Professional Documents
Culture Documents
2. Dr Kamara sensed that the team thought she was ......................... because she let them down:
she made mistakes ........................and was late on several occasions.
A. unreliable / on the ward B. Reliable / in the room
C. respectful / on bed D. Dishonest / on ward
3. ………………… is used to show that you would do to improve on your experience when you
reflect on your experience.
A. The First Conditional (A) B. The Second Conditional (B)
C. Both A and B are correct D. Neither A nor B is correct
4. Many of the parents she deals ......................... are anxious ......................... vaccinations.
A. about / with B. with / of C. on / about D. with / about
5. It was difficult for Dr Ahmed to talk about herself because she ......................... her cultural
background.
A. finds it alien to B. finds alien to it C. found alien to it D. found it alien to
6. Pat is ........................ . She dresses in quite extravagant and formal clothes with bright colours.
A. aggressive B. distracted C. flamboyant D. anxious
7. He appeared ........................ throughout the interview, looking out of the window as if he was
hearing voice.
A. aggressive B. distracted C. flamboyant D. anxious
8. Mrs Scott was well-known to the police. They ........................ her once before and had brought
her to the hospital.
A. arrest B. arrested C. have arrested D. had arrested
9. Had you ........................ your mind ........................ your future career when you were at
secondary school?
A. made up - about B. make up – about C. decided - on D. decide - on
10. He ........................ his internship by the time he left his home country.
A. have not completed B. has not completed
C. had not completed D. None is correct
11. Mrs Allen was just scared her son’s condition ………………… something serious.
A. might be B. can be C. be possible D. be able
12. Doctors usually use a combination of open and closed questions to help clarify
………………… answers that patients give.
A. clear B. vague C. different D. All are correct
16. The doctors administer ........................ to the patient to destroy harmful bacteria in his body
or limit their growth.
A. antibiotics B. analgesic C. antiemetic D. sedative
17. Previously, I had worked in a rural hospital ........................I moved to the capital.
A. however B. otherwise C. and then D. even though
18. The patient is very aggressive. She is very argumentative. The description is related
to .........................
A. mania B. psychosis C. depression D. anxiety
19. The patient is flamboyant. She dresses in quite extravagant and formal clothes with bright
colours. The description is related to .........................
A. mania B. psychosis C. depression D. Anxiety
20. The reason why the skill of “knowing how to use one’s own daily life skills” is important to a
psychiatrist is .........................
A. To re-teach skills of daily living to the patients as they prepare for discharge.
B. Taking time to listen to the patient helps the patient and develops trust.
C. The patient may then be more co-operative and open to treatment.
D. To avoid alienating the patient.
II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer
A or B.
1. Varicella is the medical equivalent of chickenpox.
A. T B. F
3. Symptoms like fever, conjunctivitis, cough, and a runny nose might relate to measles.
A. T B. F
4. Symptoms like a strong breath-in sound and coughing fits with vomiting might be related
pertussis.
A. T B. F
5. In the non-technical term “German measles”, the word “German” comes from germane,
means “closely related to”.
A. T B. F
III. Read the doctor’s report below and choose ONE suitable word from the given
ones to fill in each numbered blank.
Listening is one of (1) _____guidelines______ for helping patients talk about (2)
______feelings_____ and an active process. When expressing emotions, patients may feel (3)
___hesitant________ to open up, or may feel as if they might be (4) ____annoying_______, or
going too far, with the listener. (5) ___psychiatrists________ have to show that they are tuned
into the patient through physical and (6) ____verbal cues_______. Physical cues include
making direct eye contact, making appropriate facial (7) ______expressions_____ to show an
emotional response, and gestures like nodding. Verbal cues include asking questions, and
responding (8) ____briefly_______ with encouragers like ‘ok’ and ‘uh huh.’ Most likely, the
more active the healthcare professional is in listening, the more likely the (9)
__patient_________ will be open and honest.
IV. Read the text and choose the answer A, B, C or D to fill in the blanks with
missing information.
Work in any type of medicine requires patience, but this trait is front and center when it comes to
pediatricians. Many children are scared to be at the doctor's office, and it can be difficult to get
them to cooperate with procedures, whether it’s a quick vaccination or getting them prepared for
surgery. Pediatricians need to have a way with kids, including finding ways to honestly and
calmly explain medical procedures to them. That same calm, patient manner can come in handy
when dealing with frustrations such as paperwork and other administrative matters common to
all types of doctors.
Working as a pediatrician can also put a doctor face to face with some difficult situations
involving the health and well-being of young patients. To deal with these cases professionally,
pediatricians need to be able to separate their emotions from their work.
