REVISION 1

I. Choose the best answer A, B, C or D to complete the following sentences.

1. I have been having these terrible …………….

A. back pain B. back hurts *C. backaches D. backache

2. I can see the rash …………… worse. It’s …………… redder.

*A. is getting / much B. is getting / many

C. get / much D. get / many

3. The word “clavicle” is the technical terms for …………..

*A. collar bone B. gullet C. breastbone D. tummy / belly

4. When taking history of the presenting complaint (HPC), the question “Does the pain spread
anywhere else?” is used to ask about ………….. of pain?

A. site *B. radiation C. severity D. duration

5. When taking history of the presenting complaint (HPC), the question “Can you tell me what the
pain is like?” is used to ask about ………….. of pain?

A. site B. radiation *C. character/severity D. duration

6. I …………… in bed for four weeks now. I haven’t been out of it once, doctor.

A. lie B. is lying C. have lain *D. have been lying

7. The word “navel / belly button” is the non-technical terms for …………..

*A. umbilicus B. intestines C. carpus D. patella

8. She can’t walk properly. She’s got a pain in her …………..

*A. calcaneus B. oesophagus C. carpus D. clavicle

9. When taking history of the presenting complaint (HPC), the question “How long have you had the
pain?” is used to ask about ………….. of pain?

A. site B. radiation C. severity *D. duration

10. When taking history of the presenting complaint (HPC), the question “Is there anything which
makes the pain worse?” is used to ask about ………….. of pain?

*A. exacerbation B. alleviation C. onset D. trigger

11. BP: 100/70mm/Hg. The abbreviation of BP stands for ……………

*A. blood pressure B. beyond petroleum

C. boiling point D. basic point

12. A practice is run by a …………….

A. health visitor *B. practice manager C. receptionist D. general practitioner

13. …………… visit those …………… are housebound or those recently discharged from hospital and/ or
dress wounds.

A. Practice nurses / where B. Midwives / that

*C. District nurses / who D. Health visitors / which

14. The phrase “highly trained” in the sentence “My team is very highly trained” is closest in
meaning to ……………

*A. very skilled B. very skillful

C. Both A and B are correct D. Neither A nor B is correct

15. The phrase “next of kin” in the sentence “When patients arrive for the first time, information of
next of kin is taken for contact in case of emergency” is closest in meaning to ……………

A. relatives B. the closest relatives

*C. Both A and B are correct D. Neither A nor B is correct

16. The coughing started five days ago and it …………… so bad it …………… me up every night.

A. was / woke B. is / wakes

C. has been / woken *D. has been / has woken

17. When …………… the attacks first ……………?

A. have / come on B. do / come C. are / coming on *D. did / come on

18. An important link between hospitals, GPs, and other health professionals involved in antenatal
care is the…………….

A. practice nurse *B. midwife C. district nurse D. health visitor

19. In presenting complaint (PC) the tense of Present Simple is used to ……………

*A. cover the recent history and ask about each time the pain happens.

B. emphasize that the action is still happening around the time of PC

C. relate the time up to now and cover the recent history

D. emphasizes that it has been happening before and round the PC

20. In presenting complaint (PC) the tense of Present Perfect is used to ……………

A. cover the recent history and ask about each time the pain happens.

B. emphasize that the action is still happening around the time of PC

*C. relate the time up to now and cover the recent history.

D. emphasizes that it has been happening before and round the PC

II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer A or B.

1. During a DOPs, a trainee must not seek help from anyone else.

A. T B. F

2. For a first ward round with a consultant, check that all the case notes, investigations, and so on
are on the ward in that way you can access information easily.

A. T B. F

3. For a first ward round with a consultant, invite a nurse who knows your patients to come on the
ward rounds in that way you can access information easily.

A. T B. F
4. The timing, the procedure, and the observer are chosen partly by the trainee on the practical
DOPs.

A. T B. F

5. For a first ward round with a consultant, find out from the bed managers if any patients have been
moved and to where to avoid wasting time… running around looking for patients.

A. T B. F

6. The description of “like a tight hand around my head” is associated with tension headache.

A. T B. F

7. Locum GP is a GP who stands in for another doctor who is temporarily away on holiday or off sick.

A. T B. F

8. “Breathlessness” and “night and morning coughing” are signs of asthma.

A. T B. F

9. Ward round is a regular visit to patients in hospital by medical staff for the purpose of making
decisions concerning patient care.

