E0ET;s*'*

OCCUPAIIONAL
ENGLISH
TEST
ADDITIONAL
PRACTICE
MATERIALS

Medicine

ReadtngTest
3

IYrftrlg Te.t

L.t.trtrg rcst
3l
43

Apeakhg Tar

- Role-plt! Cords r to 6

- Rot4plt! tuepototiar

Addluonal tnformatto!
- Inryuoged Lledutr|e.

tzst a$uer keg

_Readtue
wftirw tzst sampleansuers
Lisbnhg test dEuer keg

64

tr

Feadingiea - VerctonI

E'

F
aa
E

F
p
F
p
p

I,IINQOACEAUSTR'LIA

occsP TrorYrt Dl'tclrsE TlsT

p
p
a

a
a
a
a
a
a
a
a
a

te
ta

et
?t
?t
?t

e
e
e
?
e
e
e
e
7
e

u'l
?

1rm.a]|sEd:

60 !t!ut

1l1@ are two edne !Nag6 rn tl,& ter. .Aftcrach or ec passg

'ru rfl turd
a nD!6, acb rft! tou su6td slfu
or @ys of Odsblig. you m6r.h@s
orc lBw6 wrnci t@ tbr& ls bt. For a.b qu6don, hdrtc on you sl1ssE
.ber th. Lttd A B. c, o! D eg.lrEr lh. n@!d of thc qucadon,

Reoctingfest - Ve6ion I

Reading PassaseA
Dmployment
hn Ande60!,

rccords reveal the detsil of asbestos &rger

ltelbo@e

Alo a qMaer of rhrolle Bbo qolked in e aibe$osmile i! WsteD Anshalia

be$eeo 1943dd defclosu.e,bfthepitlD I966 ue ateadysufleringfron disasesElated
ro fien exloNre to thebliitlal, or iiat do i! tle tunr. Thisis the6t!n te of tsedcheN
wbo saydat the ode\ dploynelt r@ordsbavee$bled th@ b carry oul otreof tbe
fibre.
nosr tho@en $udiesev.oftle Iong-temteallb eileclsof exposuEto asbestos
Ile ree, basedat the Udivesrty of Westemaustralia ud tle Sii Cldles Gairdner
groupo'psplc ha
fiosrirsliD Peab,s5r lbd i is theonl/ stud)r! whicha welldefiDed
b@ erpced ro a sidglefomof Abslos o!s a tpeotcd Ddod
Oftle 6502neo ud 410wotu! wbo wo*ed !t the nine, slbost 2000bavedwdoped
or wiu develo! @!cei dd oder dhqses lelated b asbestos.The Arb*los Diseares
Societyoi AustFlir, a groupfomed lo telp p@!l exlosed-lodbeslos,claim tlat 300
totur eorkrshavellrsdy diedof dis46 thst .re Nbest6-relaled.
dibe &d mill
rheDeorle,bon y b,srdl labouEFftoF tuope. wa*ed io anasbesos
R3!se,abour1600ktlooPt4 oon! ol Pen-b
ia Wirietr;o& a rowoi! lbe Hamersle]
people,
4000
is row virtully desened Tbe lbre
Wirlloom, orce the hone for
gove@eDt cui 4sdlial sflices lo tle ioM lsl ysr. Blue sbestos,d crocidolie, wd
Ite res.dhes vE ableto deftmine how muchatbestostbevolken wereexposedto
o drsrlha $ere uleo d vdiou liFes dring
by mhog calcJlalio!.baedod redidB.
lhemjF\ oDerar.o!rheDoq elteosveexpoluFlodb$to"o.crnedro$e mllwb{e
orerd sroud dow! aodthefibre eItacted.
Tte Alstralian study\rasputlisbedlst dotrt i! the MedicalJoumalofAshalia other
radds of exDosuelo llue dbeslos- suchaslhoselid SoulhAftio - lave Dot!e@ as
nsetulto es;cte$ s lhe drta ftom \vittelooB. saysWilli@ Musk,ftoE the UoiYelsiry
Blue slbesiosfibEs aje verythin, straidt ald snall - about0 1 micronetrs in dieeter'
As a resllt, tbeyalemorelikly lo.nier the lungsthe ofler twes ofasbestosfibEs Thev
are alsorie leastlitely to sdbere10 and be inlerceptedby tbe prol@dvemucusin lle
tbe fib.esrdrdedat Wit&loom witb t!re. D?esoi dise4e:
haveassocialed
Scienlists
a samng oftbe LNg Mosl ofthe
maljelMl DesoihelioM,luDgc@r aDdasbestosk.
p*iods
oodlhs, Btlet th& vem Tle dheaes
vorkec aere !i the niDe for only sbo(
mayrale u! lo 40Y@sto develo!.

Raodingtest- Vetstonl

Tbe iecordsuntil 1986show94 casesofnesolhcliona.l4t lung canceAmd 356cases

of asbestosis
anong the wnGnoom worke6. ln rhegeneralpopularion,
resotbeliona,a
cancerofthe ourercoverin8oflhe lung,is rde, mcudine at the rareof tessrhanonc pcr
njllion pople eachyed. The scie.lisrs say thal exposurlo 6benos cm accouortor about
40 per cenl ofrhe casesol lung cancerat Wnienoon:tbe renaindrqre causcdby lhe
over lbe .exl 30 yeds, lher*ill be a svnfoldincrasein rbe nunber of casesof
nesorheliona,accordinEto thercseched'esrimares.
Tnerewill be asnany as 25 cases
of lhe dne6e a yed by the yed 2010, The rem predicrsthatberween198?dd 2020,a
roraloa 692 .ew casesoi ncsorhelionawilt cur. Most will be in lhe luns tDlerral
'. .a;. ;r tu"c
m- oheliomz . bur rcn" sill be in rheabdotr.' , rrironerl ne,orhe.ioma
cancermd asbedosdong theworkeGwill Eacha peat by abou12000,
vid a lotd of r83
$d 482respeclively
by theyed 2020.
The AsbestosDiseasesSGiety claimstharlhe D.oblemvill .ol be contned io iomer
sorkrs. About 6000 of the 14 000 wives ed cbildrcn oi workrs ai witlenoon pill dso
slifer frcn asbestos{elatd
disease,
accordhgto rhes@iety. "Foriy onepoplein rheir
lat30sor40s wbo prc childrenatwitle.mn havediedot oesorhlioma..
accordi"! io
R o o . r rv o t " ^ o v r . r h e P r e l o p n o r r h e . c . e r t H . o b r a . r e dI n e ! d r b r . ( s l r o m d ; r h
cedificats. The universnr nudy only ermined rherords of porkeis.
Last year, after a legal baute lasiing 13 years,csR. rhe ninins conpa.y whosc
subsidiary,Au$ralian Blu Asbenos, operaFd fie plant, aereedin an our ofcoun
seluened lo !q .ompnsalion to fome. minn fld residentsof wirerood.
By 5 Denbr,350 peopleMd their familieshadreceiled.ompensation
totaui.e $42
millioD. Th SEte Govedtoent hsumce Co@i$ion will shde the costsof conpcnsarion
basedon eiposure to asbe$osar wiunoon affer 1959. The paynems, pan of tbe l[ses
industizl setlmenl i. Ausralia hislory, will rose in siz berwcen,4$30,000and

A$600.oco.

Ho*ever, we$em Aushlia ha anorherprobln. The rcd gorgeswitbin tbe Hanersley

RuEe, inclu{iinsth Wnrehooh Corse, bare beome a rourist affaclion. Th millions of
asbestos
iaillngsrbatstil hler the dea aE Ea&dedas a halthhaad, especiallyio
childrenwto mishr be topted lo play on thc pilcs. Canping is forbiddnin the
ThestaleCoremmrt n considrinsburyingrhe|ailidesor pnrtingthen underthe *arer.
will be elPensivc.Theabestosseiery is qing ro o6taintundsfromLaog
Borhsolutions
Hanco.k,themjnihgmranatewho openedrheminein 1belate 1930s,fld CSR.ro hclp
rnorewirlen@n Corye,pbi.h ir sayscouidbe nade into a majortourisrafua.rion ,r
rownro berelmared
alsowanrslhe
wnbjnthego.ge.

4
4
4
4
4
4

Peodinglest - Vedon I
Dnptna@nL tmds

rcpol t)e detdt oJ Bbes6

d.'qd

e
em Ausr.Jh

2.

3.

tue,

la)

have died snlm 1966 ot tue

ftl

nav alrddy gol stmptoms ofdn

lc)
(d)

oay suffer frcn dn.

4
4

25%

Elared dlsa*!

rehred dj$ses.

Elated di*a*s

E
4
4
4

l! tn. fure.

hav dwelopd nine rebrd dtseasesor my do so.

rl'rch

of rhe ronoung b rd

la)

Thctuek

lbl

Thd dfl{ts oforry one fom ofasbcatds wre stu.iled.

{cl

Dala wE colected duihg a cra

rc)

Trecroup 5turted wsskLdrtucd

6rqc

to rhe west Asrralja

study"

pt reftrdsof alrMrk rs.

p..rod of ume.

ld)

non endol

\l]ich

or r}'. fonosirg rs not tl,!r.at of blue asbedos fibEs?

{al

T}e fibEs tre so sn ! that they enrcr rhe tungs easrly.

'rrie
AbEs easry adnere ro !rcred]E mucus h the att*]s.

lc)
(dl

Tb nbcs tr Dsualy Do1hlffilted

by mlcus h tnc ahays.

The nbEs ft

ta dramerer,

thft

r.ss thd a dcroncirr

14,

el

4
4
4
4
4
4,
4
4

Thepopuratsonofw'ttoen
rs row
dound 4.oo0 peopte.
{r)
(b)
rttndy shax.
@ud 1.600popL.
{c)

{b)

e
4
e,

tlTes or drs.asesas@rated vrtb asbsbs nbres ar the wrrnmn

mesorherom rs the E6t rquendy ccurdru qTe.

asbestosrsIs th mGt rrequentiy occurriqg 9T
asbeslosisrs txe lest fiequduy occftg
t,?.
ibg 6cer Is the reasltcquenuy ecuElnE ge.

4,
6,
4,

4
4
4

4
4
4
4
4
d

4
4

Reodlnglecl - VerstonI
EatpbgMt

t@ftls rewtL\e

Thc !6ardr

7.

dztaa aJ 6b4Los drtgi

t@ pEdict Uut by the yr 2O2Orbft

Ibl

pledr, n6omeno@,

ld)

pedtonal ndtteuoD.

ll Dea robr ot ta3 esG of

Statlsue quotedrn lhc dtclc @ bsd on

deth mete.
{a)
(b)
tc)
(d)

Etnc dplorndt Eord!.

carch cdrdud.d ar a wrv6rt'.
3ll of th .bove.

a.

A 13-yar legsl batUefo. mpc@son of dts*e dccm6 Eultd h

(a)
d ouFof-couns.tu@dt hwrilgla}tdt
!y tm !ard6.
cmp.@don pa,:n6t! ro fomd w6@oom , n6,
lbl
ontEEd@
tc,
to 35o \{tteom
rEtdlt3.
F rar!
(d)
d out-of-@un 3.|d4.ni rnvo]llng paymot only by csR

9.

$,brdrof thc fonowtE stat@dt. i6 &ost accEt ?

