Reported Speech – English Grammar Exercises for B1
You just got back from the doctor’s clinic. You are sitting in the living room with your family (parents/spouse), reporting the doctor’s medical advice and test results to reassure them that everything is fine. Choose the best option (A, B, C, or D) to complete each sentence.
1 “Don’t worry, Mom. The doctor looked at my test results and said that my blood pressure ______ completely normal.”
(A) is
(B) be
(C) was
(D) has been
2 “He was very nice. He told me that ______ nothing to worry about at all.”
(A) there is
(B) was there
(C) it was
(D) there was
3 “As for my diet, he told me ______ lots of water and eat more fresh fruit.”
(A) to drink
(B) drink
(C) drinking
(D) that I drink
4 “Because of my backache, the doctor warned me ______ any heavy boxes for a few weeks.”
(A) don’t lift
(B) not to lift
(C) not lifting
(D) didn’t lift
5 “He gave me a prescription and said I ______ take the medicine twice a day after meals.”
(A) must
(B) must to
(C) had to
(D) have to
6 “During the check-up, he asked me ______ any sharp pain in my chest when I breathed.”
(A) did I feel
(B) that I felt
(C) if felt I
(D) if I felt
7 “Then, he asked me how long ______ this terrible headache.”
(A) I had had
(B) did I have
(C) I have had
(D) had I had
8 “He pointed at the computer screen and said that ______ cholesterol was a little bit high.”
(A) your
(B) my
(C) his
(D) mine
9 “Everything will be fine. He promised that I ______ feel much better after two days of rest.”
(A) will
(B) should
(C) would to
(D) would
10 “To improve my digestion, the doctor advised ______ more green vegetables.”
(A) I eat
(B) me eating
(C) me to eat
(D) to me to eat
11 “I don’t have the final blood test results yet. He told me they would be ready ______.”
(A) tomorrow
(B) the following day
(C) the tomorrow
(D) yesterday
12 “He explained that my body ______ a mild virus, which is why I had a fever.”
(A) is fighting
(B) was fought
(C) fought
(D) was fighting
13 “He was very strict about my sleeping habits. He ______ me that I shouldn’t stay up so late anymore.”
(A) told
(B) said
(C) spoke
(D) explained
14 “The best news is that he said I ______ go back to work and play sports next Monday.”
(A) can
(B) could
(C) was able
(D) can be able to
15 “Before prescribing the new pills, he asked me what medicine I ______ before coming to the clinic.”
(A) took
(B) was taking
(C) had taken
(D) have taken
16 “Because I sit at a desk all day, he suggested ______ a physical therapist for my neck.”
(A) to see
(B) seeing
(C) me to see
(D) that seeing
17 “When I asked about needing a complicated surgery, he ______ it wouldn’t be necessary.”
(A) told
(B) asked
(C) said me
(D) said
18 “He gently pressed my stomach and wanted to know exactly where ______ the pain.”
(A) did I feel
(B) I felt
(C) I did feel
(D) felt I
19 “He reminded me to finish all the antibiotics he ______ for me the day before.”
(A) had prescribed
(B) prescribed
(C) has prescribed
(D) would prescribe
20 “Finally, he instructed me ______ back to the clinic if my symptoms got worse.”
(A) to come
(B) coming
(C) come
(D) that I came
ANSWER KEY & EXPLANATIONS
1 (C)
- Key (C) was: The doctor’s direct speech was “Your blood pressure is normal.” In reported speech, the present simple “is” backshifts to the past simple “was”.
- Common Mistake (A) is: Forgetting to backshift the tense.
- Structural Error (B) be: Incorrect verb form.
- Strong Distractor (D) has been: Present perfect does not follow the standard backshifting rule from present simple.
2 (D)
- Key (D) there was: “There is” backshifts to “there was”.
- Common Mistake (A) there is: Failing to apply the backshift rule.
- Structural Error (C) it was: Changing the fixed phrase “there is/was” to “it is/was”, which changes the grammatical subject.
- Strong Distractor (B) was there: Uses question word order instead of statement word order.
3 (A)
- Key (A) to drink: To report a command or instruction (“Drink lots of water”), we use the structure: told + object + to + base verb.
- Common Mistake (B) drink: Using the direct imperative form without “to”.
