Check Your English Vocabulary For Medicine

CHECK YOUR ENGLISH VOCABULARY FOR
MEDICINE
third edition
A & C Black London
www.acblack.com
First published in Great Britain 1995 Second edition published 2000 Third edition published 2006
A & C Black Publishers Ltd 38 Soho Square, London W1D 3HB
Peter Collin Publishing 1995, 2000 A & C Black Publishers Ltd 2006
All rights reserved. No part of this publication may be reproduced in any form without the permission of the publishers.
A CIP entry for this book is available from the British Library ISBN-10: 0 7136 7590 X ISBN-13: 978 0 7136 7590 0
eISBN-13: 978-1-4081-0238-1
Text typeset by A & C Black Printed in Italy by Legoprint
A & C Black uses paper produced with elemental chlorine-free pulp, harvested from managed sustainable forests.
Introduction
The worksheets in this workbook contain a variety of exercises appropriate for students requiring a working knowledge of English medical terminology. The worksheets can be used either for self-study or in the classroom and can be completed in any order. Several have 'extensions': short classroom exercises based on the language in the main exercise. All the questions within this workbook are based on the A & C Black Dictionary of Medical Terms, fourth edition (ISBN 0 7136 7603 5). This workbook is aimed at students with at least an intermediate level of English. However, many people who work in medicine have to read in English on a regular basis; students with a more basic level of English may therefore already have the passive vocabulary to handle many of the exercises. Specialist vocabulary It is important to appreciate that 'knowing' specialist vocabulary involves more than simply recognising it. You can understand the meaning of a word when reading or listening and yet be unable to remember that same word when speaking or writing. You may remember the word, but use it incorrectly. This can be a grammatical problem, like knowing that 'fracture' can be used both as a noun and as a verb. Or it may be a question of collocation: a surgeon makes an incision during an operation, but when he wants a piece of bread he simply cuts it. Then there is the question of the sound of the word. Can you pronounce it? And do you recognise it when you hear it pronounced? For these reasons - memory, use and sound - it is important that students practise specialist vocabulary so that they can learn to use it more confidently and effectively. The exercises in this workbook will help students to expand their knowledge and use of medical vocabulary. Using the Dictionary of Medical Terms All of the vocabulary taught or practised in this workbook is in the A & C Black Dictionary of Medical Terms. The Dictionary of Medical Terms gives definitions in simple English which students can read and understand. Many of the examples and definitions in the workbook are taken directly from the dictionary. Students should have a copy of the Dictionary of Medical Terms for referring to when completing the exercises; using the dictionary is an essential part of successful language learning. Structure of a Dictionary of Medical Terms entry Each entry within the dictionary includes key elements that help a student understand the definition of the term and how to use it in context. Each term has a clear example, and part of speech. This is followed by example sentences and quotations from newspapers and magazines that show how the term is used in real life. These elements of the dictionary are used to create the questions within this workbook. Vocabulary Record Sheet At the back of the book is a Vocabulary Record Sheet. Recording useful vocabulary in a methodical way plays a key role in language learning and could be done, for example, at the end of each lesson. The Dictionary of Medical Terms is a useful tool for ensuring that the personal vocabulary record is accurate and is a good source for example sentences to show how words are used, as well as for notes about meaning and pronunciation, etc.
Workbook contents
Page Title WORD-BUILDING 1 2 3 4 5 6 7 Word association 1: missing links Word formation: nouns Two-word expressions Plural formation Word formation: adjectives Word association 2: partnerships Opposites 1: prefixes Linking each set of four words with one other word Forming nouns from list of verbs; rewriting sentences using noun forms instead of verbs Combining words from two lists to make two-word expressions that fit the definitions Multiple choice: choosing correct plural forms of singular nouns Rewriting sentences using adjective forms instead of nouns Linking each verb with a noun to make a 'partnership'; using the 'partnerships' to complete sentences Selecting the correct prefix for each adjective to create an opposite; using the adjectives to complete sentences Extension: working with a partner to test one another Self-study Self-study Self-study Self-study Self-study Self-study Self-study Description Mode
8 9
Word formation: verbs Making verb forms from list of nouns; writing sentences Self-study using the verbs Self-study Word association 3: Finding words in a mind map that fit definitions; mind maps designing mind maps PARTS OF SPEECH
10 11 12 13 14 15 16 17
Nouns Adjectives 1 Adjectives 2 Verbs 1 Verbs 2 Verbs: past tense ~ regular verbs Verbs: mixed tenses Phrasal verbs
Sentence completion Sentence completion Sentence completion Matching verbs with their correct definitions Matching verbs with their correct definitions Sentence completion Sentence completion Sentence completion Extension: working with a partner to write a dialogue using phrasal verbs Changing sentences from active to passive tense Identifying adverbs in sentences and swapping adverbs around so that each sentence makes sense Correcting sentences with deliberate mistakes in the prepositions
Self-study Self-study Self-study Self-study Self-study Self-study Self-study Self-study
18 19 20
Verbs: active/passive Adverbs Prepositions PRONUNCIATION
Self-study Self-study Self-study
21
Word stress 1
22 23
Word stress 2 Present simple
Identifying three-syllable words and classifying by their pronunciation Extension: practising the dialogues with a partner Completing sentences using four-syllable words; classifying four-syllable words by their pronunciation Identifying present tense verbs and classifying by their pronunciation Extension: working with a partner to identify plural nouns in each pronunciation category Identifying past tense verbs and classifying by their pronunciation
Self-study Pair work Self-study Pair work
24
Past tense
Self-study
Page Title 25
Description
Mode Self-study Pair work Self-study Self-study Self-study Self-study Pair work Self-study Pair work Self-study Self-study Pair work Self-study Pair work Self-study Self-study Pair work
26 27 28 29
VOCABULARY IN CONTEXT Good advice Matching half-sentences together to make complete sentences Extension: writing pieces of medical advice with a partner Multiple meanings Classifying meanings Odd one out Opposites 2 Identifying word that is different to others in each set Matching words with opposite meanings; inserting correct opposites in sentences Extension: working with a partner to test one another Body parts - categories Deciding which category each body part belongs to
30 31 32
Abbreviations
Stating what abbreviations stand for Extension: working with a partner to test one another Symptoms & common Checking meanings of words; matching descriptions to illnesses 1 names of illnesses Symptoms & common Matching formal and informal names of illnesses; completing conversations by using informal names of illnesses 2 illnesses Extension: practising conversations with a partner Diagnosis Identifying each disease or illness from its description Extension: writing a description of a disease or illness and testing a partner Matching half-sentences together to make complete sentences Matching each instrument and item of equipment with its correct description Extension: working with a partner to test one another
33
34 35
How it works Instruments and equipment Chemistry
36
Matching symbols of chemical elements and compounds Self-study with correct names and descriptions Extension: working with a partner to test one another Pair work
PUZZLES & QUIZZES 37 38 3940 41 42 4344 45 46 4748 49 50 51 Anagrams 1 Parts of the body crossword 1 Communicative crossword 1 Anagrams 2 Word search Communicative crossword 2 Parts of the body crossword 2 Gap fill crossword Communicative crossword 3 Quiz Vocabulary Record Sheet Answer key Solving anagrams by reading clues and putting letters in order Solving crossword Completing crossword by working with partner and defining words Solving anagrams by reading clues and putting letters in order Finding words hidden in letters using clues listed Completing crossword by working with partner and defining words Solving crossword Completing crossword with missing words from sentences Completing crossword by working with partner and defining words Answering questions Extension: writing a quiz with a partner Recording new vocabulary, definitions and terms Answers to all worksheets Self-study Self-study Pair work Self-study Self-study Pair work Self-study Self-study Pair work Self-study Pair work Self-study
Using the Unit 0000 workbook

