Practice Test 5 READING SUB-TEST — QUESTION PAPER: PART A TIME: 15 MINUTES INSTRUCTIONS TO CANDIDATES: DO NOT open this Question Paper or the Text Booklet until you are told to do so. Write your answers on the spaces provided on this Question Paper. You must answer the questions within the 15-minute time limit. One mark will be granted for each correct answer. Answer ALL questions. Marks are NOT deducted for incorrect answers. At the end of the 15 minutes, hand in this Question Paper and the Text Booklet. DO NOT remove OET material from the test room. Text A Morgellons disease If you have fatigue, skin lesions, aches and pains and a sensation that insects are crawling around under your skin, you most probably have Morgellons disease. But this disease may actually not exist. Whether or not Morgellons is areal disease, no one knows. Something like the symptoms described above, supplemented by the appearance of strange fibres or filaments growing on or just beneath the skin, was reported by the 17th-century physician Thomas Browne. There were no other reported cases, and the disease seemed to disappear. Then, in 2002, the mother of a child with a skin ailment championed its comeback. Her child, she insisted, had Morgellons. Delve into the medical literature, though, and Morgellons disease is frequently described as “unexplained dermopathy” or “delusional parasitosis” a psychiatric illness that results in people mistakenly believing their skin tobe infested with parasites. We may soon find out more. The US Centers for Disease Conwol and Prevention (CD is in the middle of a large, systematic study into Morgellons. ‘The study aims to determine whether there is actually a physiological basis to the disease. The CDC is keeping an open mind on Morgellons, says Michele Pearson, who is leading the study. “CDC has approached this as an unexplained condition,” she says. Goto “1? £2” 63" gr 65" 8G" 87” 8” 6G “0” Questions 47%] 29%] 3%] 4764 51 G1 7211920)” Text B CDC, Kaiser to study puzzling illness ‘The Centers for Disease Control and Prevention and Kaiser Permanente‘s Northern California Division of Research announced they are launching a study to learn more about an unexplained skin condition called Morgellons disease. The CDC will identify patients with the condition in Kaiser‘s Northern California health plan, The study is expected to take at least 12 months. Reports of cases have been made in every state and 15 countries. Many reported cases have been clustered in California, Texas and Florida, according to the Mayo Clinic. Goto “17 82” $3" <4" 5° GP #7" BY 8g” JO" Questions] 1 213" 1.4715" 1G" 17181920” Text C Delusional Parasitosis Delusional Parasitosis is an uncommon psychiatric disorder presented by persons with an unremitting false belief that they are infested with ectoparasites or infected with endoparasites. The delusion is usually long- standing and well integrated into the patient’s persona. Patients with the disorder are predominantly older women, although younger people and men can be affected. Most cases involve patient beliefs that the skin has been invaded by insects, but some involve delusions that internal parasites are the cause of their condition,Goto “1” £2” 3% 4h 65" 6G" 67” 68" G0” Questions] 1121 3"1.4" 151 6"1 71819" TextD The causes for the disorder are not clear, but sufferers are generally of average or higher intelligence and are otherwise functional. Patients with delusional parasitosis generally have a long history of visiting physicians seeking information of their diagnosis and help with their condition. The patients have certain characteristics or exhibit behaviors that strongly suggest the presence of the disorder. Moreover, these patients can be antagonistic and relentless in their need to find someone who will agree with their self- diagnosis and help them. Because these delusional patients may seek help from nomphysician medical professionals, such as parasitologists, clinical microbiologists, entomologists, or biologists, such individuals should be aware of this disorder. Delusional parasitosis can be treated with antipsychotic medication and psychiatric consultations but generally does not respond well to such treatment. Goto “1” £2” 63% 64h 65" 6G" 67 68" &G" 40” Questions y 47% 49%] 3%] 47] 511. 72181920)” Part A TIME: 15 minutes * Look at the four texts, A-D, in the separate Text Booklet. * For each question, 1-20, look through the texts, A-D, to find the relevant information. * Write your answers on the spaces provided in this Question Paper. * Answer all the questions within the 15-minute time limit. * Your answers should be correctly spelt. QUESTIONS Questions 1-7For each question, 1-7, decide which text (A, B, C or D) the information comes from. You may use any letter more than once. Tn which text can you find information about 1. what is the minimum expected time period for CDC’s study to learn more about Morgellons disease? Go Text “Test “Text Text wo gE & gr 2. what are the treatments for Morgellons disease? Go SText Text Text ‘Test o 2 BC DP 3. name the places where Morgellons disease reported so far? Go “Test “Test “Test “Te o AR oe Dp 4. what is the aim for CDC’s study to learn more about Morgellons disease? Go Text “Text “Text wo Ay aD 5. which are the age groups predominantly affected by Morgellons disease? Go “Test “Tost “Test “Te o 2 BC Dp 6. what is the current approach of CDC’s towards Morgellons disease? “Test ina 7. what are the other names of Morgellons disease? Go “Tot “Tet “Test “Te wo Av BC De Questions 8-13 Answer each of the questions, 8-13, with a word or short phrase from one of the texts, Fach answer may include words, numbers or both.8. Who reported a medical condition similar to Morgellons disease for the first time? Go “Test ‘Test “Tost “Test o 2 B & bP 9, Name the person who leads CDC’s study to learn more about Morgellons. disease? Go “Text “Test “Test “Te to AP B C DY 10, Name the type of medications used to treat Morgellons disease? Go Test “Test “Test “Tost 6 2 FE Cor 11. How many countries reported Morgellons disease? Go “Text Text “Text to x g Qr 12. Name the type of illness under which the Morgellons disease is classified? Go “Test “Tost “Test ‘Tost o 2 BP CC Pp 13. what is the popular delusion of the people affected by Morgellons disease? Questions 14-20 Complete each of the sentences, 14-20, with a word or short phrase from one of the texts. Each answer may include words, numbers or both. 14. Morgellons clisease is frequently described as_ or “delusional Parasitosis”, G@ £ Test Test Tost wo gE & gr 15. Morgellons disease is a psychiatric illness that results in people mistakenly believing their skin to be infested withGo “Text “Test “Test “Te to AP B ce Qr 16. Many reported cases have been clustered in California, Texas and Florida, according to the Go “Text “Text “Text “Text to Av BF . 17. The will identify patients with the condition in Kaiser California health plan. Northern Go “Tot Test “Test Te o 2 BB Cc pT 18. The delusion is usually long- standing and well integrated into the patient’s. Go Text Test “Text “Test o LY PF ec pT 19, Patients with delusional parasitosis generally have a long history of Go “Tet Test Teste o AB oc DP 20. Patients with delusional parasitosis can be antagonistic and Go “Text “Text “Test “Te to A B QY “Practice Test 5”Pri T READING SUB-TEST — QUESTION PAPER: PART B & C TIME: 45 MINUTES INSTRUCTIONS TO CANDIDATES: DO NOT open this Question Paper or the Text Booklet until you are told to do so. Write your answers on the spaces provided on this Question Paper. You must answer Part B & C within the 45-minute time limit. One mark will be granted for each correct answer. Answer ALL questions. Marks are NOT deducted for incorrect answers. At the end of the 45 minutes, hand in this Question Paper and the Text Booklet. DO NOT remove OET material from the test room. Part B In this part of the test, there are six short extracts relating to the work of health professionals. For questions 1-6, choose the answer (A, B or C) which you think fits best according to the text. Electronic Diagnostic Equipment There are many items of equipment in a hospital that use electronics for operation. The maintenance of such equipment is a task for specialised and trained staff. However, regular inspection and cleaning will help such equipment last for a long time and deliver safe function. These are tasks that the equipment user can carry out and should be done regularly, as laid out on the checklists on the next pages. ‘The types of equipment that might beincluded in this category are for instance audiometers, blood gas analyzers, cardiac monitors, cryoprobes, infusion pumps and stimulators. ‘The steps in this section can also be applied to most laboratory equipment, although it should be noted that the WHO publication Maintenance Manual for Laboratory Equipment deals with these in much better detail. 1. The type of equipment that might not be included in the category of Electronic Diagnostic Equipment is A. cardiac analyzers B. stimulators C. audiometers Electrosurgical Units (ESU) and Cautery Machines Electrosurgery is the application of a high-frequency electric current to biological tissue as a means to cut, coagulate, desiccate, or fulgurate tissue. Tts benefits include the ability to make precise cuts with limited blood loss in hospital operating rooms or in outpatient procedures. Cautery, or electrocautery, is the application of heat to tissue to achieve coagulation. Although both methods are sometimes referred to as surgical diathermy , this chapter avoids the term as it may be confused with therapeutic ciathenmy, which generates lower levels of heat within the body. 2. What does this manual tell us about electrocautery? A. make precise Cut with limited blood loss B. uses high-frequency electric current C. application of heat to tissue to achieve coagulation Endoscopy Endoscopy means looking inside the body using an endoscope, an instrument used to examine the interior of a hollow organ or cavity of the body. Endoscopes are inserted directly into the organ. An endoscope can consist of a rigid or flexible tube, a light delivery system (light source), an optical fibre system, a lens system transmitting the image to the viewer, an eyepiece and often an additional channel to allow entry of medical instruments, fluids or manipulators, There are many different types of endoscopy, including arthroscopy, bronchoscopy, colonoscopy, colposcopy, Cystoscopy, laparoscopy and laryngoscopy.3, What does this extract from a handbook tell us about endoscopes? A. are inserted directly into the organ B. used to examine the exterior of a hollow organ or cavity of the body C. there are mainly 7 types Messaging standards Messaging is the electronic communication of health information from the point of collection or storage to a point of use. This can be a short distance such as within a clinic or larger distances across facilities or districts. Messages can be used to retrieve historical data as well as current data. A health message includes health data that is expressed ina standard vocabulary. It may also include metadata about the definitions or environment of the data. The message itself is ina precisely defined format so that it can be received by a computer program which will understand its meaning, 4. The email is reminding staff that the A. health message should include health data expressed in a standard vocabulary B. health message should include metadata about the definitions or environment of the data C. health message should be precise in any format to be received by a computer program Communication skills during medical examination An appropriate contact with the patient requires applying professional knowledge about psychological aspects of interpersonal relations. While examining the patient, most doctors apply just the experience or abilities to establish interpersonal contacts that have been acquired on a social level. ‘This knowledge would definitely be insufficient in unusual and problematic situations. For many years, clinical and social aspects of doctors’ psychological education have been neglected. The ability of conversation should be based on appropriate education, not only on personal intuition or own experience. 5, The notice is giving information about A. necessity of communication based on appropriate psy chological eclucationB. necessity of establishing interpersonal contacts with patient C. necessity of appropriate contact based on personal experience Liver Palpation Liver palpation is performed with the right hand placed flat under right costal chest border, parallel to the long body axis, then applying pressure at the depth of inspiration in an attempt to move under the costal border in the right middle clavicular line and towards its right side. In normal conditions, the lower liver border is not touched, During the respiration, the lower liver border is slightly moving down and upwards. Tf the liver edge can be detected on palpation, some additional features have to be determined as there are various abnormalities related with specific diseases. 6. What must all staff involved in liver palpation do? A, should place right hand flat under right chest B. should apply pressure at the depth of aspiration C. should place left hand flat under right chest Answer KeyPractice Test 7 READING SUB-TEST — QUESTION PAPER: PART B & C TIME: 45 MINUTES INSTRUCTIONS TO CANDIDATES: DO NOT open this Question Paper or the Text Booklet until you are told to do so. Write your answers on the spaces provided on this Question Paper. You must answer Part B & C within the 45-minute time limit. One mark will be granted for each correct answer. Answer ALL questions. Marks are NOT deducted for incorrect answers. At the end of the 45 minutes, hand in this Question Paper and the Text Booklet. DO NOT remove OET material from the test room. Part C In this part of the test, there are two texts about different aspects of healthcare. Choose the answer (A, B, C or D) which you think fits best according to the text. Tufts University faculty debunks common dental myths Paragraph 1 Brushing, flossing, and twice-yearly dental check-ups are standard for oral health care, but there are more health benefits to taking care of your pearly whites than most of us know, In a review article, a faculty member at Tufts University School of Dental Medicine (TUSDM) dlebunks common dental myths and outlines how diet and nutrition affects oral health in children, teenagers, expectant mothers, adults and elders. Que tion YOR" BOWS”Paragraph 2 Myth 1: The consequences of poor oral health are restricted to the mouth Expectant mothers may not know that what they eat affects the tooth development of the fetus. Poor nutrition during pregnancy may make the unborn child more likely to have tooth decay later in life. “Between the ages of 14 weeks to four months, deficiencies in calcium, vitamin D, vitamin A, protein and calories could result oral defects,” says Carole Palmer, EdD, RD, professor at TUSDM and head of the division of nutrition and oral health promotion in the department of public health and community service, Some data also suggest that lack of adequate vitamin B6 or B12 could be a risk factor for cleft lip and cleft palate formation Que tion “Q102" Q8™08™05" “QB” Paragraph 