Listening Jahshan OET Collection-1 PDF

LISTENIGN
For
Medicine, nursing, dietetics, dentistry, occupational therapy, optometry, pharmacy, physiotherapy,

podiatry, radiography, speech pathology and veterinary science
Kaplan
Sample
Practice
E2Language
OET Online
IRS
No. Test Question Answer Your Score
Page Page
1 Kaplan Strategies 3 23 / 42
& Practice Set
2 Kaplan Practice Test 27 37 / 42
3 Sample Test 1 39 49 / 42
4 Sample Test 2 51 61 / 42
5 Practice Test 1 63 73 / 42
8 Practice Test 4 103 104
10 E2language Test I 117 126 / 42
11 E2language Test II 128 137 / 42
12 E2language Test III 139 148 / 42
13 E2language Test IV 150 159 / 42
14 E2language Test V 161 170 / 42
15 OET Online Test 1 172 179 / 42
16 OET Online Test 2 181 188 / 42
17 OET Online Test 3 190 197 / 42
18 OET Online Test 4 199 206 / 42
19 OET Online Test 5 208 215 / 42
20 OET Online Test 6 217 224 / 42
21 IRS Test 1 226 236 / 42
22 IRS Test 2 238 248 / 42
23 IRS Test 3 250 260 / 42
24 IRS Test 4 262 272 / 42
25 IRS Test 5 274 284 / 42
1
Kaplan Strategies & Practice Set
Page 3
Listening Part A
Listen to Track 1, which gives an example of this section of a

Part A consultation, and answer questions 8 – 11 below.
8. How long ago did the patient’s symptoms begin?
9. What was the patient doing differently, as a result of the symptoms?
10. In addition to being tired, what other symptoms did the patient have?
11. What did Dr Lopez’s blood tests show?
Take 10 seconds to scan the notes below, then play Track 2,

and fill in blanks 12 – 15 as you listen.
Medical History (12) throughout 2016 (no problems)

diagnosed with anaemia after feeling (13) and tired
suffered from heavy periods
regularly (14)
broke arm and (15) (2004)
Page 4
Present Condition taking (16) medication for the past 3 months.

headaches in forehead, described as (17)
some nausea after food
hot flushes and sweating (clammy hands)

trouble sleeping, feeling (18) , and paranoid

former behaviours are reduced
but is now (19) about different things
Exercise

Treatment given (20) by paramedics on way to hospital

morphine administered as pain relief
(21) used under tongue to improve blood flow
observed (22) using an EKG machine
(23) procedure performed
Page 5
Listening Part A: Practice Set
Take 30 seconds to scan the patient notes on this page, then
listen to Track 5 and answer questions 1 – 12.
Extract 1: Questions 1 to 12
You hear an optometrist talking to a new patient called Aidan

Fitzpatrick. For questions 1 to 12, complete the notes with a word or
short phrase.
Patient Aidan Fitzpatrick

Symptoms first noticed difficulty reading two weeks ago
describes his vision as ‘(1) ’ ,
has difficulty reading printed letters
needs increasingly (2) to read in evenings
found he was having to hold objects closer to see
purchased glasses from (3)
often finds that he’s (4) his eyes, even when wearing glasses
when struggling to see, can also experience (5)
Aidan treats pain with (6) (fast-acting)
Background Details wore glasses as a child

brother also wears glasses, possibly (7)
Medical History recently suffered from (8)

— treated with antibiotics
— still experiencing symptoms of (9)
lost excess weight following a (10) (describes as ‘wakeup

call’)
Next Steps isn’t willing to wear (11)

must be given (12) (never had one)
Page 6
EXTRACT 1: QUESTIONS 13 TO 24
Take 30 seconds to read through the patient notes on this

page, then listen to Track 6 and answer questions 13 – 24.
Patient Hilary Johnson
Reason for referral glucose in (13) indicates risk of diabetes

describes herself as (14) sugary foods
noticed extra (15) which may be unrelated to pregnancy
Family history of her (16) suffers from diabetes (Type 2, controlled through
diabetes diet)
Pregnancy - morning sickness – pain in her (17) , but no vomiting

symptoms (18) controlled with medication
recently suffering from backache, described as ‘(19) ’ pain
has been feeling increasingly (20)
problems sleeping
concerned about diet (taking a (21) )
Occupation Secondary school teacher

feeling (22) , increased workload
Next appointment will take an (23) glucose test (she’s familiar with the
procedure, a friend’s had the test).
has been given a (24) to consult ahead of her blood test
Page 7
Listening Part B
Play Track 7 and answer questions 1 and 2.
1. You hear a dentist discussing booking problems with her receptionist.
What has caused the problem?
(A) an error with the booking system

(B) a double booked appointment
(C) a lack of communication
2. You hear a doctor discussing chest X-ray information with a medical

student.
What is the doctor explaining?
(A) the order for discussing results to the patient

(B) the information to include in patient notes
(C) how to correctly examine the patient’s condition
Page 8
3. You hear an ENT surgeon talking to a colleague about cochlear implants.
The surgeon is explaining that cochlear implants
(A) transmit voices more clearly than other noises.

(B) emit a variety of sounds into a microphone.
(C) restore hearing in deaf people.
4. You hear a GP talk about diagnosing Type 2 diabetes mellitus.
Why should a fasting plasma glucose test be booked in the morning?
(A) The patient will need to attend an 8 hour appointment.

(B) The test will need to be carried out twice.
(C) To allow the patient to eat during the day.
Page 9
5. You hear a dentist talking to a patient with a chipped tooth.
What does the patient want to know?
(A) how long the procedure will last

(B) when her next appointment will be
(C) what her different treatment options are
6. You hear a podiatrist talking to a patient with fallen arches
The patient explains that his treatment
(A) will need to continue for some time.

(B) has become too time-consuming.
(C) is not improving his condition.
Page 10
7. You hear a doctor talking to a patient in an emergency department.
What is the doctor doing?
(A) explaining how the patient will be treated

(B) reassuring the patient that she is not at risk
(C) going over the cause of the patient’s infection
8. You hear a medical student talking to a senior resident about assessing a

patient.
What is the senior resident doing?
(A) teaching the student how to examine the patient

(B) explaining when to prescribe additional medications
(C) showing the student where to observe the jugular vein
Page 11
Play Track 11 and answer question 9.
9. You hear a psychiatrist presenting a case study.

What did the psychiatrist find unusual about the case?
(A) The symptoms suggested a different cause.

(B) Effects were experienced long after the cause.
(C) The cause of the illness could not be determined.
10. You hear a dietitian talking with a patient.

What do they agree about?
(A) The patient has forgotten their overall goal.

(B) The patient has been too severe with their diet.
(C) The patient has been trying to lose too much weight.
11. You hear a veterinarian talking with an owner.

What will the owner do later today?
(A) give his cat plenty of attention
(B) give his cat drugs to reduce overgrooming
(C) give his cat food at the same time as last night
Page 12
Listening Part B: Practice Set
For questions 1 to 6, choose the answer A, B or C which fits best
according to what you hear.
Play Track 14 and answer questions 1 – 6.
1. You hear an ED nurse talking to the relative of a patient who has been
recently admitted.
What is the relative doing?
(A) describing her father’s medical history

(B) suggesting ways to interact with her father
(C) explaining that her father can become violent
2. You hear an obstetrician describing a caesarean section to a pregnant

patient.
He says that the procedure will
(A) be shorter and less painful than a traditional birth.
(B) be carried out while the patient is conscious.
(C) not be necessary in the patient’s case.
3. You hear a GP and his practice nurse discussing their yearly schedule.
They agree that the practice should
(A) hire agency staff to help during the busier weeks.

(B) avoid taking holiday in the beginning of September.
(C) look after their health, to lower the likelihood of sickness.
Page 13
4. You hear a nurse preparing a patient for a flu shot.
What is the nurse doing?
(A) explaining why the flu shot is necessary

(B) discussing why the flu shot causes reactions
(C) describing common side effects of the flu shot
5. You hear a doctor talking to a patient about her injury.
What will happen when the patient returns to the surgery?
(A) She will have her stitches removed.

(B) The doctor will stitch up her wound.
(C) They will see if the wound will scar.
6. You hear a trainee nurse asking a senior colleague about the treatment
for a patient with chronic obstructive pulmonary disease, or COPD.
The senior colleague is explaining that giving such patients normal
levels of oxygen
(A) can inhibit breathing rate.

(B) will cause light-headedness.
(C) lowers carbon dioxide levels.
Page 14
Listening Part C
Exercise
You hear a General Practitioner called Dr Jeffords giving a

presentation about patient referrals.
Take 5 seconds to look at the question, then listen to Track 15

and answer question 1.
1. Why does Dr Jeffords think it’s important to ask patients why they’re
taking certain medication?
(A) to understand their medical history

(B) to measure the patient’s awareness
(C) to question its effectiveness
Page 15
Exercise
You hear an interview with a vet called Amanda Chen about feline
immunodeficiency virus (FIV).
Take 15 seconds to scan the questions, then listen to Track 16

and answer questions 2 – 4.
2. Dr Chen explains that many people believe FIV
(A) can be contagious to humans.

(B) might affect their pet’s behaviour.
(C) has minimal impact on a cat’s life.
3. What does Dr Chen say people find confusing about the virus?
(A) the lack of available information

(B) the many different treatment options
(C) its name is similar to a more serious illness
4. Dr Chen advises those who own FIV positive cats to
(A) avoid unnecessary contact.

(B) monitor the pet’s health carefully.
(C) ensure the pet receives enough exercise.
Page 16
Exercise
You hear a hospital doctor called Dr Abu Mohammed giving a
presentation on the results of a recent patient survey.

5. Dr Mohammed was surprised by the year-long survey on the satisfaction

of patients staying in hospital because of the
(A) happiness of the patients.

(B) severity of most patients’ conditions.
(C) number of patients that got involved.
6. Why does Dr Mohammed suggest patients in their 20s were more

satisfied than the rest of the patients surveyed in the study?
(A) They were more optimistic.

(B) They spent less time in hospital.
(C) They showed a greater rate of recovery.
Page 17
Exercise
You hear a nurse called Jonathan McKenzie giving a presentation on
treating patients who are dealing with stress.

7. Nurse McKenzie says that the CEO had trouble managing stress because
(A) it was prolonged.

(B) it was causing him to lose hours of sleep.
(C) he was unfamiliar with such situations.
8. The patient was encouraged to read because
(A) it was a hobby of his.

(B) it created a relaxing atmosphere.
(C) he needed to learn about the cause of his issues.
Page 18
Listening Part C: Practice Set
You hear an interview with Dr Tadita Hussein, who’s talking about

treating patients with cystic fibrosis.
Take 30 seconds to scan the questions, then play Track 19

1. Dr Hussein says that patients with cystic fibrosis
(A) may find the side effects alarming.

(B) tend to require treatment from a young age.
(C) can improve their condition with frequent hospital visits.
2. What does Dr Hussain say is difficult when treating patients who are not
in hospital?
(A) They often find the exercises too complicated.

(B) They tend to have difficulty socialising with other people.
(C) They don’t always understand the importance of their
treatment.
Page 19
3. What does Dr Hussein say about the role of ‘distraction therapy’ in
cystic fibrosis treatment?
(A) It can be related to the treatment being provided.

(B) It allows patients to complete their activities more quickly.
(C) It provides staff with more information about the patient’s
condition.
4. What changes did Dr Hussein observe in one of her patients?
(A) He showed respiratory improvement.

(B) He deteriorated rapidly following a change in treatment.
(C) He began to enjoy aspects of their treatment.
5. Dr Hussein plans to use technology to help cystic fibrosis patients to

communicate
(A) with other patients who suffer from the condition.

(B) with family members who cannot visit them in hospital.
(C) with patients of a similar age suffering from different
conditions.
6. Dr Hussein suggests that future treatments for cystic fibrosis
(A) will always incorporate lengthy procedures.

(B) could prevent breathing difficulties in sufferers.
(C) might be less painful than the current options available.
Page 20
You hear an presentation given by Dr Hubert Johnson, who’s talking

about ways to improve efficiency.
Take 30 seconds to scan the questions, then play Track 20

7. Dr Johnson explains that delays are increased when patients believe
(A) their appointment will not begin on time.

(B) staff are not concerned about late-arrivals.
(C) being late for appointments will not impact others.
8. Dr Johnson uses an example of poor efficiency to illustrate the point that
(A) healthcare professionals should assist staff during busy times.

(B) practices should avoid limiting appointment booking options.
(C) staff should be trained to handle demanding situations.
9. Dr Johnson explains that, in order to improve efficiency, healthcare

practices must
(A) sanction patients arriving later than 10 minutes.

(B) avoid booking appointments in the morning.
(C) show patients that they can run on time.
Page 21
10. Dr Johnson says healthcare professionals often forget that patients who
book appointments must first
(A) feel that they need a consultation.

(B) find a time and date that works for them.
(C) consider what might be causing their issue.
11. What happened when Dr Johnson began giving weekly presentations to

patients?
(A) Dr Johnson was able to work fewer hours.

(B) The general health of patients was increased.
(C) The number of appointments at the practice decreased.
12. How does Dr Johnson feel about the use of technology when booking
appointments?
(A) Practices should begin to encourage all patients to make

bookings online.
(B) It can increase efficiency if other booking methods are
continued.
(C) Elderly people are most likely to struggle to use it.
Page 22
Kaplan Listening Answers
Strategies & Practice Set Parts A-B-C
---------------------------------------------------
Part A
1) -
2) -
3) -
----------------------------------------------------------------------------------------------------------
4) -
5) -
6) -
7) -
---------------------------------------Track 1 -----------------------------------------------------
8) 2 months
9) going straight to bed
10) gaining weight, trouble focusing and paying attention
11) thyroxine was low
-------------------------------------- Track 2 ---------------------------------------------------
12) pregnant
13) dizzy
14) donated blood
15) (a couple of) ribs
---------------------------------------- Track 3 --------------------------------------------------
16) fluoxetine
17) shooting pain
18) anxious
19) compulsive OR OCD
---------------------------------------- Track 4 -------------------------------------------------
20) aspirin
21) 21. nitro-glycerine
22) heart rhythms
23) angioplasty
------------------------------------------------------------------------------------------------------
Page 23
---------------------------------------- Track 5 -------------------------------------
1. fuzzy
2. more light
3. (the) pharmacy
4. squinting
5. (a pretty persistent) headache
6. ibuprofen
7. short-sighted
8. sinusitis
9. (a) cold
10. myocardial infarction, or MI
11. contact lenses
12. (an) eye test
------------------------------------------- Track 6 ----------------------------------
13. urine sample

14. craving
15. weight
16. aunt
17. stomach
18. heartburn
19. throbbing
20. tired
21. prenatal
22. (a little bit) stressed
23. oral
24. leaflet
Page 24
Part b
------------------------------------------- Track 7 ---------------------------------------

1. C a lack of communication.
2. B The information to include in patient notes.
------------------------------------------- Track 8 ---------------------------------------
3. A transmit voices more clearly than other noises.
4. C To allow the patient to eat during the day.
------------------------------------------- Track 9 --------------------------------------
5. C what her different treatment options are

6. C is not improving his condition.
------------------------------------------- Track 10 -------------------------------------
7. A explaining how the patient will be treated

8. A teaching the student how to examine the patient
------------------------------------------- Track 11 -------------------------------------
9. B Effects were experienced long after the cause

------------------------------------------- Track 12 -------------------------------------
10. B The patient has been too severe with their diet.
------------------------------------------- Track 13 -------------------------------------
11. A give his cat plenty of attention

------------------------------------------- Track 14 -------------------------------------
1. C explaining that her father can become violent

2. B be carried out while the patient is conscious.
3. B avoid taking holiday in the beginning of September.
4. C describing common side effects of the flu shot
5. A She will have her stitches removed.
6. A c a n in hibit b r e a t hin g r a t e.
Page 25
Part C
---------------------------------------------- Track 15 ----------------------------------
1. B to measure the patient’s awareness

---------------------------------------------- Track 16 ----------------------------------
2. A can be contagious to humans.

3. C its name is similar to a more serious virus
4. B monitor their health carefully.
---------------------------------------------- Track 17 ----------------------------------
5. C amount of patients that got involved.

6. B They spent less time in hospital.
---------------------------------------------- Track 18 ----------------------------------
7. A the stressful situation was prolonged.

8. A it was a hobby of his.
---------------------------------------------- Track 19 ----------------------------------
1. B tend to require treatment from a young age.

2. C They don’t always understand the importance of their treatment.
3. A It can be related to the treatment being provided.
4. C He began to enjoy aspects of their treatment.
5. C He began to enjoy aspects of their treatment.
6. B could prevent breathing difficulties in sufferers.
---------------------------------------------- Track 20 ----------------------------------
7. A their appointment will not begin on time

8. B practices should avoid limiting appointment booking options.
9. C show patients that they can run on time.
10. A feel that they need a consultation.
11. C The number of appointments at the practice decreased.
12. B It can increase efficiency if other booking methods are continued.
Page 26
2
Kaplan Practice Test
Page 27
THE PRACTICE TEST
Listening Section
Play Track 21 to complete the Listening Test.
Listening Test
This test has three parts. In each part you’ll hear a number of different
extracts.
You’ll hear each extract ONCE ONLY.
At the end of the test you’ll have five minutes to transfer your answers
onto the separate answer sheet.
Page 28
PART A: QUESTIONS 1 TO 12
Name Roy Miller
Reasons for admission shortness of breath
— difficulty walking (1) , often becomes short of breath

— breathlessness has increased
coughing and wheezing
— sounds like ‘(2) ’ and hasn’t improved

— worse when (3) , preventing sleep
— coughing up phlegm, described as (4) in colour
— phlegm has gradually darkened over the week
suffering hot and cold spells, feels (5)
Medical history diagnosed with (6) last year

was a (7) , stopped six years ago
occasionally suffers from gout (treated with (8) )
arthritis located in (9)
Medication using (10) more frequently

takes a statin for (11)
occasionally uses paracetamol for arthritis
(12) causes an allergic reaction
Page 29
QUESTIONS 13 TO 24
Patient Marsha Samarina
Description of initial pain in eye, felt like something was (13)

symptoms noticed headache
eye was ‘(14) ’ profusely (compares to chopping
onions)
roommate noticed that eye was (15) , took to ER
pain was severe, unable to (16)
Initial GP treatment unable to identify cause, performed (17) test

GP suggested possibility of (18)
Optometrist treatment given (19) for pain-relief

eye exam showed (20)
At home treatment advised to avoid wearing contacts

prescribed:
— (21) - using twice daily

— and (22) less often, finds application -
unpleasant
also taking (23) for pain relief
Current condition condition has improved

pain caused by (24)
Page 30
PART B: QUESTIONS 25 TO 30
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 to 30, choose the answer (A, B or C) which fits best
according to what you hear.
25. You hear two doctors discuss the transfer of care for a patient.
The patient’s CURB-65 score means that he will
(A) be transferred from the Emergency Department.

(B) receive additional medication and treatment.
(C) be treated as an out-patient.
26. You hear a speech pathologist talking to the wife of a patient who has
recently suffered a stroke.
What does she want to know about her husband’s condition?
(A) how long it will take him to make a full recovery

(B) whether his communication issues will improve
(C) what she can do to speed the healing process
Page 31
27. You hear a trainee doctor asking a senior colleague about chest tubes.
What is the senior colleague doing?
(A) explaining how to use them correctly

(B) recommending an alternative to them
(C) demonstrating what can go wrong with them
28. You hear a pharmacist talking to a customer about pain relief.
What has the customer been misinformed about?
(A) the stock of medication in the pharmacy

(B) the usefulness of a type of pain relief
(C) the availability of a medicine
29. You hear a trainee nurse receiving feedback from his tutor
What does she explain?
(A) listening to a patient’s concerns is essential
(B) how to become more self-assured when interacting with

patients
(C) the importance of providing adequate emotional support to
patients
30. You hear two doctors planning their patient-care schedule
What is their priority?
(A) identifying the patients at greatest risk

(B) dealing with patients who need tests arranging
(C) ensuring that all patients have key documentation
Page 32
PART C: QUESTIONS 31 TO 36
You hear an interview with Dr Matthew Leach, who’s talking about

meningitis caused by Neisseria meningitides.
31. Dr Leach says that during the onset of meningitis, many patients
(A) do not realise they are unwell.

(B) mistake the illness for something else.
(C) experience life-threatening symptoms.
32. Dr Leach says that meningitis is common in college students because of

their
(A) poor hygiene habits.

(B) proximity to new people.
(C) weakened immune systems.
Page 33
33. Why does Dr Leach say the patient didn’t seek treatment sooner?
(A) He was unsure of what to do.

(B) He didn’t think he needed treatment.
(C) He was trying to finish his assignments.
34. Dr Leach began treating for meningitis before receiving the spinal fluid
results because
(A) the illness progresses rapidly.

(B) the treatment is the same for all causes.
(C) the test results did not affect the diagnosis.
35. Dr Leach explains that meningitis is more likely to cause long term
after-effects if
(A) it is not accurately diagnosed.

(B) patients do not seek treatment quickly.
(C) reactions to the virus are extremely severe.
36. Dr Leach advises those who think they may be infected with meningitis
to
(A) get vaccinated at the earliest opportunity.

(B) avoid people who may be suffering from the virus.
(C) take precautions to prevent others from becoming ill.
Page 34
QUESTIONS 37 TO 42
You hear a presentation given by a clinical psychiatrist called Dr

Evalina Houghton about agitated patients in an emergency setting.
37. Dr Houghton says that patients in the ED are more likely to be agitated
as they are likely to
(A) suffer from untreated health problems.

(B) have been given bad news recently.
(C) require medical help frequently.
38. Dr Houghton explains that creating space between the patient and the
provider
(A) enables both parties to remain calm.

(B) encourages the patient to exit the room.
(C) reduces the likelihood of the provider being injured.
Page 35
39. Why does Dr Houghton encourage providers to speak slowly?
(A) to ensure the patient understands what is being said

(B) to give other members of staff time to prepare
(C) to give the patient an opportunity to speak
40. What approach does Dr Houghton suggest for patients suffering from
delusions?
(A) agree with the patient completely

(B) acknowledge the patient’s emotions
(C) explain why their delusions are false
41. Dr Houghton suggests that choices given to the patient should
(A) avoid upsetting the patient by remaining positive.

(B) maintain the patient’s trust by being realisable.
(C) be limited in order to prevent confusion.
42. Dr Houghton recommends that when the patient is calm they should
(A) be removed from the ED ward.

(B) understand why their behaviour was inappropriate.
(C) be encouraged to explain what caused their reaction.
Page 36
Kaplan Listening Answers
Practice Test
---------------------Track 21-----------------
Part A.1
1. up the stairs
2. barking
3. lying down
4. (dirty) green
5. feverish
6. COPD
7. smoker
8. allopurinol
9. knees
10. (blue) inhaler
11. cholesterol
12. penicillin
Part A.2
13. stuck (in it)

14. watering
15. swollen
16. concentrate
17. fluorescein eye stain
18. infection
19. (numbing) eye drops
20. corneal abrasion
21. antibiotic eye drops
22. healing ointment
23. ibuprofen
24. bright light
Page 37
Part B
25. A be transferred from the Emergency Department
26. B whether his communication issues will improve
27. A explaining how to use them correctly
28. C the availability of a medicine.
29. C the importance of providing adequate emotional support to patients
30. A identifying the patients at greatest risk
Part C.1
31. B mistake the illness for something else.
32. B proximity to new people.
33. C He was trying to finish his assignments.
34. A the illness progresses rapidly.
35. B patients do not seek treatment quickly.
36. C take precautions to prevent others from becoming ill.
Part C.2
37. A suffer from untreated health problems.
38. C reduces the likelihood of the provider being injured.
39. A to ensure the patient understands what is being said.
40. B acknowledge the patient’s emotions
41. B maintain the patient’s trust by being realisable.
42. C be encouraged to explain what caused their reaction.
Page 38
3
Sample Test 1
Page 39
Occupational English Test
Listening Test
This test has three parts. In each part you’ll hear a number of different extracts. At the start of each extract,

you’ll hear this sound: --beep--
You’ll have time to read the questions before you hear each extract and you’ll hear each extract ONCE ONLY.
Complete your answers as you listen.
At the end of the test you'll have two minutes to check your answers.
Part A
L E
P
In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking

to a patient.
M
For questions 1-24, complete the notes with information you hear.
Now, look at the notes for extract one.
S A
SAMPLE
[CANDIDATE NO.] LISTENING QUESTION PAPER 03/12 Page 40

Extract 1: Questions 1-12
You hear a physiotherapist talking to a new patient called Ray Sands. For questions 1-12, complete the notes

with a word or short phrase.
You now have thirty seconds to look at the notes.
Patient Ray Sands
18 months ago • back injury sustained (lifting (1) )

1 year ago • sciatica developed

6 months ago • clear of symptoms

E
Last month • recurrence of symptoms

L
Patient’s description of symptoms
• pain located in (2)

P
• pain described as (3)

• loss of mobility

M
• problems sleeping

• mentions inability to (4) as most frustrating aspect
A

• (5) sensation (calves)

S
• general numbness in affected area

Occupation • (6) (involves travel/some manual work)

Initial treatment • prescribed NSAIDs

• application of (7) (provided some relief)

Referrals • (8) (briefly)

• sports injury specialist for manipulation and exercise programme

Further treatment • epidural injections

• (9)

• electrical impulses

• decided not to try (10)

• patient attributes recovery to (11)

Previous diagnosis • sciatica probably related to (12) SAMPLE

• reports no history of pain in buttocks

You hear a consultant dermatologist talking to a patient called Jake Ventor. For questions 13-24, complete

the notes with a word or short phrase.
Patient Jake Ventor
Reason for referral • skin lesion

Patient’s description of condition
• on the (13) of his left hand

E
• preceded by (14)

• then (15) form and join up
L

• surrounding erythema

P
• GP describes appearance of lesion as (16)

• normally resolves within two weeks

M
History of condition • first experienced in 1990s when living in China

A
• also had a lesion on his (17) – never recurred

there

S
• recurs regularly on different parts of his left hand

• not becoming more (18)

• no apparent link to general state of health, (19)

or stress

Medical history • (20) on lower back in 2006 – no sign

of recurrence

• reports no history of (21)

Information given • advised that (22) was unlikely to be effective

• told him to take care if the skin is (23)

Outcome • says his quality of life isn’t affected

• a (24) will be arranged

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

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.
E
25. You hear a nurse briefing her colleague about a patient.
L
What does she warn her colleague about?
P
A The patient is allergic to some types of antibiotics.
B Care must to be taken to prevent the patient from falling.
M
C Oxygen may be needed if the patient becomes breathless.
A
26. You hear the manager of a care home for the elderly talking to the nursing staff.
S

He says that errors in dispensing medication to patients usually result from

A interruptions while calculating dosages.
B a failure to check for patients’ allergies.
C administering drugs late in the day.
27. You hear part of a morning briefing on a hospital ward.
What is the plan for the patient today?
A Her emotional state will be carefully observed.
B She will be transferred to a more specialised unit.
C A social worker will come to see what help she needs.
SAMPLE

28. You hear part of an ante-natal consultation at a GP practice.
What does the patient want to know about?

A the advisability of a home birth
B ways of avoiding post-natal depression
C what painkillers might be available during labour
E
29. You hear a trainee doctor telling his supervisor about a problem he had carrying out a procedure.
L
The trainee feels the cause of the problem was
P
A treatment administered previously.
B the patient’s negative reaction.
M
C inappropriate equipment.
A
30. You hear a doctor talking to a teenage boy who has a painful wrist.
S
The doctor wants to establish whether
A a fracture may be misaligned.
B the swelling may be due to a sprain.

C there may be more than one bone affected.
That is the end of Part B. Now look at Part C.
SAMPLE

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.
E
You hear an interview with a cardiologist called Dr Jack Robson, who’s an expert on Chagas disease.
L
You now have 90 seconds to read questions 31-36.
P
31. Why does Dr Robson regard Chagas as a neglected disease?

M
A because of the social groups it mainly affects
B because patients often don’t realise they’re infected
A
C because its impact is severe in a relatively small number of cases
S
32. Dr Robson says that concerns over Chagas in the USA are the result of
A a rise in the number of people at risk of being infected with the disease.
B a greater awareness of how many people there have the disease.
C an increased prevalence of the insect which carries the disease.
33. A patient called Marisol recently asked Dr Robson to test her for Chagas because
A she was worried about the health of any children she might give birth to.
B she wanted to know whether it was safe for her to donate blood.
C she thought she had symptoms associated with the disease.
SAMPLE

34. What problem does Dr Robson identify in the case of a patient called Jennifer?
A an unwillingness to accept that she was ill
B an inability to tolerate the prescribed medicine
C a delay between the initial infection and treatment
35. What does Dr Robson say about his patient called Juan?

E
A The development of his illness was typical of people with Chagas.
B An incorrect initial diagnosis resulted in his condition worsening.
L
C The medication he took was largely ineffective.
36.
M P
Dr Robson thinks the short-term priority in the fight against Chagas is to
increase efforts to eliminate the insects which carry the parasite.
A
B produce medication in a form that is suitable for children.
S
C design and manufacture a viable vaccine.
Now look at extract two.
SAMPLE

You hear an occupational therapist called Anna Matthews giving a presentation to a group of trainee doctors.
37. Anna says that the main focus of her work as an occupational therapist is

A designing activities to meet the changing needs of each patient.
B making sure she supports patients in reaching their goals.
E
C being flexible enough to deal with patients of all ages.
P L
38. When Anna first met the patient called Ted, she was
A unable to identify completely with his attitude.
M
B optimistic that he would regain full mobility.
C mainly concerned about his state of mind.
39.
B
S A
Because Ted seemed uninterested in treatment, Anna initially decided to focus on
what he could achieve most easily.
allowing him to try and help himself.
C making him come to terms with his injuries.
40. Anna feels that, in the long term, her therapy helped Ted because
A it led him to become less emotional.
B it made him appreciate the need for patience.
C it showed him there was something to work towards.
SAMPLE

41. Anna describes the day Ted had his plaster casts removed in order to
A demonstrate how slow any progress can seem to patients.
B illustrate the problems caused by raising a patient’s hopes.
C give advice on what to do when patients experience setbacks.
42. Anna suggests that when patients like Ted recover enough to go home, they are often
E
A too ambitious in what they try to achieve initially.
B able to build on the work of the occupational therapist.
L
C held back by the over-protective attitude of family members.
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
SAMPLE

Sample Test 1
LISTENING SUB-TEST – ANSWER KEY

PARTS A, B & C
PART A: QUESTIONS 1-12
E
1 (a) (heavy) suitcase / case
L
2 (his/the) right leg
3 (really) intense
P
4 turn over in bed / get comfortable
5 tingling
M
6 events organiser
7 compression packs
A
8 (an) osteopath
9 ultrasound
S
10 acupuncture
11 combination of treatments
12 slipped/herniated disc
13 palm
14 itching / itchiness / pruritus
15 (little) blisters
16 chaotic
17 chest
18 frequent
19 diet / anything in (his) daily life
20 (removal of) / (malignant) melanoma
21 cold sores / herpes simplex / herpes labialis
22 (an) anti(-)viral cream
23 broken
24 (a) biopsy
www.occupationalenglishtest.org
© Cambridge Boxhill Language Assessment – ABN 51 988 559 414 Page 49

PART B: QUESTIONS 25-30
25 B Care must to be taken to prevent the patient from falling.

26 A interruptions while calculating dosages.

27 A Her emotional state will be carefully observed.

28 C what painkillers might be available during labour

29 A treatment administered previously.

30 A a fracture may be misaligned.

PART C: QUESTIONS 31-36
31 A because of the social groups it mainly affects

32 B a greater awareness of how many people there have the disease.

33 A she was worried about the health of any children she might give birth to.

34 C a delay between the initial infection and treatment

35 A The development of his illness was typical of people with Chagas.

36 B produce medication in a form that is suitable for children.

37 B making sure she supports patients in reaching their goals.

38 C mainly concerned about his state of mind.

39 A what he could achieve most easily.

40 C it showed him there was something to work towards.

41 A demonstrate how slow any progress can seem to patients.

42 B able to build on the work of the occupational therapist.

---
END OF KEY
Page 50 2

4
Sample Test 2
Page 51
Listening Test
Sample Test 2
you’ll hear this sound: --beep--
You’ll have time to read the questions before you hear each extract and you’ll hear each extract ONCE ONLY.
Complete your answers as you listen.
E
At the end of the test you'll have two minutes to check your answers.
P
Part A
L
M
In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking

to a patient.
A
SAMPLE

You hear a gastroenterologist talking to a patient called Andrew Taylor. For questions 1-12, complete the notes

with a word or short phrase.
Patient Andrew Taylor
Background • has had (1) over long period

• reports a frequent (2) sensation in the last year

• most recently (3) has become a problem
E

• word used to describe symptoms – (4)
L

• pre-existing skin condition aggravated

P
• frequent (5) – patient didn’t initially link these to

bowel condition

M
Effects of condition on everyday life
• works as an (6)
A

• situation at work means patient is (7)

S
• complains of lack of (8)

• has noticed an increase in insomnia

Diet • claims to be consuming sufficient (9)
• claims to keep hydrated

• has experimented with excluding (10) from diet

• very slight reduction in caffeine intake

• has undergone (11) – no indications of anything

problematic

Medication • has taken an anti-spasmodic – not very effective

• now trying (12)

SAMPLE

You hear a hospital neurologist talking to a new patient called Kathy Tanner. For questions 13-24, complete

Patient Kathy Tanner
Background to condition
• experienced discomfort and a (13) feeling in neck

whilst driving

E
• osteopathy exacerbated problem

L
• used (14) to relieve symptoms in neck

Further developments in condition and diagnosis
P
• describes a pulling sensation (dragging her head to the right)

• doctor recommended (15)
M

• diagnosis of spasmodic torticollis (ST)

A
- condition described as (16)

- resulted in feelings of depression
S

Treatment history
(a) from home • some months of (17)

• visited two neurologists without success

• prescribed (18) (anti-spasmodic)

• joined an ST support group

• bought (19) to provide extra support

(b) from university hospital
• treatment using (20) injections
- side effects included difficulties (21)
- reports treatment as increasingly ineffective
• supplemented by (22)
• experienced confusion and (23)
• analgesic relief: morphine self-administered via
(24)

SAMPLE

Part B
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.
E
25. You hear an optometrist talking to a patient who’s trying contact lenses for the first time.
L
What is the patient concerned about?
P
A his blurred vision
B soreness in his eyes
M
C how to remove the lenses
A
26. You hear a nurse asking a colleague for help with a patient.
S

Why does the nurse need help?

A The patient’s condition has deteriorated.
B The patient is worried about a procedure.
C The patient is reporting increased pain levels.
27. You hear a senior nurse talking about a new initiative that has been introduced on her ward.
What problem was it intended to solve?
A patients’ confusion over information given by the doctor
B relatives not being able to discuss issues with the doctor
C patients not discussing all their concerns when meeting the doctor
SAMPLE

28. You hear two radiologists talking about the type of scan to be given to a patient.
They agree to choose the method which will
A allow them to see the whole of the appendix.
B probably give the most accurate results.
C have the fewest risks for the patient.
E
29. You hear part of a surgical team’s briefing.
L
The male surgeon suggests that the patient could
P
A require specialist equipment during surgery.
B benefit from a specific anaesthetic procedure.
M
C be at risk of complications from another health issue.
A
30. You hear a senior research associate talking about a proposal to introduce inter-professional, primary
S
healthcare teams.
What hasn’t been established about the teams yet?
A the best way for collaboration to take place
B the financial impact that they are likely to have
C the aspects of medical care they are best suited to
SAMPLE

Part C

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.
You hear a presentation by a specialist cancer nurse called Sandra Morton, who’s talking about her work with
prostate cancer patients, including a man called Harry.
31. What does Sandra Morton see as the main aim in her work?
A to inform patients about the different treatments on offer
B to publicise the availability of tests for the condition
C to raise awareness of the symptoms of the illness
32. When Harry was offered a routine health check at his local surgery, he initially
A resisted the idea due to his wife’s experience.
B felt that he was too fit and well to be in need of it.
C only agreed to attend because his doctor advised him to.
33. During Harry’s investigations for prostate cancer at a hospital clinic, he
A felt part of the examination procedure was unpleasant.
B found it hard to cope with the wait for some results.
C was given false hope by a preliminary blood test.
SAMPLE

34. What was Harry’s response to being diagnosed with prostate cancer?
A He found himself reacting in a way he hadn’t anticipated.
B He was unconvinced by the prognosis he was given.
C He immediately researched treatment options online.
35. What typical patient response to the illness does Sandra mention?
A an unwillingness to commence appropriate medication
B a failure to seek advice regarding different treatment options
C a reluctance to talk about the embarrassing aspects of treatment
36. Sandra believes that community follow-up clinics are important because they
A offer patients more personal aftercare.
B are proven to be less traumatic for patients.
C provide rapid treatment for patients developing new symptoms.
SAMPLE

You hear a neurologist called Dr Frank Madison giving a presentation about the overuse of painkillers.
37. In Dr Madison’s experience, patients who become addicted to painkillers
A are more likely to move on to hard drugs.
B come from a wide variety of backgrounds.
C usually have existing psychological problems.
38. Dr Madison thinks some GPs over-prescribe opioid painkillers because these
A have a long-standing record of success.
B enable them to deal with patients more quickly.
C represent a relatively inexpensive form of treatment.
39. Dr Madison regrets that management of acute pain
A is often misunderstood by the general public.
B receives inadequate attention in medical training.
C fails to distinguish between different possible triggers.
40. Dr Madison’s main concern about painkillers being readily available is that
A patients may build up a resistance to them.
B they may be taken in dangerous amounts by patients.
C they may interact adversely with patients’ other medication.
SAMPLE

41. Dr Madison refers to the case of an osteoarthritic patient called Ann to highlight
A the unsuitability of opioids for patients with particular conditions.
B the effect on patients’ working lives of dependence on painkillers.
C the extreme fear patients may have of living without pain medication.
42. Ann’s GP initially failed to identify her dependence because
A she managed to conceal its physical effects from him.
B he was unaware that she had another source of drugs.
C he lacked experience in dealing with problems like hers.
SAMPLE

Sample Test 2

PARTS A, B & C
E
1 heartburn (after meals)
L
2 bloating
3 constipation
P
4 (so) unpredictable
5 migraines
6 accountant
M
7 anxious
8 energy
A
9 fibre
10
S
dairy (products)
11 (extensive) food allergy tests
12 anti(-)depressants OR (an) anti(-)depressant
13 stiff
14 (a) heat pad OR (a) heatpad
15 physio(therapy)
16 untreatable
17 chiropractic treatment
18 Baclofen
19 (an orthopaedic/orthopedic) chair OR (a) chair
20 botulinum toxin OR botox OR BTX
21 swallowing
22 (various) oral medications/meds
23 memory loss OR loss of memory OR amnesia
24 (a) pump
www.occupationalenglishtest.org
© Cambridge Boxhill Language Assessment – ABN 51 988 559 414 Page 61

PART B: QUESTIONS 25-30
25 A his blurred vision

26 B The patient is worried about a procedure.

27 C patients not discussing all their concerns when meeting the doctor

28 C have the fewest risks for the patient.

29 B benefit from a specific anaesthetic procedure.
30 B the financial impact that they are likely to have
31 C to raise awareness of the symptoms of the illness

32 B felt that he was too fit and well to be in need of it.
33 B found it hard to cope with the wait for some results.

34 A He found himself reacting in a way he hadn’t anticipated.

35 C a reluctance to talk about the embarrassing aspects of treatment

36 A offer patients more personal aftercare.
37 B come from a wide variety of backgrounds.

38 B enable them to deal with patients more quickly.

39 C fails to distinguish between different possible triggers.
40 C they may interact adversely with patients’ other medication.

41 A the unsuitability of opioids for patients with particular conditions.

42 C he lacked experience in dealing with problems like hers.

---
END OF KEY
Page 62 2

5
Practice Test 1
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6
Practice Test 2
Page 76
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7
Practice Test 3
Page 90
8
Practice Test 4
Page 103
Page 104
9
Practice Test 5
Page 105
Listening Test
you’ll hear this sound: --beep—
You’ll have time to read the questions before you hear each extract and you’ll hear each extract ONCE
ONLY. Complete your answers as you listen.
At the end of the test, you’ll have two minutes to check your answers.
Part A
In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking to a
patient.
[CANDIDATE NO.] LISTENING QUESTION PAPER 3/12
Page 106
You hear a consultant rheumatologist talking to a patient called Suzanne Hinds. For questions
1-12, complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes.
Patient Suzanne Hinds
Symptoms Mouth:
• chapped lips
• painful (1)
• increased number of (2)
• dryness
• tongue appears (3)
Eyes:
• eyelids described as (4) on waking
• frequent irritation
• itchiness made worse by (5)
• self-treating with (6)
• recurring (7)
• increased sensitivity to light
• vision described as cloudy
Throat:
• patient says it sometimes feels (8)
• regular difficulty in (9)
• some swelling
Background details • works as a tour guide
• moderate smoker for 15 years
• family history of (10)
Recommended tests • saliva flow rate test
• (11) biopsy
• (12) test - possibly
Page 107
You hear a gastroenterologist talking to a patient called Toby Smithers. For questions 13-24, complete
Patient Toby Smithers
Background • initial stomach upset
• main symptom (13)
Original presenting factors
• feeling (14) immediately after meals
• extremely (15) (especially at night)
• no history of (16)
GP’s initial diagnosis • main symptoms similar to those associated with
(17)
GP’s interim treatment plan

• advised to keep (18) intake high
• suggested separating eating and drinking by 30 mins
• suggested a (19) ‘ ’ regime for meals
Tests • both (20) clear
• (21) performed
• (22) confirmed and treated
• eradication confirmed by (23)
Current situation • original presenting factor persists
• works as a (24)
Page 108
Part B
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.
25. You hear a consultant talking to a woman whose father has just been admitted to hospital.
What does she want to know about his condition?
A how serious it is
B how much pain it’s causing
C how long before there will be a diagnosis
26. You hear a trainee nurse receiving feedback from her tutor about the ward round she’s just
completed.
What would have improved the nurse’s performance?
A eliciting information from the patient
B keeping the patient better informed
C updating patient notes more fully
27. You hear a hospital nurse briefing a colleague about a patient with Chronic Obstructive
Pulmonary Disease, or COPD.
What does he want his colleague to do?
A encourage greater mobility
B organise a visit by a dietitian
C consult with the medical team
Page 109
28. You hear two hospital managers talking about a training session for people who do
voluntary work with patients.
What do the managers think about the course?
A Too few people attended to make it worthwhile.
B The content may need revising for future sessions.
C The feedback from participants wasn’t encouraging.
29. You hear a pharmacist talking to a doctor about a patient’s medication.
What is the pharmacist doing?
A reporting side effects
B checking the dosage
C recommending an alternative
30. You hear a surgeon talking to a member of his team as they are finishing a surgical
procedure.
The surgeon says their next priority should be
A to complete a routine administrative task.
B to report a faulty piece of equipment.
C to locate an appropriate bed.
Page 110
Part C
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.
You hear an interview with Dr Bob Dean, who’s talking about a trial he conducted to assess different ways of
treating the condition known as ‘tennis elbow’.
31. Dr Dean says that patients with tennis elbow
A may be unaware that they have the condition at first.
B tend to come from a remarkably narrow range of occupations.
C can easily avoid the condition by adopting correct working practices.
32. In the physiotherapy programme used in Dr Dean’s trial,
A the treatment given was tailored to the needs of each patient.
B patients had to build up their strength before starting it.
C some patients found the treatment too painful.
33. What does Dr Dean say about the role of ‘smart rest’ in the trial?
A It wasn’t appropriate for certain types of tennis elbow.
B It formed the basis of two of the three treatment options.
C It kept all patients physically active despite the condition.
Page 111
34. What did Dr Dean find interesting about the results of the trial?
A They were surprisingly conclusive in the short term.
B They underlined the advantages of timely intervention.
C They confirmed the findings of an earlier piece of research.
35. Dr Dean would advise anyone experiencing tennis elbow for more than three months to
A avoid using any steroid-based medication at that point.
B be ready to start more invasive forms of treatment.
C try a combination of physiotherapy and injections.
36. Dr Dean suggests that taking anti-inflammatories for tennis elbow
A is less effective than alternative forms of medication.
B is trying to treat a symptom that may not actually exist.
C is an area that needs to be researched more thoroughly.
Page 112
You hear a presentation in which a researcher called Dr Sarah Jones is talking on the subject of weight loss
interventions by GPs.
37. Dr Jones suggests that few health professionals currently attempt weight loss interventions
because they
A have often found them to be ineffective.
B lack confidence in the chances of success.
C rarely have time to spare for non-clinical issues.
38. The specific aim of the trial Dr Jones describes was
A to draw patients’ attention to the need to lose weight.
B to reduce the time that weight-loss interventions take.
C to promote greater understanding of the dangers of obesity.
39. Dr Jones now feels practitioners can justify weight loss interventions because
A patients are currently less sensitive about weight-related issues.
B a huge majority of patients feel that it is a suitable topic for discussion.
C circumstances demand that action is taken even if patients are reluctant.
Page 113
40. When describing the trialling of the programme, Dr Jones says she was surprised by
A the fact that most patients offered a place did actually join it.
B the positive attitude of patients who accepted the treatment.
C the number of patients who dropped out early.
41. From the outcomes of the trial we learn that
A the results for all participants improved at a similar rate.
B intervention was consistently more successful than non-intervention.
C the advantages of intervention became less marked in the longer term.
42. What does Dr Jones feel are the implications of the findings of the trial?
A Areas other than weight loss may be suitable for similar initiatives.
B Doctors may find that their role in the community starts to change.
C There could be widespread benefits if they were applied nationally.
Page 114
OET PRACTICE 5
Listening – Answer
OET Listening: Answer Key

ANSWER KEY - PART A
Extract 1:
1. mouth ulcers / ulcers
2. dental cavities/ cavities/ caries/ fillings
3. cracked
4. sticky
5. air conditioning / air-con / AC
6. eye drops / drops
7. conjunctivitis / pinkeye / pink eye
8. rough
9. swallowing / swallowing food / getting stuff down
10. rheumatoid arthritis / RA
11. lower lip
12. thyroid function test / thyroid function
Extract 2:
13. vomiting
14. incredibly sleepy / sleepy / sleepiness
15. thirsty / dehydrated
16. stomach cancer
17. gastric dumping syndrome
18. fluid
19. little and often
20. blood and urine/ blood urine / blood and urine tests / blood urine tests / urine and
blood / urine blood / urine and blood tests / urine blood tests
21. endoscopy
22. helicobacter pylori / H. pylori / H pylori
23. urea breath test / breath test
24. teacher
Page 115
ANSWER KEY - PART B
25. B how much pain it’s causing
26. B keeping the patient better informed
27. C consult with the medical team
28. B The content may need revising for future sessions.
29. A reporting side effects
30. B to report a faulty piece of equipment.
ANSWER KEY - Part C

Extract 1:
31. A may be unaware that they have the condition at first.
32. A the treatment given was tailored to the needs of each patient.
33. C It kept all patients physically active despite the condition.
34. C They confirmed the findings of an earlier piece of research.
35. A avoid using any steroid-based medication at that point.
36. B is trying to treat a symptom that may not actually exist.
Extract 2:
37. B lack confidence in the chances of success.
38. A to draw patients’ attention to the need to lose weight.
39. B a huge majority of patients feel that it is a suitable topic for discussion.
40. A the fact that most patients offered a place did actually join it.
41. B intervention was consistently more successful than non-intervention.
42. C There could be widespread benefits if they were applied nationally.
Page 116
10
E2language Test I
Page 117
E2language
Test I
Extract 1: Questions 1-12 You hear a GP talking to a patient called Daniel Anderson.
For questions 1-12, complete the notes with a word or short phrase.
You now have 30 seconds to look at the notes.
Patient Daniel Anderson
Presenting Symptoms Recent History • 2 wks / (1) _______________ than usual
• Short of breath • Cold/sore throat
Recent History • Last (2) ___________________ months
• Ongoing condition • Patient managed condition
• Bad sore throat and (3) _______________
• Fatigue
• Shortness of breath – becoming more (4) ________________
• Breathing normal (5) __________________
• No history (6) ______________ /chest problem
• Non-vegetarian • Describes diet as (7) ______________________
• Low fruit and vegetable intake
• Drinks (8) _______________________ of coffee a day
• Ongoing mild indigestion
• Bowel Function – (9) __________________
Family History
• No family history (10) __________________
• Parents - healthy
• (11) _______________ – no known health problems
• Patient suspects (12) _______________________
Page 118
Extract 2: Questions 13-24 You hear a GP talking to a patient called Mrs Wright. For questions 13-24, complete the notes with a
word or short phrase. You now have thirty seconds to look at the notes.
Patient Mrs Wright
Background
• Follow up consultation
• Patient has (13) _______________
• Initial episode (14) months ago ____________

• Treated at home • •
• Prescribed (15) _____________________ for 5 days
• Alopurinol
• Recurrence of gout just (16) _______________
• Gout originates at bottom of (17) _______________
• on the (18) _________________ foot
• Swelling radiates across toes towards (19) _________________ of foot
• Hot and inflammed
• No swelling in (20) _____________

• Responded well to medication
• Swelling settled within (21) ________________
• Ongoing (22) ________________ in toe
• Suspected (23) _______________
• X-ray clear
Treatment
• Patient has some concerns
• Patient agrees medication effective
• Clinical Decision: (24) ________________ with current medications
Page 119
Part B
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.
25. You hear a nurse in the emergency department discussing the care of a patient with a
doctor.
What do the speakers agree to do?
A Put the patient’s arm in a sling.
B Wait for the patient to calm down.
C Treat the patient’s pain to relax the arm.
26. You hear a trainee doctor discussing a patient diagnosis with a tutor.
What is the diagnosis?
A Coeliac disease
B Constipation
C Bilateral lower abdominal pain
Page 120
27. You hear a hospital nurse briefing a colleague about a patient recovering from elective
surgery.
What does he want his colleague to do?
A review post-op information with the patient
B provide pain relief for the patient
C get the patient a medical certificate
28. You hear two hospital managers talking about an information session for people
who want to do voluntary work.
What problem do the managers discuss?
A How difficult it is for participants to get to the event.
B Technical issues with the event management systems.
C Finding good quality food and drinks for the event.
29. You hear a pharmacist talking to a doctor about a patient’s medication.
What is the pharmacist doing?
A reporting side effects
B checking the dosage
C recommending an alternative
30. You hear a doctor advising a patient about a change in medication.
What condition is the patient being treated for?
A hay fever.
B drowsiness.
C hives
That is the end of Part B.
Page 121
Part C
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.
You hear an interview with Dr Cristine Ericson, who’s talking about her research supporting non-fasting lipid
blood tests for cholesterol.
31. What is Dr Cristine Ericson’s opinion about fasting before blood tests?
A It is not supported by scientific evidence.
B It is superior to non-fasting blood tests.
C It
It is
is supported
supported by
by convention
convention not
not data
data.
It is supported by convention not data
32. What does Dr Cristine Ericson say about the research on non-fasting blood tests?
A The majority comes from Copenhagen.
B More studies should focus on children.
C It includes data from multiple countries.
33. What is Dr Cristine Ericson’s opinion on the difference between the results of fasting and
non-fasting tests?
A The small differences are unimportant.
B There is no difference in the results.
C There is a small but significant difference.

Page 122
34. Dr Cristine Ericson states that everyone in Copenhagen was happy with the introduction of
non-fasting blood tests.
What evidence does she provide to support this claim?
A Data showing an increase in test attendance.
B Increased public demand for non-fasting tests.
C Positive stories from other medical professionals.
35. According to Dr Cristine Ericson, why are non-fasting blood tests popular with the public?
A Because of the strong research evidence in the report.
B Because of positive publicity in the newspaper and on TV.
C Because they are more convenient for busy lifestyles.
36. Which of the following statements best summarises Dr Cristine Ericson’s position on the
use of fasting or non-fasting blood tests?
A In rare cases fasting before a blood test is necessary.
B Fasting before a blood test should no longer be recommended.
C New research is needed on the use of fasting and non-fasting tests.

Page 123
You hear a presentation in which a researcher called Dr Milan Patrecivich is talking about the relationship
between new technology and medicine in the future.
37. Dr Patrecivich suggests that in the future medical technology will
A continue to replace human doctors.
B give doctors freedom to express core skills.
C become more accurate and reliable than doctors.
38. According to Dr Patrecivich, how will wearable sensors and smartphones help GPs?
A They will allow doctors mobility to visit patients in remote locations.
B They will allow doctors to check if patients are following their advice.
C They will allow doctors to monitor their patients with real-time data.
39. Dr Patrecivich believes that
A radiologists currently spend too much time checking through images.
B technology like IBM’s Medical Sieve isn’t yet capable of doing a radiologist’s job.
C radiography algorithms should be designed by professional radiologists.

Page 124
40. According to the talk, both sports medicine and oncology
A will use technology to make their processes faster and cheaper.
B will use technology to filter data and individualise therapy.
C will use technology like Xbox to treat patients from a distance.
41. What does Dr Patrecivich suggest about the effect of technology on cancer treatment?
A Artificial intelligence technology will eventually cure cancer.
B Oncologists will keep patients informed using social media.
C Technology will have a powerful and positive effect on oncology.
42. What is Dr Patrecivich’s conclusion about the future of medicine and technology?
A Medical technology will give doctors more time and better data to care for patients.
B Physicians will have amazing opportunities to develop new medical technologies.
C Automated and robotic systems will gradually replace humans in medical practice.

Page 125
E2language
Test I – Answer
Listening Part A: Answer Key
1 a bit more tired / more tired / tireder

2 couple of/two/2
3 big glands / glands felt quite big / swollen glands / glands bigger
4 noticeable
5 at rest
6 of asthma
7 terrible
8 4 or 5 cups / four or five cups / 4 cups / four cups / 5 cups / five cups / 4-5 cups / 4 to 5
cups / four to five cups
9 normal / fine
10 anaemia/ blood disorders / anemia / of anaemia / of blood disorders / of anemia
11 brother
12 related to glandular fever / glandular fever
______________________________________________________________________
13 gout
14 2 or 3 / two or three / 2-3 / 2 - 3 / two to three
15 steroids / prednisone / prednisone 30mg
16 after Christmas / after Xmas
17 second toe / the second toe
18 left
19 the outside / outside
20 big toe / the big toe
21 a week / one week / 1 week / 7 days / seven days
22 pain
23 stress fracture / stress-fracture
24 carry on / continue
Page 126
Part B1
25. c
26. b
27 . c
28. c
29.a
30 .a
Part C1
31.c
32.c
33.a
34.b
35.c
36.b
----------------
37.b
38.c
39.a
40.b
41.c
42.a
Page 127
11
E2language Test II
Page 128
E2language
Test II
E2 Language Listening Part A.2
Extract 1
You will hear part of a consultation between a psychologist and a patient
called Mr Barry. For questions 1-12, complete the notes with a word or short
phrase.
Patient:
Mr Barry
Background:
Continued anxiety and (1)__________________
Started medication (2) __________________ ago
Medication:
citalopram / chlordiazepoxide
chlordiazepoxide (3) _________ Mg (4) __________ daily
non-compliant
feels meds don’t (5) __________________ him sufficiently
patient trying to (6) __________________ more
citalopram 20mg
side effects: ongoing (7) __________________ improving
stress related?
possible (8) __________________
takes citalopram (9__________________
Symptoms:
inability to leave house
palpitations / SOB / intense fear
feels (10) __________________ when outside
patient normalizing
went to shops for the (11) __________________
since beginning (12) __________________
Page 129
Extract 2
You will hear part of a consultation between a GP and a patient called Mr
Martin. For questions 1-12, complete the notes with a word or short phrase.
Patient:
Mr Martin
Background/Symptoms:
Stomach pain
Condition present (1) __________________ for years but worse recently
Located across (2) ________ of abdomen radiating towards (3) ___________
Describes pain as not severe
Like an (4) __________________
Pain moves side to side
Patient suspects (5) _____________. problems
Feels (6) _____________as well as pain
Ongoing problem
4 yrs ago diagnosed suspected (7) _____________
Bowel movements variable
Ongoing problems with (8) __________ but recently stool (9) _____________
Drinks plenty of water
No diarrhea
No presence of (10) _____________ in stool
No black motions
Medication:
Previously prescribed Colofac
Monitors diet rather than take (11) _____________
Takes OTC (12) _____________ capsules which provide relief
Page 130
E2 Language Listening Part B.2
1- You hear a doctor and a trainee discussing the application of a plaster cast.
What does the trainee need to tell the patient about the cast?
A The appropriate length of time to let the cast dry properly
B The temperature of the cast as it begins to harden.
C The reduction in the fracture after the cast has been applied.
2- You hear a manager explaining new data management processes to clinical staff.
What should staff do with their feedback reports?
A File them on paper and digitally
B Copy them onto the new servers
C Fill them out digitally to save time
3- You hear a presentation about the introduction of a new type of wound dressing.
What is the main advantage of the new wound dressing?
A They are ideal for oozing wounds due to high absorbency.
B They are made from naturally bacteria resistant seaweed.
C They are somewhat less costly than traditional cloth bandages.
Page 131
4- You hear two hospital managers discussing completion rates for an online course.
How will management inform staff who do not attend the meeting about the deadline?
A Face to face
B By email
C Over the phone
5- You hear two colleagues discussing an online training course.
What advice does the female nurse give her colleague?
A request IT help to reset so he can complete the course.
B wait until the weekend and complete the course.
C advise a manager that he has completed the course.
6- You hear an educator describing methods for creating medical abbreviations to

nursing trainees.
Why does the speaker think it is important for trainees to understand the different methods
of abbreviating?
A So they can create new abbreviations using the first letter rule.
B So they can easily pronounce medical acronyms accurately.
So
C they can more efficiently learn commonly used abbreviations.
Page 132
E2 Language Listening Part C.2
Extract 1
1. How does Dr Lee describe the movement from traditional care systems to non-visit care?
A Large pre-existing medical providers will probably dominate the market.
B There will be a mixture of reactions from existing and new organisations.
C Flexible new organisations will have an advantage over existing ones.
2. According to Dr Lee a non-visit care culture
A views face to face consultations as a final resort in treatment.
B will develop more rapidly in new medical start-ups.
C
requires a blend of responses from medical organisations.
3. Dr Lee believes that current technology is
A closely matched to users medical needs.
B changing expectations for medical services.
C not capable of supporting non-visit care yet.
Page 133
4. Dr Lee suggests that in person visits
A ideally occur earlier in the care process.
B have a negative impact on many patients.
C should be easy for patients to manage.
5. Why does Dr Lee mention specimen collection services?
A To highlight the expense of creating offices and labs.
B To describe how these services could be provided more efficiently.
C
To suggest they could be delivered more nimbly with technology.
6. What advice does Dr Lee give organisations wanting to move to non-visit care models?
A Wait for more precise technology before transitioning to remote care.
B Re-evaluate the safety and quality of non-visit care before making the change.
C Find transition opportunities by close analysis of each instance of in-person care.
Page 134
E2 Language Listening Part C.2
Extract 2
1. The research suggests that in the USA
A supervised injection centres are fundamentally different.
B supervised injection centres are being successfully integrated.
C supervised injection centres have the same impact as elsewhere.
2. According to Dr Davidson the secret facility was
A based on international evidence and good practice.
B waiting for legal advocacy in the United States.
C experiencing the death of too many patients.
3. According to Dr Davidson what is the outcome of having staff and drug users in the same
room?
A Patient check in and registration is more efficient.
B Overdose prevention is the major benefit.
C
Staff can address many potential health issues.
Page 135
4. What does Davidson suggest users of the centre most appreciate?
A the clean and hygienic surfaces
B the private and relaxed space
C they can't get arrested there
5. Some users of the facility suggested that the facility
A needs a far more open space.
B can't combine with other services since it is secret.
C would be better as a treatment agency.
6. What concern did staff raise about the running of the facility?
A That patients might disclose information about the centre
B Necessary exclusion of psychologically ill patients
C
The small number of patients they could help
Page 136
E2language
Test II - Answer
Answers A2- Extract 1
1) panic attacks
2) 3 / three weeks / 3 weeks
3) 20 / twenty
4) 3 / three / three times / 3 times
5) suppress
6) exercise
7) headaches
8) ear infection
9) at night
10) sick and dizzy / dizzy and sick
11) first time / 1st time
12) medication
Answer Sheet A2- Extract 2
1) on and off / off and on

2): upper part
3) middle
4) irritation
5) kidney
6) bloatedirritable bowel syndrome / IBS / irritable bowel
8) constipation
9): loose
10) blood or slime / slime or blood
11) laxatives
12) peppermint oil
Page 137
Answers B2
1. B
2. A
3. A
4. A
5. C
6. C
Part C2
Extract 1
1. B
2. A
3. B
4. C
5. B
6. C
Extract 2
1. C
2. A
3. C
4. B
5. B
6. B
Page 138
12
E2language Test III
Page 139

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LISTENIGN

Medicine, nursing, dietetics, dentistry, occupational therapy, optometry, pharmacy, physiotherapy,

Kaplan Strategies & Practice Set

Listen to Track 1, which gives an example of this section of a

8. How long ago did the patient’s symptoms begin?

9. What was the patient doing differently, as a result of the symptoms?

11. What did Dr Lopez’s blood tests show?

Take 10 seconds to scan the notes below, then play Track 2,

Medical History (12) throughout 2016 (no problems)

Present Condition taking (16) medication for the past 3 months.

Take 10 seconds to scan the notes below, then play Track 4,

Treatment given (20) by paramedics on way to hospital

You hear an optometrist talking to a new patient called Aidan

Background Details wore glasses as a child

Medical History recently suffered from (8)

lost excess weight following a (10) (describes as ‘wakeup

Next Steps isn’t willing to wear (11)

Take 30 seconds to read through the patient notes on this

Patient Hilary Johnson

Reason for referral glucose in (13) indicates risk of diabetes

Pregnancy ​- morning sickness – pain in her (17) , but no vomiting

Occupation Secondary school teacher

Play Track 7 and answer questions 1 and 2.

1. You hear a dentist discussing booking problems with her receptionist.

What has caused the problem?

(A) an error with the booking system

2. You hear a doctor discussing chest X-ray information with a medical

(A) the order for discussing results to the patient

3. You hear an ENT surgeon talking to a colleague about cochlear implants.

The surgeon is explaining that cochlear implants

(A) transmit voices more clearly than other noises.

4. You hear a GP talk about diagnosing Type 2 diabetes mellitus.

Why should a fasting plasma glucose test be booked in the morning?

(A) The patient will need to attend an 8 hour appointment.

5. You hear a dentist talking to a patient with a chipped tooth.

What does the patient want to know?

(A) how long the procedure will last

6. You hear a podiatrist talking to a patient with fallen arches

The patient explains that his treatment

(A) will need to continue for some time.

7. You hear a doctor talking to a patient in an emergency department.

What is the doctor doing?

(A) explaining how the patient will be treated

8. You hear a medical student talking to a senior resident about assessing a

What is the senior resident doing?

(A) teaching the student how to examine the patient

9. You hear a psychiatrist presenting a case study.

(A) The symptoms suggested a different cause.

Play Track 12 and answer question 10.

10. You hear a dietitian talking with a patient.

(A) The patient has forgotten their overall goal.

Play Track 13 and answer question 11.

11. You hear a veterinarian talking with an owner.

Play Track 14 and answer questions 1 – 6.

What is the relative doing?

(A) describing her father’s medical history

2. You hear an obstetrician describing a caesarean section to a pregnant

They agree that the practice should

(A) hire agency staff to help during the busier weeks.

What is the nurse doing?

(A) explaining why the flu shot is necessary

5. You hear a doctor talking to a patient about her injury.

What will happen when the patient returns to the surgery?

Pregnancy - morning sickness – pain in her (17) , but no vomiting