Most students find it easier to assimilate new vocabulary if the words are learned in related groups, rather than in isolation. For example, words frequently occur in the same context as their opposites and, as such, it makes sense to learn the pairs of opposites together (see worksheets on pages 7 and 29). Similarly, mind maps encourage students to look for connections between words (see worksheet on page 9). The exercises and activities in this workbook have all been grouped into sections. These sections practise different elements of medical vocabulary, enabling the student to gain a fuller understanding of the words learnt. The first section, Word-building (pages 1-9), encourages the student to identify links between words and to learn words that are morphologically related (for example, verbs and nouns which have the same stems). Within the Parts of Speech (pages 10-20) section, the emphasis is on understanding meanings and how to use terms in their correct grammatical forms. The worksheets in the third section practise the Pronunciation of medical vocabulary (pages 21-24). The section Vocabulary in Context (pages 25-36) includes topicspecific exercises such as identifying diseases and illnesses from their descriptions. The activities in the last section, Puzzles & Quizzes (pages 37-49), expand students' knowledge and use of vocabulary in a fun way. Communicative crosswords Included in the last section are three communicative crosswords. These are speaking exercises where students complete a half-finished crossword by exchanging clues with a partner. There are two versions of the crossword: A & B. The words which are missing from A are in B, and vice versa. No clues are provided: the students' task is to invent them. This is an excellent exercise for developing linguistic resourcefulness; in having to define words themselves, students practise both their medical vocabulary and the important skill of paraphrasing something when they do not know the word for it. Using Communicative crosswords in the classroom Stage 1 - Set-up. Divide the class into two groups - A and B - with up to four students in each group. Give out the crossword: sheet A to group A, sheet B to group B together with a copy of the Dictionary of Medical Terms. Go through the rules with them. Some answers may consist of more than one word. Stage 2 - Preparation. The students discuss the words in their groups, exchanging information about the words they know and checking words they do not know in the Dictionary of Medical Terms. Circulate, helping with any problems. This is an important stage: some of the vocabulary in the crosswords is quite difficult. Stage 3 - Activity. Put the students in pairs - one from group A and one from group B. The students help each other to complete the crosswords by giving each other clues. Make sure students are aware that the idea is to help each other complete the crossword, rather than to produce obscure and difficult clues. What's one down? It's a person who works in a hospital. A doctor? A sort of doctor. He does operations. A surgeon? Yes, that's right.
A A A A
B B B B
Students work in groups, checking vocabulary
Alternatively, students can work in small groups, each group consisting of two As and two Bs and using the following strategies: i) defining the word ii) describing what the item looks like A B A B iii) stating what the item is used for iv) describing the person's role v) stating what the opposite of the word is A B A B vi) giving examples vii) leaving a gap in a sentence for the word Students work in pairs, viii) stating what the word sounds like. co-operating to solve their crosswords
For reference see A & C Black Dictionary of Medical Terms (0 7136 7603 5).
Word association 1: missing 0000 Unit links

Each of the sets of four words below can be linked by one other word. All the words are related to medical matters. What are the missing words? Write them in the centre of the charts.
1.
ciliary
temperature
foreign
2.
fat
throbbing
relief
abdominal
3.
threshold
metacarpal
graft
cancellous
4.
marrow
cardiac
fatigue
skeletal
5.
spasm
black
bath
glass
6.
drops
blood
membrane
beta
body
1
Word formation: nouns Unit 0000

A fast way to expand your vocabulary is to make sure you know the different forms of the words you learn. Exercise 1. The words in this list are all verbs. What are the noun forms? Write them in the second column. The first one has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. diagnose examine prescribe suffer operate cure recover analyse diagnosis ______________ ______________ ______________ ______________ ______________ ______________ ______________ 9. 10. 11. 12. 13. 14. 15. infect carry replace degenerate refer paralyse obstruct ______________ ______________ ______________ ______________ ______________ ______________ ______________
Exercise 2. First, check your answers to Exercise 1 in the key. Then rewrite the sentences below, changing the verbs (which are in bold) to nouns. Do not change the meaning of the sentences, but be prepared to make grammatical changes if necessary. The first one has been done for you as an example.
1. I diagnosed that the patient had a heart condition. My diagnosis was that the patient had a heart condition. 2. I examined the patient fully. I made a full 9. We found that the tissue was infected. We found an
10. Ten per cent of the population are thought to carry the bacteria. Ten per cent of the population are thought to be
3. I prescribed a course of antibiotics. I wrote a
11. We replaced the patient's hip. The patient was given a hip
4. He suffered very little. He experienced very little
12. His condition has degenerated. There has been a
5. We operated immediately. The
13. The patient was referred to a specialist. The patient was given a
6. This disease cannot be cured. There is no
14. His arm was paralysed after the stroke. He suffered
7. He has recovered fully. He has made a full
15. The artery was obstructed by a blood clot. The blood clot was forming an
8. The lab analysed the blood sample. The lab made an
2
Two-word expressions Unit 0000

Make 15 two-word expressions connected with medicine by combining words from the two lists: A and B. Match each expression with the appropriate phrase. Use each word once. The first one has been done for you as an example.
A allergic balanced bedside biological bone brain clinical digestive general general heart malignant plastic primary surgical 1. B anaesthetic attack clock death diet intervention manner marrow practitioner reaction surgery system tooth trial tumour 9. An effect produced by a substance to which a person has an allergy, such as sneezing or a skin rash. A trial carried out in a medical laboratory on a person or on tissue from a person. A tumour which is cancerous and can grow again or spread into other parts of the body, even if removed surgically. A doctor who provides first-line medical care for all types of illness to people who live locally, refers them to hospital if necessary and encourages health promotion. The rhythm of daily activities and bodily processes such as eating, defecating or sleeping, frequently controlled by hormones, which repeats every twenty-four hours. The set of organs such as the stomach, liver and pancreas which are associated with the digestion of food. A diet that provides all the nutrients needed in the correct proportions.
A condition in which the heart has a reduced blood supply because one of the arteries becomes blocked by a blood clot, causing myocardial ischaemia and myocardial infarction heart attack A substance given to make someone lose consciousness so that a major surgical operation can be carried out Soft tissue in cancellous bone.
10.
2.
11.
3. 4.
12. The treatment of disease or other condition by surgery. Any one of the first twenty teeth which develop in children between about six months and two-and-a-half years of age, and are replaced by the permanent teeth at around the age of six. Surgery to repair damaged or malformed parts of the body. 14. 7. A condition in which the nerves in the brain stem have died, and the person can be certified as dead, although the heart may not have stopped beating. The way in which a doctor behaves towards a patient, especially a patient who is in bed.
5.
13.
6.
15.
8.
3
Plural formation Unit 0000

In Column A of this table there are 25 nouns relating to medicine. For each of the nouns decide whether the correct plural form is in Column B or Column C and then circle it. The first question has been done for you as an example.
Column A 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. stratum foot fibula glomerulus abscess joint bulla testis septum oesophagus diagnosis humerus syringe acetabulum larva chorda varix fungus ganglion villus atrium pons ovum bout cortex
Column B stratums foots fibulae glomerulae abscesses jointes bullae testises septa oesophaguses diagnoses humeruses syringes acetabula larvae chordas varices fungi ganglions villi atria pontes ovums bouts cortexes
Column C strata feet fibulas glomeruli abscessi joints bullas testes septums oesophagi diagnosises humeri syringae acetabulums larvi chordae varixi funguses ganglia villae atriums ponses ova boutae cortices
4
Word formation: adjectives Unit 0000

The italicised words in the sentences in Column A are all nouns. What are the adjective forms? Complete the sentences in Column B using the correct adjective forms.
Column A
Column B
1.
The surgeons operated to repair the defect on the patient's heart valve.
The surgeons operated to repair the patient's
2.
His diet has a calcium deficiency.
His diet is calcium-
3.
She has a physical dependence on amphetamines.
She is physically
4.
The doctor noted an excess of bile in the patient's blood.
The doctor noted an
5.
An attack of hypoglycaemia can be prevented by eating glucose or a lump of sugar when feeling faint.
6.
The vaccine should give immunity to tuberculosis.
The vaccine should make you
7.
They have periods of complete inactivity.
They have periods when they are completely
8.
The pain in his foot is so great that he can hardly walk.
His foot is so
9.
I injured my spine in the crash.
I suffered
10.
She complained of stiffness in the joints.
She complained of
5
Word association 2: partnerships Unit 0000

Exercise 1. Link each verb on the left with a noun on the right to make 10 'partnerships'. The first one has been done for you as an example.
Verbs 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. administer analyse arrange burp catch detect discontinue ease resist prescribe Nouns an improvement a baby antibiotics the treatment some infections an appointment a sample the pain a drug a cold
Exercise 2. Complete these sentences using the partnerships from Exercise 1. You may have to make some changes to fit the grammar of the sentences. The first one has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. The doctor will administer a drug to the patient.
She was ____________________ . As soon as the patient reported severe side-effects, the doctor ___________________ . I've ____________________ from one of my colleagues at work. The laboratory ____________________ of the food and found traces of bacteria. A healthy body can ____________________ . I would like to ____________________ with the dental hygienist for 10.00am tomorrow. She had an injection to ____________________ in her leg. The health visitor advised the new parents to ____________________ after feeding. The nurses _____________________ in the patient's condition.
6
Opposites 1: prefixes Unit 0000

