Part A

In this part of the test, you hear two different extracts. In each extract, a health professional is
talking 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 

12 

 You hear
hear a doctor
doctor talking
talking to a patient
patient called
called Mr. Gwalather.
Gwalather. For questions
questions 1 to 12, complete
complete
the following notes with a word or short phrase. 
phrase.  

 You now have

have thirty secon
seconds
ds to look at the notes.
notes. 

Patient : Mr. Gwalather  

Age : 44
44  

Symptoms & disease : skin lesion 

lesion 

Patient’s description of symptoms: has had a skin lesion for the past twelve months, initially it
was suspected to be a (1) 
(1) 

: no pain or bleeding
bleeding  

rarely  
: regular smoker, drinks very rarely 

: job involves putting (2) break the ground

ground  

Family history of illness : no family history of prostate cancer, kidney cancer or

o r any other
illness.  
illness.

Medical history : had (3) 

(3) 

Medications : takes (4) occasionally for back discomfort

discomfort  

Allergies : none
none  
 

Physical examination : blood pressure is 144/66, weight

weight 177 pounds & heart beat rates and 
and  
rhythm are regular, has a (5) on penis that is apparent another (6)
mildly raised. testicles are bilateral & descended without masses. 
masses. 

Impression : developed (7) called

called (8) caused by
by  

: (9) etiology is unknown.

unknown.  

(10)  
: most likely (10) 

Further treatment : application of (11) on the lesion for a period of one month
month  

: (12) for the genital warts

warts  

Extract 2: Questions 13 to 24
24  

You hear a physician talking to a patient called Mrs. Gregorius. For questions 13 to 24,
complete the following notes with a word or short phrase. 
phrase.  

notes.  
You now have thirty seconds to look at the notes.

Patient : (13)
(13)  

Age : 38
38  

Symptoms & disease : abdominal pain 

pain 

Patient’s description of symptoms: severe abdominal pain and (14) 

(14) 

: is intolerant to fatty foods & urine is dark colored. 

colored.  

get chills
: get chills and (15)
(15)  

(16)  
: feels relieved when (16) 

: smokes 1 pack a day but never drinks 

drinks 
 

: has symptoms of (17)

(17)  

Diagnosis : MRI report is pos

positive
itive for (18) withoutt (19)
withou (19)  

: Laboratory studies shows (20) and elevated white blood cell

cells.
s.  

: Heart rate and rhythm is regular, without any murmur or gallop 

gallop  

: (21) are of high pitch

pitch  

: (22) are normal in color, touch and temperature.

temperature.  

: no (23) are noted. Range of motion is normal.

normal.  

Further treatment : (24) with intraoperative cholangiogram.

cholangiogram.  

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. 
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. 
audio.  

Now look at question 25

Extract 1 
1 

(25)  You hear a monologue by a physician explaining to his staff about Balantidium coli.  

humans?  
Which of the following is pathogenic to humans?

A.  Ciliate phylum 

phylum 

B.  Balantidium coli 

coli 

C.  Ciliate alveolates 

alveolates 

ANSWER: 
ANSWER: 
 

(26)  You hear a monologue by a physician explaining to his nurse about Hansen’s disease.
Hansen’s  disease.  

correct?  
Which of the following statements is correct? 

A. Hansen’s disease is a highly contagious disease. 

disease.  

B.  The disease can result in crippling of feet and hands even after treatment.
treatment.  

C.  Corneal ulcers can also

a lso occur due to this disease. 
disease. 

ANSWER: 
ANSWER: 

(27)  You hear a physician discussing Japanese Encephalitis and its risk factors. 
factors.  

Which of the following statements is correct? 

correct?  

A.  Japanese encephalitis has a 50% mortality ratio.

rat io.  

B.  Only a bite from the infected mosquito can cause the Japanese encephalitis disease. 
disease.  

C.  One out of four patients with this disease have a permanent
pe rmanent disability. 
disability. 

(28)  You hear a physician talking about Epilepsy and seizures. 

seizures.  

incorrect? 
Which of the following statements is incorrect? 

A.  Epilepsy is diagnosed only after a couple of seizures 

seizures  

B.  Seizures are the symptoms of epilepsy 

epilepsy 

C.  Focal seizures affect both sides of the brain 

brain 

ANSWER:
ANSWER:  

(29)  You hear a physician talking about Lyme disease and its consequences. 
consequences.  

Lyme disease is often diagnosed by;

by;  

A.  Laboratory testing 

testing 

B.  Erythema migrans 

migrans 
 

C.  Headache, fever & fatigue 

fatigue  

ANSWER: 
ANSWER: 

 
(30) You hear a physician explaining to his nurse about Omsk Hemorrhagic fever.  
vole?  
Which of the following is a narrow-skulled vole? 

A.  Ondatra zibethica 

zibethica 

B.  Microtus gregalis 

gregalis 

C.  Arvicola terrestri

t errestriss 

ANSWER: 
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. 
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. 
audio.  

Now, look at extract one.

Extract 1 
1 

36 
Questions 31 to 36 

hear the doctor’s

 You hear doctor’s lecture
lecture on Coronary Artery Disea
Disease.
se.  

 You have 90 seconds

seconds to read
read questions
questions 31
31 to 36 
36 

(31)  Which of the following statements is incorrect? 

incorrect?  

A.  Atheromatous plaques accumulate within the walls of

o f myocardium. 
myocardium. 

B.  Atheromatous plaques blocks the blood supply to

t o the myocardium. 
myocardium. 
 

C.  Coronary artery disease is not the only cause of

o f coronary heart disease.
disease.  

ANSWER:
ANSWER:  

(32)  Which of these statements is incorrect? 

incorrect?  

A.  Patients remain with no symptoms of

o f coronary artery disease for decades. 
decades.  

B.  Acute myocardial infarction is the final symptom of coronary artery disease
disease  

C.  The firstt onset of

firs o f acute myocardial infarction occurs during
d uring the initial stage of
o f atheromatous
 plaque accumulation. 
accumulation.  

ANSWER: 
ANSWER: 

(33)  According to the prevailing trend in the US; 

US;  

A.  50 percent of the healthy male population

po pulation of 40 years have developed coronary artery disease.
disease.  

B.  One third of the healthy male population

popu lation over 40 years have developed coronary
coro nary artery
disease.  
disease.

C.  Coronary artery disease is the most common reason for the death of people over 20 years of
age.  
age.

ANSWER:
ANSWER:  

(34)  According to the Guinness book of records, the region with most occurrences of this
disease is; 
is; 

A.  Masai of Africa 

Africa 

B.  United States 

States 

C.  Northern
 Northern Ireland 
Ireland 
 

ANSWER:  
ANSWER:

(35)  Patients with severe coronary artery disease have the signs of; 
of;  

A. 
Chronic coronary ischemia 
ischemia  
B.  Obstruction of the lumen 
lumen 

C.  Flash pulmonary edema 

edema 

ANSWER: 
ANSWER: 

(36)  Which of the following condition is irreversible? 

irreversible? 

A.  Flash pulmonary edema 

edema  

B.  Myocardial infarction 

infarction 

C.  Myocardial ischemia 

ischemia 

ANSWER:
ANSWER:  

Extract 2 
2 

42 
Questions 37 to 42 

 You hear
hear the doctor
doctor giving
giving a lecture
lecture on different
different types
types of viruses
viruses and their impacts.
impacts.  

 You have 90 seconds

seconds to read
read questions
questions 37
37 to 42 
42 

(37)  Which of the following viruses no longer exists in nature? 

nature?  

A.  Molluscum contagiosum 

contagiosum 

B.  Variola
Variola  

C.  Monkeypox virus 

virus 
 

ANSWER:
ANSWER:  

(38)  Which of the following viruses is not a parapoxvirus? 

parapoxvirus?  

A. 
Cowpox virus 
virus 
B.  Pseudocowpox virus 
virus 

C.  Bovine papular stomatitis virus 

virus  

ANSWER: 
ANSWER: 

(39)  Which of the following viruses infects immunodeficient patients? 

patients?  

A.  Molluscum contagiosum 

contagiosum 

B.  Pseudocowpox virus 

virus 

C.  Bovine papular stomatitis virus 

virus  

ANSWER: 
ANSWER: 

(40)  Which of the following viruses is of yata poxvirus genus? 

genus?  

A.  Bovine papular stomatitis virus 

virus 

B.  Orf virus 

virus 

C.  Tanapox virus 

virus 

ANSWER:  
ANSWER:

(41)  The virus genus listed by World Organizations for Animal Health as significant animal
diseases is; 
is; 

A.  Parapoxviruses genus 

genus 
 

B.  Capripox Viruses genus 

genus 

C.  Yata poxviruses 

poxviruses 

ANSWER: 
ANSWER: 

(42)  The virus that was used as a pest control to eradicate feral European rabbits is;  

A.  Shope fibroma virus 

virus 

B.  Haré fibroma virus 

virus 

C.  Myxoma virus 

virus 

ANSWER: 
ANSWER: