Listening Tests 1 - 15 PDF

LISTENING SUB-TEST
OET 2.0 LISTENING TASK 1

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 Dzhambul. 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 : Dzhambul
Age : 45
Symptoms & disease : swelling developed on left testicle.
Patient’s description of symptoms: had marginal B-cell lymphoma and cured with
(1) two years ago. developed a diffuse large B-cell lymphoma last year and was
treated with CHOP/reduction. The disease was again (2)
: a swelling developed on left testicle last week. had fevers

and chills for the past few days and felt weak.
: used to smoke and drink, but stopped from last year
Family history of illness : mother had paralysis before her death at 70. father is deceased at age
84 of a (3)
56-year-old brother with type-two (4) secondary to diabetic retinopathy. 41-year-
old younger brother has hypertension. younger sister has (5)
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LISTENING SUB-TEST
Diagnosis : laboratory data shows white (6) hemoglobin 14.3, (7)

platelets 235,000. SMA-7 shows a (8) Glucose is 213.
Physical examination : no conjunctival pallor or icterus. No adenopathy. No carotid bruits.

Lungs are clear. No gallop or murmur in heart. Your right testicle is (9) and
tender. Endocrine shows (10)
Impression : left testicular swelling. It is tender. Etiology - possible epididymitis or

(11)
Further diagnosis : ultrasound tests for (12) CT scan of abdomen and pelvis upon
seeing the ultrasound reports.
Further treatment : IV antibiotics.
Extract 2:
Questions 13 to 24
You hear a physician talking to a patient called Thomas Andrews. For questions 13 to 24, complete the
Patient : Otgonbayar
Age : 47
Symptoms & disease : sinus, getting postnasal drainage, facial pain, headaches, sore throat
and congestion
Patient’s description of symptoms: has sinus problem with postnasal drainage, facial pain,
headaches, sore throat
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LISTENING SUB-TEST
and congestion for the past two weeks. getting snoring, (13) condition worsens in
morning and evening
: doesn’t drink, but smokes 1 pack of cigarettes per day for

the past 15 years
Past medical history : surgeries to (14)
Family history of illness : (15)
Medications : Claritin, (16)
Diagnosis : auricles/external auditory canals reveal no significant abnormalities bilaterally. TMs

intact with no middle ear effusion and are mobile to insufflation. (17) reveals
moderate congestion and purulent mucus. (18) shows teeth/alveolar ridges reveals
missing molar. (19) shows a prominent uvula and purulent postnasal drainage.
The (20) The palpation of anterior neck reveals no tenderness. Examination of the
posterior neck shows mild tenderness to (21) Facial examination shows there is
(22) tenderness to palpation. Water's view x-ray reveals bilateral maxillary
mucosal thickening.
Impression : (23) Snoring (786.09).
Further treatment : Augmentin. 875 mg twice a day and (24) for three weeks.
Further diagnosis : mini sinus CT if the condition doesn’t improve in three weeks
That is the end of Part A
Now look at Part B
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LISTENING SUB-TEST
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 discussion between a doctor and nurse about hypoxia and its causes.
Which of the following conditions arises due to decreased blood flow to the tissues?
A. Hypoxic hypoxia
B. Histotoxic hypoxia
C. Stagnant hypoxia
ANSWER:
Extract 2
(26) You hear a discussion between a doctor and nurse about the disease called botulism.
Which of these may occur due to a cosmetic surgery?
A. Adult intestinal toxemia botulism
B. Iatrogenic botulism
C. Wound botulism
ANSWER:
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LISTENING SUB-TEST
Extract 3
(27) You hear a discussion between a doctor and nurse about gastroesophageal reflux
disease.
Esophageal hiatus occurs in which of the following conditions?
A. Esophageal Irritation
B. Hiatal hernia
C. Motility disorder
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about congenital myopathy and its
types.
Which of the following diseases is associated with respiratory muscle weakness?
A. Nemaline myopathy
B. Metabolic myopathy
C. Mitochondrial myopathy
ANSWER:
Extract 5
(29) You hear a discussion between a doctor and nurse about primary brain tumors.
Which of the following primary brain tumors cannot be grade I?
A. Oligodendroglioma
B. Astrocytoma
C. Meningioma
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LISTENING SUB-TEST
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and nurse about different types of
aspergillosis.
Which of the following types of aspergillosis is caused through a break in the skin?
A. Cutaneous aspergillosis
B. Aspergilloma
C. Invasive aspergillosis
ANSWER:
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LISTENING SUB-TEST
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.
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 different categories of strokes and their
location.
You have 90 seconds to read questions 31 to 36
(31) The stroke caused by embolus is;
A. Watershed stroke
B. Ischemic stroke
C. Hemorrhagic stroke
ANSWER:
(32) Brain aneurysm is caused in
A. Ischemic stroke
B. Watershed stroke
C. Hemorrhagic stroke
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LISTENING SUB-TEST
ANSWER:
(33) Low blood supply to susceptible regions of the brain causes
A. Hemorrhagic stroke
B. Watershed stroke
C. Ischemic stroke
ANSWER:
(34) A condition called paranoia is caused in the patients who had a;
A. Cortical stroke
B. Hemorrhagic stroke
C. Frontal lobe stroke
ANSWER:
(35) Trouble understanding the spoken or written language is caused due to;
A. Frontal cortex stroke
B. Temporal cortex stroke
C. Occipital cortex stroke
ANSWER:
(36) Which of the following strokes does not affect the speech?
A. Frontal cortex stroke
B. Brainstem stroke
C. Parietal cortex stroke
ANSWER:
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LISTENING SUB-TEST
Extract 2
Questions 37 to 42
You hear the monologue of a physician giving a lecture on Hemolytic Anemia.
(37) The hemolytic anemia caused due to inadequate hemoglobin is;
A. Sickle Cell Anemia
B. Thalassemia
C. Inherited Hemolytic Anemia
ANSWER:
(38) Inherited Hemolytic Anemia is caused due to;
A. Faulty genes
B. Abnormal hemoglobin
C. Abnormal red blood cells
ANSWER:
(39) Which of the following is not caused by a defective surface membrane of the red blood cells?
A. Thalassemi
B. Hereditary Elliptocytosis
C. Hereditary Spherocytosis
ANSWER:
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LISTENING SUB-TEST
(40) Which of the following diseases may be caused by naphthalene?
C. Pyruvate Kinase Deficiency
B. Immune Hemolytic Anemia
C. Glucose-6-Phosphate Dehydrogenase Deficiency
ANSWER:
(41) The disease caused in pregnant women due to a difference in the blood group of the fetus;
A. Alloimmune hemolytic anemia
B. Autoimmune hemolytic anemia
C.. Pyruvate kinase deficiency
ANSWER:
(42) Preeclampsia is;
A. A malignant hypertension or a rare blood disorder
B. A condition that causes high blood pressure during pregnancy
C. A condition that causes seizures in pregnant women
ANSWER:
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LISTENING SUB-TEST
ANSWERS
1. Splenectomy
2. Went Into Complete Remission
3. Head And Neck Cancer
4. Diabetes And Blindness
5. Thyroid Disease
6. Blood Count Is 13.8
7. Hematocrit 42.4
8. Potassium Of 3.9
9. Markedly Erythematous And Swollen
10. Symptoms Of Type Ii Diabetes Mellitus
11. Possible Torsion Of The Testis
12. Scrotum And Abdomen
13. Teeth Pain And Nasal Burning
14. Gallbladder And Hernia
15. Allergies And Hypertension
16. Dilantin And Rhinocort Nasal Spray
17. Intranasal Exam
18. Oropharynx Examination
19. Posterior Pharynx
20. Palatine Tonsils Are 2+ And Cryptic
21. Palpation Of The Suboccipital Muscles
22. Bilateral Maxillary Sinus
23. Acute Maxillary Sinusitis (461.0)
24. Muco Fen 800 Mg Twice A Day
25. C
26. B
27. B
28. A
29. A
30. A
31. B
32. C
33. B
34. C
35. B
36. A
37. B
38. A
39. A
40. C
41. A
42. B
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LISTENING SUB-TEST
PART A
In this part of the test, you will hear two different extracts. In each
extract, a health professional is talking to his patient. For questions 1
to 24 complete the notes with the information you hear.
You hear a doctor talking to a patient called Mrs. Melissa. For

questions 1 to 12, complete the following notes with a word or short
phrase.
Patient : Mrs. Melissa:
Age : 48
Symptoms &disease : sudden onset of pain on left hip
Patient’s description of symptoms: got a sudden onset of pain on left hip when
lifting a (1)
: constant pain and worsens while sitting,

twisting, lifting or riding in a car
: pain improves after resting
: depressed, lost interest in all activities, gets

insomnia, (2)
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: fatigue and (3)
: had flu vaccine two years ago &

(4) five years ago
: not attending work
: stopped smoking but drinks socially
Family history of illness : father had a (5) and hypertension. Mother

had a (6) and died at the age of 70.
Medical history : had an (7) seven years back and a (8) three
years back
Diagnosis : MRI shows small central herniated nucleus pulposus at L4/5. Bulge at
L3/4. there is a (9) Herniated nucleus pulposus at L5/S1. There is an
entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus
Medius-Left. depression and sleep disorder.
Further treatment : Baclofen 10 mg before bedtime, (10) twice a

day, hydrochlorothiazide 25 mg once in a day and (11) before bedtime.
Further diagnosis : to order for a diagnostic or (12) depending on

patient’s condition after three weeks,
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LISTENING SUB-TEST
You hear a physician talking to a patient called Rasputin. For

phrase.
Patient : Rasputin
Age : 36
Symptoms &disease : pricked index finger with needle contaminated with

Hepatitis C
Patient’s description of symptoms: working as a (13) & respiratory

therapist
: when attempting to do a (14) had

his left index finger pricked with
: needle contaminated with Hepatitis C
Diagnosis : found to be a carrier for Hepatitis C
: had periodic (15)
: had (16) for Hepatitis C and had (17) showing

protected antibodies
: had tetanus
Medical history : had (18) disease in the back
Medications : Nexium
Allergies : (19)
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LISTENING SUB-TEST
Physical examination : temperature is 97.2 degrees, (20) respirations 14

and unlabored
: (21) negative for HIV
: no other symptoms suggesting (22)
: liver function is normal. No signs of infection
Impression : developed (23) due to (24)
: secondary to contaminated needlestick
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LISTENING SUB-TEST
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 question 25
Extract 1
(25) You hear a monologue by a physician explaining to his staff about

Cutaneous manifestations.
Which of the following is a cutaneous sign of vomiting?
A. Telogen effluvium
B. Knuckle calluses
C. Xerosis
ANSWER:
(26) You hear a monologue by a physician explaining to his staff about

symptoms of anorexia nervosa.
Which of the following statements is incorrect?
A. Mitral valve prolapse can cause chest pain.
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LISTENING SUB-TEST
B. Abnormal ejection fraction was seen in most patients with anorexia nervosa
C. Long standing hypovolemia causes chest palpitations
ANSWER:
(27) You hear a discussion between a physician and his nurse about
endometriosis
Endometriosis is;
A. Endometrial tissue formed inside the uterine cavity
B. Broken endometrial tissue
C. Displaced endometrial tissue
ANSWER:
(28) You hear a discussion between a physician and his nurse about the
treatments for the signs of eating disorders.
Topical tocopherol is effective in the treatment of
A. Xerosis
B. Acne
C. Angular stomatitis
ANSWER:
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LISTENING SUB-TEST
(29) You hear a discussion between a physician and his junior about pain
transmission.
Non-nociceptive signals are carried by the;
A. Large nerve fibers
B. Small nerve fibers
C. Projection neuron
ANSWER:
(30) You hear a discussion between a physician his nurse about subclinical
seizures.
A. Unusual electrical activity in the brain causes a subclinical seizure.
B. Electroencephalogram is a treatment method for autism.
C. Signs such as aggression or meltdowns were seen in the autistic patient.
ANSWER:
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LISTENING SUB-TEST
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.

according to what you hear. Complete the answers as you listen the
audio.
Extract 1
Questions 31 to 36
You hear the doctor briefing to his staff about Guidelines for the Early
Detection of Cancer.
(31) Colon and rectal cancer screening is suggested to;
A. The people up to the age of 75, if maintaining good health.
B. The people up to the age of 85, if maintaining good health.
C. People above 85, if maintaining good health.
ANSWER:
(32) Pap screening is suggested once in every 3 years for the age group;
A. 30 to 65
B. 21 to 29
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C. Above 65
ANSWER:
(33) A Pap test in addition to HPV test is recommended for;
A. The women above 65 years
B. The women between 30 and 65
C. The women who had a total hysterectomy
ANSWER:
(34) Mammograms once every two years is recommended for the age group;
A. 40 to 44
B. Above 55
C. 45 to 54
ANSWER:
(35) For yearly screening of lung cancer, the person
A. Should not have smoked 30 pack per year for 15 years
B. Should have a smoking history of a maximum of 30 pack per year
C. Should have a smoking history of a minimum of 30 pack per year
ANSWER:
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LISTENING SUB-TEST
(36) Which of the following statements is incorrect;
A. Research hasn’t proven yet that the risk factors outweigh the benefits of
screening
B. One should get a prostate specific antigen blood test prior to the screening
C. Men should not get screened for prostate cancer without knowing the risk
factors
ANSWER:
Extract 2
Questions 37 to 42
You hear the doctor giving a lecture on the effect of disrupting gut-brain
communication.
(37) Which of the following statements is incorrect?
A. Gut-brain communication will decrease memory and learning abilities.
B. Gut has a strong communication with brain
C. Gut is considered as the second brain
ANSWER:
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LISTENING SUB-TEST
(38) A long nerve called vagus nerve
A. Lies inside the gastrointestinal tract.
B. Lies inside the brain
C. Controls our digestive system
ANSWER:
(39) Feeding behavior is initiated by;
A. The signals from the gastrointestinal tract.
B. hippocampal activity
C. vagal nerve stimulation
ANSWER:
(40) Signals to stop eating is transmitted from
A. Brain to gut
B. Gut to brain
C. From hippocampus to gastrointestinal tract
ANSWER:
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LISTENING SUB-TEST
(41) When the gut-brain pathway was detached;
A. The rats could effectively access spatial memories provoked by the

gastrointestinal system
B. The rats could still access the food with their spatial memory
C. The rats could access the food with the help of activated vagus nerve
ANSWER:
(42) What is the conclusion of this research?
A. Disruption of the vagal nerve does not affect social learning, body weight or
anxiety.
B. Endogenous connection from gut to the hippocampus mediates the cognitive

pathway.
C. vBLOC therapy, has been effective in weight loss by electrically disrupting the
vagus nerve.
ANSWER:
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LISTENING SUB-TEST
ANSWERS
1. Weight Of 40 Pounds
2. Lack Of Concentration
3. Loss Of Energy
4. Pneumonia Vaccine
5. Cerebrovascular Stroke
6. Congestive History Of Heart Failure
7. Appendectomy
8. Cholecystectomy
9. Shallow Left Parasag
10. Flurbiprofen 100mg
11. Klonopin 0.5 Mg
12. Therapeutic Intervention
13. Phlebotomist
14. Blood Gas
15. Screening And Blood Tests
16. 3 Shot Series
17. Titers Drawn
18. Degenerative Disc
19. Iv Contrast
20. Pulse Rate Is 84
21. Blood Pressure 102/70
22. Acute Hepatitis
23. Acute Intestinal Illness
24. Blood-borne Pathogen Exposure
25. B
26. A
27. B
28. C
29. A
30. B
31. A
32. B
33. B
34. B
35. C
36. A
37. A
38. C
39. B
40. B
41. C
42. A
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LISTENING SUB-TEST
Part A
In this part of the test, you hear two different extracts. In each extract,
a Dermatologist is taking to his patient. For questions 1 to 24
complete the notes with the information you hear.
You hear a doctor talking to a patient called Alejandro. For questions

1 to 12, complete the following notes with a word or short phrase.
Patient : Alejandro
Age : 35
Patient’s description of symptoms: increased (1) developed abdominal

pain
: bowel& bladder habits are normal
: no swelling in feet or ankles
: no weight loss
Medical history : bilateral (2) & (3) (BUN) and creatinine.
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Diagnosis : hemoglobin count 14.8, white count 16.3. (4) 133, potassium
5.1 chloride 104 and CO2 of 19. BUN test shows 26 and (5) is 3.5 and
earlier it was 0.9. CAT scan report of abdomen shows (6)
Impressions : acute renal failure probably (7) (8) state is

indicated. elevation of BUN and serum creatinine levels. Azotemia suspected due
to exposure to (9)
Further diagnosis : triple (10) to investigate renal functioning system
Further treatment : (11) 20 mg per day for anticoagulation
: if renal failure becomes progressive, a (12) is

suggested
You hear a physician talking to a patient called Mr. Zachary. For

phrase.
Patient : Mr. Zachary
Age : 65
Symptoms &disease : Bladder Cancer
Patient’s description of symptoms: Initially treated for (13)
: CT scan shows a thickening of the

(14)
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LISTENING SUB-TEST
: nohydronephrosis
Past medical history : A gunshot wound in 2000 followed by (15)
Medications : Metoprolol 100 mg, Diltiazem 120 mg daily, Hydrocodone 10/500

mg, Pravastatin 40 mg daily, Lisinopril 20 mg daily, Hydrochlorothiazide 25 mg
daily.
Further diagnosis : (16) and a workup for a (17) to

analyze Serum cortisol, potassium, aldosterone and (18)
Impressions : high-grade (19) (20) in the specimen.
: other workups are negative
Further treatment : (21) surgery in the form of a (22)
: with (23) sampling
: (24) into bladder along chemotherapy as a six

dose regimen after resection of the tumor
Risk factor : likely to spread to other parts of the body
: chances of recurrence after treatment
Now look at Part B
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LISTENING SUB-TEST
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.

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.
(25) You hear two doctors having a discussion about chemotherapy for
bladder cancer.
A. More than 384 who completed trials participated in the study.
B. The recurrences were 64% lesser
C. The purpose of the study was to prevent bladder cancer from invading the
muscle wall of the organ.
ANSWER:
(26) You hear two doctors talking about the role of bacteria in colon cancer.
A. Biofilms float through the colon with the stool
B. Interaction of microbiome with the colon forms cancer tumors
C. Biofilms stick to the colon wall forming tumors
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LISTENING SUB-TEST
ANSWER:
(27) You hear two doctors discussing occupational therapy for improving
visual function.
A. Occupational therapy at home improved the visual function.
B. Occupational therapy helped avoid depression.
C. Patients in the supportive therapy attention control group could only improve in
their depressive symptoms.
ANSWER:
(28) You hear two doctors talking about why the primary care doctors should
not perform eye screening.
Which of the following statements best suits this extract?
A. Many vision screenings are performed only for distance visual acuity.
B. Often a vision screening is conducted by primary doctors who have little

training.
C. Often the results of such screenings are not precise
ANSWER:
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LISTENING SUB-TEST
(29) You hear two doctors discussing dysphagia after the use of breathing
tubes in ICU patients.
A. Dysphagia is a negligible condition in patients treated with a breathing tube.
B. There are patients with prolonged periods of dysphagia.
C. Most patients recover from dysphagia within six months.
ANSWER:
(30) You hear two doctors talking about risk factors for kidney donors.
What is the purpose of this conversation?
A. This is an announcement about an online risk tool specially designed for kidney
donors.
B. The donor can evaluate the chances for his end-stage renal disease and decide
accordingly.
C. This tool incorporates 10 different characteristics of the aspiring donor.
ANSWER:
Now look at Part C
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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.
Extract 1
Questions 31 to 36
You hear the doctor briefing his juniors about different types of chest
pain in female patients.
(31) Which of the following statements is correct?
A. Menstruating women are liable to get heart disease.
B. Estrogen promotes the development of atherosclerosis.
C. Coronary artery disease is very rare in menstruating females.
ANSWER:
(32) Reversible loss of blood supply to the heart muscle is known as;
A. Myocardial infarction
B. Angina Pectoris
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LISTENING SUB-TEST
C. Coronary artery disease
ANSWER:
(33) Which of the following diseases is not relieved by sublingual nitrate?
A. Angina Pectoris
B. Cardiac Pain
C. Myocardial Infarction
ANSWER:
(34) Which of the following diseases is not linked with estrogen?
A. Myocardial infarction
B. Angina Pectoris
C. Coronary artery disease
ANSWER:
(35) Which of the following conditions is not retrosternal?
A. Pain below the left nipple
B. Cardiac Pain
C. Angina Pectoris
ANSWER:
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LISTENING SUB-TEST
(36) A low pitched rumbling diastolic murmur will clinch the diagnosis of;
A. Mitral stenosis
B. Angina Pectoris
C. Mitral Prolapse
ANSWER:
Extract 2
Questions 37 to 42
You hear a doctor briefing his juniors about blood transfusion.
(37) Which one of the following is also known as histocompatibility?
A. Rhesus factor
B. Tissue type factor
C. Immune system compatibility
ANSWER:
(38) What is apheresis in blood transfusion?
A. Tissue matching
B. Blood component transfusion
B. Rhesus factor
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LISTENING SUB-TEST
ANSWER:
(39) For treating hemophilia, which of the blood components is transfused?
A. Immunoglobulin antibodies
B. Albumin protein
C. Platelets
ANSWER:
(40) Albumin protein is transfused in the treatment process of;
A. Cryoprecipitate
B. Burns
C. Hemophilia
ANSWER:
(41) Which of the following species has sixteen blood types?
A. Horses
B. Dogs
C. Pigs
ANSWER:
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LISTENING SUB-TEST
(42) Donating which of the following blood component involves risk to the
donor?
A. Platelets
B. Plasma
C. Immunoglobulin antibodies
ANSWER:
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ANSWERS
1. Shortness Of Breath
2. Pulmonary Infarcts
3. Blood Urea Nitrogen
4. Sodium Level
5. Creatinine Level
6. Poor Perfusion To Right Kidney.
7. Vein Thrombosis
8. Hypercoagulable
9. Intravenous Contrast Materials
10. Renal Scintigraphy
11. Rivaroxaban
12. Dialytic Intervention
13. Hematuria
14. Left And Posterior Bladder Wall
15. Exploratory Laparotomy X2
16. Bladder Biopsy
17. Right Adrenal Lesion
18. Acth Level Measurement.
19. Muscle-invasive Transitional Cell Carcinoma
20. Propria
21. Radical Curative
22. Cystoprostatectomy
23. Lymph Node
24. Mitomycin
25. B
26. A
27. C
28. C
29. C
30. B
31. C
32. B
33. C
34. B
35. A
36. A
37. B
38. A
39. C
40. B
41. C
42. B
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LISTENING SUB-TEST

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.
You hear a doctor talking to a patient called Hiromichi. For questions 1 to 12, complete the
Patient : Hiromichi
Age : 54
Symptoms &disease : suffocating feeling and shortness of breath
Patient’s description of symptoms: having a suffocating feeling whenever lying flat on back.
now sleeping in an (1)
: gets (2) and shortness of breath.
: no chest pain, no bleeding disorder
Past medical history : (3) hypertension, asthma, and (4)
Family history of illness : brothers had prostate cancer; father had (5) . brothers
and sister have diabetes.
Medications : glipizide 5 mg twice a day, (6) Atacand 16 mg daily,
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LISTENING SUB-TEST
metoprolol 25 mg twice a day, Lipitor 10 mg daily, (7)
(8) Detrol 4 mg daily, Zyrtec 10 mg daily,
(9) one puff twice a day, and
fluticasone spray 50 mcg two sprays daily.
Allergies : none
Diagnosis : Cat scan shows a (10) and there is a small pancreatic lesion on left
adrenal node
pancreas shows pancreatic lesion towards the (11) of the pancreas,

approximately 1 cm, most likely of cystic nature
: Neoplasm cannot be ruled out
: earlier colonoscopy last year shows three adenomatous polyps.
Impression : left adrenal and pancreatic lesions.
Further treatment : (12) with Radiology and probably at some point there may
be a need of operative intervention.
BRITISH ACADEMY
LISTENING SUB-TEST
You hear a physician talking to a patient called Mackenzie. For questions 13 to 24, complete
the following notes with a word or short phrase.
Patient : Mackenzie
Age : 45
Symptoms &disease : persistent pain symptoms down back the right leg to knee
Patient’s description of symptoms: : Has a three years of history of lung cancer metastasized in
both femurs, lower (13)
: had numerous chemotherapy and radiation treatments

and just completed a series of 10 radiation treatments for pain relief.
has persistent pain symptoms mostly in low back on the

right side, radiating down the back of right leg to knee.
has some (14)
some throbbing pain in the left foot at times.
pain worsens while prolonged sitting in the car, walking

or standing
: smokes one pack a day for last 30 years; drinks beer

twice a day
Past surgeries : (15)
Medications : Duragesic patch 250 mcg total, (16) iron 240 mg twice daily, Paxil
20 mg daily, (17) daily, and Percocet. (18) to keep my chest port patent.
Allergies : none
BRITISH ACADEMY
LISTENING SUB-TEST
Diagnosis : neurological examinations show that reflexes are 2+ in both knees and absent at both
ankles. Sensations are decreased distally in the left foot, otherwise intact to pinprick.
: Examination of lumbar spine shows normal (19) with fairly

functional range of movement. There is a significant tenderness at (20) and
sacroiliac joints that seems to reproduce a lot of your low back and right leg
complaints.
: multiple scan reports reveal that abnormal uptake involving the femurs bilaterally.
Has increased uptake in the (21)
MRI of the lower hip joints shows (22) in both proximal femurs. Pelvis
CT shows a trabecular pattern with healed metastases.
CT of the orbits reveal a small amount of fluid in mastoid air cells on the right.
Impression : small cell lung cancer with metastasis at the lower lumbar spine, pelvis, and both
femurs. Symptomatic facet and sacroiliac joint syndrome on the right and chronic pain
syndrome.
(23) is probably secondary to the chemotherapy and radiation treatments
Further diagnosis : injection of right sacroiliac and facet joints under fluoroscopy
Further treatment : If the pain is persistent even after injection, can take an extra 50 mcg patch
and take a couple of extra Percocet if needed.
stop taking Paxil and to start (24) instead.
Now look at Part B
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
Extract 1
(25) You hear a discussion between a nurse and a physician explaining about
different types of breath sounds.
The abnormal breath sound of a person with a blocked upper airway is;
A. Wheezing
B. Stridor
C. Squawk
Extract 2
(26) You hear a monologue by a physician explaining about Heberden's nodes.
Which of the following statements suits best with this extract?
A. Abnormal growth of bones on finger joints is called interphalangeal joints.
B. Cartilage layer causes the bones to damage gradually over time.
C. Osteoarthritis is not the only cause for Heberden’s nodes.
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 3
surgical treatments for patients with a desiccated disc.
The extra bone that has moved out of place is removed in;
A. Fusion method
B. Correction method
C. Decompression method
Extract 4
outcomes of TB skin test.
Which of the following statements is correct?
A. Patients vaccinated using the bacillus Calmette-Guérin show a positive result for TB
B. Patients exposed measles show a false negative result to TB
C. If the bump is larger than 5 millimeters then the test result is considered negative for TB
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
atelectasis.
Which of the following statements suits best with this extract?
A. Alveoli in the lower lobes of the lungs deflate during bibasilar atelectasis.
B. Bibasilar atelectasis is a partial collapse of lungs
C. Deflation of alveoli in the lower lobes of the lungs is called atelectasis.
Extract 6
liver flukes.
A. It is difficult to diagnose liver flukes as the symptoms are similar to many other conditions.
B. Liver flukes is the disease caused by fascioliasis.
C. Pain in upper right abdomen is caused when liver flukes burrow through the lining of the
liver.
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the lecture given by a physician on the topic Cystic hygromas
A. Cystic hygroma in embryo can result in miscarriage
B. Cystic hygroma that are present at the time of birth are malignant
C. Blockage in the lymphatic system causes cystic hygroma
A. Adult onset cystic hygroma is very rare
B. 50 percent of the cases of cystic hygroma are due to viral infections to a fetus
C. Drug and alcohol consumption during pregnancy can also cause cystic hygroma formation
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Additional set of chromosomes to the fetus are developed when;
A. The woman misses X chromosome completely or partially
B. There is a Noonan syndrome
C. There is a condition of Trisomy 13, 18 or 21
(34) Unusual facial feature is formed when;
A. There is a Noonan syndrome
B. The woman misses X chromosome completely or partially
C. There is a condition of Trisomy 13, 18 or 21
A. Low levels of alpha-fetoproteins is an indication of cystic hygroma
B. Usually cystic hygroma is diagnosed during pregnancy.
C. Blood tests at 15 to 20 weeks of pregnancy can detect cystic hygroma formation
(36) Chromosomal abnormalities can be detected through
A. Transvaginal probe
B. Amniocentesis
C. Fast spin magnetic resonance
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
Questions 37 to 42
You hear the monologue of a physician giving a lecture on delusions of grandeur and its
treatments.
(37) A manic episode occurs in patients with
A. Narcissistic personality disorder
B. Bipolar disorder
C. Dementia
(38) In which of the following conditions, a person may tend to spend too much
of money?
A. Manic episode
B. Narcissistic personality disorder
C. Dementia patients with delusion of grandeur
(39) In which of the following disorders, patients lack empathy?
A. Bipolar disorder
(40) In which of the following conditions, hallucinations does not occur?
A. Schizophrenia
B. Brain damage or injury
BRITISH ACADEMY
LISTENING SUB-TEST
(41) Drugs such as lithium is given to the patients with;
A. Bipolar disorder
B. Schizophrenia
C. Narcissistic personality disorder
(42) A comprehensive, ongoing therapy to offset the effects of delusions is

needed to patients with;
A. Bipolar disorder
C. Brain damage
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Upright Position
2. Frequent Urination
3. Type 2 Diabetes Mellitus
4. High Cholesterol
5. Brain Cancer
6. Metformin 500mg Twice A Day
7. Pantoprazole 40 Mg Daily
8. Flomax 0.4 Mg Daily
9. Advair Diskus 100/50 Mcg
10. Pneumonitis
11. Mid Body Tail Aspect
12. Esophagogastroduodenoscopy
13. Lumbar Spine And Pelvis
14. Numbness In The Bottom Of Foot
15. Chest Port Placement
16. Celebrex 200 Mg Once Daily
17. Neurontin 300 Mg Three Times
18. Warfarin 1mg Daily
19. Lumbar Lordosis
20. Lower Lumbar Facet
21. Sacroiliac Joint Regions Bilaterally
22. Heterogeneous Bone Marrow Signal
23. Peripheral Neuropathy Of Left Foot
24. Cymbalta
25. B
26. A
27. C
28. B
29. A
30. B
31. B
32. B
33. C
34. A
35. A
36. B
37. A
38. A
39. B
40. C
41. A
42. B
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
In this part of the test, you will hear two different extracts. In each extract, a Healthcare
Professional is talking to his patient. For questions 1 to 24 complete the notes with the
You hear a neurologist talking to a new patient called Mrs. Lizaveta. For questions 1 to 12,
complete the following notes with a word or short phrase.
Patient : Mrs. Lizaveta:
Age : 71
Symptoms &disease : Suspected case of (1)
Patient’s description of symptoms: she has been walking in a strange manner for the past three
months. has a broadened base and has developed (2)
: her balance is declining. Not using any assistive device.
: normal bowel & bladder movements. No headache.
: memory is slowing down.
Medical history : no trouble with (3) but she has vertigo.
: she was diagnosed for (4) in 2014 but no snoring or apnea.
: arthritis since 2000 and (5) since 1975.
BRITISH ACADEMY
LISTENING SUB-TEST
Past surgeries : had a (6) in 1992, and a wrist operation in 1972
Family history : mother had a (7) colon cancer.
Medications : Premarin 0.625 mg, Aciphex 20 mg daily, Toprol 50 mg daily, Norvasc 5 mg

daily, multivitamin, (8) B-complex vitamins calcium, magnesium, and vitamin C
daily.
Physical examination : blood pressure 154/72, (9) and weight 153 pounds
: spine is straight and nontender. Has a mild kyphosis, but no scoliosis
: gait assessment shows she has some unsteadiness and a widened base
: a (10) with trace expansion into the temporal horns
: The (11) is patent
: corpus callosum is bowed and effaced
: developed a couple of small T2 signal abnormalities no changes in

periventricular signal
Further diagnosis : (12) test through lumbar punch method.
You hear a physician talking to a patient. For questions 13 to 24, complete the following
notes with a word or short phrase.
Patient : Mrs. Jamila
Age : 45
Reason for referral : Mantle Cell Lymphoma
BRITISH ACADEMY
LISTENING SUB-TEST
Patient’s description of symptoms: had abdominal pain eight months back. Treated for
suspected pneumonia with (13)
: admitted to emergency ward as her pain worsened
: further diagnosis detected (14) and was

medicated with Percocet.
: prescription was changed to Ultram as she was getting

nausea with Percocet.
: further diagnosis showed (15) and a spleen

of 19 cm
: positron emission tomography showed (16)

of 1 to 2 cm diameter, and an enlarged hypermetabolic spleen. lymph node biopsy last month
detected mantle cell lymphoma bone marrow biopsy showed bone marrow involvement with
lymphoma and has circulating lymphoma cells on (17)
Medical history : (18) in 2001, cyst from left neck was operated in 2005
: had tonsillectomy
: gets occasional (19)
Family history : father had (20) and colon cancer
: mother has hypertension and (21)
Medications : Estradiol / Prometrium 200 mg, Ultram when gets pain, Baby aspirin
(22) for sleeping and iron supplements
BRITISH ACADEMY
LISTENING SUB-TEST
Further treatment : chemotherapy with hyperfractionated,(23)

dexamethasone, doxorubicin, vincristine.
: Discontinue aspirin and continue with Estradiol / Prometrium. Ativan as

and when feeling anxiety.
: To start (24) from today and hydration, to avoid tumor lysis

syndrome. Plan
: to add Rituxan a little later, since the patient has circulating lymphoma
cells.
: to be evaluated for bone marrow transplant in first remission.
Now look at Part B
Part B
For questions, 25 to 30 choose the answer (A, B, or C) which fit best according to what you
(25) You hear two doctors discussing the topic of keeping the immune system under
control.
BRITISH ACADEMY
LISTENING SUB-TEST
A. Drugs used for autoimmune diseases blocks the energy pathway to deactivate the disease
B. Energy pathways are feasible targets to treat certain diseases that involve dietary measures
C. Diets are going to play a prominent role in disease management
ANSWER:
(26) You hear physicians discussing the topic of coping with a peanut allergy.
A. Children with eczema should not ingest peanuts.
B. Children with eczema should eat peanuts at an early stage.
C. Parents should avoid feeding every kind of food that can cause an allergic reaction to their
children.
ANSWER:
(27) You hear the discussion between physicians on the importance of food challenge
A. Food challenge test becomes inevitable with patients with food allergies
B. Food allergy tests are an alternative to the food challenge test.
C. Food allergy tests carry lots of false positives.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(28) You hear a discussion between doctors on fake Stop the Bleed kits.
A. Counterfeit tourniquets would probably cost between 25 to 35 dollars.
B. Genuine tourniquets range from 25 to 35 dollars.
C. One should not buy Stop the Bleed kits for a cost lesser than 25 dollars.
ANSWER:
(29) You hear a physician explaining to his nurse about causes of obesity.
Which of the following is the main cause for obesity?
A. The interaction between genes and the bacteria in our guts
B. The interaction between the diet we eat, our genes, and our bacteria in our body.
C. Genes colonized with bacteria that produce more nutrients for the host.
ANSWER:
(30) You hear a physician briefing staff about the Herpes virus infection.
Which of the following is not a symptom of the Herpes virus infection.
A. Tingling
B. Bleeding
C. Swollen lymph nodes
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the lecture given by a senior physician to junior doctors on the risk factors of
osteoporosis disease.
(31) A person is considered drunk when the blood alcohol level reaches;
A. 0.08
B. 2.08
C. 0.28
ANSWER:
(32) Thirty days of a rat’s life are equivalent to;
A. Three months
B. Thirty human months
C. Three years
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Which one of the following statements is correct?
A. Dual-energy X-ray absorptiometry test costs lesser than the Peripheral test.
B. The peripheral test can show normal results of the patient with osteoporosis in backbone or
hips.
C. Dual-energy X-ray test measures only heel, the wrist, or the bones between finger joints.
ANSWER:
(34) The mineral density of the bones of all parts will be same;
A. When a woman reaches fifty years.
B. In Caucasian females over seventy years of age.
C. When a woman reaches seventy years of age.
ANSWER:
(35) The calcium intake per day in people over fifty years should be;
A. 1200 milligrams per day
B. 800 to 1000 international units per day
C. 2500 milligrams per day
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
A. Salmon has soft bones
B. Vitamin D absorbs calcium
C. Individuals over 50 should take 1200 milligrams of Vitamin D
ANSWER:
Extract 2
Questions 37 to 42
You hear the brief instruction given by a physician to his staff on the abnormalities in thyroid
functioning.
(37) Which of the following is not a symptom of hyperthyroidism?
A. Depression
B. Weight loss
C. Tremors
ANSWER:
(38) Which of the following disease has an inflamed gland?
A. Hashimoto’s disease
B. Thyroiditis
C. Autoimmune disorder
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(39) Which of the following is an autoimmune disorder in hypothyroidism?
B. Grave's disease
C. Thyroiditis
ANSWER:
(40) Which of the following is not a cause for hypothyroidism?
A. a malfunctioning hypothalamus
B. a radioactive treatment for hypothyroidism
C. a malfunctioning pituitary gland
ANSWER:
(41) In which of the following diseases does the autoimmune system mimic the thyroid
stimulating hormone?
B. Thyroiditis
C. Grave's disease
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
A. Goiter can be unnoticeable in certain cases.
B. The nodules or lumps in the gland starts secreting more hormones with the help of the
pituitary gland.
C. Certain medications taken to treat hypothyroidism result in hyperthyroidism.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Adult Hydrocephalus
2. Stooped Posture
3. Syncope
4. Hypertension
5. Thyroid Abnormalities
6. Hysterectomy
7. Mild Ventriculomegaly
8. Caltrate Plus D
9. Heart Rate 87
10. Mild Ventriculomegaly
11. Sylvian Aqueduct
12. Cerebral Spinal Fluid Leakage
13. Antibiotics And Prednisone
14. Pleurisy
15. Splenomegaly
16. Diffuse Hypermetabolic Lymph Nodes
17. Peripheral Smear
18. Tubal Ligation
19. Migraines
20. Emphysema
21. Arrhythmia
22. Lunesta
23. Cyclophosphamide
24. Allopurinol
25. C
26. B
27. A
28. B
29. C
30. B
31. A
32. C
33. B
34. C
35. A
36. C
37. A
38. B
39. A
40. B
41. C
42. B
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
You hear a doctor talking to a patient called Mr. Gonsalves. For questions 1 to 12, complete
Patient : Mr. Gonsalves
Age : 59
Symptoms &disease : tracheostomy tube removal
Patient’s description of symptoms: patient with end-stage chronic obstructive pulmonary

disease had a tracheostomy tube placement 3 months before while having
: treatment for acute exacerbation
: now residing in an extended care facility
: requires (1)
: there has been some tenderness with tracheostomy tube &
: difficulty in swallowing
: patient wants the tracheostomy tube to be removed
BRITISH ACADEMY
LISTENING SUB-TEST
: regular smoker & was an addict to alcohol, recently

stopped
Past surgeries : Tonsillectomy, (4) cholecystectomy, appendectomy,

(5) and tracheostomy.
Past medical history : Chronic obstructive pulmonary disease, (2) coronary artery
disease, myocardial infarction, and (3)
Family history of illness : heart disease, coronary artery disease, hypertension, diabetes
mellitus, and (6)
Medications : Prevacid, folic acid, aspirin, (7) Pulmicort, Risperdal, Colace,

clonazepam, Lotrisone, Roxanol, Ambien,(8) simethicone, Robitussin, and
prednisone.
Allergies : (9)
Physical examination : blood pressure is 110/78, pulse rate is 96, and temperature is 98.6. There
is a stable-appearing tracheostomy tube site and the stoma appears to be without signs of
infection. The previous incision was vertical in nature and there is no hypertrophic scar
formation. No adenopathy noted. No stridor noted.
Impression : end-stage chronic obstructive pulmonary disease with a history of respiratory

failure requiring (10) withtracheostomy tube placement.
difficulty in tolerating tracheostomy tubes
secondary to swallow discomfort and neck irritation
history of coronary artery disease, myocardial infarction and (11)
Further treatment : limited bronchoscopy and then (12)
Complications : may have trouble with the area healing or
scarring or could end up having an emergent airway situation
BRITISH ACADEMY
LISTENING SUB-TEST
You hear a physician talking to a patient called Edward Corey. For questions 13 to 24,
Patient : Mr. Edward Corey
Age : 60
Symptoms &disease : persistent cough for the past two weeks and some shortness of breath
Patient’s description of symptoms: he is a patient with (13) with
prior stent-supported angioplasty
has persistent cough for the past two weeks and some
shortness of breath
: he was treated for (14)
: doesn’t drink, but smokes regularly
Past medical history : coronary artery disease since 2016 (15) for over 10 years,
chronic obstructive pulmonary disease & Hypertension.
Past surgeries : (16) about eight years ago, neck fusion stent-supported
(17) to unknown vessel in the heart.
Medications : Aspirin 81 mg daily, (18) Allopurinol 100 mg daily, Levothyroxine

100 mcg a day, Lisinopril 10 mg a day, Metoprolol 25 mg a day, Atorvastatin 10 mg daily.
Diagnosis : Cardiovascular studies normal upstroke, distal pulse symmetrical.
Heart regular with a normal S1 with normally split S2.
BRITISH ACADEMY
LISTENING SUB-TEST
There is an (19) Lungs with decreased air entry.
: Echocardiogram shows (20) normal thickening of the left ventricle

with mildly dilated ventricle, EF of 40%, (21) and diastolic dysfunction, grade 2.
: Nuclear stress study shows (22) no reversible ischemia identified.

Laboratory data shows normal white cells, hemoglobin 11. BUN of 12.1, creatinine of 0.8.
Troponin of 0.04. BNP of 5700. Had no syncope.
Impression : cardiomyopathy, (23)
Further treatment : Electrophysiology study is required for ventricular tachycardia.

(24) will be determined at a later stage.
To continue metoprolol with a little higher dose of 25 mg twice a day.
To continue atorvastatin.
Increase lisinopril to 20 mg daily to improve blood pressure management.
To take hydralazine 50mg for blood pressure management.
Now look at Part B
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
Extract 1
(25) You hear a monologue by a physician explaining about Lupus disease.
Lupus disease;
A. Causes the antibodies to act against antigens.
B. Leads the immune system to act against antibodies.
C. Causes antibodies to act against the healthy tissues
ANSWER :
Extract 2
(26) You hear a discussion between a doctor and a nurse on leukopenia disease.
The white blood cell that can mend the damaged tissue is;
A. Lymphocytes
B. Monocytes
C. Basophils
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 3
(27) You hear a discussion between a doctor and a nurse on different stages of gout.
In which of the following gout stages the joints are irritated by calcium phosphate crystals?
A. Pseudogout
B. Intercritical stage
C. Chronic tophaceous stage
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and a nurse on different types of gum graft
surgery.
Which gum graft surgeries is performed for the individuals with inadequate gums?
A. Pedicle grafts
B. Gingival grafts
C. Connective tissue grafts
ANSWER:
Extract 5
(29) You hear a discussion between a doctor and a nurse about medical conditions that
cause undigested food to appear in the stool.
In which of the following diseases the patient becomes incapable to digest gluten in grains?
A. Celiac disease
B. Crohn’s disease
BRITISH ACADEMY
LISTENING SUB-TEST
C. Pancreatic insufficiency
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and a nurse about different procedures to
detect blood clots.
Which of the following procedures uses catheterization technique?
A. Endocardiography
B. Ventilation-perfusion
C. Angiography
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the lecture given by a physician on the topic blood type classifications
A. Viruses and bacteria are antigens
B. Red blood cell antigens are protein molecules
C. Red blood cells produce antibodies
ANSWER:
(32) In which of the following blood groups the plasma does not contain anti-A antibodies?
A. B group
B. AB group
C. A group
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) What is the criterion that makes the blood type for transfusing to the patient with any
blood group?
A. Having none of A or B antibodies
B. Having none of A or B antigens
C. Having A antigen and and anti-B antibody
ANSWER:
(34) In the US 39 percent of the population are with;
A. A positive blood
B. RhD-positive blood
C. O positive blood
ANSWER:
(35) Which of the following blood types is considered as ‘Universal Donor Type’
A. O negative
B. O positive
C. AB positive
ANSWER:
(36) What is a sensitization during pregnancy?
A. If the antibody from the mother attacks red blood cells of the fetus
B. If the RhD from the fetus attacks the red blood cells of the mother
BRITISH ACADEMY
LISTENING SUB-TEST
C. If the RhD from the mother attacks the red blood cells of the fetus
ANSWER:
Extract 2
Questions 37 to 42
You hear the monologue of a physician giving a lecture on Types of Eczema.
(37) Which of the following types of eczema occurs due to inhalant allergies?
A. Irritant dermatitis
B. Allergic contact dermatitis
C. Atopic dermatitis
ANSWER:
(38) What occurs due to poor blood blood circulations in the veins of the legs?
A. Atopic dermatitis
B. Stasis dermatitis
C. Irritant dermatitis
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(39) Poison Ivy is;
A. An irritant dermatitis
B. Allergic contact dermatitis
C. Scabies
ANSWER:
(40) Tiny blisters on the sides of the fingers or toes and palms or soles are the symptoms of
A. Fungal infections
B. Scabies
C. Pompholyx
ANSWER:
(41) Eczema that produces thickened plaques on the shins and neck is;
A. Lichen simplex chronicus
B. Seborrheic dermatitis
C. Dyshidrotic eczema
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(42) Oozy rash behind the ears is caused by
A. Lichen simplex chronicus
B. Seborrheic dermatitis
C. Dyshidrotic eczema
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Persistent Oxygen Administration

2. (4) Adenoidectomy
3. (5) Hernia Repair
4. (2) Hypercarbic Hypoxemia
5. (3) Liver Cirrhosis Secondary To Alcohol Use
6. Cerebrovascular Accident
7. Morphine Sulfate
8. Zolpidem Tartrate
9. Nitroglycerin
10. Mechanical Ventilatory Support
11. Cirrhosis Of Liver
12. Fiberoptic Laryngoscopy
13. Coronary Disease And Peripheral Vascular Disease
14. Pneumonia
15. Peripheral Vascular Disease
16. Right Fem-popliteal Bypass
17. Angioplasty
18. Clopidogrel 75 Mg Daily
19. S4 At The Apex
20. Mild Biatrial Enlargement
21. Mild Mitral Regurgitation
22. Fixed Inferolateral Defects
23. Ischemic With Exacerbation Of Symptoms
24. Defibrillator
25. A
26. B
27. A
28. B
29. A
30. C
31. A
32. C
33. B
34. C
35. A
36. A
37. C
38. B
39. B
40. C
41. A
42. B
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
You hear a doctor talking to a patient called Tainatongo. For questions 1 to 12, complete the
Patient : Tainatongo
Age : 36
Symptoms &disease : Allergies
Patient’s description of symptoms:
intolerance to grass allergies, (1)
no anaphylaxis or angioedema
Past medical history : when the patient was under dialysis due to renal failure six months back,
had an
: acute event of (2) etiology uncertain.
: diagnosis results showed allergic reaction was due to (3) for

treating
: cellulitis dialysis shunt infection.
BRITISH ACADEMY
LISTENING SUB-TEST
Family history of illness : family members have severe heart disease, carcinoma, and food
allergies.
Medications : taking (4) for controlling blood pressure, (5) , Lovaza,

&Dialyvite.
Previous treatments : corticosteroid therapy and antihistamine therapy and monitoring.
Allergies : Heparin causes (6)
Physical examination : blood pressure 128/78, pulse 70, temperature is 97.8, weight is
207 pounds, and height is 5 feet 7 inches.
mpression : (7)
Further diagnosis : (8) test, to investigate specific (9) to determine

the substances a subject is allergic to.
Further treatment : further treatment and medications upon the test results
: stop further usage of (10)
: (11) in the event of (12) or allergic reaction or

sensation of impending allergic reaction
You hear a physician talking to a patient called Ndamukong. For questions 13 to 24, complete
Patient : Ndamukong
Age : 29
Symptoms &disease : Toothache
Patient’s description of symptoms: has multiple issues with teeth due to severe dental disease.
BRITISH ACADEMY
LISTENING SUB-TEST
had many of his (13)
having severe tooth pain to both (14) for the

past three days.
doesn’t drink, but (15)
Family history of illness : none
Medications : (16) and Vicodin for (17)
Previous treatments : had removed many of his teeth
Allergies : penicillin and (18)
Physical examination : Temperature 97.9, blood pressure is (19) pulse is 74,

respirations 16, (20) 98% on room air and interpreted as normal
tenderness to (21) gums are normal
no (22) or swelling
no purulent or other discharge noted.
floor of the mouth is normal without any abscess,
no suggestion of Ludwig's syndrome.
Impression : (23) and Multiple Dental Caries
Further treatment : (24) intramuscular
: Teeth Filling
Complications : None
BRITISH ACADEMY
LISTENING SUB-TEST
Now look at Part B
Part B
Extract 1
Nipah virus.
The genus of Nipah virus is;
A. Paramyxoviridae
B. Henipavirus
C. Pteropus
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
(26) You hear a monologue of a physician explaining about the use of

Thimerosal in vaccines.
A. Thimerosal contains methylmercury
B. Ethylmercury causes severe side effects to humans
C. Ethylmercury is the most widely used form of organic mercury
Extract 3
(27) You hear a discussion between two doctors on adjuvants used in vaccines.
A. Aluminum gels are used in Cervarix vaccine
B. Monophosphoryl lipid A has been used as an ingredient in vaccine since 1930
C. Cervarix doesn’t contain aluminum salts
Extract 4
(28) You hear a monologue of a physician explaining about Typhus Fevers.
Sylvatic typhus is also known as;
A. Scrub typhus
B. Louse-borne typhus
C. Murine typhus
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
(29) You hear a discussion between two doctors about VX and its effects.
A. Sarin is much more toxic by entry through the skin.
B. Symptoms will start appearing within few seconds of exposure to the liquid form of VX.
C. The least volatility makes the VX as short-term threat as well as long term threat.
Extract 6
(30) You hear a monologue of a doctor briefing about Rubella disease.
The vaccine for Rubella is not meant for;
A. Mumps
B. Measles
C. Shingles
Part C
Extract 1
Questions 31 to 36
You hear the lecture given by a physician on the topic Amyotrophic lateral sclerosis disease
BRITISH ACADEMY
LISTENING SUB-TEST
A. Amyotrophic lateral sclerosis is also known as Lou Gehrig's disease, after the famous
basketball player who was diagnosed with this condition.
B. The lifespan of the patients with Amyotrophic lateral sclerosis is about 3 to 5 years after the
appearance of the symptoms.
C. There is no cure to amyotrophic lateral sclerosis and treatment is aimed to relieve symptoms.
A. About 20 percent of patients will live 5 years or more after diagnosis,
B. About 50 percent of patients will live for 20 years.
C. just 10 percent of the patients will live for 10 years or more,
A. About 90 to 95 percent of patients are with sporadic amyotrophic lateral sclerosis
B. About 5 to 10 percent of patients are with inherited amyotrophic lateral sclerosis
C. About 5 to 10 percent of patients are with sporadic amyotrophic lateral sclerosis
BRITISH ACADEMY
LISTENING SUB-TEST
(34) Higher levels of glutamate secretion occurs due to;
A. Chemical imbalance
B. Disorganized immune response
C. Mishandling of proteins
(35) Which of the following is not one of the early symptom of amyotrophic
lateral sclerosis?
A. Emotional lability
B. Slurred speech
C. Abnormal limb fatigue
(36) Which of the following is an upper motor symptom?
A. Muscle atrophy
B. Twitching
C. Stiffness
Extract 2
Questions 37 to 42
You hear the doctor giving a lecture on Tests used on biopsy and cytology specimens to
diagnose cancer.
BRITISH ACADEMY
LISTENING SUB-TEST
(37) Which of following statements suits best with this extract
A. Adenocarcinomas can produce mucus
B. mucicarmine stain leaves a pink-red appearance to mucus
C. Pink-read appearance of mucus is an indication of lung cancer
A. Histochemical stain tests can diagnose only different kinds of cancer tumors.
B. Special stains are used to identify microorganisms.
C. Some infections cause lumps similar to cancer tumor.
(39) Immunohistochemical stains are significant to;
A. Find out whether the antibodies have been attracted to the cells.
B. Find out the origin of the cancer.
C. Find out whether the tumor is cancer or or not
(40) Cytometry is used to diagnose the cells from;
A. Lungs
B. Colon
C. Bone Marrow
BRITISH ACADEMY
LISTENING SUB-TEST
(41) The cells are diploid if;
A. The DNA amount is abnormal
B. The DNA amount is normal,
C. The cancer grow and spread aggressively
(42) The S-phase fraction measurement in cytometry test will measure;
A. Size of the cancer cell S-Phase
B. Size of the cancer tumor in S-Phase
C. Amount of cells in S-Phase
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Inhalant And Environmental Allergies

2. Perioral Swelling
3. Keflex Dosage
4. Atenolol
5. Sodium Bicarbonate
6. Thrombocytopenia
7. Acute Anaphylaxis
8. Radioallergosorbent
9. Ige Antibodies
10. Cephalosporin Antibiotics
11. Epipen
12. Acute Angioedema
13. Teeth Removed
14. Lower And Upper Teeth On Left Side
15. Smokes Regularly
16. Oxycontin
17. Knee Pain
18. Codeine
19. 146/83
20. Oxygen Saturation
21. Tooth 12 As Well As Tooth 21
22. Erythema
23. Odontalgia
24. Dilaudid Of 4 Mg
25. B
26. C
27. C
28. B
29. B
30. C
31. A
32. B
33. C
34. A
35. A
36. C
37. C
38. A
39. B
40. C
41. B
42. C
BRITISH ACADEMY
LISTENING SUB-TEST

PART A
You hear a doctor talking to a patient called Sedef Dagli. For questions 1 to 12, complete the
Patient : Sedef Dagli
Age : 48
Symptoms &disease : palpitations
Patient’s description of symptoms: has a nine year history of occasional palpitations. Symptom
occurs up to four times a year. palpitations continues for one hour or more yesterday was the last
occurrence feeling of a (1) before her vision she didn’t lose consciousness a
(2) when she was walking with dogs and the second time it occurred while
working on computer.
Allergies : (3)
Past medical history : had (4) complicated by (5) from a neoprene

cast.
Physical Examination : pupils are reactive. Sclerae anicteric. Mucous membranes are moist.
Neck veins not distended. No bruits. Lungs are clear. Cardiac exam is regular without murmurs,
gallops, or rubs. Abdomen is soft without guarding, rebound masses, or bruits. (6)
No edema. Strong and symmetrical distal pulses.
BRITISH ACADEMY
LISTENING SUB-TEST
Diagnosis : (7) CT scan showed no evidence of pulmonary embolus. Two-

dimensional echocardiogram shows no evidence of clinically significant (8)
: A (9) shows sinus rhythm with normal axis and intervals. no evidence
of preexcitation. Lab reports show No evidence of myocardial injury.
Impression : episodic palpitations and (10)
Further treatment : outpatient workup suggested. (11) should be obtained. to

visit again upon completion of that study.
: suppressive medication (12)
You hear a physician talking to a patient called Dora NkemAkunyili. For questions 13 to 24,
Patient : Mrs. Dora NkemAkunyili
Age : 36
Symptoms &disease : uncontrolled blood pressure post Cesarean section delivery.
Patient’s description of symptoms: uncontrolled blood pressure recently she had a Cesarean
delivery no chest pain or shortness of breath having (13)
Medications : (14) were discontinued. Started on (15) thrice a day,

and (16) twice a day, (17) and insulin supplementation.
Past medical history : (18) gestational diabetes mellitus
BRITISH ACADEMY
LISTENING SUB-TEST
Physical Examination : Pulse of 86, (19) afebrile and respiratory rate 16 per
minute. (20) are flat.
Diagnosis : echocardiogram shows (21) with (22) BUN and

creatinine within normal limits.
Impression : (23) status post delivery with Cesarean section with

uncontrolled blood pressure. Borderline gestational diabetes mellitus.
Further diagnosis : echocardiogram for assessment of (24)
Now look at Part B
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
Extract 1
(25) You hear a discussion between a doctor and nurse about the complications are
expected at a later stage following heart attack.
In which of the following complications the lining of the heart becomes inflamed?
A. Angina
B. Aneurysm
C. Pericarditis
ANSWER:
Extract 2
(26) You hear a discussion between a doctor and nurse about uterine fibroids.
If a fibroid that formed within in the uterus with a stalk-like growth, it is called;
A. An Intramural fibroid
B. A Pedunculated submucosal fibroid
C. A pedunculated subserosal fibroid
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 3
(27) You hear a discussion between a doctor and nurse about acquired digital
fibrokeratoma.
In which type of the acquired digital fibrokeratoma, the tumors appear tall?
A. Type II
B. Type I
C. Type II
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about pelvic organ prolapse.
Which of the following types of prolapse involves the descent of anterior vaginal wall and
urethra?
A. Cystourethrocele
B. Uterovaginal prolapse
C. Urethrocele
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
(29) You hear a discussion between a doctor and nurse about hematuria.
Which type of hematuria is caused due to hereditary nephritis?
A. Infective hematuria
B. Renal hematuria
C. Iatrogenic hematuria
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and nurse about types of collagen and
associated disorders.
Which of the following types of collagen is associated with vitreous humour development?
A. Type II
B. Type IV
C. Type III
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the discussion between a senior doctor and junior doctors about Volvulus.
(31) In an organoaxial volvulus, the stomach rotates along
A. The path between the pylorus and the cardia.
B. Pathway between the lesser and greater curvatures of the stomach
C. Along its short axis
ANSWER:
(32) Which of the following conditions causes Ischemia?
A. Midgut volvulus
B. Mesenteroaxial volvulus
C. Organoaxial volvulus
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) A corkscrew sign can be seen in the imaging of;
A. Organoaxial volvulus
B. Midgut volvulus
C. Mesenteroaxial volvulus
ANSWER:
(34) Division of the tissue that creates an attachment between cecum and abdominal wall
may be required in;
A. Sigmoidal volvulus
B. Cecal volvulus
C. Midgut volvulus
ANSWER:
(35) A coffee bean sign can be seen in the imaging of;
A. Sigmoidal volvulus
B. Cecal volvulus
C. Midgut volvulus
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(36) Distended abdomens can be seen in the patients with;
A. Cecal volvulus
B. Midgut volvulus
C. Sigmoidal volvulus
ANSWER:
Extract 2
Questions 37 to 42
You hear the discussion of a physician with junior doctors on refractive error.
(37) Which of the following are the photoreceptors?
A. Cornea
B. Cone cells
C. Maculae
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(38) Cornea may be bulged more than usual in;
A. Presbyopia
B. Hypermetropia
C. Mylopia
ANSWER:
A. Hypermetropia occurs when the light rays are refracted too much
B. The cornea of the patient with hypermetropia may be flatter than usual
C. The eyeball of the patient with hypermetropia may be too long than usual
ANSWER:
(40) The rays converge to a spot in front of the retina in the patients with;
A. Mylopia
B. Hypermetropia
C. Presbyopia
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(41) Focus beyond retina is caused in;
A. Hypermetropia
B. Astigmatism
C. Presbyopia
ANSWER:
(42) Light rays are scattered and come to focus at different spots on the retina in the
patients with;
A. Presbyopia
B. Astigmatism
C. Hypermetropia
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Darkness Descending As A Shade

2. Modest Palpitation Occurred
3. Neoprene
4. Anterior Cruciate Ligament Reconstruction
5. Contact Urticaria
6. Extremities Well Perfused
7. D-dimer Was Mildly Elevated To 5
8. Structural Or Functional Heart Disease
9. 12-lead Electrocardiogram
10. Presyncope
11. Event Recorder
12. Beta-blocker Or Cardizem
13. Fatigue And Tiredness
14. Cardizem And Metoprolol
15. Hydralazine 50 Mg
16. Labetalol 200 Mg
17. Hydrochlorothiazide
18. Hypertension
19. Blood Pressure 175/86
20. Neck Veins
21. Sinus Tachycardia
22. Nonspecific St-t Changes
23. Preeclampsia
24. Left Ventricular Function
25. C
26. B
27. A
28. C
29. B
30. A
31. A
32. C
33. B
34. C
35. A
36. A
37. B
38. C
39. B
40. A
41. A
42. B
BRITISH ACADEMY
LISTENING SUB-TEST
Part A
In this part of the test, you hear two different extracts. In each extract, a health
professional is talking to his patient. For questions 1 to 24 complete the notes with the
You hear a doctor talking to a patient. For questions 1 to 12, complete the following notes
with a word or short phrase.
Patient : James
Age : 21
Symptoms &disease : pain on right shoulder
Patient’s description of symptoms: throbbing pain on the right shoulder for (1)
: pain aggravates, as he plays baseball regularly also

participating in (2)
Medications : (3) Drugs & muscle relaxant medications
Family history of illness : mother has (4)
Physical examination : blood pressure is 116/68, respiratory rate 16, heart rate 68
: weight 165 lbs
BRITISH ACADEMY
LISTENING SUB-TEST
: right shoulder shows evidence of (5) (6) are

2/4, bilateral. Brachial pulses are 2/4 bilateral
: range of motion of right shoulder shows (7) decreased

extension
: (8) decreased internal rotation and decreased external

rotation
: (9) is moderate
Diagnosis : x-ray report reveals presence of (10)
Further treatment : (11) tablet once a day.
: injection to shoulder joint with (12) 1.0 cc.
You hear a physician talking to a patient called Mrs. Gonsalves. For questions 13 to 24,
Patient : Mrs. Gonsalves
Age : 48
Symptoms &disease : sudden dizziness and had some cold sweats, shortness in breath &
became unconscious
Medical history : (13) diagnosed a year ago. had an IVC filter placed due
to massive (14) and gastric ulcers (15) and no anticoagulation due to
history of (16) Coronary artery disease status was (17) had to stay in
the ICU for 3 weeks due to lower GI bleed again.
BRITISH ACADEMY
LISTENING SUB-TEST
Medications : Aspirin, Potassium, Lasix, (18) Lisinopril, Pacerone, Protonix,

Toprol, Vitamin B, Zetia, (19)
Physical examination : blood pressure is 155/57, pulse rate is 61, respirations 18 & (20)
is 95% on room air. No lymph nodes or masses. No lower extremity edema. No
redness or hotness.
Diagnosis : laboratory reports show (21) and hemoglobin 9.6. Your chest x-ray is
clear.
Impression : (22) to anticoagulation due to recurrent gastrointestinal bleed, status

post IVC filter.
: pulmonary hypertension suspected
: (23) disease, coronary artery disease, and (24) disease

per Cardiology
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
For questions 25 to 30 choose the answer (A, B, or C) which fits best according to what you
Extract 1
25) You hear a discussion between a physician and nurse explaining about schistosomiasis
and its causes.
Which of the following is the infectious form of schistosomiasis?
A. Schistosoma mansoni
B. Cercariae
C. S. Haematobium
ANSWER:
(26) You hear a discussion between two doctors about the importance of measuring serum
amylase or serum lipase
A. Measuring only serum amylase is adequate for diagnosing acute pancreatitis.
B. The sensitivity and specificity of serum amylase is more than serum lipase.
C. Serum lipase rises more quickly and remains elevated longer.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(27) You hear a discussion between two doctors about the misdiagnosing of acute
cardiorenal syndrome as renal injury due to hypovolemia.
What is the suggested method to differentiate acute cardiorenal syndrome & renal injury
due to hypovolemia?
A. Assessing the history of recent diuretic overuse
B. Evaluating the urine electrolytes
C. Diagnosing hypervolemia
ANSWER:
(28) You hear a physician explaining to his nurse about sepsis & infection.
Which of the following germs is also called staph?
A. Escherichia Coli
B. Streptococcus
C. Staphylococcus aureus
ANSWER:
(29) You hear a discussion between two doctors about brain imaging prior to lumbar
puncture in the suspected cases of bacterial meningitis.
BRITISH ACADEMY
LISTENING SUB-TEST
Which of the following statement is correct?
A. Lumbar puncture should be delayed for patients with focal neurologic deficits.
B. Can start the treatment even without a lumbar puncture with obtaining the blood culture
report.
C. A brain imaging should be performed for all the patients with bacterial meningitis.
ANSWER:
(30) You hear a monologue by a physician about managing aneurysmal subarachnoid

hemorrhage.
Which of the following is a significant symptom of aneurysmal subarachnoid hemorrhage?
A. Rebleeding
B. Severe headache
C. Cardiac and pulmonary abnormalities
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the doctor’s lecture on Acutecardiorenal syndrome.
A. If the primary problem of cardiorenal syndrome is in the heart it is called renocardiac

syndrome.
B. Acute exacerbation of heart failure is called renocardiac syndrome.
C. If the primary problem is not in the heart or kidneys then the condition is called secondary
cardiorenal syndrome.
ANSWER:
(32) Which of the following involves the end-stage kidney disease?
A. RIFLE
B. AKIN
C. Acute cardiorenal syndrome
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Cardiogenic shock is characterized by;
A. Worsening pulmonary
B. Hypoperfusion
C. Hypervolemia
ANSWER:
A. Hypovolemic is the hallmark of acute heart failure.
B. Worsening pulmonary is a condition in cardiogenic shock.
C. Hypoperfusion can cause systemic organ damage.
ANSWER:
(35) Renal perfusion is reduced in acute heart failure due to
A. Renal venous congestion
B. Hypoperfusion
C. Abrupt decrease of cardiac pump function
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(36) Which of the following effects is not caused by aggravation in sympathetic

hyperactivity?
A. Increased renal perfusion
B. Constriction of efferent and afferent arterioles
C. Increased tubular sodium and water reabsorption
ANSWER:
Extract 2
Questions 37 to 42
You hear the doctor giving a lecture on anticoagulation therapy for patients with
endocarditis.
A. Anticoagulation is inevitable in the patients with endocarditis
B. Endocarditis alone is not an indication for anticoagulation
C. Anticoagulation may be suggested if the endocarditis patient has vein thrombosis
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(38) According to the studies, anticoagulation therapy;
A. Increased the cerebrovascular complications
B. Prevented the growth and propagation of vegetation
C. Increased the vegetation size
ANSWER:
A. Ischemic stroke in patients who received anticoagulation was underestimated.
B. The beneficial effects at least counterbalance the harmful effects of anticoagulation.
C. There was no increase in the rate of hemorrhagic lesions in the patients who received
anticoagulation therapy.
ANSWER:
(40) The studies show that anticoagulation was beneficial;
A. Once antimicrobial therapy had begun
B. When the patients received warfarin before diagnosis
C. For the patients with non native valve
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
A. Patients suspected for stroke should continue with anticoagulation therapy
B. Patients with pathogens such as Candida spp should suspend anticoagulation therapy
C. Anticoagulation therapy for the sole purpose of stroke prevention is not advised for the
patients with newly diagnosed endocarditis.
ANSWER:
(42) Low-molecular weight heparin can be given if;
A. Surgery is considered
B. Surgery is not anticipated
C. In both the cases
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. The Past Five Months

2. Basketball
3. Non-steroidal Anti-inflammatory
4. Arthritis
5. Swelling And Tenderness
6. Radial Pulses
7. Decreased Flexion
8. Decreased Adduction Rotation
9. Rotator Cuff Impingement
10. Cuff Arthropathy
11. Vioxx 25 Mg
12. CelestoneSoluspan
13. Pulmonary Embolism
14. Gastrointestinal Bleeding Diverticulosis
15. Paroxysmal Atrial Fibrillation
16. Gastrointestinal Bleed
17. Post Bypass Graft Surgery
18. Levothyroxine
19. Zyrtec
20. Oxygen Saturation
21. Creatinine 2.1
22. Pulmonary Embolism With Contraindication
23. Mitral Valve
24. Peripheral Vascular
25. B
26. C
27. A
28. C
29. B
30. B
31. C
32. A
33. B
34. C
35. A
36. A
37. C
38. B
39. A
40. B
41. A
42. A
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
You hear a doctor talking to a patient called PolinaSemyonovnaZhemchuzhina. For questions

1 to 12, complete the following notes with a word or short phrase.
Patient : PolinaSemyonovnaZhemchuzhina
Age : 57
Symptoms &disease : single episode of decreased eye vision
Patient’s description of symptoms: have a history of (1) and had a

(2) since last one month she had a sing episode of decreased eye vision The
problem lasted for about five minutes that occured four weeks ago when while driving the car.
During that time she felt (3) Subsequent CT scan, (4)
echocardiogram, and neurological evaluation, all were unremarkable. she couldn’t have an MRI
due to the pacemaker placement. no lesions or any change in vision, headaches, change in gait
or other neurological issues. Drinks socially, doesn’t smoke.
Medications : Plavix, baby aspirin 81 mg per day, (5) daily and (6)
daily.
Physical Examination : blood pressure 134/80, heart rate 60, (7) and weight is
244 pounds.
Diagnosis : Cranial nerves (8) has normal bulk and tone throughout. There is no
cogwheeling. There is some minimal weakness at the (9) 4+ or 5 and possibly
BRITISH ACADEMY
LISTENING SUB-TEST
trace weakness at the quadriceps -5 or 5. has decreased sensation to (10) only,

otherwise sensory is intact to light touch, and temperature, pinprick, proprioception and
vibration. There is no dysmetria or tremor noted. Romberg is negative.
Impression : (11) his brief episode of visual loss is concerning for compromise of
the posterior circulation. Differential diagnoses include hypoperfusion, stenosis, and dissection.
Has (12) The symptoms are very mild and consist mainly of some mild proximal
upper extremity weakness and very mild gait instability.
You hear a physician talking to a patient called Mrs. Emmeline Pethick. For questions 13 to
24, complete the following notes with a word or short phrase.
Patient : Mrs. Emmeline Pethick
Age : 40
Symptoms &disease : acute onset of headaches
Patient’s description of symptoms: has (13) set at 90 m.m.H.2.O. Recently

getting acute onset of headaches and is worsening day by day. patient couldn’t sleep. pain is
constant worsens with (14) as well as on standing up. she took Imitrex and
(15) but didn’t have much relief pain quite intense in the (16) gets a
(17) experienced (18) and dimming lights
Physical Examination : blood pressure 153/86, pulse 63, and respiratory rate 16. Cranial nerves
Intact for (19) shut site is clean, dry, and intact. There is a small 3 mm to 4 mm
round scab (20) there is a (21) there.
Impression : worsening headaches are secondary to (22) (23) and

migraine headaches
BRITISH ACADEMY
LISTENING SUB-TEST
Further diagnosis : to have another (24) to confirm the shunt back program to 90
mmH2O.
Now look at Part B
Part B
Extract 1
(25) You hear a discussion between a doctor and nurse about different complications,
following heart attack.
What happens when a cardiogenic shock occurs following heart attack?
A. Heart beats irregularly.
B. Blood pressure drops suddenly.
C. Oxygen levels in the blood become too low.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
(26) You hear the discussion between two doctors about the impacts of acute kidney injury.
Urine output of less than 0.5 milliliter per kilogram per hour for 14 hours indicates;
A. Stage 1 of acute kidney injury
B. Stage 3 of acute kidney injury
C. Stage 2 of acute kidney injury
ANSWER:
Extract 3
(27) You hear a discussion between two doctors about acquired melanocytic nevi.
Pseudohorn cysts may be seen in;
A. Dermal Nevi
B. Junctional Nevi
C. Compound Nevi
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about amblyopia.
In which of the following conditions one eye has a refractive error?
A. Anisometropic amblyopia
B. Occlusion amblyopia
C. Strabismic amblyopia
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
(29) You hear a discussion between a doctor and nurse about miliaria.
The condition called sudamina occurs;
A. When sweat moves from the ducts into the dermis.
B. During sweat duct obstruction in the uppermost epidermis.
C. During retention of sweat that moves into the middle layers of the epidermis and the upper
dermis.
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and nurse about different types of stents.
Which of the following stents is used to keep blood vessels outside the coronary arteries
open?
A. Stent grafts
B. Coronary stent
C. Peripheral vascular stent
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1 Questions 31 to 36
You hear the discussion between a senior doctor and junior doctors on epidermal nevi.
(31) What is always localized?
A. Nevus uniuslateris
B. Ichthyosis hystrix
C. Nevus verrucosus
ANSWER:
(32) Which of these follow the lines of Blaschko?
A. Keratinocytic epidermal nevus
B. Nevus sebaceous
C. Nevus comedonicus
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Which can form blackheads?
A. Keratinocytic epidermal
B. Nevus comedonicus
C. Becker nevus
ANSWER:
(34) Which of these is androgen--dependent?
A. Becker nevus
B. Nevus comedonicus
C. Inflammatory linear verrucous epidermal nevus
ANSWER:
(35) Which one of these is not associated with brain?
A. Nevus comedonicus
B. Angora hair nevus
C. Becker nevus
ANSWER:
(36) The epidermal nevi that form plaques is;
A. Porokeratotic eccrine nevus
B. Inflammatory linear verrucous epidermal nevus
C. Acantholytic epidermal nevus
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
Questions 37 to 42
You hear the discussion of a physician with junior doctors on different types of gangrene.
(37) Which of the following conditions damages small arteries and blood vessels?
A. Peripheral arterial disease
B. Dyslipidemia
C. Diabetes
ANSWER:
(38) Which of the following diseases develop fatty acid deposits?
B. Diabetes
C. High cholesterol
ANSWER:
(39) The disease caused by the bacteria called Clostridium is;
B. Necrotising fasciitis
C. Gas gangrene
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(40) Staphylococcus bacteria causes;
A. Necrotising fasciitis
B. Internal Gangrene
C. Gas gangrene
ANSWER:
(41) Which of the following bacteria is also known as ‘flesh eating bacteria’
A. Clostridium
B. Necrotising fasciitis
C. C. perfringens
ANSWER:
(42) Which of the following conditions can be caused by alcohol misuse?
A. Cancrumoris
B. Meleney's synergistic gangrene
C. Fournier's gangrene
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. First-degree Atrioventricular Block

2. Pacemaker Placement
3. Nauseated And Light Headed
4. Carotid Dopplers
5. Proscar 5 Mg
6. Synthroid 0.2 Mg
7. Respiratory Rate 16
8. Ii Through Xii Are Intact
9. Iliopsoas Bilaterally
10. Vibration And Proprioception To The Middle Of Feet
11. Transient Ischemic Attack.
12. Lumbar Stenosis
13. Codman-hakim Shunt
14. Coughing, Straining, And Sneezing
15. Motrin 800 Mg Twice A Day
16. Frontal Region Of Head
17. Feeling Of Ringing In The Ears
18. Intermittent Blurry Vision
19. Extraocular Movements
20. Farther Down From The Shunt Reservoir
21. Little Bit Of Dry Blood
22. Shunt Adjustment Back After An Mri
23. PseudotumorCerebri Without Papilledema
24. Skull X-ray
25. B
26. C
27. A
28. A
29. B
30. C
31. C
32. A
33. B
34. A
35. C
36. B
37. C
38. A
39. C
40. A
41. B
42. C
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
talking to his patient. For questions 1 to 24 complete the notes with the information you hear.
You hear a doctor talking to a patient called Mr. Jonathan. For questions 1 to 12, complete the
Patient : Mr. Jonathan:
Age : 50
Symptoms &disease : jaw pain. (numbness and tingling along the jaw, teeth and tongue)
Patient’s description of symptoms: pain and numbness in jaw for the past six months
: dental evaluations were normal
: diagnosed for throat infection and prescribed

(1)
: taking cough drops
: lost the (2)
: numbness on the left (3) l and jaw extends

from the angle of jaw to lip
: gained about 20 pounds of weight
BRITISH ACADEMY
LISTENING SUB-TEST
: getting headaches (4)
: no spasm on jaw
: habitual to chewing tobacco, but stopped recently. Using

Nicorette gum.
Medical history : had a (5)
Medications : Tylenol
Allergies : allergic to (6) Feels dizzy or lightheaded.
Physical examination : Blood pressure is 138/82, pulse 64, temperature 98.3, weight 191
pounds
: (7) is normal with good moisture
: decreased sensation to left jaw extending to the left lateral tongue and
Left (8)
Diagnosis : The (9) shows a moderately deviated nasal septum to the

left, (10)
Impression : (11) of left manual teeth and tongue
: suspected for neoplasm within the mandible
: developed hypogeusia with loss of taste
: (12) (dry mouth syndrome)
You hear a physician talking to a patient called Mr. Tulensru. For questions 13 to 24,
BRITISH ACADEMY
LISTENING SUB-TEST
Patient : Mr. Tulensru:
Age : 63
Symptoms &disease : symptoms of heart failure, stress & fatigue, shortness of breath
Patient’s description of symptoms: shortness of breath with exertion. feeling stressed and
fatigued
: attacks of severe shortness of breath and coughing while

sleeping
: developed (13) and had a mild leg swelling
: no angina, palpitations or syncope. Irregularity in pulse
: symptoms have worsened over past ten months
: gained weight about 20 kg over past one year
: doesn’t smoke, but drinks, no diabetes mellitus or heart

murmur
Medical history : had (14) surgery 7 years ago. Had trauma to his
(15)
Medications : Aspirin 81 mg daily and (16) pill at 5 mg or 2.5 mg 1 tablet daily

for stress
Allergies : none
Physical examination : blood pressure is 120/70 in each arm, pulse is 80 beats per minute
: breathing is two times per minute and unlabored
: lungs are clear to (17)
: first and second heart sounds are normal, has a fourth heart sound and a
(18) Precordial impulse is enlarged
BRITISH ACADEMY
LISTENING SUB-TEST
Diagnosis : electrocardiogram shows (19)
: (20) was 19.7 milliliters per kilogram of body mass per minute, that is
consistent with mild cardiopulmonary disease.
: thyroid stimulating hormone - 1.33, glucose is 97 and creatinine is 0.9 potassium is

4.3
: echocardiogram shows a dilated cardiomyopathy with (21) of 15%
: post-stress ejection fraction is 33% & left ventricular cavity appears enlarged
Impression : dilated cardiomyopathy of uncertain etiology and (22)
Further treatment : (23) lisinopril 2.5 mg daily,
: and a beta-blocker, carvedilol 3.125 mg twice daily
: a loop diuretic, furosemide 20 mg daily.
: echocardiogram ordered after three months
: If the left ventricular function has not improved then a
Prophylactic use of an (24)
Now look at Part B
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
Extract 1
(25) You hear a physician explaining to his staff about Azotemia.
Insufficient flow of fluid through the kidney results in;
A. Intrinsic azotemia
B. Prerenal azotemia
C. Postrenalazotemia
ANSWER:
Extract 2
(26) You hear a physician explaining to his nurse about bilirubin blood level.
A. Increased level of bilirubin causes icterus.
B. Enzyme deficiency increases the bilirubin level resulting in icterus.
C. Enzyme deficiency results in Gilbert’s syndrome, making the sclerae appear yellow.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 3
(27) You hear a physician explaining to his nurse about celiac disease.
A. Only 1% of people worldwide actually develop celiac disease.
B. About 40% of people worldwide develop celiac disease.
C. Gluten free diets are the best method to get rid of celiac disease.
ANSWER:
Extract 4
(28) You hear a physician briefing his junior staff about Precision Medicine.
A. Precision medicine strategy is in increase to treat the disease based on the genes and
environment of each patient.
B. Precision medicine is not a new strategy, it has been in practice for many years, for instance,
in blood transfusion.
C. The role of precision medicine in disease treatment has been very rare so far.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
(29) You hear a physician briefing his junior staff about alopecia areata.
If the entire scalp becomes harless, the condition is called;
A. Alopecia totalis
B. Alopecia universalis
C. Alopecia areata
ANSWER:
Extract 6
(30) You hear a physician briefing his junior staff about cytochrome c oxidase deficiency.
Which of the following diseases is caused by severe cytochrome c oxidase deficiency?
A. Hepatomegaly
B. Myopathy
C. Hypotonia
ANSWER:
Now look at Part C
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the doctor briefing his staff about the Different types of Biopsies used in Cancer
Diagnosis.
A. A small cylinder of tissue is removed in fine needle aspiration.
B. The diagnosis in fine needle biopsy can be made on the same day at times.
C. Needle used in fine needle aspiration are slightly larger than that used in core aspiration.
ANSWER:
(32) Which of the following is also known as the cytology test?
A. Core biopsy
B. Usage of a special vacuum tools in biopsy
C. Fine needle aspiration
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Removal of complete tumor is called;
A. Excisional biopsy
B. Larger core aspiration
C. Incisional biopsy
ANSWER:
(34) A vertical cut is made from the upper to lower abdomen to remove samples through;
A. Laparotomy
B. Mediastinoscopy
C. Laparoscopic biopsy
ANSWER:
(35) A squamous cell cancer is removed through;
A. Laparotomy
B. Excisional biopsy
C. Shave biopsy
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
A. Lymph nodes are the primary parts that are affected due to cancer metastasis.
B. Shave biopsies are used for suspected melanomas of the skin.
C. Sentinel lymph node mapping helps to decide which lymph nodes to remove for biopsy.
ANSWER:
Extract 2
Questions 37 to 42
You hear the doctor giving a lecture to the junior doctors on different types of Kaposi
Sarcoma.
(37) Which of the following type of blotches are not formed by abnormal cells of Kaposi
sarcoma?
A. Purple blotches
B. Black blotches
C. Brown blotches
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(38) Often skin lesions of Kaposi sarcoma appear on the;
A. Neck
B. Leg
C. Hands
ANSWER:
A. A patient is considered to have AIDS when Kaposi sarcoma occurs in the HIV patients.
B. AIDS outbreaks occur only when the virus completely damages the immune system.
C. HIV infected patients are AIDS patients.
ANSWER:
A. Classic Kaposi sarcoma occurs in Eastern Europe.
B. Classic Kaposi sarcoma is more common in women than men.
C. The lesions in classic Kaposi sarcoma do not grow quickly.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
A. Endemic Kaposi sarcoma occurs in younger people, under 40.
B. Malaria is a cause of Endemic Kaposi sarcoma.
C. Endemic Kaposi sarcoma occurs in people over 40.
ANSWER:
A. Discontinuing immunosuppressive drugs is a cause of Iatrogenic Kaposi sarcoma.
B. Organ recipients should not take immunosuppressive drugs after transplant.
C. Immunosuppressive drugs increase the chances of the herpes virus infection.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Avelox
2. Sensation Of Taste
3. Lateral Tongue
4. Twice A Month
5. Hernia Repair Surgery
6. Codeine
7. Oral Cavity
8. Intrabuccal Mucosa
9. FiberopticNasopharyngoscopy
10. Large Inferior Turbinates
11. Persistent Paresthesia
12. Xerostomia
13. Edema
14. Right Inguinal Hernia
15. Right Thumb
16. Chlordiazepoxide And Clidinium Combination
17. Auscultation And Percussion
18. Soft Systolic Murmur
19. Sinus Rhythm With Left Ventricular Hypertrophy
20. Peak Oxygen Consumption
21. Ejection Fraction
22. Dyslipidemia
23. Angiotensin Converting Enzyme Inhibitor
24. Implantable Cardioverterâ€“defibrillator
25. B
26. B
27. C
28. A
29. B
30. A
31. B
32. C
33. A
34. A
35. C
36. B
37. B
38. B
39. C
40. B
41. C
42. C
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
You hear a doctor talking to a patient called Mrs. Garcia. For questions 1 to 12, complete the
Patient : Mrs. Gracia
Age : 51
Symptoms & disease : weakness on the left leg and numbness in the left hand, shortness of
breath
Patient’s description of symptoms: persistent mild weakness on the left leg and occasional
(1)
shortness of breath often.
: had repeat (2) and further imaging studies

that showed
no further increased stenosis in my left internal carotid

artery.
: is ambulating with a cane
Past medical history : had a (3) and treated
Past surgeries : none
BRITISH ACADEMY
LISTENING SUB-TEST
Medications : Plavix, aspirin, (4) lisinopril, hydrochlorothiazide, Lasix, insulin

and (5)
Allergies : none
Physical examination : blood pressure 170/66, heart rate 66, (6) weight 254
pounds, temperature is 98.0.
Diagnosis : Normocephalic and atraumatic. No dry mouth. No palpable cervical lymph nodes.
(7) are clear.
: Cranial nerves shows mild decrease in the (8)
: there is a (9) in the left upper extremity.
Deltoids shows 5-/5. The rest showed full strength.
(10) The rest showed full strength.
Reflexes were hypoactive and symmetrical. Gait is was mildly
abnormal. No ataxia noted. Wide-based.
Impression : Status post cerebrovascular accident involving the right upper pons extending into
the (11) with a mild left hemiparesis, has been clinically stable with mild
improvement.
Further treatment : continue with (12) to reduce the risk of future strokes.
patient should control blood sugar level, optimizing cholesterol and blood pressure control,
regular exercise and healthy diet.
: surgical intervention for the internal carotid artery
BRITISH ACADEMY
LISTENING SUB-TEST
You hear a physician talking to a patient called Andrea Jeremiah. For questions 13 to 24,
Patient : Andrea Jeremiah:
Age : 17
Symptoms & disease : tonsil problem with throat pain.
Patient’s description of symptoms: has tonsil problem for many years and having throat pain.
No difficulty in swallowing. Getting (13)
: no sleep apnea
: (14) at night times
: gets about (15) every year
Past surgeries : had (16)
Medications : none
Allergies : none
Family history of illness : sister has (17) and other family members have cancer,
diabetes, heart disease, and hypertension.
Physical examination : pulse is 80 and regular, temperature 98.4, weight is 184 pounds.
BRITISH ACADEMY
LISTENING SUB-TEST
Diagnosis : tongue, lip, floor of mouth are noted to be normal. (18) does reveal
very large tonsils (19)
they were (20) Mirror examination of (21) reveals some mild edema
of the larynx. You have enlarged tonsils.
Impression : adenotonsillitis with (22) (23) with mild acute

laryngitis. obesity
Further treatment : (24)
Now look at Part B
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
Extract 1
(25) You hear a discussion between a doctor and nurse about different types of blood tests
for leukemia.
A. Any changes in the chromosomes of the lymphocytes is diagnosed by cytogenetic analysis.
B. Peripheral blood smear determines the functioning of the organ and the impact of leukemia.
C. Presence of blast cells are determined by cytogenetic analysis.
ANSWER:
Extract 2
(26) You hear a discussion between a doctor and nurse about different types of melanoma.
Which type of maligna is commonly found on the nail beds?
A. Superficial Spreading melanoma
B. Acral-Lentiginous melanoma
C. Lentigo Maligna
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 3
(27) You hear a discussion between a doctor and nurse about lung cancer.
The lung cancer that originates in the surrounding membrane of the lungs is;
A. Mesothelioma carcinoma
B. Large cell carcinoma
C. Squamous cell carcinoma
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about non-inflamed comedones.
Which of the following types of comedones is also called milia?
A. Soft closed comedones
B. Hard closed comedones
C. Microcomedones
ANSWER:
Extract 5
(29) You hear a discussion between a doctor and nurse about Acnes.
Which of the following types of acne occurs only on face?
A. Acne Cosmetica
B. Acne Rosacea
C. Acne vulgaris
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 6
(30) You hear a discussion between a doctor and nurse about Athlete’s foot.
Athlete’s foot caused by Trichophyton mentagrophytes is;
A. Chronic Scaly Athlete’s Foot
B. Chronic Interdigital Athlete’s Foot
C. Acute Vesicular Athlete’s Foot
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the lecture given by a physician on The Standard Method of Diagnosing Attention-
deficit/hyperactivity disorder.
(31) Which type of ADD patients are called space cadets?
A. Inattentive Attention Deficit Disorder
B. Classic Attention Deficit Disorder
C. Overfocused Attention Deficit Disorder
ANSWER:
(32) Patient with type 2 ADD will have
A. Decreased blood flow in their brain area of prefrontal cortex, cerebellum and basal ganglia.
B. Deficiency of dopamine and serotonin
C. Reduced activity in the prefrontal cortex as well as low levels of dopamine.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Which of the following conditions is more common in girls than boys?
A. Overfocused Attention Deficit Disorder
B. Inattentive Attention Deficit Disorder
C. Temporal Lobe Attention Deficit Disorder
ANSWER:
(34) In which of the following conditions, the treatment is aimed to soothe neuronal activity
& stop nerve cells from over-firing or firing unpredictably.
A. Temporal Lobe Attention Deficit Disorder
B. Overfocused Attention Deficit Disorder
C. Ring of Fire Attention Deficit Disorder
ANSWER:
(35) Patients might see or hear things that are not there in;
A. Anxious Attention Deficit Disorder
B. Ring of Fire Attention Deficit Disorder
C. Temporal Lobe Attention Deficit Disorder
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(36) Patients will have an overactive brain in;
A. Overfocused Attention Deficit Disorder
B. Ring of Fire Attention Deficit Disorder
C. Anxious Attention Deficit Disorder
ANSWER:
Extract 2
Questions 37 to 42
You hear the monologue of a physician giving a lecture on Scleroderma.
(37) Which of the following statements suits best with this extract?
A. Most of the scleroderma affect the internal organs.
B. Scleroderma is a symptom of a complicated group of diseases.
C. Systemic sclerosis affects only certain parts of the body.
ANSWER:
(38) The characteristics of a linear scleroderma is;
A. Abnormally colored skin
B. Reddish oval-shaped patches
C. The centers of the patches appear ivory, with violet borders
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWER:
(39) Small blood vessels of hands or feet contract in response to cold or anxiety in;
A. Telangiectasias syndrome
B. Raynaud's phenomenon
C. Sclerodactyly syndrome
ANSWER:
(40) In which of the following syndromes, small red spots on the hands and face caused by
swelling of tiny blood vessels?
A. Raynaud's phenomenon
B. Sclerodactyly syndrome
C. Telangiectasias syndrome
ANSWER:
(41) Raynaud's phenomenon is experienced for years before skin thickening becomes
evident in;
A. Limited scleroderma
B. Diffuse scleroderma
C. Linear scleroderma
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(42) Less collagen is produced during the phase called ‘softening’ in;
A. Linear scleroderma
B. Diffuse scleroderma
C. Limited scleroderma
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Numbness In The Left Hand

2. Carotid Dopplers
3. Cerebrovascular Accident And Treated
4. Levothyroxine
5. Simvastatin
6. Respiratory Rate 16
7. Conjunctivae And Sclerae
8. Left Nasolabial Fold
9. Mild Increased Tone
10. Hip Flexion Is 5-/5 On The Left
11. Right Cerebral Peduncle
12. Antiplatelet Therapy And Statin Therapy
13. Loud Snoring
14. Mouth Breather
15. Four Bouts Of Tonsillitis
16. Cholecystectomy
17. Ear Infection
18. Oropharynx
19. Measuring 3+ Or 4+
20. Exophytic
21. Larynx
22. Adenotonsillar Hypertrophy
23. Upper Respiratory Tract Infection
24. Adenotonsillectomy
25. A
26. B
27. A
28. B
29. B
30. C
31. A
32. C
33. B
34. A
35. C
36. B
37. B
38. A
39. B
40. C
41. A
42. B
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
You hear a doctor talking to a patient called Bryan Harris. For questions 1 to 12, complete the
Patient : Bryan Harris
Age : 42
Symptoms & disease : several hypergranulation tissue developed from previous wound
Patient’s description of symptoms: he had a traumatic injury to his left posterior last year. got
hit from a boat while he was in the water. had an extensive surgery. still having an
(1) had full thickness (2) close to defect in his posterior thigh. In
several areas along the graft site and low in the leg, there are several hypergranulation tissue
developed.
: no bleeding
Past medical history : (3)
Medications : Cipro and (4)
Family history of illness : maternal grandmother had (5) father had prostate
cancer, and he has having heart disease and diabetes.
Diagnosis : Cardiology reports are regular. There is no (6)
BRITISH ACADEMY
LISTENING SUB-TEST
There is no murmur. Abdomen is soft. It is nontender.
There is no mass or organomegaly.
: right lower extremity is unremarkable. Peripheral pulse is good.
: left lower extremity is significant for the (7)
: of a large defect in the posterior thigh, which is nearly healed.
: Hypergranulation tissue both on (8)
: one small area right essentially within the graft site, and there is
: one small area (9) There is an external fixation
: on that (10) The pin sites look clean.
Impression : several multiple areas of hypergranulation tissue on the left posterior leg
associated with a (11)
Further treatment : series of treatment with (12) of these areas till these are
closed
You hear a physician talking to a patient called Thomas Andrews. For questions 13 to 24,
Patient : Thomas Andrews
Age : 52
Symptoms & disease : hypertension, chronic intermittent bipedal edema, and recurrent leg
venous ulcers.
BRITISH ACADEMY
LISTENING SUB-TEST
Patient’s description of symptoms: patient with hypertension, chronic intermittent bipedal

edema, and recurrent leg venous ulcers. had a (13) for nonhealing right ankle
stasis ulcer.
: doesn’t drink or smoke
: No nausea, vomiting or diarrhea
Past medical history : hypertension, (14) in 2016 for abdominal

obstruction, (15) in 2017, chronic intermittent bipedal edema, venous insufficiency,
chronic recurrent stasis ulcers.
Medications : Primaxin, (16) clonidine, furosemide, potassium chloride,

lisinopril, metoprolol, ranitidine, (17) amlodipine, zinc sulfate, Lortab,
multivitamins with minerals.
Allergies : none
Diagnosis : There is (18) involving the distal calf of both legs. There is an open
wound on the (19) measuring 9 x 5cm with minimal serous drainage. Periwound is
hyperpigmented with a hint of (20) to the medial aspect, distal third of the right
lower leg. There is warmth, but minimal tenderness on palpation of this area. There is also a
wound on the right lateral malleolar area measuring 4 x 3 cm, another open wound on the left
medial malleolar area measuring 7 x 4 cm. (21)
: Laboratory results show white blood cell count is 5.8 with (22) H&H
11.3/33.8, and platelet count 176,000. BUN and creatinine 9.2/0.52. Albumin 3.6, AST 25, ALT
9, alk phos 87, and total bilirubin 0.6.
: Chest x-ray shows chronic bibasilar subsegmental atelectasis likely related to

elevated hemidiaphragm secondary to chronic ileus.
Impression : multiple previous wound cultures positive for (23) Enterococcus, and
Stenotrophomonas. Fevers.Right leg/ankle cellulitis. Chronic recurrent bilateral ankle venous
ulcers. Hypertension.
BRITISH ACADEMY
LISTENING SUB-TEST
Further diagnosis & Treatment : 2 sets of blood cultures. Injection with (24)
: MRI of the right ankle to check for underlying osteomyelitis.

Follow up result of wound cultures. Additional treatment and medications are upon
follow-up.
Now look at Part B
Part B
Extract 1
(25) You hear a discussion between a doctor and nurse about common types of neuropathic
pain.
Pain caused by an outbreak of shingles is;
A. Pudendal neuralgia
B. Postherpetic neuralgia
C. Sciatica
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
(26) You hear a discussion between a doctor and nurse about Bronchodilators Used to treat
chronic obstructive pulmonary disease.
Which of the following bronchodilators works by blocking the neurotransmitter?
A. Methylxanthines
B. Anticholinergic
C. Beta-agonists
ANSWER:
Extract 3
(27) You hear a discussion between a doctor and nurse about pancreatic neuroendocrine
tumors.
Which of the following tumors is not malignant?
A. Glucagonoma
B. Gastrinoma
C. Insulinoma
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about melasma and different types
of melasma.
A. The epidermal melasma is characterized by presence of melanophages.
B. Melasma appears only on face
C. The dermal melasma is defined by the presence of excess melanin.
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
(29) You hear a discussion between a doctor and nurse about possible causes of arthritis.
Which of following conditions is developed when the immune system dysfunctions?
A. Osteoarthritis
B. Reactive arthritis
C. Rheumatoid arthritis
ANSWER:
Extract 6
(30) You hear a monologue of a physician on granulomas.
A. The chronic activation of the metabolic sensor is responsible for the granulomas formation
B. Granulomas are tissue nodules of immune cells that can protect many organs.
C. Target Of Rapamycin inhibitors belong to a group of drugs that are licensed for clinical use
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
Extract 1
Questions 31 to 36
You hear the lecture given by a physician on colectomy surgery.
(31) What is an ileostomy?
A. Removal of rectum in the surgery
B. A procedure to dispose the stool
C. Sewing of terminal ileum together
ANSWER:
(32) The last part of the small intestine is sewn together in;
A. Proctocolectomy surgery
B. Total Colectomy surgery
C. J-Pouch surgery
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Rectum is not removed in;
A. Proctocolectomy
B. Total colectomy
C. Partial colectomy
ANSWER:
(34) Rectum is not removed in;
A. Ileoanal Anastomosis
B. Total colectomy
C. Partial colectomy
ANSWER:
(35) The surgery that is not done for the patients with ulcerative colitis is;
A. Partial colectomy
B. Total colectomy
C. Hemicolectomy
ANSWER:
(36) Which of the following surgeries doesn’t require a stoma?
A. Partial colectomy
B. Hemicolectomy
C. Total colectomy
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
Questions 37 to 42
You hear the monologue of a physician giving a lecture on ankle fractures.
(37) A surgery will be required in lateral malleolus fracture if;
A. The fibula fracture is within 4 centimeters of the end of the bone
B. The inner part of the ankle is injured
C. The fracture involves lateral malleolus
ANSWER:
A. Medial malleolus is also called tibia
B. Lateral malleolus fractures involve only tibia.
C. An isolated lateral malleolus fracture is very rare compared with an isolated medial malleolus
fracture.
ANSWER:
(39) Which of the following fractures can lead to arthritis?
A. Trimalleolar ankle fracture
B. Bimalleolar Equivalent Fracture
C. Bimalleolar ankle fracture
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(40) Which of the following fractures involves only fibula?
A. Bimalleolar equivalent fracture
B. Posterior malleolus fracture
C. Medial malleolus fractures
ANSWER:
(41) Which of the following ankle fractures doesn’t involve both fibula and tibia?
A. Maisonneuve fracture
B. Bimalleolar equivalent fracture
C. Posterior malleolus fracture
ANSWER:
(42) The impact of the fracture damages the syndesmosis in;
A. Bimalleolar Equivalent Fracture
B. Maisonneuve Fracture
C. Posterior Malleolus Fracture
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. External Fixation On The Wound For Healing Fractures

2. Skin Grafting
3. Clostridium Difficile
4. Flagyl
5. Pancreatic Cancer.
6. S3, S4, Or Gallop
7. Split Thickness Skin Graft Closure
8. Gluteal Folds On The Left Side
9. Down Lower On The Calf Area
10. Comes Out Laterally On Left Thigh
11. Sense Of Trauma To Right Posterior Leg
12. Chemical Cauterization
13. Vascular Surgery
14. Exploratory Laparotomy
15. Cholecystectomy
16. Daptomycin
17. Colace
18. Hyperpigmentation
19. Right Medial Malleolar Area
20. Erythema Extending Proximally
21. Wound Edges Are Poorly Defined
22. 64% Neutrophils
23. Pseudomonas
24. Daptomycin And Primaxin Iv
25. B
26. B
27. C
28. B
29. C
30. B
31. B
32. C
33. B
34. A
35. A
36. B
37. B
38. A
39. C
40. A
41. C
42. B
BRITISH ACADEMY
LISTENING SUB-TEST

Part A
In this part of the test you hear two different extracts. In each extract, a Healthcare
Professional is taking to a patient. For questions 1 to 24 complete the notes with the
You hear a physician talking to a new patient called Mrs. Dalilah. For questions 1 to 12,
complete the following notes with a word or short phrase
Patient : Mrs. Dalilah
Age : 57
Symptoms & disease : Sudden weight gain and pedal edema
For the past six years : A patient of I-131-induced (1)
Patient’s description of symptoms: (2) is increasing and increased edema in her

legs.
: she has other complications like fibromyalgia, Crohn

disease, inflammatory bowel disease, COPD, and (3) as well as the thyroid
disorder
: doesn’t smoke or drink.
: no chest pain and no abdominal pain.
: loosened bowel movements
: experiencing frequent (4)
Family history : sister has Hashimoto thyroiditis and (5)
BRITISH ACADEMY
LISTENING SUB-TEST
Allergies : Allergic to IV DYE, SULFA, NSAIDS, COMPAZINE, and DEMEROL.
Investigation : blood pressure shows 140/70 and heart rate is 84 and (6)
: She is clinically and (7) euthyroid
Further treatment : continued dosage of (8) (9) of Synthroid daily.
: to lose weight, repeat (10) in six weeks’ time Dietary

suggestions : try to reduce the (11) in the diet
: avoid foods such as white bread, refined foods, (12) pasta, and
alcohol.
: Regular physical exercises
You hear an optometrist talking to a patient called Mr. Chatuluka. For questions 13 to 24,
Patient : Mr. Chatuluka
Age : 53
Reason for referral : evaluation of colon cancer screening
Patient’s description of symptoms: No diabetes or (13)
: doesn’t smoke or drink presently.
: had a (14) done in 2003
: loosened bowel movements & (15)
BRITISH ACADEMY
LISTENING SUB-TEST
: no nausea or vomiting but gets (16)

occasionally.
Initial diagnosis : Blood pressure 111/170, weight (17) pulse rate 69 and 18
(18)
Further diagnosis : (19) is suggested
: restrict to only (20) one day before the diagnosis.
: shouldn’t eat or drink for few hours before the diagnosis.
: if allergic to (21) medicines will be prescribed to reduce the

risk of an allergic reaction. The medication that reduces the risk of an allergic reaction should be
taken (22) the diagnosis.
Risks involved : hemorrhage, (23) and infection
: There is a mild chance of (24) from excessive exposure to

radiation.
BRITISH ACADEMY
LISTENING SUB-TEST
Part B
(25) You hear a physician explaining Micro Laparoscopic Pain Mapping procedure to the
nurse.
The endometriosis will be tender;
A. While inserting a small bubble of gas inside the belly
B. While touching with the laparoscope.
C. When there is a pain.
ANSWER:
(26) You hear a physician discussing the role of Vitamin D in lung disease.
A. Calcitriol regulates the concentration of potassium and calcium.
B. Kidneys hydroxylate calcifediol
C. Vitamin D is the hydroxylated form calcifediol
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(27) You hear a doctor explaining about the causes for Pyloric Stenosis in children
A. Drinking alcohol during pregnancy increases the risk of pyloric stenosis in infants.
B. First born boys are vulnerable to pyloric stenosis
C. Newborn babies given antibiotics in the first fifteen days of their birth have the greatest risk.
ANSWER:
(28) You hear a doctor explaining issues caused by increased testosterone in

postmenopausal women.
Which one of the following is not caused by a higher level of testosterone?
A. High blood pressure
B. Acne
C. Increased bleeding during menstruation
ANSWER:
29) You hear a doctor discussing about the methods to control narcotics use by the patient
What if a patient gets a positive urine tox screen?
A. Remind them not to use narcotics again.
B. Contract with the patient will be terminated.
C. The patient has to approach another clinic.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(30) You hear a doctor debating about Nose inflammation, whether it is good or bad.
A. Nose inflammation repairs the tissues that allow us to smell.
B. Chronic inflammation is bad for the olfactory system.
C. Human body repairs by itself.
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Part C
In this part of the test, you’ll hear two different extracts. In each extract, you’ll hear health
For questions 31 to 42 choose the answer (A,B, or C) which fits best according to what you
Now look at extract one.
Extract 1
Questions 31 to 36
You hear a medical podcast on the causes and issues in leukemia patients.
(31) How long did the patient suffer from leukemia?
A. Three & a half years
B. Five years
C. Four and half years
ANSWER:
(32) What did some neighbours used to do to him?
A. They used to take the mick
B. They harassed him
C. They used to develop hatred on him
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(33) Classification of leukemia is made based on;
A. The number of mutated white blood cells
B. Speed of progression
C. Symptoms
ANSWER:
(34) Which of the following types of leukemia requires aggressive and timely treatment?
A. Lymphocytic leukemia
B. Acute leukemia
C. Chronic leukemia
ANSWER:
(35) Which of the following types of leukemia targets the mature blood cells?
A. Chronic leukemia
B. Acute myelogenous leukemia.
C. Lymphocytic leukemia
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(36) Which of the following types of leukemia is caused by smoking?
A. Lymphocytic leukemia
B. Acute myelogenous leukemia.
C. Chronic leukemia
ANSWER:
Extract 2
Questions 31 to 36
You hear the guidelines given by the physician to the nurse about the diagnosis procedure of
Arthrocentesis.
You have 90 seconds to read questions 37 to 42.
(37) Which one of the following is the destructive enzyme to the joint?
A. Synovial fluid
B. Red blood cells
C. White blood cells
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(38) Presence of crystals may be indicated if the sample is;
A. Moderately viscous
B. Cloudy
C. Less viscous
ANSWER:
(39) Increased level of protein in the sample indicates;
A. Gout
B. Bacterial infection
C. Inflammation
ANSWER:
(40) An eosinophil count above 2% may indicate;
A. Mycobacterial infection
B. Lyme disease
C. Bacterial infection
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
(41) When gout crystals seen under a polarizing microscope are birefringent, then they
display;
A. Yellow needle-like crystals, parallel to east-west in relation to the polarizing axis
B. Red needle-like crystals when oriented with the north-south polarizing axis
C. Blue needle-like crystals, parallel to east-west in relation to the polarizing axis
ANSWER:
(42) Degenerative effusions are characterized if the appearance of synovial fluid is:
A. Opaque
B. Hemorrhagic
C. Clear
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Correct Answer Is: Hypothyroidism

2. Correct Answer Is: Abdominal Girth
3. Correct Answer Is: Disc Disease
4. Correct Answer Is: Sweats And Fatigue
5. Correct Answer Is: Graves Disease
6. Correct Answer Is: Afebrile
7. Correct Answer Is: Biochemically
8. Correct Answer Is: Levothyroxine
9. Correct Answer Is: 300 Mcg
10. Correct Answer Is: Thyroid Function Test
11. Correct Answer Is: Sodium Intake
12. Correct Answer Is: Refined Sugars
13. Correct Answer Is: Hypertension
14. Correct Answer Is: Deviated Nasal Septum
15. Correct Answer Is: Occasional Constipation
16. Correct Answer Is: Heartburn
17. Correct Answer Is: 215 Pounds
18. Correct Answer Is: Respiratory Rate
19. Correct Answer Is: Virtual Colonoscopy
20. Correct Answer Is: Clear Fluids
21. Correct Answer Is: Contrast Material
22. Correct Answer Is: 12 Hours Before
23. Correct Answer Is: Perforation
24. Correct Answer Is: Cancer Formation
25. Correct Answer Is: C
26. Correct Answer Is: B
29. Correct Answer Is: A
BRITISH ACADEMY
LISTENING SUB-TEST
Part A
You hear a doctor talking to a patient called Mr. Chong Walton. For questions 1 to 12,
Patient : Mr. Chong Walton
Age : 48
Symptoms & disease : severe pain on left knee and stiffness
Patient’s description of symptoms: a patient with severe bilateral knee degenerative joint
disease, left greater than right, with significant pain and limitations because of both. had (1)
two times within the duration of past eighteen months. long-standing conservative
course for these including nonsteroidals, narcotics, and injections. wants to go for a total joint
surgery on the left side has arthritic complications including multiple back surgeries for spinal
stenosis including (2) he was working as a driver with a beverage company, but
now he has retired due to his condition
Past surgeries : (3) on the left. Baker's cyst. Colon cancer removal. Bilateral
knee scopes. Right groin hernia. (4) Status post colon cancer, second surgery.
BRITISH ACADEMY
LISTENING SUB-TEST
Medications : Ambien 12.5 mg bedtime. (5) Lisinopril 10 mg daily. Demerol for

pain.
Allergies : (6) cause rashes; ibuprofen causes his throat to swell, Fortaz
(7)
Diagnosis : Musculoskeletal examination of left knee reveals a (8) extension, 126

flexion. Extensor mechanism is intact. There is mild varus. Has good stability at
(9) (10) are negative Has good muscle turgor. Dorsalis pedis pulse
2+. X-rays reveal severe bilateral knee degenerated joint disease with joint space narrowing
medially as well as the (11) left greater than right.
Impression : paresthesias down into thighs (12) bilateral knee degenerative joint
disease. significant back pain, status post lumbar stenosis surgery.
You hear a physician talking to a patient called Mr. David Goggins. For questions 13 to 24,
Patient : Mr. David Goggins
Age : 67
Symptoms & disease : frequent nausea and vomiting with an aspiration pneumonia and
abdominal discomfort
Patient’s description of symptoms: frequent nausea and vomiting with an aspiration

pneumonia and abdominal discomfort had an endoscopy which revealed a (13)
Now he feels anemic. had a CT scan last week that showed (14) worrisome
for (15) bilateral hydronephrosis and multiple liver lesions. Yesterday he had
(16) and passing flatus and has (17) chronic alcohol user, stopped
smoking long back
BRITISH ACADEMY
LISTENING SUB-TEST
Past medical history : (18) history of pneumonia, and aspiration pneumonia,

osteoporosis, alcoholism, (19)
Physical Examination : he is afebrile. Heart rate in the 100s to 120s at times with
(20) Respiratory rate is 17-20. Blood pressure 130s-150s & 60s-70s. abdomen is
distended with tenderness mainly in the upper abdomen but very difficult to localize.
Diagnosis : CT scan shows (21) with an enlarged cecum filled with stool and air
fluid levels with chronically dilated small bowel.
Further diagnosis : a repeat CT scan to assess it further to see if there is (22)

versus resolution to further (23) and make decisions regarding planning at that
time. Since he has frequent desaturations secondary to his aspiration pneumonia, any surgical
procedure or any surgical intervention certainly require (24) that would then
necessitate long-term ventilator care. Decisions on further treatment will be based on the repeat
CT scan.
Part B
Extract 1
(25) You hear a discussion between a doctor and nurse about the cause of glioma.
Which of the following types of glioma involve the cells that provide myelin?
A. Oligodendroglioma
B. Ependymoma
BRITISH ACADEMY
LISTENING SUB-TEST
C. Astrocytoma
ANSWER:
Extract 2
(26) You hear a discussion between a doctor and nurse about Gaucher's Disease Genetics.
Which of the following mutations affects the infants?
A. 1 or 2 copies of L444P
B. N370S
C. 1 or 2 alleles of L444P
ANSWER:
Extract 4
(28) You hear a discussion between a doctor and nurse about hyperelastic skin.
The skin becomes stretchable beyond the normal level, when;
A. The collagen level is low
B. There is an increased elastin
C. The person has Ehlers-Danlos syndrome
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 5
(29) You hear a discussion between a doctor and nurse about cancer of unknown primary.
Which of the following type of cancer of unknown primary forms from gland cells?
A. Squamous cell cancer
B. Neuroendocrine carcinoma
C. Adenocarcinomas
ANSWER:
Extract 6
(30) You hear a discussion between a doctor and nurse about Sarin Classification.
Which of the following gastric varices leads to greater curvature of the abdomen?
A. Type 2 - gastroesophageal varix
C. Type 1 - gastroesophageal varix
C. Type 1 - Isolated gastric varix
ANSWER:
Part C
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 1
Questions 31 to 36
You hear the discussion between a senior doctor and junior doctors about Pemphigus.
A. Pemphigus is an autoimmune disease
B. Pemphigus is a genetic disease
C. Pemphigus disease can spread person to person
ANSWER:
(32) Crusty sores are formed in;
A. Pemphigus vulgaris
B. Pemphigus foliaceus
C. All types of pemphigus diseases
ANSWER:
(33) The type of pemphigus that affects the mucous membranes is;
A. IgA pemphigus
B. Pemphigus foliaceus
C. Pemphigus vulgaris
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWER:
(34) The disease that affects the scalp is;
A. Pemphigus foliaceus
B. IgA pemphigus
C. Paraneoplastic Pemphigus
ANSWER:
(35) Which of the following is a characteristics of Paraneoplastic Pemphigus?
A. Forming crusty sores on the scalp and face
B. Eyelids becoming cut and scarred
C. Affecting mucous membranes
ANSWER:
(36) pus-containing bumps are formed in
A. IgA pemphigus
B. Vegetans
C. Paraneoplastic Pemphigus
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
Extract 2
Questions 37 to 42
You hear the discussion of a physician with junior doctors on pericarditis.
(37) In acute pericarditis, the pain increases;
A. During expiration
B. While sitting
C. Lying down
ANSWER:
(38) Which of the following symptoms is not seen in the patients with chronic pericarditis?
A. Chest pain
B. Tiredness
C. Coughing
ANSWER:
(39) Which of the following conditions is caused due to gradual accumulation of fluid
within the pericardial cavity?
A. Chronic pericarditis
B. Pericardial effusion
C. Constrictive pericarditis
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWER:
(40) The condition caused due to thickening of pericardial layers is;
A. Cardiac tamponade
C. Constrictive pericarditis
ANSWER:
(41) The condition caused when the pericardial fluid volume increases about 80 ml is;
A. Cardiac tamponade
C. Purulent pericarditis
ANSWER:
(42) The type of pericarditis commonly seen in the patients with Hodgkin’s disease is;
A. Malignancy pericarditis
B. Traumatic pericarditis
C. Radiation Pericarditis
ANSWER:
BRITISH ACADEMY
LISTENING SUB-TEST
ANSWERS
1. Correct Answer Is: Arthroscopy

2. Correct Answer Is: Decompression And Epidural Steroids
3. Correct Answer Is: Inguinal Hernia
4. Correct Answer Is: Low Back Surgery For Spinal Stenosis
5. Correct Answer Is: Methadone 10 Mg Twice A Day
6. Correct Answer Is: Levaquin And Cipro
7. Correct Answer Is: Causes An Unknown Reaction
8. Correct Answer Is: Range Of Minus 10 Degrees
9. Correct Answer Is: 30 Degrees Of Flexion
10. Correct Answer Is: Lachman's And Posterior Drawer
11. Correct Answer Is: Patellofemoral Joint With Large Osteophytes
12. Correct Answer Is: Secondary To Spinal Stenosis
13. Correct Answer Is: Small Ulcer After Dropping Hematocrit
14. Correct Answer Is: Pneumatosis And Cecum
15. Correct Answer Is: Ischemic Colitis
16. Correct Answer Is: Multiple Bowel Movements
17. Correct Answer Is: Epigastric Pain
18. Correct Answer Is: Chronic Obstructive Pulmonary Disease
19. Correct Answer Is: Microcytic Anemia
20. Correct Answer Is: With Atrial Fibrillation
21. Correct Answer Is: Pneumatosis In The Cecum
22. Correct Answer Is: Worsening Of Pneumatosis
23. Correct Answer Is: Evaluate The Liver Lesions
24. Correct Answer Is: Intubation

BRITISH ACADEMY

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LISTENING SUB-TEST

OET 2.0 LISTENING TASK 1

Now, look at the notes for extract 1.

You now have thirty seconds to look at the notes.

Symptoms & disease : swelling developed on left testicle.

: a swelling developed on left testicle last week. had fevers

: used to smoke and drink, but stopped from last year

56-year-old brother with type-two (4) secondary to diabetic retinopathy. 41-year-

old younger brother has hypertension. younger sister has (5)

Diagnosis : laboratory data shows white (6) hemoglobin 14.3, (7)

Physical examination : no conjunctival pallor or icterus. No adenopathy. No carotid bruits.

Impression : left testicular swelling. It is tender. Etiology - possible epididymitis or

Further treatment : IV antibiotics.

You now have thirty seconds to look at the notes.

: doesn’t drink, but smokes 1 pack of cigarettes per day for

Past medical history : surgeries to (14)

Family history of illness : (15)

Medications : Claritin, (16)

Diagnosis : auricles/external auditory canals reveal no significant abnormalities bilaterally. TMs

Impression : (23) Snoring (786.09).

That is the end of Part A

Now look at Part B

Now look at the question 25

Which of these may occur due to a cosmetic surgery?

A. Adult intestinal toxemia botulism

Esophageal hiatus occurs in which of the following conditions?

Which of the following diseases is associated with respiratory muscle weakness?

Which of the following primary brain tumors cannot be grade I?

Now, look at extract one.

You have 90 seconds to read questions 31 to 36

(31) The stroke caused by embolus is;

(32) Brain aneurysm is caused in

(33) Low blood supply to susceptible regions of the brain causes

(34) A condition called paranoia is caused in the patients who had a;

C. Frontal lobe stroke

A. Frontal cortex stroke

B. Temporal cortex stroke

C. Occipital cortex stroke

A. Frontal cortex stroke

C. Parietal cortex stroke

You hear the monologue of a physician giving a lecture on Hemolytic Anemia.

You have 90 seconds to read questions 37 to 42

(37) The hemolytic anemia caused due to inadequate hemoglobin is;

A. Sickle Cell Anemia

C. Inherited Hemolytic Anemia

(38) Inherited Hemolytic Anemia is caused due to;

C. Abnormal red blood cells

(40) Which of the following diseases may be caused by naphthalene?

C. Pyruvate Kinase Deficiency

B. Immune Hemolytic Anemia

C. Glucose-6-Phosphate Dehydrogenase Deficiency

A. Alloimmune hemolytic anemia

B. Autoimmune hemolytic anemia

C.. Pyruvate kinase deficiency

(42) Preeclampsia is;

A. A malignant hypertension or a rare blood disorder

B. A condition that causes high blood pressure during pregnancy

C. A condition that causes seizures in pregnant women

OET 2.0 LISTENING TASK 2

Now, look at the notes for extract 1.

You hear a doctor talking to a patient called Mrs. Melissa. For

You now have thirty seconds to look at the notes.

Patient : Mrs. Melissa: