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 Pharmacy Speaking Tests 6 - 10

SPEAKING TEST 6

Time allowed: 20 minutes

Candidate Card No. 1

Setting: ATI Pharmacy

Pharmacist: A patient who visited a week ago has returned to the pharmacy. He
took something for his cough wh wants to try a
new cough syrup which might work better for him. It has already been a week and
ut you believe that his cough is an acute self-
limiting cough, which can take the form of a sub-acute cough.

Task:

Explain to the patient why there is no quick fix for his cough and how some over-
the-counter (OTC) cough syrups and cough medicines may work or provide relief.

Try to find out more from the patient about the nature of the cough and the pattern
of the cough before you suggest a new syrup.

Try to suggest the same bottle of syrup which he has already used for a short time.

Also, advise the patient to contact a doctor if the problem persists.

Provide more information about persistent coughs to the patient as well.

Role Player Card No. 1

Setting: ATI Pharmacy

Patient: You are at the ATI Pharmacy and you are looking for some new cough
syrup for your persistent cough. You have already tried one type of syrup, which
you took regularly for about a week, but your cough is just the same. You are now
looking for a new cough syrup, something which might be more effective in making
your throat better and getting rid of your cough.

Task:
 Pharmacy Speaking Tests 6 - 10

Ask the pharmacist for another bottle of cough syrup.

Try to find out why your cough is persistent and why your current cough syrup is
not providing any relief for you.

Be reluctant to keep using the same syrup instead of trying a new one.

Question how you can treat this cough and get rid of your throat problem.

Explain the nature and pattern of the cough if required.

Express that you are concerned about using the new syrup which the pharmacist is
offering.

Try to find out

END OF SPEAKING TEST 6

SPEAKING TEST 7

Time allowed: 20 minutes

Setting: Community Pharmacy

Pharmacist: One of your regular customers has been prescribed some new
medications for his blood sugar levels. He is worried about the use of these new
drugs because, last time, a small change in the prescription worsened his health. He
is unable to understand why the doctor has prescribed something new for him when
his blood sugar
problems. He also wants to know if there will be any side-effects of the new
prescription.

Task:
 Pharmacy Speaking Tests 6 - 10

Explain to the patient why the doctor might have prescribed something new for
him.

Try to calm the patient down by explaining about the effectiveness of this new
medicine.

Explain about how this medicine can lower his blood sugar levels and how it can
provide him more relief.

Try to find out more about what problems he experienced when he took some
different drugs last time.

Explain to the patient about how this new medicine has helped other patients with
managing their diabetes.

Advise the patient to contact a doctor if he has any problems or if there are any
side-effects due to the use of this new medicine.

Setting: Community Pharmacy

Patient: You are having a discussion with the pharmacist, who has noted that you have
been prescribed some new medications for your diabetes. You are a bit worried and
anxious about this because last time a small change in your prescription resulted in a big
problem for you with your health. You are unable to understand why the doctor has
prescribed something new for you this time when your blood sugar is already normal
. You also want to know if this
new prescription will be effective and

Task:

Try to convey your anxiety and that you are not totally ready to use this new
the use of these newly prescribed drugs.

Explain to the pharmacist how your blood sugar level had increased and what other
problems you have experienced in the past, due to the ineffectiveness of the
medicine which was prescribed last time.

Question how effective this new medicine will be for your diabetes.
 Pharmacy Speaking Tests 6 - 10

Try to find out if there will be any side-effects of the medicine and what you should
do if there are.

END OF SPEAKING TEST 7

SPEAKING TEST 8

Time allowed: 20 minutes

Setting: Community Pharmacy

Patient: You are looking for something for your canker sores (mouth ulcers)
which first appeared about three days ago. They were only on your inner cheeks at first,
but now they are on your lips as well. You are looking for some effective medicine for
your ulcers, as they are causing you a lot of discomfort.

Task:

Request for the pharmacist to give you some medication for your canker sores.

Try to explain to the pharmacist what problems you have been experiencing for the last
few days.

Be reluctant to take medicines which have lots of possible side-effects, as you

are very worr
problems before).

Try to find out why these mouth ulcers occur and what is the best treatment for them.

Also, ask about any home remedies you could try to help get rid of this problem.
 Pharmacy Speaking Tests 6 - 10

Setting: Community Pharmacy

Pharmacist: A patient is asking you to suggest something that they can use for
canker sores (mouth ulcers). The patient has been suffering from canker sores for
the past three days; at first, they were only on the inside of the cheeks, but now
they are on the lips too. The patient is worried about using medication for these

like some suggestions for home remedies as well.

Task:

Explain to the patient how a particular medicine can help to easily get rid of the
symptoms. Suggest some over-the-counter medicine which can be effective for the
canker sores. Suggest the use of a mouthwash as well - the use of an OTC
mouthwash solution, which is specifically targeted to help treat canker sores.

Try to find out more from the patient about the nature of the canker sores, whether
they feel any pain or discomfort.

Explain to the patient why these mouth ulcers occur.

Explain how they may even disappear on their own after a week or two.

Make some suggestions of home remedies that the patient could try, for example,
mixing a pinch of salt in a glass of warm water, swishing around the inside of the
mouth and spitting it out.

Suggest the use of pain killers too, if the patient says that they are suffering from
pain (e.g. the use of pain killers or gels like Anbesol and Oraje).

Recommend that the patient goes to see the doctor if the problem persists.

END OF SPEAKING TEST 8

 Pharmacy Speaking Tests 6 - 10

SPEAKING TEST 9

Time allowed: 20 minutes

Role Player Card No. 1

Setting: Community Pharmacy

Patient: You are looking for something to treat your sunburn and would like to ask
the pharmacist for advice. You have been suffering from this problem for the past
three days; at first you thought it was minor sunburn and would calm down, but it
did not. You

Task:

Make a request for the pharmacist to give you something for your sunburnt skin.

Try to explain to the pharmacist how the problem started and what you are
experiencing now.

Explain to the pharmacist that it was at first superficial, causing local inflammation
of the skin, but now there is redness and blistering on the skin.

Be reluctant to take any medications which have possible side-effects.

Try to find out what precautions you should take to get rid of this problem.

Setting: Community Pharmacy

Pharmacist: A patient is asking you to suggest something for their severe

sunburn, which they have been suffering from for the past three days. There was
no pain at first, but now . They are worried that the
problem will get even worse if
about the best treatment for it.

Task:

Explain to the patient how a particular topical sunburn cream will help them.
 Pharmacy Speaking Tests 6 - 10

Suggest the use of an effective cream like cortisone cream, or other soothing
agents which are considered to be effective for irritated and sunburnt skin.

Try to find out more from the patient about the nature of the sunburn, for example,
if there is redness, swelling, blisters etc.

Try to explain to the patient why this sunburn has occurred.

Suggest the use of pain relievers such as aspirin, naproxen (aleve), ibuprofen
(advil) or acetaminophen (tylenol) etc. to alleviate their symptoms.

Explain how sometimes first degree burns may turn into second or third degree
burns.

Recommend that the patient goes to see the doctor if the problem continues.

END OF SPEAKING TEST 9

SPEAKING TEST 10

Time allowed: 20 minutes

Setting: Community Pharmacy

Pharmacist: A patient wants you to recommend some eye drops for his red eyes.
He is currently s, which he believes are not really
working for him. He has b
seem to have made any difference at all. He is requesting for you to suggest
something side-effects.

Task:
 Pharmacy Speaking Tests 6 - 10

Try to find out more from the patient about his eye redness.

Explain to the patient how overuse of any eye drops can worsen the problem, or can
cause more eye redness.

Suggest eye drops which could be more effective, such as Opcon A.

Explain about the possible side-effects as well: sudden or occasional eye pain;
change in vision; redness or irritation of the eye etc.

Explain what the patient can do to prevent further eye infection.

Recommend that the patient goes to see the doctor if the problem persists.

Setting: Community Pharmacy

Patient: You are a patient who is suffering from an eye allergy; redness in your
eye appears now and then. You are not sure of the actual cause of it and you are using
, which were suggested by a friend of yours. You want the
phar
seem to be working. In fact, they seem to be making the problem worse.

Task:

Ask the pharmacist to recommend something for your eye redness.

Try to explain to the pharmacist what problems you are experiencing, for example,
how often the redness occurs and what it feels like etc.

Ask the pharmacist for suggest side-effects,

as you are very worried about a new treatment making things worse.

Try to find out why it occurs and what you could do to prevent it.

END OF SPEAKING TEST 10

 Pharmacy Speaking Tests 6 - 10

Speaking Test 6:

This is just a sample script. The real conversation may involve a different dialogue
between the role-pl

Pharmacist: How can I help you today?

Patient: I hope you remember me - you recommended a cough syrup for me

Pharmacist: Yes, hello again Steve; can you tell me what the name of the syrup was?

Patient: It was called Benadryl.

Pharmacist: Ah yes, that is one of the most effective cough syrups that we have I am

whi

Pharmacist: How long have you had this persistent cough for now?

I just sort of ignored it

for the f n I came here because it was becoming unbearable - I
even able to sleep
mad now! Please could you suggest something else
I would like to get something new for this. I really want to get rid of this
horrible cough as soon as possible!
 Pharmacy Speaking Tests 6 - 10

Pharmacist: Well, I might be able to suggest something different, but before that, I think I
need some more information about the nature of this cou

what do you mean?

