Listening Jahshan OET Collection

LISTENIGN
For
Medicine, nursing, dietetics, dentistry, occupational therapy, optometry, pharmacy, physiotherapy,

podiatry, radiography, speech pathology and veterinary science
Kaplan
Sample
Practice
E2Language
OET Online
IRS
No. Test Question Answer Your Score
Page Page
1 Kaplan Strategies 3 23 / 42
& Practice Set
2 Kaplan Practice Test 27 37 / 42
3 Sample Test 1 39 49 / 42
4 Sample Test 2 51 61 / 42
5 Practice Test 1 63 73 / 42
8 Practice Test 4 103 104
10 E2language Test I 117 126 / 42
11 E2language Test II 128 137 / 42
12 E2language Test III 139 148 / 42
13 E2language Test IV 150 159 / 42
14 E2language Test V 161 170 / 42
15 OET Online Test 1 172 179 / 42
16 OET Online Test 2 181 188 / 42
17 OET Online Test 3 190 197 / 42
18 OET Online Test 4 199 206 / 42
19 OET Online Test 5 208 215 / 42
20 OET Online Test 6 217 224 / 42
21 IRS Test 1 226 236 / 42
22 IRS Test 2 238 248 / 42
23 IRS Test 3 250 260 / 42
24 IRS Test 4 262 272 / 42
25 IRS Test 5 274 284 / 42
1
Kaplan Strategies & Practice Set
Page 3
Listening Part A
Listen to Track 1, which gives an example of this section of a

Part A consultation, and answer questions 8 – 11 below.
8. How long ago did the patient’s symptoms begin?
9. What was the patient doing differently, as a result of the symptoms?
10. In addition to being tired, what other symptoms did the patient have?
11. What did Dr Lopez’s blood tests show?
Take 10 seconds to scan the notes below, then play Track 2,

and fill in blanks 12 – 15 as you listen.
Medical History (12) throughout 2016 (no problems)

diagnosed with anaemia after feeling (13) and tired
suffered from heavy periods
regularly (14)
broke arm and (15) (2004)
Page 4
Present Condition taking (16) medication for the past 3 months.

headaches in forehead, described as (17)
some nausea after food
hot flushes and sweating (clammy hands)

trouble sleeping, feeling (18) , and paranoid

former behaviours are reduced
but is now (19) about different things
Exercise

Treatment given (20) by paramedics on way to hospital

morphine administered as pain relief
(21) used under tongue to improve blood flow
observed (22) using an EKG machine
(23) procedure performed
Page 5
Listening Part A: Practice Set
Take 30 seconds to scan the patient notes on this page, then
listen to Track 5 and answer questions 1 – 12.
Extract 1: Questions 1 to 12
You hear an optometrist talking to a new patient called Aidan

Fitzpatrick. For questions 1 to 12, complete the notes with a word or
short phrase.
Patient Aidan Fitzpatrick

Symptoms first noticed difficulty reading two weeks ago
describes his vision as ‘(1) ’ ,
has difficulty reading printed letters
needs increasingly (2) to read in evenings
found he was having to hold objects closer to see
purchased glasses from (3)
often finds that he’s (4) his eyes, even when wearing glasses
when struggling to see, can also experience (5)
Aidan treats pain with (6) (fast-acting)
Background Details wore glasses as a child

brother also wears glasses, possibly (7)
Medical History recently suffered from (8)

— treated with antibiotics
— still experiencing symptoms of (9)
lost excess weight following a (10) (describes as ‘wakeup

call’)
Next Steps isn’t willing to wear (11)

must be given (12) (never had one)
Page 6
EXTRACT 1: QUESTIONS 13 TO 24
Take 30 seconds to read through the patient notes on this

page, then listen to Track 6 and answer questions 13 – 24.
Patient Hilary Johnson
Reason for referral glucose in (13) indicates risk of diabetes

describes herself as (14) sugary foods
noticed extra (15) which may be unrelated to pregnancy
Family history of her (16) suffers from diabetes (Type 2, controlled through
diabetes diet)
Pregnancy - morning sickness – pain in her (17) , but no vomiting

symptoms (18) controlled with medication
recently suffering from backache, described as ‘(19) ’ pain
has been feeling increasingly (20)
problems sleeping
concerned about diet (taking a (21) )
Occupation Secondary school teacher

feeling (22) , increased workload
Next appointment will take an (23) glucose test (she’s familiar with the
procedure, a friend’s had the test).
has been given a (24) to consult ahead of her blood test
Page 7
Listening Part B
Play Track 7 and answer questions 1 and 2.
1. You hear a dentist discussing booking problems with her receptionist.
What has caused the problem?
(A) an error with the booking system

(B) a double booked appointment
(C) a lack of communication
2. You hear a doctor discussing chest X-ray information with a medical

student.
What is the doctor explaining?
(A) the order for discussing results to the patient

(B) the information to include in patient notes
(C) how to correctly examine the patient’s condition
Page 8
3. You hear an ENT surgeon talking to a colleague about cochlear implants.
The surgeon is explaining that cochlear implants
(A) transmit voices more clearly than other noises.

(B) emit a variety of sounds into a microphone.
(C) restore hearing in deaf people.
4. You hear a GP talk about diagnosing Type 2 diabetes mellitus.
Why should a fasting plasma glucose test be booked in the morning?
(A) The patient will need to attend an 8 hour appointment.

(B) The test will need to be carried out twice.
(C) To allow the patient to eat during the day.
Page 9
5. You hear a dentist talking to a patient with a chipped tooth.
What does the patient want to know?
(A) how long the procedure will last

(B) when her next appointment will be
(C) what her different treatment options are
6. You hear a podiatrist talking to a patient with fallen arches
The patient explains that his treatment
(A) will need to continue for some time.

(B) has become too time-consuming.
(C) is not improving his condition.
Page 10
7. You hear a doctor talking to a patient in an emergency department.
What is the doctor doing?
(A) explaining how the patient will be treated

(B) reassuring the patient that she is not at risk
(C) going over the cause of the patient’s infection
8. You hear a medical student talking to a senior resident about assessing a

patient.
What is the senior resident doing?
(A) teaching the student how to examine the patient

(B) explaining when to prescribe additional medications
(C) showing the student where to observe the jugular vein
Page 11
Play Track 11 and answer question 9.
9. You hear a psychiatrist presenting a case study.

What did the psychiatrist find unusual about the case?
(A) The symptoms suggested a different cause.

(B) Effects were experienced long after the cause.
(C) The cause of the illness could not be determined.
10. You hear a dietitian talking with a patient.

What do they agree about?
(A) The patient has forgotten their overall goal.

(B) The patient has been too severe with their diet.
(C) The patient has been trying to lose too much weight.
11. You hear a veterinarian talking with an owner.

What will the owner do later today?
(A) give his cat plenty of attention
(B) give his cat drugs to reduce overgrooming
(C) give his cat food at the same time as last night
Page 12
Listening Part B: Practice Set
For questions 1 to 6, choose the answer A, B or C which fits best
according to what you hear.
Play Track 14 and answer questions 1 – 6.
1. You hear an ED nurse talking to the relative of a patient who has been
recently admitted.
What is the relative doing?
(A) describing her father’s medical history

(B) suggesting ways to interact with her father
(C) explaining that her father can become violent
2. You hear an obstetrician describing a caesarean section to a pregnant

patient.
He says that the procedure will
(A) be shorter and less painful than a traditional birth.
(B) be carried out while the patient is conscious.
(C) not be necessary in the patient’s case.
3. You hear a GP and his practice nurse discussing their yearly schedule.
They agree that the practice should
(A) hire agency staff to help during the busier weeks.

(B) avoid taking holiday in the beginning of September.
(C) look after their health, to lower the likelihood of sickness.
Page 13
4. You hear a nurse preparing a patient for a flu shot.
What is the nurse doing?
(A) explaining why the flu shot is necessary

(B) discussing why the flu shot causes reactions
(C) describing common side effects of the flu shot
5. You hear a doctor talking to a patient about her injury.
What will happen when the patient returns to the surgery?
(A) She will have her stitches removed.

(B) The doctor will stitch up her wound.
(C) They will see if the wound will scar.
6. You hear a trainee nurse asking a senior colleague about the treatment
for a patient with chronic obstructive pulmonary disease, or COPD.
The senior colleague is explaining that giving such patients normal
levels of oxygen
(A) can inhibit breathing rate.

(B) will cause light-headedness.
(C) lowers carbon dioxide levels.
Page 14
Listening Part C
Exercise
You hear a General Practitioner called Dr Jeffords giving a

presentation about patient referrals.
Take 5 seconds to look at the question, then listen to Track 15

and answer question 1.
1. Why does Dr Jeffords think it’s important to ask patients why they’re
taking certain medication?
(A) to understand their medical history

(B) to measure the patient’s awareness
(C) to question its effectiveness
Page 15
Exercise
You hear an interview with a vet called Amanda Chen about feline
immunodeficiency virus (FIV).
Take 15 seconds to scan the questions, then listen to Track 16

and answer questions 2 – 4.
2. Dr Chen explains that many people believe FIV
(A) can be contagious to humans.

(B) might affect their pet’s behaviour.
(C) has minimal impact on a cat’s life.
3. What does Dr Chen say people find confusing about the virus?
(A) the lack of available information

(B) the many different treatment options
(C) its name is similar to a more serious illness
4. Dr Chen advises those who own FIV positive cats to
(A) avoid unnecessary contact.

(B) monitor the pet’s health carefully.
(C) ensure the pet receives enough exercise.
Page 16
Exercise
You hear a hospital doctor called Dr Abu Mohammed giving a
presentation on the results of a recent patient survey.

5. Dr Mohammed was surprised by the year-long survey on the satisfaction

of patients staying in hospital because of the
(A) happiness of the patients.

(B) severity of most patients’ conditions.
(C) number of patients that got involved.
6. Why does Dr Mohammed suggest patients in their 20s were more

satisfied than the rest of the patients surveyed in the study?
(A) They were more optimistic.

(B) They spent less time in hospital.
(C) They showed a greater rate of recovery.
Page 17
Exercise
You hear a nurse called Jonathan McKenzie giving a presentation on
treating patients who are dealing with stress.

7. Nurse McKenzie says that the CEO had trouble managing stress because
(A) it was prolonged.

(B) it was causing him to lose hours of sleep.
(C) he was unfamiliar with such situations.
8. The patient was encouraged to read because
(A) it was a hobby of his.

(B) it created a relaxing atmosphere.
(C) he needed to learn about the cause of his issues.
Page 18
Listening Part C: Practice Set
You hear an interview with Dr Tadita Hussein, who’s talking about

treating patients with cystic fibrosis.
Take 30 seconds to scan the questions, then play Track 19

1. Dr Hussein says that patients with cystic fibrosis
(A) may find the side effects alarming.

(B) tend to require treatment from a young age.
(C) can improve their condition with frequent hospital visits.
2. What does Dr Hussain say is difficult when treating patients who are not
in hospital?
(A) They often find the exercises too complicated.

(B) They tend to have difficulty socialising with other people.
(C) They don’t always understand the importance of their
treatment.
Page 19
3. What does Dr Hussein say about the role of ‘distraction therapy’ in
cystic fibrosis treatment?
(A) It can be related to the treatment being provided.

(B) It allows patients to complete their activities more quickly.
(C) It provides staff with more information about the patient’s
condition.
4. What changes did Dr Hussein observe in one of her patients?
(A) He showed respiratory improvement.

(B) He deteriorated rapidly following a change in treatment.
(C) He began to enjoy aspects of their treatment.
5. Dr Hussein plans to use technology to help cystic fibrosis patients to

communicate
(A) with other patients who suffer from the condition.

(B) with family members who cannot visit them in hospital.
(C) with patients of a similar age suffering from different
conditions.
6. Dr Hussein suggests that future treatments for cystic fibrosis
(A) will always incorporate lengthy procedures.

(B) could prevent breathing difficulties in sufferers.
(C) might be less painful than the current options available.
Page 20
You hear an presentation given by Dr Hubert Johnson, who’s talking

about ways to improve efficiency.

7. Dr Johnson explains that delays are increased when patients believe
(A) their appointment will not begin on time.

(B) staff are not concerned about late-arrivals.
(C) being late for appointments will not impact others.
8. Dr Johnson uses an example of poor efficiency to illustrate the point that
(A) healthcare professionals should assist staff during busy times.

(B) practices should avoid limiting appointment booking options.
(C) staff should be trained to handle demanding situations.
9. Dr Johnson explains that, in order to improve efficiency, healthcare

practices must
(A) sanction patients arriving later than 10 minutes.

(B) avoid booking appointments in the morning.
(C) show patients that they can run on time.
Page 21
10. Dr Johnson says healthcare professionals often forget that patients who
book appointments must first
(A) feel that they need a consultation.

(B) find a time and date that works for them.
(C) consider what might be causing their issue.
11. What happened when Dr Johnson began giving weekly presentations to

patients?
(A) Dr Johnson was able to work fewer hours.

(B) The general health of patients was increased.
(C) The number of appointments at the practice decreased.
12. How does Dr Johnson feel about the use of technology when booking
appointments?
(A) Practices should begin to encourage all patients to make

bookings online.
(B) It can increase efficiency if other booking methods are
continued.
(C) Elderly people are most likely to struggle to use it.
Page 22
Kaplan Listening Answers
Strategies & Practice Set Parts A-B-C
---------------------------------------------------
Part A
1) -
2) -
3) -
----------------------------------------------------------------------------------------------------------
4) -
5) -
6) -
7) -
---------------------------------------Track 1 -----------------------------------------------------
8) 2 months
9) going straight to bed
10) gaining weight, trouble focusing and paying attention
11) thyroxine was low
-------------------------------------- Track 2 ---------------------------------------------------
12) pregnant
13) dizzy
14) donated blood
15) (a couple of) ribs
---------------------------------------- Track 3 --------------------------------------------------
16) fluoxetine
17) shooting pain
18) anxious
19) compulsive OR OCD
---------------------------------------- Track 4 -------------------------------------------------
20) aspirin
21) 21. nitro-glycerine
22) heart rhythms
23) angioplasty
------------------------------------------------------------------------------------------------------
Page 23
---------------------------------------- Track 5 -------------------------------------
1. fuzzy
2. more light
3. (the) pharmacy
4. squinting
5. (a pretty persistent) headache
6. ibuprofen
7. short-sighted
8. sinusitis
9. (a) cold
10. myocardial infarction, or MI
11. contact lenses
12. (an) eye test
------------------------------------------- Track 6 ----------------------------------
13. urine sample

14. craving
15. weight
16. aunt
17. stomach
18. heartburn
19. throbbing
20. tired
21. prenatal
22. (a little bit) stressed
23. oral
24. leaflet
Page 24
Part b
------------------------------------------- Track 7 ---------------------------------------

1. C a lack of communication.
2. B The information to include in patient notes.
------------------------------------------- Track 8 ---------------------------------------
3. A transmit voices more clearly than other noises.
4. C To allow the patient to eat during the day.
------------------------------------------- Track 9 --------------------------------------
5. C what her different treatment options are

6. C is not improving his condition.
------------------------------------------- Track 10 -------------------------------------
7. A explaining how the patient will be treated

8. A teaching the student how to examine the patient
------------------------------------------- Track 11 -------------------------------------
9. B Effects were experienced long after the cause

------------------------------------------- Track 12 -------------------------------------
10. B The patient has been too severe with their diet.
------------------------------------------- Track 13 -------------------------------------
11. A give his cat plenty of attention

------------------------------------------- Track 14 -------------------------------------
1. C explaining that her father can become violent

2. B be carried out while the patient is conscious.
3. B avoid taking holiday in the beginning of September.
4. C describing common side effects of the flu shot
5. A She will have her stitches removed.
6. A c a n in hibit b r e a t hin g r a t e.
Page 25
Part C
---------------------------------------------- Track 15 ----------------------------------
1. B to measure the patient’s awareness

---------------------------------------------- Track 16 ----------------------------------
2. A can be contagious to humans.

3. C its name is similar to a more serious virus
4. B monitor their health carefully.
---------------------------------------------- Track 17 ----------------------------------
5. C amount of patients that got involved.

6. B They spent less time in hospital.
---------------------------------------------- Track 18 ----------------------------------
7. A the stressful situation was prolonged.

8. A it was a hobby of his.
---------------------------------------------- Track 19 ----------------------------------
1. B tend to require treatment from a young age.

2. C They don’t always understand the importance of their treatment.
3. A It can be related to the treatment being provided.
4. C He began to enjoy aspects of their treatment.
5. C He began to enjoy aspects of their treatment.
6. B could prevent breathing difficulties in sufferers.
---------------------------------------------- Track 20 ----------------------------------
7. A their appointment will not begin on time

8. B practices should avoid limiting appointment booking options.
9. C show patients that they can run on time.
10. A feel that they need a consultation.
11. C The number of appointments at the practice decreased.
12. B It can increase efficiency if other booking methods are continued.
Page 26
2
Kaplan Practice Test
Page 27
THE PRACTICE TEST
Listening Section
Play Track 21 to complete the Listening Test.
Listening Test
This test has three parts. In each part you’ll hear a number of different
extracts.
You’ll hear each extract ONCE ONLY.
At the end of the test you’ll have five minutes to transfer your answers
onto the separate answer sheet.
Page 28
PART A: QUESTIONS 1 TO 12
Name Roy Miller
Reasons for admission shortness of breath
— difficulty walking (1) , often becomes short of breath

— breathlessness has increased
coughing and wheezing
— sounds like ‘(2) ’ and hasn’t improved

— worse when (3) , preventing sleep
— coughing up phlegm, described as (4) in colour
— phlegm has gradually darkened over the week
suffering hot and cold spells, feels (5)
Medical history diagnosed with (6) last year

was a (7) , stopped six years ago
occasionally suffers from gout (treated with (8) )
arthritis located in (9)
Medication using (10) more frequently

takes a statin for (11)
occasionally uses paracetamol for arthritis
(12) causes an allergic reaction
Page 29
QUESTIONS 13 TO 24
Patient Marsha Samarina
Description of initial pain in eye, felt like something was (13)

symptoms noticed headache
eye was ‘(14) ’ profusely (compares to chopping
onions)
roommate noticed that eye was (15) , took to ER
pain was severe, unable to (16)
Initial GP treatment unable to identify cause, performed (17) test

GP suggested possibility of (18)
Optometrist treatment given (19) for pain-relief

eye exam showed (20)
At home treatment advised to avoid wearing contacts

prescribed:
— (21) - using twice daily

— and (22) less often, finds application -
unpleasant
also taking (23) for pain relief
Current condition condition has improved

pain caused by (24)
Page 30
PART B: QUESTIONS 25 TO 30
In this part of the test, you’ll hear six different extracts. In each extract,
you’ll hear people talking in a different healthcare setting.
For questions 25 to 30, choose the answer (A, B or C) which fits best
25. You hear two doctors discuss the transfer of care for a patient.
The patient’s CURB-65 score means that he will
(A) be transferred from the Emergency Department.

(B) receive additional medication and treatment.
(C) be treated as an out-patient.
26. You hear a speech pathologist talking to the wife of a patient who has
recently suffered a stroke.
What does she want to know about her husband’s condition?
(A) how long it will take him to make a full recovery

(B) whether his communication issues will improve
(C) what she can do to speed the healing process
Page 31
27. You hear a trainee doctor asking a senior colleague about chest tubes.
What is the senior colleague doing?
(A) explaining how to use them correctly

(B) recommending an alternative to them
(C) demonstrating what can go wrong with them
28. You hear a pharmacist talking to a customer about pain relief.
What has the customer been misinformed about?
(A) the stock of medication in the pharmacy

(B) the usefulness of a type of pain relief
(C) the availability of a medicine
29. You hear a trainee nurse receiving feedback from his tutor
What does she explain?
(A) listening to a patient’s concerns is essential
(B) how to become more self-assured when interacting with

patients
(C) the importance of providing adequate emotional support to
patients
30. You hear two doctors planning their patient-care schedule
What is their priority?
(A) identifying the patients at greatest risk

(B) dealing with patients who need tests arranging
(C) ensuring that all patients have key documentation
Page 32
PART C: QUESTIONS 31 TO 36
You hear an interview with Dr Matthew Leach, who’s talking about

meningitis caused by Neisseria meningitides.
31. Dr Leach says that during the onset of meningitis, many patients
(A) do not realise they are unwell.

(B) mistake the illness for something else.
(C) experience life-threatening symptoms.
32. Dr Leach says that meningitis is common in college students because of

their
(A) poor hygiene habits.

(B) proximity to new people.
(C) weakened immune systems.
Page 33
33. Why does Dr Leach say the patient didn’t seek treatment sooner?
(A) He was unsure of what to do.

(B) He didn’t think he needed treatment.
(C) He was trying to finish his assignments.
34. Dr Leach began treating for meningitis before receiving the spinal fluid
results because
(A) the illness progresses rapidly.

(B) the treatment is the same for all causes.
(C) the test results did not affect the diagnosis.
35. Dr Leach explains that meningitis is more likely to cause long term
after-effects if
(A) it is not accurately diagnosed.

(B) patients do not seek treatment quickly.
(C) reactions to the virus are extremely severe.
36. Dr Leach advises those who think they may be infected with meningitis
to
(A) get vaccinated at the earliest opportunity.

(B) avoid people who may be suffering from the virus.
(C) take precautions to prevent others from becoming ill.
Page 34
QUESTIONS 37 TO 42
You hear a presentation given by a clinical psychiatrist called Dr

Evalina Houghton about agitated patients in an emergency setting.
37. Dr Houghton says that patients in the ED are more likely to be agitated
as they are likely to
(A) suffer from untreated health problems.

(B) have been given bad news recently.
(C) require medical help frequently.
38. Dr Houghton explains that creating space between the patient and the
provider
(A) enables both parties to remain calm.

(B) encourages the patient to exit the room.
(C) reduces the likelihood of the provider being injured.
Page 35
39. Why does Dr Houghton encourage providers to speak slowly?
(A) to ensure the patient understands what is being said

(B) to give other members of staff time to prepare
(C) to give the patient an opportunity to speak
40. What approach does Dr Houghton suggest for patients suffering from
delusions?
(A) agree with the patient completely

(B) acknowledge the patient’s emotions
(C) explain why their delusions are false
41. Dr Houghton suggests that choices given to the patient should
(A) avoid upsetting the patient by remaining positive.

(B) maintain the patient’s trust by being realisable.
(C) be limited in order to prevent confusion.
42. Dr Houghton recommends that when the patient is calm they should
(A) be removed from the ED ward.

(B) understand why their behaviour was inappropriate.
(C) be encouraged to explain what caused their reaction.
Page 36
Kaplan Listening Answers
Practice Test
---------------------Track 21-----------------
Part A.1
1. up the stairs
2. barking
3. lying down
4. (dirty) green
5. feverish
6. COPD
7. smoker
8. allopurinol
9. knees
10. (blue) inhaler
11. cholesterol
12. penicillin
Part A.2
13. stuck (in it)

14. watering
15. swollen
16. concentrate
17. fluorescein eye stain
18. infection
19. (numbing) eye drops
20. corneal abrasion
21. antibiotic eye drops
22. healing ointment
23. ibuprofen
24. bright light
Page 37
Part B
25. A be transferred from the Emergency Department
26. B whether his communication issues will improve
27. A explaining how to use them correctly
28. C the availability of a medicine.
29. C the importance of providing adequate emotional support to patients
30. A identifying the patients at greatest risk
Part C.1
31. B mistake the illness for something else.
32. B proximity to new people.
33. C He was trying to finish his assignments.
34. A the illness progresses rapidly.
35. B patients do not seek treatment quickly.
36. C take precautions to prevent others from becoming ill.
Part C.2
37. A suffer from untreated health problems.
38. C reduces the likelihood of the provider being injured.
39. A to ensure the patient understands what is being said.
40. B acknowledge the patient’s emotions
41. B maintain the patient’s trust by being realisable.
42. C be encouraged to explain what caused their reaction.
Page 38
3
Sample Test 1
Page 39
Occupational English Test
Listening Test
This test has three parts. In each part you’ll hear a number of different extracts. At the start of each extract,

you’ll hear this sound: --beep--
You’ll have time to read the questions before you hear each extract and you’ll hear each extract ONCE ONLY.
Complete your answers as you listen.
At the end of the test you'll have two minutes to check your answers.
Part A
L E
P
In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking

to a patient.
M
For questions 1-24, complete the notes with information you hear.
Now, look at the notes for extract one.
S A
SAMPLE
[CANDIDATE NO.] LISTENING QUESTION PAPER 03/12 Page 40

Extract 1: Questions 1-12
You hear a physiotherapist talking to a new patient called Ray Sands. For questions 1-12, complete the notes

with a word or short phrase.
You now have thirty seconds to look at the notes.
Patient Ray Sands
18 months ago • back injury sustained (lifting (1) )

1 year ago • sciatica developed

6 months ago • clear of symptoms

E
Last month • recurrence of symptoms

L
Patient’s description of symptoms
• pain located in (2)

P
• pain described as (3)

• loss of mobility

M
• problems sleeping

• mentions inability to (4) as most frustrating aspect
A

• (5) sensation (calves)

S
• general numbness in affected area

Occupation • (6) (involves travel/some manual work)

Initial treatment • prescribed NSAIDs

• application of (7) (provided some relief)

Referrals • (8) (briefly)

• sports injury specialist for manipulation and exercise programme

Further treatment • epidural injections

• (9)

• electrical impulses

• decided not to try (10)

• patient attributes recovery to (11)

Previous diagnosis • sciatica probably related to (12) SAMPLE

• reports no history of pain in buttocks

You hear a consultant dermatologist talking to a patient called Jake Ventor. For questions 13-24, complete

the notes with a word or short phrase.
Patient Jake Ventor
Reason for referral • skin lesion

Patient’s description of condition
• on the (13) of his left hand

E
• preceded by (14)

• then (15) form and join up
L

• surrounding erythema

P
• GP describes appearance of lesion as (16)

• normally resolves within two weeks

M
History of condition • first experienced in 1990s when living in China

A
• also had a lesion on his (17) – never recurred

there

S
• recurs regularly on different parts of his left hand

• not becoming more (18)

• no apparent link to general state of health, (19)

or stress

Medical history • (20) on lower back in 2006 – no sign

of recurrence

• reports no history of (21)

Information given • advised that (22) was unlikely to be effective

• told him to take care if the skin is (23)

Outcome • says his quality of life isn’t affected

• a (24) will be arranged

That is the end of Part A. Now look at Part B.
SAMPLE

Part B
In this part of the test, you’ll hear six different extracts. In each extract, you’ll hear people talking in a different
healthcare setting.
For questions 25-30, choose the answer (A, B or C) which fits best according to what you hear. You’ll have time

to read each question before you listen. Complete your answers as you listen.
Now look at question 25.
E
25. You hear a nurse briefing her colleague about a patient.
L
What does she warn her colleague about?
P
A The patient is allergic to some types of antibiotics.
B Care must to be taken to prevent the patient from falling.
M
C Oxygen may be needed if the patient becomes breathless.
A
26. You hear the manager of a care home for the elderly talking to the nursing staff.
S

He says that errors in dispensing medication to patients usually result from

A interruptions while calculating dosages.
B a failure to check for patients’ allergies.
C administering drugs late in the day.
27. You hear part of a morning briefing on a hospital ward.
What is the plan for the patient today?
A Her emotional state will be carefully observed.
B She will be transferred to a more specialised unit.
C A social worker will come to see what help she needs.
SAMPLE

28. You hear part of an ante-natal consultation at a GP practice.
What does the patient want to know about?

A the advisability of a home birth
B ways of avoiding post-natal depression
C what painkillers might be available during labour
E
29. You hear a trainee doctor telling his supervisor about a problem he had carrying out a procedure.
L
The trainee feels the cause of the problem was
P
A treatment administered previously.
B the patient’s negative reaction.
M
C inappropriate equipment.
A
30. You hear a doctor talking to a teenage boy who has a painful wrist.
S
The doctor wants to establish whether
A a fracture may be misaligned.
B the swelling may be due to a sprain.

C there may be more than one bone affected.
That is the end of Part B. Now look at Part C.
SAMPLE

Part C
In this part of the test, you’ll hear two different extracts. In each extract, you’ll hear health professionals

talking about aspects of their work.
For questions 31-42, choose the answer (A, B or C) which fits best according to what you hear. Complete your
answers as you listen.
Now look at extract one.
E
You hear an interview with a cardiologist called Dr Jack Robson, who’s an expert on Chagas disease.
L
You now have 90 seconds to read questions 31-36.
P
31. Why does Dr Robson regard Chagas as a neglected disease?

M
A because of the social groups it mainly affects
B because patients often don’t realise they’re infected
A
C because its impact is severe in a relatively small number of cases
S
32. Dr Robson says that concerns over Chagas in the USA are the result of
A a rise in the number of people at risk of being infected with the disease.
B a greater awareness of how many people there have the disease.
C an increased prevalence of the insect which carries the disease.
33. A patient called Marisol recently asked Dr Robson to test her for Chagas because
A she was worried about the health of any children she might give birth to.
B she wanted to know whether it was safe for her to donate blood.
C she thought she had symptoms associated with the disease.
SAMPLE

34. What problem does Dr Robson identify in the case of a patient called Jennifer?
A an unwillingness to accept that she was ill
B an inability to tolerate the prescribed medicine
C a delay between the initial infection and treatment
35. What does Dr Robson say about his patient called Juan?

E
A The development of his illness was typical of people with Chagas.
B An incorrect initial diagnosis resulted in his condition worsening.
L
C The medication he took was largely ineffective.
36.
M P
Dr Robson thinks the short-term priority in the fight against Chagas is to
increase efforts to eliminate the insects which carry the parasite.
A
B produce medication in a form that is suitable for children.
S
C design and manufacture a viable vaccine.
Now look at extract two.
SAMPLE

You hear an occupational therapist called Anna Matthews giving a presentation to a group of trainee doctors.
37. Anna says that the main focus of her work as an occupational therapist is

A designing activities to meet the changing needs of each patient.
B making sure she supports patients in reaching their goals.
E
C being flexible enough to deal with patients of all ages.
P L
38. When Anna first met the patient called Ted, she was
A unable to identify completely with his attitude.
M
B optimistic that he would regain full mobility.
C mainly concerned about his state of mind.
39.
B
S A
Because Ted seemed uninterested in treatment, Anna initially decided to focus on
what he could achieve most easily.
allowing him to try and help himself.
C making him come to terms with his injuries.
40. Anna feels that, in the long term, her therapy helped Ted because
A it led him to become less emotional.
B it made him appreciate the need for patience.
C it showed him there was something to work towards.
SAMPLE

41. Anna describes the day Ted had his plaster casts removed in order to
A demonstrate how slow any progress can seem to patients.
B illustrate the problems caused by raising a patient’s hopes.
C give advice on what to do when patients experience setbacks.
42. Anna suggests that when patients like Ted recover enough to go home, they are often
E
A too ambitious in what they try to achieve initially.
B able to build on the work of the occupational therapist.
L
C held back by the over-protective attitude of family members.
P
That is the end of Part C.
M
You now have two minutes to check your answers.
A
THAT IS THE END OF THE LISTENING TEST
SAMPLE

Sample Test 1
LISTENING SUB-TEST – ANSWER KEY

PARTS A, B & C
PART A: QUESTIONS 1-12
E
1 (a) (heavy) suitcase / case
L
2 (his/the) right leg
3 (really) intense
P
4 turn over in bed / get comfortable
5 tingling
M
6 events organiser
7 compression packs
A
8 (an) osteopath
9 ultrasound
S
10 acupuncture
11 combination of treatments
12 slipped/herniated disc
13 palm
14 itching / itchiness / pruritus
15 (little) blisters
16 chaotic
17 chest
18 frequent
19 diet / anything in (his) daily life
20 (removal of) / (malignant) melanoma
21 cold sores / herpes simplex / herpes labialis
22 (an) anti(-)viral cream
23 broken
24 (a) biopsy
www.occupationalenglishtest.org
© Cambridge Boxhill Language Assessment – ABN 51 988 559 414 Page 49

PART B: QUESTIONS 25-30
25 B Care must to be taken to prevent the patient from falling.

26 A interruptions while calculating dosages.

27 A Her emotional state will be carefully observed.

28 C what painkillers might be available during labour

29 A treatment administered previously.

30 A a fracture may be misaligned.

PART C: QUESTIONS 31-36
31 A because of the social groups it mainly affects

32 B a greater awareness of how many people there have the disease.

33 A she was worried about the health of any children she might give birth to.

34 C a delay between the initial infection and treatment

35 A The development of his illness was typical of people with Chagas.

36 B produce medication in a form that is suitable for children.

37 B making sure she supports patients in reaching their goals.

38 C mainly concerned about his state of mind.

39 A what he could achieve most easily.

40 C it showed him there was something to work towards.

41 A demonstrate how slow any progress can seem to patients.

42 B able to build on the work of the occupational therapist.

---
END OF KEY
Page 50 2

4
Sample Test 2
Page 51
Listening Test
Sample Test 2
E
P
Part A
L
M

to a patient.
A
SAMPLE

You hear a gastroenterologist talking to a patient called Andrew Taylor. For questions 1-12, complete the notes

Patient Andrew Taylor
Background • has had (1) over long period

• reports a frequent (2) sensation in the last year

• most recently (3) has become a problem
E

• word used to describe symptoms – (4)
L

• pre-existing skin condition aggravated

P
• frequent (5) – patient didn’t initially link these to

bowel condition

M
Effects of condition on everyday life
• works as an (6)
A

• situation at work means patient is (7)

S
• complains of lack of (8)

• has noticed an increase in insomnia

Diet • claims to be consuming sufficient (9)
• claims to keep hydrated

• has experimented with excluding (10) from diet

• very slight reduction in caffeine intake

• has undergone (11) – no indications of anything

problematic

Medication • has taken an anti-spasmodic – not very effective

• now trying (12)

SAMPLE

You hear a hospital neurologist talking to a new patient called Kathy Tanner. For questions 13-24, complete

Patient Kathy Tanner
Background to condition
• experienced discomfort and a (13) feeling in neck

whilst driving

E
• osteopathy exacerbated problem

L
• used (14) to relieve symptoms in neck

Further developments in condition and diagnosis
P
• describes a pulling sensation (dragging her head to the right)

• doctor recommended (15)
M

• diagnosis of spasmodic torticollis (ST)

A
- condition described as (16)

- resulted in feelings of depression
S

Treatment history
(a) from home • some months of (17)

• visited two neurologists without success

• prescribed (18) (anti-spasmodic)

• joined an ST support group

• bought (19) to provide extra support

(b) from university hospital
• treatment using (20) injections
- side effects included difficulties (21)
- reports treatment as increasingly ineffective
• supplemented by (22)
• experienced confusion and (23)
• analgesic relief: morphine self-administered via
(24)

SAMPLE

Part B
healthcare setting.
For questions 25-30, choose the answer (A, B or C) which fits best according to what you hear. You’ll have time to
read each question before you listen. Complete your answers as you listen.
E
25. You hear an optometrist talking to a patient who’s trying contact lenses for the first time.
L
What is the patient concerned about?
P
A his blurred vision
B soreness in his eyes
M
C how to remove the lenses
A
26. You hear a nurse asking a colleague for help with a patient.
S

Why does the nurse need help?

A The patient’s condition has deteriorated.
B The patient is worried about a procedure.
C The patient is reporting increased pain levels.
27. You hear a senior nurse talking about a new initiative that has been introduced on her ward.
What problem was it intended to solve?
A patients’ confusion over information given by the doctor
B relatives not being able to discuss issues with the doctor
C patients not discussing all their concerns when meeting the doctor
SAMPLE

28. You hear two radiologists talking about the type of scan to be given to a patient.
They agree to choose the method which will
A allow them to see the whole of the appendix.
B probably give the most accurate results.
C have the fewest risks for the patient.
E
29. You hear part of a surgical team’s briefing.
L
The male surgeon suggests that the patient could
P
A require specialist equipment during surgery.
B benefit from a specific anaesthetic procedure.
M
C be at risk of complications from another health issue.
A
30. You hear a senior research associate talking about a proposal to introduce inter-professional, primary
S
healthcare teams.
What hasn’t been established about the teams yet?
A the best way for collaboration to take place
B the financial impact that they are likely to have
C the aspects of medical care they are best suited to
SAMPLE

Part C

For questions 31-42, choose the answer (A, B or C) which fits best according to what you hear. Complete your
answers as you listen.
You hear a presentation by a specialist cancer nurse called Sandra Morton, who’s talking about her work with
prostate cancer patients, including a man called Harry.
31. What does Sandra Morton see as the main aim in her work?
A to inform patients about the different treatments on offer
B to publicise the availability of tests for the condition
C to raise awareness of the symptoms of the illness
32. When Harry was offered a routine health check at his local surgery, he initially
A resisted the idea due to his wife’s experience.
B felt that he was too fit and well to be in need of it.
C only agreed to attend because his doctor advised him to.
33. During Harry’s investigations for prostate cancer at a hospital clinic, he
A felt part of the examination procedure was unpleasant.
B found it hard to cope with the wait for some results.
C was given false hope by a preliminary blood test.
SAMPLE

34. What was Harry’s response to being diagnosed with prostate cancer?
A He found himself reacting in a way he hadn’t anticipated.
B He was unconvinced by the prognosis he was given.
C He immediately researched treatment options online.
35. What typical patient response to the illness does Sandra mention?
A an unwillingness to commence appropriate medication
B a failure to seek advice regarding different treatment options
C a reluctance to talk about the embarrassing aspects of treatment
36. Sandra believes that community follow-up clinics are important because they
A offer patients more personal aftercare.
B are proven to be less traumatic for patients.
C provide rapid treatment for patients developing new symptoms.
SAMPLE

You hear a neurologist called Dr Frank Madison giving a presentation about the overuse of painkillers.
37. In Dr Madison’s experience, patients who become addicted to painkillers
A are more likely to move on to hard drugs.
B come from a wide variety of backgrounds.
C usually have existing psychological problems.
38. Dr Madison thinks some GPs over-prescribe opioid painkillers because these
A have a long-standing record of success.
B enable them to deal with patients more quickly.
C represent a relatively inexpensive form of treatment.
39. Dr Madison regrets that management of acute pain
A is often misunderstood by the general public.
B receives inadequate attention in medical training.
C fails to distinguish between different possible triggers.
40. Dr Madison’s main concern about painkillers being readily available is that
A patients may build up a resistance to them.
B they may be taken in dangerous amounts by patients.
C they may interact adversely with patients’ other medication.
SAMPLE

41. Dr Madison refers to the case of an osteoarthritic patient called Ann to highlight
A the unsuitability of opioids for patients with particular conditions.
B the effect on patients’ working lives of dependence on painkillers.
C the extreme fear patients may have of living without pain medication.
42. Ann’s GP initially failed to identify her dependence because
A she managed to conceal its physical effects from him.
B he was unaware that she had another source of drugs.
C he lacked experience in dealing with problems like hers.
SAMPLE

Sample Test 2

PARTS A, B & C
E
1 heartburn (after meals)
L
2 bloating
3 constipation
P
4 (so) unpredictable
5 migraines
6 accountant
M
7 anxious
8 energy
A
9 fibre
10
S
dairy (products)
11 (extensive) food allergy tests
12 anti(-)depressants OR (an) anti(-)depressant
13 stiff
14 (a) heat pad OR (a) heatpad
15 physio(therapy)
16 untreatable
17 chiropractic treatment
18 Baclofen
19 (an orthopaedic/orthopedic) chair OR (a) chair
20 botulinum toxin OR botox OR BTX
21 swallowing
22 (various) oral medications/meds
23 memory loss OR loss of memory OR amnesia
24 (a) pump

PART B: QUESTIONS 25-30
25 A his blurred vision

26 B The patient is worried about a procedure.

27 C patients not discussing all their concerns when meeting the doctor

28 C have the fewest risks for the patient.

29 B benefit from a specific anaesthetic procedure.
30 B the financial impact that they are likely to have
31 C to raise awareness of the symptoms of the illness

32 B felt that he was too fit and well to be in need of it.
33 B found it hard to cope with the wait for some results.

34 A He found himself reacting in a way he hadn’t anticipated.

35 C a reluctance to talk about the embarrassing aspects of treatment

36 A offer patients more personal aftercare.
37 B come from a wide variety of backgrounds.

38 B enable them to deal with patients more quickly.

39 C fails to distinguish between different possible triggers.
40 C they may interact adversely with patients’ other medication.