Ial rhe }lllh @lM. oltouist tE6c ls .bdlng th. rd gorgot rl]c l{mNlqa
Ib)
(cl
ldl

10.

fod,sts h tbc Hd6tq

Fangesulld tq!6uy
ftrn !Ile.
Culr'rg r. forbtdd.n tbeuEhour the g0tg6 of dE Hamdlitey Ranle.
T.unsE tu a hlri nsk ,n 6rs
.rs of lne Hamdsjey R3nre.

thc f!t@ oI touns ln \{4$mom c..g. d@dds on

solvrrletrrc trobld ofhow to relote th. rom.
14
(bl
$l!j,g the p:lbta of hw to rdore th lolBe.
l()
dls!.6ui ot Mpoladon
cj,ms by tM6.
(d)
dl6pctn oftrsnhgs tenby a!6tosnl,
ng

Pedcling len - Ve6ion I

Reading P.Aage B

The senses of the newborn

Tests fot lvdltlg

otd Dilifr. harE tr,ptored

sL"Lcae{e\ dsriptim or rle infdr, "M.wliis atrdFrt itre i! 6e Dur* s @,"1 sas ehoed in UE
atridds ordotuN dlie !ft.dury
ne nerb.m baby*6 &oustl ro be.ir!c drossy, slee!. or
,1 tu. pe b.ve lsr ov6 rie
.ryile, od ro erpeid@ De vond e a ssr. blooning,buitrA @ntusion.
y*
30
rhd
rbe
h4khy
nevb.E
baby.d disrjdid& b.dd
djtrercd *rsridns ftor ine
Dad
eDvnomenrdd spond Fl6riv.ly. ryi |nin hou.sor birdr rneb6bypix ldok d lne morheas face.and
ti!6 tlE choie ldbom b.bbs prererrolooka! a c&d shNing |nefsrw or oorhd huh b.ing ftdEr
jnb . leSeblr.k parrlr
$d fte 6e fedE jmbred npo $e rdruc cotrd@sd
'Irre

ft*bon b3bt s,.idr ooly I l% ofd iine aprte andatd itr rh. ftrn kk of ufe,a FoDonior ib!!
.1ti! saitn"ctior or wrreftlrG hirdd.d rb0edtv d.vel0Dmar ot
ris ro 2t% i. rhc four$ rel
rr1rd djug!6poe
meuodro'refus sns
1ir inp.@' h rddo debab.suc d;rcrbr'9@ drp sie? ar oo. etup ed .]ns ar rh. ol}4 - ed ftahd I gi
bhavioElst6.
Bozlorene
ei iiis wrl b irdn ir@ orbish{ &uologicd n6cdd, ilcludibg
risal andodirory FrpoNs ro r ex ardm!te, &d hi5n@rrl bdraviouraiffidr
sl. is a ntu or
$odDEh@c!iv. b.n!viour.7
$nr do re oed rord rhesrs

ol rie nvbon?we wr ro .mre 0Errhebabvis ablero iDEer wirh

' d d' 'nqP s no mpdmetr 'o si" .;odoo"r. "ogr Live,Do
lh3{tu6c dryropn tr! n i! on.n dirfi.uh ro Drcverbar dlr irr.s. ioo is.fieriv. rn FiniEjsinE
hndicap, hi lise Gaidae - rd ilfu.
$d d.rf cnndEtrnh.d wirhhaiu lids j! rh. fid sji holds
o|rp ilE b. r. sFs h ds 60* ,'i.d ud r4nd .[ !sm6 ud nN @;*
"s* m, w] *ou.d
li*e rolrow of6y hddjep 6 @ly s pcsibh.

r.a"s "1."u.-a m.,i-i..,bod! or di,s be$s ed vsods

dirFtur, rhe) id dLqif

t i4o*
b s@o. t irus t d w r,s b i $6d cr,pdd r r.b3- b
inreGsihs nois, vnn ,rr@d@ i, thenbr.rinins p.dd. Er Do$d @snis rb* rspoEs, bur
rhey@or bc usadro d.rr dorb3bi6 Elhbly becauseof lne w'l!n 06 rudon rovdmts babics
nate ed posdblebiaso! Ue pd of rhcobs!e*. nre u* or! sihpl. r,rit. ro p@due b4d and.ye
Mhs h6 bea denbed.' bd de n
day b ffiorded by devi.e iftdrponths oic.oprdsr
scb 6 lne aud orr spoB dsdte (whicb
snourd.libinat ob*ner biat ne sirivity sndst cificiry of llis ddl. h.v. rrild ud! riats,1o1r
Dd rb. rud sid'ns ba b bevay toud(30,35.rB)ro rdl in a b.t vioral nsdr
by l! bby,so lhd
Dod@t hdins l]s 0e nised.
Ihe dehphJrldlosi.ll ESoe 1! sud my b. derd.d ry .udiob.ry brd m sked 6p.M
in
rhebBi! sh. ad rhisis colsid.Ebly ntr sftfu..
blve
Sinpt5@d n@ poiable hzin s6 F@6
now b.@ daelop.n.u Mosr Meouy iabom bati6 haing b's betr enen by nsins oramsic
.oi$i@q a ph.do@or f6. r@d.! by (@o i! 1973.! A.li.l3imut6
deliydrd rd a notut 6
rdlb ii !r 'ho" $und 3add bt de ce a, rbich c@ b{ derere! by d niniabne miftoph@q Ihc
nerhodis quid6 6d ld5 ilvaive lbd hain s6 rudimll-y sd cd deler *en nnd hdiol tos.
Sr@ andhis oxe8u6 re@d346hrac atis* dd sho*.d rnar20of &e 2r w ifinrd-b
*no *Ne
ne8ari*rNlr & bratu3da
i@erly5kofril.dondrcol@ounicBLrthisqo.kdsohiCnUSnEda
mjo! Foblm - rhd or vllid!.iq rel}dds or File Flg i, fie ne*boln brby. Tln ta b he by rollo*
up, ctetjDg rhe oul@nr ri6 drerdiry ftarbddsitat b@@c posibt. in $e otC{ iDtb! Srdok gloup
rdud a tod corlaioo belweb difr.rion 6in3 ot rhebabiet tariDg ar 3 norhi or ,se dd bEin srn
eparct .onfimed by orha! 'rw. Eu5i los b. mor aurious in
inre'ldin8 lhe n$us or.ldrophysiolo8iel ress in rbendbom Babiesiho Bivenegrive 6uts will
ne.d E@sritrgedar rin* durirs rh. fd ts
Thoushlns sly tirhs or hains aidsis d6icbr., 6e
deSr@ofh.ding iepaioenr reeds rd & de y .sblishdl. pdiculrty rs tutudidi oflne andiiory
parhmystuy bebrhs plae, axroud del.yed.

Reodingrest- Ve6lon l

lirr rtrmingro souid)lnis re$ mry norb. nli,6l., *p..iauy ir I'dcm i a

h,thp.dkF0druTn-Nd
'.,*.-,i.bl[.|d'R00"'.

it;:ft;

rnd 'Gi"" i" p**N.

vissJ fuidior b only lnd rh. as. ot 2 moi'$

pterenri,r lmrjns @hniqu

Mkh ra$iidins md djoyzble resdh

PitMs mv 3r. i fasun or

Tn. besrndhod oI n.aurins Ynud scunvis to us the
nu 30 ves rso $i parened obla6

is b.ins done inb $. lbilirv or

f&llhdEwbonbabi.sdodpEienc.re'lpain,iditdpG'oFIatrEs3lg3'a

*dieb/4qgft,iodsdrd'%]qJ36n

cM4
@F@dl,i6disPddh@d@i.
fud4ii6dlLidso&lq.J,'}.

oJi'!tut t'qtuNtrah

Pd@l

Paodlng tesl - Ve6lon I

rt@ se66

(a)
tb)
Ic)
(o

oJtt@ @tnar

that lt rs Dtu.lr fo. a n Nbom baby 10 a?enend tn. m.ld as a creat

blomlig b@lng conluslon',
tlEt babrs d nuch mor rcsponsrvc to usual md audltory cu.s h iet
sumundhgs thr w6 p.lrously lhought.
i]1e nd,bom trabtcs n slw to ddlop . ftspon*
sumutus, sce thy e aw:Ie ody

thar babtds e ld$ abld to ds.ndnate betwecn drtrrnt fatms

envlftnoe.t tho us blded b &e arst half d t}l]s ceniuif,.

Accordhg to re.4h
lal
{b)
lc)
(d)

r.feftd

to li lhe ar{cl., a baby given a chole abour vhal to

oftnc 4-we.k-old

(b)

who trbc'tus.

(dl

none ortn. abo!..

whlch of tlle rono6g sblemnb ts tue?

(a) There rs $ne evrdc.ce tlEt 6ly t tffnuon
{.)
(d)

of tne

fadar felures.
a rd showl4 hind
a rd shMgjunbled
a carn sho*lng a large black patcn.
a black fld v}!re photocrap

the sn*s

lbl

to !1sual ad audno.y

9rvent bmdjdps
hddlps
Therc rs Duch.vtdence that.dly liteNention ff mlt fu
TheE 's $me e'1ddnc. t}al dly l'1eflentlo! (n njlnmtze h4dsps
ihdreps.
Therc t3 !o cvrdencethat @ly bteruen on lfu mldtfu

bedg

la

l,a Dcwbom bablcs ls d ncult for sI ol tc loUotug tusons.

Newbom bables sbow behallouJal respon$s to somd such 5 bunl(h8 dd

DaJbabres som.uDes rEk Domenrs by chde *bd rntrcsthg nol*s
obseFe6 @y be b,ased tr thet hierpretatlon ofbabres rcs9oFeg
The eudtlory r.sFotue frdle do* rot masu nodenle b:rtrg ros*s

Reoctngf3t- version I
7tE sM

16.

o_lo\etuhnm

Otoaoustic i:dsrons

solnds deltured ro the cocht.a.

'e.bo soundsD$d by clrck sttndl
cltck sumult delvertd to a nro.ld.
souds gm.Etd by a tr)lrnale dcmphonc.

CompaEdwnh rhc u* of otoaco$ac entsdoft. brah std audromtry

cd detet @n hld heinrg b*.

14,

r9.

ot th hcanrg t6dnE methodsdedb.d rn the t xt

btu sten audlom.iry 6n.latcd w. nth9Ee!99enctqE.Ia)
bd stm audlom.try @nlat d v.u rntn dstnctro teslar.
Col
otoaoustic tsts corlated poorly *lth b.ah srm audlonety.
{cl
otoacoustr.tsts co@ratdwlr dth dstracirotr 16thg.
ldl

wrrrch retnod of tBllng llsron tn ner$om babrcsrs not lstd ,r trie amcle?
{sl
lbl
Ic)
(d)

bln* h Espose to a b.rgh! !ght. .

folld the ntre'@t or a rd senm b.[
chce btwem lookr.g at enbe. a sHled tape or stdped drum.
ch@sebetRe! l@Hng a! .rt}le. tl.i. or pattded cads.

20. of ure p!bt!o6

nstd b th foohobs on ihe pace follov,hg th Eadbg passg
all e ton loumals of psycholog/ or neuroloAr.
{a)
(b)
nonc d.al *{tn respotu* or behavloa of jrfdts.
(c)
Fost d.d $ttt the rtsponses or b.nadour of rrfsts.
atl deal $'ttn lhe audlory respon* ot |fsls,
{dl

th.t

k .rE dd

o(.!c

R..dlrg

Tt - Anru

o! P4.

