Part A
In this part of the test, you hear two different extracts. In each extract, a health professional is
taking to his patient. For questions 1 to 24 complete the notes with the information you hear.
Now, look at the notes for extract 1.
Extract 1: Questions 1 to 12
You hear a doctor talking to a patient called Mr. Greg Mathews. For questions 1 to 12,
complete the following notes with a word or short phrase.
You now have thirty seconds to look at the notes.
Patient : Mr. Greg Mathews
Age : 72
Symptoms & disease : fell down from the stairs & unconscious
Patient’s description of symptoms: fell down yesterday morning when he was trying to put his
boots on top of the staircase. He fell down 20 steps and he has lost his consciousness. He
was evaluated by a local clinic and was amnestic at the time of examination. referred by a local
clinic upon reviewing a HCT scan report
Past medical history : Atrial fibrillation, (1) with associated left hemiparesis
and (2) This was followed by a right coronary artery for 98% stenosis. However,
the stroke symptoms & signs were resolved. (3) total replacement of right knee
two years ago, venous stasis; with no history of deep vein thrombosis.
Medications : Lasix 40 mg once in a day, (4) Lanoxin 0.125mg once daily,
Capoten 2.5mg twice a day, (5) thrice a day, ASA 325 mg once in a
day, (6) twice a day.
Family history of illness : father expired of an (7) at 70, his mother died
of complications of a dental procedure.
Diagnosis : Physical examination - blood pressure 157/86, (8) respiratory
rate (9) Reflexes are symmetric. (10) bilaterally. His cardiovascular
regular rate and rhythm without murmur. HEENT shows abrasion over the right forehead.
Extremity: distal right leg edema and erythema just above the ankle.
Impression : previous HCT scan reveals a (11) Right lower extremity revealed a
fracture of the (12) for which he was casted.
Extract 2: Questions 13 to 24
You hear a physician talking to a patient called Mr. James Williams. For questions 13 to 24,
complete the following notes with a word or short phrase.
You now have thirty seconds to look at the notes.
Patient : James Williams
Age : 58
Symptoms & disease : septic shock and elevated cardiac enzyme profile
Patient’s description of symptoms: had a septic shock and when we consulted locally, the
diagnosis revealed elevated cardiac enzyme profile. He had some workup done from
cardiac standpoint which has been negative so far. no history of chest pain, shortness of breath,
hypertension or diabetes mellitus Past medical history : had pulmonary fibrosis and he is on
prednisone, (13) status post foot surgery with infection recuperating from the
same, respiratory acidosis, septicemia and septic shock, (14) No prior cardiac
history. Elevated cardiac enzyme profile.
Medications : Vitamin supplementation, Prednisone,
(15) Losartan 50 mg daily, (16) Lasix, Potassium supplementation
Allergies : Sulfa
Diagnosis : physical examination reports show Pulse rate of 94, blood pressure
98/57, respiratory rate as normal. Air entry bilaterally clear, (17) point of maximal
impulse displaced.
S1, S2 regular. (18) chronic skin changes, markings in the lower extremities.
Pulses are palpable. laboratory reports show echocardiogram is normal sinus rhythm with
wide complex.
White blood count of 20,000, (19) platelets of 163, international normalised ratio
1.36, BUN of 158, creatinine 8.7, potassium 7.3, of bicarbonate is 11.
Cardiac enzyme profile, (20)
(21) myoglobin 1423. Chest x-ray, no acute changes.
Impression : pulmonary fibrosis and is on prednisone, Septicemia, septic shock secondary to
cellulitis of the leg. Acute renal shutdown. Elevated cardiac enzyme profile without prior
cardiac history possibly due to sepsis and also (22)
Further diagnosis : an echocardiogram to assess (23) to rule out any
cardiac valvular involvement. patient requires aggressive medical management including
dialysis.
From cardiac standpoint, (24) at this juncture. His cardiac enzyme profile could
be elevated secondary to sepsis and also underlying renal failure.
That is the end of Part A
Now look at Part B
Part B
In this part of the test, you will hear six different extracts. In each extract, you’ll hear people
talking in a different healthcare environment.
For questions, 25 to 30 choose the answer (A, B, or C) which fits best according to what you
hear. You will have time to read each question before you listen to the audio. Complete the
answers as you listen the audio.
Now look at the question 25
Extract 1
(25) You hear a discussion between a doctor and nurse about Spastic cerebral palsy and its
classifications.
In which type of spastic cerebral palsy, the patients will have a scissors gait?
A. Spastic tetraplegia
B. Spastic diplegia
C. Spastic hemiplegia
ANSWER:
Extract 2
(26) You hear a discussion between a doctor and nurse about different dose-rates of
brachytherapy.
Which one of the following radiation therapies involve the use of remote afterloading
machine?
A. Low-rate brachytherapy
B. Pulsed dose-rate brachytherapy
C. High dose-rate brachytherapy
ANSWER:
Extract 3
(27) You hear a discussion between a doctor and nurse about bariatric surgery.
Which one of the the following surgeries involves rerouting of the small intestines to
prevent food absorption?
A. Roux-en-Y Gastric Bypass
B. Biliopancreatic Diversion with a Duodenal Switch
C. Adjustable Gastric Banding
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about oral lichen planus lesions.
Irregular painful ulcers covered by a yellowish pseudomembrane of fibrin is a
characteristic of;
A. Bullous type
B. Erosive type
C. Reticular type
ANSWER:
Extract 5
(29) You hear a discussion between a doctor and nurse about the autoimmune diseases that
affect the blood and blood vessels.
The autoimmune disease that damages the platelets is;
A. Idiopathic thrombocytopenic purpura
B. Polyarteritis nodosa
C. Antiphospholipid antibody syndrome
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and nurse about different types of biosensing
elements.
Which one of the following biosensing elements is sensitive to changes in potential
hydrogen?
A. Antibodies
B. Enzyme
C. Microorganisms
ANSWER:
Part C
In this part of the test, you'll hear two different extracts. In each extract, you'll hear health
professionals talking about specific aspects of their work.
For questions, 31 to 42 choose the answer (A, B, or C) which fits best according to what you
hear. Complete the answers as you listen the audio.
Now, look at extract one.
Extract 1
Questions 31 to 36
You hear the discussion between a senior doctor and junior doctors about bone marrow
transplant procedures.
You have 90 seconds to read questions 31 to 36
(31) Which of the following give rise to blood cells?
A. Peripheral blood stem cells
B. Hematopoietic stem cells
C. Bone marrow cells
ANSWER:
(32) Which of the following is not a source of stem cells for bone marrow transplant?
A. Hematopoietic stem
B. Peripheral blood
C. Bone marrow
ANSWER:
(33) Stem cells are harvested, from either bone marrow or blood and then frozen in;
A. Cord blood transplant
B. Allogeneic bone marrow transplant
C. Autologous bone marrow transplant
ANSWER:
(34) Which of the following does not involve a donor?
A. Synergic bone marrow transplant
B. Allogeneic bone marrow transplant
C. Autologous bone marrow transplant
ANSWER:
(35) Which one of the following bone marrow procedures has the risk of graft rejection?
A. Autologous bone marrow transplant
B. Allogeneic bone marrow transplant
C. Syngeneic bone marrow transplant
ANSWER:
(36) The factor called human leukocyte antigen system is used in;
A. Allogeneic bone marrow transplant
B. Autologous bone marrow transplant
C. Cord blood transplant
ANSWER:
Extract 2
Questions 37 to 42
You hear the discussion of a physician with junior doctors on Bone Cancer.
You have 90 seconds to read questions 37 to 42
(37) Which of the following statement is correct?
A. Sarcoma may involve bone fractures
B. Li-Fraumeni syndrome is a type of sarcoma
C. Most of the patients with Paget’s disease may develop bone cancer
ANSWER:
(38) Which of the following statement is correct?
A. Osteoblasts dissolve the particles of bone and cause resorption.
B. Osteoclasts form the bone by laying down bone material.
C. Chondrocytes make the cartilage.
ANSWER:
(39) Which of the cancer cells look like early forms of bone cells that makes new bone
tissue?
A. Spindle cell sarcoma
B. Ewing's sarcoma
C. Osteosarcoma
ANSWER:
(40) The bone cancer that can grow in cartilage or the nerves is?
A. Ewing's sarcoma
B. Osteogenic sarcoma
C. Spindle cell sarcoma
ANSWER:
(41) Which of the following is a connective tissue tumor?
A. Ewing's sarcoma
B. Spindle cell sarcoma
C. Chondrosarcoma
ANSWER:
(42) The bone cancer that can form in scapula is;
A. Chondrosarcoma
B. Spindle cell sarcoma
C. Ewing's sarcoma
ANSWER:
