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 you hear. Now, look at the notes for extract one.
Extract 1: Questions 1-12
You hear an obstetrician talking to a patient called Melissa Gordon. For questions 1-12, complete the notes with a word or short phrase, You now have 30 seconds to look at the notes.
Patient: Melissa Gordon
- Works as a (1) ________________________________________.
Medical history:
- Has occasional (2) ________________________________________.
- Is allergic to (3) ________________________________________.
- Has a (4) ________________________________________ diet.
- Non-smoker. This will be her second child.
- Needed (5) ________________________________________ treatment before first pregnancy.
- First baby presented as (6) ________________________________________.
- (7) ________required during intervention.
- After giving birth, had problems with (8) ________________________________________.
- Helped by a midwife.
Baby’s father.
- Family history of (9) ________________________________________.
- Child from previous marriage has (10) ________________________________________.
Points raised
- Not keen on amniocentesis.
- Enquired about the possibility of (11) ________________________________________ testing.
- Provided her with a leaflet on preparing (12) ________________________________________ for new baby.
Now look at extract two.
Extract 2: Questions 13-24
You hear a GP talking to a new patient called Mike Royce, For questions 13.24, complete the notes with a word or short phrase. You now have thirty seconds to look at the notes:
Patient: Mike Royce (New patient transferring from another practice).
Description of initial symptoms:
- Severe left knee pain in (13) ________________________________________ area.
- Worsened after an accident at work.
- Developed (14) ________________________________________ on back of knee (described as trigger points.)
Impact on daily life:
- Unable to (15) ________________________________________ while working (house painter).
- Problems climbing ladders.
Initial treatment:
- Exercise programme including.
- Stretching exercises. Rest
- (16) ________________________________________ for pain.
Developments in condition:
- GP suspected (17) _______________________________________.
- Prescribed hospital-based rehabilitation.
- Temporary Improvement noted.
Current condition:
- Muscular problem diagnosed by (18) ________________________________________.
- Was performing treatment on (19) ________________________________________.
- Experiencing insomnia and (20) ________________________________________.
- Suspects (21) ________________________________________ (own research).
- Has recorded experiences in (22) ________________________________________.
- Beginning to experience pain in both (23) ________________________________________.
Suggested course of action:
- Recommend referral to (24) ________________________________________.
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 fits 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 dietitian talking to a patient. What is she doing?
- correcting the patient’s misconception about obesity
- describing the link between obesity and other diseases
- stressing the need for a positive strategy aimed at weight loss
- You hear members of a hospital committee discussing problems in the X-ray department. The problems are due to a delay in:
- buying a replacement machine.
- getting approval for a repair to a machine.
- identifying a problem with a particular machine.
- You hear a senior nurse giving feedback to a trainee after a training exercise. The trainee accepts that he failed to:
- locate the CPR board quickly enough.
- deal with the CPR board on his own.
- install the CPR board correctly.
- You hear a trainee nurse asking his senior colleague about the use of antiembolism socks (AES) for a patient. The patient isn’t wearing the socks because:
- she’s suffering from arterial disease in her legs.
- there is sensory loss in her legs.
- her legs are too swollen.
- You hear a vet talking about her involvement in the management of the practice where she works. How does she feel about her role?
- She accepts that it’s become surprisingly complex.
- She wishes her boss took more interest in the finances.
- She values the greater understanding it gives her of her work
- You hear a physiotherapist giving a presentation about a study she’s been involved in. She suggests that her findings are of particular interest because of:
- the age of the subjects
- the type of disorder involved.
- the length of time covered by the study.
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 a sports physiotherapist called Chris Maloney giving a presentation in which he describes treating a high jumper with a knee injury. You now have 90 seconds to read questions 31-36.
31. When Chris first met the patient, he found out that
- she was considering retirement from her sport.
- her state of mind had aggravated the pain in her knee.
- she had ignored professional advice previously offered to her.
32. During his assessment of the patient’s knee, Chris decided that
- her body type wasn’t naturally suited to her sport.
- the pain she felt was mainly located in one place.
- some key muscles weren’t strong enough.
33. In the first stage of his treatment, Chris
- was careful to explain his methods in detail
- soon discovered what was causing the problem
- used evidence from MRI scans to inform his approach.
34. Why did Chris decide against the practice known as ‘taping?
- The patient was reluctant to use it.
- It might give a false sense of security.
- The treatment was succeeding without it.
35. In the patient’s gym work, Chris main concern was to ensure that she:
- Tried out a wide range of fitness exercises.
- Focused on applying the correct techniques.
- Was capable of managing her own training regime.
36. Why was the patient’s run-up technique changed?
- to enable her to gain more speed before take off
- to reduce the stress placed on her take-off leg
- to reinforce the break from her old mindset.
37. What impressed Dr. Gibbens about the case study that was sent to him?
- Where it was originally published.
- How controversial its contents were.
- Why his colleague sent it to him.
38. Dr. Gibbens has noticed that people who read his books.
- Gain insights into their mental health problems.
- See an improvement in personal relationships.
- Benefit from a subtle change in behavior.
39. What disadvantage of doctors using patients’ stories does Dr. Gibbens identify?
- Evidence-based research being disregarded
- Patients being encouraged to self-diagnose
- A tendency to jump to conclusions.
40. In Dr. Gibbens’ opinion, why should patients’ stories inform medical practice?
- They provide an insight not gained from numbers alone.
- They prove useful when testing new theories.
- They are more accessible than statistics.
41. How does Dr. Gibbens feel about randomized medical trials?
- He questions the reliability of the method.
- He is suspicious of the way data are selected for them.
- He is doubtful of their value when used independently.
42. When talking about the use of narratives in medicine in the future, Dr. Gibbens reveals:
- his determination that they should be used to inform research.
- his commitment to making them more widely accepted.
- his optimism that they will be published more widely.
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