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Talk
a
Lot
Hospital
Discussion Words Question Sheet
AnswersGeneral Questions1. Answers will vary.2. Answers will vary.3. a) 5 words have 1 syllable: ward, pain, nurse, drip, crutch. b) 12 words and phrases have 2 syllables: patient,wheelchair, clinic, x-ray, surgeon, blood test, trolley, porter, syringe, illness, doctor, midwife. c) 15 words and phraseshave 3 syllables: accident, appointment, hospital, broken arm, consultant, outpatient, A & E, mortuary, waiting list,injury, NHS, heart attack, ambulance, corridor, stethoscope. d) 7 words and phrases have 4 syllables: visiting hours,emergency, anaesthetic, diagnosis, maternity, operation, psychiatrist. e) 1 phrase has 5 syllables: medical student.4. 2 syllables: these words and phrases have the strong stress on the first syllable:
pa
tient,
wheel
chair,
cli
nic,
x
-ray,
sur 
geon,
blood
test,
tro
lley,
por 
ter,
ill
ness,
doc
tor,
mid
wife; this word has the strong stress on the second syllable:sy
ringe
. 3 syllables: these words and phrases have the strong stress on the first syllable:
acc
ident,
hos
pital,
out
patient,
mort
uary,
wait
ing list,
in
 jury,
heart
attack,
am
bulance,
corr 
idor,
steth
oscope; these words have thestrong stress on the middle syllable: a
ppoint
ment, con
sul
tant; these words and phrases have the strong stress onthe last syllable: broken
arm
, A &
E
, NH
S
. 4 syllables: this phrase has the strong stress on the first syllable:
vi
sitinghours; these words have the strong stress on the second syllable: e
mer 
gency, ma
ter 
nity, psy
chi
atrist; these wordshave the strong stress on the third syllable: anaes
the
tic, diag
no
sis, oper 
a
tion. 5 syllables: this phrase has the strongstress on the first syllable:
me
dical student.5. A & E, accident, ambulance, anaesthetic, appointment, blood test, broken arm, clinic, consultant, corridor, crutch,diagnosis, doctor, drip, emergency, heart attack, hospital, illness, injury, maternity, medical student, midwife,mortuary, NHS, nurse, operation, outpatient, pain, patient, porter, psychiatrist, stethoscope, surgeon, syringe, trolley,visiting hours, waiting list, ward, wheelchair, x-ray.6. a) The following word is a compound noun: wheelchair (wheel + chair). b) The following words contain suffixes:pati
ent
, outpati
ent
, accid
ent
; clin
ic
, anaesthet
ic
; doct
or 
, corrid
or 
; emergen
cy
; surg
eon
; hospit
al
; diagnos
is
;consult
ant
; troll
ey
; port
er 
; matern
ity
; ill
ness
; mort
uary
; injur 
y
; ambul
ance
; opera
tion
; stetho
scope
; psychiatr 
ist
.7. a) These words and phrases all begin with a vowel sound (grouped by IPA sound):
/{/
a
ccident,
a
naesthetic,
a
mbulance;
/I/
 
e
mergency,
i
llness,
i
njury;
/@/
 
a
ppointment;
/e/
 
x
-ray;
/aU/
 
ou
tpatient;
/eI/
 
A
& E;
/Á/
 
o
peration.b) These words and phrases all end with a vowel sound (grouped by IPA sound):
/e@/
wheelch
air 
;
/i/
emergenc
y
,maternit
y
, injur 
y
, mortuar 
y
, troll
ey
;
/eI/
x-r 
ay
;
/@/
port
er 
, doct
or 
;
/i:/
A &
E
;
/O:/
corrid
or 
.c) These words and phrases all begin with a consonant sound (grouped by IPA sound):
/p/
 
p
atient,
p
ain,
p
orter;
/w/
 
w
heelchair,
w
ard,
w
aiting list;
/k/
 
c
linic,
c
onsultant,
c
rutch,
c
orridor;
/v/
 
v
isiting hours;
/s/
 
s
urgeon,
s
yringe,
ps
ychiatrist,
s
tethoscope;
/h/
 
h
ospital,
h
eart attack;
/b/
 
b
roken arm,
b
lood test;
/d/
 
d
iagnosis,
d
rip,
d
octor;
/n/
 
n
urse,
N
HS;
/m/
 
m
aternity,
m
ortuary,
m
idwife,
m
edical student;
/t/
 
t
rolley.d) These words and phrases all end with a consonant sound (grouped by IPA sound):
/t/
patien
t
, acciden
t
,appointmen
t
, blood tes
t
, consultan
t
, outpatien
t
, waiting lis
t
, medical studen
t
, psychiatris
t
;
/s/
visiting hour 
s
,diagnosi
s
, nur 
se
, illne
ss
, NH
S
, ambulan
ce
;
/k/
clini
c
, anaestheti
c
, heart atta
ck
;
/n/
surgeo
n
, pai
n
, operatio
n
;
/p/
dri
p
, stethosco
pe
;
/d/
war 
d
;
/l/
hospita
l
;
/m/
broken ar 
m
;
/dZ/
syrin
ge
;
/tS/
crut
ch
;
/f/
midwi
fe
.8. Many English words contain one or more
silent letters
– letters which are part of the spelling of a word, but whichare not pronounced. The aim of this activity is to demonstrate how so often the spelling of a word in English isdifferent from how it sounds when spoken. Below are some good examples of words in this group of discussionwords that have silent letters. The silent letters are shown in brackets. No doubt your students will be able to identifysome more.
w [h] eelchair, nu [r] se, an [a] esthetic, h [e] art attack, [p] sychiatrist, porte [r], midwif [e], corrido [r] 
9. Answers will vary.10. There are many possible answers to this question; for example, “p
a
tient”, “p
ai
n”, and “oper 
a
tion” all contain thevowel sound
/eI/
. Use the phonetic chart on p.18.6 of the
Talk a Lot Elementary Handbook
(available free from
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