C1 Advanced Listening Health 20 minutes 7 questions

What People Aged 50 and Older Need to Know About Flu Shots

Listen to the C1 Daily News report “What People Aged 50 and Older Need to Know About Flu Shots” and answer 7 comprehension questions.

About this practice test

Listen to the C1 Daily News report “What People Aged 50 and Older Need to Know About Flu Shots” and answer 7 comprehension questions.

What you’ll practice

Understanding detail

Follow specific information and examples.

Interpreting ideas

Identify main points and inferences.

Evaluating arguments

Assess claims, evidence, and limitations.

What to expect: 7 questions with explanations to review after submission.

Study the questions and tasks

Work through the material below, or start the interactive practice above to complete an attempt. Try the exercises before opening any answer or transcript sections, then use them to review your work.

Practice level
C1. Try this level if you can follow the instructions and understand most of the language; choose an earlier level if you need more support.
Question formats
Single choice

How to approach this practice

Read the questions, then listen before opening the transcript. Notice names, numbers and any corrections the speaker makes.

News lesson for this practice

Read the complete article and use its text or audio alongside these exercises: What People Aged 50 and Older Need to Know About Flu Shots.

What People Aged 50 and Older Need to Know About Flu Shots

Read a transcript excerpt

Flu activity is rising earlier than usual, according to the Centers for Disease Control and Prevention, but vaccination is still possible. In an NPR interview, host Ayesha Rascoe asks infectious-disease specialist Dr. Ann Falsey what people aged 50 and older should understand about the range of flu vaccines now available, including one described as new that year. The conversation focuses on how the newer vaccine is made. Falsey explains that…

Read the full article and transcript.

  1. Question 1 · Single choice

    Choose one answer.

    What does the opening report say about flu activity?

    Return to the passage, recording or visual
    1. It is rising earlier than usual, but vaccination remains possible
    2. It has ended earlier than usual, so vaccination is unnecessary
    3. It is rising later than usual, despite unusually early vaccination
    4. It is unchanged, although manufacturers have stopped producing vaccines
    Check answers and explanations
    Answer
    It is rising earlier than usual, but vaccination remains possible

    The report establishes that activity is increasing earlier than usual, while vaccination remains possible.

    Flu activity is rising earlier than usual, according to the Centers for Disease Control and Prevention, but vaccination is still possible.
  2. Question 2 · Single choice

    Choose one answer.

    What sequence describes the RNA vaccine's biological action?

    Return to the passage, recording or visual
    1. Instructions lead to protein production, which prompts immune reaction
    2. Immune reaction creates instructions, which destroy the original virus
    3. Protein production prevents cells from receiving any genetic message
    4. The vaccine delivers whole virus particles before producing instructions
    Check answers and explanations
    Answer
    Instructions lead to protein production, which prompts immune reaction

    The sequence runs from instructions, to protein production, to immune response.

    The immune system then reacts to that protein.
  3. Question 3 · Single choice

    Choose one answer.

    Where may traditional viral components be grown?

    Return to the passage, recording or visual
    1. In chicken eggs or large containers of cells
    2. Only inside the bodies of vaccinated older adults
    3. Exclusively in refrigerated RNA storage facilities
    4. Within seasonal clinics after circulating strains are confirmed
    Check answers and explanations
    Answer
    In chicken eggs or large containers of cells

    The interview identifies chicken eggs and large cell containers as production settings.

    Manufacturers generally grow viral components in chicken eggs or in large containers of cells.
  4. Question 4 · Single choice

    Choose one answer.

    What consequence follows from the six-to-nine-month planning period?

    Return to the passage, recording or visual
    1. Manufacturers commit before the season's full development is known
    2. Manufacturers can wait until every circulating strain is confirmed
    3. Manufacturers no longer need to estimate likely winter strains
    4. Manufacturers can immediately alter egg-grown components after release
    Check answers and explanations
    Answer
    Manufacturers commit before the season's full development is known

    Manufacturers must commit to predictions before the season's full pattern is visible.

    That timetable means manufacturers must make predictions well before the flu season fully develops.
  5. Question 5 · Single choice

    Choose one answer.

    What may happen after selecting the RNA vaccine's antigen?

    Return to the passage, recording or visual
    1. The RNA-based material can be produced relatively quickly
    2. The flu season must first be observed for six to nine months
    3. The antigen is replaced by a complete viral component
    4. Production becomes dependent on predicting every later strain
    Check answers and explanations
    Answer
    The RNA-based material can be produced relatively quickly

    Selection is followed by relatively rapid production of the RNA-based material.

    Once manufacturers select an antigen—the protein targeted by the immune response—they can produce the RNA-based material relatively quickly.
  6. Question 6 · Single choice

    Choose one answer.

    What result could faster adaptation potentially produce?

    Return to the passage, recording or visual
    1. Additional doses could become available sooner
    2. Existing vaccine formulations would become immediately obsolete
    3. Manufacturers would no longer need to select an antigen
    4. Seasonal flu protection would require no public communication
    Check answers and explanations
    Answer
    Additional doses could become available sooner

    The stated result is earlier availability of additional doses.

    According to Falsey, this could make it easier to adapt to a new flu strain that emerges and to increase production more rapidly, potentially making additional doses available sooner.
  7. Question 7 · Single choice

    Choose one answer.

    What does the final paragraph encourage older adults to understand?

    Return to the passage, recording or visual
    1. Different formulations can reflect considerably different underlying science
    2. Only the newest formulation is appropriate for older adults
    3. Production technology has no bearing on vaccine discussions
    4. Established options should be ignored when RNA technology exists
    Check answers and explanations
    Answer
    Different formulations can reflect considerably different underlying science

    It encourages attention to both the variety of formulations and their scientific differences.

    Understanding that distinction may help people follow discussions about seasonal flu protection with greater clarity.

What to review next

Listen again to difficult sections, then open the transcript to check what you heard. Repeat a useful phrase aloud and try the recording once more without the text.

A focused practice result shows how you did on these tasks. Use several activities across skills to decide what to study next; one practice score does not certify an overall CEFR level.

Before you practise: a worked example

Listen for the final information, especially when a speaker corrects or changes an earlier statement.

Example transcript: “Let’s meet at five — actually, half past five would be better.” What is the final suggested time?

The final suggested time is 5:30. Actually signals a correction; the first time is replaced by the later suggestion.

This teaching example is separate from the scored questions. After your test, compare any mistakes with the explanation and revisit the topic before trying again.