure, not
foreign aid.
6. A) 'for the music' के फदरे 'for music' का use होगा क्मोंकक 'the' का use ककसी specific noun
को refer कयने के लरए होता है । महाॉ ऩय 'music' एक general concept है , इसलरए 'the' article
की आवश्मकता नह ॊ है । Correct Sentence: She is learning to play the guitar to pursue her
passion for music.
'for the music' should be replaced with 'for music' because the article 'the' is used to refer to
something specific, while 'music' here refers to a general concept. Hence, no article is needed.
Correct Sentence: She is learning to play the guitar to pursue her passion for music.
7. A) Hermetic (adjective) – Sealed, Airtight, Impervious, Obscure, Esoteric प् , यहस्मभम, गूढ़।
Synonym: Esoteric (adjective) – Obscure, Abstract, Cryptic, Arcane, Hermetic प् , गढ़
ू ।
Intelligible (adjective) – Able to be understood; clear, comprehensible.फोधगम्म
Lucid (adjective) – Expressed clearly; easy to understand. स्ऩष्ट
Obnoxious (adjective) – Extremely unpleasant; offensive, odious.अप्रिम
8. C) 'illuminating the earth with' को 'lighting up the earth with' से फदरना सह होगा क्मोंकक
दोनों का अथथ "िकालित कयना" होता है । महाॉ 'lighting up' का use सफसे उऩमक्
ु त है क्मोंकक
मह वाक्म भें सह अथथ िदान कयता है ।
The phrase 'illuminating the earth with' should be replaced with 'lighting up the earth with'
because both mean "to light up." Here, 'lighting up' fits best in the context as it conveys the
intended meaning.
9. C) Vivid (adjective) – Producing powerful feelings or strong, clear images in the mind; bright,
vibrant, striking. स्ऩष्ट, चभकदाय
Synonym: Bright (adjective) – Giving off or reflecting a lot of light, vivid, radiant, shiny. चभकदाय
Varied (adjective) – Diverse, different, assorted. प्रवप्रवध
Soothing (adjective) – Having a calming or relieving effect, comforting. सुखदामक
Dull (adjective) – Lacking brightness or interest, boring. भॊद, पीका
10. B) ‘put up with' के फदरे 'put out' का use होगा क्मोंकक वाक्म का सॊदबथ आग फुझाने से
सॊफॊधधत है । 'put out' का अथथ होता है "to extinguish a fire" (आग फुझाना), जो महाॉ सह अथथ
िदान कयता है । अन्म प्रवकल्ऩ वाक्म के सॊदबथ भें सह नह ॊ हैं;
put up with' will be replaced by 'put out' because the context of the sentence is related to
extinguishing a fire. 'put out' means "to extinguish a fire," which is the correct meaning in this
case. The other options do not fit the context of the sentence;
11. D) Resurrect (Brought back to life – ऩन
ु जीप्रवत कयना)
12. B) Frugal (adjective) – Economical, sparing, or avoiding waste in the use of resources. (साधायण,
लभतव्ममी)
Antonym: Profligate (adjective) – Recklessly extravagant or wasteful in the use of resources.
(कपजूरखचथ, अऩव्ममी)
Cheap (adjective) – Inexpensive, low-cost, or of low quality. (सस्ता)
Thrifty (adjective) – Using resources carefully and not wastefully; similar to frugal.
(ककपामती, लभतव्ममी)
Happy (adjective) – Feeling or showing pleasure or contentment. (खि
ु )
13. A) Ambrosian (adjective) – Extremely pleasing to the senses, especially taste or smell; divine,
delicious. (अभत
ृ के सभान, ददव्म)
Antonym: Malodorous (adjective) – Having an unpleasant or offensive smell, foul-smelling.