3 Tn children, tooth decay is the most prevalent disease, about five times more common than childhood asthma. “If a child’s mouth hurts due to tooth decay, he/she is less likely to be able to concentrate at school and is more likely to be foods that are easier to chew but that are less nutritious. Foods such as donuts and pastries are often lower in nutritional quality and higher in sugar content than nutritious foods that require chewing, like fruits and vegetables,” says Palmer. Oral complications combined with poor diet can also contribute to cognitive and gr problems and can contribute to obesity Que tion O12" Q3~ON~O5~O6" POH” Paragraph 4 Myth 2: More sugar means more tooth decay Ttisn’t the amount of sugar you eat; it is the amount of time that the sugar has contact with the teeth. “Foods such as slowly-dissolving candies and soda are in the mouth for longer periods of time. This increases the amount of time teeth are exposed to the acids formed by oral bacteria [rom the sugars,” says Palmer, Que tion «4 OK" Paragraph 5 Some research shows that teens obtain about 40 percent of their carbohydrate intake from soft drinks, This constant beverage use increases the risk of tooth decay. Sugar-free carbonated drinks and acidic beverages, such as lemonade, are often considered safer for teeth than sugared beverages but can alsocontribute to demineralization of tooth enamel if consumed regularly. Que tion “Q1™02"_O8™QU™O5™06" O78" Paragraph 6 Myth 3: Losing baby teeth to tooth decay is okay Tt is a common myth that losing baby teeth due to tooth decay is insignificant because baby teeth fall out anyway. Palmer notes that tooth decay in baby teeth can result in damage to the developing crowns of the permanent teeth developing below them, If baby teeth are lost prematurely, the permanent teeth may erupt mal-positioned and require orthodontics later on. Que tion “Q1""02""_O3™Oe"O5" “8” Paragraph 7 Myth 4: Osteoporosis only affects the spine and hips Osteoporosis may also lead to tooth loss. Teeth are held in the jaw by the face bone, which can also be affected by osteoporosis. “So, the jaw can also suffer the consequences of a diet lacking essential nutrients such as calcium and vitamins D and K,” says Palmer. “The jawbone, gums, lips, and soft and hard palates are constantly replenishing themselves throughout life. A good diet is required to keep the mouth and supporting structures in optimal shape.” Que tion “O12” QBNOUOS~OR Q7“OH" Paragraph 8 Myth 5: Dentures improve a person’s diet Tf dentures don’t fit well, older aclults are apt to eat foods that are easy to chew and low in nutritional quality, such as cakes or pastries. First, denture wearers should make sure that dentures are fitted properly, In the meantime, if they are having difficulty chewing or have mouth discomfort, they can still eat nutritious foods by having cooked vegetables instead of raw, canned fruits instead of raw, and ground beef instead of steak. Also, they should drink plenty of fluids or chew sugar-free gum to prevent dry mouth,” says Palmer. Que tion “Q1"Q?"_O3™04"O5""OG"_Q7""O8" Paragraph 9 Myth 6: Dental decay is only a young person’s problem Tn adults and elders, receding gums can result in root decay (decay along the roots of teeth). Commonly used drugs such as antidepressants, cliuretics, antihistamines and sedatives increase the risk of tooth decay by reducing,saliva production. “Lack of saliva means that the mouth is cleansed more slowly. This increases the risk of problems,” says Palmer. “In this case, drinking water frequently can help cleanse the mouth.” Que tion “Q1"02" Q3™04™05" “a8” Paragraph 10 Adults and elders are more likely to have chronic health conditions, like diabetes, which are risk factors for periodontal disease (which begins with an inflammation of the gums and can lead to tooth loss). “Type 2 diabetes patients have twice the risk of developing periodontal disease of people without diabetes. Furthermore, periodontal disease exacerbates diabetes mellitus, so meticulous oral hygiene can help improve diabetes control,” says Palmer. Que tion “Q1"02""_03™Oe OS OG" _Q7""O8" QUESTIONS Q1. This article is about a. how the nutritional needs of children, teenagers and expectant mothers has. an effect on oral health b, how the oral health is affected by nutritional needs of children, teenagers, expectant mothers and other groups. cc. how diet and nutritional needs of children, teenagers, mothers-to-be, and adults affects one’s oral health d. disproving some long held beliefs Paragraph S19" “er om" Q2. Carole Palmer observes that a. pies and pastries have low food value and require more chewing. b, lower nutritional quality food needs more chewing c. nutritious foods like fruits and vegetables have less sugar and require more chewing d. too much vitamin B6 or B12 could lead to problems with cleft palate formation Paragraph S12" ws m0 Q3. According to Palmera. asthma is five times less common in childhood than tooth decay b. school kids with tooth decay pain may have concentration problems at school ¢. mouth and dental problems plus a poor diet can affect