ENGLISH IN MED 6
FINAL TEST SAMPLE
Time allowed: 60 minutes
PART I: Grammar and Vocabulary:
1. The doctor asked: “ When did you first notice the pain in your chest?
A. The doctor asked him when did he first noticed the pain in his chest.
B. The doctor asked him when had he first noticed the pain in his chest.
C. The doctor asked him when he had first noticed the pain in his chest.
D. The doctor asked him when he first noticed the pain in his chest.
2. Your son just has stomachache. If _______appendicitis, you need to bring him into A&E.
A. it is B. it were C. it has D. it had
3. A BMD test is the best way to measure your _____________.
A. bone health B. blood pressure C. cholesterol D. insulin concentration
4. ____________ begins when your cervix is fully dilated at 10 centimeters and it may last
two hours or longer.
A. The first stage of labour B. The second stage of labour
C. The third stage of labour D. The final stage of labour
5. The patient's infection was ___________ that doctors had to perform an amputation.
A. so a severe B. such severe C. such a severe D. so severe
6. __________involves cutting a hole in the skull to remove a bone flap so that the surgeon
can access the brain.
A. Craniectomy B. Tracheotomy C. Craniotomy D. Colostomy
7. The patient said: “ I have pain when I am passing urine”
A. The patient complained of passing urine when he has pain.
B. The patient complained that he had pain when he was passing urine.
C. The patient complained of pain when he is passing urine.
D. The patient complained that he had pain when he passed urine.
8. What happens in this stage of labor?
A. Placenta detaches from the uterine wall.
B. Cervix is fully dilated.
C. Placenta is out of the uterus.
D. Amniotic membrane ruptured
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9. The congenital condition marked by stunted growth and mental retardation is ______.
A. cretinism B. autism C. asphyxia D. adenopathy
10. When a person is brought to the emergency room with a head injury, the doctor may
offer a MRS ( Magnetic Resonnance Spectroscopy) to ___________.
A. give a detailed view of soft tissues of the brain
B. give information about the metabolism of the brain
C. provide detailed images of anatomical structures within the brain
D. grade the patient’s level of consciousness
11. If he ____________to the hospital earlier, he wouldn’t die.
A. is taken B. took C. was taken D. had been taken
12. Which of the following photos refer to amblyopia in children?
A B C D
13. Can you tell me what your stool look like? - ________________.
A. Little round balls B. Nothing happens
C. I feel more constipated D. No, very hard.
14. The physiotherapist said: “Keep your arms straight as long as possible”
A. The physiotherapist advised me to keep my arms straight as long as possible.
B. The physiotherapist told me to keep your arms straight as long as possible.
C. The physiotherapist asked me to keep my arms straight as long as possible.
D. The physiotherapist reminded me to keep your arms straight as long as possible.
15. For advice on precautions and investigation for other sexually transmitted diseases, he
___________to the sexually transmitted diseases (STD) clinic.
A. refers B. will refer C. will referred D. will be referred
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PART II: Reading
Read the following clinical case and circle the best answer for each of the following
questions
Chelsea, a 20 y/o woman with asthma, visited the preadmission testing unit 1 week before
her cosmetic surgery to meet with the nurse and anesthesiologist. Her current meds included
several bronchodilators, which she takes by mouth and by inhalation, and a tranquilizer that
she takes when needed for nervousness. She sometimes receives inhalation treatments with
Mucomyst, a mucolytic agent. On Chelsea’s preoperative note, the nurse wrote:
Theo-Dur 1 cap 200 mg t.i.d.
Flovent inhaler 1 spray (50 mcg each nostril b.i.d.)
Ativan (lorazepam) 1 mg po b.i.d.
Albuterol metered-dose inhaler 2 puffs (180 mcg) p.r.n. q4–6h for bronchospasm and before
exercise
Chelsea stated that she has difficulty with her asthma when she is anxious and when she
exercises. She also admitted to occasional use of marijuana and ecstasy, a hallucinogen and
mood-altering illegal recreational drug. The anesthesiologist wrote an order for lorazepam 4
mg IV 1 hour preop. The plastic surgeon recommended several supplements to complement
her surgery and her recovery. He ordered a high-potency vitamin, 1 tab with breakfast and
dinner, to support tissue health and healing. He also prescribed bromelain, an enzyme from
pineapple, to decrease inflammation, one 500 mg cap po q.i.d. 3 days before surgery and
postoperatively for 2 weeks. Arnica montana was prescribed to decrease discomfort,
swelling, and bruising; three tabs sublingual t.i.d. the evening after surgery and for the
following 10 days.
16. Chelsea’s Flovent inhaler is indicated as 1 sprayof 50 mcg in each nostril b.i.d. How
many micrograms (mcg) does she get in 1 day?
A. 100 mcg B. 200 mcg C. 250 mcg D. 500 mcg
17. As noted in Appendix 10, the Ativan that E.N. takes for nervousness is a(n)
___________ drug.
A. anxiolytic B. antiemetic C. analgesic D. bronchodilator
18. The anesthesiologist ordered lorazepam (Ativan) to be given IV preop to decrease
anxiety and to smooth Chelsea’s anesthesia induction. The complementary way that
lorazepam and anesthesia work together is called ____________.
A. antagonistic B. complementary medicine C. synergy D. tolerance
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19. Arnica montana was prescribed three tabs SL t.i.d. How many tablets would Chelsea
take in 1 day?
A. 6 B. 33 C. 12 D. 9
20. Flovent is administered as an inhalant. The form in which the drug is prepared is called
a(n) __________.
A. aerosol B. elixir C. unguent D. emulsion
Circle the best answer to fill in blanks in the following passage
A 58-year-old woman consults her general practitioner (GP) with a 2-month history of
intermittent dull central epigastric pain. Her appetite is normal, she has no nausea or
vomiting and she has not lost weight. There is no relevant past or family history. She has
never smoked, and drinks alcohol very rarely. She has worked all her life as an infant school
teacher. (21) ___________ at this time was completely normal, with a blood pressure of
128/72mmHg. (2) _______________ showed normal full blood count, urea, creatinine and
electrolytes, and liver function tests.
An H2 antagonist (3) ____________ and follow-up advised if her symptoms did not
resolve. There was slight relief at first, but after 1 month the pain became more frequent and
severe, and the patient noticed that it was relieved by sitting forward. It had also begun to
(4) ___________ through to the back. Despite the progressive symptoms she and her
husband went on a 2-week holiday to Scandinavia which had been booked long before.
During the second week her husband remarked that her eyes had become slightly yellow,
and a few days later she noticed that her urine had become dark and her stools pale. On
return from holiday she (5) ___________ to a gastroenterologist
21. A. Percussion C. psychomotor examination
B. Physical examination D. Palpation
22. A. Investigations B. Díagnosis C. Finding D. Test
23. A. prescribed B. was prescribed C. diagnosed D. was diagnosed
24. A. to travel B. going C. radiate D. travelling
25. A. consulted B. was consulted C. referred D. was referred
PART III: Writing
Part 1: Rewrite the following sentences without changing the meaning
21. The doctor asked Jane: “ Does the pain affect your sleep?”
-> The doctor asked Jane ________________________________________________
22. The consultant will arrange for him to see the dietician and prescribe Simvastatin 10mg.
-> He ____________________________________________________________
ENGLISH IN MED 6
23. The old man was in such a serious condition that paramedics tranported him to the A&E
immediately.
-> The old man’condition ________________________________________________
24. The patient said: “I have had insomnia for almost two weeks”
-> The patient _________________________________________________________
25. He has difficult breathing, so he cannot sleep well.
-> If he ______________________________________________________________
Part 2:
Read the case notes below and complete the writing task which follows.
notes:
Patient History:
Name: Marcello Caprige
Date of Birth: 12/2/1979
Height: 168 cm
Weight: 73 kg
Allergies: Nil
Social History:
Married / Lives with his wife and son
Doesn’t drink
Smokes
Chews tobacco
Family History: no family history
Past Medical History
Hypertension
Type 2 diabetes mellitus
Depression
Osteoarthritis
Hyperlipoproteinemia
List of Medications
Metformin 1,000 mg PO BID, atorvastatin 20 mg PO QHS, lisinopril 20 mg PO QD,
furosemide 20 mg PO QD, aspirin 81 mg PO QD, glimepiride 2 mg PO QAM, venlafaxine
75 mg PO TID, fish oil 1,200 mg PO QD.
Present Medical Condition:
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Change in blood pressure (last recorded 150/100)
Present Symptoms
Shortness of breath
Severe headaches
Severe anxiety
Nose bleeding (occurred twice in the last three days)
Diagnosis
High blood pressure noted (170/110)
Result: Hypertension (Stage 2)
Plan: Refer to Dr. Avelin Cooper for further analysis and treatment.
Using the information in the case notes, write an introduction of a referral letter for further
treatment to Dr. Avelin Cooper, at MKZ Hospital, 697 Beaufort St Mt Lawley WA,
Australia, outlining the details
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
IV. LISTENING
PART I: Listen to the talk about General Anesthesia and complete the notes with a word.
If you were having an operation, you may be given general anesthesia to put you to sleep
and keep you free from pain. Your doctor may recommend general anesthesia for a
procedure that is extensive takes a long time or requires you to be in an uncomfortable
position. Before your procedure, an IV line will be placed in a vein in your arm using a
small tube called a cannula. The IV will (1)_____________ fluid and medications directly
into your bloodstream. You may receive some medication to help you relax. You will be
placed on the operating table and made as comfortable as possible. A blood pressure cuff
will be placed on your arm to check your blood pressure readings. Sticky pads will be
placed on your chest to check your heart rate, and a clip will be put on your fingers to check
your body’s oxygen levels. These (2)_____________ allow the anesthesia specialist to
closely monitor your vital signs before, during and after your procedure. You will begin
ENGLISH IN MED 6
receiving general anesthesia by either breathing anesthetic gases through a mask or through
IV injection which will cause you to fall asleep. Once you are asleep, you will be given a
mixture of oxygen and anesthetic gases either through your mask or through a special tube
(3)_____________ through your mouth and into your windpipe. The tube is attached to a
respirator which helps you breathe while delivering the gases to your lungs. Deep in your
lung tissues, the gases are absorbed into your bloodstream, and carried by blood cells to
your brain. The anesthesia prevents your brain from receiving messages from nerves in your
body. As a result, you will remain asleep and pain free during your procedure, and you will
have no (4)_____________ of it when you wake up. After your operation, the anesthesia
specialist will give you medications to reverse the anesthesia and you will awaken quickly.
If you have a breathing tube in place, he or she will remove it as soon as you can safely
breathe on your own. You will be taken to the (5)_____________ room where you’ll be
closely monitored and given pain medication as needed. You may feel light-headed and
slightly disoriented, but this feeling should pass quickly. Once you are stable, you will be
sent to a hospital room or home.
PART II: You hear a talk about Birth control method. Listen and decide whether the
following statements are true (T) or false (F)
Question True False
6. It should be noted that even the most effective birth control
method can fail.
7. A vaginal ring is considered a hormonal method
8. The woman will experience a menstrual period when she
wears the ring in her vagina for three weeks.
9. The implant method is effective for up to three years
10. Spermicide which is a foam jelly film or cream, that is inserted in
the vagina during sex
__ __ The end __ __
