Sandra Bosworth
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ScribdTranslationsSandra Bosworth
Uploaded by
ScribdTranslationsSandra Bosworth
Part A
Extract 1: Questions 1-12
You hear a neurologist talking to a new patient called Sandra Bosworth. For
Questions 1-12, complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes. Patient
Sandra Bosworth
History of Condition • First symptoms approximately (1)
After giving birth (eight months ago)
• Partial loss of sense of (2) (left
side
• Attributed to (3) after
childbirth
• Next day - left eye and mouth both
(4) ’
• Husband suspected ->
emergency admission
• Bell's Palsy confirmed
Treatment • Course of steroids (prednisolone)
• (6) and gauze padding for
affected eye
• She also used (7) to keep
eye closed at night
• No improvement after two weeks looking after
baby alone
• MRI scan and (8)
administered (clear)
Current symptoms • Vision described as (9)
• (recently (10) ) as a
result–no injury
• Unable to smile or cause
of discomfort in eye
• Facial muscles feel _
• Synkinesis
Extract 2: Questions 13-24
You hear a nephrologist talking to a patient called Victor Lucas. For Questions 13-24,
complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes.
Patient Victor Lucas
Symptoms • felt unusually fatigued
• suddenly developed
• noticed a(14) in wrist and fingers (no
pain reported
• experienced uncharacteristic
• sometimes became (no exertion)
• was occasionally aware of(17)
Preliminary • GP suspected underlying issue with kidneys
investigations • CT scan and(18) carried out (on kidneys)
• amyloidosis diagnosed; protein deposits in kidneys
• blood tests confirmed no damage to heart
• a possible link to(19) was ruled out
Initial treatment • advised to cut down on
• underwent successful
• also prescribed(22)
• regular monitoring of kidneys to check levels of
amyloid deposits
Further treatment • possible(23) discussed
options • 24 not required at present
• no evidence of late stage kidney failure
• new medication discussed with patient
Part B
1. You hear a doctor briefing a group of student nurses about taking blood.
pressure.
What is the doctor doing?
(A) Reminding them about a psychological cause of a misleading reading.
Warning them to check more carefully that the cuff is the right size.
Explaining to them exactly how they should seat the patient
2. You hear two nurses on an orthopedic ward doing a handover at the change of
shift.
What does the nurse want his colleague to do first? (A) Explain to the
patient the need for regular exercise
(B) Change the patient’s compression stockings
Give the patient another dose of medication
3. You hear a nurse talking to a patient who ’s being discharged from
hospital with his arm in a plaster cast. What
Is she doing?
(A) Advising him on the types of exercise he will need to do
Describing the practical difficulties in keeping the cast dry
(C) Explaining when it would be necessary to contact the hospital
You hear an asthma nurse talking to a patient about managing his condition.
What course of action does the nurse suggest to the patient?
Undergoing a test to examine his lungs
(B) Keeping a record of his asthma attacks
(C)Modifying the way he uses his inhaler
5. You hear a doctor in an eye clinic talking to a nurse about a patient. What
What does the doctor want the nurse to do?
Inform the patient of the extra help available to her locally.
Check that the eye drops are causing the patient no further discomfort.
Reassure the patient about the treatment she's going to have.
6. You hear a nurse briefing a new colleague about dressing a patient ’s
leg ulcer.
She says that every time the dressing is changed, it’s important to
Find and check the patient's notes in advance.
The skin surrounding the wound appears red and inflamed, indicating irritation and possible infection. There may be swelling and tenderness present, with a slight sheen from moisture. The texture could be rough or dry, with visible signs of trauma such as abrasions or bruising. Hair follicles in the area may be compressed, and small blood vessels could be prominent due to increased blood flow.
(C) Explain in detail to the patient what's going to happen
Part C
Extract 1: Questions 31-36
You hear a presentation by a cardiologist called Dr Tim Rushton, who’s
Talking about rehabilitation after a heart attack.
You now have 90 seconds to read questions 31-36.
Dr. Rushton believes that patients recovering from heart attacks
May fail to follow instructions regarding medication.
(B) Realize that heart surgery provides only a temporary remedy.
(C) Underestimate how much their lifestyle affects their recovery.
32. Dr. Rushton is particularly surprised by how many patients (A)Are
unwilling to finish their rehabilitation programmes.
(B) Ignore the statistical evidence for the benefits of rehabilitation.
Feel discouraged by the process of applying to join a rehabilitation
program.
Dr. Rushton says that rehabilitation programmes are very safe because they
Consist of exercises done at a controlled and steady pace.
(B) Are designed for people who have experience of taking exercise.
(C) Include detailed advice on any possible risks to participants.
34. What did Dr. Rushton's patient Lucy feel about joining a group?
rehabilitation program?
Embarrassed about being in a minority in her class
Worried about being put under a lot of pressure
Uncomfortable about being in an environment that didn’t suit her.
35. Dr. Rushton believes that rehabilitation programmes would be improved by
Having more input from patients before being launched.
Being more varied in both content and delivery.
Receiving more financial support in all parts of the country.
36. Why does Dr. Rushton mention his patient named Michael?
To warn that patients exaggerate their feelings about taking more exercise
To suggest that patients in rehabilitation require more careful
observation
(C) To emphasize that patients often need additional psychological support.
Extract 2: Questions 37-42
You hear a gastroenterologist named Veronica Schulman giving a presentation about
irritable bowel syndrome (IBS) and its treatment.
You now have 90 seconds to read questions 37-42.
37. What general point about IBS does Dr. Schulman make in her
introduction?
It is now so widespread that it needs more attention.
It may be connected in some way to stressful lifestyles.
It usually responds well to initial treatment but then recurs.
38. Dr. Schulman emphasizes that today IBS patients
Can be more confident that a diagnosis is correct.
(B) Have the choice of a range of diagnostic methods.
Are more aware of the symptoms of similar illnesses.
39. The treatment for IBS favored by Dr. Schulman first involves
Following a diet that permanently excludes sugar and starch.
Making an effort to find substitutes for food with artificial additives.
Eating certain foods again after a period of avoiding them.
40. Dr. Schulman's patient called Matt was typical because he was skeptical.
about
The effectiveness of unconventional medical approaches.
The large number of apparently easy solutions offered to him.
The idea that his condition could be cured by lifestyle changes alone.
41. What did the patient named Sophie feel during the time she was being treated by?
Dr. Schulman?
She was so worried she made herself more unwell.
She was determined only to follow part of the guidance on diet.
She was convinced that one type of food was causing all her
problems.
42. Dr. Schulman says that IBS patients often wrongly believe that their
Treatment may result in other complications.
Diet doesn’t have to be adhered to strictly.
(C)Condition indicates an underlying organic weakness.