4. It is common for all types of doctors to have patient manner when …………….
A. explaining medical procedures to patients (A) B. dealing with frustrations (B)
C. Both A and B are correct D. Either A or B is correct
REVISION 2
I. Choose the best answer A, B, C or D to complete the following sentences.
2. Some of the questions may seem a bit simple, but if you ........................, it won’t take long.
A. just bear with me (A) B. are patient enough (B)
C. Both A and B is correct D. Neither A nor B is correct
6. The mother’s statement “He’s not himself at all. I’ve never seen him like this before” might
relate to .........................
A. photophobia B. neck stiffness C. abnormal mood D. raised temparature
7. The mother’s statement “He’s been making these odd movements” might relate
to .........................
A. photophobia B. neck stiffness C. seizures D. raised temparature
8. Not everyone responds to preventive measures in the same way. If we know patient’s
…………………, we can assess which different measures are most suitable.
A. psychology and genetics (A) B. psychology and immune (B)
C. Neither A nor B is correct D. Both A and B are correct
9. ………………… are generally used at the beginning of the history and later, when the doctor
wants to encourage patients to talk about something vague they have said.
A. Closed question (A) B. Open questions (B)
C. Neither A nor B is correct D. Both A and B are correct
10. ………………… are used in a patient-centred approach to taking a history, where patients
are encouraged to talk about their illness, much like creating a narrative
A. Closed question (A) B. Open questions (B)
C. Neither A nor B is correct D. Both A and B are correct
13. Antibody responses from ……………….. studies may be higher, however, than clinical
protection under routine use.
A. pre-permission B. pre-clinical trial C. pre-registered D. pre-licence
14. I feel and look fine. I don’t understand why ………………… stay in hospital.
A. do I have to B. I have to C. I must to D. must I to
15. A relationship of trust between doctors and patients ………………… to encourages the
patient to explain their problems ………………… and clearly.
A. should build - full B. should build - fully
C. should be built - full D. should be built - fully
16. I wish I hadn’t taken the tablets ........................ the first place.
A. in B. on C. at D. to
19. The reason why the skill of “developing the patient’s trust” is important to a psychiatrist
is .........................
A. To re-teach skills of daily living to the patients as they prepare for discharge.
B. Taking time to listen to the patient helps the patient and develops trust.
C. The patient may then be more co-operative and open to treatment.
D. To avoid alienating the patient.
20. Some patients with ......................... sometimes wear flowers on their head .........................
they had been winner of a game.
A. depression – as though B. mania – as if
C. psychosis – as if D. anxiety – as though
II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer
A or B.
1. If it were epiglottitis, the patient would have a really bad barking cough.
A. T B. F (croup)
3. The basic difference between croup and epiglottitis is croup has the onset over a few days,
stridor when upset while epiglottitis has the sudden onset, continuous stridor.
A. T B. F
5. DTs is a severe form of alcohol withdrawal which causes body tremors and changes in mental
state such as confusion, agitation, and anxiety.
A. T B. F
III. Read the doctor’s report below and choose ONE suitable word from the given
ones to fill in each numbered blank.
IV. Read the text and choose the answer A, B, C or D to fill in the blanks with
missing information.
When physicians are uncomfortable in giving bad news they may avoid discussing distressing
information, such as a poor prognosis, or convey unwarranted optimism to the patient. A plan for
determining the patient's values, wishes for participation in decision-making, and a strategy for
addressing their distress when the bad news is disclosed can increase physician confidence in the
task of disclosing unfavorable medical information. It may also encourage patients to participate
in difficult treatment decisions, such as when there is a low probability that direct anticancer
treatment will be efficacious. Finally, physicians who are comfortable in breaking bad news may
be subject to less stress and burnout.
.
1. Physicians may avoid discussing distressing information ……………. they are uncomfortable
in giving bad news.
A. in case (A) B. if (B)
C. Both A and B are correct D. Neither A nor B is correct
2. When physicians are uncomfortable in giving bad news they may ……………. .
A. make a poor prognosis (A) B. convey unwarranted optimism to the patient (B)
C. Both A and B are correct D. Neither A nor B is correct
5. Physicians who are in breaking bad news may be subject to less stress and burnout.
A. comfortable (A) B. uncomfortable (B)
C. Both A and B are correct D. Neither A nor B is correct
REVISION 3
I. Choose the best answer A, B, C or D to complete the following sentences.
2. ………… that you are …………up your note, but can I just check something with you?
A. I can see / writing B. I could see / written
C. Can you see / writing D. Excuse me / write
6. A doctor in training needs to show that he / she appreciates the perspective of different
…………, medical and non – medical.
