Professional Documents
Culture Documents
Extract 1: Questions 1 to 12
You hear a doctor talking to a patient called Mr. Jonathan. For questions 1 to 12, complete the
following notes with a word or short phrase.
Age : 50
Symptoms &disease : jaw pain. (numbness and tingling along the jaw, teeth and tongue)
Patient’s description of symptoms: pain and numbness in jaw for the past six months
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: no spasm on jaw
Medications : Tylenol
Physical examination : Blood pressure is 138/82, pulse 64, temperature 98.3, weight 191
pounds
: decreased sensation to left jaw extending to the left lateral tongue and
Left (8)
Extract 2: Questions 13 to 24
You hear a physician talking to a patient called Mr. Tulensru. For questions 13 to 24,
complete the following notes with a word or short phrase.
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Age : 63
Symptoms &disease : symptoms of heart failure, stress & fatigue, shortness of breath
Patient’s description of symptoms: shortness of breath with exertion. feeling stressed and
fatigued
Medical history : had (14) surgery 7 years ago. Had trauma to his
(15)
Allergies : none
Physical examination : blood pressure is 120/70 in each arm, pulse is 80 beats per minute
: first and second heart sounds are normal, has a fourth heart sound and a
(18) Precordial impulse is enlarged
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: (20) was 19.7 milliliters per kilogram of body mass per minute, that is
consistent with mild cardiopulmonary disease.
: post-stress ejection fraction is 33% & left ventricular cavity appears enlarged
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Part B
In this part of the test, you will hear six different extracts. In each extract, you’ll hear people
talking in a different healthcare environment.
For questions 25 to 30 choose the answer (A, B, or C) which fits best according to what you
hear. You will have time to read each question before you listen to the audio. Complete the
answers as you listen the audio.
Extract 1
A. Intrinsic azotemia
B. Prerenal azotemia
C. Postrenalazotemia
ANSWER:
Extract 2
(26) You hear a physician explaining to his nurse about bilirubin blood level.
C. Enzyme deficiency results in Gilbert’s syndrome, making the sclerae appear yellow.
ANSWER:
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Extract 3
(27) You hear a physician explaining to his nurse about celiac disease.
C. Gluten free diets are the best method to get rid of celiac disease.
ANSWER:
Extract 4
(28) You hear a physician briefing his junior staff about Precision Medicine.
A. Precision medicine strategy is in increase to treat the disease based on the genes and
environment of each patient.
B. Precision medicine is not a new strategy, it has been in practice for many years, for instance,
in blood transfusion.
C. The role of precision medicine in disease treatment has been very rare so far.
ANSWER:
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Extract 5
(29) You hear a physician briefing his junior staff about alopecia areata.
A. Alopecia totalis
B. Alopecia universalis
C. Alopecia areata
ANSWER:
Extract 6
(30) You hear a physician briefing his junior staff about cytochrome c oxidase deficiency.
A. Hepatomegaly
B. Myopathy
C. Hypotonia
ANSWER:
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Part C
In this part of the test, you'll hear two different extracts. In each extract, you'll hear health
professionals talking about specific aspects of their work.
For questions 31 to 42 choose the answer (A, B, or C) which fits best according to what you
hear. Complete the answers as you listen the audio.
Extract 1
Questions 31 to 36
You hear the doctor briefing his staff about the Different types of Biopsies used in Cancer
Diagnosis.
B. The diagnosis in fine needle biopsy can be made on the same day at times.
C. Needle used in fine needle aspiration are slightly larger than that used in core aspiration.
ANSWER:
A. Core biopsy
ANSWER:
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A. Excisional biopsy
C. Incisional biopsy
ANSWER:
(34) A vertical cut is made from the upper to lower abdomen to remove samples through;
A. Laparotomy
B. Mediastinoscopy
C. Laparoscopic biopsy
ANSWER:
A. Laparotomy
B. Excisional biopsy
C. Shave biopsy
ANSWER:
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A. Lymph nodes are the primary parts that are affected due to cancer metastasis.
C. Sentinel lymph node mapping helps to decide which lymph nodes to remove for biopsy.
ANSWER:
Extract 2
Questions 37 to 42
You hear the doctor giving a lecture to the junior doctors on different types of Kaposi
Sarcoma.
(37) Which of the following type of blotches are not formed by abnormal cells of Kaposi
sarcoma?
A. Purple blotches
B. Black blotches
C. Brown blotches
ANSWER:
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A. Neck
B. Leg
C. Hands
ANSWER:
A. A patient is considered to have AIDS when Kaposi sarcoma occurs in the HIV patients.
B. AIDS outbreaks occur only when the virus completely damages the immune system.
ANSWER:
ANSWER:
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ANSWER:
ANSWER:
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