Part A | Extract 1 – Questions 1 – 24
You hear a doctor talking to a patient. For questions 1 to 12, complete the following notes.
You now have 30 seconds to look at the notes
Patient: Bloomfield
Reason for presenting: trouble with (1) ______________________________.
Description of symptoms: experiences wheezing and breathlessness
- (2) ________________________________________ a lot (3 weeks)
- White (3) ________________________________________ – thought it was a cold.
- (4) ________________________________________ getting worse as weeks progressed.
- very worried when he is (5) ________________________________________ able to take breath.
- (6) ________________________________________ are more frequent now.
- Worse at night in the morning.
- (7) ________________________________________ did not go for work yesterday.
- Chest tightness without pressing pain.
Precipitating Factors:
- No known (8) ________________________________________ to dust.
- No known use of drugs.
Further factors:
- Work has been intense
- (9) ________________________________________ has made him anxious.
Points to consider:
- (10) ________________________________________ had anything like this before.
- has no other known medical conditions.
- first time being (11) ________________________________________.
- Sister and mother has (12) ________________________________________.
Extract 2. Questions 13 to 24
You hear a physician talking to a patient. For questions 13 to 24, complete the following notes with a word or short phrase. You now have 30 seconds to look at the notes.
Patient: Barbara Roberts
Age: 58
Difficulties experienced: terrible trouble with the stomach
- (13) ________________________________________ nearly all the time.
- Often times, feels (14) ________________________________________.
- Swings between (15) ________________________________________ and constipation.
- Cramping feeling (16) ________________________________________.
- Passes very smelly wind.
- Onset of the condition: about (17) ________________________________________ ago.
Previous treatment and Investigation:
- Started with (18) _______________________________________.
- Took other medications including (19) ______________________________________.
- Gastroscopy was performed.
- (20) ________________________________________ also administered.
Assessment of Insight:
- Feels (21) ________________________________________ pain, can’t be all in the head.
- Thought it was an infection that had not cleared.
- Sometimes wonders if it’s an (22) ________________________________________.
Treatment Options:
- Try to bring back few (23) ________________________________________.
- (24) ________________________________________ between the tablets that are helping and ones that aren’t.
- Wait for 2-3 months for results to show.
- Keep an eye on the symptoms.
Part B Listening | Questions 25 – 30
25. You hear a nurse manager speak to his team. What needs to be focused on:
- Effectively pacing the week ahead.
- Attending to the patient regularly.
- Ensuring the completion of procedures.
- You hear a doctor discussing with a patient the complications of surgical procedure.
The risk associated with the procedure are:
- benign and be corrected.
- uncommon and problem free.
- varied but usually infrequent.
- You hear the head of a unit discussing patient details.
Observation made on the patient is:
- Satisfactory according to the results.
- Encouraging for further treatment.
- Stable as per ongoing treatment.
- You hear a nurse brief about behavioural nursing What is the purpose of the extract:
- to identify shortcomings in children.
- to share school nursing experience.
- to highlight a shortage of expertise.
- You hear a scientist deliver a talk on physical activities for children.
What does he advocate?
- Repetitive activities for specific areas
- Minimise overuse of certain parts
- Must play in a variety of sports
- You hear a talk by a nurse anaesthetist.
How do the mannequins respond to procedure?
- by alerting the nurses if vitals fluctuate.
- by being versatile to the presenting process.
- By mimicking the changes in ill patients.
Part C | Extract 2 – Questions 31 – 42
You have 90 seconds to read question 31 to 36
- Mary describes the purpose of secondary suicide prevention is as
- Reduce the number of news cases
- Bring down the attempts in an area
- Minimise the attempts by the suicidal
- Secondary suicide prevention is understated because:
- it is only starting to be applied in practice.
- suicide is difficult to predict due to complexity.
- Recent events lead to increased suicide.
- Mary talks on the importance of suicide assessment because:
- psychiatric illness is a major contributing factor.
- it enables in the identification of the risk factors.
- it helps develop diagnoisis and treatment methods.
- What must be done for subjective rating of severity of depression?
- Physicians should not hesitate to ask on suicidal ideation.
- Clinicians need to overcome obstacles in providing care.
- Additional information should be incorporated into assessment.
- Mary feels that suicide rates may be reduced by interventions like:
- legal restrictions that reduce access to harmless substances.
- psychological follow up and other methods including telephonic.
- therapies that address repetition of suicide thoughts and behaviour.
- What is the increasing concern with digital media covering suicide?
- There are still many gaps in the research.
- It glamorizes suicide among the vulnerable.
- It provides accessible information for an attempt.
Extract 2 Question 37 to 42
Extract 2 Question 37 to 42
You have 90 seconds to read question 37 to 42
- Samantha feels that prospects for are high because:
- it has been proven effective for longevity.
- the effects of administration are long term.
- varied indicators of health can be influenced.
- What does the study of diet in mice identify:
- an influence of metabolic rate.
- effective way for increasing the hormone.
- the animals showed an increase in weight.
- Samantha opines the influence of protein is:
- minimal without high carbohydrate.
- in tandem with the carbohydrates.
- optimal with high carbohydrate.
- According to the excerpt, evidence from paradoxical conditions are:
- that reduced protein intake is crucial.
- teased apart for clarity on findings.
- studied for influence of insulin variation.
- What can be done to harness the potential of the hormone?
- Modify the diet and nutritional guidelines.
- Administration by means of chronic injection.
- Develop a mimetics for increased effectiveness.
- What can be said with certainty as per the expert?
- Everyone is in a race for an answer.
- The dynamics cannot be explained now.
- No one knows the mechanism of action.
End of Listening 47