Part A | Extract 1 – Questions 1 – 12
Name: Martin Rush
Symptoms
- Troubled by severe (1) _______________ (especially after meals)
- Brings up (2) _______________.
- Frequent belching and burping.
- Constantly feels (3) _______________.
- Pain on (4) _______________.
- Discomfort when lying down (especially at night).
- No sickness or diarrhea.
Management of condition
- Taking (5) ____________________________ (over the counter).
- Dietary changes.
- Reduced (6) _____________________________ intake.
- Having a (7) ________________________ after dinner.
Patient Concerns
- Worried that he may have (8) _______________________________.
- doesn’t want to lose weight and fitness.
- Effect on his job (9) ___________________________________ in the construction industry).
- Anxious about the possible need for surgery.
Medical History
- Childhood (10) _______________________________ food poisoning when travelling 4 years ago (Central Asia).
- (11) ___________________________________ last year (whilst moving furniture).
Medication
- On Ramipril for three years.
- Regular ibuprofen for (12) ____________________________ pain.
Part A | Extract 1 – Questions 13 – 24
Patient: Sally Winter
Symptoms
- Tingling pain in right arm below (13) ________________________________ commenced five years ago.
- Pain sometimes extends to (14) _____________________________________.
- Pain severe when cycling (braking and turning comers)
- Unable to perform everyday tasks, (15) _____________________________.
- (16) _________________________ described as weak.
Pain Management
- Ice packs and resting the arm (no longer effective).
- (17) _______________________________ advised by a friend (most effective)
- Over-the-counter pain relief (for work).
Treatment by chiropractor
- Ball squeezes.
- Stretches with (18) _______________________________ on hand.
- Lifting a weight up and down slowly.
Medical history
- 19) _____________________________________ as a child.
- (20) __________________________ two years ago (climbing holiday in Spain).
- Episodes of (21) ______________________ over past five years linked to.
- Relationship break-up.
- Bereavement (brother died from (22) _________________________.
Patient’s Concerns
- Unconvinced that physiotherapy will help
- Would like treatment via (23) ____________________.
- keen to discuss (24) _________________________ as a further option.
Part B | Extract 6, Questions 6
25. You hear a nurse talking to a patient whose six-month old baby is having childhood immunization. What is the nurse emphasizing?
- The fact that it’s a safe procedure.
- Which adverse reactions could be dangerous.
- The importance of the booster immunizations.
- You hear a pharmacist talking to a customer about an emergency contraceptive. What is the patient’s main concern?
- Feeling ill at work
- Vomiting after taking the pill
- obtaining a second prescription
- You hear a practice manger talking to a physiotherapist who is about to carry out a home visit. What should the physiotherapist do before he leaves the practice?
- Find out why the patient hasn’t attended treatment sessions
- Ensure that the patient’s paperwork is up to date
- Inform a family member of his intended visit
- You hear an occupational therapist talking to a patient who has recently suffered a stroke. The patient is worried that the spasms in his hand will:
- affect his mobility
- worsen over time.
- lead to an injury.
- You hear a GP talking to a patient at a community practice. The patient wants to establish whether:
- She can accompany her daughter on future visits.
- She’s entitled to information about her daughter.
- Her daughter was informed about her rights.
- You hear a senior nurse talking to the staff at a care home about the use of hoists. What is she highlighting?
- The importance of documenting a procedure
- The difficulty in maintaining patient safety
- The complexity of the training required
Part C | Extract 1 – Questions 31 – 36
- Mark says that the needle and syringe vaccination method needs to be updated because:
- Patients are complaining that it’s too painful.
- It’s becoming less effective in protecting against new diseases.
- People are not being immunized because they are frightened of needles.
- M ark says the Nano patch is particularly successful at delivering vaccines due to:
- The size of the equipment that’s needed.
- The way the substance is delivered.
- The material from which it’s made.
- What does Mark see as a key advantage of the Nano patch?
- It requires a lower dose.
- It triggers a faster reaction.
- It offers complete protection.
34. Mark thinks that the low cost of the Nano patch means that:
- The range of diseases targeted could be expanded.
- More funding will be made available for research.
- Lethal viruses will become a thing of the past.
- What challenges with transporting needles and syringes does Mark identify?
- Liquid evaporating in high temperatures.
- Maintaining constant temperature.
- The need for specialized vehicles.
- Papua New Guinea was chosen for the Nano patch trials mainly because:
- Its healthcare system required support.
- It has unreliable power supplies.
- It has high rates of HPV.
Part C | Extract 2 – Questions 37 – 42
37. Bruce’s team decided to set up the project because they wanted:
- To contribute to research on dementia.
- To influence public attitudes towards dementia.
- to find ways of managing dementia more efficiently.
- Why did Bruce encourage his patients to see an audiologist?
- To enable more people to use their equipment properly.
- So that they could access a wider range of entertainment.
- Because auditory impairment is linked to intellectual decline.
- Bruce says that learning a new language can benefits patients by:
- Forming strong connections in the brain.
- Building confidence in acquiring expertise.
- Providing opportunities for social interaction.
- What does Bruce say is the best thing about the activity groups his team have set up?
- They reduce the risk of cardiovascular disease.
- They encourage people to spend time outdoors.
- They address many of the risk factors simultaneously.
- In the immediate future, Bruce’s team aims to:
- Promote the project beyond the local area.
- Increase the scope of their own local project.
- Invite neighbouring practices to join their project.
- How does Bruce feel about the outcome of the project?
- Optimistic regarding its wider relevance.
- Disappointed that it hasn’t been taken more seriously.
- Cautious about drawing any specific conclusions from it.
End of Listening 01 | Contact for Answers.
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