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–MEDICAL ENGLISH 1‐ LISTENING HANDOUT 
CHAPTER 1: MOLECULAR BIOLOGY
 LISTENING 1: PERSONAL DETAILS
(D = doctor, P=patient)
D I’d like to check some information about your (1)________
personal________,
details if I may.
P OK.
D Can you tell me what your (2)_________ ______ is?
family name
P It’s Karlson.
D first name
Karlson. And your (3)_____ ______?
P It’s Dave.
D Any other names?
P My middle name’s Ian.
D OK. That’s male. And can you tell me what your (4)_________
address is?
P It’s 3 Park View Mansions, Castlefield, Manchester, M6 7DE.
D When were you (5)_________?
admitted
P Yesterday, the 9th, at 2 p.m.
D OK. 9th of November 2008 at 2 p.m., Duncan Ward. And do you know your
(6)________
hospital number?
P Yes. It’s here. It’s 19733045.
D OK, er … 33045.
D And what’s your (7)_____________?
date of birth
P 7-9-53.
D Your telephone number?
P (8)_______________.
01664057001
D OK. Are you (9)__________
married or single?
P I’m single.
D Right. Single. What do you do for a living?
P I’m a (10)___________
postman
D And lastly, who’s your (11)________?
GP
P Dr Jones.
D OK, MrKarlson. Thank you.

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 LISTENING 2: PRESENTING COMPLAINTS
1 D: What’s (1)__________
brought you here?
P: My (2)__________
wrist is throbbing since I fell in the street.
2 D: Can you tell me what seems to be (3)____________
bothering you?
P: I’ve got a really (4)______________.
sore throat
3 D: What’s brought you here?
P: I’ve been getting a kind of boring (5)_______
pain right here, which goes through to my
(6)__________.
back
4 D: Can you tell me what seems to be bothering you?
P: Well, it feels a bit (7)_____________
tender just here on my right side.
5 D: Can you tell me what seems to be bothering you?
P: I’ve got this gnawing kind of pain right about here in my (8)__________.
stomach
6 D: What can we do for you?
P: Well, I’ve got this (9)____________
sharp pain up and down my (10)______.
leg
7 D: What can we do for you?
squeezing all the way round my head.
P: I feel as if there’s a tight band (11)__________
8 D: What’s brought you here?
P: I’ve got this crushing pain right here in my (12)_________.
chest

 LISTENING 3: A PRESENTING COMPLAINT

(D=doctor, P=patient)
D Good morning Mr Wood, I’m Dr Martin, one of the (1)_________
doctors in A & E. What’s
brought you here today?
P I’ve … I’ve got this (2)______________.
chest pain
D And you seem to be having some trouble catching your breath.
P Y … Yes.
D Would you like me to give you some (3)_______________
painkillers before we go on?
P Yes, please.
D OK. We’ll get some for you. And I’ll be as brief as I can.
P Thank you, doctor.
D Can you show me (4)_____________
exactly where the pain is?
P I’ve been getting it right here in the centre of my chest.
D Right. I see. And how long’ve you had it?
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P For the past hour.
D The past hour. And is the pain (5)_____________?
constant
P Yes. At the moment it’s there all the time.
D And does it go anywhere else?
P At the moment, it’s just here in the centre of my chest, but it was in my left
(6)__________
shoulder before.
D Can you (7)_____________
describe the pain for me?
P It’s all over here. It’s not a (8)___________
sharp pain. It’s like a tightness, as if someone’s
squeezing my chest.
D And when did the pain start first?
P It came on first when I was bending over … in the (9)garden
______ about two weeks ago…
D It’s OK. Take your time.
P And then I got this … dull pain and I had (10)___________
shortness of breath.
D So it started with you bending over in the garden. And the shortness of breath started
at the same time?
P Yes.
D Have you had this pain (11)_________?
before
P Not the pain in the chest, no. I had a pain in my left shoulder and arm when I was
walking to work one morning about a month ago.
D OK. I see from the notes that you’re a (12)_____________.
bus driver
P Yes, that’s right. Not the best of jobs to be starting at (13)______
five on a frosty
morning.
D No, definitely not. Did you do anything about the pain?
P I thought it was a touch of (14)____________.
arthritis There’d been a heavy frost, and I just
rubbed some liniment into it.
D How long did it last?
P Off and on for about a week, and then I didn’t think any more of it.
D OK. And have you felt sick at all?
P Yes.
D And have you been sick at all?
P No. I haven’t brought anything up.
D questions …
OK. I’d like to ask you some (15)____________