Pharmacist: I mean, is it dry or wet?

the difference between them?

Pharmacist: Well, a dry cou sputum production,

whereas those who have a wet cough expel a lot of phlegm or sputum; this is because this
problem arises from the lungs like bronchitis, pneumonia, asthma etc.

stop coughi

Pharmacist: Ok, then I would suggest that you take the same bottle and continue using it
for another week; take at least 5 ml of the syrup three times a day.

Patient: But, ep taking the same syrup if

I would like to get something new, please.

Pharmacist: Please, understand, that this cough syrup is really the most effective one for

disappeared.

Patient: See,
than trying several different things; but, you understand my problem, I want to get rid of
this dreadful cough as soon as possible. I just want to get back to normal!

Patient: I am really not able to sleep isturbing me a lot and

Pharmacist: Please, try using this same bottle for a few days - and I suggest you see the
doctor as well, he will be able to give you more detailed advice.
 Pharmacy Speaking Tests 6 - 10

Pharmac
traight
away.

Patient: OK, I will see the doctor - do you know of any good doctors here in our area?

Pharmacist: Well, there is Dr. Fernandez - he is a very famous general physician, you can
go and meet him.

Patient: Ok, I will, thanks a lot - but please, give me this bottle hopefully it will do some
good this time!

Pharmacist: Please, take the bottle. I hope you start feeling better soon.

Patient: Thanks a lot.

Pharmacist: Thanks, take care.

Patient: Thanks a lot.

End of the Script

Speaking Test 7:

This is just a sample script. The real conversation may involve a different dialogue
between the role-pl

Pharmacist: Please, tell me, how can I help you?

 Pharmacy Speaking Tests 6 - 10

Patient: Can I get this prescription, please?

Pharmacist: Of course, I will be back in a few minutes.

Patient: The prescription is different this time, right?

Pharmacist: Yes, these are all new tablets; these are not what you used to take.

Pat know why the old tablets have been replaced with
these new ones

Pharmacist: Well, sometimes, new combinations work much better.

Patient: Oh; I am really worried because, last time, a small change in the prescription
resulted in a lot of problems - my

Pharmacist: When did that happen?

Patient: It happened last year; my doctor prescribed something new for me and I just
- I even had to spend a week at the
hospital due to the new medication.

Pharmacist: That could have been the result of some reaction you had to the medicine.

wa
another reaction and end up in hospital like last time!

Pharmacist: But this new combination is really good; most of the doctors are suggesting
these tablets for their patients. We have given this same prescription for other patients too
- this prescription can really lower the blood sugar levels and provide more relief for the
patient.

Patient: But, you know, I am really confused now, because I had a bad experience in the

Pharmacist: Well, did the tablets higher or lower your blood sugar levels at that time?

Patient: Well, yes, my blood sugar was uncontrollably higher as well, after I took the new
medication; I even had to take some insulin injections. And, as I have already told you, I
 Pharmacy Speaking Tests 6 - 10

had to spen
like to avoid this happening again!

Pharmacist: Or else, you can contact your doctor again and explain the problem you had
last time tell him that you are worried about

; I think it is really
better that I do have

would suggest; please, have a talk with your doctor.

Patient: Oh, thanks a lot, for being so co-operative.

Pharmacist: No worries. Please, take care.

Patient: Thanks a lot.

End of the Script

Speaking Test 8:

This is just a sample script. The real conversation may involve a different dialogue
between the role-pl

Pharmacist How can I help you this morning?

 Pharmacy Speaking Tests 6 - 10

Patient: Well, I am suffering from these canker sores, you know, mouth ulcers; I need
something for these sores - can you suggest something effective for them?

Pharmacist: Oh, ok, can you tell me more about these ulcers how long you have had
them, for example?

Patient: Well, they first appeared about three days ago. I d

they were only on my inner cheeks to start off with, but now they are on my lips as well;
looking for some effective medicine for it, to make these ulcers go away.

Pharmacist: Oh, ok, I und

Patient: So, in your opinion, what is the best treatment for these sores? I really want to get
rid of t

Patient: Plea

Patient: Ah, and another thing, I just want to know why these mouth ulcers occur; I mean,
how do they occur? I
appear?

Pharmacist: Well, the appearance of mouth ulcers is very common; there are several things
which can lead to mouth ulcers. Usually a mouth ulcer develops if you burn your mouth or
when you bite your tongue, cheek or lip; sometimes, they develop if you brush your teeth
too hard or if you use a very firm toothbrush, if you chew tobacco or if you are infected
with the herpes simplex virus.

