OET Listening 49 Kelly and Paul Zang

Part A | Extract 1: Questions 1 to 12

You hear a physiotherapist talking to a patient. For questions 1 to 12, complete the following notes with a word or short phrase. You now have thirty seconds to look at notes.

Patient: Kelly

Patient’s description of symptoms:

• Lower back pain.
• (1) ____________________ side, around the hip and (2) ____________________ area.
• Felt particularly when (3) ______________________________.

History of Pain:

• On and off for years, described pain as (4) ______________________, initially.

Further Details:

• Now-spasming; with pressure on (5) _________________________________.
• Relieved using a (6) _______________________________ to massage muscle.
• (7) ____________________________________________.
• Also feels (8) ______________________________ going down the back of leg/knee/ankle area.

Further Assessment:

• Feels dull pain before shooting pain, don’t get (9) _______________________ by itself.
• Only feels twinging and tightness when pain is (10) _______________________.
• No pain on both (11) __________________________.
• No (12) __________________ or numbness.

Part A 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 thirty seconds to look at the notes.

Patient: Paul Zang

• Recent Operation: Heart surgery for repair of (13) _____________________.
• Reason for referral: (14) _____________________________________.
• Referred by: (15) ______________________________ surgeon, Dr. Goodhands.

Patient Details: 

• Age and marital status: 32, Single.
• Home Country: China.

• Occupation: Student, PHD in (16) ____________________.
• Study involves stress. 

Medical History. 

• Allergies: None.
• Past Operations/illness: Surgical removal of (17) ___________________________________.
• Diagnosed with hypertension in (18) ________________________________.
• Family History: Father’s death caused by (19) __________________________.
• Weight: 95; Height: 178 cm. Past smoker. Mildly alcoholic. 

Recent Health:

• BP: (20) _______________________________.
• Diet: Trying to minimize (21) ____________________________ consumption.
• Activities: Mild exercises such as (22) ___________________________, recommended.
• Avoid (23) ____________________________.
• Sign up for (24) ___________________ by the Cardiac Rehabilitation Unit At Spirit Hospital.

Part B | 6 Extracts – Questions 25 to 30

25. Now you will hear a nurse briefing his colleague about a patient. What did he say about the patient’s diet plan?

1. She can upgrade to a regular diet as tolerated.
2. She will continue a liquid diet for a few more days.
3. Reassess her diet due to allergies to some food.

26. You will hear a nurse supervisor giving a briefing about bedside reporting. Which among the following statements is not mentioned as a benefit of bedside reporting?

1. It allows the patients to be engaged in the sharing of information and cite their Concerns.
2. It creates effective communication between the involved caregivers regarding the patient’ care.
3. It speeds up the recovery of the patient from their illness.

27. You will hear a nurse talking to the patient about her care plan for the patient’s pain.

What new course of action did the nurse suggest to do with the patient?

1. They will try light movement such as walking.
2. She will give additional pain relievers immediately.
3. She will call the doctor to check the patient

28. You will hear a nurse explaining about how the patient can call for help when needed.

How do patients feel about being given information?

1. The patient feels obligated to absorb all information for their own interest.
2. The patient seems to be indifferent about instructions provided.
3. The patients have a positive response about being well informed.

29. You will hear a presentation about the goals of bedside reporting and regular rounds.

What did the speaker say about the medical team’s core values?

1. It is essential in promoting the hospital’s services to the community.
2. The best way to demonstrate these are through their consistent effects in providing beside reporting and hourly rounding.
3. It uplifts the caregivers’ image and self-worth.

30. You will hear a bedside reporting of 2 nurses in the ward.

What other method was done for the patient’s pain relief?

1. She was given a higher dose of pain medication.
2. She was introduced to a PCA.
3. Splinting was done to help ease the pain.

Part C1 – Questions 31 to 36

You will hear a talk on congenital heart disease in newborn babies.

31. Which among the following is not a risk factor for congenital heart heart-disease in new-born babies?

1. If a mother has congenital heart disease and gets pregnant at a later age.
2. If a mother has a family history of diabetes and hypertension.
3. If a mother is positive with certain viruses such as rubella and herpes.

32. Despite a high rate of pregnant women having obstetric ultrasound in Queensland and Victoria:

1. There is a surprisingly low rate of early detection of CHD.
2. There are limited facilities and qualified specialists available in tertiary hospitals.
3. There are more mothers who did not go through antenatal care.

33. Why are these cases of CHD only detected after the child is born?

1. The mother can be asymptomatic with no remarkable history.
2. The movement out of fetal circulation and the physiological and biochemical changes.
3. That the baby goes through could expose the condition.

34. Why is the timing of the duct’s closure important?

1. Premature closure can cause chronic heart failure.
2. Failure of ducts to close could lead to death.
3. This generally impacts the detection of CHD.

35. Recognising congenital heart disease:

1. Happens only after about a few days and is detected by the parents.
2. Is highly dependent on the impact of the defect.
3. Is challenging due to other complications.

36. What did the speaker say about diagnosing CHD?

1. With the known limitations, detection of CHD will depend largely on clinical science.
2. The methodology of detection and treatment of CHD is still in its early stages.
3. Access to facilities for diagnosing CHD is highly available nationwide. 

Part C Extract 2. Questions 37 to 42

You will hear a talk about aboriginal health issues diabetes.

37. Incidence of Type 2 diabetes mellitus and gestational diabetes:

1. are generally more prevalent among aborigines than non- indigenous Australians.
2. have varying rates among aborigines in comparison with other Australians.
3. among aboriginal communities are not clearly calculated due to lack of information Gathering.

38. Although aborigines account for only 2% of Australian population:

1. They contribute highly to the healthcare promotion in the country.
2. There is a high rate of diagnosed kidney failure among them.
3. The government is greatly focusing on their healthcare.

39. Which of the following is true about diabetes?

1. Plays an important role in detecting kidney failure.
2. Can complicate kidney transplant procedures.
3. Can lead to other complications such as blindness, amputation and coronary heart.

40. Which of the following statements is FALSE?

1. The influence of the Western culture on the aborigines’ diet has made them more susceptible to diabetes.
2. The aborigines are genetically intolerant to glucose and high cholesterol levels.
3. The genetic makeup of the aborigines have been modified because of their dietary changes.

41. Aboriginal women:

1. Are carrying the burden of dietary problems in their community.
2. Have a higher risk of diabetes than their male counterparts.
3. Are more likely to be obese than aboriginal men.

42. Gestational diabetes:

1. Is not a permanent condition but increases the risk of diabetes later in life.
2. Is highly affected by the mother’s diet during pregnancy.
3. Can cause low birth weight which is highly common among aboriginal women.

End of Listening 49