(दग
ु ध
ं मुक्त)
Pleasing (adjective) – Giving pleasure or satisfaction, agreeable, delightful. (सख
ु द)
Faithful (adjective) – Loyal, reliable, constant, devoted. (वपादाय)
Vengeful (adjective) – Seeking revenge, retaliatory, vindictive. (िततिोधी)
14. D) The correct spelling of the word is 'Please', which means "to express a polite request or
desire." इसका अथथ है "कृऩमा।"
15. C) The correct spelling of 'suspiscious' is 'Suspicious', which means “having or showing a
cautious distrust of someone or something” in English. सॊददग्ध मा िक कयने मोग्म।
16. D) Grease someone's palm (idiom): To bribe someone to gain favor or advantage.
ककसी को रयश्वत दे ना मा कुछ हालसर कयने के लरए ककसी का ऩऺ रेना।
17. D) The incorrectly spelt word is ‘Admited’. The correct spelling is ‘Admitted’, which means "to
allow someone to enter a place" or "to acknowledge or confess to something." In Hindi, it
means "िवेि की अनभ
ु तत दे ना" मा "स्वीकाय कयना
18. D) 'lying at' का use गरत है क्मोंकक व्मक्क्त 'lie' कयता है ककसी सतह ऩय (on the bed)। 'at'
का use ककसी स्थान को इॊधगत कयने के लरए होता है , रेककन महाॉ सतह का उल्रेख है , अतः
'on' का use उधचत है । जैसे—He was lying on the bed when the snake entered.
The phrase 'lying at' is incorrect because a person 'lies' on a surface, such as a bed, and 'at' is
used to denote a specific location. In this case, the surface is mentioned, so 'on' is the correct
preposition. For example—He was lying on the bed when the snake entered.
19. B) 'Leaving' का use सह है वाक्म भें "the storm caused extensive damage" कायण है , औय
"leaving many families homeless" ऩरयणाभ है। महाॉ 'leaving' एक participial phrase है , जो प्रऩछरे
clause को सॊिोधधत कयती है औय तूपान के नक
ु सान के ऩरयणाभ को दिाथती है । 'Is left' गरत
है क्मोंकक मह वतथभान कार भें एक क्स्थतत को दिाथता है , जफकक वाक्म बूतकार भें है । 'Leave'
गरत है क्मोंकक इसके लरए एक modal मा auxiliary verb (जैसे "caused the storm to leave") की
आवश्मकता होगी, जो वाक्म भें नह ॊ है। 'To leave' गरत है क्मोंकक मह उद्देश्म मा इयादे को
दिाथता है , जो महाॉ वाॊतछत अथथ नह ॊ है ।
'Leaving' will be used because it fits the grammatical structure and conveys the intended
meaning effectively. The sentence describes a cause-and-effect relationship where "the storm
caused extensive damage" is the cause, and "leaving many families homeless" is the resulting
effect. The use of the present participle 'leaving' creates a participial phrase that modifies the
main clause and describes the outcome of the storm's damage. 'Is left' is incorrect because it
indicates a state of being in the present tense, which doesn't align with the past tense verb
"caused." 'Leave' is incorrect because it would require a modal or auxiliary verb (e.g., "caused
the storm to leave"), which is absent in the sentence. 'To leave' is incorrect because it implies
purpose or intention, which is not the intended meaning in this context.
20. A) Added fuel to the fire – Made the matter worse (क्स्थतत को औय खयाफ कय ददमा)
21. B) "are" का use होगा क्मोंकक मह sentence साभान्म सत्म मा तथ्म को व्मक्त कयता है , औय
"some firsts" वाक्म का subject plural है । "There are some firsts that stay in history forever" का
भतरफ है कक कुछ "ऩहर घटनाएॉ" होती हैं जो इततहास भें हभेिा के लरए माद यहती हैं।
"Was" का use past के लरए ककमा जाता है , जफकक महाॉ साभान्म सत्म की फात हो यह है । "Is"
singular के लरए है , रेककन "some firsts" plural है। "Were" बी past भें होता है , जो इस सॊदबथ
भें सह नह ॊ है ।
Are Be" is the correct choice because the sentence expresses a general truth or fact, and the
subject "some firsts" is plural. The phrase "There are some firsts that stay in history forever"
indicates that certain "firsts" always remain significant in history. "Was" is used for past events,
but this sentence talks about an enduring truth. "Is" is for singular subjects, whereas "some
firsts" is plural. "Were" refers to the past, which is not appropriate for a general statement.
