Extract 1: Questions 1-12

. -
You hear a knee specialist talking to a new patient called Jason Riley For questions 1 12, complete the notes with a
word or short phrase.

You now have 30 seconds to look at the notes .

Patient Jason Riley

Patient history • knee became swollen after playing (1) ( two years ago )

- responded to rest
diagnosed with bursitis
- some family history (mother had it in her (2) )

now works as a (3) (changed one year ago)

recurrence of swelling, knee also appeared (4) (six months ago)

- some pain - developed mild fever.
medicated for a possible (5) (some improvement )

- some swelling/ache continued

Further treatment • occasional use of painkillers (n.b. has adverse reaction to (6) )

• applied (7) to the affected area

• followed an exercise regime ( elevation of leg )

• used a (8) .
at night to keep the leg raised

• aspiration - (9) of fluid removed

GP' s recommendations

• use (10) in footwear

• apply (11) to knees whilst working

• lose weight (not achieved)

Most recent treatment • three courses of (12)

Extract 2: Questions 13-24

You hear a neurologist talking to a new patient called Sylvia Gunn. For questions 13-24, complete the notes with a
word or short phrase.

You now have 30 seconds to look at the notes.

Patient Sylvia Gunn

Patient history • pain in tooth ( three years ago )

- site of previous (13)

• dentist administered (14)

• intermittent pain - in bursts of (15) duration.

• pain exacerbated by use of (16)

• referred to GP

Further treatment • GP prescribed painkillers (had no effect )

• (17) excluded sinusitis (previous history), and nerve damage.

• Anti-epilepsy medication prescribed (with some success)

Current position • tooth pain irregular - periods of remission

• experiences (18) in the jaw immediately prior to the onset of pain

• similar symptoms affecting eye (same side of face )

• maybe triggered by: - move to a new (19)

- exposure to (20) (in warmer months)

• some relief from symptoms when wearing (21)

• symptoms worsening - at peak occurring every (22)

• has experienced (23) loss

• has stopped attending (24) ( feelings of isolation/depression )

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

 Part B

In this part of the test, you'll hear six different extracts. In each extract you 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 .
25. You hear two nurses conducting a patient handover.

What does the incoming nurse need to do?

( A) organise a radiography visit

(B) obtain the results of some tests

(c ) carry out a further risk assessment

26. You hear a GP talking to a patient .

What does he recommend for her anaemia?

(A) taking appropriate medication

(S) making specific changes to her diet

(c ) having further tests to confirm the diagnosis

27. You hear a senior nurse briefing a colleague about working in the recovery room .
What does she say about extubation?

(A) Only the doctors can authorise it .

( B) It always needs to be done in theatre .
(c) The nurse won't be required to deal with it .
28. You hear a dentist talking to a patient.

What has the patient misunderstood about the treatment for his tooth?

© the material that will be used

(§) the type of reconstruction he'll have

(£) the amount of money he’ll have to pay

29. You hear a triage nurse in the emergency department talking to a doctor.

What is he doing?

(A) asking to review an assessment he’s made

(B) admitting that he’s made a mistake

(c) passing on a complaint

30. You hear an eye surgeon briefing some new staff at the eye clinic.

What is she doing?

(A) advising them how to deal with some difficult referrals

(S) explaining how easily symptoms can be missed

(c ) stressing the need to gain wide experience

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

 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 .
Extract 1: Questions 31-36
You hear an interview with a dietician called Ben Melrose who’s talking about iodine deficiency.
You now have 90 seconds to read questions 31 36 - .
31 . Ben says the main reason so many people lack iodine in their diet is

(A) the type of foods they choose to eat.

(B) the distance they live from the sea.

© their lack of economic resources.

.
32 Ben says that the commonest symptom of iodine deficiency tends to be

(A) chronic fatigue.

©
( poor levels of concentration.

©) difficulty in retaining body heat.

33 . Before she left South America for Europe, Ben's patient called Mirabelle

® had already begun to develop symptoms of iodine deficiency.

©) had a more varied diet than she adopted on her return .

(c) hadn’t been affected by the lack of iodine in her diet.

34 . How did Mirabelle feel when she realised she'd developed a goitre?

(A ) alarmed there might be a non-dietary explanation for it

embarrassed not to have recognised the warning signs

surprised because she thought her diet was sufficiently varied

35. What did Ben advise Mirabelle to do?

(A ) eat certain foods in combination

®
( avoid all types of processed food

© reduce her reliance on supplements

36. What conclusions does Ben draw about iodine deficiency from Mirabelle's case?

® worldwide levels may have been overestimated

(B) large numbers of people are at risk of suffering from it

©) any change in dietary habits can increase susceptibility to it

Extract 2: Questions 37-42

You hear a plastic surgeon called Norma Woolston giving a presentation about surgical treatment for a condition called
Dupuytren's contracture.
You now have 90 seconds to read questions 37-42.

37. Norma says that when the condition is diagnosed early enough,

® medication can ease the pain that it causes.

© therapy will reverse the loss of movement.

© surgery may still be needed eventually.

38. When the patient called Eric first presented with the condition, Norma

(A ) felt that his occupation may be making the symptoms worse.

© realised that more than the little finger was affected.

© could see that he found it embarrassing.

39. Norma feels that Eric's condition may have a genetic basis because

( A) other risk factors were found to be present.

(B) there was a history of related conditions in the family.

(c ) he belonged to an ethnic group with a high incidence of it.

40. Before agreeing to undergo surgery. Eric expressed concerns about

© whether it was really necessary.

(B ) the possible side effects of anaesthesia.

© how it would impact on his general health.

41. What problem did Eric have in the period immediately after the procedure?

(A) He experienced an unexpected level of pain.

©
( He found that he had difficulty in sleeping.

© He was unable to get all his work done.

42. At his final consultation , Eric revealed that he felt

(A ) dissatisfied with the outcome of the treatment.

(B) concerned about the chances of the condition recurring.

( c) surprised at how long it took him to recover from the procedure.