thinking abilities and be a factor later on in obesity d. all of the above Paragraph <1°%:2" Q4. According to the article : a. it’s important to make sure you retain baby teeth b, It’s important that teeth are not exposed for a long time to acids formed by oral bacteria as a result of eating sugary foods ¢. it’s important to look after your baby teeth d. it’s important that teeth are not exposed to acids formed by oral bacteria from sugary foods Paragraph 1" QS. According to the article, baby teeth a. are dispensable 'b. develop to help eat food c. if lost prematurely, may result in poor development of permanent teeth d. help with correct development of permanent teeth Paragraph “12” “oe” go" QG6. Dental health in older people requires a. properly fitting dentures b. acalcium rich diet c. nutritious food containing vitamins D and K d. all of the above “7p O10" Paragraph 12" Q7. The article says that Osteoporosis a. may prevent loss of teeth b. may affect jaw bonesc. jaw bone health may be affected by chewing sugar-lree gum d. none of the above Paragraph 12" 3" “7g” a0" Q8. Lack of saliva a.all of the following, b. results in mouth being cleansed more slowly c. can be addressed by chewing sugar-free gum. d. may increase the risk of tooth deca Paragraph 19" aang “Practice Test 7”Pri T READING SUB-TEST — QUESTION PAPER: PART B & C TIME: 45 MINUTES INSTRUCTIONS TO CANDIDATES: DO NOT open this Question Paper or the Text Booklet until you are told to do so. Write your answers on the spaces provided on this Question Paper. You must answer Part B & C within the 45-minute time limit. One mark will be granted for each correct answer. Answer ALL questions. Marks are NOT deducted for incorrect answers. At the end of the 45 minutes, hand in this Question Paper and the Text Booklet. DO NOT remove OET material from the test room. Part C In this part of the test, there are two texts about different aspects of healthcare. Choose the answer (A, B, C or D) which you think fits best according to the text. Global Health Care Workforce Paragraph 1 Health care systems worldwide continue to be plagued by difficulties in recmiting and retaining health workers, resulting in a shortage of health care professionals that is now considered a global crisis. However, although the gap between the need for health care workers and the supply is experienced globally, it widens disproportionately, so that the regions with the greatest need have the fewest workers. For example sub-Saharan A frica and south- east Asia together have 53% of the global disease burden but only 15% of the world’s health care workforce. Moreover, the shortage experienced bycountries that can least afford it is exacerbated by health worker migration to high-income countries. South Africa, for example, has fewer than 7 doctors per 10,000 people, but reported in 2002 that 14% of the physicians who had trained there had emigrated to the US or to Canada. 3040s" Que tion “4 Paragraph 2 And the problem is not going away as in the UK, US, Canada and Australia, 23% C: to 28% of all physicians are international graduates. F-fforts to reduce migration usually focus on reducing recruitment by high-income counties, and these efforts are gaining a higher profile. Improving the working, conditions in source countries has not received the same attention, however, even though this would help counter the factors that push health professionals to seek beuter conditions elsewhere. It would also make work healthier for those who remain in lo income countries, and thereby reduce occupational concerns such as injuries violence and stress, and exposure to biological, chemical and physical hazards. Que tion “Q1°*Q2"_O3™"O4™O5™:0G"_O7""O8" Paragraph 3 Although concerns about healthy work conditions exist to varying degrees around the world, they are greatest in nations with few resources, and particularly in Africa, where work conditions are the most challenging. It is we] documented that health workers in low and middle-income countries experience fear and frustration when caring for patients with tuberculosis and blood—bome diseases, and that they do so often in difficult work environments. Health workers may also be ostracised by their own communities due to the ever present stigma associated with exposure. It is now also well established that health workers are indeed at higher risk of acquiring numerous infectious diseases, Que tion Paragraph 4 International organizations are recognizing the importance of promoting and protecting the health of the global health care workforce, which is conservatively estimated to be 59 million, and are undertaking constructive initiatives to do so, The World Health Organization (WHO) has explicitly recognized the need to improve the environment of health care workers in order to increase retention and is promoting the use of workplace auditchecklists to help guide the reduction of infectious disease transmission in health care. WHO is also promoting the immunization of all health care workers against hepatitis B, and, is working to move forward specific Healthy Hospital Initiatives, which include