Exercise 1. English often uses prefixes to create opposites. There are several different prefixes that are used. Choose the right prefix for each of the adjectives below and write them into the table. The first one has been done for you:
active adequate coherent compatible complete conscious controllable dependent digested direct fertile fit healthy hygienic legal movable operable palpable pure qualified reducible regular sanitary soluble stable well
il1. 1. 2. 3.
im1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
ininactive 1. 2.
ir1. 2. 3. 4. 5. 6. 7. 8. 9.
un-
Exercise 2. Use ten of the adjectives in the table to complete these sentences. The first one has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. He was found unconscious in the street.
He felt ________________ and had to go home. The serum makes the poison ________________. The children have a very _______________ diet. The nurse noted that the patient had developed an ________________ pulse. She used to play a lot of tennis, but she became ________________ in the winter. The surgeon decided that the cancer was ________________. Cholera spread rapidly because of the ________________ conditions in the town. The patient was showing signs of an ________________ mental condition. She has an ________________ desire to drink alcohol.
Extension. Work with a partner and test each other. One partner closes the book, while the other asks questions such as "What's the opposite of conscious?".
7
Word formation: verbs Unit 0000

Exercise 1. The words listed in the table below are nouns. What are the verb forms of these nouns? The first question has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. abuse admission bandage blood breath coagulation consultation convalescence fertilisation identification immunisation implant maceration management occurrence abuse 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. perspiration preparation provision reabsorption regeneration registration regurgitation rehabilitation reproduction resuscitation sedation stammer stitch suppression sweat
Exercise 2. Choose ten verbs from Exercise 1 and write a sentence below for each one. Write the correct form of each verb in the column on the right and leave gaps for the verbs in the sentences. Cover up the right-hand column and give the sentences to another student as a test. For example:
She . with her local GP. registered
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
8
Word association 3: mind maps Unit 0000

A mind map is a way of organising vocabulary to show the connections between words. This mind map is based on the word 'surgery'.
heart surgery general anaesthetic local anaesthetic
major surgery heart surgeon surgeon surgery scrub up operate consultant operation A & E department scalpel surgical instruments theatre nurse exploratory surgery incision anaesthetist
ambulance
operating table
accident
operating theatre
surgical gloves
Exercise 1. Find words and expressions in the mind map that fit the following definitions.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. A special room in a hospital, where surgical operations are carried out .. A nurse who is specially trained to assist a surgeon during an operation .. The part of a hospital which deals with people who need urgent treatment because they have had accidents or are in sudden serious pain .. Surgical operations involving important organs in the body .. A doctor who specialises in surgery .. An anaesthetic which removes the feeling in a single part of the body only .. A senior specialised doctor in a hospital .. A surgical operation to remedy a condition of the heart .. To clean the hands and arms thoroughly before performing surgery .. The treatment of diseases or disorders by procedures which require an operation to cut into, to remove or to manipulate tissue, organs or parts ..
Exercise 2. Design a mind map for one or more of the following: health hospital patient
9
Nouns Unit 0000

There are 20 nouns connected with medicine in the box below. Use them to complete the sentences - in some cases you will need to make them plural. The first one has been done for you as an example.
accident exercise ambulance biopsy consent course examination excess allergy injection intake overdose paroxysm progress rash recurrence surgery tendency treatment vaccination allergy to penicillin.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.
He developed an
He suffered _______________ of coughing in the night. She went into a coma after an _______________ of heroin. The patient will need plastic _______________ to remove the scars he received in the accident. She took a _______________ of steroid treatment. He had a _______________ of a fever which he had caught in the tropics. There is a _______________ to obesity in her family. From the _______________ of the X-ray photographs, it seems that the tumour has not spread. The doctor gave him an _______________ to relieve the pain. He doesn't take enough _______________: that's why he's fat. The injured man was taken away in an _______________. She was advised to reduce her _______________ of sugar. The _______________ of the tissue from the growth showed that it was benign. The parents gave their _______________ for their son's heart to be used in the transplant operation. The doctors seem pleased that she has made such good _______________ since her operation. This is a new _______________ for heart disease. Her body could not cope with an _______________ of blood sugar. Three people were injured in the _______________ on the motorway. _______________ is mainly given against cholera, diphtheria, rabies, smallpox, tuberculosis and typhoid. She had a high temperature and then broke out in a _______________ .
15. 16. 17. 18. 19.
20.
10
Adjectives 1 Unit 0000

Complete the sentences using the adjectives in the box. Use each adjective once only. The first one has been done for you as an example.
aware compatible confused delicate depressed inactive inborn incipient infectious inoperable motionless poisonous predisposed regular 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. This is a safe painkiller, with no harmful side-effects.
hoarse hygienic insanitary lethal safe severe
Some mushrooms are good to eat and some are ______________ . The surgeons are trying to find a donor with a ______________ blood group. The surgeon decided that the cancer was ______________ . These fumes are ______________ if inhaled. The body has an ______________ tendency to reject transplanted organs. The tests detected ______________ diabetes mellitus. The serum makes the poison ______________. A ______________ outbreak of whooping cough occurred during the winter. Old people can easily become ______________ if they are moved from their homes. Catatonic patients can sit ______________ for hours. Don't touch food with dirty hands: it isn't ______________. All the members of the family are ______________ to vascular diseases. She is not ______________ of what is happening around her. The bones of a baby's skull are very ______________. Cholera spread rapidly because of the ______________ conditions in the town. He was ______________ after his exam results. He was advised to make ______________ visits to the dentist. This strain of flu is highly ______________. He became ______________ after shouting too much.
11
Adjectives Unit 0000 2

Complete the sentences using the adjectives in the box. Use each adjective once only. The first one has been done for you as an example.
acute inflamed bedridden critical deaf depressed excessive harmful latent lethal mobile obsessive painful persistent severed subjective tender viable lethal if inhaled. infirm premature
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
These fumes are
The report was _______________ of the state of aftercare provision. She had a _______________ cough. The psychiatrist gave a _______________ opinion on the patient's problem. My grandfather is quite _______________ now. The skin has become _______________ around the sore. It is important for elderly patients to remain _______________. His foot is so _______________ he can hardly walk. A fetus is _______________ by about the 28th week of the pregnancy. You have to speak slowly and clearly when you speak to Mr Jones because he's quite ________ . The baby was born five weeks _______________ . The patient was passing _______________ quantities of urine. He felt _______________ chest pains. He is _______________ and has to be looked after by a nurse. The children were tested for _______________ viral infection. He has an _______________ desire to steal small objects. Her shoulders are still _______________ where she got sunburnt. Surgeons tried to sew the _______________ finger back onto the patient's hand. She was _______________ for weeks after the death of her husband. Bright light can be _______________ to your eyes.
12
Unit 0000 Verbs 1

The sentences in Column A contain examples of useful verbs in medicine. In Column B there are definitions of the verbs. Read the examples and match the verbs (in italics) with the definitions. Then write the infinitive forms into the spaces in the definitions in Column B. The first one has been done for you as an example.
Column A: Examples 1. After the accident the passengers were treated in hospital for cuts. a)
Column B: Definitions diagnose means to identify a condition or illness, by examining the person and noting symptoms _________ means to to use medical methods to cure a disease or help a sick or injured person to recover _________ means to make someone healthy _________ means to put someone or something at risk _________ means to give instructions for a person to get a specific dosage of a drug or a specific form of therapeutic treatment _________ means to study or treat one particular disease or one particular type of patient _________ means to have an illness for a long period of time _________ means to treat a person for a condition by cutting open the body and removing a part which is diseased or repairing a part which is not functioning correctly _________ means to introduce vaccine into a person's body in order to make the body create its own antibodies, so making the person immune to the disease _________ means to relieve pain _________ means to clean a wound and put a covering over it _________ means to reduce the action of something completely, e.g. to remove a symptom or to stop the release of a hormone
2.
Nurses dressed the wounds of the accident victims.
b)
3.
He specialises in children with breathing problems.
c)
d) 4. She suffers from headaches. e) 5. She was vaccinated against smallpox as a child.
6.
Some forms of cancer cannot be cured.
f)
7.
The calamine lotion will soothe the rash.
g)
h) 8. The doctor diagnosed appendicitis.
9.
The doctor prescribed a course of antibiotics. i)
10.
The drug suppresses the body's natural instinct to reject the transplanted tissue. j)
11.
The operation may endanger the life of the patient.
k)
12.
The surgeons decided to operate as the only way of saving the baby's life.
l)
13
Verbs 2 Unit 0000

The sentences in Column A contain examples of useful verbs in medicine. In Column B there are definitions of the verbs. Read the examples and match the verbs (in italics) with the definitions. Then write the infinitive forms into the spaces in the definitions in Column B. The first one has been done for you as an example.
Column A: Examples 1. 2. He was admitted this morning. The cancer is not responding to drugs. a) Column B: Definitions _________ means to pass from one place to another _________ means to damage or hurt someone or something _________ means to go through or into something _________ means to make a hole through something _________ means to investigate the inside of something _________ means to stop someone from being hurt or killed _________ means to walk awkwardly because of pain, stiffness or malformation of a leg or foot
b)
3.
He was still limping three weeks after the accident. c) The doctors saved the little boy from dying of cancer. The end of the broken bone has penetrated the liver. The new heart has performed very well. The patient was transferred to a special unit. She fainted when she saw the blood. The surgeon probed the wound with a scalpel. Walking to work every day won't harm you. The treatment is given to prevent the patient's condition from getting worse. The ulcer perforated the duodenum. k)
4.
d)
5.
e)
6.
f)
7.
g)
8. 9.
h)
admit means to register a patient in a hospital _________ means to stop something from happening _________ means to react to something or to begin to get better because of a treatment _________ means to stop being conscious for a short time and, usually, fall down _________ means to work
10.
i)
11.
j)
12.
l)
14
Verbs: past tense ~ regular verbs Unit 0000

All the verbs in the box relate to medical matters. Use the past tense forms to complete the sentences. The first question has been done for you as an example.
adapt aggravate develop examine faint fracture prolong react receive recover require strain suffer tremble weigh
1.
He
received
a new kidney from his brother.
2.
He ___________ his back lifting the table.
3.
She ___________ from her concussion in a few days.
4.
It was so hot standing in the sun that he ___________ .
5.
The doctors decided that her condition ___________ surgery.
6.
She ___________ from poor circulation, which made her feel the cold.
7.
She ___________ well to her new diet.
8.
The embryo ___________ quite normally in spite of the mother's illness.
9.
His tibia ___________ in two places.
10.
The patient ___________ badly to the penicillin.
11.
The nurse ___________ the baby on the scales.
12.
The treatment ___________ her life by three years.
13.
Playing football only ___________ his knee injury.
14.
The doctor ___________ the boy's throat.
15.
His hands ___________ with the cold.
15
Verbs: mixed tenses Unit 0000

All the verbs in the box relate to medical matters. Use them to complete the sentences. You may have to change the forms of the verbs to fit the grammar of the sentences. (Remember the five forms of English verbs - for example: take, takes, took, taken, taking.) The first question has been done for you as an example.
amputate bite measure bruise burn control expel freeze overcome progress rebuild undergo heal visit hurt
1.
I am going to
visit
my brother in hospital.
2.
She ___________ her disabilities and now leads a normal life.
3.
After the accident her pelvis was completely ___________.
4.
She has ___________ several operations.
5.
They ___________ my big toe to remove the nail.
6.
She ___________ her knee on the corner of the table.
7.
A thermometer ___________ temperature.
8.
Air is ___________ from the lungs when a person breathes out.
9.
His arm is ___________ so much he can't write.
10.
A minor cut will ___________ faster if it is left without a bandage.
11.
The girl ___________ her hand on a hot frying pan.
12.
He ___________ his asthma with a bronchodilator.
13.
The patient's leg needs to be ___________ below the knee.
14.
She was ___________ by an insect.
15.
The doctor asked how the patient was ___________ .
16
Phrasal verbs Unit 0000

Natural English conversation includes many phrasal verbs. These are verbs made up of two words: a verb and a preposition. For example: 'I get up at eight o'clock'. Complete the sentences below using the phrasal verbs in the box. You will have to change the forms of some of the verbs to make the grammar of the sentence correct. The first one has been done for you as an example.
1. 2. 3. He got over his cold. Phrasal verbs break down = to start to cry and become upset bring up = to cough up material such as mucus from the lungs or throat cough up = to cough hard to expel a substance from the trachea drop off = to fall asleep get around = to move about get over = to become better after an illness or a shock give up = not to do something any more go down = to become smaller knock out = to hit someone so hard that he or she is no longer conscious look after = to take care of a person and attend to his or her needs pass out = to faint pick up = to catch a disease 14. 15. The swelling has started to _______________. She became worried when the girl started _______________ blood. prop up = to support a person, e.g. with pillows take after = to be like one or other parent take off = to remove something, especially clothes
The nurses are _______________her very well. He must have _______________ the disease when he was travelling in Africa. She often _______________ in front of the TV. When we told her that her father was ill, she _______________. She _______________ and cried as she described the symptoms to the doctor. He _______________ his father. The doctor asked him to _______________ his shirt. He was _______________ mucus. Since she had the accident she _______________ using crutches. I was advised to _______________ smoking. He was _______________ by a blow to the head. The nurse _______________ the patient with pillows.
4. 5.
6.
7. 8. 9. 10.
11. 12. 13.
Extension. Work with a partner: write a dialogue which includes at least seven of the phrasal verbs from this page.
17
Verbs: active/passive Unit 0000