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CHAPTER 2: THE INTEGUMENTARY SYSTEM
 LISTENING 1: PREPARING FOR THE FIRST WARD ROUND
Task 1: Listen to a doctor’s tips for the first ward round. Underline and correct the
wrong words in each sentence.
1. There are three things that will become obvious once you have done your first ward
round, but I can give you a little advice that helped me on my first day.
2. The first thing is: make sure you know the surnames of all your patients and where they
are in the department, as you want to demonstrate that you are familiar with your patients.
3. The next tip is always ask the bed managers if any patients have been moved and if so
where to in order to avoid wasting time, especially the consultant’s, running around
watching up patients.
4. Also make sure you have all the reports, X-rays, and so on on hand so that you can refer
to them immediately.
5. It is good to invite a nurse who knows your patients to come on rounds with you,
because they may be more experienced about the patients on the ward than you are.
6. As regards the case histories and results, write them clearly and concisely; in that way
you can access information quickly.
Task 2:
There are many things that will become obvious once you have done your first
(1)_________,
ward round but I can give you a few tips that helped me on my first day. The first thing
is: make (2)_____
sure you know the names of all your (3)___________
patients and where they are in
the ward, as you want to demonstrate that you are(4)__________
familiar with your patients.
The next tip is always check with the bed (5)_____________
managers if any patients have been
moved and if so where to in order to avoid wasting time, especially the consultant’s,
running around looking for patients. Also make sure you have all the case-notes,
(6)________
X-rays , and so on on hand so that you can refer to them quickly. It is useful to
(7)________
invite a nurse who knows your patients to come on rounds with you, because they
may be more (8)_______________
knowledgeable about the patients on the ward than you are.
As regards the case histories and results, record them (9)__________
clearly and concisely; in
that way you can (10)_____________
access information easily.

 LISTENING 2: GIVING INSTRUCTIONS

1. Can you just _________
bend your head slightly to the _________?
left OK.
raise
2. I’d like you to _________ above your head for me.
your arm _________
roll
3. Now __________ your sleeve __________
above your elbow. Yes. That’s fine.
pop
4. Would you just _________ up
_________ on the couch for me? That’s it.
5. Could you ________
lean ___________
forward a little bit for me? Good. That’s it.
6. If you could just _________
move ____________
towards the edge of the couch. Yes. That’s it.
7. Now I want you just _________
turn over__________ onto your tummy.
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Y1 –MEDICAL ENGLISH 1‐ LISTENING HANDOUT 
CHAPTER 3: THE SKELETAL SYSTEM
 LISTENING 1: PATIENT CARE
Once the procedure is explained to the patient, advice is given about what (1)________ is
preparation
stop
required before it is carried out. The patient is asked to (2)________ anti-acid therapy for
two weeks beforehand if possible. For eating and drinking, the patient is advised to take
(3)________
nil by mouth for 8 hours before the procedure is done, but note that (4)________
water
up to 4 hours pre-op may be OK. As regards driving, the patient is advised not to drive if
(5)________
sedationis involved in the procedure. A (6)________
leaflet about the procedure is always
given to the patient and follow-up is also …

 LISTENING 2: EXPLAINING GASTROSCOPY

D I need to explain the procedure to you and get you to (1)________
sign the consent form.
P OK.
D So we’re going to do something called a gastroscopy. Do you know what that is?
P No, I don’t. No.
D Well, what we are going to do is to have a look at your gullet and your (2)________
stomach
to see what’s going on there.
P OK.
D procedureWhat we are going to do first is to give you something to
It’s a routine (3)________.
help you (4)________,
relax and then we’re going to numb your (5)________
throat with a
spray. Then, we are going to pass a bendy tube, which is no thicker than your little
finger down through your throat into your stomach. OK?
(6)________,
P I see.
D camera on the end so that we can look at your
The tube will have a tiny (7)________
stomach. And if we see anything there what we can do is take a tiny (8)________
tissue
sample.
P Right.
D air
We’re also going to blow some (9)________ into your stomach to help us see a bit
better, so you will feel a bit (10)________
full and possibly want to belch.
P It sounds a bit scary.
D I agree it can …

 LISTENING 3 – DISCUSSING COMPLICATIONS

D Now, I just have to go through some possible (1)________ of the gastroscopy, if
side effects
that’s OK with you.
P Yes, fine.

