Revision 34 tacn u1 6

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REVISION 3

I. Choose the best answer A, B, C or D to complete the following sentences.

1. The doctors who do work in rural communities are more interested in ……… in the

community than getting the highest pay.

C. Both A and B are correct D. Neither A nor B is correct 2. The character of the pain that a person is suffering from ureteric colic is ………

C. piercing / boring D. dull / persistent / vague 3. ……… to your shoulder or is it just her?

A. Has the pain spread B. Has the pain been spreading C. Both A and B are correct D. Neither A nor B is correct

4. The character of the pain that a person is suffering from degenerative arthritis is ………

C. scalding / burning D. like a tight band around the head 5. The character of the pain that a person is suffering from cystitis is ………

C. scalding / burning D. like a tight band around the head

6. When it comes to talking to patients in a ……… environment, it is essential to take a more gentle and more direct approach.

7. The suffix of “–ectomy” describes a surgical procedure of ……….

A. removal of a structure by surgery B. the act of examining C. an opening between two cavities or the outside D. cutting something open 8. The suffix of “–ostomy” describes a surgical procedure of ……….

A. removal of a structure by surgery B. the act of examining C. an opening between two cavities or the outside D. cutting something open 9. The suffix of “–(o)tomy” describes a surgical procedure of ……….

A. removal of a structure by surgery B. the act of examining C. an opening between two cavities or the outside D. cutting something open

10. ………. is preferred where the agent of the action is irrelevant, not known, or is understood.

C. Both A and B are correct D. Neither A nor B is correct 11. Informed ………. is………..

A. endoscope / advanced B. consent / obtained

12. The ………. is introduced and is ………. further down the oesophagus and into the stomach and duodenum.

A. endoscope / advanced B. consent / obtained

13. While explaining procedures, ………. is used to talk about intentions, that is, when a course of action has been decided upon.

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A. be going to B. what we’re going to do is C. Both A and B are correct D. Neither A nor B is correct

14. Gastroscopy is a good test for seeing abnormalities in the upper gut, but it is not ……….

15. Besides providing information, the effective ways can improve………. are a combined use of educative, practical, and emotionally and behaviorally ………..

A. compliance / supportive interventions B. compliant / supportive interventions C. compliance / supporting interventions D. compliant / supporting intervention

16. Obesity is the result of an energy.………..where energy………..exceeds energy expended over time.

17. Lifestyle factors associated with obesity are increased ………..of food with high levels of sugar and saturated fats, as well as a……….. in physical activity.

A. consumption / reduction B. consume / reduce C. consumptions /reductions D. All are correct

18. Both MAY and CAN are used to express ………. and are often used ……….. A. possibility / interchangeably B. ability / changeably

C. Both A and B are correct D. Neither A nor B is correct

19. When explaining side effects to a patient, ……….. is used to indicate a theoretical ………

20. When explaining side effects to a patient, ……….. is used to indicate a real ………

II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer A or B.

1. Before a gastroscopy, don’t eat for 4-6 hours because the stomach needs to be empty.

III. Read the doctor’s report below and choose ONE suitable word from the given ones to fillin each numbered blank.

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over-the-counteramountnot only incorrectlychronic

Medication can be life-saving, (1)……… in emergency and acute situations but in treating (2) ……… conditions like diabetes, high blood pressure and asthma too. It can also be dangerous if taken (3)………, in too-large doses or by someone for whom the medication was not originally (4)………. If your medication is prescribed by your GP or hospital doctor, it is crucial you take it (5)……… as you have been told, i.e. the right (6)……… at the right time.It is equally important to take the correct dosage of (7)……… drugs. Over-the-counter medication should not be used with prescribed medication (8)……… a doctor has confirmed it is safe to do so. Be

certain to keep all medication well out of the (9)……… of children. (121 words)

Too many patients don't understand what their doctors tell them - a real (1) ………. for people taking medication, or recovering from injuries, (2) ………., or illnesses. The (3) ………. of many patients to follow doctors' instructions and understand the basics of the care they're getting -a (4) ………. of "he-alth liter-acy" - m-ay thre-aten their he-alth.

Successful medical treatment often depends on patients giving (5) ………. medical histories, following detailed instructions, and (6) ………. what they need to do (7) ………. they leave the doctor's office. When patients can't do that, research suggests that diseases are managed (8)

………. successfully, and patients tend to report (9) ………. health. (98 words)

IV. Read the text and choose the answer A, B, C or D to fill in the blanks with missinginformation.

Anxiety can be the basis of most conflicts in healthcare settings. Although not unique to healthcare,

anxiety can cause nervousness, fear, apprehension and worry. It’s common for individuals to experience a general state of worry or fear when facing a new experience, and being involved in a healthcare situation is no exception.

Whatever the reason, anxiety can manifest itself in the patient and family in relief behavior, which

can include anger, sarcasm, withdrawal and dismissive behavior toward healthcare providers. How

you handle these emotions and conduct can make all the difference between a successful resolution

of an identified concern and an outcome that is not helpful to all involved.

You can help reduce or even avoid patients or families’ anxiety by listening to patients.

1. The word “conflicts” in paragraph 1 means ……….

C. Both A and B are correct D. Neither A nor B is correct

2. In healthcare settings individuals can experience a general state of worry or fear when ……….

A. facing a new experience B. being involved in a healthcare situation C. Both A and B are correct D. Neither A nor B is correct

3. The word “which” in paragraph 2 refers to ……….

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A. anxiety B. patient C. family D. relief behavior

4. The word “these emotions” in paragraph 2 refers to ……….

A. anger, sarcasm, withdrawal and dismissive behavior B. anger, anxiety, withdrawal and dismissive behavior C. nervousness, fear, apprehension and worry

D. nervousness, fear, sarcasm, and worry 5. The text is mainly about ………..

A. how to reduce your anxiety B. how to deal with your anxiety C. what anxiety is in healthcare setting D. what anxiety is like

Health professionals should respect patient’s autonomy and accept that increasing compliance with prescribing instructions is not as important as meeting patients’ individual needs and priorities. Patients need help to make informed choices about treatment. For example, there is a need to differentiate clearly between situations where varying the timing or quantity of medicine doses may

be do little harm or even be beneficial, and situations in which there is high probability of adverse

clinical outcomes.

Improvements in self-management skills and compliance in medicine taking can generate significant benefits for individuals and the population as a whole. Combining medication reviews with other forms of timely and appropriate support for patients and carers represents an important route towards better and more cost-effective use of medicines.

1. Health professionals should respect patient’s ……….

C. Both A and B are correct D. Neither A nor B is correct 2. Health professionals should accept that ……….

A. meeting patients’ individual needs and priorities is more important than increasing compliance with prescribing instructions

B. increasing compliance with prescribing instructions is more important than meeting patients’ individual needs and priorities

C. meeting patients’ individual needs and priorities is as important as increasing compliance with prescribing instructions

D. meeting patients’ individual needs and priorities is less important than increasing compliance with prescribing instructions

3. Patients need help from health professionals ………. they can make informed choices about treatment.

C. Neither A nor B is correct D. Both A and B are correct

4. The word “which” in paragraph 1 refers to……….

A. the timing B. situations C. quantity of medicine D. doses 5. The best title for the text is the most likely to be ………..

A. autonomy B. treatment C. concordance D. None is correct

REVISION 4

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I. Choose the best answer A, B, C or D to complete the following sentences.

1. The word “susceptible” in the sentence “He is susceptible to many minor illnesses” means

……… in non-technical language.

A. prone B. come and go C. there all the time D. book

2. The word “intermittent” in the sentence “You said your cough is intermittent” means ………

in non-technical language.

A. prone B. come and go C. there all the time D. book

3. The word “persistent” in the sentence “Your cough is persistent?” means ……… in

non-technical language.

A. prone B. come and go C. there all the time D. book

4. The verb “hospitalize” in the sentence “You won’t have to be hospitalized” means ……… in

non-technical language.

5. The verb “schedule” in the sentence “You are scheduled to see the nurse in the allergy clinic nextTuesday.” means ……… in non-technical language.

6. The word “deprivation” in the sentence “Social deprivation is associated with death from allcauses” means ……….

7. The word “factors” in the sentence “Other factors which have an effect are homelessness,sleeping rough, divorce…” means ……….

8. The sedative will normally make you feel quite pleasant and ………..

C. Both A and B are correct D. Neither A nor B is correct 9. ……….. is not the synonym of “rarely”.

10. ……….. is the synonym of “sometimes”.

C. Both A and B are correct D. Neither A nor B is correct 11. ……….. is not the synonym of “often”.

A. frequently B. typically C. regularly D. None is correct 12. The abbreviation of “stat” means ………..

A. Four times a day B. in the morning

13. The abbreviation of “om” means ………..

A. in the morning B. once a day/24h C. two tablets D. as required 14. The abbreviation of “PO” means ………..

15. An office job can lead to a ………. lifestyle and snacking on unhealthy foods.

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16. When you want to help patients change lifestyle habits, you should give them the general advice

for exercising such as: “Once you……….a new routine, you’ll begin to notice someimprovement”.

A. settle into B. increase C. make D. devise

17. When you want to help patients change lifestyle habits, you should give them the general advice

for exercising such as: “If you make ……….and ……… yourself achievable aims, you willbe more likely to succeed”.

A. a new regime / have B. some physical activity / find C. old habits / make D. minor changes/ set

18. Salbutanol is prescribed in order to……… A. widen the bronchi

B. make patients less agitated C. relieve pain

D. treat reactions to drugs or anaphylactic shock 19. The benefit of Aspirin is to………

A. relieve pain, thin the blood B. help prevent heart attacks C. help the blood flow more easily D. All are correct

20. The abbreviation: “ranitidine/ 150mg / bd / PO /300mg” in the drug chart means give the patient

150milligrams of ranitidine ………..

A. three times a day, by mouth, up to a maximum of 300 milligrams.

B. as required, by mouth, up to a minimum of 300 milligrams.

C. every 8 hours a day, by mouth, up to a minimum of 300 milligrams. D. twice a day, by mouth, up to a maximum of 300 milligrams.

II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer A or B.

1. Understanding what the patient is feeling because you have experienced it yourself best explains

3. The doctor’s statement “I know it’s not easy to change habits because I’ve faced the same problem myself” is sympathetic.

4. The doctor’s advice on changing the patient’s lifestyle might be more comfortable if it does not take into account the patient’s family situation, or his/ her living or work.

5. In the doctor / patient consultation, the best way to encourage people to change their exercise / eating habits might include building more leisure centres; encouraging sport and exercise in schools…

III. Read the doctor’s report below and choose ONE suitable word from the given ones to fillin each numbered blank.

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in additionconstantpainchallengesurface

Receiving good pain treatment can depend in part on how (1) ……… the patient can describe his/her pain to your health care providers. (2) ……… has a language all its own and sometimes people may find it a (3) ……… to clearly describe their pain. (4) ………, not all pain feels the same. (5) ……… pain is sharp, tingling, burning, dull, or something else completely. It may be felt on the (6) ……… of the body, or deep inside. Pain can be (7) ……… , or come and go, rapidly or slowly, over long or short periods of time. People have different levels of (8) ……… for pain, so what one person may describe as (9) ……… pain, might be

described as mild pain by someone else. (118 words)

Clear communication and obvious (1) ………. will go a long way towards making surgical procedures successful and (2) ………. the patient feel that they aren’t just another product on an assembly line. Dehumanization is a real (3) ………. when it comes to medicine. Preventing it should be one of the top (4) ………. for any caregiver. Especially since it can be corrected easily and quickly by keeping in mind just how frightening and mysterious these (5) ………. are for the average patient.

Quality (6) ………. begins with the first visit, by humanizing the patient and treating them with all of the (7) ………. and respect they should expect. Talking with them, making their concerns (8) ………. and not shutting them out of all aspects of the decision making process should be

the mantra of all (9) ……….. (128 words)

IV. Read the text and choose the answer A, B, C or D to fill in the blanks with missinginformation.

Stress in medical practice has always been a topical issue. This is partly because medical service

involves taking care of other peoples' lives and mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctor himself must be in a perfect state of mind devoid of morbid worries and anxieties. This is however not usually the case, because the doctor apart from being affected by the same variables that impose stress on the general population, is also prone to stress because of the peculiarities of his work situation and the expectation of the society at large.

The doctor is still perceived as a very comfortable person in our society and expectations are usually high financially and otherwise. Failure or inability to ‘meet up’ may constitute a significant stress factor in some physicians.

1. The word “topical” in paragraph 1 means………..

A. current B. recent C. contemporary D. All are correct 2. ………. why stress in medical practice has always been a topical issue.

A. There is one reason B. There are two reasons C. There are three reasons D. There are four reasons

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3. The medical doctor himself ………. in a perfect state of mind devoid of morbid worries and anxieties.

A. is expected to be B. is expected must be

C. Both A and B are correct D. Neither A nor B is correct

4. The doctor is also prone to stress because of the ………. of his work situation and the expectation of the society at large

A. unusual features B. special habits (B)

C. Both A and B are correct D. Neither A nor B is correct

5. Some physicians can be under a lot of stress when they ………. to meet up the expectation of the society at large.

A. failure B. inability C. fail D. All are correct

General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological and social aspects of care.

General practitioners have an important role in looking after patients in their homes and within the

communities where they live. They are part of a much wider team whose role includes promoting,

preventing and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.

Looking after the whole person - the physical, emotional, social, spiritual, cultural and economic aspects through patient-centred approaches is a vital part of any GP’s role.

1. General practitioners (GPs) ………. A. treat all medical conditions

B. refer patients who need urgent and specialist treatment to hospitals C. Both A and B are correct

D. Neither A nor B is correct

2. There are ………. aspects of care General Practitioners (GPs) focus on the health of the whole person.

3. The word “whose” in paragraph 2 refers to belonging to ……….

A. a much wider team B. General Practitioners C. Both A and B are correct D. Neither A nor B is correct 4. ………. a role in promoting, preventing and initiating treatment

A. A much wider team plays B. General Practitioners play C. Both A and B are correct D. Neither A nor B is correct 5. ………. are a vital part of any GP’s role.

A. Patient-centred approaches

B. The physical, emotional, social, spiritual, cultural and economic aspects

C. Both A and B are correct D. Neither A nor B is correct

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Revision 34 tacn u1 6

<b>REVISION 3</b>

<b>REVISION 4</b>

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