ANSWERS: LISTENING TEST 1 — PART A CONSULTATION WITH A CONCUSSION PATIENT 7 Read this before marking your paper. Variations in vocabulary and grammar are acceptable provided the meaning is the same as the answers given below. Most of the words for each answer below are needed to get 1 mark. eg ‘hit head’ is not enough... ‘hit head on wall’ or ‘hit head against wall’ is needed. The number in the ‘margin indicates the maximum number of marks you can get for that question. There are often more points of information than there are marks available. eg for Question 2 there are 4 pieces of information but only 3 are required to get full marks. Note. A slash ’/ ’ indicates alternative answers e.g. lost balance’ OR ‘fell backwards’ Brackets (.»)' indicate optional detailse.g, (lost balance) hit head against wall means ‘hit head against wall’ is enough. 2, Circumstances surrounding the injury (exclude symptoms) 3 * lost balance /fell backwards * hit head against (brick) wall * hit arm on (wooden) ledge * returned to desk/sat quietly at desk after fall 3. Symptoms suffered by patient a) immediately afterwards 3 * nauseous/ dizzy * sore arm * no memory loss/remembered everything b) after lunch and later the same day 3 «arm still painful « slightly dizzy * sleepy /slow to react/ drowsy * no appetite /didn’t eat 4, Symptoms experienced the day after (Saturday) 5 * (very) bad headache/ pain - top of head and back * (big) lump on head /sore, bruised head * couldn’t concentrate * couldn't focus / vision blurred * slept for 4 hours/ long afternoon sleep /unusually long rest * (felt) lethargic/ felt tired / trouble moving around * (short bouts of) dizziness * headache worse (relieved by panadeine) * minor pain in arm 5. Circumstances 2 days after the incident (Sunday and Monday) 4 * slept/ quiet day Sunday * no loss of appetite /able to eat/no nausea + trouble with vision/ blurred vision / trouble focussing + headache worse/2 panadeine a day for headache * feeling dizzy 70ANSWERS: * able to read (large) print books * unable to watch TV * difficulty with concentration /hard to concentrate * able to listen to radio /OK to listen to radio 6. Medical history * burn on stomach (boiling water) (didn’t heal properly) + minor whiplash from a car crash * (extra canine & molar) teeth removed under anaesthetic antibiotic cream for dermatitis 7. Family history 3 * mother asthmatic + grandmother heart condition / cardiac arrhythmia (smoker) © other grandmother chronic asthmatic (regular bronchitis) sister (22 year old) recovered from major car accident 8. Post examination a) assessment no neurological abnormality * pupils fine * blood pressure good © respiratory rate normal * level of consciousness normal * head injury /no need for hospitalisation for head injury b) what to be aware of 3 * bouts of dizziness * difficulty concentrating * trouble focusing / trouble with reading * trouble watching TV advice 2 * don’t take pain killers and carry on * rest listen to your body 9. Management a) symptoms to watch out for 3 * sleeping (much )more + trouble reading * vomiting * blood pressure rising + respiratory rate decreasing b) cautionary advice 2 * no work + no going out * no reading * no codeine * review Fri. if no progress ©) preferred painkiller 1 * panadol /not codeine but panadol oe A score of 22 or more out of 38 gives you a good chance of passing the OFT 7