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D First of all, I can assure you that in most cases the procedure is problem-free. But I
have to point out to you some side effects so that you are (2)________
aware of them
before you sign the consent form. Is that OK?
P Yes, fine.
D Right. Well, some people can have a (3)________
mild sore throat for a day or two after
drowsy you
the procedure. And if you have been given something to make you (4)________,
may feel a bit (5)________
tired afterwards as well. And some people can get a chest
infection or pneumonia. But remember this does not (7)________
(6)________ mean that you will
necessarily get these as well.
P OK. I hope not.
D
endoscope
And on the odd occasion, the (8)________ can cause some bleeding or infection in
gut
the (9)________ and can also puncture the gullet or stomach, but this (10)________
happens
very rarely.
P I see.
D Is there anything that you would like to ask me or go over again? Or are you OK
with all this?

CHAPTER 4: THE MUSCULAR SYSTEM

 LISTENING 1: FAMILY HISTORY AND SOCIAL HISTORY
Conversation 1
D What about work? Do you have any(1) __________
problems there?
P stressful .
At the moment, yes. It’s a bit (2) __________
D And can you tell me a bit more about this?
P resigned and he
Well, I’d say it started about two months back. A colleague (3) __________
wasn’t replaced. So I’m kind of doing two (4) __________
jobs at the moment.
Conversation 2
D Are your parents still (5) __________
alive and well?
P My mother is, but my father died 3 years ago.
D Do you know what the cause of (6) __________
death was?
P lung cancer.
It was (7) __________
Conversation 3
D smoke
Do you (8) __________ at all?
P Yes.
D How many do you smoke normally?
P I’d say about 20.
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D when
(9) __________ did you start smoking?
P 15
I had my first cigarette when I was er (10) __________ .
D Fifteen. OK and have you (11) __________
ever stopped.
P Yes. Many times!
D When was the last time?
P I quit last year. But it only lasted a month.

 LISTENING 2: BEING SYMPATHETIC

D It isn’t easy to (1) __________
lose weight, as there are so many ways to do it that
people find it (2) __________
difficult to choose from them. And there are so many (3)
__________ as well. Have
temptations you tried to diet before?
P Yes, but none of them worked.
D What did you do?
P I’ve tried various diets like the Atkins diet and I’ve bought (4) __________
various
commercial diets, but I found I couldn’t stick to them.
D What do you think the problem is?
P I tend to (5) __________
snack a lot during the day with crisps and fizzy drinks and biscuits
and sweets. Er ... I’m sitting around a lot at work, and I’ve tried to cut out all these
things, but it’s (6) __________
impossible.
D It’s difficult to (7) __________
break habits like this, but there are ways round it. Rather
than cutting out everything suddenly, it’s perhaps better to do it gradually. You could
have diet cola instead of the normal cola, or better still fresh fruit juice, low fat
crisps and (8) __________
introduce some fruit. The danger is trying to do everything at one
time and then giving up. Then when you get used to it, you can make more (9)
changes .
__________
P Maybe, I could give it a go.
D exercise ?
What about (10) __________
P Well, I spend most of my day at a desk. When I was younger I used to (11)
swim
__________ and I did some yoga, but not anymore.
D active
We’ve all been a bit more (12) __________ in the past. Have you thought of taking
up swimming again?
P Yes. But it’s time. After work, I’m too tired to do anything, and it’s difficult to cut
down eating, as it makes me (13) __________
irritable .

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CHAPTER 5: BLOOD & BODY DEFENSES
 LISTENING 1: TREATING RETURNING TRAVELLERS
In addition to the usual (1)___________
different diagnosis, in all returned travelers who present
unwell, it's crucial to consider (2)___________
imported disease. And as (3)___________
tropical medicine
is a specialized field, when you’re unsure, seek expert advice by telephone or admit the
patient.
OK, now if we turn to the next slide here, it shows what we need to ask about the history.
As well as the symptoms, it's essential to find out about the (4)___________
area or areas
travelled to, including brief stopovers, the duration of travel, (5)___________
immunizationreceived prior
to travel, malaria prophylaxis, health of members of the travel party, (6)___________sexual
contacts whilst abroad, and medical treatment received abroad.
A full examination should be given, checking particularly for fever, (7)___________,
jaundice
abdominal tenderness, chest signs, (8)___________,resics and lyrnphadenopathy. Exact
investigations depend on symptoms and examination findings, but consider FBC, thick and
thinblood films for (9)___________,
malaria LFTs, viral serology, blood culture, (10)___________
stew
culture -ensure it is fresh - and MSU. And on this slide we have information on malaria,
which incidentally comes from a sixteenth-century Italian term- malaria - meaning 'foul or
bad air’. There are about two thousand cases notified each year in the UK. Malaria is of
course very easy to (11)___________,
miss one reason being that it's a great mimic, and so it
can present with virtually any symptoms. It usually consists of a prodrome of headache,
malaise, myalgia, and (12)___________,
anarascia followed by recurring fevers, rigors, and
drenching sweats, which last for eight to twelve hours at a time. The examination maybe
normal, but one needs to look for (13)___________,
anaemia and jaundice with or without
hepatosplenomegaly.
If we had a (14)___________
case of a patient, say a businessman, who had been to South
America and presented with …

 LISTENING 2: THE IMMUNITY

Immunity
Humans have (1)___________
3 types of immunity — innate, adaptive, and passive:
Innate Immunity
Everyone is born with innate (or natural) immunity, a type of general protection. Many of the
(2)___________
germs that affect other species don't harm us. For example, the viruses that
cause leukemia in cats or distemper in dogs don't affect humans. Innate immunity works
(3)___________
both ways because some viruses that make humans ill — such as the virus
that causes HIV/AIDS — don't make cats or dogs sick.
Innate immunity also includes the (4)___________
external barriers of the body, like the skin and
mucous membranes (like those that line the nose, throat, and gastrointestinal tract), which
are the first line of defense in preventing diseases from entering the body. If this
(5)___________
outer defensive wall is broken (as through a cut), the skin attempts to heal the
break quickly and special immune cells on the skin attack (6)___________
invading germs.

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Adaptive Immunity
The second kind of protection is adaptive (or (7)___________)
active immunity, which develops
throughout our lives. Adaptive immunity involves the (8)___________
lymphocytes and develops as
people are (9)___________
exposed to diseases or immunized against diseases through
(10)___________.
vaccination
Passive Immunity
Passive immunity is ‘(11)___________’
borrowed from another source and it lasts for a
(12)___________
short time. For example, antibodies in a mother's breast milk provide a baby
with (13)___________
temporal immunity to diseases the mother has been exposed to. This can
help protect the baby against infection during the early years of childhood.
Everyone's immune system is different. Some people never seem to get infections,
(14)___________
whereas others seem to be sick all the time. As people get older, they usually
become immune (15)___________
to more germs as the immune system (16)___________
come
into contact with more and more of them. That's why adults and teens tend to get fewer
colds than kids — their bodies have learned to recognize and immediately attack many of
the viruses that cause colds.

CHAPTER 6: THE REPRODUCTIVE SYSTEM

 LISTENING 1: FROM PREGNANCY TO BIRTH
Conversation 1
D: When did your labour start?
H: My waters broke last night, and I started getting (1)_______________
strong contraction early this
morning.
D: So that's about (2)_______ ________ ago. Well, you're seven centimetres dilated now,
twelve hours
so I don't think we'1l need to induce you. Now on your birth plan you've said you’d like gas
and air as (3)_______ ________ , yes?
pain reliefs
H: Yes, but if I can’t bear the pain, I'd like an (4)___________
epidural .
D: OK, well, you let me know how you're feeling
Conversation 2
D: She (5)__________
weighs just over eight pounds, and she’s done fine in the tests,
H: Her head's a funny shape.
D: That’s (6)___________
normal when forceps are used – the head will get into shape within a
few days, and the bruising will (7)____________
disappear .
H: Shouldn't she be crying more?
D: Well, a strong cry is a sign of (8)_____
good ______
lungs , but her breathing‘s nice and strong, so
we don't have any worries about that.

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Conversation 3
D: So, Hannah. You've had some (9)__________
bleeding , and you're in the 28th week - is that
right?
H: That's right. I've had a miscarriage before, so they thought I should have a
(10)__________
scan .
D: Right, well, the baby’s moving fine, and it has a good strong (11)___________
heartbeat .
H: That's a relief.
D: The (12)____________
placenta looks just a little low, which is probably causing the bleeding.
That should move up over the next few weeks. We'll bring you in a month for another look,
and meanwhile let us know if the bleeding gets heavier.
Conversation 4
presentation is perfect, with the head down. I know you want to push,
D: The baby’s (13)___________
Hannah, but don't push yet … keep (14) __________
breathing … take some gas and air if you
need it

 LISTENING 2: GONORRHOEA
A (female patient)
P: I've noticed a green, (1)__________
smelly discharge from my vagina. It's also (2)__________
painful
when I pass water.
D: How I have you had the discharge?
P: Two weeks.
D: Have you noticed an (3)__________
itching down below?
P: No.
D: Do you have a regular (4)______
sexual_________
partner ?
P: Yes, I have a partner who I have been with for (5)___ _______ .
6 months
D: When was the last time you had sexual intercourse?
P: The last time I had intercourse was a week ago.
D: Does your partner have any of these 96)__________
symptoms?
P: No, my partner's been quite well with no problems. ....
D: I'd like to (7)__________
examine you and to do this I'll need to ask you to undress and get up
onto the couch. I'm going to take some routine swabs looking for (8)__________
infection such as
gonorrhoea and Chlamydia.
I'm going first to take some swabs from where you pass water and then I’ll (9)__________
insert
a speculum and have a look at your cervix and the inside of your vagina. We'll take some
swabs both from your cervix and your vagina to look for signs of infection. I'll then take a
swab from the area around your (10)____
back______ . … I've had a look at one of your initial
passage
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tests under the (11)__________
microscope and you've got an infection called Trichomonas vaginalis
or TV which is the cause of our vaginal discharge. This is easily treated with a form of
(12)__________
antibiotics called Flagyl etronidazole. You have to take one tablet 200 mg 3 times a
day for one week. During that time it's important that you (13)__________
avoid alcohol and
sexual contact as this infection is sexually transmitted. It will be important for us to see and
treat your regular sexual partner. You need to (14)__________
return to the clinic in about one to
two weeks' time so that we can check that this infection has cleared up, and also give you
the results of your other tests.
While you're at the clinic you will be asked to speak to the departmental (15)__________
health advisor
___________or contact tracer. He will give you some information about this infection, and I
would recommend that you bring in your boyfriend for his (16)__________.
check-up Before you
leave the clinic you'll also be asked to provide e a (17)__________ of urine for testing and
special
also take a routine blood test for syphilis. This is a routine blood test which is done and
performed on everybody who (18)__________
attends the clinic.
B (male patient)
P: I leak from the penis. It’s hurting me to (1)__________ .
D: How long has this been happening?
P: A (2)__________
fortnight .
D: Have you had a regular sexual partner?
P: No
D: When did you last have (3)__________
sexual with a partner?
P: Last week.
D: Has your partner had any problems like this?
P: They haven’t got any (4)__________
symptoms .
D: I need to take some swabs from the end of your penis. These may be a little
comfortable. I'm going to send them off to be tested for infections such as gonorrhoea
(5)__________
and Chlamydia which can be passed to you through sexual contact with somebody with the
infection. Some of the slides that I'll take from you today will be looked at in the
(6)__________ , and from these I'll decide whether you require (7)__________
treatment or not.
………From the slide that I’ve just looked at, you seem to have an infection which you
probably acquired through having sexual contact. I therefore think it's necessary that we
give you some (8)__________
antibiotics . I'm going to (9)__________ some oxytetracycline 250 mg
taken four times a day for seven days. I would advise you not to take any alcohol while you
are on these antibiotics, and to avoid taking the antibiotics with milk products as this can
affect their (10)__________
absorption . We’ll see you again at the clinic in two weeks' time by which
time your symptoms should have settled. When you (11)__________ return to the clinic, we
should have the results of the cultures that I have done today which should be back by then
and they will hopefully indicate what infection you have.
I’ll also get you to speak to one of the contact tracers who will give you some information
about sexually (12)__________
transmitted infections and how you can prevent them. Before you
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leave the clinic, could you please give me a (13)__________
special of urine so that I can test it for
any signs of infection? I will also need to take a (14)__________
blood samplefrom you which will be
tested for syphilis which is a routine blood test we do on everybody that attends the clinic.
Thank you.

CHAPTER 7: THE NERVOUS SYSTEM

 LISTENING 1: TALKING ABOUT ONESELF
This brings me to an aspect of the training and job (1) __________
appilcation process in New
Zealand, which I initially found alien to my (2) __________
cultural background: talking about
oneself, especially about strengths and (3) weaknesses
__________ . A weakness I used to have was
over-empathizing with the parents and becoming (4) __________
upset when something went
(5) __________
wrong with one of the children. In the recent interview for my present post, I
related a case where a child almost didn’t (6) __________
recover from an attack of meningitis and
I became very upset even in the presence of the (7) __________
mother . I mentioned how I
recorded both the ‘good’ and ‘bad’ experiences as part of my daily reflection and how I
talked to (8) __________
colleaguesafterwards and soon realized that they had faced the some (9)
problems
__________ . I now see recording and analyzing my weakness in a more (10)
__________
positive light as a means for self-education and advancement.

 LISTENING 2: REASSURING AN ANXIOUS PARENT

D Mrs Allen, from our (1) __________
examination, and from what you’ve told me, it doesn’t really
look like meningitis. But what he has got is a barking cough and a touch of (2)
__________
fever . I think he’s actually got croup.
P Mmm.
D You said he’s had this once this year in the spring.
P Yes, around March I think, and I went to my (3) __________
GP then.
D What did he say it was then?
P The same as you, I think.
D Did you (4) __________
use steam the last time?
P A little.
D Well, if you use steam, it’ll help to(5) __________
ease the cough.
P So you don’t think it’s meningitis?
D No. If it were, I’d (6) __________
expect him to be very unwell. He probably wouldn’t be
able to run around the way he is; he’d maybe be a bit more listless.
P Mmm.
D And he’d maybe have a (7) __________
rush and, er, shy away from the light.

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Y1 –MEDICAL ENGLISH 1‐ LISTENING HANDOUT 
P I’ve seen on one of the posters that difficulty moving his head is related to
meningitis.
D Ah. Yes, it is. But, Mrs Allen, if he had neck (8) __________
stiffness , he wouldn’t be able to
move about the way he is.
P I was just scared it might be something serious.
D Mmm. That’s what every mother might feel in the circumstances, and you’re very
right to be (9) __________ .
P Thank you, doctor.
D Keep an eye on him, and don’t hesitate to (10) __________
contact your GP immediately or
come and see us if there are any changes or if he starts crying in an odd way.
P OK. Thanks. I feel a bit more relaxed about it.
D Ah. Is there anything else you’d like to ask before I write….?

 LISTENING 3: SHARING EXPERIENCE WITH COLLEAGUES

In the end, I felt I handled the situation(1) __________
better than at the beginning. At first, I got
the child’s name wrong. I was very (2) __________
nervous and unsure of myself, as I didn’t have
time to look at the notes made by the nurse or talk to her; this is just down to bad (3)
__________
organisation. I felt the parents didn’t like this, and it made them a bit edgy, but I recovered
myself very quickly and as I became more (4) __________ confident in what I was doing, the
parents became (5) __________
relax and the child became less agitated. I was very pleased
because they thanked me for being (6) __________
sensitive and being gentle with the child. I could
see they appreciated the fact that I made an effort to make them feel (7) __________ comfortable .
While overall everything went well, I learnt quite a lot from this experience. I should be
more (8) __________
patient and prepare myself before talking to a patient. If I were short of time
again, I would speak to the nurse first and get the (9) __________
basic details right. It is in the
end all about teamwork and respecting the (10) __________
contributionof colleagues.

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