PART A: QUESTIONS 1 TO 12

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 to 24, complete the notes with information you hear in the recording.

Extract 1: Questions 1 to 12

You hear a foundation doctor talking to a recently admitted patient called Roy Miller. For
questions 1 to 12, complete the notes with a word or short phrase.

Name Roy Miller

Reasons for admission shortness of breath

— difficulty walking (1) , often becomes short of breath

— breathlessness has increased

coughing and wheezing

— sounds like ‘(2) ’ and hasn’t improved

— worse when (3) , preventing sleep
— coughing up phlegm, described as (4) in color

phlegm has gradually darkened over the week

suffering hot and cold spells, feels (5)

Medical history diagnosed with (6) last year

was a (7) , stopped six years ago
occasionally suffers from gout (treated with (8) )
arthritis located in (9)

Medication using (10) more frequently

takes a statin for (11)
occasionally uses paracetamol for arthritis
(12) causes an allergic reaction
QUESTIONS 13 TO 24

Extract 2: Questions 13 to 24

You hear an optometrist talking to a patient called Marsha Samarina. For questions 13 to 24,
complete the notes with a word or short phrase.

Patient Marsha Samarina

Description of pain in eye, felt like something was (13)

initial symptoms noticed headache
eye was ‘(14) ’ profusely (compares to chopping
onions)
roommate noticed that eye was (15) , took to ER
pain was severe, unable to (16) -------------------------

Initial GP treatment unable to identify cause, performed (17) test

GP suggested possibility of (18)

Optometrist treatment given (19) for pain-relief

eye exam showed (20)

At home treatment advised to avoid wearing contacts

prescribed:

— (21) - using twice daily

— and (22) less often, finds application -
unpleasant

also taking (23) for pain relief

Current condition condition has improved

pain caused by (24)
 PART B: QUESTIONS 25 TO 30

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 to 30, choose the answer (A, B or C) which fits best according to
what you hear.

25. You hear two doctors discuss the transfer of care for a patient.
The patient’s CURB-65 score means that he will

(A) Be transferred from the Emergency Department.

(B) Receive additional medication and treatment.
© be treated as an out-patient.

26. You hear a speech pathologist talking to the wife of a patient who has recently suffered a stroke.
What does she want to know about her husband’s condition?

(A) how long it will take him to make a full recovery

(B) whether his communication issues will improve

© What she can do to speed the healing process
You hear a trainee doctor asking a senior colleague about chest tubes.

27. What is the senior colleague doing?

(A) Explaining how to use them correctly

(B) Recommending an alternative to them
(C) Demonstrating what can go wrong with them

28. You hear a pharmacist talking to a customer about pain relief.

What has the customer been misinformed about?

(A) The stock of medication in the pharmacy the

(B) usefulness of a type of pain relief
(C) The availability of a medicine
29. You hear a trainee nurse receiving feedback from his tutor
What does she explain?

(A) Listening to a patient’s concerns is essential

B) How to become more self-assured when interacting with patients
( c) The importance of providing adequate emotional support to patients

30. You hear two doctors planning their patient-care schedule What is their priority?

(A) identifying the patients at greatest risk

(B) dealing with patients who need tests arranging ensuring that all
(C) patients have key documentation

PART C: QUESTIONS 31 TO 36

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 to 42, choose the answer (A, B or C) which fits best according to what
you hear.

Extract 1: Questions 31 to 36

You hear an interview with Dr Matthew Leach, who’s talking about meningitis caused
by Neisseria meningitides.

31. Dr Leach says that during the onset of meningitis, many patients

(A) Do not realise they are unwell.

(B)
Mistake the illness for something else.
(C)
experience life-threatening symptoms.

32. Dr Leach says that meningitis is common in college students because of their
A. Poor hygiene habits.
B. Proximity to new people.
C. weakened immune systems
33. Why does Dr Leach say the patient didn’t seek treatment sooner?

(A) He was unsure of what to do.

(B) He didn’t think he needed treatment.
(C) He was trying to finish his assignments.

34. Dr Leach began treating for meningitis before receiving the spinal fluid results because

(A) The illness progresses rapidly.

(B) The treatment is the same for all causes.
(C) The test results did not affect the diagnosis.

35. Dr Leach explains that meningitis is more likely to cause long term after-effects if

(A) It is not accurately diagnosed.

(B)
Patients do not seek treatment quickly.
(C)
Reactions to the virus are extremely severe.

36. Dr Leach advises those who think they may be infected with meningitis to

A. Get vaccinated at the earliest opportunity.

B. Avoid people who may be suffering from the virus.
C. Take precautions to prevent others from becoming ill

QUESTIONS 37 TO 42

Extract 2: Questions 37 to 42

You hear a presentation given by a clinical psychiatrist called Dr Evalina Houghton about
agitated patients in an emergency setting.

37. Dr Houghton says that patients in the ED are more likely to be agitated as they are likely to

A. Suffer from untreated health problems.

B. Have been given bad news recently.
C. Require medical help frequently
38. Dr Houghton explains that creating space between the patient and the provider

A. Enables both parties to remain calm.

B. Encourages the patient to exit the room.
C. Reduces the likelihood of the provider being injured.

39. Why does Dr Houghton encourage providers to speak slowly?

(A) To ensure the patient understands what is being said to give other
(B) Members of staff time to prepare
(C) To give the patient an opportunity to speak

40. What approach does Dr Houghton suggest for patients suffering from delusions?

A. Agree with the patient completely

B. Acknowledge the patient’s emotions
C. Explain why their delusions are false

41. Dr Houghton suggests that choices given to the patient should

(A) Avoid upsetting the patient by remaining positive.

(B) Maintain the Patient’s trust by being realizable.
(C) Be limited in order to prevent confusion.

42. Dr Houghton recommends that when the patient is calm they should

A. Be removed from the ED ward.

B. Understand why their behaviour was inappropriate.
C. Be encouraged to explain what caused their reaction