Listening 68-1

Part – A
Extract - 1
Patient: Mrs Celpherds
Current Symptoms:
• Weakness on (1) _______ side of face

• (2) ________ normal, no numbness
• Is able to see, and swallow both (3) __________
• Clear speech, no (4) __________ or problems with words
• No balance issues or (5) ________
Recent History:
• No recent (6) __________

• Medication for (7) ________
Likely Diagnosis:
• Other symptoms & (8) _________

• indicate (9) __________
• A type of paralysis caused by (10) _________
Prognosis & Management:
• Most patients recover in less than (11) ________

• Important to keep eye lubricated as condition impacts (12) __________
Extract – 2
Patient: Mrs Knowles
• Started to feel sick and (13) ________

• Vomited blood
• Colour of blood: Described as fresh and red
Volume:
• Approximately a (14) ________

• Passed out
• First known episode
Other Symptoms:
• No changes in (15) ________

Medical History:
• Ongoing (16) _______

• Takes (17) ________ daily
Treatment & Investigations:
• Not (18) ______ stable

• Blood test & (19) _______
• (20) _______ fluids via IV
• Purpose of blood test: To check
• (21) __________ & urea levels ECG
Clinical Assessment:
• Blood pressure/low
• (22) _______ /high
Possible Diagnosis & Recommendations:
• Gastrointestinal bleeding
• Possible causes - (23) _______ & oesophageal erosions
• (24) _________ use /risk factor
Part – B
25. You hear part of a conversation between a junior and senior doctor on how to interpret
the results of an investigation. What does the senior doctor clarify about the results of the
investigation?
A) That the results clearly point to portal hypertension
B) That the results are not sufficient to come to a definite diagnosis yet
C) That the medical history allows them to rule out cirrhosis
26. You hear part of a training about smoking cessation counselling. The speaker points out
that this approach is better than
A) One not focused specifically on this behavior
B) One used by other types of specialties
C) One focused on patient's worries and desires
27. You hear a doctor going over an upcoming procedure with a patient. What does the
doctor explain to the patient?
A) When they can insert the implant
B) How they will insert the implant
C) Why they will insert the implant
28. You hear part of a conversation between a nurse and a doctor about a patient's
medication. What does the nurse point out about the patient's medication?
A) He took an analgesic before he was admitted to the hospital.
B) He depends on his wife to get painkillers from the doctors in the hospital.
C) He is mixing over-the-counter and prescribed medications.
29. You hear two doctors talking about a patient that one is referring to the other. The
doctor referring the patient explains that
A) The previous diagnosis was made by a doctor at another practice.
B) The previous diagnosis was made by a specialist in another field.
C) The previous diagnosis was made by a doctor who is no longer working.
30. You hear a conversation between two ward leaders about administrative duties. The
ward leaders agree that
A) Their job responsibilities have changed over time
B) Their job has become much more difficult over time
C) Their satisfaction with their job has changed over time
Part – C
Extract – 1
31. Why does Jessica Stokes say it is important to focus on coconut oil?
A) Because of all of the benefits it is known to have
B) Because of the recent interest in it
C) Because of the findings of other research studies
32. Jessica Stokes points out that previous studies show

A) Consumption of coconut oil likely has no noticeable effect
B) Consumption of coconut oil likely has a beneficial effect
C) Consumption of coconut oil likely has a negative effect
33. What limitation did previous studies have?

A) The duration of the study
B) The methods of analysis
C) The number of total studies
34. Who was not selected to be part of the study?
A) People living outside of the country
B) People with no known medical issues
C) People living close to one town
35. Jessica Stokes says that before the study

A) Daily food consumption was evaluated
B) The amount of exercise was evaluated
C) The medication history was taken
36. Jessica Stokes concluded that future studies should +

A) Include a larger number of total subjects
B) Be conducted over a longer period of time
C) Allow subjects to choose their own diet
Extract – 2
37. Dr Coffey says that the procedure is indicated for patients

A) Who have any type of severe illness
B) Who are having serious problems with sputum
C) Who are having some respiratory distress
38. Dr Coffey says extra precautions should be taken with patients

A) Who have an infectious disease
B) Who are constantly coughing
C) Who have trouble coughing
39. Why does Dr Coffey give an example of an interaction with a patient?
A) In order to demonstrate how to explain the procedure
B) In order to demonstrate how to deal with difficult patients
C) In order to demonstrate how the patient might feel
40. What is key to getting accurate results from this investigation?

A) Getting a large specimen from the patient
B) Getting a specimen from deep inside the chest
C) Getting rid of any potential contaminants
41. Dr Coffey offers several tips in order to help patients

A) Recover quickly after the procedure is over
B) Produce a quality sample of sputum
C) Feel comfortable with the procedure
42. Dr Coffey suggests changing the procedure when

A) A patient is physically not able to cough
B) A patient is taking certain medication
C) A patient does not want to give consent
Answer key
PART A
1. Right
2. Facial sensation
3. Fluids and solids
4. Slurring
5. Dizziness
6. Infections
7. High cholesterol
8. Clinical findings
9. Bell's Palsy
10. Facial nerve dysfunction
11. four/4 months
12. Blink reflex
13. Dizzy
14. cup(ful)
15. Stool
16. Back pain
17. ibuprofen/painkillers
18. Haemodynamically
19. (Blood) transfusion
20. Crystalloid
21. Haemoglobin
22. Pulse
23. Peptic ulcer
24. NSAIDs
PART B
25. B
26. A
27. B
28. C
29. C
30. A
Part – C
31. B
32. C
33. C
34. A
35. A
36. B
37. C
38. A
39. A
40. B
41. B
42. A

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Part – A

Patient: Mrs Celpherds

• Weakness on (1) _______ side of face

• No recent (6) __________

• Other symptoms & (8) _________

Prognosis & Management:

• Most patients recover in less than (11) ________

Patient: Mrs Knowles

• Started to feel sick and (13) ________

• Approximately a (14) ________

• No changes in (15) ________

• Ongoing (16) _______

• Not (18) ______ stable

32. Jessica Stokes points out that previous studies show

33. What limitation did previous studies have?

35. Jessica Stokes says that before the study

36. Jessica Stokes concluded that future studies should +

37. Dr Coffey says that the procedure is indicated for patients

38. Dr Coffey says extra precautions should be taken with patients

40. What is key to getting accurate results from this investigation?

41. Dr Coffey offers several tips in order to help patients

42. Dr Coffey suggests changing the procedure when

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