75

P6o.llng fesl - Vetslon2

Redaling P.Issdge A
AIDS deaths bland on :mmune tberapy

THE DEATHS of rhrc paticnG during trials of an expennental imnune lherary ior
people *irh AIDS have Eneryed contrcve^y over exprine.ts ceied oul by the Fre.ch
s.ien-ri Daniel Zag!ry. The affair bas aho hi8hlighied sbon onings in lhe syslemof
, ha \. rd coauo'. over(lircal re<edh
The French healrnmibisier. Btuno DDneux,recenlly dnou.ad thai e ibquiry4ad
cleded Agury and nn tem al lhe Piere andMdie Cuie Un've6ity in Pais of alleged
itreguleiriesin the way dreycondudedtestsof a potent'aiva.cinead an exPndenbl
innune tberapyin patien$al lhe SainlAntoinedospnd (This week, 13 April) But
Durieux tude no nentlo. of thE deatbswhich tbe jnquiry had EpolledFollovins EvelatiDns abou rh circun$ances in whi.h lh Patie.ls died, Dldeux
h6 now d.oDnced a new asessnenl of lhe res6, to b undena,knby ANRS, rhe nationai

aseDcylor AIDS reemh.

Lat July,Zlguryandhn coll.aguesreporledin a lentd ra TheLancet(aol 336,P
1?9)a trial on patientswnh AIDS or AlDsjelatd conplex. Th patienlsrceived a
robooqthenimutresyJen!.
Fepaoiion bsed on protelnslromHN 'hd wa. designed
The prep&ationvas madefiom smples ol tbe patientsown whitc blmd cells,
punfid and culturd in lhe labohtory The rcsedches had jnfectcd dE while blood ceUs
wnh a genetjcally engineredfom of the llccinia virus that had genesfrom Hlv inserted
inro its DNA. The vaccinia, or cowPox, virus, had firsl been inactivaledwnh
fomardehyde, said the rcsedches.
Ld vek, the Chicago Trihune and t? Monde allCed that at le6r two or thc
dearhsvee causedbr vacciniadiseNe.a ra. conPljcationof inf4tion with vecinir
virus. vaccinia is harnless in h*lrhy people ed t!6 bec. used in ns live foF as rhe
!ac.i.c asainsl 3nallpox porldwid. But i. people whose iooDte sysrns aE
suDpresed,th virus a6 @cdionally sPead rapidly in rhe body and kill
A ?dh demalologil, tefl-Claude Guiurune, said that when he wmed ZaEuv s
rean tharhe was collinced ohe ol thcn patien$ had contacied vacciniadisease rhe
Esoonsewas thal lhis was not po$ible becausctb vaccinia had been inactivated.
Shonly before hjs death,tbe patint had consultedGDillaune aboDrldge, rubbery lesions
Roujeau,aboul th'rnc dhease
cuillaun consulteda colleagu,Jean-Claude
Roujea! told thc ChicagoTibune rharhi rest on lhe tissuesamPles$,ken froh rwo
Darienls&fore thev died bad derectedvaccinia vins in rhn skin cells

Reoclingtesl- Vetsion2
The SainnAnroine
kams po.tsonemr.rb d'd no'Evealva.drua OdilPrard.
cbo n 'n chageoradniDnerng tte trcarment,
\ays$eE wereftee po$iblecau!.r o(
death- vaccitia disease,
heDesor a loxic reactionto lhe p@edureusedto prcpd white
blood c.lls beforeinjectingthen into parints.Zcgury,bovever insist d that oorhing
auowsus ro afim n [was yaccinia]. h could havebcenheQesor Kaposis sscoma .
Thetcstsde @ndnuing,he says.
Luc Montagnir,co-discov*er of HIV, called lor 6 imediare hah to the
erperimcnts. Ite saysthrl intrarenoDsinjections conld lead to ecneralisedveinia
disease. His tab al lhe Pasteu.Itrstitut hs alEady snop. in laboraroryrsls rhal
vaccinialirus Dayb. dangerouif lre imun sysredis unable10Esistn.
The findings!r rh P4r.ur InstitureeeE app@ndyunkroM to Zasury! tem,
vni.h works with Montasniert rival, 1heEs.&cner Rob.rt callo- callo! @llalohtiotr
wi$ Zagury ha ben suspndcd
by rheNadonalL6titlt s olHealth in theUS becaus of
Zagu.y ondhis lcan hav also deniedchdges that lhey covcEd up tne dearhs.
whicbmnotnorionedin thnteponinThebhcet.'Tbeyw.rcnor.over.d!!, Picdd
said. TheyweE aeeptdlinro rnebia]l on comp4sionaEcrcDn<b.
me lancet t pon .oncems2A padenE. 14wio wererr.aredmd i4 .ontrols eho
wcrnoI ablelo Eciv. lhe trcarmenr.Picdd saysrh five orberpatientswee alsoeat d
vilh rh. prcptradonbut were.ol comparedwirh rhe co.troh. Tten T4 c.ll coDnishad
fallcn loo low to b. compdablewith th conrol gronp,so lhy vE .xclud.d froD rbc
sludymd nol nerdor.d jn its Epon.
AIDS patintsm laniculely vulnerableb jnfecdon. Furibemor, tbe Frc.ch
ethicscouncil hadsFcified thal yolunle.E shouldbe chose.bcaD$^tileirslarepd so
advancedn .xclded ftstnnl wilh AzT . Ar least sone of th. la.ienrs were beinE
treatdwnh AzT at tnesatr lin a imune rhenly.
The councilbadale sLed to b. iofomed of the rcsultsol tlc uials ce by case,
but had.o. ben lold of thc derths. Th EenlicistArdr Bou,a n nbd oI Ibe coucil,
eid: "Theethicscouncild@snot havejudicialpo*ers; w de not thefdud squad."
Thc diElot otulte.AlDs resedch agenyANRS. Je&-Paull,ra, js concem.d
rhatax rhecontrovdymarl!e44!o ! cisis of plblic conlideicebut laid the blm frtrrly
at thed@r of theDediivhrc ".xesive praisejs followedby ex.essivercjstion ,
kvy, who hadsdll hardnolhjne, "cvninfo@ally" from dle hcalthnjnistry the
day aftrDuteux lold prlimeor ihal ANRS wolld assessimlne lhedpy trials, said he
wdted to sndy rheprobletu "i. dplb,but .or in tbe allnoslnreof a trilunal .
ANRS hasa panelof expensin $e6putic tnals, whjch, sayskvy, might *k
imematio.alconracr to obtain a broadcons.nsus on lne issuesinvolved. The.e seech
agencyl rolc is lo carryoul a plrely scienrificevaluarion,norto 6sesswh.therdere wasa
breachofethicrl guidelins,accordingro Lvy''If lhgovemnent
calledon us lo exdi.e rhjscase,we could&l veryglikly,
saidPhiliD@Luc6 of ththicscomcil.

Rectdlnglesl - Vetsi.n 2
AjDS ddl6

r.

w'!.h
d
bl
c)
d)

2.

3.

btttuti

d tue

tunPu

orthe fonMg b FAISE

zagury s expnnenls have been mntrov.rsbl belorc
An lrqxiry found obvlous rftgulandes li zagJrlJs Mrk.
^NRs b 10re-varlat zagurys tests
zagury s hrenuon had bem io hcltd

panents tmmtrn svstens dth

'the prepduon
a)
bl

whlcb tl1e paucrts rdeived

had ben accrdenElly bfecled $4th a rom of tbe Ecdna *rus
Ms mad from whtt. bled ccus vhicb }ad ben ndufacr'ftd

c)
d)

laboratory'
had been stord ur tomaldhYde
whlte blo.d cus wtu.h had bfrn bjrn lrcm
@nrahed bbontdy_treted

h lhe

Adordlng to the artrcre,va(fu

a)
rs poten!.Iy leftal ror ax humms.
has been used b ng botn co*!d dd smarlpu all dound $e wrld
b)
c)
@ be ddgrous ln peoplewho haE abnord rmune svsrns
lJr.oneollhe above.
d)

es also a neober or zaguy s tem,

esrfted oneof tlre p5lents who lrad been reIened to h]m bv zagurv s
lrromd the ctilego Tnbu.e about lh. Esults or th tests on he dssue
Ms/drd 'one offteabove.

whch or lhe fouotug peopledoesNOTvork !''llh zgurr4

dl

Noneof oe abovew.rks Mih zagurY.

Reodlnglesl - Vetsion2
rrl)s deatt$ bwed @ tune

tututq

FAr-sE rlar llrdhgs at t})c Pasllr lnsdt e

Ner ignded bY zaCJnYs tff.
dld nol lcad to ,nrftntton by tne Nauotal lftututes ol H"lrn
lnlecdotu were no1 g..d fo. padents dth wealrd
showcd llEt bta*nors
led to zaguJy s ted

Hov rmy

keephg qtner about the pallents vbo n'd dted

peoplewer lnjectcd dtn lhe prepdauon ln rhe id'P

wlrrch of tire fonodng starmdts b.st descnb.s the tlual condtilon of the pople
who took pan h ft. trlll?
Fw.r $@ haif of them had AIDS

The Frcnch $rcs 6mctl

is aga]Ist &c u* or4zr
4
of the d4rhs
wdtcd to rmaln glotut
bJ
rs dlttng to daluale th. td.r
.)
rd
may pmKule zguys
d)

A.(ordhg to Jee Paul Lly

over-.ecuon h tie med, rEs ld to a cnsb ln publc snndne

the healtn r dsty told hLimabout tne deatns rhe dav aner pdnoent
cl
d)

lhe ANRS ttrd nol eat to .onducl their ass*smmt b a pubxc mta
ANRS nay pms{ub zagury s td ll tbev 6nd tbere was a brocb of
dthc.l guld.lhes.