projects that involve both infection control and occupational health practitioners, and that train practitioners along with health and safety representatives in conducting workplace inspections. Que ti Paragraph 5 Canada and other countries that receive health care workers from low resource settings compromise the workforce in the source country as they supplement their own. The situation is inequitable and, over time, will undermine those low resources further, worsening the already challenging, working conditions and creating even more pressure for health care workers to emigrate. To offset this effect, high-income countries can reciprocate by improving working conditions in source countries. British Columbia, which attracts the highest number of South African physicians of all Canadian provinces, has taken a step in this positive direction by sharing expertise in occupational health and infectious p disease transmission control through the Pelonomi Hospital project. Que tion 4Q1sQ2" Paragraph 6 At the university level, researchers and practitioners can contribute to this. knowledge exchange by partnering with their colleagues in low-income countries. Such collaborations are essential. Also needed are intensified efforts to promote further integration of worker safety and patient safety. To ensure information systems being developed support this goal, we need to promote evidence based decision making and share our information with those who can; benefit from it. That way, each region will not need to find millions of dollars annually to design, implement and maintain separate systems that could b easily shared and reproduced. Que tion Paragraph 7 To achieve this aim, we need international collaboration in order to reach consensus on a data dictionary and complete the programming of non- proprietary information systems such as OHASIS, which can be tailored todifferent technological environments and made widely available using Creative Commons licensing. Much of what needs to be done can be accomplished with simple and effective solutions that benefit both patients and workers. What it will take is commitment from high-income countries to assist in the development, refinement and implementation of these tools in collaboration with low-income countries. Such endeavours can be made possible by making them a priority at the national funding level. Que tion O192" Q3ONNOSO8" 708" QUESTIONS Q1. ‘The main idea presented in paragraph 1 is. a. Recruiting health care workers is a problem in most countries b, There is a shortage of health care workers in Sub-Saharan Africa and Southeast Asia c. There are not enough health care Workers in places which have the highest need for medical treatment d. A significant number of South African doctors are migrating to the US and Canada Paragraph Q2. The main point raised by the authors in paragraph 2 is that a. there are too many international graduates in UK, US, Canada and Australia b. high income countries must reduce recruitment of overseas heal professionals ¢. more effort is required to improve work conditions in source d. work conditions in poorer countries are dangerous. Paragraph Q3. According to paragraph 3 which of the following is false regarding conditions in low & middle income countries? a. Work conditions are most difficult in Africa b. Health Workers fear exposure to contagious diseases. c. Health Workers feel frustration towards patientsd. Being exposed to infectious diseases may lead to shame within local communities. Paragraph Q4, Regarding the size of the global health care workforce, we can infer paragraph 4 that, a. there may be more than 59 million Workers b. there may be less than 59 million workers c. there are exactly 59 million Workers d. the number of health care workers in unknown Paragraph + QS. According to paragraph 4, which of the following statements is tue regarding WHO? a. WHO realises that improvements in the working environment of healthcare workers is necessary b, WHO wants to increase immunisation rates of health care workers against hepatitis B c. WHO is advancing Healthy Hospital Initiatives including training and infection control d. All of the above Paragraph 1°82" QG6. In paragraph 5 the authors infer that, a. High-income countries have a responsil conditions in low-income countries y to help build better working b, High income countries should not recruit health professionals from low= income countries c. The working conditions in low-income countries is improving d. British Columbia has stopped recruiting South African doctors Paragraph “1 " Q7. Which of the following is closest in meaning to the word reciprocate? a. help b. give back¢. support d. take back Paragraph “1 Q8. According to paragraph 6, which of the following statements is tue? a. Researchers and medical practitioners in low & high income countries have expressed a desire to work together b. Improved safety of health workers and patients is a priority c. Millions of dollars are needed to develop information systems that can be shared between countries d. None of the above Paragraph Answer Key P Test 8”