Extract 1: Questions 1-12

You hear a primary-care doctor talking to a patient called Hayley Dove. For questions 1-12, complete the notes
with a word or short phrase that you hear.

You now have thirty seconds to look at the notes.

Patient Hayley Dove

Background to condition

• endometriosis for many years following birth of son

- discomfort from episodes of bloating, (1) and

E
fatigue

L
• developed (2) pain

• worsening condition affected her work as a (3)

P
• diagnosis of (4)

• underwent (5) - procedure eliminated symptoms

M
• set up business as a (6)

A
Development of new symptoms and treatment

S
• began to experience fatigue again

- linked to work activities, e.g. online meetings and conferences

- particularly noticeable after (7)

• (8) initially suspected

• blood tests led to eventual diagnosis of haemochromatosis

- n.b. (9) as an infant – but family history now

established

• treated via venesection - initially weekly, now three-monthly

- has some (10) as a result

Current concerns • now experiencing stiffness in joints – in both fingers

and (11)

• tendency to become excessively (12)

• occasional shortness of breath – not linked to exertion

[CANDIDATE NO.] LISTENING QUESTION PAPER 04/12

 Extract 2: Questions 13-24

You hear a physiotherapist talking to a patient called Marvin Chainey. For questions 13-24, complete the notes
with a word or short phrase that you hear.

You now have thirty seconds to look at the notes.

Patient Marvin Chainey

Onset of symptoms • contracted Covid-19 - wasn’t (13) (no hospital

admission)

• flu-like symptoms (one week)

• dry cough (persisted one month)

E
Post-Covid symptoms

L
• ongoing lack of (14)

• breathlessness after everyday tasks, e.g. carrying groceries

P
• insomnia leading to daytime fatigue

• (15) on waking – persisted all day

M
• brain described as (16)

A
• tendency to forget things, e.g. (17)

• (18) accompanied by chest pain

S
Diagnosis and treatment

• ECG and heart monitor (five days)

• diagnosis of (19)

- beta blockers prescribed

• low levels of (20) identified – supplements

prescribed

Current concerns • over-exertion or anxiety leads to recurrence of fatigue

- accompanied by joint pain: affects (21) and

lower extremities

• (22) in fingers

• has practised (23) long-term – recently

commenced tai-chi

• would like to resume gym attendance

• asks for advice on strength-building exercises

- e.g. use of (24) and

light weights

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

[CANDIDATE NO.] LISTENING QUESTION PAPER 05/12

 Part B

In this part of the test, you’ll hear six different extracts. In each extract, you’ll hear people talking in a different
healthcare setting.

For questions 25-30, choose the answer (A, B or C) which fits best according to what you hear. You’ll have time
to read each question before you listen. Complete your answers as you listen.

Now look at question 25. A

B
Fill the circle in completely. Example: C

25. You hear a hospital nurse talking to a patient.

The patient expresses a concern about

L E
P
A having to make use of a mobility aid.

B being expected to mobilise without assistance.

M
C feeling unsteady when he’s attempting to mobilise.

A
26. You hear two community nurses conducting a patient handover.

S
The patient may need some guidance in how to deal with

A the regular medication that he needs to take.

B ongoing therapy related to his long-term health needs.

C the sensitivity associated with a health condition he’s developed.

27. You hear the beginning of a training session for nurses about to start work on a paediatric ward.

What is the focus of today’s session?

A comparing equipment used with patients of different ages

B gaining an awareness of how some equipment is used

C learning how best to organise some equipment

[CANDIDATE NO.] LISTENING QUESTION PAPER 06/12

 28. You hear an occupational therapist briefing a trainee about a home visit that he’s going to observe her
making.

What is the priority for today’s visit?

A helping the patient to regain independence in everyday tasks

B meeting a family member who has concerns about the patient

C ensuring that a mechanical device is appropriate for the patient

29. You hear a hospital pharmacist talking to a patient.

E
The patient’s main concern about his medication is whether

C
he’s been prescribed the most effective dose.

P
he’s likely to experience long-term side effects.

he’s been taking it at the most appropriate time. L

30.

A M
You hear a primary-care doctor talking to a patient.

S
The patient is worried that she may have

A self-treated her toe in an inappropriate way.

B damaged a toe that she’d previously injured.

C triggered the resurgence of a health condition.

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

[CANDIDATE NO.] LISTENING QUESTION PAPER 07/12

 Part C

In this part of the test, you’ll hear two different extracts. In each extract, you’ll hear health professionals
talking about aspects of their work.

For questions 31-42, choose the answer (A, B or C) which fits best according to what you hear. Complete your
answers as you listen.

Now look at extract one. A

B
Fill the circle in completely. Example: C

Extract 1: Questions 31-36

E
You hear Dr Pietro Everall giving a presentation on the subject of cholesterol.

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

31.

P L
Dr Everall thinks misunderstandings about the role of cholesterol largely arise due

an imprecise use of the term in the media.

M
A

B inadequate explanations by health professionals.

A
C a lack of focus on its positive influences in research studies.

S
32. Dr Everall feels that using the words ‘good and ‘bad’ to describe types of cholesterol

A may be a useful way of clarifying a key point for patients.

B could encourage patients to find out more about the science.

C might lead patients to underestimate the complexity of the subject.

33. Dr Everall feels that some patients are reluctant to engage with the dangers of cholesterol because

A the standard investigations aren’t generally available to them.

B they don’t realise which social groups are most likely to be affected.

C no noticeable symptoms are associated with its gradual accumulation.

[CANDIDATE NO.] LISTENING QUESTION PAPER 08/12

 34. In terms of preventive medicine, Dr Everall mentions research that suggests high levels of cholesterol may
result from

A the existence of an inherited predisposition.

B lifestyle factors that aren’t usually associated with it.

C a range of modifiable behaviours particular to one age group.

35. What does Dr Everall say about the drug called Inclisiran?

Its use could lead to considerable cost savings.

E
A

B Patients are likely to tolerate it better than existing options.

L
C Further research is needed to establish its full range of possible uses.

36.

M P
What point does Dr Everall make about the technology known as ‘gene silencing’?

Claims made about its potential uses need to be treated with caution.

A
B It works in a similar way to some other similar techniques.

C Wrong assumptions may sometimes be made about it.

S
Now look at extract two.

[CANDIDATE NO.] LISTENING QUESTION PAPER 09/12

 Extract 2: Questions 37-42

You hear an interview with a nurse called Lianne Haydock who is talking about the issues involved in caring for
obese or ‘plus-size’ patients.

You now have 90 seconds to read questions 37-42.

37. Lianne feels that in response to increasing numbers of plus-size patients, nurses should

A take a lead in educating them about the risks.

B be proactive in investigating what lies behind the problem.

E
C remain focussed on providing them with the best possible service.

L
38. What attitude towards plus-size patients does Lianne find unacceptable?

P
A a belief that they’re somehow to blame for their weight.

M
B a lack of interest in the medical reasons for their weight.

C a tendency to assume they’ve been trying to lose weight

39.

B
S A
Lianne suggests adopting an approach to caring for patients that

makes special provision for those defined as plus-size.

is able to accommodate the needs of people of all sizes.

C involves a reassessment of what represents a typical size.

40. Lianne says the greatest problem with specialised equipment for plus-sized patients is often that

A a limited range is available for hospitals to choose from.

B hospitals lack the resources to invest in the quantities needed.

C the physical layout of hospitals can’t accommodate them easily.

[CANDIDATE NO.] LISTENING QUESTION PAPER 10/12

 41. How does Lianne respond to the question about the safety issues presented by plus-size patients?

A She accepts that training in this area needs to be improved.

B She outlines some principles to apply to minimise any issues.

C She makes a case for increased levels of support for nursing staff.

42. When asked about the human dimension of caring for plus-size patients, Lianne underlines the value of

involving patients in decisions about their everyday care

E
A

B ensuring that patients appreciate any concerns staff may have.

L
C respecting the patient’s wishes about how their size is referred to.

P
That is the end of Part C.

M
You now have two minutes to check your answers.

A
THAT IS THE END OF THE LISTENING TEST

[CANDIDATE NO.] LISTENING QUESTION PAPER 11/12