Pedcllng lest - VeEion 2

Reailing P@ogc

Insultn ts stil

s hard act

Rese{ch groupsdound the eorld d olrinisric tnar they tue n*jng prcgEss rovards
developingtbe dng insulh in a fom thrt cd be ulen by nourh. Many diabeticsnnsr
inject$enseleeseverydayvirh insulinro belpcontrolrnebvel olsugtr in thirblmd
For decades,scienrisrshavebeenlookingfor fl effecdveway to giv poplej.sllin by
Insulin is tu essentialhomonc for genihg glucose fron the bloodstreo i.lo body
celh, a.d nost peopleproduceit narurallyin tbe pancrea. Peopb*nh diabebsneUnus
produce ither nor enoughinsulin or noneat all. Th homo+e .dDor nomally be bln
insulinnoleculesde desrroyed
by digestire enzyhesin the glt Tnus
by mouthbecause
nust injcrrhen{elves*itb insulindaity.
my diaberics

Researchers
havethercforebeenaimingro packagerhe homonc in somewat so
md n ca sudive intacrln rhesur dd crosslhe aut wall into theblo.dstm.
The curenl expcrioents
&e all at an dly nage. Evenif tneydo ladto an
efi4tive lrcatmc.r,it nay not bc suibbl. for everydiabclic. lnos aosl likely io benefir
de poplewho find injecionsdifficult, suchN blind peopledd younSe.children.
This monrha leam in Ohio is applyingfor pemission lo tesl its oml insulinon
p6ple. The rable! js a geladn capsulewhich contains insulh od a drug sinile ro aspnin
and sodiun bicdbonate. Tbe gelatinha a coning of walrproofplasticlhat becomes
Muday saffrs, Nho is lexdingrhd rcsearcbar rh. Medical Collegeor ohio in
Toledo,saysthe plast'. ba*d on a polyner phose structtr.co.lainscenain nrlrose.
t.ogen bonds l6own as u o bonds. In rhe gut, bacrena bpsL dowt the do bonds, ed
the pl4tic becones pemeable to warer watr eniers th capsule ed causesa reaclion
belwentbeaspirinlike drg a.d rhesodiun bicrbohde. eivirg off cdbon dioide ad
ruptuongthecapsul.
Tbe E sedchersbciieve the dpinn.]itc drug nay also htp the in sulin to be absorbed. Th e
idsulin is absorbeddnecrly frcn the sut inlo tbe veh carrying llood lo tbe livr.
hav. so fd caried our tials oi tbe.apsnlcin ratsand
Saffianandbn colleagues
nost recenlly diabeticdogs The resetrchersfound that lh. level of glucosein lhe
iron nore than400 to 120 nillisrans ler decililreaier
blnab bl@d rell, on averaSe,
rcceilirg rhc capsule.Al the sme rinc, thc insulin lereh in lh.n bbod rose,showing
they bad absorbdlhe homone.

Peodinglest - Vetslon2
A.othergrouphasalready
stded Gninga differentinsutincatsutein humabs,
perrodd
havingtrsr
animalriais. Hanch Bd-O. andbis colleagles
artheHad4sab
Hospiralin Jerusalenhavepalenred
rheircapsule,
whi.n is coaredso rhatn is nor
j.sulin and othr
desrroyed
by rhe sronachacjd. BaFOnsaysrhecaDsute
contains
in8redienrs which helpro e.nan.erhehomones absor?rionin rhegrr andto inhibn tbe
SoId, thetrialin Jeosalenhas6n snall,involvingontyeigblheatlh
votunree*.
ln futuE, Br-on wantsro exrendlhe rriak to diaberi.s.bur he stresses
the n&d for moE
Eseach bforehe cd do so.
Thsuccess
of rhetestssoId ha benlinited,burencouraSing,
saysBr-On: in
rhrceot$e.igh! thelevelolsugtr in thei. bloodfell afie. lhey rooktbecapsutefroD loo
njllieraosPerd4ilite to berveen
80 and85. Ar in. sametine, theinsulintevclin then
bloodwasscn 10rise to a FaI rhenlail oft For 1heEroining five Fopte,lherwd .o
significar .ffct from |hecspsule.
A lhird projd n led by Youeh Cho at MurdochUnive6iry in Penrr,Aunralia,
tosetberwnh Conecs,a conpabyjn Isle wonh nearLo.dor. Cbo hasdeviseda
conbinaron ol insDlin&d faq nobcules, encapsulared
i, Belarin.The fafiy noleculs.
ahichoccu!naturallyin rbegurass producroiihe digestion
of fal, de esily absorbed
frcm lhe gut andcdied ro rheliver. Insulinarrached
ro rhesenolecutes
canenlerthe
bloodstrem.
Cho gaverhE diabeiicn n lhis prepdalion,in liqdd lom, In eachof lbe men
pas
thr
a subsrdtialreducrionin rhelevelofbl@d sugd. Tnei insutinlevelswere
aho seento pak a.d tail ofi The tean naspnblishedrhis {o.k in The Lancet(vol ii
1989,p l5l8), ahdclinicaltlailsof rhecapsule
&e dueto stansoonar CuysHospiraj,
in
Therft. however,severalproblenssirh oral insulir. Firs! n h reldively
inefiicient:
eledl timesasmucbinsulinis.eededlo a.hievethesanedioDin bloodsu!tr
r h a r a . p e ' r ." m o u n r c o ual d
. t u . v c' r , n , e ce d T h i i \ u s e r sr h u" , i g n' i , - r o o u n i o t
insulinis still bined.sgoyedin rhegut. Also,lbe amoDntof insltin that witl b absorbed
is unprdictabledd d bc distupred,for exmplq by illnes.

Rea.tngfesl - ve'slon 2
I6utn G .dn o rd.r d1 b s@utu

-ai drab"ucas''ourd mred ' h'm!'lve\ vn'

,;'-

';;" "" '""e.' "."*"'"

bl

6r
a lsrge number of dlaberics nd longer

d
o,

ro fled

thnselvs frs

a uab)e oral lom of he'nh hs be'n de!'loptd

be dev'lop?d
t"ulf rovsd
a*t
" *on.-

of hsulln MsHn
T1!em:ror probln k$ o oral rom
ou'5d' th_ pan ds
p'odu.Lna tr ln sufi'rentq6dur'
at
deltetue tr ddmgcd
br
l'' t''' 4u|
dr*uvr "/tTca
u o* '*"*g
",
.--r"e
qarr bF Lhesroodsen
'"'m$o'eeut
;* "*";..,"'o
;'

tobe testcd b ol{o

r
casurcvhlchls
chld'r
voungft
p'ople
dd
v,tl also b? t.\cd on blnd
dd sodrum htdbonatc
a codbhatlon or lnsult' 6pttt
;dns
the prr4ous ercbros
to otrcme
"*""".
;;-.""-."""

d
rctron bet'rtn tne Psde @d
,s rkelY to desEdyrh tnstu
@uscs lhe hslrh

dd 1}r. sptu_llke

dng ro bc raken hto u'

nroducescdbon dioide asa bv prcduct

io pass hto ue
;n.ws oe hsdrn od the sodrumbicdbonare

15.

Rcseeh

at tlE Mdical college of Oblo h Toledo

has shom srgnsol bebg successtut

does
has beenorded out on diabeijc rars dd
'n rhFddcrs resre'
his>nod m dc ers. hblmd F\rl

d
d
d
d
C
d
d
E
q
q

tq
t

!a

Peoctinglst- Vetslon2

rn resrs(rdcd our a1rlE Hadas$l1 Hospft2rh Jerusaro

aJ
saflre s upsutc has had sht'
rsuuswtth humdb
b)
Satr@ s eraute nas nol had sinid resdts srh hurms
cl
tne l*dhe6
haw useda capsulewl1lchls ardosr rderucat ro saitrd s
d)
the epsule bebg used ont hs subsr2ncesto protccl rhe ituutjn f.om
anacKrg r. fte sto@ch

wlrrch ol the follo*1ng sbtemnts ts TRUE

a)
Bd-On lE used he.ilhy drab.{c lolunreec errlusrvcly ln hls trials
Bd-On rs ready ro e\t.nd hls dats
bl
c)
Bd-On has not tfrn d,*ouEg.d by rtsulrs b dat
dl
Less lhd s0% or Bd On 3 sublds erTeFiencedmlijmar clhge or hsutr!

rn rh. ^ustraxd pm&d

a)
ratty noleal, jnnu to those fomd natuaxy{ccu.r'rrg ,n tn. body, de
uscd to .osr th rnsulti,gtat1n.ombbitjon
tlE artxicraily'xrtioduced fatty mole.ules soldtt rn t}je gut
fatty mlecures 6iy $e tisuib
lhe gcla n.nlm tn bbodsrr.

a)
b,
d

the s ofchos resl subj4ts

ln what fom tie pr@ddon ws adnjrl]stcred
wndl1s tne r4l ol t srln tn the subjsb hcrcased ornot

wtuch of tn folo*.tng rs NOTgtvcn as a probtd v,lth d oEt fom oflrtn i?

al
lt ls dlnrcul to *ur( out how much InsuIn needsro be addrsieEd
bi
trrm *.Eiy
p.ople who ffi unabre10swallow capsuressucftsstuny
cl
the Et. of rftuxn abe.puon may be atr*red b', the generajbearthof rhe diabedc
patjents wodd nftd to be grvm srbstanualy moE hsulh uE they .wen y
d)

Tb.r r3 .i.

.nd of r!.

rrcldirc

Tdr - r'.F.B

oD pr3. 7s

Wnnnglesl - Ve6too I
OCCI'PATIONTL ENCLIAH TBSA

R.rd ih. cB. trot6 h.I@ &d @npr.t.

He ls a s'}(a-old

tL. sdrtll

ter

rhlc!

to,l@.

bdy aeompar .d t'y his noths.

5 yo boy, erc tllbat md busky vorce,

-ldge, t ectedtonsnssth @date.
-tdnde' mlrged rMGr 'odes
Penlcltln v 25omg qrd ror 7 daYs

Mum rol.l.ed tnat .tarnl had brM trtue 4 days ao. she sys he
G dftd dd 'etn4b
No I'rstory ofii.quercr. dysuna d tEUm.
ENT tonstld h4ertrophy
UdnarYsk - nacoscopid lt@tuna.
? Posi siEpr@cl nephtus

R/v rn 2 days; drjnt plenty or nulds

Insuaauons.-FaE + difi
Urea + cratirnne
-Etectror)tes
Ascrr flde
-MSU M/C/S + ceUborphology

?
p
?

Wiling lesl - VetslonI

7
-

30.Or.9O

9/E

Rslnts

Patlentsdl] asl.mplotuUc
BP r 10/90Notc^ BP, -)
r''_tl'rulvS"
- -"*".opr"
nu*ut'ru
-tBE'nomal
-Ure + c@tL1nc - sl. d@ldl
-rsoT - dealcd *++
-MSU- 4 x r0 | RBColtual odglr'
Postslrepto@c@lndn$s s4th @rlv re&l failft
Rda to pa.dlatrlde Di F. Goldmn.

{
{

1a

.a
{
.a

2a
7a

.a
-a
-

lo! l! th @e !ote, rdt a lficr of refcmlitolDr.

lletlgrn. blor
r7r !'tctod! Prnds E !r Merbo@a

F. Gltdne,

caB
Do NOT @e not. fod tn th lttt; .rpmd ate rel.vut
&nt.ceE, ane letter 3toutd t. 1n-2o llnr lo!4r onry the fst 26 ll.$

It

sB$ed.

aa

.a

aa
2

,o

7
?
?
p
7
p
?
?
p
?
7
7
7

Supre

@Per

on Pag. 77

{tll be

Wt ittg lesl - VeEi''n 2

OCCUPATONAI, EI{GI,IAII TEST

wRnmc TEsr. DoqroRs

ltd.

rrb@d: no rnawe6

L4rt the cce note. belot dd co4l.t

tle Ydttlg tBk ttlch

fo|lo$'

Bemai Smlt! ls a padnt ln vou Cnelal?Ectta

?7y.o-rcdftdfamd. 2mthldstoryof sddpaln'trRltr'and

"toublc wlthRblp wdght bE notntlv pin
ls*. 5yof
ovdth. day No tEli.Js'tth Paifad'n
,furffi
walls slth Urnp, T@! 3? dr4r6 C.I BP 15o/a5 DcMsd
tlnod Dtatron andnod.n o! R b&-

ostdibnstrs

Rh1P.

x-ny Rbl! - deg4@tlve cb,r3.mslstdt

c.se

*1lb ostdainBtls'

of Indomedlacii t bs 50 mg l.d s.

Had cesed merttedon of (m a@ord sf

.T
Dmsed rdlge ol mo@nctt tn R I!p. Eabl to welEhtlr@
ln R p
Exacdtratlonol osteoanrmsus

Itlittr
Reomen

tJ) /

. lndoocthacrn tabs 50 nrg t d'5'

Wrilhg fest - VeGion2

aomplen oldy"pepsbrJ|6 rRo]m{.Dg

Mnd tuEs|n.

lndom4nlq

tendemes. /t!F d.hdged

Dyspepsla semndary to hdometnadl

('Mgc

A.d MJ$B:

utue ,nptuvddt

o TdrcUl25 n8 M

kbs frd.

tn R hlp, lndsrnsy nxncdt to geraroad

*"0.

-**--]"

osrsartMsus not rtspondhg to antl'hrla@rdry

lrefs to oruDpa.rtc sug@n for asssdent

udln! the into@tloa |! tte d*

o.tnopaealtc 6urgeod, s4 volte!

aot B, rrlte ! r.tht

m.dlcation.

and ad}tce _lossflrlv

of rcleffil

to Mr. B. Door.v.

st, Fe*udn.

DO NOt G aote fo.m tn the re$i rpand the rtevut cse !ote. tnto f!,1
D r5-2o ltne. loag; olrt the trrsi 25 riner Bill b
sestenc.r, Tle letter.nodd

sMlle

Gwei

ob P8ge ?a

Witing lesl - Vetslon3

OCCI'PATIOI{rI, ENGLISII AF-ST
WRTTINGTgS?: DOCTORS
tnne 6ilosed:
Re.d th .a*

4{) Etlltr
nors btow dd @mptt. tne nitrng

sdde

t 5t ,hich foUm,

oGd ol L rowrabdoftrral paln '

paln.llll pBot
sharp & constant
wo6e dturg up, %rllJne 01bddne
No urhary or bosl srnl1dns ; ro hrlrlr or Eusa.
No loss ofrt+h! i no charg or borel hahr,

vaern r bl..d & 6$odatd rmpy abdonrEl p.ls.

hospibr o/padars tdrauE dracnosrsI spontseoE
r *tk

ovd&

nfor )G@ | eptsodeof L lMr

q6tetomy & appmdtcetomy

Very tod6 on tlghr palpadonoI L l@a quadEt of aldomd.

abdontrat pa!r.

Wdlhglen - vetsion3

Bhcc to dclud pE]uncy,fuMood derr.!uo4, F,sR

Noboed modonsnce 26/1/89 : Fa8s.dbardsto.l i{rh bd&r bloodo! thc outstd..

Ha@globh 9.3eld. Mnd llt sI ll

Prh qrE aid @nngtoniEht.
Moddtly dtsE*.d. Abdomo tGe.
Su|l no bo*r a.tton or llatus.

6lt

!o@r obstncEon du. to

u.r4 tbe irlomattor

in the d.

rota, rdL

r leiter ol af.rnl

to th. .utled.

DO NOT s. loie tor |! i!. letleE .:!.nd the rerevet cse !ot.3 ,nto lotl
26ltn.6 sfll t
6dt nce.. f!. ltter 6!odd be l5-2o rine6longl olrt dre itt

Listeningfesl - vetslon I
gXrlIFlCArlO\S
couNc[. oN or?RsEAs PRoFESSTONA!
OCCU?ATIONTLENO'I$T TEST

DEMONSTRATION

SAENINCTEST

pan of a pog6me
.bont snorhg You t01 har the
rl1sddo6. Yo! must a'ls@ th. quesuoG ln lh. spaclroddd
Thel:'in ! tl'n. b.tvd 6c queuons for you to rd ch
your sns6.
us. not tomi dont vastc tln. Etlutlg .omple!.
har

Tn 6ct quedon ls doneforto!

1r,h!t rs the ffie

oI the condtuonassodat d attb snodngm;uoned h tls sddon?

obshrctbE sleepopn ea (o.s.A)

Durirg lhc apnot c stlie, vhat 13thc efect on bldod !Exr.?

Uslen,ng
lesl- Ve/'/onI

ou.rog tr" "poo"r" "ut ,Gr,;

tn. efecron o*yemldls h tnebbod?

q)

How lone doe rhe sholc cyclcIGP

b)

h w@

gd.rtid

\thy e

'@y

!6rid

Nm tm

I l '

es4. h@r16y @lBod6 olosAtuy

sult.6

octr pd nght?

1
T
a'. '

of OsA rnstrkDly sdt to psyctllatnst3?

lactoG Flnch gredlspo*

a pGm

to s!trcrhB

osA, es sduon

d ln fis

Lislenlnglert- Vetsbn I

N@e de of th. o&er lrcdlsposlnfactoE n6tloned L lhls secUon.

Is lt esy for a C.P, to make a de6dte dragnost oI OSA:

wlEt cosequace of OSAis eduon.d h thls s(fldn?

clve on ol &e rqh conclnstotuof tne Datlsh study.

t,

Uslanlnglest- Ve6lon I

lvtEt turths po$tble conscqude of osa Is !@uon.d h tbrs sed.n?

rvha! tro tttngs drd the grouls mattoned ln &. study haw h comon?

ar --.........

..

i I
.::I -...-.,..-.........,,

A nmber oI @16 fo. snorrr4 ar. mmuored h tlrs sfttlon. Ar rh.t ]@m6ded

Nde ole of th suggested cours* ot acflon for sullerss of OSA mentlon.d ln trns

Lidenkg fen - Veglon I

How etretlve L drlg irahdt

\that ns.ondluon

\raEt slndlm.

for sr,llelft

of OSq?

ls mentlonedL1lils secuon?

rs poslbly assclat d r,lth ttus @nduon ln babls?

crve d cdet ol sleephg pnb and t-dqutlxs6

on oSA sufi@6.

d'
4

4
.4

.4
4

e
,d

Uslenlngfesl - VerclonI

,\litEt

ls @ dldt oI alohottr rdauon to OSA?

wbat sstoE cotu.qu6c6

of Fpai.d

.lmhol hta!.

ln OSA sull46

at.! 13r-hc .nd of ldr A

i! mctdon.d

ln

Llsteningfest - veEion I

PARTE - rtltening

tD i condbtion

In thrs part of trlc t61. you u4n nclr a doctor ln Sencralpractlc. cotducdng a
consultauon wifi a ns patlent, Maaret Budd. a 32 y4r old
come10seet}le do.tor beEe oI pa]n 1nhd hMds.
Yo! edl lar the lnieFlil once orny. Your las! ls to mar{endtes about the cdnsdlauon
und- dle l-edrrg" gvrn on di. nqL M pag6 of b. Ms* 5 5F"a Tuflove and d
rbroleh n16e hedrtls !oP. Yonfin ha* onenlnlte to do ftrs
You nlsr glve as fluch r- omatlon as you 6 under e.h ol the had1ngs pror'lded
Thde stl
there Mx be pa!s6 durhg the corerllbdon f.r tou to strte vou d$e6
also be a tw nxnutes dta ai the 6d for you to cof,llet vou o$6
G1veydu dse^

h nor. fom. Dont Msle tr,n*rtdng ful sentdcB

R@mbs, Youe,Il har the h

Lbleningfesl - Ve.slon I

Maketut6 aboutdE cons'nbdon uder .ach oI tre hdhgs b.lo*.

Tine of on*t ol std!lo@:

Deb ! ol Ddtoit colnddlng tiih odet ofrtDDt

r&r TSREEmy.ln

@:

rblch tt p ta '. ue hcbcenafi.ctdhv

ActtF t6L.n b rmprcre pd!:

th' Dat!

Lbteningfesl - VetslonI

Timc vrE!

Dt'trl

lrln

of fdxt

13 soFt:

b*t36@d

ts@ltl bl.iorvl:

Dlr!@ts gt@a by the doctor:

Lhlenkg lest - Ve6lon 1

qn.t do.s rhedocrorpoDr dtto

Possibreshod{em

'@agro.nt

Fssu.

thr piri.nr?

de6m6r

the docto. for hfornatton

That I! i.t !d of the list.ning r.rt.

or

lisleninglesl - Verslon2

hlgrage

Au6Edia

occlPAToNArEncu$l Tast

In tbis patt. you pin her a talk on Hw End AlD6 glv.n by lrr Dorcta Gddc of tb.
MacfarlaneBmctt Cetr. for M.dI
You nll hE lh. t k onc. only, ln s.cuore. You tuu6t 9lNd thc quefom
spac* pmvtdd, T!@ dn be ttne durtng the ta!{ foryou ro rad ach queuon,

Th

oq dd look qulckly rbft!h the lapd now. Yourtl lar d.

You @t wite as )ou !!ten. ed you cu completeyonr dws

Rddbq,

,ru rtlt hd

lhe tap. ole

ody.

olftte

tn th.
and to

to do thi5,

li the paus6 betsd

Lislenkgfesl - veBion 2

hok rt guation

r !ov.

gudtion 1 b6 teen done for yor

Amongstsbtch gmup of psple in lhe USAms ADS lst idc.tiled?

H orr!2S?..XjtpJ.ne..
n

EFdmrobo/ t! the stxdy of the txstory md detomrmts of rllsasc rn poldauosH@ has eplddxolog nFed to conrrolthe ADs E,donrc?

There ar. three vays h vhlch the rll@n

,l

hmuno-deftrtency Vlrus (tllv) n b

tl th E$t qoal of lnndlsto!

(j)

whlt

!!

wtut tnlofl.tlo!

ts gtven l!o!t

adtio!.d?

tLe lEciency of tmbtEton?

Urlenlng lej' - Ve6lon 2

wblt is the 6.cond dod. of te.blsston

m.nttdeil?

(,n

ci

u)

Wh.r ts lh. t rd mo.t of (@sDhsrotr mendomd?

t'F. tupl6

metrtt@d orttls

mode ortmnanbdlo!?

(l)

t2l

cl

The spek r m.ntrons sar.ar Mys tnat tlds modc of t4rsErsston

what de tvo ofther mt!?

(tt

Al

{rhat bJoftadon ls proided about th nedla! tine t!.hen for AIDS to dw.lo!
fmtu Ihe ume ofHlvlntudon?

Listenlngfesl - vetgon 2

Bl

ot aiDs?
iixa! l,Idmudor ls givenon rne usual slfl]va1 tln 2fter the oreet

xw
tlEt ona AID.StEs ddelop.d h wm@ they do no!

fne spale.lr!.s ab01$o qT

"O" *auo@
* *o *t*"
*a

'_thlt difierddr!'

llv2
'In'2 ftom BIv12

($rHOlliguc
fhe speaks dGcuse World Health Organj?'don
!In/ dd AIDS dound th. sodd
dout
i. !tle!
wlat tlfodttlo!

!e*

IlMd'tton3

ovet the llBt

tit

7
?
t
,

7
-

Lisleninglest- Verclon2

,! Elde fd th yeu 2ooo?

B]

whrt !4dictto!

Al

The spsk r dlsdsd th. lattan of s!@d ot Hw,

which flctoE d ldenttfied e trctlttr.g
the dpsll:t

,t

at
?

a..-

a,

a
.a

.t tou.t"-

i*t";

(11

..-

7a
-.-

7-

7a
I

.a

B)

]rccor.nlg

c)

wLrt t. ti. 6D.ailelo pEdrctt@ rbdt

..

aa

to t!. $rso, rh.t

C@o&8toa of aDs lrohtly?

lr th.

do.t

.06o0!

Dod.

of 6.ru.l

.a
a,
.a
I

th. 6pr.d of AIDS nr Ada dd Afrlo?

.-

a,
.)

7
7
.-

7
7
7
7
t7
7
4
-7

nre Fp@l<erdl,scussesthe dmstug

efiets ol AIDS on Afrle. wherc r lrt 40 adults de

m glyn for the npid .prad of AIDS in Atrt@?

(B)

Listeningfest - version2

'It .peake. discu*6 th gror9s of p@pleatrectedby HnlADS rn dlfierenlcountrlF,

conplete the foll@irg t!}le to li$ tne D.in goqs of peotL aff..td

COT]NTRY

MAIN CROIJPSAFFECTED

U,X.

&bort th. rat4 0l IIIV tnfecrton foi the

(t)

(xl

LHenkg fetl - Velsion2

vhit

!e4o6

il@s tte 6letrcr gtt. fd t$5 .ntrtion?

(1)

Rcdtly, arsttilra bls scn no hd@.

w!!t

eo@3

der rh. .!..lcr

h thc ndbd

gr4 loi tht ?

Th.r Ir the etrd of

lrJt A

ol nq dragnose of AIDS !r

Lislenkgfest - ve$ion 2

La.4luageAustraua
OCCI]PATIONIL DNGIISE TEST

pcuce sulgerv IttdleFlng

h d s pan of ure t*l vou vIl hr a doclor tn Ed't"t
dct D3ke nots about
G@ll Bm. a !au6t vnh a rcc.nt p@b14. aq vou lGta vo!
sh
the c.reLnt ton !nde. tbe hadrngs Elvo on th' ds'J
do thls
tltroug! lne. hadrigs now Youwgl haft o@ mlnqte to
tbe hedhgs prodded
Yon nusl gv a3 mrch trfomatloa s vou can ddd ach ol
note undet the
fndc arl be !aus6 dltltg the .otsuliadon ior tou to compbt' vou
There sll alsd te a !s txnutd sta at thc nd for vo! to nrn5b
rel@n! !{!ng,

Giv. yrlr alNN

ri lote lom. Don t Mst lhe ntidng tull stdc6

;

RdeEbef. you wt! ha! tne hldr1w

@lt onrv'

e
d

at
al

a
at
a

a7

Listening
lest- Ve6ion2
.ach Dr the hedt4s

below. C$e as much

Resotr ror prtiedr8 vGrt

p4Jr-rs-.qlter.Lh.e-]gat
. ............
.Chesj
2.]/]ceks

Patrertt

de.criprton of conrution olcludtng 6ymptom. Ed prcctpttattng

LisleningTesl- ve$ion 2

(al c.r.ral

@.ncd tjstory

rsr
lalR.3urBorlr.vloB medr@r

D
D
p
il
?

Lldenlngted - Ve|slon2

o
7a

Far .Iy tudior

t
I
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o
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?
o
?
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?
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7
u
7
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I
I
I

1'

I
I
I

7'

I
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a,
I
N
I
I

al

7
7
7'

7
7

5,

ti.tory

F
udenlng fest- velsion2

P@6lbl Edds

for coniUdon

lrDpo.ed M@!gE.ar otcondtlrd

Mqncltbn

dd t4tecfio4

Uslenlnglett - Velsion2

ReEon for..Llng sgeat beitj.ar art .dm

sEp8 lr t@td..t

ro be uden!}..

tod.t

erd of the llstlhg te6t,

bin!1.3 to cleclr you usrem,

Speoklngbn - Role-ployCotd I
candt rdE c4rd No I D@6s

""*,*-l"J)
.

\---'

'/

Tb.ls42-yd-old has bad Mll]@t bllary couc ovd

tvrve monrhs. ,t!93!9s4! shows a srrgttuv
tEcdonhg ganuadd.r slth thtd cal-94l0tdleilng
aholcftctomvlTst

R'lsrthc
Er?bh lb ultrasou4d 6tdltgs.
E*pLrn
tEt
cboleystatonv slth thc lattat
tuuth.. btrt that the gd@l as6thcsla fo.
errl a sma! nsk s4get mlllng lor lala
aftigc slrgay sben .ofld'rdr

RtlepldtlB ca'd No t Dxtts

Yoa d. 42 ya6 old. Oad tbe bst yer you haE had 6dtlar
lbot
ad.cks or ga'rbLddd p6h. vou d hoasl'lely rcnsed
!b. tequdcy of $. atracLe and the nrcd for lnjedo6 to releve
You $l6h to tod tb redts of an ulLa3ound t6t ldlomed
d@tor, You woads about bav[rg
ruotly on thc adltctofyor

a,
7,

a,
a,

4
?,
-)

-2
-l

-2

y9!a!ax-4d4s
ftdd

rdo"cd sfgrc.lty.

hvolvc, and dy

attdddt

nnd out about PtEt tlis

nsks,

Ex!G3

h6ltancy abolt $rgry tut ey you telly ent

corsldcEbl.

sme&hg

don

Speokkg lest- Role-PloyCatd2

CuJtdidate Cnrd, No 2 DEbrc

Sxblrnd Cd@l P.acu

Thrs lJty y@ old psudt nas hrlatenl @tancb and ls wodtcd
that he/she rs go1"lllindE*platn td lhe pad{t tlat he/she lDs bllaidal callects.
Ressu'. rhar tb4 Is an opaadon o cofe(t rl-r Probl;
Grv4 thc pauofs agel. ca]n !.nnlsslon to anang the

Rot4'raUd

ctrd No 2 D@16

Slbubar

Cm.l

PFcue

Yon e 6Jty y4 old. Y@ bav. nouced lnrest'glt

dr the past fd oonth!-

loor Mdon

Fiid out nlh Jhe&do@tyiLs5@@tfleetqry:q,oqqi

You arc vdy s6!.C t.b3tyou a. gohs bund dd aE indauto

you @ havc You lt @dif
knoe rJ t!bF B @ trebdt
pcoplc luvhg opd?tsore on fi@ .rG bur k soMd3 hd]ly ds!t,

n
7E

Speaklng lst - Fole-ploy Cold 3

7
fl

fr,
fl

suburbr

7)
?)

Thi.r hjrty year old pftnt ts concemed abou! hts/he. ch d\

foream, whrch appears brck
aboul t}re tratrncnt ed lflhe fracture * afieci tut!re Crdtu.

rf
fl

v,
a
a
a
7'

rbd oul how rt happencd. Eenhaton shows that rhe chxd

bas suffered a g]as[ck frsdure vhlch l'lll requft a ptaster
-

7'
7'
7'

d,
d
a
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7
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7
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cener, Pr?crice

,urureSro{nnsho'irdnorbimpaired
approx. 6 weel* ro beaii
xdbio.s

,,J s \-.rr tpea

t' uE.. ^ J,Z .ryyf

tubera!*

of wearlig ptasler

cotd No 3 D@rot

suburbd cenerzl haclle

You de 1netlirq/ yed old penr of a lour yed old chud. (Mellssa)
You were carled ro her kjnderganen as shd had r2rren rrom rhe
praygrcund .qurpment You nouce that your cblld h5 a swolcn
Find out rf your .bld s m is broken. F ld out whal rrahent
rs
necesszry. FInd our lJ lr.. am sn grow propffly l. rhe tuture.
I}is as she rs h a tol ofpdn, sd
has never bad any aeldent llke thts before. what can be done

Speoklng lest - Role-play Cot.l I

cdndlddk

card N. 4 D*bE

Thls nlieteed year old padnt h hlTFenllalng

ttrst ume lt has ocard.

This i3 thc

;J)""6;"",",.*6;)"
p-nr6 *,m-"d... rryod sF**1
3ruatron atuae

Rolet'la!6

apDrcpnatefoll&;

cdrd No 4 Iteto

a
g
e
a
a

You de nhet*n yrN old. on your way home 6:otu work you rel
very desp.ete od Dodm a lot of dfncdty br&1n9.

You ftrl that you ac Eohc to pas out o. dte. You feel vcry
frlghtcnd. You continuaxy ask t}l. doctor lor rcassurdce md
wsl to knov shat rs eohc rmre.
If asked. you ce

re,uctantly dd graduany glvc the fouoMne

you m lanappy Mt}j you lob 0dtchnnddli

'

you re u$appy about your appeamcei

you havevery low self esrem;
you nnd ll hard to male rrinds;
you I'kh you had a gdrnend/boyfrtend

d
d
6
d
d
d

Answers

- PeodingIesl AnswetKeys
Answens

ANSWER dY

. PART A

ll,

4,

10.

KE.l' ' PARTA

.ANSWEiR

A\SWER I@f . PART B

t2_
3.

6.
3.
9.

19.

Answe6- wtilinglesl - vetslonI - SompleAnswel

OCCr]PATIO lt' ENCLISH TDST
aItrTrNc

Al{s1frERi DOCTORS

DOB:l015/45
.BFq

Four wc.k! latd Jrnl

pr.fit

lr{tLIly lrsdt

qtu/
d qnrhbnstuu3 on Lhe2ol12/sdd

d Pllh Pa,..ds @doscoplc na@tuda.

syhptoo appar.d to be Ltldg,

Exaj4!:!!E-ES9.,tEIg3SE9C

h'leJtropny hrs BF 90/60 ud dalFs

H!-or v oth6

halptondna

lco

on rcvlw rlodsJ,-],n4bga bons showrd a n dly elRsrcd ure and crbilne.

lE@r@
or dDl onar.
ss n6uy\t!6-i;Got-nF6d
Pau@r'sblmd p$s@
ey

hE tnc.d

to rro/90.

'elbntB Md lhat hc t! at nsl ot ddclopltg

I berwe Jsd. b.s p6t s|J.!tmo(al
snd d,nam.nl
fard.
I roLnd appredar. you s*nql
'.-";-"

Rr'.]
7\.

Answers- Wtitinglest - Ve$ton2 - SotnpleAnswel

OCCI'PATIONA! ENCLISII IEST

aiks for se,ng Mr. smrth. a 77 yar old redrd fame., He 8Er pr6ard to m
tn
Novdbd rsgr $4th a nvc lr bstory of rlght ht! paln. 4t rlls dne he brd a tso
norrh htsiory of sade pali h rb. dght lrlp whlcb Ms ,ro! repond,ng ro s,rnple
endg6ia. He foud rt dfic'rtr to ber edghr dd hrd a drrased Fnge of novdnt on
hrs lrghl dde. othds4sc, qznd@uon qs nomrt. x.Ey !t tlljs the shwcd modeate

d.6.Euon oI r}l. rgbr hlpjornrcomror vu,os*oanrms

I colme.d }lllr or rrdom.thadn s0 ng t.d.s. . I'ntlany trs rsponse,as

Eoodbrt
niJortundteiy hc 6dt*d
a furlhd ltsn !p llr Jdury
1992. hdoE.rbad, G
recomeftd ar t s trn. brr eased sjEinn@t dysplda. I thcrfoE co@aced
Mylmta ad cl@ged nrm on to T cout 25 m8 reo rrbs dary. unfortl&1ely, tls hlp
larl
has coneud to 'o6en and the .br,gc h lh@py n:! nor hlpcd.
I {ourd ap!.eclatc you opblon relrdrng bls ilrure mdag.n.nr
lnd {odd
htftsied to know lf he @uld be a slttabt. 6dt.lalc lor a t p repla@mt.
thanks fo!youol'lJ

on.

p
Answet - Llslenlngfecl- VersionI

3
3
3

Esda

rrolll pdsslblemdks tor t s s.cuon: 22 nsrrGl

fl

1A

a
7
.c
7
7
7
7
?
?
7'

?
7
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?
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?
7
7
7
7
7
7
7
7
7
7
7
7
?
?
7
7
7
?

v7'

Durtn tne apnoeic d.dte, wblt ls tle cfi.t on hlood !E3sde?

During the .ploetc 6r!t . shlt Is th ef.ct o! orvgn t4veb in iie tlood?

Eow torg do4 tae Fhole cYcb r6t?

et r{ara rDl4te 130seond6) ll ddk)
b) ln se\e ses, how mdy @lsod6 oI OSAmay ocdr pei nlght?
Sdral lundrd (I !ulk)

ttulst!?
flny s l@y slnen6 of osA qllt Lnlv 9q1!o P.t
'ir.y donr rc5lar lhry lEv bes warM8 dunng tn' rJehl TF4r dodors Uru* lcrr
s1eepL16shas E psycbologrcalse (r mr[i
gqFEln O
Nm. t@ factoE ftntch pEdr.po.e I pc6on to.!tter,n
o{ote ansN
a)Agc

be glvo h uy ord( I trk

(Not:arsoe!.w S*, ddo th. stllld6

d sdq

osa a bltroned tn tbtE

for ach ffi61

50 )

qlrfll&r-z
tn tl13 s.cuon'
Nde d of th othr Ptedbposhg flctoG !e!tt6ed
, ru'k 'or anyoneot sm6llld.rjaw {ehld lfuDs h longua i.g*-r
_')
rittng dentue
pmblms assoctatedq,lth,tonsljand palak:6;aad1v
..-

\-*

Il tt easy ior c.P. to malle a dfi.it. iuagnGt. ot osa?

. ,---./

otrontxt

AnsweE- Lhlenlng lesl - veEion I

ryblt con.eqrcnce or oSA ls oenrbned rn tlls 6ection?

H]gh broodlressu o1r.pedenslonlo neru

Gire one of $ mai' co4lErorc oftl. D.ntd}.tu.ly,

Any one ot snorF tEve hlgher bloodpraslri morea!gi!a: dd moreaderlal dtsae
1ntle lcgs ind non-snoEF O nru

what rurtnr po$lble coGequde of osA b mddo!d t! tb& 6ecdon?

rrnparrmdr of lt6rn irncuon o narkl

tro thrn! drd 6e gol'3 mentioled tn tle .tudy hlv. i! .omon?

@ rre gvd 1ndy ord;: r l6k ror ech ew6)
0{o1rds6

wtlt

b) borh s!fiqd qce$ivc dattjne d@n6s

A n@br of c@5 tor .noilng 4 mntion d ln tlls secttoa Ar. thy

rccololdd lor .offrcF of oSA?

Nme ole of th. 6rge.ted coa$

of &cd@ for .u6EF of OSIAmndded tn ttt!

r mrk for dy one ot lostlg I0% o! noE welebt 0I the sutrd ,s ob*)i
surge.yisuJEll blPass of lhe obsbacsofl.

lta .fictte t3 dflg tratelt

Not voy efecdvc {t marr<l

fo. suttered or osa?

rYhrt fte coadidon is mentloned ln thi 8..tio!?

Cent$l aPnoca(1 mark)\

.oftcdv

AnsweE- Ustenhgtest- Vedon I

rz
9rrlsrran
rfh"r .y"d':i
vttt tnir c@t&rd rn a.brdt
,qirTtj!:.ocbt4d
, Srddenhfant dath slndDmc\oi dtn) O @kl

Cte one e6ect of.l.epi.g ptue ed tEqdtlb4

o! OSA5rfieE6,
Any one oi de!!s replEtory ddver,ntriE euh Epom t! bodys o.rgd.y
ptutong apnoelc eplsodeiturth.r rd!.. oxt6 ldab rn lh tlood. lr @dd

dg.all

whlt ll o!. .flsct or.lcoLol tn rehdon to OSA?

dMdon tn otuDlDryngar msilei d.prse
Any one ot tncr*d
tBphiory rldvei
sl@ up r<hg epms.i cd Indlce cdt6l apnoqi prcmot* snodrg (1 D.r:kl
q!e&!-2o
whli ..d@

mnequelce of re!rtd qlcohor l!t6!e t! OSAaufeB t! E@ttd.d

llot l lGsltne adks tor tlrs 6cuon:25 l

I
:doe-d-orr!!al-!rer!!a8r
''!ast f@ dal'/ dd of b5r weak
/^Ir 16 bcn occurtng orcr th. wa\" 11narri
xEbtr3 ol ftidd

minddlng vrtl dr.r .f rm.tGi:

Unusualy busy pdlod at wort, l,th dadrng (1 trEru

EriblttjaDr
trDU opetor/k

yb@d opdtor/wod prcGtor op@ior O lru

@
Note: ansc6 en be gv6 tl any o.ddi 1 mrk prssws)
a) Tllrd^tn doh a loi
blPd prwdt he dotnguugs dr home,6ped:xy ho dfg urrrs
cl t{as rrxm srne otrwork

4
Answe6- Listeninglesl - VetsionI

et

adra! t!le! iqlallaie.'erL

Putshdds urdo coldQro o mdkl

c1r

cl
c
ct

Lybg dow ai ddht (h b.d) o nfkl

No olha oajor s'tptoG (1 mar4

ErLhuot "ose sboJdo/ne<kpcrn:los or appeua(, rukt
;,

1i

per.n! or..drv h,cldmmd r.odd n'iroFr:

2 goud ohld.m lt nark)
Husb3frl r. a 1ach6 (l ndk)

d
d
d
4

n6s6 (l mr}]

No s8dnqt

e,

Dl'dndh6Erhyth.nfttd:

c,
I,
c,

Rsl (r@ed!rc st6]n irjlry) O ndk)

vh.r

dos .h. d.dd

No le'l:hat

mhr

d4 r!:4e$!,.
lnjury or lncapacrt/"{r .s,rt

tn o!&{ri
o -*u
)

(Note a@
6 be glvd tn dny orddi I Ifuk
a) (I'medrat ) retln to work ''

rE uswd)

cJ RelMdon |}teEly
/
/ dJ Modniadoc to wrk svtrcmenl/tuFniure/rc!3ne/as

(Notei @sc

6
6
6
d

be gven tn dy ordri I mdr

4
4
d

q
,q
q

pd d$d

dnn r ofretm toE.k

bl 9de-,lr.cts of anargescsor othe.odrquons
.l krtn oI duauon of srrnptons
4 Jwntten)adtce onviar @/@ r be doncar vork. at homl

,4,

e
.1
4

led - vetshon2
Answers- Uslenhag
Ln A - T.lt o! EV/^!DA. It Do6t! Crdc
l mdl rrrtd.d

for tcn.oftct

d*r

1O!61&L! doneror .ddldat6)

o@tton 2 {wty. rn Fhtch ettdetliorog b helpt g to cdir.r

Ard!)

- :-sedl+ .d!6uon
- cladne)nod6 or Ln@l$16
a-.=irsdrfrpffidon
ptuEds
:Ge;6r.-nd 3Ded (ordsas.)

glBtton

AI

3 (a metno& oftntrElslo!

G)

(ttl

ofAIDsl
of EIv)

Eod ot tdn.bnlton

{66ld.ndoftd

- u!rctec|d
q/dptutet
contact/s4uar ntdolF

d s@sl I'rtdcos./

(.dcr.n.y ol !rd.nr..ld

or IrIU

- more liclat

mare b fdmle t}l3n fdEL

usst

sq/s6al

to malc / M to F !.ttd

oh

toM / 4peda[yMt F, oi
- 1%dlk of t rsrrsron / l% 6r of dndmcy
D)

0)

N
(o)

Gecond@ndded

md. oi tld@letotl

/ hocgatron le/th Uood oi btoodpod&r5l rtfeted Uood d t1..d

!rcductr/1rf*ted blood/@nlact s{h tnood, or:
- tnersslon ua brood(or u@d Fodrctsl
(2 et@lrE

of t!j! doir. oltt@E

sionl

2 m.}s for arly tee ol th fdndr.p 3 pohls 0! dy ordrl:

- E$stuslon ofrrlood/trdGtuslon olttood or t'lood prtducts,'blood
tr&sluson/ttrsfus,on.
dd or
- sbann r6dl6/sbanrg hjddlg dtug .qulpddt/Glng
Ldeted
/ n;a;u&,n,w

ct

tl

in hedlb ff

ltlird h.de of ttu3rd$ld

s.Lu,4slinlurv ,rom ned6

!.ndomd)

Answets- Lislenlngled - Ve$lon2

u)

tn {nbh tlh Doit. of tMl$lon

('lvo sF

@ oc.E,

2 m.ks fdr any t* oatne lonodig 3 pol,aLs0n dv ordd):

- (dlnng PreEMncY,and/or
(durinelbith Proc63. {d/o.:
- {lhrongt brast nlnk
g!Etior 4 (Pbgteslon fton lrw t o r{D51
A)

@edru tr4. for.t elolm.nt

Bl

(Gu.l s@i*t

cl

(n@oG for ron.!

ofllw

t4to dDs)

tlme ft@ th.reveropmert olAIDs)

rfth Ar,s not nd! s rong u E n)

2 drrks ror uy M of the fouorttS 3 po,r16lu dv orddl

' ddascd

acc6s to helur @/pdor h..lth l8/41luc acc6s !o halth @.

