Part A

In this part of the test, you hear two different extracts. In each extract, a health professional is
taking to his patient. For questions 1 to 24 complete the notes with the information you hear.

Now, look at the notes for extract 1.

Extract 1: Questions 1 to 12

You hear a doctor talking to a patient called Eugeniusz. For questions 1 to 12, complete the
following notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient : Eugeniusz

Age : 12

Symptoms & disease : Fell off from bicycles & having Neck pain

Patient’s description of symptoms: fell off his bicycle. He was not wearing a helmet.

There was a (1) He is complaining neck pain.

Family history of illness : none

Medications : none

Allergies : none

Physical examination : his blood pressure 150/75, pulse rate 80, respirations 18, temperature
37.4, (2) on room air. He is moderately obese.

Diagnosis : His neck is symmetric, the trachea is in the midline, and there are no masses. No
crepitus is palpated. The thyroid is palpable, not enlarged, smooth, moves with swallowing, and
has no palpable masses. Normal respiratory effort. There is no (3) or
action by the accessory muscles. Normal breath sounds bilaterally (4) wheezing or
rubs.
 : The point of maximal impulse is is palpable at the (5) No thrills on
palpation. (6) No audible S3, S4, murmur, click or rub. (7) No
audible abdominal bruits. (8) bilaterally, without audible bruits.
Extremities show no edema or (9)

: Gastrointestinal investigation shows no palpable tenderness or masses. Liver and

spleen are percussed but not palpable under the costal margins. No evidence
for (10) No lymphatic nodes over 3 mm in the neck, axillae or
groins. Musculoskeletal test shows normal gait and station. Symmetric muscle strength and
normal tone, without signs of atrophy or abnormal movements.

: There is a (11) and one in the occipital scalp, and there are abrasions in
the upper extremities and abrasions on the knees. No induration or subcutaneous nodules to
palpation.

Impression : has concussion, facial abrasion, (12) and knee abrasions.

Further treatment : to admit the patient today and he will be medicated and under observation
for 24 hours.

Extract 2: Questions 13 to 24

You hear a physician talking to a patient called Mr. Gregorius. For questions 13 to 24,
complete the following notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient : Mr. Gregorius

Age : 55

Symptoms & disease : Abnormal stress test with severe chest pain

Patient’s description of symptoms: had a markedly abnormal stress test with severe chest pain
after 5 minutes of exercise on the standard Bruce with horizontal ST depressions and
moderate (13) on stress imaging only.

Allergies : none
Physical examination : his (14) today shows mild-to-moderate left main
distal disease of 30%, moderate (15) with a severe mid-left (16) of
99%, and a mid-left (17) with normal (18) and some mild
(19) in the right coronary artery with some moderate (20) seen in the
mid to distal right (21)

Impression : has (22) symptoms, as well as nocturnal angina symptoms,

and especially given the severity of the mid left anterior descending lesion, with a markedly
abnormal stress test.

Further treatment : Aspirin 325 mg once a day, (23) Zocor 40 mg once a day

: (24) given tonight.

: transfer the patient for percutaneous coronary intervention

That is the end of Part A

Now look at Part B

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

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

Now look at the question 25

Extract 1

(25) You hear a monologue by a physician explaining about Gallstones.

Which of the following statements is correct?

A. Pigment stones are yellow-green in color

B. Pigment gallstones are made of bilirubin

C. Patients with cholesterol gallstones will have cirrhosis of the liver, biliary tract infections, and
hereditary blood disorders, including sickle cell anemia

ANSWER:

Extract 2

(26) You hear a discussion between a nurse and a doctor on Crohn’s Diseases.

Crohn's disease that affects the colon and adjacent ileum is;

A. Ileocolitis

B. Ileitis

C. Jejunoileitis

ANSWER:

Extract 3

(27) You hear a discussion between a nurse and a doctor on diagnosis methods for
endometrial cancer and its stages.

Endometrial cancer is within the pelvic area during;

A. Stages 1 to 2

B. Stages 3 & 4

C. Stages 1 to 3

ANSWER:

Extract 4

(28) You hear a discussion between a nurse and a doctor on types of hemorrhoids and their
effects.

Which of the following statements is correct?

A. Internal hemorrhoids are identified by a lump on the surface of the anus.

B. Pain occurs if the internal hemorrhoid begins to prolapse.

C. Pain becomes severe when internal hemorrhoid clots.

ANSWER:

Extract 5

(29) You hear a discussion between a nurse and a doctor on different categories of
chemotherapy drugs.

Navelbine comes under which type of type drug?

A. Alkylating agents

B. Plant Alkaloids

C. Antimetabolites

ANSWER:

Extract 6

(30) You hear a discussion between a nurse and a doctor on different types blood disorders.

In which of the following blood disorders bone marrow makes excessive number of red blood
cells?

A. Neutropenia

B. Polycythemia

C. Immune thrombocytopenic purpura

ANSWER:

Part C
In this part of the test, you'll hear two different extracts. In each extract, you'll hear health
professionals talking about specific aspects of their work.
For questions, 31 to 42 choose the answer (A, B, or C) which fits best according to what you
hear. Complete the answers as you listen the audio.

Now, look at extract one.

Extract 1

Questions 31 to 36

You hear the lecture given by a physician on the topic white blood cell disorders.

You have 90 seconds to read questions 31 to 36

(31) Which of the following statements is correct?

A. Caucasians have less white blood cells

B. White blood cells decrease as the infant grows

C. Red blood cells fights infections

ANSWER:

(32) Which of the following white blood cells fight parasitic infections

A. Eosinophils

B. Lymphocytes

C. Basophils

ANSWER:

(33) Neutrophils fight against;

A. Fungal infections

B. Bacterial infections

C. Viral infections

ANSWER:

(34) The white blood cells involved in inflammatory reactions is;

A. Eosinophils

B. Basophils

C. Neutrophils

ANSWER:

(35) Which of the following conditions is genetically caused?

A. Autoimmune neutropenia

B. Leukophilia

C. Cyclic neutropenia

ANSWER:

(36) Patients with which of the following conditions have recurrent bacterial infections?

A. Severe congenital neutropenia

B. Cyclic neutropenia

C. Autoimmune neutropenia

ANSWER:

Extract 2
Questions 37 to 42

You hear the monologue of a physician giving a lecture on The Different Types of Non-
Hodgkin's Lymphoma.

You have 90 seconds to read questions 37 to 42

(37) Which of the following statements is correct?

A. More common type lymphoma is T-cell Hodgkin Lymphoma.

B. Hodgkin lymphoma is a large group of diseases.

C. B-cell non-Hodgkin Lymphoma is more common type.

ANSWER:

(38) Which of the following statements is incorrect?

A. High-grade lymphoma cells look quite similar from normal cells

B. Low-grade lymphoma cells appear similar to the normal cells

C. High-grade lymphoma cells look multiply gradually.

ANSWER:

(39) Which of the following statements is incorrect?

A. Aggressive non-Hodgkin Lymphoma responds better to treatment

B. Low-grade lymphoma often responds better to treatment

C. B-cell lymphoma is the most common low-grade lymphoma

ANSWER:

(40) Which of the following type of lymphoma doesn’t give rise to many symptoms?

A. Aggressive Non-Hodgkin Lymphoma

B. Indolent non-Hodgkin Lymphoma

C. Diffuse non-Hodgkin Lymphoma

ANSWER:

(41) Which of the following statements is correct?

A. Lymphomas originate in the brain is a nodal lymphoma.

B. Lymphomas originate in the stomach is an extranodal lymphoma.

C. Nodal lymphoma never arises only from the lymph nodes.

ANSWER:
(42) Which of the following statements is correct?

A. In diffuse non-Hodgkin Lymphoma, the cells are spread around in spherical clustering.

B. A high-grade non-Hodgkin Lymphoma appears follicular

C. Most of the low-grade non-Hodgkin Lymphoma are in spherical clusters.

ANSWER: