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 Mrs. Garcia. 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 : Mrs. Gracia
Age : 51
Symptoms & disease : weakness on the left leg and numbness in the left hand, shortness of
breath
Patient’s description of symptoms: persistent mild weakness on the left leg and
occasional (1)
shortness of breath often.
: had repeat (2) and further imaging studies
that showed
no further increased stenosis in my left internal carotid
artery.
: is ambulating with a cane
Past medical history : had a (3) and treated
Past surgeries : none
Family history of illness : none
Medications : Plavix, aspirin, (4) lisinopril, hydrochlorothiazide, Lasix, insulin
and (5)
Allergies : none
Physical examination : blood pressure 170/66, heart rate 66, (6) weight 254
pounds, temperature is 98.0.
Diagnosis : Normocephalic and atraumatic. No dry mouth. No palpable cervical lymph
nodes. (7) are clear.
: Cranial nerves shows mild decrease in the (8)
: there is a (9) in the left upper extremity.
Deltoids shows 5-/5. The rest showed full strength.
(10) The rest showed full strength.
Reflexes were hypoactive and symmetrical. Gait is was mildly
abnormal. No ataxia noted. Wide-based.
Impression : Status post cerebrovascular accident involving the right upper pons extending into
the (11) with a mild left hemiparesis, has been clinically stable with mild
improvement.
Further treatment : continue with (12) to reduce the risk of future
strokes. patient should control blood sugar level, optimizing cholesterol and blood pressure
control, regular exercise and healthy diet.
: surgical intervention for the internal carotid artery
Extract 2: Questions 13 to 24
You hear a physician talking to a patient called Andrea Jeremiah. 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 : Andrea Jeremiah:
Age : 17
Symptoms & disease : tonsil problem with throat pain.
Patient’s description of symptoms: has tonsil problem for many years and having throat pain.
No difficulty in swallowing. Getting (13)
: no sleep apnea
: (14) at night times
: gets about (15) every year
Past surgeries : had (16)
Medications : none
Allergies : none
Family history of illness : sister has (17) and other family members have cancer,
diabetes, heart disease, and hypertension.
Physical examination : pulse is 80 and regular, temperature 98.4, weight is 184 pounds.
Diagnosis : tongue, lip, floor of mouth are noted to be normal. (18) does reveal
very large tonsils (19)
they were (20) Mirror examination of (21) reveals some mild edema
of the larynx. You have enlarged tonsils.
Impression : adenotonsillitis with (22) (23) with mild acute
laryngitis. obesity
Further treatment : (24)
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 different types of blood tests
for leukemia.
Which of the following statements is correct?
A. Any changes in the chromosomes of the lymphocytes is diagnosed by cytogenetic analysis.
B. Peripheral blood smear determines the functioning of the organ and the impact of leukemia.
C. Presence of blast cells are determined by cytogenetic analysis.
ANSWER:
Extract 2
(26) You hear a discussion between a doctor and nurse about different types of melanoma.
Which type of maligna is commonly found on the nail beds?
A. Superficial Spreading melanoma
B. Acral-Lentiginous melanoma
C. Lentigo Maligna
ANSWER:
Extract 3
(27) You hear a discussion between a doctor and nurse about lung cancer.
The lung cancer that originates in the surrounding membrane of the lungs is;
A. Mesothelioma carcinoma
B. Large cell carcinoma
C. Squamous cell carcinoma
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about non-inflamed comedones.
Which of the following types of comedones is also called milia?
A. Soft closed comedones
B. Hard closed comedones
C. Microcomedones
ANSWER:
Extract 5
(29) You hear a discussion between a doctor and nurse about Acnes.
Which of the following types of acne occurs only on face?
A. Acne Cosmetica
B. Acne Rosacea
C. Acne vulgaris
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and nurse about Athlete’s foot.
Athlete’s foot caused by Trichophyton mentagrophytes is;
A. Chronic Scaly Athlete’s Foot
B. Chronic Interdigital Athlete’s Foot
C. Acute Vesicular Athlete’s Foot
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 lecture given by a physician on The Standard Method of Diagnosing Attention-
deficit/hyperactivity disorder.
You have 90 seconds to read questions 31 to 36
(31) Which type of ADD patients are called space cadets?
A. Inattentive Attention Deficit Disorder
B. Classic Attention Deficit Disorder
C. Overfocused Attention Deficit Disorder
ANSWER:
(32) Patient with type 2 ADD will have
A. Decreased blood flow in their brain area of prefrontal cortex, cerebellum and basal ganglia.
B. Deficiency of dopamine and serotonin
C. Reduced activity in the prefrontal cortex as well as low levels of dopamine.
ANSWER:
(33) Which of the following conditions is more common in girls than boys?
A. Overfocused Attention Deficit Disorder
B. Inattentive Attention Deficit Disorder
C. Temporal Lobe Attention Deficit Disorder
ANSWER:
(34) In which of the following conditions, the treatment is aimed to soothe neuronal activity
& stop nerve cells from over-firing or firing unpredictably.
A. Temporal Lobe Attention Deficit Disorder
B. Overfocused Attention Deficit Disorder
C. Ring of Fire Attention Deficit Disorder
ANSWER:
(35) Patients might see or hear things that are not there in;
A. Anxious Attention Deficit Disorder
B. Ring of Fire Attention Deficit Disorder
C. Temporal Lobe Attention Deficit Disorder
ANSWER:
(36) Patients will have an overactive brain in;
A. Overfocused Attention Deficit Disorder
B. Ring of Fire Attention Deficit Disorder
C. Anxious Attention Deficit Disorder
ANSWER:
Extract 2
Questions 37 to 42
You hear the monologue of a physician giving a lecture on Scleroderma.
You have 90 seconds to read questions 37 to 42
(37) Which of the following statements suits best with this extract?
A. Most of the scleroderma affect the internal organs.
B. Scleroderma is a symptom of a complicated group of diseases.
C. Systemic sclerosis affects only certain parts of the body.
ANSWER:
(38) The characteristics of a linear scleroderma is;
A. Abnormally colored skin
B. Reddish oval-shaped patches
C. The centers of the patches appear ivory, with violet borders
ANSWER:
(39) Small blood vessels of hands or feet contract in response to cold or anxiety in;
A. Telangiectasias syndrome
B. Raynaud's phenomenon
C. Sclerodactyly syndrome
ANSWER:
(40) In which of the following syndromes, small red spots on the hands and face caused by
swelling of tiny blood vessels?
A. Raynaud's phenomenon
B. Sclerodactyly syndrome
C. Telangiectasias syndrome
ANSWER:
(41) Raynaud's phenomenon is experienced for years before skin thickening becomes
evident in;
A. Limited scleroderma
B. Diffuse scleroderma
C. Linear scleroderma
ANSWER:
(42) Less collagen is produced during the phase called ‘softening’ in;
A. Linear scleroderma
B. Diffuse scleroderma
C. Limited scleroderma
ANSWER:
