Extract 1: Questions 1-12

You hear a consultantendocrinologist talking to a patient called Sarah Croft. For questions 1-12.
complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes.

Patlent Sarah Croft

Medical history hypertension (recently worsened)

3 years of corticosteroid treatment for (1)

General symptoms

gradual weight gain, especially in stomach area

2) on face: embarrassing

visible (3)- between the

shoulders

swollen ankles
excessive and constant (4)

backache

periods are (5).

extreme tiredness

Dermatological symptoms

tendency to (6)
wounds slow to heal. (7)-
thighs
face appears red in colour, (8)
area on neck

recent development
of(9)
 Psychological symptoms
mildly depressed
scared by new experience of (10)

feels constantly (11)

intermittent cognitive difficulties

Recommended tests

further blood tests

(12) . test possibly

Extract 2: Questions 13-24

You hear an anaesthetist talking to a

patient called Mary Wilcox prior to an operation. For questions
13-24, complete the notes with a word or short phrase.
You now have thirty seconds to look at the notes.

Patlent Mary Wilcox

Current medications

Reason for Medication Comments

medication

Thiazide
High blood both taken this morning with (14)
(13)
pressure

(15)
taken this morning
Heart attackk
(16)
stopped taking this 7 days ago
 Medical history went to GP two years ago feeling (17)

.- heart attack subsequently

diagnosed
had two (18) inserted

Present conditlon

alrightwith (19)- and walking on

the flat

has sweling in one ankle following operation for (20)

denies (21)-
reports some (22) at night

(responds to medication)

Concerns expressed

following the procedure

(23)
possible damage to crowns (both are (24)

That is the end of Part A. Now look at Part B.

 Part B
In this partof the test. youll hear six diferent extracts. In each extract, you'll hear people talking
in a different healthcare setting.
For questions 25-30, choose the answer (A, Bor C) which fits best according to what you hear.
Youll have time to read each question before you lsten. Complete your answers as you listen.
Now look at question 25.

25. You hear two trainee doctors doing an activity at a staff training day.

What does the activity give practice in?

writing case notes

prioritising patients

dealing with consultants

26. You hear a radiographer talking to a patient about her MRI scan.

What is he doing?

clarifying the aim of the procedure

dealing with her particular concerns

explaining how the equipment works

27. You hear two nurses

discussing an article in a nursing jounal.
What do they agree about it?

It's likely to lead to changes in practice.

It failed to reach any definite conclusion.

It confirms what they were already thinking

 28. You hear two hospital managers talking about a time management course for
staff.

They think that few people have shown interest because

there are so many alternatives on offer.

they feel it's not relevant to them.

it hasn't been publicised enough.

You hear an optometrist reporting on some research he's been doing.

29.

The aim of his research was

to develop nanoparticles for transporting drugs all over the body.

infections caused by contact lenses.

to find a way of treating

administer drugs over time.

to use contact lenses to

patient's eye condition.

You hear a consultant talking to a trainee about a
30.

What is the consultant doing?

intervention may not be necessary

explaining why

no means certain
suggesting the diagnosis is by

describing a possible complication

C.
B. Now look at Part
That is the end of Part
 Part C
In this of the test, you'll hear wo different extracts.
part
In each extract, you'll hear health
professionals talking about aspects of their work
(A, B or C) which fits best according to what you hear.
For questions 31-42, choose the answer
Complete your answers as you listen.

Now look at extract one.

Extract 1: Questions 31-36

specialises in the treatment of

You hear an interview with a neurosurgeon called Dr lan Marsh who
concussion in sport.

You now have 90 seconds to read questions 31-36.

31 Dr Marsh says that one aim of the new guidelines on concussion is

to educate young sportspeople in how to avoid gettingit

to correct some common misunderstandings about it.

t o provide a range ofspecialist advice about it.

32. Dr Marsh makes the point that someone who has sufered a concussion will

be unconscious for varying amounts of time ater the event.

need a medical examination before doing any further exercise.

h a v e to take precautions to avoid the risk of symptoms recurring.

33. Dr Marsh says returning to sport too early after a concussion is dangerous
because

subsequent episode can have a cumulative effect.

there is a high risk of fatality in the event of a second one.

the brains of younger people need time to return to normal size.

 4. Dr Marsh suggests that the risk of sustaining a concussion in sports

lies mainly in the choice of sports played.

can be reduced by developing good playing technique.

is greater when sports are played in less formal situations.

35. What is Dr Marsh's view about providing medical support for youth sports
events?

Some types of sport are risky enough to justify it

The organisers should be capable of dealing with any issues.

Certain medical professionals should be encouraged to volunteer.

36. Dr Marsh thinks that developments in college footballin the USA

only really address an issue which is particular to that sport

are only likely to benefit the health of professional sports players.

areasignificant step forward in the prevention of concussion in all

sports.

Now look at extract two.

Extract 2: Questions 3742
You hear a presentation by a consultant cardiologist called Dr Pamela Skelton, who's talking
about a research trial called SPRINT which investigated the effects of setting lower blood-
pressure targets.
You now have 90 seconds to read questions 37-42.

37. Why was the SPRINT trial stopped before it was due to end?

There were conclusive results earlier than expected.

The high drop-out rate was likely to invalidate the data.

Concerns were raised about possible effects on all

participants

38. A few participants aged over seventy-five left the trial because

there was a negativeimpact on their daily life.

they failed to take the required doses of medication.

their health deteriorated due to pre-existing conditions.

9 A significant feature of measuring blood pressure in the trial was that

the highest of three readings was recorded.

t h e patient was alone when it was carried out.

i t was done manually by the participant at home.

 40. How did the SPRINT trial differ from the earlier ACcORD study into blood pressure?

ASPRINT had fewer participants.

SPRINT involved higher-risk patients.

SPRINT included patients with diabetes.

1 Dr Skelton's main resenvation about the SPRINT trial is that

tignores the wider implications of lowered BP

i t s results go against the existing body of evidence.

i t was unduly influenced by pharmaceutical companies.

42. What impact does Dr Skelton think the SPRINT trial will have in the future?

I t will lead to universally applicable guidelines for BP levels.

Increased attention will be given to the effect of lifestyle on BP.

G P s will adopt a more active approach to lowering BP in the elderly.

That is the end of PartC.

You now have two minutes to check your answers.

END OF THE LISTENING TEST

LISTENING SUB-TEST-ANSWER KEY

PART A: QUESTIONS 1-12

asthma

hair (growth)

hump
4 Sweating/perspiration / diaphoresis
5 (so) infrequent (now)

6 (easily) bruise

stretch marks / striae

dark/ darkened

acne (vulgaris)

10 mood swings

iritable

12 saliva

PART A: QUESTIONS 13-24

13 lisinopril
14 (some) water

aspirin
6 clopidogrel

(a bit) breathless

18 stents
stairs
9 (going up/going down/up and down)

20 varicose veins

21 (having) palpitations

22 heartburn/ (acid) reflux

23 pain

24 central incisors
LISTENING SUB-TEST-ANSWER KEY

PART B: QUESTIONS 25-30

25 B prioritising patients

26 B dealing with her particular concerns

27 A It's likely to lead to changes in practice.

28 B they feel it's not relevant to them.

29 C to use contact lenses to administer drugs over time.

30 A explaining why intervention may not be necessary

PART C: QUESTIONS 31-36

31 C to provide a range of specialist advice about it.

32 C have to take precautions to avoid the risk of symptoms recurring.

33 A a subsequent episode can have a cumulative effect.

34 A lies mainly in the choice of sports played.

35 B The organisers should be capable of dealing with any issues.

36 A Only really address an issue which is particular to that sport.

PART C: QUESTIONS 3742

37 A There were conclusive results earlier than expected.

38 their health deteriorated due to pre-existing conditions.

39 B the patient was alone when it was carried out.

40 B SPRINT involved igher-risk patients.

41 its results go against the existing body of evidence.

42
GPs will adopt a more active approach to lowering BP in the
elderly.

END OF KEY