Patient: Oh, I understand; but this will not be a serious problem, right?

Patient: Oh, ok - I feel relaxed now. But I have a habit of chewing tobacco; so, are you
saying that this could be the cause of my mouth ulcers?
 Pharmacy Speaking Tests 6 - 10

Pharmacist: Well, it might be the cause of the ulcers then; I would also suggest that you
see the doctor - a doctor can assess your problem well and can prescribe something more
effective if necessary. If the ulcers are developed due to some common reasons, then those
ulcers will go away with the help of some suggested medicine; however, if there is any
other reason a more serious problem - then the treatment will take a different route.

Pharmacist: For a few days, you can try this medicine which I am going to suggest; see if

Pharmacist: And

Patient: Oh, definitely, I will. Thanks a lot.

End of the Script

Speaking Test 9:

This is just a sample script. The real conversation may involve a different dialogue
between the role-pl

Pharmacist: How may I help you?

Patient: Ah, see, I am looking for

 Pharmacy Speaking Tests 6 - 10

Pharmacist: For you?

Pharmacist: Oh, can you tell me a bit more about the problem? Where is the sunburn and
how bad is it?

Patient: Well, the skin around my neck and shoulders is very red; it hurts and is very
painful too touch. There is some swelling too which I noticed when I looked in the mirror.

Pharmacist: I see, and when did your skin get burnt?

know that

Pharmacist:

Patient: Severe?

Pharmacist: Do you have flu? Do you r have any headaches or

nausea ?

Patient: Well, there are no chills; two days ago, there was some fever but, when I took
paracetamol, my temperature bec

Pharmacist: Did you take anything else for your sunburn?

My
friend saw how red it was and told me to get some medication for it.

Pharmacist: Oh, I s

I thought it could be
because of the high temperature I thought my skin was just hot. Most of the time, I am
out hen I began to feel some kind of
s blistering on the skin
 Pharmacy Speaking Tests 6 - 10

Pharmacist: I would suggest that you use this cream for the next few days. This cortisone
cream is going to help you a lot, it can be very effective in treating sunburn; use it for a

Patient: Oh, will it have any side effects?

but, if the
redness increases, then you must stop using it and consult the doctor. Sometimes, there
can be a reaction, but this is quite rare.

Patient: And I feel pain too, will pain relievers be effective?

Pharmacist: I would recommend that you take some pain killers as well; some of the
common pain killers include: aspirin, naproxen or ibuprofen I would say take aspirin, this

Patient: OK, tha

Pharmacist: And please, take note that if it lasts for one more week, then you must get in
touch with your doctor. Also, take great care in the future and always wear sun protection
when you are out in the sun.

End of the Script

 Pharmacy Speaking Tests 6 - 10

Speaking Test 10:

This is just a sample script. The real conversation may involve a different dialogue
between the role-pl

Pharmacist: What can I do for you today?

Patient: Ah, I am looking for eye drop

Patient: Well, yes, I used

Pharmacist: And what was that?

Patient: It was called My friend recommended it.

Pharmacist: And why did you discontinue the use of it?

Patient: Because my eyes started to get really itchy after I used th

drops two or three times in the past week and then I noticed that the redness of my eyes
increased more an

Pharmacist: Have you checked the expiry date on it?

Pharmacist: Oh, it is not good to use or take anything with

 Pharmacy Speaking Tests 6 - 10

Patient: I

Pharmacist: Can you tell me more ? Do you

wear spectacles?

Pat

Pharmacist: Have you had any injuries near your eyes?

Pharmacist: Apart from Optrex, have you used anything else?

months ago, I had a very

similar problem, and I used another eye drop suggested by my friend. It provided me with

Pharmacist: Well, I would sugge ffective for

Pharmacist: And one more thing, I must tell you that the use of any eye drops for a long
period of time is not good; this can worsen the problem. The redness or the itching may
increase if you over-use the drops. It is always best to see a doctor, just to be on the safe
side.

Patient: Will there be any side effects of this eye drop?

Pharmacist: Yes, the

Pharmacist: I must say, every eye drop will have some side effects. There can be sudden or
occasional eye pain; there can be some change in vision too; redness or irritation of the

Patient: The eye drop I used really irritated me a lot - the redness you see now in my eyes
is the r
 Pharmacy Speaking Tests 6 - 10

Pharmacist - this eye drop is going to work for you; whatever you were using
must have expired, I think. You must always make sure that you check that.

Patient: Well, I hope this will work for me.

Pharmacist: I am sure it will e, take my advice and have a chat with your doctor
as well.

Patient: Yes, I will.

Pharmacist: Thanks a lot.

Patient: Thanks.

End of the Script

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