A. criteria B. organizations C. languages D. disciplines
8. After attending the Syllabus and Competence course, medical students can ………… effective
teamwork skill within the clinical team and in the larger medical context.
A. demonstrate B. show C. contribute D. distribute
11. Respecting all those with whom doctors work, whatever their …………, lifestyle culture,
religion, beliefs, ethnic background, etc. is one of the main skills in working with colleagues.
A. professional qualifications B. mutual understandings
C. educational problems D. qualified knowledge
12. Medical students should have a good understanding of the role of other team members in the
clinical team and understand their ………… and care philosophies.
A. competences B. clinical C. competitiveness D. capacities
13. Health workers can show the ………… where appropriate, but at the same time work
effectively with others towards a common goal.
A. leadership skills B. communication skills
C. working skills D. social skills
14. When working with colleagues, ....................... demonstrates effective teamwork skills within
the clinical team and in the larger medical context.
A. outcome / result B. outcome & result
C. perspective / point of view D. perspective / point of view
15. Health workers should listen to other health care professionals and ………… their views in
working with colleagues.
A. heed B. demonstrate C. appreciate D. mold
16. Outside work, he’s different: he’s very easy-going and relaxed. In other words, he’s very
…………..
A. cheerful and lively B. calm and carefree
C. thoughtful and kind D. friendly and sociable
17. He’s always smiling and positive about everything, even when stressed. He’s very
…………….
A. cheerful and lively B. calm and carefree
C. thoughtful and kind D. friendly and sociable
18. Dr Noori found that having a ………….. certainly helps him in doing his tasks.
A. cheerful disposition B. mindful practice
C. blunt attitude D. ambitious actions
20. Discussing the role of the voluntary sector in supporting patients, carers, and families belong
to …………….. when working with colleagues.
A. subject B. attitudes / behaviours
C. core competence and skills D. knowledge
II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer
A or B.
1. Dealing with the emotions of the patient and family is one of the aspects of a nurse working
with terminally ill patients.
A. T B. F
2. Going to the funeral of patients is a cathartic experience of any health care professionals.
A. T B. F
3. When breaking bad news, the health care professionals should encourage the patient to control
the situation by the amount of information he / she wants to be given.
A. T B. F
4. When breaking bad news, the health care professionals should check the patient understands
using all diagrams and simple language.
A. T B. F
5. From the health care professional’s point of view, allowing the patients to express their
feelings may be the key phase in the process of breaking bad news.
A. T B. F
III. Read the doctor’s report below and choose ONE suitable word from the given
ones to fill
Breaking bad news well is an (1)____essential_______ skill for all doctors, as it is something
they will do hundreds if not (2)_____thousands______ of times in their professional careers.
(3)____historically_______ was given scant attention in medical training. this is, however,
changing and consultation skills in general and the (4)______specific_____ skills need for
breaking (5)___bad news________ are now a core part of the medical school curriculum. Poor
(6)____communication_______, particularly with cancer patients, has been shown to be
associated with worse clinical and psychosocial (7) ___outcomes________, including worse
pain control, worse (8) ___adherence________ to treatment, confusion over prognosis and (9)
_____dissatisfaction______ at not being involved in decision making.
IV. Read the text and choose the answer A, B, C or D to fill in the blanks with
missing information.
Many parents and caregivers have concerns about vaccines. Some are scared that vaccines will
harm their child. Others are not sure whether their child really needs all the vaccines being given.
Parents may also feel confused by online information and comments on social media. But the
risks associated with the vaccines children receive are much, much less than those associated
with the diseases themselves.
All vaccine-preventable diseases have declined in countries with successful vaccination
programs. When vaccination rates are high, disease rates are low. But, when vaccination rates
start to go down disease and related deaths always go up.
Vaccines protect children who are immunized, and people close to them by preventing the spread
of disease.
1. According to paragraph 1, there are ……………..concerns that many parents and caregivers
have about vaccines
A. one B. two C. three D. four
2. It can be inferred from paragraph 1 that many parents and caregivers have concerns about
vaccines because they …………….
A. are scared that vaccines will harm their child
B. are not sure whether their child really needs all the vaccines being given
C. feel confused by online information and comments on social media
D. All are correct
REVISION 4
I. Choose the best answer A, B, C or D to complete the following sentences.
1. Many physicians ........................ intense emotions when they communicate bad news.
A. encounter B. experience C. undergo D. All are correct
2. If a diagnosis is ........................ in some way, patients may literally feel that their lives may be
at risk.
A. life-threatened B. life-threatening C. living-threatened D. living-threatening
3. If you are signed........................ as a donor and have a donor card, please remember to tell
your family.
