Part A

Extract 1: Questions 1 to 12
You hear a physiotherapist talking to a patient called Martin Gregory.
Patient Martin Gregory
Background
• Had a reverse total shoulder arthroplasty surgery on (1) ___________
right shoulder six
weeks ago
• Has a (2) _____________
sling for past four weeks
• Patient can’t lift anything
• Has no (3) ______________
shoulder and demands only rehabilitation from the
hyper extension
surgery.
Impact on everyday life
• Incapable to support own bodyweight
• Unable to drive and can’t do many (4) ___________
outdoor things (like fishing with
grandson)
• Find it hard while doing things with left hand
Medical History
• rotator cuff repair 15 years ago
Had a (5) ______________
• couple of beers / beer
Has a (6) ________________on Saturdays
• Non-smoker
• hypertension and is taking medication for that
Has (7) ____________
Medications
• Takes anti-inflammatory drugs
• NSAIDs – (8) ______________per
1 / one day for pain
and tanormin• (9) ________________
tenormin -twice a day

Social History
• Lives with his wife Gretchen
• (school )teacher for 28 years
Was a (10) ______________
• Retired and now do things mainly for leisure
morning / day
• Goes for a half-mile walk with his dog every (11) ________________
 Concerns Expressed
• Pain (12) ______________
fluctuates and most of the time, it’s around four on a
scale of ten
• Most painful in the mornings
Extract 2: Questions 13 to 24
You hear a dietitian talking to a patient called Naomi Myers.
You now have Thirty seconds to look at the notes.
Patient Naomi Myers
Last week
high cholesterol
• Found out having (13) _____________
Occupation
• Has three jobs
• Does (14) ______________
toxicology at county
Medical Examiner’s Office on Mondays and Tuesdays
• Works as (15) _____________
lab technician at Belmond’s Hospital rest of the week
• Also a bartender and a server at (16) ______________
downtown / Ruby

Diet
coffee
• Takes only (17) ______________ for breakfast
fast food
• Prefers (18) _______________ for lunch
• Eats (19) ____________
ice cream after work
• a nine / 9
Working hours have a stress around (20)____________ on a scale from
one to ten, ten being the most stressful
• The stress has no (21) ______________
influence on diet
Information Given:
• Lives with boyfriend
trade • Used to run (22)________________
on (a/the) treadmill but currently isn’t doing any
meal exercises
• Patient’s father is taking (23) _____________
medication for high cholesterol
• (24) _________________
siblings of patient’s father also have high cholesterol
Part B
25. You hear a doctor briefing his colleague about a patient.
What does he warn his colleague about?
A) Patient has ruptured appendix with free air under the diaphragm.
B) Patient has worsening abdominal pain, nausea and vomiting
C) Patient might need to be transferred to ICU if condition worsens.

26. You hear a part of surgical team’s briefing.

The male surgeon suggests that the patient could
A) Require a C-section in her second stage.
B) Be at risk of persistent late decelerations.
C) Require a C-section in case of fetal distress.

27. You hear a radiologist talking about a new initiative that has been
introduced.
What objective was it intended to achieve?
A) Make patients proactive during CT and MRI
B) Eliminate delay in services to patients
C) Make the reports readily available

28. You hear a pharmacist talking to a doctor regarding a patient’s

medication.
They agree to choose the method which will
A) Be less sedating and tolerable for patient.
B) Impact on patient’s participation in therapies.
C) Let patient go home as early as possible

29. You hear an optometrist talking to a patient

The optometrist suggests that the patient could
A) Require a surgery for her condition
B) Benefit from eye drops for few months
C) Need glasses with more powerful lenses.
 30. You hear a padiatrist talking about a proposal to offer help with
dialysis patient’s foot care.
What problem was it intended to solve?
assess
A) High risk of complications with patient’s feet
B) Struggle experienced by patient to attend dialysis
C) Difficulty faced by patient to access the service.

Part C
Extract 1: Questions 31 to 36
You hear a Veterinarian called Dr Han Philip Giving a presentation.
You now have 90 seconds to read questions 31-36
31. The symptom showed by Tucker prior to admission was
A) Yelping with severe neck pain
B) Signs of lack of coordination.
C) Slipping on the tiled floors.

32. The information revealed by Tucker’s diagnostic tests was

A) Last 3 neck vertebrae compressing inward
B) 3 cervical vertebrae pressing outward
C) False suspicion of a cervical deformation

33. The first signs of wobblers syndrome is seen

A) Early in Doberman compared to Great Dane
B) Early in Great Dane Compared to Doberman
C) Between 4 to 6 Years in Doberman and Great Dane

34. The efficient cure for wobblers syndrome in dogs is

A) Feeding low calcium diet.
B) Steroids and restricted activity
C) Modified dorsal laminectomy
 35. The spine surgery in dogs helps to
A) Uncompress the spinal cord
B) Function with extreme pressure.
C) Reconstruct the affected vertebrae.

36. Tucker’s case study is not a perfect example for

A) How pet health insurance really pays the owner.
B) How early detection of the disease helps in cure
C) How much deteriorating is wobblers syndrome

Extract 2: Questions 37 to 42
You hear an Ophthalmologist called Dr Ralph Peterson giving a presentation.
You now have 90 seconds to read questions 37 to 42
37. What is the benefit of integrating genetics into medical care?
A) Helps in post-symptomatic evaluation of a disease
B) Helps to intervene before the symptom manifests
C) Helps to relay progression and severity of disease

38. Which one is a systemic disease that is not mentioned by Dr

Peterson?
A) Hypothyroidism
B) Hypertension
C) Diabetes

39. According to Dr Peterson, what does result in disease?

A) Mutations that occurs in Rhodopsin
B) Rhodopsin responding tremendously to light
C) Rhodopsin responding abnormally to light

40. According to Dr Peterson, whom do the public recognize as viable

health care providers in terms of ocular disease?
A) Optometrists
B) Ophthalmologists
C) Opticians
41. According to Dr Peterson, Which healthcare profession are doing
genetic testing most?
A. Optometrists
B. Ophthalmologists
C. Opticians

42. Which is not a factor that is pushing genetic testing into clinical
care?
A) Decrease in the costs to do the analysis
B) Increase in time taken to do an analysis
C) Insurance companies are paying to do an analysis