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 a GP talking to a patient called Daniel Anderson. For questions 1-12, complete the notes with a word or short phrase. You now have 30 seconds to look at the notes.
Extract 1
Patient: Daniel Anderson.
Presenting Symptoms:
- 2 weeks (1) _______________________________________ than usual.
- Short of breath.
- Cold/sore throat.
Recent History
- Last (2) ________________________________________ months.
Ongoing condition (Patient-managed).
- Bad sore throat and (3) _______________________________________.
- Fatigue.
- Shortness of breath becoming more (4) ________________________________________.
- Breathing normal (5) ______________________________________________.
- No history (6) ______________________________________________ /chest problem.
Diet
- Non-vegetarian.
- Describes diet as (7) _____________________________________________.
- Low fruit and vegetable intake.
- Drinks (8) _______________________________________________ of coffee a day.
Other Complaints
- Ongoing mild indigestion.
- Bowel function: (9) ___________________________________________.
Family History:
- No family history (10) ____________________________________.
- Parents: Healthy.
- (11) ____________________________________ -no known health problems.
- Patient suspects (12) ____________________________________________.
Extract 2: Questions 13-24
You hear a GP talking to a patient called Mrs Wright.
For questions 13-24, complete the notes with a word or short phrase. You now have thirty seconds to look at the notes.
Patient Mrs Wright
Background
- Follow up consultation.
- Patient has (13) _____________________________________________________.
- Initial episode (14) __________________________________________ months ago.
- Prescribed (15) __________________________________________ for 5 days.
- Alopurinol.
- Recurrence of gout just (16) _______________________________________________.
- Gout originates at bottom of (17) ______________________________________.
- On the (18) ______________________________________________________ foot.
- Swelling radiates across toes towards (19) _________________________________ of foot.
- Hot and inflamed.
- No swelling in (20) ______________________________________________.
- Responded well to medication.
- Swelling settled within (21) ________________________________________.
- Ongoing (22) ________________________________________________ in toe.
- Suspected (23) ______________________________________________.
- X-ray clear.
Treatment
- Patient has some concerns.
- Patient agrees medication is effective.
- Clinical Decision: (24) ________________________________________ with current medications.
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 nurse in the emergency department discussing the care of a patient with a doctor. What do the speakers agree to do?
- Put the patient’s arm in a sling.
- Wait for the patient to calm down.
- Treat the patient’s pain to relax the arm.
- You hear a trainee doctor discussing a patient diagnosis with a tutor. What is the diagnosis?
- Coeliac disease.
- Constipation.
- Bilateral lower abdominal pain
- You hear a hospital nurse briefing a colleague about a patient recovering from elective surgery. What does he want his colleague to do?
- review post-op information with the patient.
- provide pain relief for the patient.
- get the patient a medical certificate
- You hear two hospital managers talking about an information session for people who want to do voluntary work. What problem do the managers discuss?
- How difficult it is for participants to get to the event.
- Technical issues with the event management systems.
- Finding good quality food and drinks for the event.
- You hear a pharmacist talking to a doctor about a patient’s medication. What is the pharmacist doing?
- reporting side effects.
- checking the dosage.
- recommending an alternative.
- You hear a doctor advising a patient about a change in medication. What condition is the patient being treated for?
- hay fever.
- Drowsiness.
- hives.
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
- What is Dr Cristine Ericson’s opinion about fasting before blood tests?
- It is not supported by scientific evidence.
- It is superior to non-fasting blood tests.
- It is supported by convention not data.
- What does Dr Cristine Ericson say about the research on non-fasting blood tests?
- The majority comes from Copenhagen.
- More studies should focus on children.
- It includes data from multiple countries.
- What is Dr Cristine Ericson’s opinion on the difference between the results of fasting and non-fasting tests?
- The small differences are unimportant.
- There is no difference in the results.
- There is a small but significant difference.
- Dr Cristine Ericson states that everyone in Copenhagen was happy with the introduction of non-fasting blood tests. What evidence does she provide to support this claim?
- Data showing an increase in test attendance.
- Increased public demand for non-fasting tests.
- Positive stories from other medical professionals.
- According to Dr Cristine Ericson, why are non-fasting blood tests popular with the public?
- Because of the strong research evidence in the report.
- Because of positive publicity in the newspaper and on TV.
- Because they are more convenient for busy lifestyles.
- Which of the following statements best summarizes Dr Cristine Ericson’s position on the use of fasting or non-fasting blood tests?
- In rare cases fasting before a blood test is necessary.
- Fasting before a blood test should no longer be recommended.
- New research is needed on the use of fasting and non-fasting tests.
Now look at extract two. Extract 2: Questions 37-42
You hear a presentation in which a researcher called Dr Milan Patrecivich is talking about the relationship between new technology and medicine in the future. You now have 90 seconds to read questions 37-42.
- Dr Patrecivich suggests that in the future, medical technology will:
- continue to replace human doctors.
- give doctors freedom to express core skills.
- become more accurate and reliable than doctors.
- According to Dr Patrecivich, how will wearable sensors and smartphones help GPs?
- They will allow doctors mobility to visit patients in remote locations.
- They will allow doctors to check if patients are following their advice.
- They will allow doctors to monitor their patients with real-time data.
- Dr Patrecivich believes that:
- radiologists currently spend too much time checking through images.
- technology like IBM’s Medical Sieve isn’t yet capable of doing a radiologist’s job.
- radiography algorithms should be designed by professional radiologists.
- According to the talk, both sports medicine and oncology:
- will use technology to make their processes faster and cheaper.
- will use technology to filter data and individualise therapy.
- will use technology like Xbox to treat patients from a distance.
- What does Dr Patrecivich suggest about the effect of technology on cancer treatment?
- Artificial intelligence technology will eventually cure cancer.
- Oncologists will keep patients informed using social media.
- Technology will have a powerful and positive effect on oncology.
- What is Dr Patrecivich’s conclusion about the future of medicine and technology?
- Medical technology will give doctors more time and better data to care for patients.
- Physicians will have amazing opportunities to develop new medical technologies.
- Automated and robotic systems will gradually replace humans in medical practice.
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