A. off B. away C. up D. in
4. Physicians are unable to accurately detect patient ........................ in bad news encounters.
A. distress B. distressed C. distressing D. distressful
5. Patients desire a balance of ........................ and honesty when receiving bad news.
A. sensitive B. sensible C. sensitivity D. sensory
6. Physicians must be alert for situations ........................ their cultural beliefs and values may
differ from those of their patients.
A. that B. which C. in which D. by which
7. Patients need our ....................... in all circumstances, not just when they are facing bad
outcomes.
A. kindness B. apathy C. empathy D. ignorance
8. It’s not what I wanted to hear but I suppose I knew it all along.
The phrase “all along” in the above sentence is as close as possible in meaning to........................
A. for all time B. from the very beginning
C. for the time being D. of all time
9. Bad news delivered ........................ can impair patients' and relatives' long-term adjustments to
the consequences of that news.
A. inadequately or insensitively B. inadequate or insensitive
C. adequately or sensitively D. unadequately or unsensitively
11. My father has refused to accept that anything was wrong with him. I think it is his way
of ........................ the situation.
A. refusing B. keeping C. holding D. coping with
12. I felt angry at first, but I suppose I knew all along something was wrong so I
quickly ........................ myself to the fact that I had cancer.
A. shocked B. was numbed C. resigned D. denied
13. I felt so ........................ somehow. It was as if the diagnosis had cut me off from my
surroundings and family.
A. numb B. shocked C. fearful D. isolated
14. When we hear bad news, a common reaction is to double or ........................ what we have
heard.
A. isolate B. shock C. separate D. disbelieve
15. I was so afraid I lost control of myself. I didn’t know what to do. I just panicked.
The word “panicked” in the above sentence is as close as possible in meaning to........................
A. surprised B. denied C. feared D. resigned
16. One source defines bad news as “any news that ........................ alters the patient’s view of
her or his future.”
A. drastic and negative B. drastically and negatively
C. drastically and negative D. drastic and negatively
18. Keep the patient ....................... feeling alone, and assure him or her that any potential
rehabilitation that will help is possible.
A. under B. in C. from D. off
19. The news left me feeling totally numb. I couldn’t feel anything at all.
The word “numb” in the above sentence is as close as possible in meaning to........................
A. loss of control B. being stunned
C. not believing D. not totally able to feel anything
20. The care we provide is free and we work ........................ conjunction with GPs and other
health professionals.
A. in B. on C. for D. at
II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer
A or B.
2. A genuine team bears close cooperation for its errors without pointing the finger of blame.
A. T B. F
3. Close cooperation is required between all the members in the clinical team.
A. T B. F
4. When breaking bad news, the health care professionals should find out what the patient or
family knows about the situation.
A. T B. F
5. The patient’s perception of the news to be shared will determine how the news is conveyed to
the patient.
A. T B. F
III. Read the doctor’s report below and choose ONE suitable word from the given
ones to fill in each numbered blank.
Diversity is important in any field, and the nursing (1) ___industry________ is an exceptional
example of why. The patient (2) ______demographic_____ is as diverse as this country’s
population. An ethnically and culturally (3) _______diverse___ applicant pool leads to more
diverse and culturally sensitive healthcare (4) _____providers______ - and happier, heathier
patients. (5) ______What’s more_____, many studies have shown that diverse groups are better
problem solvers and are more prepared, which is very important in healthcare!
When (6) ___nurses________ recognize cultural sensitivities, they can be proactive about
helping patients with personal and cultural (7) ___practices________. Patients may have a
particular cultural background or language (8) ______barrier_____ that affects the provider’s
approach. For example, an Iraqi woman wearing a hijaab might appreciate seeing a female
doctor who would know to draw the curtains and take other steps to prioritize (9)
______modesty_____.
IV. Read the text and choose the answer A, B, C or D to fill in the blanks with
missing information.
Teamwork becomes an important health intervention for a number of reasons. First, clinical care
is becoming more complex and specialized, forcing medical staffs to attempt complicated health
services and quickly learn new methods. Aging populations, the increase of chronic diseases like
diabetes, cancer, and heart disease have forced medical staffs to take a multidisciplinary
approach to health care. Secondly, researchers have found that working together reduces the
number of medical errors and increases patient safety. No longer is one person responsible for
the patient’s health; today, an entire team of health workers comes together to coordinate a
patient’s well-being. Third, because teamwork is centered on solid communication, patients and
their families sometimes feel more at ease and report they accept treatments and feel more
satisfied with their health care. Health workers are also found to be more satisfied with their
work.