OET Listening 48 – Melissa Gordon and Mike Royce

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.

25. You hear a dietitian talking to a patient. What is she doing?

1. correcting the patient’s misconception about obesity
2. describing the link between obesity and other diseases
3. stressing the need for a positive strategy aimed at weight loss

26. You hear members of a hospital committee discussing problems in the X-ray department. The problems are due to a delay in:

1. buying a replacement machine.
2. getting approval for a repair to a machine.
3. identifying a problem with a particular machine.

27. You hear a senior nurse giving feedback to a trainee after a training exercise. The trainee accepts that he failed to:

1. locate the CPR board quickly enough.
2. deal with the CPR board on his own.
3. install the CPR board correctly.

28. 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:

1. she’s suffering from arterial disease in her legs.
2. there is sensory loss in her legs.
3. her legs are too swollen.

29. You hear a vet talking about her involvement in the management of the practice where she works. How does she feel about her role?

1. She accepts that it’s become surprisingly complex.
2. She wishes her boss took more interest in the finances.
3. She values the greater understanding it gives her of her work

30. 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:

1. the age of the subjects
2. the type of disorder involved.
3. 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

1. she was considering retirement from her sport.
2. her state of mind had aggravated the pain in her knee.
3. she had ignored professional advice previously offered to her.

32. During his assessment of the patient’s knee, Chris decided that

1. her body type wasn’t naturally suited to her sport.
2. the pain she felt was mainly located in one place.
3. some key muscles weren’t strong enough.

33. In the first stage of his treatment, Chris

1. was careful to explain his methods in detail
2. soon discovered what was causing the problem
3. used evidence from MRI scans to inform his approach.

34. Why did Chris decide against the practice known as ‘taping?

1. The patient was reluctant to use it.
2. It might give a false sense of security.
3. The treatment was succeeding without it.

35. In the patient’s gym work, Chris main concern was to ensure that she:

1. Tried out a wide range of fitness exercises.
2. Focused on applying the correct techniques.
3. Was capable of managing her own training regime.

36. Why was the patient’s run-up technique changed?

1. to enable her to gain more speed before take off
2. to reduce the stress placed on her take-off leg
3. to reinforce the break from her old mindset.

37. What impressed Dr. Gibbens about the case study that was sent to him?

1. Where it was originally published.
2. How controversial its contents were.
3. Why his colleague sent it to him.

38. Dr. Gibbens has noticed that people who read his books.

1. Gain insights into their mental health problems.
2. See an improvement in personal relationships.
3. Benefit from a subtle change in behavior.

39. What disadvantage of doctors using patients’ stories does Dr. Gibbens identify?

1. Evidence-based research being disregarded
2. Patients being encouraged to self-diagnose
3. A tendency to jump to conclusions.

40. In Dr. Gibbens’ opinion, why should patients’ stories inform medical practice?

1. They provide an insight not gained from numbers alone.
2. They prove useful when testing new theories.
3. They are more accessible than statistics.

41. How does Dr. Gibbens feel about randomized medical trials?

1. He questions the reliability of the method.
2. He is suspicious of the way data are selected for them.
3. 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:

1. his determination that they should be used to inform research.
2. his commitment to making them more widely accepted.
3. his optimism that they will be published more widely.

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