Occupational English Test – Listening Test
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 1.
Extract 1: Questions 1-12
You hear a pediatrician talking to the mother of a six-year-old boy called Daniel. 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: Daniel Lemmings (6 years old)
Description of physical complaint.
- Skin on Daniel’s hands is both (1) _______________________________.
- Daniel’s pain described as (2) _________________________________ – no itching or scratching.
- Occasionally accompanied by (3) __________________________________________.
- Daniel’s condition began last (4) ___________________________________________.
- Daniel’s symptoms worsen by (5) _____________________________________________.
Treatments already tried.
- Over-the-counter remedies (e.g., skin products).
- Home remedies, e.g.: – wearing silk gloves at night – treating with (6) __________________________________.
- Uses his sister’s (7) ____________________________________________.
- Seems to improve during the (8) __________________________________________________.
Background Information.
- Daniel has no problems at school.
- People describe Daniel’s character as (9) ______________________________________.
- Daniel has tantrums – finds any (10) _____________________________________________.
- Hard to handle.
- Daniel is overly worried about (11) _________________________________________ on his food.
Mother’s Concerns
- She worries he may be developing (12) _____________________________________________.
- She wants advice on how to deal with the situation.
Allude: Understand / figure out | tantrums
Extract 2: Questions 13-24
You hear a consultant gastroenterologist talking to a patient called Vincent Sykes. For questions 13-24, complete the notes with a word or short phrase that you hear. You now have 30 seconds to look at the notes.
Patient: Mr Vincent Sykes
Symptoms
- Loss of weight.
- Stomach feels (13) ________________________ soon after starting meals.
- (14) ________________________ sensation when swallowing food.
- Stools are pale and (15) __________________________.
- Stomach described as (16) _______________________________.
- Some jaundice.
- Says his skin feels (17) _____________________________.
- Extreme fatigue. Pain in the stomach area, spreading to the back.
- Pain is worse when he’s (18) _________________________.
- He describes pain as feeling like (19) ___________________________________.
- Has always liked (20) _______________________ foods.
Background
- Now retired.
- Employed 30 years in a (21) ________________________.
- Used to smoke 20 cigarettes daily. Moderate drinker.
Medical History
- (22) ________________________ infection two years ago.
- Last year diagnosed with (23) __________________________.
- Blood clot in leg six months ago (treated with warfarin).
- Last month diagnosed with (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 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 palliative care nurse talking to an elderly patient. What is the patient most concerned about?
- a change in her weight.
- her new treatment regimen.
- some abdominal discomfort.
- You hear a pharmacist talking to a customer who is in pain. What is the customer seeking help about?
- an increase in her arthritic pain.
- discomfort due to a bite splint.
- a potential drug interaction
- You hear a dietitian talking to a patient about a new treatment plan for diabetes. How does the patient react to the plan?
- She’s unsure whether she could manage it.
- She wonders how effective it would be.
- She’s keen to give it a try.
- You hear a senior nurse advising a trainee about a condition called venous thromboembolism (VTE). She stresses that the trainee should pay special attention to:
- identifying the symptoms.
- ask for help immediately whenever there are any concerns.
- follow the standard treatment procedure whenever possible.
- You hear an eye specialist talking to her patient. What is the specialist doing?
- reassuring him about the prognosis for his vision.
- expressing concern about the extent of his recovery.
- confirming that his experience matches the clinical evidence.
- You hear a cardiologist updating hospital colleagues about trials of urine testing. He reports that urine testing of hypertensive out-patients has led to:
- improved adherence to BP treatment.
- a reduction in the level of BP medication needed.
- the offer of optional BP therapies to high-risk groups.
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 1.
Extract 1: Questions 31-36
You hear a microbiologist called Dr Jane Finn giving a presentation about the overuse of antibiotics You now have 90 seconds to read questions 31-36.
- What reason does Dr Finn give for the rise in antibiotic use in the decade to 2010?
- the ready availability of the drugs online.
- the time pressures that doctors were working under.
- the fear felt by doctors of failing to treat possible infections.
- What reservation does Dr Finn have about a recent fall in the number of antibiotics prescribed in the UK?
- It seems to have no effect on drug resistance rates.
- It may be causing actual harm to certain patients.
- It doesn’t reflect an even pattern of distribution.
- Dr Finn criticizes recent news reports on completing antibiotic treatment because:
- They are based on inaccurate evidence.
- They are likely to leave readers confused.
- They fail to differentiate between infections.
- Dr Finn mentions the incidence of MRSA in UK hospitals to exemplify how:
- infections can spread through a range of channels.
- infection control requires a wide-ranging approach.
- an infection develops resistance to different antibiotics.
- What does Dr Finn find most shocking about antibiotics being used on livestock?
- They are routinely consumed by healthy animals.
- There is a probable link with drug resistance in humans.
- The total amount given to animals exceeds that used by humans.
- Dr Finn welcomes the progress that has been made in the:
- production of new antibiotics by pharmaceutical firms.
- control of levels of antibiotic waste in the environment.
- selective use of antibiotics to target specific infections.
Now look at extract two.
Extract 2: Questions 37-42
You hear a rheumatologist called Michael Evans talking about osteoarthritis. You now have 90 seconds to read questions 37 – 42.
- What does Michael suggest about helping patients with osteoarthritis?
- It’s easiest when the patient is young.
- It may involve dealing with a range of problems.
- It will be more difficult if the condition is genetic.
- Why does Michael mention obesity in relation to osteoarthritis in the hands?
- to show how assumptions about it can be wrong.
- to explain the role of fat molecules in its development.
- to illustrate how attention to diet can alleviate the symptoms.
- What does Michael say about osteoarthritis of the knee?
- People with the condition are unlikely to benefit from running.
- Running is probably effective as a means of preventing it.
- Marathon runners should take precautions to avoid it.
- What does Michael say about damage to the cruciate ligament amongst netball players?
- Professional players are more likely to suffer this kind of injury.
- This can be avoided by training players how to move correctly.
- Players who receive surgery for this are at higher risk of osteoarthritis.
- What does Michael say about the use of imaging techniques to diagnose knee osteoarthritis?
- It may fail to reveal the full extent of the problem.
- An unexpected cause for the pain may be identified.
- The results are unlikely to affect the treatment given.
- What does Michael say about recent developments in osteoarthritis treatment?
- New drugs may be able to restore joint tissues.
- Stem cell injections have only a short-term effect on the joint.
- Lifestyle changes have reduced the need for joint replacements.
That is the end of Part C. You now have two minutes to check your answers.
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