MỤC LỤC
UNIT 1: SKIN...........................................................................................................................2
UNIT 2: NERVOUS SYSTEM................................................................................................2
UNIT 3: ENDOCRINE SYSTEM...........................................................................................3
UNIT 4: REPRODUCTIVE SYSTEM...................................................................................3
UNIT 5: URINARY SYSTEM................................................................................................4
UNIT 6: TALKING ABOUT SYMPTOMS..........................................................................5
UNIT 7: DIAGNOSTIC EQUIPMENT.................................................................................5
UNIT 8: ADMINISTERING MEDICATION.......................................................................6
UNIT 9: DESCRIBING FREQUENCY.................................................................................6
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UNIT 1: SKIN
A: Hello, how can I help you?
B: Hi, doctor. I got trouble with my face. There are a lot of things like spots on it, some of
them even have fluid inside. This problem has been going on for 1 month.
A: Let me check your face for a few minutes.
B: Sure, doctor.
A: Well July, what you have here is a common skin condition called acne.
B: Really? Is it serious?
A: Don’t worry. It’s not too bad. Acne is pretty common in teenagers like you.
B: Can we make it go away?
A: Of course. There are a number of medicines we can try. But your case is not really
bad, we can try some topical medicine first. Besides that you need to wash your face 2
times a day, in the morning and in the evening.
B: I see. Should I use special soap?
A: Yeah. Cetaphil is a good option. I’ll give you one to take home.
B: I got it. Thank you doctor.
A: You’re welcome.
UNIT 2: NERVOUS SYSTEM
P: Professor
S: Student
***
P: Today, I will check some knowledge about the nervous system. Anne, would you
answer a few questions for me?
S: Certainly, professor.
P: First, how many cranial nerves are there in the nervous system?
S: There are twelve cranial nerves.
P: That’s right. Next, what is the name of the 10th cranial nerve and function?
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S: Its name is vagus and it controls specific body functions such as blood pressure, digestion,
heart rate and immune system.
P: Very good. So tell me, the structural unit of the nervous system?
S: Those are neurons, professor.
P: Right again. Finally, how many neurons are there in the average brain?
S: Hmmm…I would guess about 50 billion.
P: Not quite. It’s actually 86 billion.
S: Oh that’s a lot of neurons.
P: Indeed. All that information exchange is what makes the brain so powerful.
UNIT 3: ENDOCRINE SYSTEM
A: Alright Anna, let's see if you can identify the patient's condition.
B: Okay, Doctor. What are his symptoms?
A: He has rapidly gained weight in his midsection. He always feel tired and has
constipation.
B: That sounds serious. Is there anything else?
A: His heart beat slowly and the body temperature is lower than normal.
B: That's interesting. Hmm... based on those symptoms, my guess would be that the patient
has hypothyroidism.
A: Exactly! And what is the cause of this condition?
B: It's an endocrine system disorder. It occurs when the thyroid gland can not produce enough
hormones.
A: Good. How about the treatment?
B: It's a chronic disease, treatment will be lifelong. Treatment consists of administration of
thyroid hormones.
A: Right again. You're doing well, Anna. Let's move on to the next case.
B: Thank you, doctor.
UNIT 4: REPRODUCTIVE SYSTEM
D: Doctor & P: Patient
***
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D: Hello Cindy. I have some questions before we get started with your physical exam.
P: Sure. What do you need to know?
D: Let's see. First, Are you sexually active before?
P: Yes, I am.
D: And do you use contraceptives?
P: Well, I try to.
D: Try to?
P: Well, I use them most of the time.
D: Don't forget to use a contraceptive every time. Because it can prevent an unwanted
pregnancy and reduce the transmission of STDs.
P: I know. I guess sometimes I just forget.
D: I see. So you forget your birth control pill?
P: No, I forget to use diaphragm.
D: You should use one every time you have sexual intercourse. It’s very important for
your health.
P: I know, doctor. I will use them every time.
UNIT 5: URINARY SYSTEM
A: Hello, how can I help you?
B: Hi doctor, I don’t feel very well
A: Tell me everything
B: I go to the bathroom a lot, and the urine has blood in it. My abdomen is swelling and
painful, I also feel tired and have diarrhea.
A: Well, It looks like you're suffering from glomerulonephritis.
B: Glomerulonephritis? What is that?
A: It is inflammation of the tiny filters also called glomeruli in your kidneys.
B: Then, why am I hurting so much?
A: Well, inflammation of the glomeruli causes fluid retention in your abdomen and puts
pressure on it.
B: I see. What should I do?
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A: Change your diet first. After that, I will describe a prescription for you to control the
condition. Contact me if the problem gets worse.
B: Thank you doctor.
A: You’re welcome.
UNIT 6: TALKING ABOUT SYMPTOMS
A: Hello, how can I help you?
B: Hi, doctor. I don’t feel good at all. I think I have the flu.
A: Have you been coughing?
B: Mostly wheezing. It's hard to breathe.
A: Have you noticed that your nose is runny?
B: Yes. I've been blowing my nose constantly.
A: Do you have muscle aches?
B: Yes, I do. I also have a light headache. Is it the flu?
A: Let me check your temperature. You do have a high fever. I think it is the flu. You'll
need lots of rest and some medicine to ease the symptoms.
B: I see. Thank you, doctor.
A: You’re welcome.
UNIT 7: DIAGNOSTIC EQUIPMENT
D: Hello! Nice to meet you.
P: Nice to meet you, too.
D: We're going to start off by taking an X-ray of your bone. That will show the type of
your fracture.
P: What if that doesn't work?
D: Then, we might need to do a CT scan. Have you ever done one of those before?
P: No, I haven't. What is a CT scan?
D: CT scan is an advanced form of radiography but we take many different X-rays.
P: Could you explain more clearly about it?
D: It uses many different two-dimensional X-rays to create a three-dimensional image.
P: That sounds very useful.
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D: But it’s expensive. So we should start with X-ray.
P: How long does it take to get the X-ray?
D: It takes about 15 minutes.
P: Okay. Thank you, Doctor.
D: Comeback when you have a result.
P: Ok. Please wait for me.
UNIT 8: ADMINISTERING MEDICATION
A: Ms.J, could you come here for a second?
B: Sure doctor. What do you need?
A: Let's review these patients' meds before I head out.
B: Sure thing, Doctor.
A: Mr. Khang should use 50cc of steroids twice a day.
B: Is that IV or subcutaneous injections?
A: Subcutaneous injections work better. Because IV wastes more time than
subcutaneous injection.
B: Does he need another medication?
A: Nope, that is enough.
B: I see. How about Mrs. Hoa, doctor?
A: Mrs. Hoa can have 500mg of paracetamol, it is taken every 4-6 hours, with a
maximum of four tablets per day, after she eats.
B: Okay. Is she able to swallow them?
A: Yes, standard P.O. administration is fine.
B: I got it. Thanks, Doctor. See you later.
UNIT 9: DESCRIBING FREQUENCY
A: Ms.J, could you come here for a second?
B: Sure doctor. What do you need?
A: Ms.A is a new patient. Let’s review her meds before I head out.
B: Ok, doctor. What does she need?
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A: She has arrhythmia. Give her a 25cc injection of lidocaine.
B: Yes. And how often should she get that?
A: It should be taken TID every 4-5 hours.
B: Is that IV or intradermal injections, doctor?
A: Only IV.
B: I see. Anything else?
A: She can also have one tablet of aspirin for her pain, take it pc. Do not take more than
800 mg per day.
B: I got it. I’ll add that to her chart.
A: Ok, thank you. See you later.