A. T B. F

10. All necessary equipment needs to be present. A missing instrument in the middle of a procedure
may cause problems.

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.

professionals nor significant disability diet

clarity disseminate type doctors

Everybody knows that (1)……………, exercise and other aspects of lifestyle play a (2)…………… role in
health. But the specifics are less well understood. To what extent does lifestyle cause or contribute
to disease and (3)……………? There is much confusion about what (4)…………… of diet or exercise is
best, not to mention how much sleep, stress or sex is ideal. (5)…………… is it clear how best to
motivate people to change their habits.

This lack of (6)…………… has inspired a growing movement to inform health (7)…………… and patients
about the importance of lifestyle in preventing and treating disease. Its aims are to (8)……………
scientific research about what it means to live well and to encourage (9)…………… and other providers
to incorporate this knowledge into their practices. (125 words)

activity such as disease cancers beverages

weaker relationship decrease effects

Scientists are still learning about the (1) ___________ between diet and lifestyle factors and the
development of may types of (2) ___________. For some cancers, (3) ___________ colon cancer,
there appear to be clear links to diet and (4) ___________ .

At this time, less is known about the (5) ___________ of diet and lifestyle factors on ovarian cancer.
In breast cancer, it appears that consumption of just a few alcoholic (6) ___________ per week may
increase the risk of developing the (7) ___________. There is some evidence that diets high in fruits
and vegetables (8) ___________ the risk for breast cancer, but the link is (9) ___________ than it is
for other types of cancers. (107 words)

IV. Read the text and choose the answer A, B, C or D to fill in the blanks with missing information.

As well as ensuring good patient care, keeping accurate medical records can protect a medical
professional from any disputes that might arise about treatment, alleged compliance breaches and
even lawsuits that might be brought against them.

In a medically-related lawsuit it is always the patient’s medical records that are examined first, and
ensuring they are accurate is a medical professional’s best defence against any allegations that might
be made. For this reason, the records should always be entered in a timely manner and never
altered or back-dated in any way.

Privacy laws also require that medical records are stored securely and made available to the patient
upon request, and keeping timely and accurate records will help to protect a practitioner from any
potential breaches of these laws.

1. Keeping accurate medical records can help to …………….

A. ensure good patient care

*B. protect a medical professional from any disputes that might arise about treatment

C. Both A and B are correct

D. Neither A nor B is correct

2. Keeping accurate medical records can protect a medical professional from ……………. things.

A. one B. two *C. three D. four

3. …………….. a medical professional’s best defence against any allegations that might be made.

*A. Ensuring the patient’s medical records are accurate is

B. the patient’s medical records are accurate

C. Both A and B are correct

D. Neither A nor B is correct

4. Keeping timely and accurate records will help to protect a practitioner from any potential
…………….. of these laws.

A. breach *B. violation

C. Both A and B are correct D. Neither A nor B is correct

5. The text is primarily about …………….

*A. personal protection thanks to keeping accurate medical records

B. accurate medical record keeping tips

C. Both A and B are correct

D. Neither A nor B is correct

Every medical professional and medical practice needs to keep accurate medical records. This is not
only vital for the provision of good patient care, but necessary for the protection of the medical
practitioner as well.

In the past, doctors kept medical notes on their patients largely to remind them of their condition
the next time the patient visited them. But with clinics now becoming the prevalent form of
healthcare, a patient may not see the same doctor on every visit; having accurate records is vital to
allow any practitioner to take over the patient’s treatment simply by referring to their records.

The absolute minimum standard for accurate medical record keeping requires that records be legible
and contain the patient’s medical history, the practitioner’s examination findings…

1. Every medical professional and medical practice needs to keep accurate medical records for
……………. reasons.

A. one *B. two C. three D. four

2. The word “This” in paragraph 1 means …………….

A. Every medical professional B. Every medical practice

*C. Keeping accurate medical records D. Neither A nor B is correct

3. In the past, doctors kept medical notes on their patients largely to ……………. their condition the
next time the patient visited them

A. make them think of B. cause them to remember

C. put them in mind of *D. All are correct

4. With clinics now …………….. becomes the prevalent form of healthcare.

*A. having accurate records B. seeing the same doctor

C. taking over the patient’s treatment D. referring to their records

5. The text is primarily about …………….

A. the importance of keeping accurate medical records

B. the reasons for keeping accurate medical records

*C. Both A and B are correct

D. Neither A nor B is correct

REVISION 2

I. Choose the best answer A, B, C or D to complete the following sentences.

1. Senior doctors ……………. any practical procedure junior doctors do and are ……………. to help them
when they have problems.

*A. supervise / available B. manage / susceptible

C. Both A and B are correct D. Neither A nor B is correct

2. For a first ward round with a consultant, find out from the bed managers if any patients have been
moved and to where ……………

A. as you want to demonstrate that you are familiar with your patients.

*B. to avoid wasting time running around looking for patients.

C. so that you can refer to them quickly.

D. because they may be more knowledgeable about the patients on the ward.

3. Before you carry out a procedure, the first thing you need to ……………

*A. obtain consent from the patient for the procedure

B. introduce yourself

C. prepare the trolley

D. explain the procedure to the patient simply and clearly

4. When describing any ……………. of events, it is often clearer to use words such as FIRST, NEXT,
BEFORE / BEFORE THAT, AFTER / AFTER THAT.

A. range B. variety *C. sequence D. All are correct

5. DOPs was ……………. by the RCP.

*A. created B. adopted C. . expected D. suggested

6. DOPs is designed to provide ……………. on procedural skills essential to the provision of good
clinical care.

*A. feedback B. food C. information D. data

7. I’d like you to ……………. for me.

A. pop *B. stand up C. tilt D. make

8. In case notes, the abbreviation of WR stands for …………….

*A. Ward Round B. World Record C. Write D. Wide receiver

9. In case notes, the abbreviation of RTA stands for …………….

A. Greater Cleveland Regional Transit Authority

*B. Road Traffic Accident

C. Rewriting Techniques and Applications

D. Real Time Analyzer

10. In case notes, the abbreviation of INR stands for …………….:

A. Intermediate Routing Node *B. International Normalized Ratio

C. Both A and B are correct D. Neither A nor B is correct

11. A junior doctor is writing ……………case history notes.

A. on B. in C. down *D. up

12. You should prepare the trolley because a missing instrument in the middle of a ……………. may
cause problems.

A. an instruction B. an explanation

*C. a procedure D. All are correct

13. The most common way of ……………. is THE IMPERATIVE

*A. giving an instruction or order B. explaining a procedure

C. Both A and B are correct D. Neither A nor B is correct

14. In case notes, the abbreviation of (T) stands for ……………. :

*A. Temperature B. True C. Time D. Teen

15. In case notes, the abbreviation of LFT stands for …………….

A. Looking for Team B. Low Function Terminal

*C. Liver Function Test D. All are correct

16. He is ……………. so he works as a ……………. at a hospital.

A. qualified / junior doctor B. newly qualified / senior doctor

C. qualified / specialist registrar (SpR) *D. newly qualified / junior doctor

17. Consent from the patient is a legal requirement …………… the procedure is invasive. The consent
may be necessary …………….

*A. where / in writing B. which / in writing

C. where / by writing D. which / by writing

18. One way to soften the effect of the imperative is to add PLEASE, ……………. at the beginning
……………. end of the instruction.

A. neither / nor B. both / and

*C. either / or D. not only / but also

19. When we want to ……………., we put “you” before the imperative.

A. give an instruction or order *B. explain a procedure

C. Both A and B are correct D. Neither A nor B is correct

20. Apart from the technical ability, a trainee needs to consider the ……………. of the patient.

*A. feelings B. age C. reason D. cost

II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer A or B.

1. Blocked nose and runny nose are signs of sinusitis.

A. T *B. F

2. The description of “excruciating / thunderclap” is associated with appendicitis

A. T *B. F

3. A general practitioner provides routine health care (e.g., physical examinations, immunizations)
and assesses and treats many different conditions, including illnesses and injuries.

*A. T B. F

4. A health visitor is a qualified nurse or midwife with post-registration experience who has
undertaken further training and qualifications in child health, health promotion, public health and
education. ...

*A. T B. F

5. The description of “aching” is associated with cluster headache

A. T *B. F
6. The questions “What seems to be troubling you?” and “What’s the problem?” are used by the
patient to ask about the presenting complaint (PC).

A. T *B. F

7. The description of “dull / persistent / vague” is associated with sub-arachnoid

A. T *B. F

8. The description of “piercing / boring” is associated with acute pancreatistis

*A. T B. F

9. A general practitioner is the administrator who runs a doctor's office, group practice, medical
clinic, hospital department and other forms of medical offices.

A. T B. F

10. The description of “extremely severe / intense” is associated with degenerative arthritis

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.

consequences likely side effect evidence immediately

benefit symptomless problem prescribed

Non-compliance in medicine taking is a long-standing (1) ___________ in all therapeutic areas,

including the treatment of cancer. There is strong (2) ___________ that, despite the introduction of
new medicines which have fewer (3) ___________ and are more convenient to use, many people
still do not take them as prescribed – even when not doing so can have life-threatening (4)
___________.

Medicines (5) ___________ for preventive purposes are especially (6) ___________ not to be taken
as prescribed. This may be because people do not feel (7) ___________ threatened and, in the case
of (8) ___________ conditions such as raised cholesterol levels and hypertension, feel no obvious (9)
___________ at the time when medicines are taken. (106 words)

symptoms illness dependent information psychological

well-being consult progressive reassure

Many patients (1) ___________ their general practitioner (GP) because they experience certain (2)
___________ and are worried that these may be indicative of serious (3) ___________. Patients with
a chronic or (4) ___________ condition often worry about the potential impact of disease on their
daily life, such as becoming (5) ___________ on others . Anxiety about illness causes (6)
___________ distress, posing a major burden to patients. Understanding how to (7) ___________
patients effectively is important because reassurance can improve patients’ health status and (8)
___________. It has also been suggested that effective reduction of anxiety helps patients to better
understand (9) ___________ given by the doctor and strengthens the doctor-patient relationship.
(103 words)

IV. Read the text and choose the answer A, B, C or D to fill in the blanks with missing information.

One of the benefits of living a healthy lifestyle is the increased amount of energy. We all want tons
of energy, but often we have a lack of it. When you live the right way, eat the right food, exercise
and live a healthy lifestyle, it increases your energy levels. Leading a healthy life is crucial to us if we
want high levels of energy, energy drinks aren't the solution to our problems. “When you have lots
of energy you are ready to conquer the world, which means you can go deal with everyday life
without feeling old. With more energy you can accomplish more of your goals, and also feel good
about yourself”.

Another of the many benefits of living a healthy lifestyle is all about good mental health. It is
important for all of us because nowadays lots of people have different mental illnesses and lack
good mental health.

1. The word “it” in paragraph 1 refers to…………….

*A. energy B. one benefit C. lifestyle D. the increased amount

2. According to paragraph 1, you can increase your energy levels if you do ……………. things properly.

A. one B. two C. three *D. four

3. ……………. cannot help us with high levels of energy.

A. Leading a healthy life *B. Energy drinks

C. Living the right way D. Eating the right food

4. The word “conquer” in paragraph 1 is closest in meaning to…………….

A. successfully climb B. successfully overcome

*C. take control of D. None is correct

5. The text mentions …………….. of the benefits of living a healthy lifestyle.

A. one *B. two C. three D. four

DOPs (Direct Observation of Procedural Skills) is designed to provide feedback on procedural skills
essential to the provision of good clinical care. Trainees will be asked to undertake four to six
observed encounters or procedures, during the year with a different observer for each encouter. The
assessors include among other experienced specialists, appropriate nursing staff, or consultants in a
secondary care setting. The estimated time taken by each procedure is 20 minutes (i.e. 15 minutes
for the assessment and 5 minutes for feedback)

Each DOPs should represent a different procedure and trainees should choose from each of the core
problem groups identified in the F2 curriculum by the end of the year. The trainee chooses the
timing, procedure, and observer.

1. DOPs (Direct Observation of Procedural Skills) is designed to provide feedback on …………….

*A. procedural skills which are important to the supply of good clinical care

B. procedural skills

C. Both A and B are correct

D. Neither A nor B is correct

2. Trainees will ……………. four to six observed encounters or procedures, during the year with a
different observer for each encouter.

A. ask to undertake *B. be supposed to take on

C. Both A and B are correct D. Neither A nor B is correct

3. The word “encounters” in paragraph 1 means …………….

A. session B. meeting

*C. Both A and B are correct D. Neither A nor B is correct

4. The word “core” in paragraph 2 means …………….

A. main B. central C. primary *D. All are correct

5. There are ……………. things during each DOPs the trainee can choose.

A. one B. two *C. three D. four