- lard draetus.d t!:n E6/1ale dlatnosls dd/or

ddve tEndt lals tnd nd/not Lled dlvllatt
(NOTE:7x = ftatndtl
guesdon 6 (tm l6t|@

drfi.rentilttld

EaEnat

lllvz non Evrl

2 t@Ls lor sv tlo of Ih follostng 4 poltrts iln ev otdfJ

- lodd ln w6tAfde/'$/6rnfd,
dd/or
' ld l6s Nmon lhd Hnrr/f,r l6s comon dd/ot
procre.lontd ds rond4o.gd to dderop alAs/pFg6ston
' l6s 1!d6tly ba.s!tded,46

dndst

ta!6 ldngd.

tst@l$ton

glesrton 6 Erobar .ptd&roroA. or Ev/AIDs)

Al

{llfodrtioa

on ne Ev bJectl@ @d tn lBi 6 mont&)

- 30 ro 40r Dlot..r:
. I rtllon nd lnfecsos, or:
' 1 pson l.Idted ddy 15 20 seconds/l litelcd sery 15 20 s<
B)

lprc<licted 6gEt lor trre ted 2ooo)

- r0 nl]lron uitdetd orpnds

Ancwe$- ldanlng fe^n- Ve'Jon 2

g@tim
rrl
3 '6ls

7 (pdt n of .pud

of Ev grotilt)

{frctoF facutat!'g tne 6poad or ArI)s !t loBi rr*!

for dy tE*

ol th. fono}{,rgnrc !.nn!e (li my orddl:

, socro-snobrc &cto6/!d.rty, ad/or

- lo,tUer @d cdturar bddF. and/ot
- etot otgMtanv.
,rltdduon, dd/d
- (pr@la.e o0 o6s sdu]ry hlG'llttcd ds.s/othq
gcr{r,r r,rcRtson
B)

(wEO l'to!@tr@
- het@al

c)

(c@!ri!on

Sms. dd/or

on tte d@t @@on dod. ot .4ral tnqDtslo!

ol

{,n ddtlop[ig wdd)

tetre!

alb url atdd ln th. lealtcicat .!sal

otrrDs)

- astq si]l supds AAre ltl nqt 10yq4/Asla dlr s@ slrrqss Afd/Asla vln

g!!tr@ a fDd.

ror ih. $dd ilsil

or ^lDs h Afttcal

2 marks for dy t@ 6f drc IolropLg 4 lol'lts 0r ay orddl:

- pderv, ud/c
tac& orm.dcar @, ed/or
- hrgh pffiaro.e of geilbl lr.ddon/gddt3r
- utu to ruEil mov@atll'lrauon
gne.ir@ e g6up. rf.c..it

ds.

drd/or

tr Brv/ADs rn dme@t 66ttte)

eohts li dy ofttd rbsutholt oudon 9)

COUNIRY

MAINCROUPSAIIECIED
- hletrr dtu u6/Iv drug ss,
sa MrkG/ pbsdtute, ud/or
- het6sdla1l gaffi I polulatun
- losutut6/sd

work6, dd

dd/d

Answe6- lislenlng lest - veEion2

LaJclne
druus*/n/ drugus6
' hjccdng dig rs6/rv
drug uffi,
homGmal md, and/o.

and/or

gu.rtlon 10 (Er,/AIDs tn AEtnr!)

rl

trrfoE.tton d tt ivo nddlbrpa

inf.ct d ltr rtGtnlirl

orpolr. tu.t

co'MotlyEv-

2 na*s ror !!IIr of rh. folotuC lolrll9 lh ey odrl I

b)

h hje.tnr drue u6/low!

0j$

low6t lslorfdn

(o

hrghGt tn honosdual ncn/flrlr

ir dru Gd3/<2%

r{

y homGqual o@/3696 honos*ual

(Reo.ore4En tor tlll snutror)

3 ldks for sy lbl$ of the lold}{ng 6 pohtsi
- Isuesturl
ps4don
progIma dd/o!
- .ootengon bed
dd/or
afidt d md
ue dd go@dl.
ns{, ad/or
.du@uon !rccrm ldbet d t@fds rrdn.salzr
t hav{ou cbdg., !d/or
' hdtr ml,rnlellon/n
It lv ddg use6
.dlc ddiarg. progre/mtl]niedon

brghaems
of Hn/. ud/or
- hrhtGBnCfo. HIv
guestlon 11 (R.do@ for ptlteau ln au!.r

of rw dtagr@e. of AlDs t! Alsintla

2 rorks to! blb of lhe lono*{ng po,tlts (l,r dy ords):

' use ofdrugs/sydouihe/.{2Tlaru
for AIDS.
tEhrent/tratmcnt

ret ovltal t-h.6ts/ns

TSAT IS TllE I^'D OI PART A

Answe$- Ll'lenlnglegl - vedon 2

M/1RMNG SCHEidE AI{D IGY

gle.tid

R@or

- ch6t lerc

fd pEd@t 3 vlllt
wd rhc llst 2 wqks {done fo. ddtdatGl

t3tl6t . d.!cdrt!o! of @ndnio! (lncladl,4 clrcllfui,n.B,

syEpt@ ud usckied sy&!to@l
NoTE: lo,rls 0 t. n! @y b. h dy ordd
r ffik

tor dy @ ol dE fonoFhE4 po,r !:

- clmtrlg statB/got,g lFstala

r mrk lordt!!cof
therollo*,lng3point : .
- sght pdns ,.@ fr@t of ihcl/pah/shtn*
strclo\e aclN r.od oq
oflain a.N ch.st
cltt^dd
- !inltqbhc
do6 not hw./pdn do6 not Edlatc/parn do6 tu: 8o .ladbw
- pafiltlhurG g06 s@y rnd 3-4 d.s ct/psrn d@ mi last long/pdn
sulslde aftd 3 4 Elnute Evpsln g06 amy by lts{/pah sulrslde by ltldI
r mrk for the folodtrg poril
- lhon of b@ih/6one shorttres of brerh/a$odrtd

,lll

e[esrb!
a)

Mdrcd Blstory

cldl

rdedtc.r Ebtort

soB

NorE: poht n ' rv) My b. rr sy oldd

- nnd da!et6/dtabe!6 mlltus
- (dsgnosrdl l0 y6 agolhld for t r0,s/5r0 yeF
- alpddetony at lslFhd a teEgd
- G.d to snok/$okd up to ]s ya6 agolmokd tion renag to 30 tG/q'
snolr/csed soldrg at 30 yF
dgarettGl
Nqa snoks/sokB

- .ontroned by dtet/no oedl@don ned.d/dtei

- not ov@deht/lomal xd8ht

@ltrol or y/ci ttx det,rong/or'

Answe6- llslenlng lest- ve$ton2

R4drtr 6fpedou

mediclr t .t

- dDlestrol ovchol NAD/chol6rerot NAD,o!:

bloodIat OK/,tlood lat NAD
ft{oT cnoletdot oR Broodr.!
gEsfid

Fldxt

medjcli rulbry

- n:d hrgh blood pres@/nad mch Bp/h.d n]Idradon^ad

- did ot stmk/dred oIcvA

ll:rN, and

B)

- rlldftlood pus@/hnd
Bp/trJld hrlen.ndon/rlld IIT, am
- on m.d1@tlonfor blood p@ur/rabl.i
for btoodpBurc/daty
lEs@/tablct

for Ry forBp

- broih- drd 6rstE 6n./bror!s

guetror

tlhlet Ior llood

ed d6td or/brdlhs sd stsrd rdl of nore

DlrgnosL

- artste to hc.Jt Em@d edlor brocked/lor no4h orrgn (o2J

Ecrlng to
hd/'blood suppty to hen b nor eood

guestr@ 6

r,o6alnlc Esod

to. m.trdoD

' dlabets,dd/or
- &rnJy hsrory/fanl]y Hd tr(:ltas nsk3). ed/o.
- elmrcd btoodp@E/hh
bloodpEs@/r1ch Bp,lh}lcltdslon/

rrT

gre6tl@ 7 Dopoe.al !&nrgeent ot cotrdifi@ (d.rans ofactoF t bc ctrccled and

morntor.d t6rs ro be undenlla
mdre on etc.
. l0orrrorlasss rffilble
tactoB/monltor eleuve
NOIE: PolntsX) - Ivl fono*lng nay be I,r uy ordd
- nornto. djabele/c!ck dtabetG

bur coferabte

Answe6- Usteningfe't - Ve,6ton2

- re do blood t6ts. &{l/or
dek broodfatslrwd ofn@d fak^lood .ail, and/or
- aheri cholt Fl/Chot, and/or
- ch6k trrttceddG/"rc
-lact to, conrr'otbtood6tE
kc.p d yeon bloodpr6sw/nor
tor bloodpresuE/check blood
pcsuE/@tch
BP,and/or
- ihak 'dsht/Fatch ec,ht. ddlor
- Etih dcvnor ro. dlcr
' reld to helt spcrrlsi lnd/or
- treadnllll tvmorttorhr
md@qr bd6 sr!6r, and/or
gerlda orsd61qors
ndor/e.r lda or dtot of tuno&rrg or ane.l,

Medtcltl@ dd tEtftctloE
- hedlo uoDro open up bhod Bsds/h.ddu6
ro LbpB. btood suDpy ro
nedlangtue
(NoT
rrbt.t /l)lht6
roelrdrn.l, drd/or
- slbnnguel iabrctsforlEh {rn.fugmo!/r!k.onc
dui,g!.h/tak
one to
!l@nt p.inlr.L r to rcld. rqln, dd/or
- t lr. one b.foE ddcGe/q.rdon, a,rd/or
- rabler wlll help 6nnm dagnosls
9@3don 3

t{eaon fd eertu!

EC.nt Dedtc.t .nentto!

-IIt k r tabl.r. no .dtef aod 10_r5 &r\ take

doth6. no ruef/tf take 1 tabLt,
Rti 10-15rnn, tatre dothd, dd6n,t wor!<.nd 5- rO n n, or
, ongoingp.h not Frdd by nedldor o.
- dsk ofaote myoerdlal ldarcdon/rr.k ot,1Ml/d6k
ot Ml/rjsk of nyocarrtiar
rrlaedor/rls.t ot h..Ji e1ta.k

g@do!

at rF b tlrreelt

to lE ud.narE

toirly

stmde r6is/btood r16, dd/o.

- 6dtognpb/EcC/(obrahl
basel'rE Lace. md/or
- lpecnbq able1s/medle{on, dd/o.

rdcr to hart spectrtsr/refml to left spc.raltst.

TIIIO Is tIIE ANDOFPARTB

Answe/s- Llslenlnglesl - Vetslon2

!rl

- re-do ttood t6ts. ed/o.

- che.l ttood rats/l*l ofllodd rdrsAroodfats. and/lr
- .b.ck chol6t.ol/Chol, and/or
- ahek tdtcdid,-rrc
-(a.t tol @ntrol blmd fats
- kep d eyon bloodpEsw/nonltor
pcsurc/utch
BP,@d/or
- che.k edlht/etch werthr, dd/or
- @tih devnoirto. dlt

vt

bloodp6s@/thck

blood

- refd to hen s!ar.l6t, ddldr

- hEddll tevf,ot'rtd hert nmt
bd6 6tr6s, andlor
Id4
ot
s*rlty
of6ndr6on/gcr
Ga
ol drdt ol mE v1ng of aridre,
e.t

Mattitl6

ual trtftctl@

- medleuon to openup Uood r*d6/nedr6uon

to irlldeblood
seply to
ltdn/angldne tabr.ts/nr!!t6 (NoT E!dyc.rhe), drd/or
- 8ub!4ual tabLt! tor paln lEtudd!/tlkc
@e ddnng Fdn/r,ike one to
I
lo
relrde
ald/ot
Pddl Pah/l3ke
Pst!
- t3l. on bdorc dd.rsc/q.ruon, aid/or
- tauel *{l hdt @nim d1agrosls
g@ltlon 3

R.t$.

rd *ethg

sl.nr

Eedlcd llteltlot

,lt he 1 tltid, no r.lldaltcr 10'15 rlln, t 1| eotha. m rdl.f/Ut lr t lablei

Fati l0-r5 rnh, ral@dotlE do6nl wrk aftq 5- lo 61n, or
- onSo'ngp.h n t rdrdd by m.dr@dm, or
- rlsL ofa@t rlyo@didl bfarcuon/.ts! of AMI/dsk ot Ml/rrsk of myocsrdial
Irfandm/rtsL of h@n a[ack

g@su@ I

st p! tn ln:ie6t

.o te ddenlre!

roday

- s,rnpletets/blood tt , sd/or
- erdioElaph/Ecc/(obtdi) basella. iEce, ed/or
- (pecrtbe) tableis/nedr@don, ddlor

lv)

rder ro hrr speddst/rdqEr ro herr spedalist.

IHAf IS TTIE!trD OF PART B