Extract 1: Questions 1-12

You hear an endocrinologist talking to a patient called Silvana Hillier who has been referred by her GP. For
questions 1-12, complete the notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient Silvana Hillier

Medical history • (1) diagnosed eighteen months ago

• failure to (2) (over previous year)

• severe influenza (three months ago)

Current symptoms: • periods are (3)

• more frequent bowel movements

• (4) hair

• eyes appear (5)

• palpitations

• intolerance to (6)

• excessive sweating

• reports (7) (hands)

• thickened skin on (8)

Other: • current mood described as (9)

• severe fatigue

• mother suffers from (10)

Action required: • blood tests

• (11) test

• scan of (12)
Extract 2: Questions 13-24

You hear a gastroenterologist talking to a patient called James Cunningham. For questions 13-24, complete the
notes with a word or short phrase.

You now have thirty seconds to look at the notes.

Patient James Cunningham

Medical History • has been overweight for some years

• (13) monitored annually

• cholesterol level high (statins prescribed)

Initial symptoms • nausea and (14)

• feelings of (15) caused concern

• reported (16) of skin.

• swollen abdomen

• noticed visible (17) (on skin above waist)

Diagnosis • blood tests carried out; evidence that liver function impaired

• (18) revealed inflammation of liver

• Cirrhosis diagnosed (cause = non-alcoholic fatty liver disease).

• emergency treatment needed for (19) in oesophagus

• prescribed (20)

Initial treatment • cut down on salt intake

• recommended to increase (21) in diet

• (22) have been effective

Further treatment • exercise - (23) programme suggested

• aware of need to prevent (24)

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

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

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

Now look at question 25.

25. You hear a radiologist talking to a patient about the MRI scan he’s going to have.

Her main reason for talking to him is

A to explain the procedure to be followed.

B to reassure him about his concerns.

C to clarify why the test is necessary.

26. You hear a nurse handing a patient over to a colleague.

What does she want her colleague to do?

A accompany the patient to her afternoon appointment

B check that items brought in for the patient comply with guidelines

C provide a mobility aid ready if the patient wants to use the bathroom

27. You hear an orthopaedic nurse talking to a patient about her forthcoming hip arthoplasty.

What is the patient most concerned about regarding her condition?

A possible difficulties using walking aids.

B having people stay with her for so long.

C how soon her other hip will need replacing.

He says that time may be wasted when

A information about a patient is unavailable.

B a second opinion is requested by a patient.

C details about a patient aren’t clearly presented.

29. You hear an opthamologist talking to a patient who has watery eyes.

What does the patient think may be causing the condition?

A side effects of a particular medication

B an allergy related to his place of work

C irritation caused by climatic conditions

30. You hear a senior doctor answering questions from a group of medical students.

What advice does she give them?

A Don’t assume older members of the teaching staff have little to offer.

B Focus on getting to grips with the latest medical equipment.

C Treat colleague’s time-saving strategies with caution.

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

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

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

Now look at extract one.

Extract 1: Questions 31-36

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

31 Anna suggests that the article about nurses’ uniforms

A was correct in focusing on a range of common washing temperatures.

B didn’t examine the effects of washing in domestic machines sufficiently.

C should no longer be relied upon due to recent developments in hospitals.

32 What is Anna’s view of the domestic washing guidelines in hospitals?

A She’s unsure how strict national guidelines are.

B She thinks the stated minimum temperature is too low.

C She’s concerned by the fact that some vary in certain key aspects.

33 Anna says the work carried out in 2017 was important because

A it showed most micro-organisms exist on clothing for about a week.

B it indicated that unwashed uniforms were a potential domestic hazard.

C it proved that a temperature of 40◦C was sufficient to remove all bacteria.

A insisting that work clothing is only to be worn in the workplace.

B recommending a particular temperature for washing work clothing.

C suggesting some work clothing could be washed in laundries at work.

35. Anna believes some nurses do not follow the domestic washing guidelines because

A they want to follow current social trends and be environmentally friendly.

B they think the hospital laundries will damage their uniforms over time.

C they know that using their washing machines every day is expensive.

36. What does Anna think hospitals should do to improve infection prevention?

A Upgrade their own guidelines on washing uniforms at home.

B Require all staff to change out of their uniforms before leaving work.

C Introduce specific training on how to keep uniforms free from bacteria.

Now look at extract two.

You hear a geriatrician called Dr Daniel Booker giving a presentation about the surgical care of elderly patients.

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

37. In describing the medical history of an elderly patient called Jane, Dr Booker suggests that

A her cardiac problems needed more intensive treatment.

B her state of health was unusual for someone of her age.

C her multiple chronic conditions were generally well managed.

38. In the ED, tests and examinations carried out on Jane gave conflicting evidence of

A a twisted bowel.

B a mass in the abdomen.

C an obstruction in the caecum.

39. Dr Booker explains that in Jane’s case, an endoscopy was omitted because

A her condition hadn’t yet been stabilised.

B her age made the procedure problematic.

C surgery needed to be carried out urgently.

40. When describing the preparation for Jane’s surgery, Dr Booker gives examples of

A the actions taken to support a successful outcome.

B the ways in which patient involvement was encouraged

C how some unexpected problems were eventually overcome.

A elderly patients are best treated in an intensive care unit.

B the presence of family members can reduce post-operative risks.

C longer-term catheter use may be necessary for less mobile patients.

42. Dr Booker says an important lesson to be learned from Jane’s case is that

A a full recovery often requires long-term follow up care.

B emergency surgery may involve a more prolonged hospital stay.

C postsurgical complications may be more dangerous than the operation.

That is the end of Part C.

You now have two minutes to check your answers.

THAT IS THE END OF THE LISTENING TEST