OET 2.

0 LISTENING TASK 6
Part A
In this part of the test, you hear two different extracts. In each extract, a health professional is taking
to his patient. For questions 1 to 24 complete the notes with the information you hear.

Now, look at the notes for extract 1.

Extract 1: Questions 1 to 12

You hear a doctor talking to a patient called Mr. Gonsalves. For questions 1 to 12, complete the
following notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient: Mr. Gonsalves

Age: 59

Symptoms & disease: tracheostomy tube removal

Patient’s description of symptoms: patient with end-stage chronic obstructive pulmonary disease had a
tracheostomy tube placement 3 months before while having

: treatment for acute exacerbation

: now residing in an extended care facility

: requires (1) -------------------

: there has been some tenderness with tracheostomy tube &

: difficulty in swallowing

: patient wants the tracheostomy tube to be removed

: regular smoker & was an addict to alcohol, recently stopped

Past surgeries: Tonsillectomy, (4) ----------------- cholecystectomy, appendectomy, (5) -----------------------

and tracheostomy.

Past medical history: Chronic obstructive pulmonary disease, (2) -------------------- coronary artery
disease, myocardial infarction, and (3) --------------------------

Family history of illness: heart disease, coronary artery disease, hypertension, diabetes mellitus, and

(6) ---------------------------

Medications: Prevacid, folic acid, aspirin, (7) ------------------------ Pulmicort, Risperdal, Colace,
clonazepam, Lotrisone, Roxanol, Ambien, (8) ----------------------- simethicone, Robitussin, and prednisone.
Allergies: (9) -----------------------

Physical examination: blood pressure is 170/78, pulse rate is 96, and temperature is 98.6. There is a
stable-appearing tracheostomy tube site and the stoma appears to be without signs of infection. The
previous incision was vertical in nature and there is no hypertrophic scar formation. No adenopathy
noted. No stridor noted.

Impression: end-stage chronic obstructive pulmonary disease with a history of respiratory failure
requiring (10) --------------------- with tracheostomy tube placement.

difficulty in tolerating tracheostomy tubes

secondary to swallow discomfort and neck irritation

history of coronary artery disease, myocardial infarction and (11) -----------------------------

Further treatment: limited bronchoscopy and then (12) ---------------------------

Complications: may have trouble with the area healing or scarring or could end up having an emergent
airway situation

Extract 2: Questions 13 to 24

You hear a physician talking to a patient called Edward Corey. For questions 13 to 24, complete the
following notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient: Mr. Edward Corey

Age: 60

Symptoms & disease: persistent cough for the past two weeks and some shortness of breath

Patient’s description of symptoms: he is a patient with (13) ------------------------- with

prior stent-supported angioplasty

has persistent cough for the past two weeks and some shortness of breath

: he was treated for (14) ------------------------

: doesn’t drink, but smokes regularly

Past medical history: coronary artery disease since 2016 (15) ---------------------- for over 10 years, chronic
obstructive pulmonary disease & Hypertension.

Past surgeries: (16) ----------------------- about eight years ago, neck fusion stent-supported (17)
--------------to unknown vessel in the heart.

Medications: Aspirin 81 mg daily, (18) ------------------------ Allopurinol 100 mg daily, Levothyroxine 100
mcg a day, Lisinopril 10 mg a day, Metoprolol 25 mg a day, Atorvastatin 10 mg daily.

Diagnosis: Cardiovascular studies normal upstroke, distal pulse symmetrical.

Heart regular with a normal S1 with normally split S2.

There is an (19) --------------------- Lungs with decreased air entry.

: Echocardiogram shows (20) ---------------------- normal thickening of the left ventricle with mildly
dilated ventricle, EF of 40%, (21) ---------------------- and diastolic dysfunction, grade 2.

: Nuclear stress study shows (22) ----------------------- no reversible ischemia identified. Laboratory
data shows normal white cells, hemoglobin 11. BUN of 12.1, creatinine of 0.8. Troponin of 0.04.
BNP of 5700. Had no syncope.

Impression: cardiomyopathy, (23) ---------------------------

Further treatment: Electrophysiology study is required for ventricular tachycardia. (24) ------------------
will be determined at a later stage.

To continue metoprolol with a little higher dose of 25 mg twice a day.

To continue atorvastatin.

Increase lisinopril to 20 mg daily to improve blood pressure management.

To take hydralazine 50mg for blood pressure management.

That is the end of Part A

Now look at Part B

Part B
In this part of the test, you will hear six different extracts. In each extract, you’ll hear people talking in
a different healthcare environment.

For questions, 25 to 30 choose the answer (A, B, or C) which fits best according to what you hear. You
will have time to read each question before you listen to the audio. Complete the answers as you
listen the audio.

Now look at the question 25

Extract 1

(25) You hear a monologue by a physician explaining about Lupus disease.

Lupus disease;
A. Causes the antibodies to act against antigens.

B. Leads the immune system to act against antibodies.

C. Causes antibodies to act against the healthy tissues

ANSWER: --------------------------------

Extract 2

(26) You hear a discussion between a doctor and a nurse on leukopenia disease.

The white blood cell that can mend the damaged tissue is;

A. Lymphocytes

B. Monocytes

C. Basophils

ANSWER: ----------------------------

Extract 3

(27) You hear a discussion between a doctor and a nurse on different stages of gout.

In which of the following gout stages the joints are irritated by calcium phosphate crystals?

A. Pseudogout

B. Intercritical stage

C. Chronic tophaceous stage

ANSWER: ----------------------------

Extract 4

(28) You hear a discussion between a doctor and a nurse on different types of gum graft surgery.

Which gum graft surgeries is performed for the individuals with inadequate gums?

A. Pedicle grafts

B. Gingival grafts

C. Connective tissue grafts

ANSWER: ----------------------------

Extract 5

(29) You hear a discussion between a doctor and a nurse about medical conditions that cause
undigested food to appear in the stool.
In which of the following diseases the patient becomes incapable to digest gluten in grains?

A. Celiac disease

B. Crohn’s disease

C. Pancreatic insufficiency

ANSWER: ------------------------------------

Extract 6

(30) You hear a discussion between a doctor and a nurse about different procedures to detect blood
clots.

Which of the following procedures uses catheterization technique?

A. Endocardiography

B. Ventilation-perfusion

C. Angiography

ANSWER: ------------------------------

Part C
In this part of the test, you'll hear two different extracts. In each extract, you'll hear health
professionals talking about specific aspects of their work.

For questions, 31 to 42 choose the answer (A, B, or C) which fits best according to what you hear.
Complete the answers as you listen the audio.

Now, look at extract one.

Extract 1

Questions 31 to 36

You hear the lecture given by a physician on the topic blood type classifications

You have 90 seconds to read questions 31 to 36

(31) Which of the following statements is correct?

A. Viruses and bacteria are antigens

B. Red blood cell antigens are protein molecules

C. Red blood cells produce antibodies

ANSWER: --------------------------

(32) In which of the following blood groups the plasma does contain anti-A antibodies?

A. B group

B. AB group

C. A group

ANSWER: ---------------------

(33) What is the criterion that makes the blood type for transfusing to the patient with any blood
group?

A. Having none of A or B antibodies

B. Having none of A or B antigens

C. Having A antigen and anti-B antibody

ANSWER: ------------------------------

(34) In the US 39 percent of the population are with;

A. A positive blood

B. RhD-positive blood

C. O positive blood

ANSWER: -------------------

(35) Which of the following blood types is considered as ‘Universal Donor Type’

A. O negative

B. O positive

C. AB positive

ANSWER: -----------------------------

(36) What is a sensitization during pregnancy?

A. If the antibody from the mother attacks red blood cells of the fetus
B. If the RhD from the fetus attacks the red blood cells of the mother

C. If the RhD from the mother attacks the red blood cells of the fetus

ANSWER: ----------------------------

Extract 2

Questions 37 to 42

You hear the monologue of a physician giving a lecture on Types of Eczema.

You have 90 seconds to read questions 37 to 42

(37) Which of the following types of eczema occurs due to inhalant allergies?

A. Irritant dermatitis

B. Allergic contact dermatitis

C. Atopic dermatitis

ANSWER: -----------------------------

(38) What occurs due to poor blood circulations in the veins of the legs?

A. Atopic dermatitis

B. Stasis dermatitis

C. Irritant dermatitis

ANSWER: -----------------------------

(39) Poison Ivy is;

A. An irritant dermatitis

B. Allergic contact dermatitis

C. Scabies

ANSWER: --------------------------

(40) Tiny blisters on the sides of the fingers or toes and palms or soles are the symptoms of

A. Fungal infections

B. Scabies
C. Pompholyx

ANSWER: -----------------------------

(41) Eczema that produces thickened plaques on the shins and neck is;

A. Lichen simplex chronicus

B. Seborrheic dermatitis

C. Dyshidrotic eczema

ANSWER: --------------------------------

(42) Oozy rash behind the ears is caused by

A. Lichen simplex chronicus

B. Seborrheic dermatitis

C. Dyshidrotic eczema

ANSWER: -----------------------------------