UNIVERSITY OF HEALTH AND SCIENCES – HO CHI MINH CITY

FACULTY OF BASIC SCIENCES

DEPARTMENT OF FOREIGN LANGUAGES

ENGLISH MID-TERM TEST

For Pharmacy majors
March 19th, 2019
Time: 60 minutes
I. VOCABULARY AND STRUCTURES (40 P)
SECTION A (25P): Choose the word or phrase that best completes each sentence. Then mark
a cross (X) over the letter of the answer you have chosen on your answer sheet.
1. People with osteoporosis will experience ___.
A. fractures B. amyloidosis C. a rash on their face D. sensitivity to sun

2. The disorder of the immune system that includes symptoms of dry eyes and dry mouth is ___.
A. Marfan syndrome B. scleroderma C. Sjögren’s syndrome D. eczema

3. Fibromyalgia is a chronic condition that affects the ___.

A. bone marrow B. tendons C. muscles D. spinal marrow

4. A chronic form of inflammation of the spine is ___.

A. ankylosing spondylitis B. osteoarthritis
C. localized scleroderma D. amyloidosis

5. A risk factor for developing gout is ___.

A. excess consumption of alcohol B. excessive malnutrition
C. excess consumption of rice D. excessive urination

6. Over time, arthritis can lead to ___.

A. bone infection B. weak and brittle bones
C. dental infection D. deformity of the joints

7. Lupus is a chronic autoimmune inflammatory disease that can affect the ___.
A. skin only B. lungs, heart, skin, joints, kidneys, and blood cells
C. skin and joints only D. spleen, colon, pancreas, rectum and anus

8. Digestive problems can occur in patients with ___.

A. osteoarthritis B. localized scleroderma
C. arthritis D. systemic scleroderma

9. Scleroderma is the result of ___.

A. overproduction of collagen and inflammation B. stooping
C. inflammation and bony knobs D. slouching

10. A person who is sensitive to bright lights, noise, touch, and odor and has pain throughout the
body may have ___.
A. lupus B. Sjögren’s syndrome C. fibromyalgia D. All are correct

11. Difficulty swallowing and chewing, fatigue, dental cavities, and swollen and stiff joints are
symptoms of ___.
A. osteoporosis B. primary osteoarthritis C. Sjögren’s syndrome D. None

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12 Systemic lupus affects ___.
A. the skin, blood vessels, and major organs B. the skin only
C. spleen, colon, pancreas, rectum and anus D. major organs only

13. Patients with osteoporosis have ___.

A. brittle and weak bones and may develop a stooped posture
B. hard and strong bones and may develop a straight posture
C. delicate and soft bones and may become slim and pretty
D. brittle and strong bones and may develop poor cartilage

14. Decreased kidney function can result from ___.

A. fibromyalgia B. diarrhea C. gout D. ankylosing spondylitis

15. GERD can cause ___.

A. dysphagia, regurgitation, and heartburn B. vomiting only
C. inflammation of the small intestine D. heartburn only

16. Fecal impaction is the result of ___.

A. chronic constipation B. loose stool C. diarrhea D. watery stool

17. Hemorrhoids can be caused by ___.

A. bloody stool B. belching during a bowel movement
C. belching D. straining during a bowel movement

18. People with celiac disease ___.

A. are able to eat food such as pizza and bread B. can tolerate gluten
C. are able to eat food such as glutinous rice D. cannot tolerate gluten

19. Symptoms found in ulcerative colitis include ___.

A. rectal bleeding, hemorrhoids, and weight gain
B. rectal bleeding, abdominal cramping, weight loss, and the inability to have a bowel movement
C. belching, weight loss, and indigestion
D. rectal bleeding, hemorrhoids, belching, indigestion, and weight gain

20. Factors such as a sedentary lifestyle and a low-fiber diet can contribute to ___.
A. hemorrhoids B. GERD C. diarrhea D. constipation

21. An example of a peptic ulcer includes ___.

A. a gastric ulcer and a duodenal ulcer B. a duodenal ulcer only
C. a gastric ulcer and stomatalgia D. a gastric ulcer only

22. Fatty and spicy foods can lead to ___.

A. gastric ulcers B. bouts of constipation and diarrhea
C. indigestion D. stretches of constipation and diarrhea

23. Irritable bowel syndrome symptoms include ___.

A. bouts of diarrhea and constipation only
B. belching, nausea, and a burning sensation
C. feeling bloated, abdominal cramping, and bouts of diarrhea and constipation
D. belching, nausea, vomiting, diarrhea, rectal bleeding, and a burning sensation

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24. Symptoms associated with colon cancer include ___.
A. rectal bleeding and hemorrhoids B. constipation and diarrhea only
C. rectal bleeding, blood in the stool, and abdominal pain during a bowel movement
D. belching, nausea, vomiting, diarrhea, rectal bleeding, and hemorrhoids

25. If a person is constipated, he or she has ___.

A. difficulty having a bowel movement B. watery stool
C. difficulty having burps and belches D. bloody stool

SECTION B (5P): Choose the word/ phrase that means the same as the underlined word/
phrase.
26. Osteoarthritis is a common form of arthritis that results in the breakdown of joint cartilage.
A. degenerative bone disease B. osteoporosis
C. degenerative joint disease D. amyloidosis

27. Patient may get drowsiness when they take chlorpheniramine.

A. unsteady B. unbalanced C. sleeplessness D. sleepiness

28. Some medications can be breathed into noses.

A. sprayed B. inhaled C. exhaled D. administered

29. Birth control pills has changed the world by helping women control their reproductive system.
A. contraception B. contraceptives C. fertilization D. corticosteroids

30. A person with gastroenteritis may experience vomiting, nausea, diarrhea, and indigestion.
A. indigestion B. stomatitis C. abdominal cramps D. stomach flu

SECTION C (10P): Choose the underlined word or phrase that is incorrect. Then mark the
letter of the answer you have chosen on your answer sheet.
31. People with osteoporosis, that causes bones to become brittle and weak, are
A B
likely to have bone loss, fractures, and a stooped posture.
C D
32. Sensitivity to sunlight is a typical symptom of lupus, a chronic inflammatory disease that
develops when an individual immune system attacks its organs A
and tissues. B C D

33. A good way to manage rheumatoid arthritis is to exercise regular, to control weight,
A B
and to apply heat to painful joints and muscles.
C D
34. It is important for people who smoke and who have ankylosing spondylitis to quit
A B
because smoking can affect the mobility of the rib cage and can complicate the
ability to breath. C
D
35. Medications and lifestyle changes such as weight reduce, limiting alcohol intake,
A B
which can prevent the excretion of uric acid, and drinking plenty of water to dilute
C D
uric acid in the body can help reduce attacks of gout.
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36. Heartburn can be characterize as a burning pain in the middle of the chest
A B C D
37. In addition to heartburn, people with GERD can also experience chest pain,
A B
especial at night and when they lie down, and experience dysphagia and
C D
regurgitation of food and liquids.

38. Pain in the epigastric area, or the upper middle part of the abdominal, may
A B C
indicate a problem with the stomach, the gallbladder, the upper small intestine, or
the pancreas
39. The burned pain experienced by patients with peptic ulcers is caused when
A B C
stomach acid comes in contact with the ulcerated area.
D
40. Gastritis is inflamed of the stomach caused by bacterium and can cause nausea,
A B C
bloating, belching, and a burning sensation in the upper abdomen.
D
II. READING COMPREHENSION (40 P)
SECTION A (10P): Read the following passage and complete each of the gaps in the passage
ONE suitable word. Then mark a cross (X) over the letter of the answer you have chosen on
your answer sheet

Phenylephrine is used to relieve nasal discomfort _(41)_ by colds, allergies, and hay fever. It is also
used to relieve sinus _(42)_ and pressure. Phenylephrine will relieve symptoms but will not treat the
_(43)_ of the symptoms or speed recovery. Phenylephrine is in a class of medications called nasal
_(44)_. It works by _(45)_ swelling of the blood vessels in the nasal passages.

Phenylephrine _(46)_ as a tablet, a liquid, or a dissolving strip to take by mouth. It is _(47)_ taken
every 4 hours as needed. Phenylephrine comes alone and _(48)_ combination with other
medications. Nonprescription cough and cold combination products, _(49)_ products that contain
phenylephrine, can cause serious side effects or death in young children. Do not give phenylephrine
products that are made for adults _(50)_ children.

41. A. cause B. caused C. causes D. causing

42. A. congestant B. congestion C. decongestant D. decongestion
43. A. effect B. sign C. mark D. cause
44. A. decongestion B. decongestants C. congestants D. congestion
45. A. inducing B. reducing C. producing D. increasing
46. A. has B. includes C. comes D. contains
47. A. common B. usual C. usually D. unusual
48. A. on B. in C. at D. for
49. A. include B. includes C. included D. including
50. A. to B. for C. in D. at

SECTION B (10P): Read the following passage and choose the best answer to each question.
Then mark a cross (X) over the letter of the answer you have chosen on your answer sheet

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 Prescription Drug Abuse
The nonmedical use and abuse of prescription drugs is a serious public health problem in this
country. Although most people take prescription medications responsibly, an estimated 52 million
people have used prescription drugs for nonmedical reasons at least once in their lifetimes. Young
people are strongly represented in this group. In fact, the National Institute on Drug Abuse's (NIDA)
Monitoring the Future (MTF) survey found that about 1 in 12 high school seniors reported past-year
nonmedical use of the prescription pain reliever Vicodin in 2010, and 1 in 20 reported abusing
OxyContin—making these medications among the most commonly abused drugs by adolescents.
The abuse of certain prescription drugs— opioids, central nervous system (CNS) depressants, and
stimulants—can lead to a variety of adverse health effects, including addiction. The number of
prescriptions for some of these medications has increased dramatically since the early 1990s.
Moreover, a consumer culture amenable to "taking a pill for what ails you" and the perception of
prescription drugs as less harmful than illicit drugs are other likely contributors to the problem. It is an
urgent one: unintentional overdose deaths involving opioid pain relievers have quadrupled since
1999, and by 2007, outnumbered those involving heroin and cocaine.
NIDA hopes to change this situation by increasing awareness and promoting additional research on
prescription drug abuse. Prescription drug abuse is not a new problem, but one that deserves
renewed attention. It is imperative that as a Nation we make ourselves aware of the consequences
associated with abuse of these medications.

51. What type of medicines mentioned in the text is abused?

A. OTC medicines B. POM C. BTC medicines D. All are correct.
52. Who are more likely to abuse prescription drugs?
A. Everyone C. The adults C. The elderly D. Teenagers
53. How many abused prescription drugs are listed in the text?
A. 3 B. 4 C. 5 D. 6
54. What is the classification of heroin and cocaine?
A. Medicinal medicines B. Recreational drugs
C. Prescription drugs D. BTC medicines
55. Which drugs are the most commonly abused by adolescents?
A. Cocaine B. Heroin C. Opioids D. Pain relievers
56. What is the consequence of drug abuse?
A. Addiction B. Death C. Dependence D. All are correct
57. Why are prescription drugs more abused than illicit ones?
A. Because they are consumed to be safer
B. Because they cost less
C. Because they are thought to be more harmful
D. Because they are believed to be more effective
58. What does the word “quadrupled” mean?
A. Increase B. Develop C. Four times bigger D. Five times bigger
59. Why does the problem of prescription drug abuse become urgent?
A. Because it needs the global attention
B. Because it causes bad consequences
C. Because it is not a new problem
D. Because death involving with prescription drug abuse has sharply increased
60. How can NIDA help to change the situation of prescription drug abuse?
A. By increasing the public awareness of prescription abuse
B. By doing more researches on prescription abuse
C. A & B are not correct D. A & B are correct

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SECTION C (20P). Read the text and answer the questions below in complete sentences.
Dosage and Administration
The dose is the amount of drug taken at any one time. This can be expressed as the weight of drug
(e.g. 250 mg), volume of drug solution (e.g. 10 mL, 2 drops), the number of dosage forms (e.g. 1
capsule, 1 suppository) or some other quantity (e.g. 2 puffs).
The dosage form is the physical form of a dose of drug. Common dosage forms include tablets,
capsules, creams, ointments, aerosols and patches. Each dosage form may also have a number of
specialized forms such as extended-release, buccal, dispersible and chewable tablets.
The route of administration is the way the dosage form is given. Common routes of administration
include oral, rectal, inhalation, nasal and topical.
The optimal dosage is the dosage that gives the desired effect with minimum side effects.
There are many factors taken into consideration when deciding a dose of drug - including age of the
patient, weight, sex, ethnicity, liver and kidney function and whether the patient smokes. Other
medicines may also affect the drug dose.
Dosage instructions are written on the doctor's prescription or hospital chart, and on the pharmacy
label of a prescribed medicine. Dosage instructions are also found on the packaging and inserts of
over-the-counter medicines.

61. How many dosage forms are mentioned in the text?

62. What is the administration method of drug?
63. What are the factors considered when a dose of a drug is decided?
64. Where can you find the dosage instruction?
65. What do “2 drops” and “2 puffs” (mentioned in the first paragraph) mean?
III. TRANSLATION (20 P) Translate the following passage into Vietnamese

Patient Package Inserts, Medication Guides and Instructions for Use

Patient Package Inserts (PPI), Medication Guides (MG), and Instructions for Use (IFU) are paper
handouts that come with many prescription medicines. The guides address issues that are specific to
particular drugs and drug classes, and they contain FDA-approved information that can help patients
use the medicine safe and effectively and try to avoid serious adverse events.
 Patient Package Inserts (PPI) - Patient labeling that is part of the FDA-approved prescription
drug labeling. PPIs are developed by the manufacturer, approved by the FDA, and are required to
be dispensed with specific products or classes of products (i.e., oral contraceptives and estrogen-
containing products). Other PPIs are submitted to the FDA voluntarily by the manufacturer and
approved by the FDA, but their distribution is not mandated.
 Instructions for Use (IFU) - Patient labeling that is developed by the manufacturer, approved by
the FDA, and dispensed with specific products that have complicated dosing instructions to help
the patient use the product properly.
 Medication Guides (MG)- are paper handouts that come with many prescription medicines.
The guides address issues that are specific to particular drugs and drug classes, and they contain
FDA-approved information that can help patients avoid serious adverse events.
-THE END-

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