- Structural Error (C) drinking: Using the gerund form instead of the infinitive.
- Strong Distractor (D) that I drink: While “told me that I should drink” is okay, “told me that I drink” is grammatically incorrect.
4 (B)
- Key (B) not to lift: To report a negative command (“Don’t lift”), we use: warned/told + object + not to + base verb.
- Common Mistake (A) don’t lift: Keeping the direct speech negative auxiliary.
- Structural Error (C) not lifting: Using a gerund instead of “to” infinitive.
- Strong Distractor (D) didn’t lift: Looks like a past tense backshift, but commands require the infinitive structure, not a past tense clause.
5 (C)
- Key (C) had to: The modal verb “must” (obligation) backshifts to “had to” in reported speech.
- Common Mistake (A) must: Failing to backshift the modal verb.
- Structural Error (B) must to: “Must” is never followed by “to”.
- Strong Distractor (D) have to: “Have to” is present tense; it fails to backshift to the past.
6 (D)
- Key (D) if I felt: To report a Yes/No question (“Do you feel any pain?”), we use if/whether + Subject + Verb (backshifted).
- Common Mistake (A) did I feel: Keeping the question word order (auxiliary verb before subject). Reported questions must be statements.
- Structural Error (C) if felt I: Completely incorrect word order.
- Strong Distractor (B) that I felt: You cannot use “that” to report a question; you must use “if” or “whether”.
7 (A)
- Key (A) I had had: The direct question was “How long have you had…?” (Present Perfect). This backshifts to Past Perfect (“had had”). Normal statement word order is required.
- Common Mistake (B) did I have: Uses question word order and wrong tense.
- Structural Error (D) had I had: Correct tense, but keeps the incorrect question word order.
- Strong Distractor (C) I have had: Word order is correct, but the speaker forgot to backshift the tense.
8 (B)
- Key (B) my: The doctor said “Your cholesterol.” When reporting it to your family, you must change “your” to “my” to fit your perspective.
- Common Mistake (A) your: Forgetting to change the pronoun. It sounds like you are telling your Mom that her cholesterol is high.
- Structural Error (D) mine: “Mine” is a possessive pronoun, not an adjective. It cannot be placed before the noun “cholesterol”.
- Strong Distractor (C) his: Wrong perspective.
9 (D)
- Key (D) would: The future auxiliary “will” backshifts to “would”.
- Common Mistake (A) will: Failing to backshift.
- Structural Error (C) would to: “Would” must be followed by a bare infinitive, not “to”.
- Strong Distractor (B) should: Changes the meaning from a future promise to advice.
10 (C)
- Key (C) me to eat: The verb “advise” follows the pattern: advise + object + to + base verb.
- Common Mistake (A) I eat: Missing the object and the “to” infinitive.
- Structural Error (D) to me to eat: You do not use “to” before the object of “advise”.
- Strong Distractor (B) me eating: Using the gerund instead of the infinitive.
11 (B)
- Key (B) the following day: Time expressions change in reported speech. “Tomorrow” becomes “the next day” or “the following day”.
- Common Mistake (A) tomorrow: Failing to change the time word. “Tomorrow” would mean the day after you are speaking to your parents, not the day after the doctor’s appointment.
- Structural Error (C) the tomorrow: Grammatically invalid phrase in English.
- Strong Distractor (D) yesterday: Shifts the time backward instead of forward.
12 (D)
- Key (D) was fighting: The Present Continuous (“is fighting”) backshifts to the Past Continuous (“was fighting”).
- Common Mistake (A) is fighting: Failing to backshift the tense.
- Structural Error (B) was fought: This is the passive voice, which changes the meaning completely (the body was attacked).
- Strong Distractor (C) fought: Past simple does not capture the ongoing nature of the infection that the continuous tense provides.
13 (A)
- Key (A) told: The reporting verb “tell” must be followed directly by an object pronoun (“me”).
- Common Mistake (B) said: “Said” cannot be followed directly by an object (you must say “said to me”).
- Structural Error (C) spoke: You cannot “speak me that…”.
- Strong Distractor (D) explained: “Explain” requires “to” before the object (“explained to me”).
14 (B)
- Key (B) could: The modal verb “can” backshifts to “could”.
- Common Mistake (A) can: Failing to backshift.
- Structural Error (D) can be able to: Redundant and grammatically incorrect combination.
- Strong Distractor (C) was able: Needs the word “to” (was able to) to be grammatically correct.
15 (C)
- Key (C) had taken: The Past Simple (“what medicine did you take?”) backshifts to the Past Perfect (“what medicine I had taken”) in formal reported speech.
- Common Mistake (A) took: Failing to backshift from past simple to past perfect.
- Structural Error (D) have taken: Using Present Perfect instead of Past Perfect.
- Strong Distractor (B) was taking: Changes the meaning to an interrupted continuous action rather than a completed one before the visit.
16 (B)
- Key (B) seeing: The reporting verb “suggest” is followed directly by a gerund (V-ing) when there is no object pronoun.
- Common Mistake (A) to see: Many learners think “suggest” works like “want” or “tell” and use the infinitive, which is incorrect.
- Structural Error (C) me to see: You cannot use suggest + object + to infinitive.
- Strong Distractor (D) that seeing: You can say “suggested that I see”, but you cannot put “that” directly before a gerund.
17 (D)
- Key (D) said: The reporting verb “say” is used when there is no direct object pronoun following it.
- Common Mistake (A) told: “Told” requires an object (e.g., “told me that”).
- Structural Error (C) said me: You cannot put an object directly after “said” without “to”.
- Strong Distractor (B) asked: The doctor is making a statement, not asking a question.
18 (B)
- Key (B) I felt: When reporting a Wh- question (“Where do you feel the pain?”), keep the Wh- word and use statement word order (Subject + Verb) with a backshift.
- Common Mistake (A) did I feel: Keeping the original question word order instead of changing it to a statement.
- Structural Error (C) I did feel: Unnecessary use of the auxiliary “did” in an affirmative statement.
- Strong Distractor (D) felt I: Completely reversed word order.
19 (A)
- Key (A) had prescribed: The time marker “the day before” indicates the doctor’s action happened before the appointment. The Past Simple (“I prescribed yesterday”) backshifts to Past Perfect.
- Common Mistake (B) prescribed: Failing to backshift the tense.
- Structural Error (C) has prescribed: Present Perfect is incorrect here.
- Strong Distractor (D) would prescribe: This means a future action, which contradicts “the day before”.
20 (A)
- Key (A) to come: The verb “instruct” (like tell, advise, order) follows the pattern: instruct + object + to + base verb.
- Common Mistake (C) come: Using the bare infinitive instead of the “to” infinitive.
- Structural Error (B) coming: Using the gerund form.
- Strong Distractor (D) that I came: While “instructed that I should come” works in some formal contexts, “instructed that I came” uses the wrong tense and structure for a command.
GRAMMAR POINTS TO REMEMBER
When you return from the doctor and report their words to your family, you act as a “messenger.” Because the doctor’s words were spoken in the past, everything must take one step backward in time. This is called Backshifting.
1 The “Step Back in Time” Rule (Tense Shifts):
- Present Simple → Past Simple (“Your blood pressure is fine” → He said my blood pressure was fine).
- Present Continuous → Past Continuous (“Your body is fighting a virus” → He said my body was fighting a virus).
- Past Simple → Past Perfect (“I took a pill” → I told him I had taken a pill).
2 Modal Verb Shifts:
- Will → Would
- Can → Could
- Must → Had to
3 Reporting Medical Commands & Advice:
Doctors give a lot of orders. Do not use standard tense backshifting for commands. Use the To-Infinitive structure:
- Positive Command: told / advised / instructed + Object + to + Verb (He told me to drink water).
- Negative Command: warned / told + Object + not to + Verb (He warned me not to lift heavy things).
4 Shifting Perspectives (Pronouns):
You must change the pronouns to fit your perspective.
- “Your results” → “My results”
- “You need rest” → “I needed rest”
5 Say vs. Tell:
This is the most common mistake for English learners!
- Use Say without an object: He said that I was fine.
- Use Tell WITH an object: He told me that I was fine. (Never say “He said me”).
6 Reporting Questions:
When you report a question the doctor asked, it is no longer a question. It becomes a normal statement. You must use Subject + Verb word order.
- Direct: “Where does it hurt?”
- Reported: He asked me where it hurt. (NOT: where did it hurt).
- For Yes/No questions, add if or whether. (He asked me if I felt pain.)