41 A the unsuitability of opioids for patients with particular conditions.

42 C he lacked experience in dealing with problems like hers.

---
END OF KEY
Page 62 2

5
Practice Test 1
Page 63
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____________

6
Practice Test 2
Page 76
___________

Exercise
You hear a nurse called Jonathan McKenzie giving a presentation on
treating patients who are dealing with stress.

7. Nurse McKenzie says that the CEO had trouble managing stress because
(A) it was prolonged.

(B) it was causing him to lose hours of sleep.
(C) he was unfamiliar with such situations.
8. The patient was encouraged to read because
(A) it was a hobby of his.

(B) it created a relaxing atmosphere.
(C) he needed to learn about the cause of his issues.
Page 18
Listening Part C: Practice Set
You hear an interview with Dr Tadita Hussein, who’s talking about

treating patients with cystic fibrosis.

1. Dr Hussein says that patients with cystic fibrosis
(A) may find the side effects alarming.

(B) tend to require treatment from a young age.
(C) can improve their condition with frequent hospital visits.
2. What does Dr Hussain say is difficult when treating patients who are not
in hospital?
(A) They often find the exercises too complicated.

(B) They tend to have difficulty socialising with other people.
(C) They don’t always understand the importance of their
treatment.
Page 19
7
Practice Test 3
Page 90
3. What does Dr Hussein say about the role of ‘distraction therapy’ in
cystic fibrosis treatment?
(A) It can be related to the treatment being provided.

(B) It allows patients to complete their activities more quickly.
(C) It provides staff with more information about the patient’s
condition.
4. What changes did Dr Hussein observe in one of her patients?
(A) He showed respiratory improvement.

(B) He deteriorated rapidly following a change in treatment.
(C) He began to enjoy aspects of their treatment.
5. Dr Hussein plans to use technology to help cystic fibrosis patients to

communicate
(A) with other patients who suffer from the condition.

(B) with family members who cannot visit them in hospital.
(C) with patients of a similar age suffering from different
conditions.
6. Dr Hussein suggests that future treatments for cystic fibrosis
(A) will always incorporate lengthy procedures.

(B) could prevent breathing difficulties in sufferers.
(C) might be less painful than the current options available.
Page 20
You hear an presentation given by Dr Hubert Johnson, who’s talking

about ways to improve efficiency.

7. Dr Johnson explains that delays are increased when patients believe
(A) their appointment will not begin on time.

(B) staff are not concerned about late-arrivals.
(C) being late for appointments will not impact others.
8. Dr Johnson uses an example of poor efficiency to illustrate the point that
(A) healthcare professionals should assist staff during busy times.

(B) practices should avoid limiting appointment booking options.
(C) staff should be trained to handle demanding situations.
9. Dr Johnson explains that, in order to improve efficiency, healthcare

practices must
(A) sanction patients arriving later than 10 minutes.

(B) avoid booking appointments in the morning.
(C) show patients that they can run on time.
Page 21
10. Dr Johnson says healthcare professionals often forget that patients who
book appointments must first
(A) feel that they need a consultation.

(B) find a time and date that works for them.
(C) consider what might be causing their issue.
11. What happened when Dr Johnson began giving weekly presentations to

patients?
(A) Dr Johnson was able to work fewer hours.

(B) The general health of patients was increased.
(C) The number of appointments at the practice decreased.
12. How does Dr Johnson feel about the use of technology when booking
appointments?
(A) Practices should begin to encourage all patients to make

bookings online.
(B) It can increase efficiency if other booking methods are
continued.
(C) Elderly people are most likely to struggle to use it.
Page 22
8
Practice Test 4
Page 103
Page 104
2
Kaplan Practice Test
Page 27
Listening Test
you’ll hear this sound: --beep—
You’ll have time to read the questions before you hear each extract and you’ll hear each extract ONCE
ONLY. Complete your answers as you listen.
At the end of the test, you’ll have two minutes to check your answers.
Part A
In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking to a
patient.
[CANDIDATE NO.] LISTENING QUESTION PAPER 3/12
Page 106
You hear a consultant rheumatologist talking to a patient called Suzanne Hinds. For questions
1-12, complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes.
Patient Suzanne Hinds
Symptoms Mouth:
• chapped lips
• painful (1)
• increased number of (2)
• dryness
• tongue appears (3)
Eyes:
• eyelids described as (4) on waking
• frequent irritation
• itchiness made worse by (5)
• self-treating with (6)
• recurring (7)
• increased sensitivity to light
• vision described as cloudy
Throat:
• patient says it sometimes feels (8)
• regular difficulty in (9)
• some swelling
Background details • works as a tour guide
• moderate smoker for 15 years
• family history of (10)
Recommended tests • saliva flow rate test
• (11) biopsy
• (12) test - possibly
Page 107
You hear a gastroenterologist talking to a patient called Toby Smithers. For questions 13-24, complete
Patient Toby Smithers
Background • initial stomach upset
• main symptom (13)
Original presenting factors
• feeling (14) immediately after meals
• extremely (15) (especially at night)
• no history of (16)
GP’s initial diagnosis • main symptoms similar to those associated with
(17)
GP’s interim treatment plan

• advised to keep (18) intake high
• suggested separating eating and drinking by 30 mins
• suggested a (19) ‘ ’ regime for meals
Tests • both (20) clear
• (21) performed
• (22) confirmed and treated
• eradication confirmed by (23)
Current situation • original presenting factor persists
• works as a (24)
Page 108
Part B
healthcare setting.
For questions 25-30, choose the answer (A, B or C) which fits best according to what you hear. You’ll have
time to read each question before you listen. Complete your answers as you listen.
25. You hear a consultant talking to a woman whose father has just been admitted to hospital.
What does she want to know about his condition?
A how serious it is
B how much pain it’s causing
C how long before there will be a diagnosis
26. You hear a trainee nurse receiving feedback from her tutor about the ward round she’s just
completed.
What would have improved the nurse’s performance?
A eliciting information from the patient
B keeping the patient better informed
C updating patient notes more fully
27. You hear a hospital nurse briefing a colleague about a patient with Chronic Obstructive
Pulmonary Disease, or COPD.
What does he want his colleague to do?
A encourage greater mobility
B organise a visit by a dietitian
C consult with the medical team
Page 109
28. You hear two hospital managers talking about a training session for people who do
voluntary work with patients.
What do the managers think about the course?
A Too few people attended to make it worthwhile.
B The content may need revising for future sessions.
C The feedback from participants wasn’t encouraging.
29. You hear a pharmacist talking to a doctor about a patient’s medication.
What is the pharmacist doing?
A reporting side effects
B checking the dosage
C recommending an alternative
30. You hear a surgeon talking to a member of his team as they are finishing a surgical
procedure.
The surgeon says their next priority should be
A to complete a routine administrative task.
B to report a faulty piece of equipment.
C to locate an appropriate bed.
Page 110
Part C
For questions 31-42, choose the answer (A, B or C) which fits best according to what you hear. Complete
your answers as you listen.
You hear an interview with Dr Bob Dean, who’s talking about a trial he conducted to assess different ways of
treating the condition known as ‘tennis elbow’.
31. Dr Dean says that patients with tennis elbow
A may be unaware that they have the condition at first.
B tend to come from a remarkably narrow range of occupations.
C can easily avoid the condition by adopting correct working practices.
32. In the physiotherapy programme used in Dr Dean’s trial,
A the treatment given was tailored to the needs of each patient.
B patients had to build up their strength before starting it.
C some patients found the treatment too painful.
33. What does Dr Dean say about the role of ‘smart rest’ in the trial?
A It wasn’t appropriate for certain types of tennis elbow.
B It formed the basis of two of the three treatment options.
C It kept all patients physically active despite the condition.
Page 111
34. What did Dr Dean find interesting about the results of the trial?
A They were surprisingly conclusive in the short term.
B They underlined the advantages of timely intervention.
C They confirmed the findings of an earlier piece of research.
35. Dr Dean would advise anyone experiencing tennis elbow for more than three months to
A avoid using any steroid-based medication at that point.
B be ready to start more invasive forms of treatment.
C try a combination of physiotherapy and injections.
36. Dr Dean suggests that taking anti-inflammatories for tennis elbow
A is less effective than alternative forms of medication.
B is trying to treat a symptom that may not actually exist.
C is an area that needs to be researched more thoroughly.
Page 112
You hear a presentation in which a researcher called Dr Sarah Jones is talking on the subject of weight loss
interventions by GPs.
37. Dr Jones suggests that few health professionals currently attempt weight loss interventions
because they
A have often found them to be ineffective.
B lack confidence in the chances of success.
C rarely have time to spare for non-clinical issues.
38. The specific aim of the trial Dr Jones describes was
A to draw patients’ attention to the need to lose weight.
B to reduce the time that weight-loss interventions take.
C to promote greater understanding of the dangers of obesity.
39. Dr Jones now feels practitioners can justify weight loss interventions because
A patients are currently less sensitive about weight-related issues.
B a huge majority of patients feel that it is a suitable topic for discussion.
C circumstances demand that action is taken even if patients are reluctant.
Page 113
40. When describing the trialling of the programme, Dr Jones says she was surprised by
A the fact that most patients offered a place did actually join it.
B the positive attitude of patients who accepted the treatment.
C the number of patients who dropped out early.
41. From the outcomes of the trial we learn that
A the results for all participants improved at a similar rate.
B intervention was consistently more successful than non-intervention.
C the advantages of intervention became less marked in the longer term.
42. What does Dr Jones feel are the implications of the findings of the trial?
A Areas other than weight loss may be suitable for similar initiatives.
B Doctors may find that their role in the community starts to change.
C There could be widespread benefits if they were applied nationally.
Page 114
OET PRACTICE 5
Listening – Answer
OET Listening: Answer Key

ANSWER KEY - PART A
Extract 1:
1. mouth ulcers / ulcers
2. dental cavities/ cavities/ caries/ fillings
3. cracked
4. sticky
5. air conditioning / air-con / AC
6. eye drops / drops
7. conjunctivitis / pinkeye / pink eye
8. rough
9. swallowing / swallowing food / getting stuff down
10. rheumatoid arthritis / RA
11. lower lip
12. thyroid function test / thyroid function
Extract 2:
13. vomiting
14. incredibly sleepy / sleepy / sleepiness
15. thirsty / dehydrated
16. stomach cancer
17. gastric dumping syndrome
18. fluid
19. little and often
20. blood and urine/ blood urine / blood and urine tests / blood urine tests / urine and
blood / urine blood / urine and blood tests / urine blood tests
21. endoscopy
22. helicobacter pylori / H. pylori / H pylori
23. urea breath test / breath test
24. teacher
Page 115
ANSWER KEY - PART B
25. B how much pain it’s causing
26. B keeping the patient better informed
27. C consult with the medical team
28. B The content may need revising for future sessions.
29. A reporting side effects
30. B to report a faulty piece of equipment.
ANSWER KEY - Part C

Extract 1:
31. A may be unaware that they have the condition at first.
32. A the treatment given was tailored to the needs of each patient.
33. C It kept all patients physically active despite the condition.
34. C They confirmed the findings of an earlier piece of research.
35. A avoid using any steroid-based medication at that point.
36. B is trying to treat a symptom that may not actually exist.
Extract 2:
37. B lack confidence in the chances of success.
38. A to draw patients’ attention to the need to lose weight.
39. B a huge majority of patients feel that it is a suitable topic for discussion.
40. A the fact that most patients offered a place did actually join it.
41. B intervention was consistently more successful than non-intervention.
42. C There could be widespread benefits if they were applied nationally.
Page 116
10
E2language Test I
Page 117
E2language
Test I
Extract 1: Questions 1-12 You hear a GP talking to a patient called Daniel Anderson.
For questions 1-12, complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes.
Patient Daniel Anderson
Presenting Symptoms Recent History • 2 wks / (1) _______________ than usual
• Short of breath • Cold/sore throat
Recent History • Last (2) ___________________ months
• Ongoing condition • Patient managed condition
• Bad sore throat and (3) _______________
• Fatigue
• Shortness of breath – becoming more (4) ________________
• Breathing normal (5) __________________
• No history (6) ______________ /chest problem
• Non-vegetarian • Describes diet as (7) ______________________
• Low fruit and vegetable intake
• Drinks (8) _______________________ of coffee a day
• Ongoing mild indigestion
• Bowel Function – (9) __________________
Family History
• No family history (10) __________________
• Parents - healthy
• (11) _______________ – no known health problems
• Patient suspects (12) _______________________
Page 118
Extract 2: Questions 13-24 You hear a GP talking to a patient called Mrs Wright. For questions 13-24, complete the notes with a
word or short phrase. You now have thirty seconds to look at the notes.
Patient Mrs Wright
Background
• Follow up consultation
• Patient has (13) _______________
• Initial episode (14) months ago ____________

• Treated at home • •
• Prescribed (15) _____________________ for 5 days
• Alopurinol
• Recurrence of gout just (16) _______________
• Gout originates at bottom of (17) _______________
• on the (18) _________________ foot
• Swelling radiates across toes towards (19) _________________ of foot
• Hot and inflammed
• No swelling in (20) _____________

• Responded well to medication
• Swelling settled within (21) ________________
• Ongoing (22) ________________ in toe
• Suspected (23) _______________
• X-ray clear
Treatment
• Patient has some concerns
• Patient agrees medication effective
• Clinical Decision: (24) ________________ with current medications
Page 119
Part B
healthcare setting.
25. You hear a nurse in the emergency department discussing the care of a patient with a
doctor.
What do the speakers agree to do?
A Put the patient’s arm in a sling.
B Wait for the patient to calm down.
C Treat the patient’s pain to relax the arm.
26. You hear a trainee doctor discussing a patient diagnosis with a tutor.
What is the diagnosis?
A Coeliac disease
B Constipation
C Bilateral lower abdominal pain
Page 120
27. You hear a hospital nurse briefing a colleague about a patient recovering from elective
surgery.
What does he want his colleague to do?
A review post-op information with the patient
B provide pain relief for the patient
C get the patient a medical certificate
28. You hear two hospital managers talking about an information session for people
who want to do voluntary work.
What problem do the managers discuss?
A How difficult it is for participants to get to the event.
B Technical issues with the event management systems.
C Finding good quality food and drinks for the event.
29. You hear a pharmacist talking to a doctor about a patient’s medication.
What is the pharmacist doing?
A reporting side effects
B checking the dosage
C recommending an alternative
30. You hear a doctor advising a patient about a change in medication.
What condition is the patient being treated for?
A hay fever.
B drowsiness.
C hives
That is the end of Part B.
Page 121
Part C
For questions 31-42, choose the answer (A, B or C) which fits best according to what you hear. Complete
your answers as you listen.
You hear an interview with Dr Cristine Ericson, who’s talking about her research supporting non-fasting lipid
blood tests for cholesterol.
31. What is Dr Cristine Ericson’s opinion about fasting before blood tests?
A It is not supported by scientific evidence.
B It is superior to non-fasting blood tests.
C It
It is
is supported
supported by
by convention
convention not
not data
data.
It is supported by convention not data
32. What does Dr Cristine Ericson say about the research on non-fasting blood tests?
A The majority comes from Copenhagen.
B More studies should focus on children.
C It includes data from multiple countries.
33. What is Dr Cristine Ericson’s opinion on the difference between the results of fasting and
non-fasting tests?
A The small differences are unimportant.
B There is no difference in the results.
C There is a small but significant difference.

Page 122
34. Dr Cristine Ericson states that everyone in Copenhagen was happy with the introduction of
non-fasting blood tests.
What evidence does she provide to support this claim?
A Data showing an increase in test attendance.
B Increased public demand for non-fasting tests.
C Positive stories from other medical professionals.
35. According to Dr Cristine Ericson, why are non-fasting blood tests popular with the public?
A Because of the strong research evidence in the report.
B Because of positive publicity in the newspaper and on TV.
C Because they are more convenient for busy lifestyles.
36. Which of the following statements best summarises Dr Cristine Ericson’s position on the
use of fasting or non-fasting blood tests?
A In rare cases fasting before a blood test is necessary.
B Fasting before a blood test should no longer be recommended.
C New research is needed on the use of fasting and non-fasting tests.

Page 123
You hear a presentation in which a researcher called Dr Milan Patrecivich is talking about the relationship
between new technology and medicine in the future.
37. Dr Patrecivich suggests that in the future medical technology will
A continue to replace human doctors.
B give doctors freedom to express core skills.
C become more accurate and reliable than doctors.
38. According to Dr Patrecivich, how will wearable sensors and smartphones help GPs?
A They will allow doctors mobility to visit patients in remote locations.
B They will allow doctors to check if patients are following their advice.
C They will allow doctors to monitor their patients with real-time data.
39. Dr Patrecivich believes that
A radiologists currently spend too much time checking through images.
B technology like IBM’s Medical Sieve isn’t yet capable of doing a radiologist’s job.
C radiography algorithms should be designed by professional radiologists.

Page 124
40. According to the talk, both sports medicine and oncology
A will use technology to make their processes faster and cheaper.
B will use technology to filter data and individualise therapy.
C will use technology like Xbox to treat patients from a distance.
41. What does Dr Patrecivich suggest about the effect of technology on cancer treatment?
A Artificial intelligence technology will eventually cure cancer.
B Oncologists will keep patients informed using social media.
C Technology will have a powerful and positive effect on oncology.
42. What is Dr Patrecivich’s conclusion about the future of medicine and technology?
A Medical technology will give doctors more time and better data to care for patients.
B Physicians will have amazing opportunities to develop new medical technologies.
C Automated and robotic systems will gradually replace humans in medical practice.

