Occupational English Test
- This test has three parts. In each part you’ll hear a number of different extracts. At the start of each extract, you’ll hear this sound: –beep–
- You’ll have time to read the questions before you hear each extract and you’ll hear each extract ONCE ONLY.
- Complete your answers as you listen.
- At the end of the test you’ll have two minutes to check your answers.
Part A
In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking to a patient. For questions 1-24, complete the notes with information that you hear. Now, look at the notes for extract one.
Extract 1: Questions 1-12
You hear a physiotherapist talking to a new patient called Ray Sands. For questions 1-12, complete the notes with a word or short phrase that you hear.
You now have thirty seconds to look at the notes.
Patient: Ray Sands
- 18 months ago: back injury sustained while lifting (1) __________________________.
- 1 year ago: Sciatica developed.
- 6 months ago: Clear of symptoms.
- Last month: Recurrence of symptoms.
Patient’s description of symptoms
- Pain located in (2) _______________________________________________.
- Pain described as (3) ____________________________________________.
- Loss of mobility.
- Problems sleeping.
- Mentions inability to (4) __________________________________________ as most frustrating aspect.
- (5) ____________________________________________ sensation (calves).
- General numbness in affected area.
Occupation:
- (6) ______________________________________ (involves travel/some manual work).
Initial Treatment
- Prescribed NSAIDs.
- Application of (7) ________________________________________ (provided some relief).
- Referrals: (8) ___________________________________________ (briefly).
- Sports injury specialist for manipulation and exercise program.
Further Treatment:
- Epidural injections.
- (9) __________________________________________________.
- Electrical impulses.
- Decided not to try (10) _____________________________________________.
- Patient attributes recovery to (11) ________________________________________________.
Previous Diagnosis:
- Sciatica probably related to (12) _____________________________________________.
- Reports no history of pain in buttocks.
Extract 2: Questions 13-24
You hear a consultant dermatologist talking to a patient called Jake Venter. For questions 13-24, complete the notes with a word or short phrase that you hear.
You now have thirty seconds to look at the notes.
- Patient: Jake Venter.
- Reason for referral: Skin lesion
Patient’s description of condition:
- On the (13) ___________________________________________ of his left hand.
- Preceded by (14) ____________________________________________.
- Then (15) _______________________________________ form and join up.
- Surrounding erythema.
- GP describes appearance of lesion as (16) _________________________________________________.
- Normally, it resolves within two weeks.
History of Condition:
- First experienced in 1990s when living in China.
- Also had a lesion on his (17) _______________________________. Never recurred there.
- Recurs regularly on different parts of his left hand.
- Not becoming more (18) _________________________________________________.
- No apparent link to general state of health, (19) _______________________________________________ or stress.
Medical History:
- (20) _________________________________________ on lower back in 2006 – no sign of recurrence.
- Reports no history of (21) __________________________________________________.
Information given
- Advised that (22) _____________________________________ was unlikely to be effective.
- Told him to take care if the skin is (23) _______________________________________________.
- Outcome: Says his quality of life isn’t affected.
- A (24) _____________________________________________________ will be arranged.
That is the end of Part A. Now look at Part B.
Part B
In this part of the test, you’ll hear six different extracts. In each extract, you’ll hear people talking in a different healthcare setting.
For questions 25-30, choose the answer (A, B or C) which fi ts best according to what you hear. You’ll have time to read each question before you listen. Complete your answers as you listen.
Now look at question 25.
- You hear a nurse briefing her colleague about a patient. What does she warn her colleague about?
- The patient is allergic to some types of antibiotics.
- Care must be taken to prevent the patient from falling.
- Oxygen may be needed if the patient becomes breathless.
- You hear the manager of a care home for the elderly talking to the nursing staff.
He says that errors in dispensing medication to patients usually result from
- interruptions while calculating dosages.
- a failure to check for patients’ allergies.
- administering drugs late in the day.
- You hear part of a morning briefing on a hospital ward.
What is the plan for the patient today?
- Her emotional state will be carefully observed.
- She will be transferred to a more specialised unit.
- A social worker will come to see what help she needs.
- You hear part of an ante-natal consultation at a GP practice. What does the patient want to know about?
- the advisability of a home birth.
- ways of avoiding post-natal depression.
- what painkillers might be available during labour
- You hear a trainee doctor telling his supervisor about a problem he had carrying out a procedure. The trainee feels the cause of the problem was
- treatment administered previously.
- the patient’s negative reaction.
- inappropriate equipment.
- You hear a doctor talking to a teenage boy who has a painful wrist. The doctor wants to establish whether
- a fracture may be misaligned.
- the swelling may be due to a sprain.
- there may be more than one bone affected.
That is the end of Part B. Now look at Part C.
Part C
In this part of the test, you’ll hear two different extracts. In each extract, you’ll hear health professionals talking about aspects of their work. For questions 31-42, choose the answer (A, B or C) which fits best according to what you hear. Complete your answers as you listen.
Now look at extract one.
Extract 1: Questions 31-36
You hear an interview with a cardiologist called Dr Jack Robson, who’s an expert on Chagas disease.
You now have 90 seconds to read questions 31-36
- Why does Dr Robson regard Chagas as a neglected disease?
- because of the social groups it mainly affects.
- because patients often don’t realise they’re infected.
- because its impact is severe in a relatively small number of cases
- Dr Robson says that concerns over Chagas in the USA are the result of:
- a rise in the number of people at risk of being infected with the disease.
- a greater awareness of how many people there have the disease.
- an increased prevalence of the insect which carries the disease.
- A patient called Marisol recently asked Dr Robson to test her for Chagas because:
- she was worried about the health of any children she might give birth to.
- she wanted to know whether it was safe for her to donate blood.
- she thought she had symptoms associated with the disease.
- What problem does Dr Robson identify in the case of a patient called Jennifer?
- an unwillingness to accept that she was ill.
- an inability to tolerate the prescribed medicine.
- a delay between the initial infection and treatment.
- What does Dr Robson say about his patient called Juan?
- The development of his illness was typical of people with Chagas.
- An incorrect initial diagnosis resulted in his condition worsening.
- The medication he took was largely ineffective.
- Dr Robson thinks the short-term priority in the fight against Chagas is to:
- increase efforts to eliminate the insects which carry the parasite.
- produce medication in a form that is suitable for children.
- design and manufacture a viable vaccine.
Now look at extract two.
Extract 2: Questions 37-42
You hear an occupational therapist called Anna Matthews giving a presentation to a group of trainee doctors. You now have 90 seconds to read questions 37-42.
- Anna says that the main focus of her work as an occupational therapist is:
- designing activities to meet the changing needs of each patient.
- making sure she supports patients in reaching their goals.
- being flexible enough to deal with patients of all ages.
- When Anna first met the patient called Ted, she was:
- unable to identify completely with his attitude.
- optimistic that he would regain full mobility.
- mainly concerned about his state of mind.
- Because Ted seemed uninterested in treatment, Anna initially decided to focus on:
- what he could achieve most easily.
- allowing him to try and help himself.
- making him come to terms with his injuries.
- Anna feels that, in the long term, her therapy helped Ted because:
- it led him to become less emotional.
- it made him appreciate the need for patience.
- it showed him there was something to work towards.
- Anna describes the day Ted had his plaster casts removed in order to:
- demonstrate how slow any progress can seem to patients.
- illustrate the problems caused by raising a patient’s hopes.
- give advice on what to do when patients experience setbacks.
- Anna suggests that when patients like Ted recover enough to go home, they are often:
- too ambitious in what they try to achieve initially.
- able to build on the work of the occupational therapist.
- held back by the over-protective attitude of family members.
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