LISTENING TEST – 3

Part : A

Extract 1 : Questions 1 - 12

You hear a physician talking to a patient called Pamela Erickson.

For questions 1-12, complete the notes with a word or short phrase.

You now have 30 seconds to look at the notes.

Patients: Pamela Erickson (21 years old)

Symptoms & disease : itchy , red rash on feet

Patient’s description of symptom:

Itchy red rash on feet tingling persistently for (1)____

Right great toe, 2nd toe, 3rd toe and the 4th toe onset

of itching starts after (2) _____

doesn’t smoke

drinks regularly

Past medical history:

(3)_____ and frequent ear infections has (4)_____

no medications

gets (5)_____ while accessing adhesive tape

Family history:

Paternal grandmother has cataract (6)_____ has migraines

Diagnosis:

Physical examination reports show blood pressure 110/64, respiratory

Rate is (7)_____ heart rate is 66, temperature is 98.6

(8)_____ is warm to cool, proximal to distal the dorsalispedis artery pulse palpable

bilateral

the posterior tibial artery pulse palpable bilateral No (9)_____ observed and varicosities

are not observed.

right great toe, 2nd toe, 3rd toe and 4th toe shows erythema and (10)_____

muscle strength for all groups tested and muscle tone is normal.

Inspection and palpation of bone, joints and muscles unremarkable.

Assessment:

Tineapedis, a (11)_____ of skin from right toes KOH test shows no visible microbes.

Further treatment:

Lotrimin AF 1 % cream to apply four times a day Griseofulvin 250 mg PO, once in (12)

_____ for

Four weeks

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Extract 2 : Questions 13-24

You hear a doctor talking to a recently admitted patient called Roy Miller.

For questions 13-24, complete the notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient : Roy Miller

Reason for referral: shortness of breath

Patient’s description of condition:

getting up (13)_____ are difficult due to pauses to catch breath

getting worse now because of longer pauses while doing activities

feels (14)_____ and has barking kind of cough

worse at night as it keeps awake at night cough is quite thick and (15) _____ in color

feels feverish

Medical history:

diagnosed with (16) _____ last year used to be a smoker, but quitted (17)_____

worked in very dusty (18)____ gets gout time to time and takes (19) _____

also has arthritis in (20)_____ has prescription for (21)_____ and is taking a lot more

last week

also takes stain for cholesterol and paracetamol when (22)_____ is high

is allergic to (23) _____, gives rash and itches

Effects of condition on everyday life:

thinking about moving into a (24)_____ as stairs make it worse

thinks it might be a chest infection

That is the end of part A. Now look at part B.

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Part B

In this part of the test, you’ll hear six different extracts in each extract, you’ll hear

people talking in a differer healthcare setting. For question 25-30, choose the answer

A,B or C which fits best according to what you hear. You’ll have time to read each

question before you listen. Complete your answers as you listen. Now look at

Question 25.

You hear a doctor explaining to his patient about a bone-marrow biopsy.

25. Bone marrow sample can be obtained from

A. the blood forming portion of thinner core of bone

B. both sternum and front of pelvic bone near groin

C. pelvic bone near the lower back side of the hip

You hear two hospital managers talking about an information session for people

Who want to do voluntary work

26. What problem do the managers discuss?

A. issues with event management systems

B. difficulty in finding a good catering service

C. issues with contacting the participants

You hear a discussion between a nurse and doctor on different categories of

Chemotherapy drugs.

27. Antimetabolites

A. imitate as nutritional sources for cells

B. strave the essential cells to their death

C. prevent cancer cells from reproducing

You hear a discussion between a doctor and a nurse about pancreatic Neuroendocrine

tumors.

28. Which of the following tumors is not usually located at the head

Of pancreas?

A. Glucagonoma

B. Insulinoma

C. Gastrinoma

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You hear a monologue by a physician explaining about gall stones.

29. Which is the common type of gall stones?

A. blue-green gall stones

B. pigment gall stones

C. cholesterol gall stones

You hear a doctor briefing juniors doctors about trigger point injections.

30. Which one of the following is not a complication of tigger point injection?

A. skin irritation

B. mild healing

C. skin infection

That is the end of part B. Now look at part C.

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Part C In this part of the test, you’ll hear two different extracts. In each extract, you’ll hear

health professionals talking about aspects of their work.

For questions 31-42, choose the answer (A, B or C) which fits best according to what

you hear. Complete your answers as you listen.

Extract 1 Questions 31-36

Now look at extract one.

31. The symptom showed by the Tucker prior to admission was

A. yelping with severe neck pain.

B. signs of lack of coordination.

C. slipping on the tiled floors.

32. The information revealed by Tucker’s diagnostic test was

A. last 3 neck vertebrae compressing inward.

B. 3 cervical vertebrae pressing outward.

C. false suspicion of a cervical deformation.

33. The first signs of wobblers syndrome is seen

A. early in Doberman compared to Great Dane

B. early in Great Dane compared to Doberman

C. between 4 to 6 years in Doberman and Great Dane

34. The efficient cure for wobblers syndrome in dogs is

A. feeding low calcium diet.

B. steroids and restricted activity.

C. modified dorsal laminectomy.

35.The spine surgery in dogs helps to

A.uncompress the spinal cord.

B. function with extreme pressure.

C. reconstruct the affected vertebrae

36. Tucker’s case study is not perfect example for

A. how pet health insurance really pays the owner.

B. how early detection of the disease helps in cure.

C. how much deteriorating is wobblers syndrome.

Now look at extract two

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Extract 2: Questions 37- 42

You hear an ophthalmologist called Dr Ralph Peterson giving a presentation. You now have 90 seconds to read questions 37-42. 37. What is the benefit of integrating genetics into medical care ? A. helps in post- symptomatic evaluation of a disease B. helps to intervene before the symptom manifests C. helps to relay progression and severity of disease 38. Which one is a systemic disease that is not mentioned by Dr Peterson? A. Hypothyroidism B. Hypertension C. Diabetes 39. According to Dr Peterson, what does result in disease? A. Mutation that occurs in Rhodopsin B. Rhodopsin responding tremendously to light C. Rhodopsin responding abnormally to light 40. According to Dr Peterson, whom do the public recognize as viable health care providers In terms of ocular disease? A. Optometrists B. Ophthalmologists C. Opticians 41.According to Dr Peterson, which healthcare professionals are doing genetic testing most? A. Optometrists B. Ophthalmologists C. Opticians 42. Which is not a factor that is pushing genetic testing into clinical care? A. decrease in the costs to do the analysis B. increase in time taken to do an analysis C. insurance companies are paying to do an analysis

That is the end of Part C.

You now have two minutes to check your answers .

END OF THE LISTENING TEST .

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