Page 125
PART B: QUESTIONS 25 TO 30
In this part of the test, you’ll hear six different extracts. In each extract,
you’ll hear people talking in a different healthcare setting.
For questions 25 to 30, choose the answer (A, B or C) which fits best
25. You hear two doctors discuss the transfer of care for a patient.
The patient’s CURB-65 score means that he will
(A) be transferred from the Emergency Department.

(B) receive additional medication and treatment.
(C) be treated as an out-patient.
26. You hear a speech pathologist talking to the wife of a patient who has
recently suffered a stroke.
What does she want to know about her husband’s condition?
(A) how long it will take him to make a full recovery

(B) whether his communication issues will improve
(C) what she can do to speed the healing process
Page 31
Part B1
25. c
26. b
27 . c
28. c
29.a
30 .a
Part C1
31.c
32.c
33.a
34.b
35.c
36.b
----------------
37.b
38.c
39.a
40.b
41.c
42.a
Page 127
11
E2language Test II
Page 128
E2language
Test II
E2 Language Listening Part A.2
Extract 1
You will hear part of a consultation between a psychologist and a patient
called Mr Barry. For questions 1-12, complete the notes with a word or short
phrase.
Patient:
Mr Barry
Background:
Continued anxiety and (1)__________________
Started medication (2) __________________ ago
Medication:
citalopram / chlordiazepoxide
chlordiazepoxide (3) _________ Mg (4) __________ daily
non-compliant
feels meds don’t (5) __________________ him sufficiently
patient trying to (6) __________________ more
citalopram 20mg
side effects: ongoing (7) __________________ improving
stress related?
possible (8) __________________
takes citalopram (9__________________
Symptoms:
inability to leave house
palpitations / SOB / intense fear
feels (10) __________________ when outside
patient normalizing
went to shops for the (11) __________________
since beginning (12) __________________
Page 129
Extract 2
You will hear part of a consultation between a GP and a patient called Mr
Martin. For questions 1-12, complete the notes with a word or short phrase.
Patient:
Mr Martin
Background/Symptoms:
Stomach pain
Condition present (1) __________________ for years but worse recently
Located across (2) ________ of abdomen radiating towards (3) ___________
Describes pain as not severe
Like an (4) __________________
Pain moves side to side
Patient suspects (5) _____________. problems
Feels (6) _____________as well as pain
Ongoing problem
4 yrs ago diagnosed suspected (7) _____________
Bowel movements variable
Ongoing problems with (8) __________ but recently stool (9) _____________
Drinks plenty of water
No diarrhea
No presence of (10) _____________ in stool
No black motions
Medication:
Previously prescribed Colofac
Monitors diet rather than take (11) _____________
Takes OTC (12) _____________ capsules which provide relief
Page 130
E2 Language Listening Part B.2
1- You hear a doctor and a trainee discussing the application of a plaster cast.
What does the trainee need to tell the patient about the cast?
A The appropriate length of time to let the cast dry properly
B The temperature of the cast as it begins to harden.
C The reduction in the fracture after the cast has been applied.
2- You hear a manager explaining new data management processes to clinical staff.
What should staff do with their feedback reports?
A File them on paper and digitally
B Copy them onto the new servers
C Fill them out digitally to save time
3- You hear a presentation about the introduction of a new type of wound dressing.
What is the main advantage of the new wound dressing?
A They are ideal for oozing wounds due to high absorbency.
B They are made from naturally bacteria resistant seaweed.
C They are somewhat less costly than traditional cloth bandages.
Page 131
4- You hear two hospital managers discussing completion rates for an online course.
How will management inform staff who do not attend the meeting about the deadline?
A Face to face
B By email
C Over the phone
5- You hear two colleagues discussing an online training course.
What advice does the female nurse give her colleague?
A request IT help to reset so he can complete the course.
B wait until the weekend and complete the course.
C advise a manager that he has completed the course.
6- You hear an educator describing methods for creating medical abbreviations to

nursing trainees.
Why does the speaker think it is important for trainees to understand the different methods
of abbreviating?
A So they can create new abbreviations using the first letter rule.
B So they can easily pronounce medical acronyms accurately.
So
C they can more efficiently learn commonly used abbreviations.
Page 132
E2 Language Listening Part C.2
Extract 1
1. How does Dr Lee describe the movement from traditional care systems to non-visit care?
A Large pre-existing medical providers will probably dominate the market.
B There will be a mixture of reactions from existing and new organisations.
C Flexible new organisations will have an advantage over existing ones.
2. According to Dr Lee a non-visit care culture
A views face to face consultations as a final resort in treatment.
B will develop more rapidly in new medical start-ups.
C
requires a blend of responses from medical organisations.
3. Dr Lee believes that current technology is
A closely matched to users medical needs.
B changing expectations for medical services.
C not capable of supporting non-visit care yet.
Page 133
4. Dr Lee suggests that in person visits
A ideally occur earlier in the care process.
B have a negative impact on many patients.
C should be easy for patients to manage.
5. Why does Dr Lee mention specimen collection services?
A To highlight the expense of creating offices and labs.
B To describe how these services could be provided more efficiently.
C
To suggest they could be delivered more nimbly with technology.
6. What advice does Dr Lee give organisations wanting to move to non-visit care models?
A Wait for more precise technology before transitioning to remote care.
B Re-evaluate the safety and quality of non-visit care before making the change.
C Find transition opportunities by close analysis of each instance of in-person care.
Page 134
Extract 2
1. The research suggests that in the USA
A supervised injection centres are fundamentally different.
B supervised injection centres are being successfully integrated.
C supervised injection centres have the same impact as elsewhere.
2. According to Dr Davidson the secret facility was
A based on international evidence and good practice.
B waiting for legal advocacy in the United States.
C experiencing the death of too many patients.
3. According to Dr Davidson what is the outcome of having staff and drug users in the same
room?
A Patient check in and registration is more efficient.
B Overdose prevention is the major benefit.
C
Staff can address many potential health issues.
Page 135
4. What does Davidson suggest users of the centre most appreciate?
A the clean and hygienic surfaces
B the private and relaxed space
C they can't get arrested there
5. Some users of the facility suggested that the facility
A needs a far more open space.
B can't combine with other services since it is secret.
C would be better as a treatment agency.
6. What concern did staff raise about the running of the facility?
A That patients might disclose information about the centre
B Necessary exclusion of psychologically ill patients
C
The small number of patients they could help
Page 136
E2language
Test II - Answer
Answers A2- Extract 1
1) panic attacks
2) 3 / three weeks / 3 weeks
3) 20 / twenty
4) 3 / three / three times / 3 times
5) suppress
6) exercise
7) headaches
8) ear infection
9) at night
10) sick and dizzy / dizzy and sick
11) first time / 1st time
12) medication
Answer Sheet A2- Extract 2
1) on and off / off and on

2): upper part
3) middle
4) irritation
5) kidney
6) bloatedirritable bowel syndrome / IBS / irritable bowel
8) constipation
9): loose
10) blood or slime / slime or blood
11) laxatives
12) peppermint oil
Page 137
Answers B2
1. B
2. A
3. A
4. A
5. C
6. C
Part C2
Extract 1
1. B
2. A
3. B
4. C
5. B
6. C
Extract 2
1. C
2. A
3. C
4. B
5. B
6. B
Page 138
12
E2language Test III
Page 139
E2language
Test III
Extract 1
You will hear part of a consultation between a GP and a patient called Mrs
Brownstone. For questions 1-12, complete the notes with a word or short phrase.
Patient:
Mrs Brownstone
Patient requesting urinalysis
Recently (1)______________, burning sensation
Symptoms present approximately (2) ______________ weeks
Patient suggests symptoms related to (3) ______________
Describes pain as not severe
Recurring condition
Treated for similar symptoms (4) ______________ in last (5) ______________
Symptoms come and go
Patient forgets to drink water
Nocturia - (6) ______________ nightly
Pain, urgency, (7) ______________ greater at night
Antibiotics effective in the past
(8) ______________ urinary incontinence
No impact from coughing, sneezing
Successful colposuspension: aged (9) ______________
Medication:
Known allergies: (10) ______________
Amoxil
(11) ______________
Nitrofurantoine
Treatment Plan:
Short course nitrofurantoine
Review appointment in (12) ______________
Page 140
Extract 2
You will hear part of a consultation between a doctor and a patient called Mrs
Chambers. For questions 1-12, complete the notes with a word or short phrase.
Patient:
Mrs Chambers
Presented after heavy bleeding approximately (1) ______________ ago
36 weeks pregnant
Previous episode at (2) ______________lasted approx. two hours
Estimated bleed 1/2 cup
Current episode (3) ______________ hours
Ongoing (4) ______________ and passing clots
Estimated bleed 1 cup
Tightness / cramps
Severe pain in (5) ______________ concurrent with bleeding
Symptoms come and go - "like period pain"
Pregnancy normal to date
Previous scan found (6) ______________
No further scans scheduled
12-week scan showed baby was (7) ______________. but fine
Antenatal clinic visit normal
Low (8) ______________
Number of previous pregnancies: (9) ______________
Boys, (10) ______________, healthy
Normal delivery
4 four years ago-abdominal myomectomy
Suffered from (11) ______________, body aches, fever
Emergency (12) ______________found large fibroids
Page 141
E2 language Listening Part B.3
1. You hear a doctor and a nurse reviewing a coma patient.
What is the Doctor checking for?
A The symptoms the patient is exhibiting

B The severity of the patient's coma
C The range of mobility of the patient
2. You hear a consultant emergency doctor talking to a patient following an

accident.
What is she doing?
A explaining why she is removing the neck brace

B clarifying the need for multiple scans and surgery
C outlining the full extent of the patient's injuries
3. You hear a clinical researcher introducing a professional development

workshop.
What is the aim of the workshop?
A To give participants strategies to gain greater trust from the public.

B To introduce participants to the basics of mathematical statistics.
C To lead participants to a deeper critical understanding of research
Page 142
4. You hear an emergency ward doctor directing her team while treating an
accident victim.
What is the doctor most concerned about?
A The severe injury to the patient's left leg.

B The possibility of other less apparent injuries.
C The limited circulation of blood around the injury.
5. You hear a doctor speaking to a woman who has presented with heart
palpitations.
What treatment does the patient require?
A intravenous medication
B a neck massage
C training in breath control
6. You hear an emergency paramedic talking to an accident and emergency

doctor about a patient who has fallen from his motorcycle.
What is the paramedic doing?
A confirming what happened to the man in the accident

B summarising the patient's injuries and treatment
C
suggesting appropriate pain medication to administer
Page 143
E2 Language Part C.3 Extract 1
1. What is the stated purpose of the talk?
A To evaluate if the audience are feeling burnout
B To inform and stimulate discussion about burnout
C To describe new research on treatment of burnout
2. What did the research from the Mayo Clinic show?
A In 2011 more than half of US doctors claimed to have burnt out.
B The large number of doctors with burnout is continuing to rise.
C Typically one aspect of a doctors work makes them burn out.
3. What is the Anna Capstone's attitude to the problem of burnout?
A Most doctors can handle burnout.
B Doctors with burnout should retire.
C Burnout endangers patients and doctors.
Page 144
4. How does Anna Capstone think the problem of burnout should be addressed?
A Hospitals should fund wellness programs for burnt out staff.
B Multiple strategies are needed to keep doctors functioning and healthy.
C By discouraging doctors from losing empathy and making mistakes.
5. How does Anna Capstone evaluate the role of administrative technology and regulations?
A As a cheap and reliable way of collecting payment.
B As confusing and stressful for doctors.
C As something few doctors have really complained about.
6. Anna Capston argues that protecting the well-being of highly trained medical staff
A is an ethical issue.
B isn't part of workplace safety.
C will require too many resources.
Page 145
E2 Language Part C.3 Extract 2
1. Dr MacGregor believes that
A most people will find the healthiest diet quite surprising.
B intake of meat, eggs, and dairy is an essential part of a balanced diet.
C the public is quite well informed about the ideal foods for a healthy diet.
2. What is Dr MacGregor's attitude to dieting?
A More people should go on diets.
B Dieting is a lifestyle choice.
C Diets are generally ineffective.
3. Which industry first "used science against itself"?
A The meat industry.
B The egg industry.
C The tobacco industry.
Page 146
th
4. According to Dr MacGregor, in the mid 20 century
A the public respected and trusted science to reveal the truth.
B smokers clearly understood the risks associated with tobacco use.
C the US Surgeon General first reported on the cancer risk from smoking.
5. According to Dr MacGregor the tobacco industry
A gathered a mass of evidence on the dangers of smoking.
B used its influence to slow down government responses.
C has finally recognised that smoking causes lung cancer.
6. The article suggests that the tobacco and food industries share which tactic?
A Funding their own research to confuse people.
B Using the motto "doubt is our product".
C Denying evidence that their products are bad.
7. What do the healthiest and longest living communities in the world have in common?
A they eat a lot of legumes.
B they are religious communities.
C they have a 97% plant-based diet.
Page 147
E2language
Test III – Answer
Answer Sheet A3 – Extract 1

1) going more
2) 3 to 4 weeks / 3 weeks / 3-4 weeks / 4 weeks
3): age / old age
4): 5 times / five times
5) 10 years / ten years
6) 3 times or more / 3 times / three times or more / three times
7): pressure
8) no
9) 50
10) septrin
11) trimethoprim
12) 5 days / five days
Answer Sheet A3-Extract 2

Top of Form
1) 1 week / one week
2) 28 weeks / twenty eight weeks
3) 3 / three
4) spotting
5) lower abdomen
6) the placenta was low / placenta low / the placenta low
7) small
8) down's risk
9) 1 / one
10) twins
11) migraines
12) mri
Page 148
Listening Test

Part A
L E
P

to a patient.
M
S A
SAMPLE

13
E2language Test IV
Page 150
E2language
Test IV
Part A.1
You hear an otolaryngologist talking to a patient named Terry Butler. For questions
You now have thirty seconds to look at your notes.
Patient Terry Butler
Reason for referral

Possible vasomotor rhinitis
Background
experiences (1) especially in the
morning
noticed some (2)
reduced (3)
has been (4) throughout the day
Painful blockage at times
Occupation
(5)
Page 151
Treatment history
(6) test
blood test
(a) GP investigation
- nil medications
- nil viral infection
- ceased (7)
(b) GP advice
- (8) to help loosen the mucus
- (9) several times per day
- (10) before sleep
General health
generally fit and healthy
ex-smoker (14 years) quit due to (11)
moderate drinker
has regular exercise
member of a (12)
Page 152
Part A.2
You hear a general practitioner talking to a patient named Jane Brown. For
questions 13-24, complete the notes with a word or short phrase.
Patient Jane Brown
New patient after moving to the area
Patient’s description of symptoms

ulnar-sided pain and numbness
radiates to the (13)
intermittent for two weeks
Pain worsens (14)
feels like a (15) being tightened
Initial treatment
rested the arm (16)
alternated ice and warm compress
tried (17) medication (one week)
Page 153
Vocation
student
In her (18) at university
Daily routine
Sitting 10 hours + per day
(19) regularly pressed against the desk
arms stationery for extended periods
noticeable (20) in arms
- University tutorial - leans agains desk
- University lectures - uses (21) with
correct posture
Physical activity
plays (22) once per week
swims twice per week
started (23) six months ago
hasn’t played (24) for one week
Page 154
Part B
25. You hear a nurse talking to her colleague about a patient’s request to
leave the ward.
The nurse is concerned that the patient
A. should not be left unaccompanied.

B. has overestimated his progress
C. is not physically ready to walk
26. You hear a paramedic briefing a doctor on a recent emergency

admission.
The paramedic says it’s important to
A. try to settle the patient.

B. notify the patient’s family.
C. keep the patient hydrated.
27. You hear an anaesthetist talking with a patient prior to her surgery.
What does the patient want to know?
A. Potential risks while anaesthetised

B. Post-operative pain management
C. The length of sedation involved
Page 155
Sample Test 1

PARTS A, B & C
E
1 (a) (heavy) suitcase / case
L
2 (his/the) right leg
3 (really) intense
P
4 turn over in bed / get comfortable
5 tingling
M
6 events organiser
7 compression packs
A
8 (an) osteopath
9 ultrasound
S
10 acupuncture
11 combination of treatments
12 slipped/herniated disc
13 palm
14 itching / itchiness / pruritus
15 (little) blisters
16 chaotic
17 chest
18 frequent
19 diet / anything in (his) daily life
20 (removal of) / (malignant) melanoma
21 cold sores / herpes simplex / herpes labialis
22 (an) anti(-)viral cream
23 broken
24 (a) biopsy

Part C.1
31. What began Henry's special interest in macular degeneration?
A seeing the impact it had on his own family
B treating many patients over a 30-year career

C observing the isolation that comes from the disease
32. In Henry's opinion, what is the most troubling aspect of the disease?
A the inability to recognise the faces of loved ones
B the psychological impact it can often generate

C the changes it causes to a person's daily existence
33. Henry thinks that the traumas associated with loss of vision are
A sometimes overlooked within the optometry community.
B commonly misconceived as part of the aging process.

C less understood than with many other diseases.
34. Henry believes macular degeneration patients initially keep their fears to
themselves because they
A are scared to admit they have a serious condition.
B do not feel completely comfortable discussing their disease.

C consider their disease minor in comparison to total blindness.
35. Why did Henry choose his patient called Jennifer to test his new method?
A because she had a special kind of macular degeneration
B because of her negative reaction to her condition

C because her illness was worsening at a fast rate
36. Henry says that preventing macular degeneration is about

A checking signs of visual impairment immediately.
B continuing current research into treatment.

C beginning with positive changes to one's lifestyle.
Page 157
Part C.2
37. Rebecca says that a challenge many healthcare providers face with
overweight patients is
A establishing a strong relationship.
B balancing aspects of communication.

C timing their discussions effectively.
38. Rebecca believes that demonstrating sensitivity when discussing weight is

A established from the outset of the consultation.
B sometimes misunderstood by healthcare providers.

C directing language away from the term obesity.
39. Rebecca suggests that asking open-ended questions

A helps eliminate any personal prejudice.
B covers many barriers with a single sentence.

C is the ideal way to begin the consultation.
40. When consultations prove difficult, Rebecca suggests

A focussing on the patient's general health rather than obesity.
B convincing the patient that support is never out of reach.

C changing the way the patient views their weight problem.
41. Rebecca thinks that a patient's continuing education

A should include of a small number of obtainable objectives.
B can present new demands for the healthcare provider.

C must include the family in order to be successful.
42. According to Rebecca, motivational interviewing is about the healthcare

provider
A utilising well established practices in patient conduct.
B taking charge of the changes to a patient's behaviour.

C understanding the patient's individual situation.
Page 158
E2language
Test IV – Answer
PART A.1
1. Crusty mucus
2. bleeding
3. Sense of smell
4. sneezing
5. driver/hire car driver
6. skin prick
7. nasal decongestant spray
8. humidifier
9. Salt water solution
10. Anti-histamine
11. Recurring lung infections
12. Cycling club
PART A.2
13- Little finger
14- at night
15- Guitar string
16- on pillow
17- Anti-inflammatory
18- Final year
19- Forearms and wrist
20- Deep creases
21- Little flip top tables
22- Netball
23- Rowing
24- Any sport / sport
Page 159
PART B
25- B
26- A
27- B
28- B
29- C
30- A
PART C.1
31- B
32- C
33- A
34- C
35- B
36- A
PART C.2
37- B
38- A
39- B
40- C
41- A
42- C
Page 160
14
E2language Test V
Page 161
E2language
Test V
Part A.1
You hear a general practitioner talking to a patient named Sarah Gleeson. For
questions 1-12, complete the notes with a word or short phrase.
Patient Sarah Gleeson
Reason for visit
Information on the oral contraceptive pill (OCP)
Patient’s concerns
has been taking Monofeme for (1)
feeling a “little off”
concerned she (2)
Description of symptoms
headache originates near the (3)
lasting hours
nausea
feels very (4) (weight gain approx.
5kg)
history of (5)
Page 162
Patient’s habits
sometimes forgets to take OCP (typically takes second pill same day)
2 weeks ago forgot to take OCP for (6)
did not use condoms during this period
took (7) once realised missed dose
Information given to patient
advised that (8) would likely take
several days
(9) is faster
(10) is necessary before changing
current prescription
use of alternative contraception methods
Patient’s request
have a (11) in clinic
information on OCP
possible (12)
Page 163
Part A.2
You hear a urologist talking to a patient named Mark Jenkins. For questions 13-24,
complete the notes with a word or short phrase.
Patient Mark Jenkins
Reason for referral
Urinary incontinence
Background
began over (13)
felt very embarrassed by the condition
typically came on as a (14)
Condition triggers
(15) class
exercise caused heavy bladder pressure
during (16) (first leakage)
heavy (17)
Page 164
Initial tests and management
supportive GP
underwent a (18)
began a (19) (24 hours)
Past medical history
classed as (20) (5 years ago)
had confirmed (21)
smoked 1 pack (+) per day
heavy (22)
Occupation
(23)
Social impact from condition
lost relationship
will rarely (24)
frightened to go out
Page 165
Part B
Question 25
You hear a registered nurse explaining to a student the uses of a peak flow meter.
Why is a peak flow meter necessary for the patient mentioned?
A to monitor response to a change in medication
B to help formulate an appropriate action plan

C to confirm or rule out a diagnosis of asthma
Question 26
You hear an emergency department physician discussing a patient with a
colleague.
What do we learn about the patient?
A His symptoms appeared very suddenly.
B His condition could change at any moment.

C He had been feeling unwell before the incident.
Question 27
You hear a nurse educator briefing a student nurse about the importance of
compression stockings.
The nurse is explaining that
A all patients will benefit from their use.

B they are expensive so shouldn’t be used unnecessarily.
C they need to fit tightly to ensure adequate blood flow.
Page 166
Question 28
You hear an audiometry nurse talking to her colleague about a recent patient.
What do they disagree about?
A employers should take the responsibility
B money is no compensation for hearing loss

C their profession deserves greater remuneration
Question 29
You hear a nurse giving instructions on subcutaneous injections to a patient.
What does the nurse say is the most crucial part of the process?
A the steps undertaken before the injection is given
B having a safe way for disposing of the needle

C checking the medication is within its use-by date
Question 30
You hear two nurses at a training day discussing a lecture.
What part do they agree on?
A The pre-injection advice was very helpful.
B The speaker gave quality positive reinforcement.

C The information was for a less experienced audience.
Page 167
Part C.1
31. Jonathan says that when considering a policy of open visiting hours, clinicians
are
A generally opposed to the push for change.
B essential to its success or failure.

C beginning to see the rationale behind it.
32. Jonathan believes that having family present in critical care units
A will cause disharmony among healthcare professionals.
B makes little difference to the treatment given to patients.

C is potentially dangerous to both staff and patients.
33. Jonathan uses statistical information to show that after visiting hours were
opened
A clinicians experienced higher levels of fatigue.
B the attitude of staff remained positive.

C nurses felt more of a strain than other staff.
34. Jonathan says that the possibility of family burnout is an important issue
because
A it is an area that has yet to be sufficiently studied.
B the amount of resources needed to overcome it is too great.

C it should be considered alongside the change in visiting hours.
35. What does Jonathan say about full family presence during open visiting hours?
A it provides the family a sense of fulfilment during stressful times
B the benefits clearly outweigh any negative aspects

C there are still times where it may be considered inappropriate
36. Jonathan closes by outlining the facts on open visiting hours in order to
A rationalise any misconceptions listeners' may have.
B illustrate that its opponents are mistaken in their views.

C give advice to hospitals ready to implement the new policy.
Page 168
E2language
Test V – Answer
PART A.1
1. more regular periods / regular periods
2. may be pregnant / is pregnant
3. right eye
4. bloated
5. spotting
6. three days in a row / 3 days in a row / three day
7. the morning-after pill / emergency contraception
8. blood test / a blood test
9. home pregnancy test / a home pregnant
10. confirmation
11. Urine test
12. Family appointment
PART A.2
13-2 months ago / two months ago
14-sudden burst
15-crossfit / cross fit / cross-fit / cross fit training / cross fit t
16-weight training
17-coughing fits
18-prostate exam
19-bladder diary
20-obese
21-pre-diabetes / pre diabetes
22-dope smoker / marijuana smoker
23- Roof tiler
24 meet friends
Page 170
PART B
25- C
26- B
27- B
28- C
29- C
30- C
PART C.1
31- C
32- B
33- B
34- C
35- C
36- A
PART C.2
37- B
38- A
39- B
40- C
41- A
42- C
Page 171
15
OET Online Test 1
Page 172
OET ONLINE - LISTENING
TEST 1
A1.1 Mrs Wayne

PATIENT
 diagnosed arthritis in hands and wrists
 very swollen (1) ______________
 pain makes simple everyday tasks difficult
Condition history
 problems when she has to (2) ______________things and
move her wrist
 patient is 40 years old

 previously worked as a (3) ______________
Lifestyle details  now does volunteer work at a primary school and on a helpline -
uses a hands-free phone
 difficult getting in and out of bed or a bath or a low chair

 uses a walking aid and a (4) ______________
Impact on daily life
 has a (5) ____________________________
 heat pads
Previous treatment
 (6) ______________
Patient's treatment requests  check effectiveness of (7______________
 saw an (8) ______________

Other previous treatment
o helped patient with common tasks
o provided ideas to reduce (9______________
 mainly takes analgesics for pain

 has stopped taking (10) ______________
Medication o not effective
o made patient nauseous
 occasional (11______________
 also uses an (12)______________ (twice daily)
Page 173
B1
1- You hear a physician talking to a group of trainee doctors.
What is the reason for the presentation about honeybees?
Select one:
A. To advise what to do when a person is stung.
B. To explain the reasons why people get stung.
C. To illustrate how dangerous bees can be.
2- You hear two dentists discussing a patient.
What do they agree?
Select one:
A. To limit further complications for the patient.
B. The patient has a record of poor oral hygiene.
C. To seek advice about the patient's medication.
3- You hear an optometrist giving a presentation to a group of teachers.
He says that students should be tested for colour blindness
Select one:
A. to improve class performance.
B. regardless of their gender.
C. by a qualified health professional.
Page 175
4- You hear a radiographer talking to a patient about their CTC examination.
The radiographer is explaining
Select one:
A. how to prepare for the examination.
B. who to contact in order to cancel the examination.
C. why certain equipment is used during the examination
5- You hear a physiotherapist speaking to a support group for Parkinson's disease.
She says that physiotherapists help patients by
Select one:
A. using a variety of approaches.
B. assessing their overall health issues.
C. working with other medical professionals.
6- You hear an oncologist talking with a patient about their test results.
The patient is anxious because she
Select one:
A. doesn't understand her treatment options.
B. still has stomach pain.
C. may have cancer.
Page 176
C1.2
1- Dr Wallace explains that parasomnia sleep disorders
Select one:
A. have been known to cause conflict between couples.
B. are closely linked to the way a person dreams.
C. means the patient has an underlying issue.
2- Dr Wallace suggests that when establishing a diagnosis of parasomnia treating physicians should
Select one:
A. identify if there is a family history
B. consider the patient's physical and mental health.
C. ensure the patient understands what is happening.
3- Dr Wallace explains that for sufferers of parasomnia the outlook

Select one:
A. gets worse as they get older.
B. is dependent on their mental health.
C. can vary according to their particular condition.
4- When recounting the case with Marc, Dr Wallace suggests that

Select one:
A. there were no reasons for the signs he was displaying.
B. his sleep disturbances were related to anxiety.
C. the incidents were affecting his memory.
5- Dr Wallace says that Marc’s 2 minor arousals led to a diagnosis of sleep terror because
Select one:
A. it’s rare for someone to have them during a sleep study.
B. he appeared to wake up and look around the room.
C. they had ruled out all other possible options.
6- Dr Wallace’s follow-up advice and treatment of Marc suggests that he

Select one:
A. had trouble coping when his parents weren’t with him.
B. was dependent on medication to help him sleep.
C. would outgrow the insecurity he was feeling.
Page 178
OET Online
Test 1 – Answer
Listening Part A1.1 : Answer Key
1. Finger Joints
2. Grip
3. Hairdresser
4. Wheel chair
5. Car / modified car
6. Gentle exercise
7. Hand splints
8. Occupational therapist
9. tiredness
10. Anti-inflammatory drugs
11. Steroid injection
12. Analgesic cream
1. Eczema
2. Hot
3. Foods and Drinks
4. Itching and scratching
5. Stress
6. Backs and my legs
7. Risk of infection
8. Lukewarm baths
9. Soup substitute
10. Oily moisturiser
11. Anti-histamine
12. sleeping
Page 179
Part B
1.
2.
3.
4.
5.
6.
Part C1.1
1.
2.
3.
4.
5.
6.
Part C1.2
1.
2.
3.
4.
5.
6.
Page 180
16
OET Online Test 2
Page 181
TEST 2
A2.1
David Johnston
Patient
(1)> ______________ - 1 week ago

Patient's explanation about no initial pain or other symptoms
condition began feeling (2)> ____________ a few
days later
diagnosed with (3)> ______________
last day or two - (4)> ______________

Current symptoms still feeling dizzy
also feels (5)> ______________
experiencing fatigue
(6)> ______________ allergy
Medical history flu last winter
(7)> ______________ - sports injury
(8)> ______________
(9)> ______________ - parents and
Family medical history grandparents
grandfather - stroke
possible (10)> ______________ in
grandfather
wants to play in (11)> ____________ next
Patient's concerns
week
not to play (possible serious consequences)
Advised patient
to rest and (12)> ______________
Page 182
A2.2
June Wilcox
Patient
 problems breathing (1)> ______________

 has felt (2)> ______________ (gave up netball)
Patient's description of
condition  worse at night
 started (3)> ______________ 12 - 18 months
ago
 serious fatigue in the morning
 (4)> ______________ from the chemist (not

Previous treatment
effective long-term)
 GP prescribed (5)> ______________
 positive (6)> ______________

Diagnosis  accompanied by (7)> ______________
Suggested course of  recommended (8)> ______________ to align

action cartilage structure
 worried about (9)> ______________

o previous complications with (10)>
_____________
Patient's concerns o offered to outline (11)>
______________ options
 sometimes suffers with (12) ______________
Page 183
B2
1- You hear a nurse and a senior nurse discussing a patient.
Where is the patient's range of motion most restricted?
Select one:
A. in his left shoulder.
B. in his right knee.
C. in his hips.
Question 2 Audio
2- You hear an optometrist talking about amblyopia to parents and
teachers at a kindergarten.
What is he optometrist doing?
Select one:
A. explaining the effects of the condition.
B. recommending children get tested.
C. outlining treatment options.
3- You hear a nursing lecturer talking about side effects to a group of

student nurses.
What is she discussing?
Select one:
A. the medications with the greatest amount of reactions.
B. the types of patients who experience reactions to medication.
C. the reactions some people experience to some common medications.
Question 4 Audio
Page 184
4- You hear a senior registrar talking about cholesterol to a group of
junior doctors.
What is he doing?
Select one:
A. highlighting the dangers of doing nothing.
B. explaining when treatment may be required.
C. suggesting that it can be difficult to make a diagnosis.
5- You hear an agency nurse checking his schedule with an employee at

the agency.
When does the agency employee need the nurse to work?
Select one:
A. on Saturday.
B. on Monday.
C. on Friday.
6- You hear a conversation between a senior nurse and a student nurse.

The senior nurse is
Select one:
A. explaining a range of safety measures.
B. highlighting how easily accidents can happen.
C. outlining the use of some important hospital equipment.
Page 185
C2.2
1- Why does Dr Richter mention the numbers related to deaths from suicide?
Select one:
A. to suggest that better prevention techniques are needed.
B. to indicate where most of the problem is located.
C. to highlight how many people it affects.
2- Dr Richter believes the most important area for suicide prevention is

Select one:
A. understanding where a patient falls within specific classifications.
B. the doctor’s role in judging a patient’s particular condition.
C. the patient taking responsibility for their current predicament.
3- What does Dr Richter say helps when identifying suicidal risk?

Select one:
A. Considering specific views from the patient themselves.
B. Acknowledging a patient’s potential mental health issues.
C. Accepting that each patient has their own unique problems.
4- What are Dr Richter’s views on antidepressants being used in suicide prevention?

Select one:
A. they should only be used with older patients.
B. they are not as well understood as they should be.
C. they need to be more effectively integrated with other actions.
5- Regarding the risk of suicide, Dr Richter suggests that

Select one:
A. the need for increased levels of medication.
B. governments could be doing a lot more to help.
C. modern-day society is a major contributing factor.
6- Dr Richter explains that to improve secondary suicide prevention in the future

Select one:
A. there needs to be attention given to innovative methods.
B. greater emphasis needs to be placed on physician training.
C. detailed analysis of what does and doesn’t work needs to occur
Page 187
OET Online
Test 2 – Answer
Listening Part A2.1: Answer Key
1. Car Accident
2. Dizzy
3. Whiplash
4. Sore neck
5. Sick
6. Penicillin
7. Sprained Ankle
8. Hypertension
9. Heart disease
10. Hockey tournament
11. Stay off your feet

1. Through left nostril
2. Shortness of Breath
3. Snoring
4.Decongestants
5.Corticosteroid anti-histamine Spray
6. deviated Septum
7. Large Turbinate
8. Septoplasty
9. Surgery
10. Knee
11. less structural invasion
12.anxiety / ? Panic attack
Page 188
Part B2
1. A
2. B
3 .C
4. B
5.C
6 .A
Part C2.1
1. B
2.C
3.A
4.B
5.B
6.C
Part C2.2
1.A
2.B
3.A
4.C
5.C
6.A
Page 189
17
OET Online Test 3
Page 190
A3.2
Patient Julie Dooley
Reason for breast lump

presenting first noticed (1) ______________
located in (2). ______________
six months ago (3).. ______________ from breast cancer (age

Family history
65)
no other relevant history?
patient (4) ______________ 9 months ago

Personal details
2 children
daughter aged 14
son aged 12
Medical history
nil reports
nil (5). ______________
recent pain in chest - feels like a (6) ______________

Other symptoms pain radiates to (7). ______________
caused patient to (8). ______________ on one occasion
no other symptoms
Physical examination located a (9). ______________ lump

approximately (10). ______________ long
Patient's concerns fearful of having a (11). ______________

prepared to undergo (12). ______________
Page 192
B3
You hear a junior doctor speaking with a patient in the cardiac clinic
while a consultant is present.
1- What does the patient suggest about their pain?

Select one:
A. it affects his breathing.
B. it is located mainly in his chest.
C. it makes it difficult for him to go walking.
2- You hear a senior nurse talking about removing sutures to a group

of students.
What is she doing?
Select one:
A. Recommending a clear procedure to follow.
B. Explaining why a clean environment is important.
C. Suggesting that sometimes there may be complications.
3- You hear a staff nurse talking to a patient she is escorting to the

Radiology Department.
What does she need to know from the patient?
Select one:
A. If he is ready.
B. How he is feeling.
C. His personal details.
Page 193
4- You hear a nurse talking with a patient in the recovery unit.
What is the patient worried about?
Select one:
A. Her breathing difficulties.
B. The pain in her chest.
C. How cold she feels.
5- You hear the beginning of a training session for doctors.

The trainer explains that the session will focus on
Select one:
A. how hormones work.
B. the purpose of various glands.
C. problems with the endocrine system.
6- You hear a doctor talking to a nurse about a patient called Mr

Kransky.
The doctor wants the nurse to
Select one:
A. ensure the patient can feed themselves by the end of the week.
B. contact the OT about the patient’s swallowing reflex.
C. continue the patient on their current diet.
Page 194
C3.1
1- Dr Werner suggests that when it comes to vitamin D production
Select one:
A. the sun is important.
B. too much sun can be dangerous.
C. without the sun we increase our chance of illness.
2- What does Dr Werner say about the benefits of vitamin D?

Select one:
A. It eliminates a lot of serious disease.
B. More health practitioners should be supporting it.
C. There are a lot of unsubstantiated theories about it.
3- Dr Werner mentions the benefits of sun protection in order to

Select one:
A. highlight the importance of covering up.
B. provide statistics on the incidence of cancer.
C. discuss the different types of energy produced.
4- Dr Werner believes using sun protection doesn’t lead to vitamin D deficiency because
Select one:
A. most people use low-SPF sunscreens.
B. it is impossible to block all ultraviolet light.
C. radiation levels are higher than they used to be.
5- According to Dr Werner, we don’t need very much sun exposure because

Select one:
A. vitamin D deficiency is very rare.
B. too much vitamin D can cause problems.
C. even small quantities provide enough vitamin D.
6- Dr Werner believes everyone can acquire the necessary allowance of vitamin D from
Select one:
A. a combination of food and supplements.
B. dietary supplements alone.
C. certain types of food.
Page 195
C3.2
1- Roger believes radiation therapists are necessary because
Select one:
A. there are so many different types of cancer.
B. patients need help when battling cancer.
C. it is an essential way to treat cancer.
2- What led Roger into becoming a radiation therapist?

Select one:
A. He was inspired by the man who treated his mum.
B. He wanted to save people after his mum died from cancer.
C. He learnt so much while his mum was dying and wanted to put it to use.
3- Roger says that when treating patients, radiation therapists

Select one:
A. often work very long hours.
B. regularly use a range of approaches.
C. need to be aware of dangerous emission levels.
4- Roger mentions the case of his former patient, Susan, to

Select one:
A. show that not everyone feels the same about radiation therapy.
B. highlight the types of equipment used in radiation therapy.
C. explain the steps involved in radiation therapy.
5- Why does Roger find teaching radiation therapy rewarding?

Select one:
A. He likes knowing his students are making a difference.
B. There is a lot that that he has learnt that he can pass on.
C. It provides opportunities for him to work with past patients.

6- What does Roger suggest about cancer treatment in the future?
Select one:
a. Further research is needed to reduce instances of the disease.
b. More patients should be encouraged to talk about their condition.
c. Physicians need to do a better job of reducing patient stress.
Page 196
OET Online
Test 3 – Answer
1. Chest Pain
2. Abdomen
3. Endoscope
4. Feels full up
5. Poor breathing
6. Hot
7. Vomiting
8. Burping
9. Losec
10. 10 to 15 cigarette
11. Stroke
12. Cancer
1. Ten days ago

2. Left breast
3. mum died
4.Separated
5.medication
6. pulled muscle
7. back
8. wake
9. solid
10.2 to 3 centimeters
11. mastectomy
12.chemotherapy
Page 197
Part B3
1. B
2. A
3 .C
4. B
5.C
6 .C
Part C3.1
1. B
2.C
3.A
4.B
5.C
6.A
Part C3.2
1.C
2.A
3.B
4.A
5.A
6.B
Page 198
18
OET Online Test 4
Page 199
TEST 4
A4.1
Mrs Black
Patient
Patient's reasons for family recently moved to the area
presenting concerned daughter
Name: (1) ______________
Details about daughter
Age: (2)- ______________
doesn't eat (3)- ______________anymore
eats in (4)- ______________
Mia's eating habits
skips (5)- ______________often
change in eating habits began last year
good student but (6)- ______________
has been having trouble (7) ________________ lately
Mia's school situation
has a few close friends but not boyfriend
mum thinks Mia is concerned about (8)- ______________
does ballet
lies around in her room
mum reports Mia has (9)- ______________recently
weighs herself a lot
Mia's physical health
looks at herself in the mirror
doesn’t sleep well (tired and moody)
sometimes has headaches and has taken (10)-_________
may have been (11) ______________
Doctor's advice for Mrs schedule follow-up appointment with Mia and parents
Black possible referral to a (12) ______________
Page 200
A4.2
Patient Ryan Henderson
Patient's description of symptoms

pain located in the left knee (13) ______________
pain began 4 weeks ago (noticed first when running)
described pain as (14) ______________
worse going from sitting to standing position or when sitting with a (15) ______________
worse (16) ______________ in the day
doesn't wake patient at night
no other symptoms noted (pins, and needles, numbness)
Medical history
(17) ______________left knee 15 years ago
scare still visible (no associated discomfort)
broke little toe on left foot aged 10
broke fibula in (18) ______________ aged 25
broke little finger on right hand last year
last year bursitis in (19) ______________
Previous treatment
(20) ______________ for bursitis
stopped running for 6 months
did stretching and (21) ______________ two times a week
treatment helped - started running again last Xmas
Physical examination findings
niggly pain in front knee cap standing on left leg
half squat caused pain in (22) ______________
pain in left knee worse after half squat (sharp pain)
left knee felt (23) ______________ on strength testing
Diagnosis
left knee-cap appears to be misaligned
iliotibial band is tight
(24) ______________ on outside of left knee (underlying inflammation)
Page 201
B4
1- You hear a doctor talking to a patient who has been having trouble
with his water.
The doctor wants to confirm if the patient
Select one:
A. has had burning when passing water.
B. has a blockage in their kidneys.
C. has high blood pressure.
2- You hear a nurse briefing her colleague about a patient.

What does she want her colleague to do?
Select one:
A. Check the patient is receiving the correct amount of fluids.
B. Order another chest radiograph to check for an effusion.
C. Confirm the patient is stable and check his blood culture.
3- You hear part of a consultation at a GP practice with a patient

suffering from depression and sleep disturbances.
The GP recommends cognitive behavioural therapy because
Select one:
A. there are better ways for the patient to respond to life's challenges.
B. it will help the patient better manage the way he feels when stressed.
C. the patient needs to control his anger and medication isn't working.
Page 202
4- You hear a nurse seeking advice from a doctor.
Why does the nurse telephone the doctor?
Select one:
A. She would like to know how to proceed with the patient.
B. The patient is in intense pain and has a fever.
C. She suspects that the patient has an infection.
5- You hear the principal of an aged care home talking to staff about
osteoporosis.
She wants to highlight that
Select one:
A. there are now treatments available for men.
B. residents are not getting enough calcium and vitamin D.
C. a lot of the residents may already have osteoporosis.
6- You hear two nurses discussing a patient, Mrs Robbins.

Julie says Mrs Robbins refused to mobilise because
Select one:
A. she was happy having a sponge bath.
B. she wanted to hear directly from the doctor.
C. she was upset and wanted to be left alone.
Page 203
C4.1
1- DrTredellow believes snoring poses concerns because
Select one:
A. it is possible for anyone to become a snorer.
B. it contributes to several other health issues.
C. everyone has an upper airway that collapses.
2- DrTredellow says the main cause of snoring is

Select one:
A. drinking too much.
B. being overweight.
C. a narrow airway.
3- According to DrTredellow there may be societal impacts from snoring for a person who
Select one:
A. is suffering from obesity.
B. has concentration issues.
C. is worried about their snoring.
4- What point does DrTredellow make about obstructive sleep apnoea?

Select one:
A. snoring sometimes causes people to stop breathing.
B. snoring can be linked to obstructive sleep apnoea.
C. obstructive sleep apnoea and snoring are similar.
5- DrTredellow feels research on carotoid artery atherosclerosis

Select one:
A. is still in its infancy despite highlighting some serious issues.
B. shows that snoring may be far more dangerous than once believed.
C. demonstrates a clear connection between snoring and heart disease.
6- What does DrTredellow say about the treatment for snoring?

Select one:
A. Making specific lifestyle changes contributes to a reduction in snoring.
B. There are too many causes of snoring to be able to treat them all.
C. Treatment is best provided by a recognised sleep physician
Page 204
C4.2
1- Why does Dr Munro say he volunteered to treat Ebola patients in Liberia?
Select one:
A. because of the high death rate from Ebola in Africa.
B. because medical treatment in Africa can be aggressive.
C. because he believed he had a duty to try and help.
2- Dr Munro says the patient’s he treated were often afraid because

Select one:
A. there was a high death rate for patients who received treatment.
B. family members didn't believe that treatment was helping.
C. they didn't trust the doctors because they were foreigners.
3- What does Dr Munro say about the specialised clothing he had to wear?
Select one:
A. That he spent more time rehydrating than treating patients.
B. That patients found it similar to what is worn in a hospital.
C. That it affected the way he would treat his patients.
4- Why does Dr Munro believe the case of the young girl is tragic?
Select one:
A. It highlights how even young children can get Ebola.
B. It demonstrates how families were affected by the disease.
C. It is a situation that only affected a small group of patients.
5- Treating Ebola patients in Liberia has made Dr Munro

Select one:
A. improve how he manages the emotional needs of his patients.
B. realise that seeing patients suffering is part of a doctor's job.
C. understand that doctors can't do everything for their patients.
6- Dr Munro believes Ebola may spread to other parts of the world because
Select one:
A. it takes longer for the disease to develop than people think.
B. plane travel has made the world a much smaller place.
C. an infected person in a crows could spread the disease.
Page 205
OET Online
Test 4 – Answer
1. Mia
2. Fifteen
3. With family
4. Her room
5. Breakfast
6. She works hard
7. Concentrating
8. Been a bit shy and reserved
9. Become quite thin
10. Laxatives
11. Anorexia
12. Psychiatrist
13. Bellow knee cap

14. Niggling
15. Knee bent
16. Night
17. Cut
18. Right ankle
19. Left hip
20. Physiotherapy
21. Yoga
22. Both knees
23. Weak
24. Minor swelling
Page 206
Part B4
1. B
2. C
3 .B
4. A
5. A
6 .B
Part C4.1
1.B
2.C
3.C
4.B
5.A
6.C
Part C4.2
1.C
2.A
3.C
4.B
5.A
6.A
Page 207
19
OET Online Test 5
Page 208
OET ONLINE- LISTENING
TEST 5
A5.1
Mr Mcdonald
Patient
 removal of lump from back
Details about procedure  lump located near (1) ______________
 worried about (2) ______________ after
operation.
 has (3) ______________

Medical history  duration - approximately 5 years
 trouble (4) ______________

 falls over sometimes
 sometimes freezes in one spot (akinesia)
Physical problems
 (5) ______________ shake a lot
 (6) ______________ arms
 (7) ______________ in bed

 reaching for things
 turning around when (8) ______________ from a
Problems with daily chair
activities  tying shoelaces
 doing and undoing (9) ______________
 untidy (10) ______________
 cramps at night - 12 months

 patient's (11) ______________ is affected
Other issues  recently changed medication - cramps (12)
______________
Page 209
A5.2
Patient chloe
6 months ago Valium from GP (1)______________ began

4 months ago discharged from hospital
3 weeks ago  felt like she was going to fall over 

(2)______________
 trouble walking
 heavy legs
 palpitations
 possible (3)______________
Patient's description of  became (4)______________
symptoms  heavy arms
 difficult to (5)______________ things 
(6)______________ in arms
 busy lifestyle
Possible causes  possible underlying (7)______________
 early stage (8)______________ in hands
Other symptoms  married for two years

 husband - steel fitter (own business)
 fights about keep the (9)______________
 have seen a gynaecologist (10)______________
Personal history waiting on husband's test results
 returning in (11)______________
 prescribed (12)______________ for anxietyfollow-

Recommendations up appointment in two weeks
Page 210
B5
1- You hear a doctor talking to the daughter of a patient from an
aged care home.
The doctor wants to
Select one:
A. ensure that Mrs Cox's father has a good quality of life.
B. advise Mrs Cox that her father has Alzheimer's disease.
C. explain the improvements in medical treatment to Mrs Cox.
2- You hear a consultant giving a talk to a group of trainees.

What is the purpose of the talk?
Select one:
A. to highlight the symptoms associated with a head injury.
B. to discuss the importance of waking patients after a head injury.
C. to convey the significance of the initial 24 hours after a head injury.
3- You head a vet talking to a client who brought this pet cat,
Jimmy, to the vet clinic.
What does the vet say has caused Jimmy's problem urinating?
Select one:
A. Stress from renovations.
B. A fatal urethral obstruction.
C. Struvite cyrstals in his urethra
Page 211
4- You hear the nurse unit manager (NUM) discussing the
progress if a patient at a multi-disciplinary team meeting.
What does she indicate about the patient's son?
Select one:
A. That he hasn't been feeding the patient.
B. That the patient is largely dependent on him.
C. That he is having problems in his role as a carer.
5- You hear a radiographer talking to nursing staff at an aged

care centre.
The radiographer is
Select one:
A. helping nurses prepare patients for CT scans.
B. stressing the importance of contrast media in CT scans.
C. highlighting problems that occur when conducting CT scans.
6- You hear a GP discussing psoriasis with a patient.

The GP recommends sunbed treatment because
Select one:
A. UVB light is unique in a hospital setting.
B. there is currently a shortage of cream.
C. it will help with the effects of the rash.
Page 212
C5.1
1- What is the main focus of Sally's talk on tetanus?
Select one:
A. It is impossible to avoid tetanus bacteria.
B. It is essential to be vaccinated against tetanus.
C. It is important to develop natural tetanus immunity.
2- Sally believes that deaths from tetanus still occur because

Select one:
A. the bacteria is about to infect a person through the tiniest of wounds.
B. infected people don't seek medical treatment early enough.
C. not enough people are immunised against tetanus.
3- Why do some people believe the tetanus vaccine isn't necessary?

Select one:
A. Tetanus bacteria can't enter a person's bloodstream.
B. Tetanus bacteria are everywhere, giving people natural immunity.
C. Tetanus bacteria aren't affected by medication or vaccination.
4- Sally suggests the woman didn't understand the dangers of tetanus because
Select one:
A. she hasn't undergone a recent vaccination.
B. she sought medical treatment very late.
C. she ignored many early warning signs.
5- Sally highlights the case of the 4-year-old boy to

Select one:
A. explain the symptoms of tetanus infection.
B. show how tetanus can affect small children.
C. illustrate how difficult it is to diagnose tetanus.
6- Why does Sally believe the man's case highlights how everyone is at risk of tetanus?
Select one:
A. Because he arrived at hospital with no health complaints.
B. Because the man had no injuries, but he still had tetanus.
C. Because he couldn't remember when he was immunised
Page 213
C5.2
1- DrMene suggests that her role as CMO required her to
Select one:
A. use a range of care options to assist athletic performance.
B. work longer hours than usual to manage all the injuries.
C. exercise sympathy because it was busy for everyone.
2- DrMene says the medical support of athletes

Select one:
A. was tailored to the specific needs of the individual.
B. was the same as treating patients at a medical clinic.
C. depended on the type of health care provider available.
3- What is DrMene's view on providing care for life-threatening injuries?

Select one:
A. A level of team work would have ensured a positive outcome.
B. They knew there wouldn't be any to attend at the Olympics.
C. If they had occurred, flexible treatment would have been required.
4- DrMene says her team prevented injuries by

Select one:
A. reducing the amount of competition and travel for each athlete.
B. evaluating what athletes ate and what they did after competing.
C. having more advanced technology than other competing nations.
5- DrMene was impressed with he software they used because

Select one:
A. it was particularly useful for musculoskeletal injuries.
B. it had tremendous communication potential.
C. it can help in critical care situations.
6- DrMene thinks any physician wanting to treat athletes at a major sporting event should
Select one:
A. understand that you won't make a lot of money doing it.
B. apply what they learn at these events to their private practice.
C. take the time to forge connections that enhance your reputation.
Page 214
ANSWER KEY - PART B
25. B how much pain it’s causing
26. B keeping the patient better informed
27. C consult with the medical team
28. B The content may need revising for future sessions.
29. A reporting side effects
30. B to report a faulty piece of equipment.
ANSWER KEY - Part C

Extract 1:
31. A may be unaware that they have the condition at first.
32. A the treatment given was tailored to the needs of each patient.
33. C It kept all patients physically active despite the condition.
34. C They confirmed the findings of an earlier piece of research.
35. A avoid using any steroid-based medication at that point.
36. B is trying to treat a symptom that may not actually exist.
Extract 2:
37. B lack confidence in the chances of success.
38. A to draw patients’ attention to the need to lose weight.
39. B a huge majority of patients feel that it is a suitable topic for discussion.
40. A the fact that most patients offered a place did actually join it.
41. B intervention was consistently more successful than non-intervention.
42. C There could be widespread benefits if they were applied nationally.
Page 116
Part B5
1. A
2. C
3 .C
4. B
5.A
6 .C
Part C5.1
1. B
2. C
3. B
4. A
5. C
6. B
Part C5.2
1. A
2. A
3. A
4. B
5. B
6. C
Page 216
20
OET Online Test 6
Page 217
TEST 6
Miss Wells
A6.1 Patient
22 years old
lives with partner
Background details
never been pregnant
normal (1)______________ 3 months ago
Condition history
sharp stomach pain (2) ______________
Feburary started a few days before period
ended when period finished
constant pain - (3) ______________
(4) ______________ performed
After Feburary endometrosis (5) ______________ and on left ovary
took the pill without break
prescribed progesterone – weight gain, bloating and (6______________
readmitted to hospital
May (7) ______________ treatment
pain significantly reduced
pain returned – condition similar to February
August pain at different times of month
significant pain during (8) ______________
regular periods - most recent (9) ______________

never smoked
Medical history drinks at weekends - 1 or 2 drinks
no (10) ______________ in the family
regular bowel movements
Patient's concerns wants (11) ______________

(12) ______________ affecting her mood
Page 218
A6.2
Patient Mr Georges
Consultations with Mrs Georges, patient's wife
Background details
 Mrs Georges is feeling (1) ______________
 Mr Georges used to be very (2)______________  son
lives close by (3)_________________
 also has a daughter
 confused by common tasks

 has trouble (4) ______________
 he was initially (5) ______________ by his condition
 limited awareness now
 frequently repeated (6) ______________
Patient history  (7) ______________ very little now
 needs help when (8) ______________
 problem getting him to (9) ______________
 no longer interested in his appearance
 has recently started to (10) ______________ from house
 has trouble telling (11) ______________ apart
 sometimes plays with (12) ______________
Page 219
B6
1- You hear two doctors discussing a patient.

Dr Jones speaks to Dr Khan because he wants to
Select one:
A. confirm his own diagnosis.
B. hear Dr Khan’s diagnosis.
C. send the patient for tests.
2- You hear a dietician talking to a patient.

What is she doing?
Select one:
A. Showing the patient alternative diet plans that eliminate fat.
B. Explaining why the doctor wants the patient to eat a low-fat diet.
C. Empathising with the patient about the challenges of reducing fat.
3- You hear a professor of emergency medicine giving a

presentation to a group of trainee doctors.
The presentation is about
Select one:
A. why European wasps are a problem.
B. what European wasps like to eat.
C. how European wasps sting.
Page 220
4- You hear a GP talking to a regular patient who has been having
kidney problems.
What does the GP suggest?
Select one:
A. That the patient’s lifestyle will change forever.
B. That there is more than one way to treat the patient.
C. That the patient needs dialysis for the rest of their life.
5- You hear a physiotherapist in a hospital talking with John, a new

patient.
The physiotherapist is
Select one:
A. providing sports recovery options.
B. explaining why warm showers are beneficial.
C. giving instructions to assist with recovery from an injury.
6- You hear a specialist physician and a nurse discussing a patient’s

treatment.
The nurse is unable to help the physician because
Select one:
A. she isn't senior enough
B. she isn't familiar with the patient.
C. she doesn't understand the treatment options.
Page 221
C6.1
1- What does Dr Dugan suggest defines a patient’s health literacy?
Select one:
A. how frequently they use available health services.
B. how well they communicate with health professionals.
C. how clearly they understand health-related information.
2- As a result of her own research, and other studies, Dr Dugan believes

Select one:
A. most patients don't listen carefully enough to health professionals.
B. patient health outcomes rely heavily on a person's health literacy.
C. governments aren't doing enough to assist with health literacy.
3- Dr Dugan says most health professionals have at one time

Select one:
A. had complaints made about their poor communication.
B. incorrectly assumed their instructions were understood.
C. forgotten how to speak to patients in their own language.
4- Why does Dr Dugan share the examples about previous patients?

Select one:
A. to show how she teaches health literacy.
B. to illustrate findings from recent research studies.
C. to demonstrate the importance of clear communication.
5- The paediatrician example about the "teach-back" method demonstrates

Select one:
A. how easy it is to overlook whether or not a patient has understood instructions.
B. what patients do and do not understand about health literacy.
C. the best way to confirm what a patient understands.
6- What does Dr Dugan make about improving patient safety and care?
Select one:
A. It is essential to have reliable health care for all patients.
B. Focusing on acute care settings is the most important aspect.
C. Delivery of information beyond the traditional care settings is vital.
Page 222
C6.2
1- Dr Marshall believes that the low-fat era is coming to an end because
Select one:
A. the US Dietary Guidelines have changed towards fat.
B. 35 years ago the US Dietary Guidelines were very different.
C. fat and cholesterol are no longer linked in the US Dietary Guidelines.
2- Dr Marshall suggests that LDL particles

Select one:
A. are more dangerous when they’re smaller.
B. have nothing to do with saturated fat.
C. pose no risk to a person’s health.
3- What are Dr Marshall's views on saturated fats?

Select one:
A. Refined carbohydrates are more dangerous than saturated fat.
B. Not all saturated fats are the same as others.
C. Vegetable oil should replace saturated fat.
4- Why doesn't Dr Marshall believe people should stop worrying about cholesterol?
Select one:
A. Biological solutions haven’t been able to solve the problem.
B. People continue to eat too many foods high in fat and sugar.
C. More research is required to understand how fat enters the blood.
5- Dr Marshall says there is no agreement over nutritional science because

Select one:
A. there are too many opinions when it comes to a person’s diet.
B. there are a lot of different ways to interpret the information.
C. there isn’t enough money to fund high quality research.
6- In Dr Marshall's opinion, many organisations and experts need to

Select one:
A. become more open-minded about embracing current studies.
B. encourage more people to eat a diet high in vegetables.
C. stop saying that eating saturated fat is bad.
Page 223
OET Online
Test 6 – Answer
1. Cervical smear
2. At the left side / In February
3. Wouldn't do away
4. Laparoscope
5. Behind her womb
6. Acne
7. Diathermy
8. Intercourse
9. 3 weeks ago
10. Serious illness
11. Some tests
12. Getting pregnant
1. Miss
2. Alert and active
3. The corner
4. Remember names
5. Frustrated
6. Same question
7. Speaks
8. Dressing
9. Forgot
10. Wander off
11. Difference
12. The Controls
Page 224
Part B6
1. A
2. C
3 .A
4. B
5.C
6 .B
Part C6.1
1. C
2. B
3. B
4. C
5. A
6. C
Part C6.2
1.A
2.A
3.B
4.C
5.B
6.A
Page 225
21
IRS Test 1
Page 226
Listening test
Study guide for OET © IRS Group 2018 11
Page 227
Extract 1: Questions 1 - 12
You hear a psychologist talking to a client called Candice May. For questions 13-24, complete the notes
Patient : Candice May
Reason for appointment : tension due to relationship issues
(1) ________________________________ in the workplace
makes her (2) ________________________________
Background to the condition: experiencing difficulties for the last (3) _____________________
mother is sick for the last 3-4 months
no treatment taken
Present condition : (4) _______________________________ is bit of difficult
doesn’t have (5) _______________________________ to talk to
priorities dealing with issues with (6) _______________________
thinks she is putting a lot of pressure on him
Advice offered : (7) ________________________________ on the relationship area
Further enquiries : (8) __________________________ of counselling sessions
(9) ______________________________ involved for extra sessions
Session schedule : can (10) _____________________________ as long as required
difficult to provide set time
(11) ___________________________ book a session for next week
can focus on the (12) ________________________ of relationship
Study guide for OET © IRS Group 2018
Page 228
You hear a psychologist talking to a client called Jane Speirs. For questions 13-24, complete the notes
Patient : Jane Speirs
Description of the condtion: feeling (13) ________________________________
(14) ________________________________ in the muscles
unable to play netball
Early symptoms : started few weeks ago with a (15) _____________________________
(16) ________________________________ head
no treatment taken
can’t do (17) ________________________________ really
Further details : (18) _______________________________ fine
weight steady
no temperature with cold
(19) ________________________________ regular

Diagnosis : (20) ________________________________ around the body
enlarged spleen
suspected (21) ________________________________

red throat
Management : (22) __________________________ to confirm diagnosis
test for (23) ________________________________
Advice given : adequate rest
no specific remedies
body cures itself
(24) ___________________________ diet and fluid intake
follow up at the end of week
That is the end of Part A.
Page 229
Part B1
25. c
26. b
27 . c
28. c
29.a
30 .a
Part C1
31.c
32.c
33.a
34.b
35.c
36.b
----------------
37.b
38.c
39.a
40.b
41.c
42.a
Page 127
28. You hear a registered nurse talk on advantages of aged care channel
How does the channel benefit as a resource
A it aids in training and developing

B it helps in preparing new recruits
C it supplements other equipment
29. You hear a doctor discuss on carT-cell therapy
The new immunotherapy involves
A increasing the intensity of resistance

B altering cell structure of pathogens
C understanding the patient’s genetics
30. You hear a patient handover by two nurses
Detail observation of the patient outlines
A cessation of smoking two years ago

B constancy maintained in oxygen saturation
C daily independent performing of ADLs
Page 231
Part C
For questions 31 to 42, choose the answer (A, B or C) which fits best according to what you hear.
You hear a lecture on migraine by Dr Benjamin Durette.

31. As per the doctor’s opinion, what may be the cause of migraine?
A Hormonal changes affecting the body

B Oedema of blood vessels inside the brain
C Aura that precedes the onset of headache
32. According to the doctor, why is aura benign?
A Since there is a difficulty in focussing eye sight

B Only rarer forms affect both sensation and speech
C The time duration during which the conditon lasts
33. What according to the doctor is visually the most widely relieving method?
A Effective sleep until the headache subsides

B Vomiting to reduce the chances of regurgitation
C Wait until the headache weans itself away
Page 232
34. How can hormonal fluctuations be thought to be a trigger according?
A Lack of sleep even if the difference is marginal

B Around half of the women likely experience while menstruating
C The onset of the condition during sudden exercise.
35. Why does the speaker think ice treatment can reduce the impact?
A Blood vessels become swollen with blood and dilate

B It cools the blood vessels therapy resulting in relief
C It contracts the vessels and reduces the blood flow
36. According to the doctor, what can be administered to sporadic migraine?
A Relaxation techniques that include bio feedback.

B Prophylactic medication which is taken regularly
C Over the counter pain relievers like aspirin or ibuprufen
Page 233
You hear a doctor talking about innovations in neuromuscular medicine.
37. How did Dr Jeffry become a neuromuscular expert?
A The general neurology training that he started out with

B The fellowship he specialised in neuromuscular medicine
C His background in neurology and the fellowship combined
38. What best describes a typical day of the doctor?
A conducting a variety of procedures such as electromyography

B could be seeing a lot of patients or performing procedures
C seeing patients with rare conditions and serious prognosis
39. What was an exciting development regarding ALS?
A The discovery of genetic biomarkers that can be tested easily

B Ice bucket challenges helped raise funds required for research
C better understanding of its progresses in a particular patient
40. What should be a physician’s priority for an ALS patient
A Rely on treatments that really benefit patients overcome the disorder

B alleviate associated problems so that patients can lead normal lives
C help patients communicate better by helping them not to lose voices
41. What does Dr consider as one of the most under recognised problems with ALS
A How the disorder affects patient’s mental disposition

B The devastation that the diagnosis has on the patient
C The lack of social support that is required for patients
Page 234
42. What can patients with diabetic neuropathy expect in the future
A Better pain medication to reduce the pain associated

B Exciting research on drugs that patients are familiar with
C Introduction of newer drugs with greater effectiveness
END OF THE LISTENING TEST.
Page 235
LISTENING SUB-TEST 1
PART A: QUESTIONS 1 - 12
1 pressure
2 upset
3 3 months / three months
4 communication
5 anyone
6 partner
7 focus
8 number
9 money
10 continue
11 will
12 topic
13 tired
14 aches and pains
15 cold
16 blocked up
17 anything
18 appetite
19 bowel habits
20 scattered glands
21 glandular fever
22 blood tests
23 anemia
24 keep up
162 Study guide for OET © IRS Group 2018
Page 236
PART B: QUESTIONS 25 - 30
25 A reduction in determination of ill health

26 A associated risks with delivery are unlikely
27 C convey the working of analgesics
28 B it helps in preparing new recruits
29 B altering cell structure of pathogens
30 C daily independent performing of ADLs
PART C: QUESTIONS 31 - 36
31 A Hormonal changes affecting the body

32 B Only rarer forms affect both sensation and speech
33 A Effective sleep until the headache subsides
34 B Around half of the women likely experience while menstruating
35 C It contracts the vessels and reduces the blood flow
36 C Over the counter pain relievers like aspirin or ibuprufen
37 C His background in neurology and the fellowship combined

38 B could be seeing a lot of patients or performing procedures
39 A The discovery of genetic biomarkers that can be tested easily
40 B alleviate associated problems so that patients can lead normal lives
41 C The lack of social support that is required for patients
42 C Introduction of newer drugs with greater effectiveness
Page 237
22
IRS Test 2
Page 238
E2 Language Listening Part B.2
1- You hear a doctor and a trainee discussing the application of a plaster cast.
What does the trainee need to tell the patient about the cast?
A The appropriate length of time to let the cast dry properly
B The temperature of the cast as it begins to harden.
C The reduction in the fracture after the cast has been applied.
2- You hear a manager explaining new data management processes to clinical staff.
What should staff do with their feedback reports?
A File them on paper and digitally
B Copy them onto the new servers
C Fill them out digitally to save time
3- You hear a presentation about the introduction of a new type of wound dressing.
What is the main advantage of the new wound dressing?
A They are ideal for oozing wounds due to high absorbency.
B They are made from naturally bacteria resistant seaweed.
C They are somewhat less costly than traditional cloth bandages.
Page 131
Extract 1. Questions 1 -12
You hear a doctor talking to Tom Levin, a patient with some concerns. For questions 1-12, complete the
notes with a word or a short phrase.
Patient : Tom Levin
Developments before : kept it under control from the gap year

admission recurred towards the end of the (1) __________________________
period
started to put a bit (2) __________________________
to push themselves, some people took (3) _____________________
observed (4) __________________________ building up
Effects of elevated mood : felt that it was his (5) __________________________

started to enjoy the opportunity
Client’s reasoning : did not (6) __________________________ to the best of his ability
and hence did not achieve the first
Further description : felt like he was let off the (7) __________________________
substance abuse took a hold
was before the (8) _________________________ were announced
used a lot of cocaine and (9) __________________________
Predominant thoughts : wanted himself to be the person (10) __________________________

wanted to know
thought he was the man (11) _________________________ the town
Defense Mechanism : did not have to deal with the symptoms during the
university
let it take (12) __________________________ of him
Page 240
You hear a pediatrician called Dr Thomas talking to the mother of a toddler called Ethan. For questions
Patient : Ethan Lucas
Description of the condtion: started on (13) ________________________________

red patches (14) ________________________________ and on legs
had (15) ________________________________
went (16) ________________________________
Past visit : blood tests done

viral infection confirmed
called the doctor because rashes turned
(17) ________________________________
: baby was very fuzzy
Possible severe condition : patches could be fatal if (18) ________________________________

found to be negative
Diagnosis : rash goes away and reappers when rubbed

child is alert
(19) ________________________________ ; an allergic reaction
could be response to virus or (20) ________________________

child not very ill
Medication suggested : (21) ________________________________ or benadryl

basic anti-allergy medicines
prednizone may be prescribed if condition worsens
makes children (22) _______________________________and irritable
Duration of illness : could last for 7 to 10 days
Possible trigger factors : (23) ________________________ taken
food such as peanuts or (24) ______________________________

should stop food, if it triggers allergy
Page 241
Part B
healthcare setting.
25. You hear a doctor explain gastroscopy to a patient.
What is the purpose of the doctor’s explanation?
A to make the patient sign the consent form before the procedure
B to reduce the patient’s fear of side effects before the procedure
C to explain possible side effects before signing the consent form
26. You hear a doctor checking a patient’s details with a colleague.
What aspect is the doctor focusing on?
A the patient’s detailed identity

B the patient’s drug administration
C the patient’s overall progress
27. You hear a dentist talking to a patient about implant surgery.
What has the patient misunderstood about the proposed treatment?
A which tooth would be replaced

B the extent of surgery required
C how much it would cost
Page 242
28. Yo hear a sports nutritionist talk on challenges in routine work
What must they be wary of?
A adopting to opinion flouted by the sportsperson

B contradictory messages being circulated around
C struggles faced by athletes for optimum BMI
29. You hear a surgeon conducting a debriefing meeting with his team
What problem are they going to follow up immediately?
A procedures not running to schedule

B equipment not being readily available
C paperwork not being dealt with efficiently
30. You hear a nurse handing over to a colleague at the end of her shift.
What does the incoming nurse need to do for the patient?
A contact the doctor about his pain management

B arrange for him to be taken for physiotherapy
C set up some monitoring of his mental acuity
Page 243
Part C
You hear an interview with Dr Larry Appel regarding low GI diet.

31. What was the reason for the second study?
A to find the effect of salt on blood pressure

B to identify the effect of salt on blood pressure
C to scrutinise ethe effect of fruit and vegetable diet
32. What was the finding of the omnicarb study?
A low glycaemic index was helpful

B signals that are related to LDL
C no effects of low glycaemic index
33. What was gauged from the study on comparision of diets?
A low glycaemic index has no effect on risk factors

B insulin resistance showed a difference in control diet
C LDL cholesterol increased in a low - GI diet
Page 244
34. What does the researcher think of the way ahead?
A study of confounding nutrients that travel together

B benefits could be attributed to other aspects
C finding that low glycaemic food are fibre rich
35. What does the doctor think is crucial for obesity?
A cutting back on episodes of calorie consumption

B inexpensive methods to keeping individuals engaged
C tools that assist people to keep track by monitoring
36. What in the speaker’s vies is the reason for chronic kidney disease?
A fluctuation in the body’s acid - base balance

B unchecked consumption of an adverse diet
C accumulated kidney damage due to ageing
Page 245
You hear a gastroenterologist called Catherine Frenette talking about new treatment options for
liver cancer.
37. Why does the interviewer describe the numbers as shocking
A incidence has been hugely higher in the past decade

B unresectable liver cancer was detected in the past decade
C underlying liver conditions mutated into liver cancer
38. How does Dr Frenette see alcohol-induced cirrhosis leading to liver cancer
A reducing it should be a primary focus on the fight against liver cancer

B fatty liver developed from alcoholism is leading to more liver cancer
C unlike popular perception, alcoholism is not the leading trigger factor
39. Why are most liver cancers treated by liver doctors and not cancer doctors?
A there are not many treatment options available for liver cancers yet
B liver cancers typically have an underlying liver condition behind it
C the best treatment options are surgical including transplantations
40. Why is it harder to diagnose liver cancer unlike other cancers?
A the symptoms are all over the place and hence not possible to diagnose
B liver conditions reveal fewer symptoms until they have progressed much
C they symptoms for liver diseases and liver cancer are radically varied
Page 246
41. How does the doctor regard liver function test?
A she considers it to be simple lab test that should be done more often
B she feels that test reports can sometimes be confusing and is unreliable
C she is critical about primary care doctors not conducting the test annually
42. Why does the doctor think that liver cancer doesn’t get the attention despite being a major
concern?
A patients do not present due to the social stigma associated with liver problems
B liver cancer is ranked the fifth most common cause of cancer related deaths
C it is one of the few cancer deaths that is contrastingly increasing in frequency
Page 247
1 university
2 more
3 ritalin
4 momentum
5 time
6 perform
7 leash
8 exam results
9 MDMA
10 everyone
11 about
12 hold
13 Tuesday
14 (right) across (his) belly
15 runny nose
16 camping
17 purple / purplish
18 meningococcus
19 hives
20 immune response
21 claritin
22 grumpy
23 medication
24 eggs / strawberries / shell fish
Page 248
25 C to explain possible side effects before signing the consent form

26 B the patient’s drug administration
27 B the extent of surgery required
28 B contradictory messages being circulated around
29 A procedures not running to schedule
30 C set up some monitoring of his mental acuity
31 A to find the effect of salt on blood pressure

32 C no effects of low glycaemic index
33 C LDL cholesterol increased in a low - GI diet
34 B benefits could be attributed to other aspects
35 B inexpensive methods to keeping individuals engaged
36 B unchecked consumption of an adverse diet
37 A incidence has been hugely higher in the past decade

38 C unlike popular perception, alcoholism is not the leading trigger factor
39 B liver cancers typically have an underlying liver condition behind it
40 B liver conditions reveal fewer symptoms until they have progressed much
41 A she considers it to be simple lab test that should be done more often
42 A patients do not present due to the social stigma associated with liver problems
Page 249
23
IRS Test 3
Page 250
Listening test
Page 251
You hear Dr Daniel talking to Samara, a patient preparing for a surgery. For questions 1-12, complete the
Patient : Samara Cox
Reason for visit : Pre-operative discussion
Surgery :joint (1) ______________________________
On the day of surgery : Morning - patient taken to (2) ____________________
Surgeons manipulate the patient
patient taken to (3) ____________________
antibiotics administered
patient set up for (4) ____________________ monitoring
patient rolled up in (5) ____________________ position
Short-term restrictions : limited activity allowed
patient should limit (6) ____________________ standing or

walking to about 30 minutes
avoid repetitive (7) _______________________
Long-term restrictions : avoid things that are (8) ____________________ to the back
avoid certain aerobic exercises
should not do extreme yoga postures
Mobility issues : surgery aims to limit (9) _________________________
mobility will improve after surgery.
Pain management : patient to start (10) _______________________ start by afternoon
pre-operative pain will be gone
: post-operative pain remains and is more

(11) _______________________ than pre-operative pain
pain (12) _______________________ less by next morning
Page 252
You hear Dr Mark talking to a George Hill, a patient who has eye problems. For questions 13-24, complete the
Patient : George Hill
Description of symptoms : Redness in the (13) ______________________________ of the eye
On the day of surgery (14) ____________________ conjunctivitis
More tears than usual
Thick yellow discharge that (15) ____________________ over

the eyelashes, especially after sleep
Itchy and (16) ____________________
Blurred vision, More sensitive to light
Stuffy or runny nose
Causes An allergic reaction to (17) ____________________
A common cold
Diagnosis : (18) _________________________ done in the lab
Recommendations : Through history collection
Always keep the eyes clean
: Wash or change the (19) _______________________ every day

until the infection goes away
Don’t touch or rub the infected eye
Don’t wear and never share eye make up,
(20) _______________________ or contact lenses
Don’t put a (21) _______________________ over the eye as it may

worsen the infection
Protect the eyes from dirt, especially from the

(22) _______________________
Give adequate rest to the eyes
Apply (23) _______________________ eye drops
Stay away from work for a few days
An (24) _______________________ will help to clear the symptoms

within a few days
Page 253
Part B
healthcare setting.
25. You hear an oncologist explain thyroid scan and uptake
What is the focus on the talk?
A help patients decide whether they should go for a thyroid scan or not
B explain the procedure in detail and preparation to be done in advance
C reassure that the scan is a safe procedure without major side effects
26. You hear a delivery on hospital discharge meeting
What role is most crucial for physiotherapists
A explaining how to undergo full rehabilitation

B examining the extent of mobility after surgery
C encouraging the patient to perform exercise daily
27. You hear a professional talking on a code blue system
What does he say is the distinctive feature of the system
A increased power output from the tool

B customisation to specific standards
C identification of the source of call.
Page 254
28. You hear a brief on when to do direct speech therapy for preschool stuttering
How long must pass before a thorough diagnosis
A when the child is distressed about stuttering

B after 6 months from observation of disorder
C as precipitating factors increase in intensity
29. You hear an update on the change in criteria for glaucoma
To qualify for the conditon © IRS Group
A the patient must have more than 25mm of mercury

B it must be a co-morbidity of neuromuscular disease
C the level should fall within the adequate category
30. You hear a health policy statement on structured reporting in a cardiac cath lab
What aim does the speaker state
A accessing information to improve patient quality

B utlising consistent information for quality care
C compiling documents to improve routine work
Page 255
Part C
You hear an associate professor Stacy Carter talking on overdiagnosis.

31. Why is having a definition to overdiagnosis important?
A results in an absence of conviction when communicating

B lack of clarity affects policies and the general public
C lack of efficiency if several meanings do exist
32. What does she fear about too much medicine
A it results in difficulty to recuperate

B it is detrimental to overall health
C allocation must be based on need
33. What is the fundamental aspect of overdiagnosis?
A identifying areas of benefit from treatment

B trying to balance the effects of both
C locating the harm of too much medicine
34. Which perspective must be taken into account?
A Primarily from the patient

B chiefly based on a consensus
C of the clinicians treating it
Page 256
35. How must the issue be addressed?
A by covering all basic social needs

B by recognising the motives behind it
C by identifying inherent social factors
36. The narrow sense meant by the speaker is
A having a set of special parameters

B rethinking the diagnostic categories
C bordering the definitive boundaries
Page 257
You hear an interview with Tom Clarke, a science expert on break through in breast cancer
research
37. What does Mr Clarke say about the new technology
A they are beneficial for personalised care of patients

B they are tailored to the requirements of the patient
C it redefines the spectrum of identifying varying diseases
38. What does the study prove, according ot the speaker?
A treatment course for a specific condition can be mentioned

B large studies are plausible for respective conditions
C breast cancer falls broadly into ten main genetic groups
39. What is the speaker’s view on breast cancer tumor types?
A present understanding of treatment is flawed

B certain conditions have positive outcomes
C it can ensure appropriate treatment
40. Why does the speaker advocate a ‘more tailored approach’?
A due to complexities in the treatment

B because of the many facets of illness
C since the condition is a sum total of disease
Page 258
41. How do the advanced tests the doctors?
A increase the tools for diagnosis

B prevent the development of conditions
C ascertain the treatment type required
42. What does Mr Clarke ask to be wary of?
A the tests will take more time to be available

B the clinical study has been performed already
C newly diagnosed women can participate in it
Page 259
1 fixation
2 pre-operative area
3 surgery site
4 neuromuscular
5 prone
6 prolonged
7 bending over
8 jarring
9 micro motion
10 physical therapy
11 tolerable
12 markedly
13 white
14 swollen
15 crusts
16 burning eyes
17 pollen
18 eye examination
19 pillow case
20 eye drops
21 patch
22 irritants
23 over the counter
24 antihistamine
Page 260
25 B explain the procedure in detail and preparation to be done in advance

26 B examining the extent of mobility after surgery
27 B customisation to specific standards
28 B after 6 months from observation of disorder
29 C the level should fall within the adequate category
30 B utlising consistent information for quality care
31 C lack of efficiency if several meanings do exist

32 A it results in difficulty to recuperate
33 C locating the harm of too much medicine
34 B chiefly based on a consensus
35 C by identifying inherent social factors
36 A having a set of special parameters
37 B they are tailored to the requirements of the patient

38 A treatment course for a specific condition can be mentioned
39 C it can ensure appropriate treatment
40 C since the condition is a sum total of disease
41 C ascertain the treatment type required
42 A the tests will take more time to be available
Page 261
4. Dr Lee suggests that in person visits
A ideally occur earlier in the care process.
B have a negative impact on many patients.
C should be easy for patients to manage.
5. Why does Dr Lee mention specimen collection services?
A To highlight the expense of creating offices and labs.
B To describe how these services could be provided more efficiently.
C
To suggest they could be delivered more nimbly with technology.
6. What advice does Dr Lee give organisations wanting to move to non-visit care models?
A Wait for more precise technology before transitioning to remote care.
B Re-evaluate the safety and quality of non-visit care before making the change.
C Find transition opportunities by close analysis of each instance of in-person care.
Page 134
Listening test
Page 263
You hear a nurse talking to Elizabeth, a patient who requires follow-up care.
For questions 1-12, complete the notes with a word or a short phrase.
Patient : Elizabeth Campbell

Reason for the visit : referral to (1) __________________________ health nurse
pain in the back
experienced discomfort and (2) ____________________ in the back
used pain relief oinments to relive the symptoms.
Treatment history : pain started one and a half years ago
was (3) _______________ a pain killer.
hospitalised © IRS Group for 2 days.
12 months ago : underwent blood tests and (4) _________________________ test.
6 months ago (5) _________________________ was found.
surgery to remove a (6) _______________________ of the bone
Recent pain control (7) _________________________ 3 times a day
alternative modalities of pain relief
smokes (8) _______________________ (dope)
Mental status : seems (9) __________________ and anxious because of tumour
considered (10) _______________________ because of bouts of

depression
Assessment & follow-up : arrange for (11) _______________________
alternative therapies - accupressure, accupuncture

and (12) ___________________
see a specialist
Page 264
You hear Dr Juvenita talking to a Griffith Alexander, a patient with back problems. For questions 13-24, complete the
Patient : Griffith Alexander
Patient’s condition : back spasm
Presenting symptoms (13) ____________________ , not sleeping well
exhausted with discomfort
Treatment options : (14) ____________________ for the back pain spasm, medication
for pain.
exercises and heating pad © IRS Group
back pain gets better with the (15) ____________________
Patient’s request : needs an (16) ____________________ since he is concerned
might have a (17) _________________________ or slipped disc

that requires attention
Explanation given : has (18) _______________________ that reveals other than a back
spasm
No red flags to be concerned about
(19) ___________________ treatment is enough for most patients
Patient’s concern : been over a week, will be (20) _______________________ ,

disabled for life
will be informed if something is wrong
(21) _______________________ from the machine may ease the

condition
Advice offered : MRI is an (22) _______________________ study, not a treatment

mode
MRIs may cause harm if its unrequired
most patients get better within (23) _______________________

with the prescribed treatment
Patient’s response : consider an MRI if other (24) _______________________ present
Page 265
Part B
healthcare setting.
25. You hear a nurse manager instructing a batch on clinical formalities.
What is the instructor trying to convey?
A standard procedure for medication administration

B methods to improve clinical skill and performance
C checklists prepared for a physician’s appointment
26. You hear an extract of a nurse talking about ‘confidence in profession’.
What does the seminar emphasise
A acknowledge the mistake that was committed

B composed and calm admittance of any errors
C understanding that the situation can be overcome
27. You hear a doctor talking about aboriginal mental health
Why did the psychologist say culture bound prevention does not exist?
A because it is not researched thoroughly yet

B since it has not been exposed to it earlier
C due to the lack of evidence to support it
Page 266
28. You hear a pharmacist telling a patient about some medication.
Why does she give a verbal explanation of the side effects?
A to highlight their severity

B to ensure the patient understands
C to allow the patient to raise any concerns
29. You hear two nurses discussing about a patient during handover
What was administered to him?
A Stiches on the right shoulder

B morphine and antibiotic drip
C dosage to prevent blood clot
30. You hear a mental health specialist talking about therapeutic interventions
Treatment mode that worked best was by
A assisting the patient overcome sheer solitude

B understanding the person’s cognitive complexities
C empowering the patient by active listening
Page 267
Extract 2
1. The research suggests that in the USA
A supervised injection centres are fundamentally different.
B supervised injection centres are being successfully integrated.
C supervised injection centres have the same impact as elsewhere.
2. According to Dr Davidson the secret facility was
A based on international evidence and good practice.
B waiting for legal advocacy in the United States.
C experiencing the death of too many patients.
3. According to Dr Davidson what is the outcome of having staff and drug users in the same
room?
A Patient check in and registration is more efficient.
B Overdose prevention is the major benefit.
C
Staff can address many potential health issues.
Page 135
34. The second phase in John’s preferred treatment plan for scoliosis focuses on
A using new techniques on various joints in the body.

B regaining full movement in the affected part of the spine.
C ensuring the patient has realistic aims regarding the likely outcome.
35. John believes that success in the final phase of treatment depends on
A handing long-term responsibility over to the patient.

B ongoing co-operation between physiotherapist and patient.
C practical assistance supplied by practitioners in other professions.
36. John suggests that patients with mild to moderate scoliosis often
A find the demands of physiotherapy too challenging.

B express doubts about the effectiveness of physiotherapy.
C lack the motivation to gain any benefit from physiotherapy.
Page 269
You hear an interview with Dr Michael Greger, an expert on vegan diet.
37. What is the biggest progress to vegan diet as per the doctor.
A clinics operating on plant-based diet

B surge in plant-based nutrition movement
C Palpable changes in health sector
38. Why does the doctor think a change is inevitable?
A majority of the illnesses are largely preventable

B there is a degree of control on human longevity
C risk factors to health have been precipitating
39. The doctor believes sufficient randomised control trials are in existance because
A it does not have the backing of corporate budget

B many people are dying due to preventable illnesses
C it was published in a medical journal two decades ago
40. Why does the expert feel the need to publish resources
A doctors had monopoly over health industry

B access to information by the masses
C to address immediate health concerns
Page 270
41. Doctor Michael thinks of a conflict of interest in USDA because
A they refrain from taking measures that are unviable

B the message is to eat more fruits and vegetables
C medical professionals must frame dietary guidelines
42. What is the primary barrier faced by doctors?
A big pharma companies sponsor mainstream medical associations

B they are not paid enough to communicate with patients
C the defeciency of knowledge from medical schools
Page 271
1 district
2 stiff feeling
3 prescribed
4 barium meal
5 tumour
6 small part
7 pethadine
8 marijuana
9 depressed
10 suicide
11 counselling (session)
12 yoga
13 unbearable pain
14 something
15 treatment
16 MRI
17 pinched nerve
18 nothing
19 conservative
20 unable to work
21 magnetism
22 imaging
23 4 - 6 weeks
24 symptoms
Page 272
25 A standard procedure for medication administration

26 C understanding that the situation can be overcome
27 B since it has not been exposed to it earlier
28 B to ensure the patient understands
29 C dosage to prevent blood clot
30 B understanding the person’s cognitive complexities
31 B It tends to be used in conjunction with other forms of treatment.

32 B to establish whether the cause of the condition has been identified.
33 C to ensure that the patients’ pain is being well managed.
34 B regaining full movement in the affected part of the spine.
35 A handing long-term responsibility over to the patient.
36 B express doubts about the effectiveness of physiotherapy.
37 C Palpable changes in health sector

38 C risk factors to health have been precipitating
39 C it was published in a medical journal two decades ago
40 C to address immediate health concerns
41 A they refrain from taking measures that are unviable
42 C the defecienty of knowledge from medical schools
Page 273
25
IRS Test 5
Page 274
Listening test
Page 275
You hear a doctor talking to a patient called Graham, a patient with breathing difficulty.
For questions 1-12, complete the notes with a word or short phrase.
Patient : Graham
Reason for presenting : trouble with (1) ________________________
Description of symptoms : experiences wheezing and breathlessness
(2) ________________________ a lot (3 weeks)
white (3) ________________________ - thought it was a cold
(4) ______________________ getting worse as weeks progressed
very worried when he is (5) _______________________ able to

take breath.
(6) ________________________ are more frequent now
worse at night and in the morning
(7) ________________________ did not go for work yesterday
chest tightness without pressing pain
Precipitating factors : no known (8) ________________________ to dust
no known use of drugs
Further factors : work has been intense
(9) ________________________ has made him anxious
Points to consider : (10) ________________________ had anything like this before
has no other known medical conditions
first time being (11) ________________________
sister and mother has (12) ________________________
Page 276
You hear a doctor talking to a client called Barbara Roberts, a patient with psychosomatic disorder.
For questions 13-24, complete the notes with a word or short phrase. © IRS Group
Patient : Barbara Roberts
Age : 58 years
Difficulties experienced : terrible trouble with the stomach
(13) ________________________ nearly all the time
often times, feels (14) ________________________
swings between (15) ______________________ and constipation
cramping feeling (16) ________________________
passes very smelly wind
Onset of the condition : about (17) ________________________ ago
Previous treatment and : started with (18) ________________________
investigation took other medications including (19) ________________________
gastroscopy was performed
(20) ________________________ also administered
Assessment of : feels (21) _______________________ pain, can’t be all in the head
insight thought it was an infection that had not cleared
sometimes wonders if its an (22) ________________________
Treatment options : try to bring back few (23) ____________________________
(24) ________________________ between the tablets that are

helping and ones that aren’t
wait for 2-3 months for results to show
keep an eye on the symptoms

Page 277
Part B
healthcare setting.
25. You hear a nurse manager speak to his team.
What needs to be focused on
A effectively pacing the week ahead

B attending to the patient regularly
C ensuring the completion of procedures
26. You hear a doctor discussing with a patient the complications of a surgical procedure
The risks associated with the procedure are
A benign and can be corrected

B uncommon and problem free
C varied but usually infrequent
27. You hear the head of a unit discussing patient details
Observation made on the patient is
A satisfactory according to the results

B encouraging for further treatment
C stable as per ongoing treatment
Page 278
28. You hear a nurse brief about behavioural nursing
What is the purpose of the extract
A to identify shortcomings in children

B to share school nursing experience
C to highlight a shortage of expertise
29. You hear a scientist deliver a talk on physical activities for children
What does he advocate
A repetitive activities for specific areas

B minimise overuse of certain parts
C must play in a variety of sports
30. You hear a talk by a nurse anasthetist
How do the mannequins respond to procedure
A by alerting the nurses if vitals fluctuate

B by being versatile to the presenting process
C by mimicking the changes in ill patients
Page 279
Part C
You hear a talk on suicide prevention by a social researcher Mary Todd.

31. Mary describes the purpose of secondary suicide prevention is as
A reduce the number of new cases

B bring down the attempts in an area
C minimise the attempts by the suicidal
32. Secondary suicide prevention is understated because
A it is only starting to be applied in practice

B suicide is difficult to predict due to complexity
C recent events lead to increased suicide
33. Mary talks on the importance of suicide assessment because
A psychiatric illness is a major contributing factor

B it enables in the identification of the risk factors
C it helps develop diagnosis and treatment methods
Page 280
34. What must be done for subjective rating of severity of depression
A physicians should not hesitate to ask on suicidal ideation

B clinicians need to overcome obstacles in providing care
C additional information should be incorporated into assessment
35. Mary feels that suicide rates may be reduced by interventions like
A legal restrictions that reduce access to harmless substances

B psychological follow up and other methods including telephonic
C therapies that address repetition of suicide thoughts and behaviours
36. What is the increasing concern with digital media covering suicide
A there are still many gaps in the research

B it glamorises suicide among the vulnerable
C it provides accessible information for an attempt
Page 281
You hear an interview with Samantha Solon, a lead scientist on diet that boosts the ‘miracle
hormone’
37. Samantha feels that prospects for are high because?
A it has been proven effective for longevity

B the effects of administration are long term
C varied indicators of health can be influenced
38. What does the study of diet in mice identify
A an influence on metabolic rate

B effective way for increasing the hormone
C the animals showed an increase in weight
39. Samantha opines the influence of protein is
A minimal without high carbohydrate

B in tandem with the carbohydrates
C optimal with high carbohydrate
40. According to the expert, evidence from paradoxical conditions are
A that reduced protein intake is crucial

B teased apart for clarity on findings
C studied for influence of insulin variation
Page 282
41. What can be done to harness the potential of the hormone?
A modify the diet and nutritional guidelines

B administration by means of chronic injection
C develop a mimetics for increased effectiveness
42. What can be said with certainty as per the expert
A everyone is in a race for an answer

B the dynamics can not be explained now
C no one knows the mechanism of action
Page 283
E2language
Test II - Answer
Answers A2- Extract 1
1) panic attacks
2) 3 / three weeks / 3 weeks
3) 20 / twenty
4) 3 / three / three times / 3 times
5) suppress
6) exercise
7) headaches
8) ear infection
9) at night
10) sick and dizzy / dizzy and sick
11) first time / 1st time
12) medication
Answer Sheet A2- Extract 2
1) on and off / off and on

2): upper part
3) middle
4) irritation
5) kidney
6) bloatedirritable bowel syndrome / IBS / irritable bowel
8) constipation
9): loose
10) blood or slime / slime or blood
11) laxatives
12) peppermint oil
Page 137
25 C ensuring the completion of procedures

26 C varied but usually infrequent
27 C stable as per ongoing treatment
28 C to highlight a shortage of expertise
29 C must play in a variety of sports
30 B by being versatile to the presenting process
31 C minimise the attempts by the suicidal

32 A it is only starting to be applied in practice
33 B it enables in the identification of the risk factors
34 A physicians should not hesitate to ask on suicidal ideation
35 C therapies that address repetition of suicide thoughts and behaviours
36 C it provides accessible information for an attempt
37 C varied indicators of health can be influenced

38 B effective way for increasing the hormone
39 C optimal with high carbohydrate
40 B teased apart for clarity on findings
41 A modify the diet and nutritional guidelines
42 C no one knows the mechanism of action
Page 285
THE END
Page 286

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LISTENIGN

Medicine, nursing, dietetics, dentistry, occupational therapy, optometry, pharmacy, physiotherapy,

Kaplan Strategies & Practice Set

Listen to Track 1, which gives an example of this section of a

8. How long ago did the patient’s symptoms begin?

9. What was the patient doing differently, as a result of the symptoms?

11. What did Dr Lopez’s blood tests show?

Take 10 seconds to scan the notes below, then play Track 2,

Medical History (12) throughout 2016 (no problems)

Present Condition taking (16) medication for the past 3 months.

Take 10 seconds to scan the notes below, then play Track 4,

Treatment given (20) by paramedics on way to hospital

You hear an optometrist talking to a new patient called Aidan

Background Details wore glasses as a child

Medical History recently suffered from (8)

lost excess weight following a (10) (describes as ‘wakeup

Next Steps isn’t willing to wear (11)

Take 30 seconds to read through the patient notes on this

Patient Hilary Johnson

Reason for referral glucose in (13) indicates risk of diabetes

Pregnancy ​- morning sickness – pain in her (17) , but no vomiting

Occupation Secondary school teacher

Play Track 7 and answer questions 1 and 2.

1. You hear a dentist discussing booking problems with her receptionist.

What has caused the problem?

(A) an error with the booking system

2. You hear a doctor discussing chest X-ray information with a medical

(A) the order for discussing results to the patient

3. You hear an ENT surgeon talking to a colleague about cochlear implants.

The surgeon is explaining that cochlear implants

(A) transmit voices more clearly than other noises.

4. You hear a GP talk about diagnosing Type 2 diabetes mellitus.

Why should a fasting plasma glucose test be booked in the morning?

(A) The patient will need to attend an 8 hour appointment.

5. You hear a dentist talking to a patient with a chipped tooth.

What does the patient want to know?

(A) how long the procedure will last

6. You hear a podiatrist talking to a patient with fallen arches

The patient explains that his treatment

(A) will need to continue for some time.

7. You hear a doctor talking to a patient in an emergency department.

What is the doctor doing?

(A) explaining how the patient will be treated

8. You hear a medical student talking to a senior resident about assessing a

What is the senior resident doing?

(A) teaching the student how to examine the patient

9. You hear a psychiatrist presenting a case study.

(A) The symptoms suggested a different cause.

Play Track 12 and answer question 10.

10. You hear a dietitian talking with a patient.

(A) The patient has forgotten their overall goal.

Play Track 13 and answer question 11.

11. You hear a veterinarian talking with an owner.

Play Track 14 and answer questions 1 – 6.

What is the relative doing?

(A) describing her father’s medical history

2. You hear an obstetrician describing a caesarean section to a pregnant

They agree that the practice should

(A) hire agency staff to help during the busier weeks.

What is the nurse doing?

(A) explaining why the flu shot is necessary

5. You hear a doctor talking to a patient about her injury.

What will happen when the patient returns to the surgery?

(A) She will have her stitches removed.

Pregnancy - morning sickness – pain in her (17) , but no vomiting