Grammar Medical PDF
Grammar Medical PDF
Grammar Medical PDF
Reported
speech
Tenses Relative
Clauses
e.g. Her clothes are covered with paint. She e.g. The ceiling was white. Now it is blue.
has been painting the ceiling. She has painted the ceiling.
Use the continuous to say how long (the Use the simple to say how much, how
activity is still happening) many, or how many times
e.g. How long have you been reading that e.g. How many pages of that book have
book? you read?
For and Since
For + a period of time Since + the start of a period
I have been waiting for two hours. I have been waiting since 8 am.
We haven’t seen any cancer patients for a He has been working here since January.
month.
We aren’t hungry. We’ve just had lunch. We weren’t hungry. We’d just had lunch.
Past Perfect Continuous (I had been doing)
The past perfect continuous corresponds to the present perfect continuous,
but with reference to a time earlier than 'before now'.
Past perfect continuous
I/we/they/you had -ing
he/she/it
e.g. I was very tired when I got home. I had been working hard all day
Present perfect continuous Past perfect continuous
Present continuous
| Present perfect continuous
now
now
He’s out of breath. He has been running. He was out of breath. He had been running
I will and I am going to
Will Going to
- When we decide to do something at the - When we have already decided to do
time of speaking something
I am hungry. I think I will go for lunch. I am going to study at the library
tomorrow.
We use the future continuous to talk about We use the future perfect to say that
something that will be in progress at or around something will be finished by a particular time
a time in the future. in the future.
Don’t call me between 8 and 9. We will be She always leaves for work at 9:00 in the
having meeting then. morning, so she will not be home at 10:00. She
will have gone to work.
Reported
speech
Tenses Relative
Clauses
In general, the present form in direct speech changes to the past form in
reported speech
am/is à was have/has à had will à would v à v-ed
are à were do/does à did can à could
Reported Speech
It is not always necessary to change the verb when you use reported
speech, i.e. when the fact is still true you do not need to change the verb.
Direct John said, “I am going to Singapore next month.”
Reported John said that he wants to go to Singapore next month.
Say and Tell
•Use say, except when you want say who are you talking to (use tell).
•We also use infinitive (to + v) in reported speech, especially with tell and
ask (for orders and requests)
Direct “Stay in bed for a few days!” the doctor said to me.
Reported The doctor told me to stay in bed for a few days.
Questions
Who/What/Which/How/Where/When … ?
•In question sentence, we put the first auxillary verb before subject.
Suddenly the sun stop shining. not Suddenly the sun stop shine.
I have given up trying to win the competition.
Verb + to (forget to/ agree to)
These verbs are followed by to,
offer decide hope deserve attempt mean promise agree plan
aim afford manage intend threaten refuse arrange learn
need fail forget
5) If the subject does not appear in front of the second verb, a comma is generally
unnecessary
I saw that she was busy, and prepared to leave.