22. B) 'Bigger' का use होगा क्मोंकक 'bigger' का अथथ है "आकाय मा भहत्व भें अधधक फडा।" महाॉ
passage भें फतामा गमा है कक Khashaba Jadhav की उऩरक्धधमाॊ उनके खेर के "far bigger
athletes" की तुरना भें अधधक भहत्वऩूणथ थीॊ। 'bigger' महाॊ सह fit होता है , क्मोंकक मह उनके
deeds की तुरना भें अन्म athletes के भहत्व को दिाथता है । जफकक 'small' का अथथ है "छोटा,"
जो context के प्रवऩय त है । 'big' सह adjective नह ॊ है क्मोंकक 'bigger' comparative degree है , जो
महाॉ की आवश्मकता है । 'smaller' का अथथ है "आकाय मा भहत्व भें छोटा," जो sentence के बाव
से भेर नह ॊ खाता।
'Bigger' will be used because it means "greater in size or importance." The passage highlights
that Khashaba Jadhav's achievements overshadowed those of "far bigger athletes" in his sport.
The comparative degree 'bigger' is appropriate here as it compares the achievements of Jadhav
with those of other athletes. Whereas, 'small' means "little," which contradicts the context.
'Big' is not the right adjective here because a comparative degree is needed. 'Smaller' means
"less in size or importance," which doesn't align with the sentence's meaning.
23. 'C) Priority' का use महाॉ होगा क्मोंकक "priority" का अथथ है ककसी चीज़ को सफसे ऩहरे भहत्व
दे ना। Passage भें कहा गमा है कक स्वतॊत्र बायत खेर िततबाओॊ को आधथथक रूऩ से भदद कयने
के भाभरे भें िाथलभकता नह ॊ दे यहा था। मह फताता है कक खेरों को उस सभम दे ि भें उतना
भहत्व नह ॊ ददमा जा यहा था। 'Subsequence' का अथथ होता है ककसी घटना का अनक्र
ु भ मा
ऩरयणाभ, 'Supremacy' का अथथ है सवोच्चता, औय 'Posteriority' का अथथ है ऩीछे होना मा फाद भें
आना। मे िधद इस context भें सह नह ॊ हैं।
'Priority' will be used because it means giving importance to something above all else. The
passage mentions that funding sportspersons wasn't really a priority for the country at that
time, indicating that sports were not given significant importance in the newly independent
India. 'Subsequence' means the order or consequence of an event, 'Supremacy' implies
dominance or superiority, and 'Posteriority' means being later or subsequent, none of which fit
the context here.
24. C) 'Wrestled' का use ककमा जाएगा क्मोंकक इसका अथथ है कदिनाई मा सॊघर्थ के साथ ककसी
चीज़ को हालसर कयना। sentence भें mention है कक जाधव ने अऩने सॊघर्थ के भाध्मभ से
िलसप्रि हालसर की, इसलरए 'wrestled' महाॉ उऩमुक्त है । जफकक 'Surrendered' का अथथ है
आत्भसभऩथण कयना, 'buckled-under' का अथथ है दफाव के आगे झुकना, औय 'Lazed' का अथथ है
आयाभ कयना मा आरस्म कयना, जो इस सॊदबथ भें उऩमुक्त नह ॊ हैं।
'Wrestled' will be used because it means to achieve something through difficulty or struggle.
The sentence mentions that Jadhav earned fame through his efforts, making 'wrestled' fitting
here. Whereas, 'Surrendered' means to give up, 'buckled-under' means to yield under
pressure, and 'Lazed' means to relax or be idle, which are not appropriate in this context.
25. B) 'claimed' answer होगा क्मोंकक महाॉ sentence मह फताता है कक ख़िाफा जाधव ने ओरॊप्रऩक
भें काॊस्म ऩदक जीता। "Claimed" का अथथ है ककसी चीज़ को अऩने अधधकाय मा ऩुयस्काय के रूऩ
भें िाप्त कयना, जो इस context भें बफरकुर उऩमुक्त है। 'Forgave' का अथथ है भाफ़ कयना, जो
महाॉ उऩमुक्त नह ॊ है । 'Lulled' का अथथ है िाॊत कयना, जो इस context भें सह नह ॊ फैिता।
'Constructed' का अथथ है तनभाथण कयना, जो medal जीतने से सॊफॊधधत नह ॊ है ।
The correct answer is 'claimed' because the context of the sentence refers to Khashaba Jadhav
winning a bronze medal at the Olympics. The word "claimed" means to achieve or gain
something as one's right or prize, which fits the context perfectly. 'Forgave' means to pardon
or excuse someone, which is irrelevant in this context. 'Lulled' means to soothe or calm, often
misleading in context, which doesn't relate to winning a medal. 'Constructed' means to build
or create, which is unrelated to the act of winning an Olympic medal.