Change the sentences below from active to passive tense. For example: Active: The GP referred the patient to a consultant. Passive: The patient was referred to a consultant by the GP. Remember that it is not always necessary to mention the subject in a passive sentence. For example: Active: We have identified the cause of this outbreak of dysentery. Passive: The cause of this outbreak of dysentery has been identified.
1. The nurse noticed a rise in the patient's pulse rate. Passive: The consultant is allowing him to watch the operation. Passive: All chemists sell the tablets. Passive: The doctor diagnosed appendicitis. Passive: The paramedics comforted the injured person until the ambulance arrived. Passive: The midwife delivered the twins. Passive: The gland was producing an excess of hormones. Passive: They looked after him very well in hospital. Passive: We examined the tissue under the microscope. Passive: The doctor gave me an unpleasant mixture to drink. Passive: You cannot take the lotion orally. Passive: Toxic fumes poisoned the workers. Passive: Doctors are predicting a rise in cases of whooping cough. Passive: The drug suppresses the body's natural instinct to reject the transplanted tissue. Passive:
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
18
Unit 0000 Adverbs

The sentences below do not read correctly. Identify the adverbs in the sentences and then swap the adverbs around so that each sentence makes sense. Some of the adverbs could be used in several of the sentences.
1. The bandage was medicinally tied around her wrist. 2. Immediately, she is very advanced for her age. 3. If the patient sweats fairly, it may be necessary to cool his body with cold compresses. 4. The tumour is excessively placed and not easy to reach. 5. She manages all her patients very mentally. 6. The relief team loosely requires more medical supplies. 7. This is a physically antiseptic solution. 8. Mildly he is very weak, but his mind is still alert. 9. He became ill efficiently after he came back from holiday. 10. The herb can be used awkwardly. 11. He has been working as a doctor only for a severely short time. 12. Her breathing was urgently affected.
19
Prepositions Unit 0000

The sentences in this exercise contain mistakes. The mistakes are all in the prepositions and there are three types: 1. 2. 3. missing preposition wrong preposition unnecessary preposition I spoke ^him about this last week. We're meeting again in ^Tuesday. I'll telephone to you tomorrow. to on
Find the mistakes and correct them.

1. The hospital has installed new apparatus through the physiotherapy department.
2.
Her lips were cracked of the cold.
3.
The boy's little toe was crushed the door.
4.
The tissue was examined on the microscope.
5.
It is important that needles used at injections should be sterilised.
6.
He is recovering from a bout flu.
7.
She was given to a pain-killing injection.
8.
Some types of wool can irritate to the skin.
9.
This report quotes the number of cases of cervical cancer from thousand patients tested.
10.
The doctor put the patient to sleep within a strong narcotic.
11.
She burnt her hand at the hot frying pan.
12.
We have no spare beds on the hospital at the moment.
13.
He will have an operation to remove of an ingrowing toenail.
14.
Please ensure that the patient takes of his medicine.
20
Word stress 1 Unit 0000

One of the keys to English pronunciation is stress - emphasis. There are three possible patterns for three-syllable words: Group A:
A: B: C: hos-pi-tal pre-scrip-tion rec-om-mend 1 2 3
Read these five conversations. Find all the three-syllable words and classify them by their pronunciation. There are 4 27 in total. Put them in the correct sections of the table on 5 the right. The first one has been done for you as an 6 example.
Dialogue 1 When was she admitted to hospital? At about four o'clock. Has there been any improvement? No, her condition is stable. We're waiting to see how things develop. Dialogue 2 What do you recommend? Well, first of all: cut down on fatty foods. And what else? Take regular exercise, don't smoke and keep alcohol down to a minimum. Dialogue 3 What's the problem? I went to give him his injection and I saw that he'd started to haemorrhage. We'll have to operate. Make sure all the equipment is prepared. I'll go down to the theatre and check. Dialogue 4 So, is it serious? Don't worry. It's probably just an allergic reaction. Are you just saying that to reassure me? You're fine. Look, I'm going to give you a prescription for some painkillers Dialogue 5 Have you got the test results yet? Well, they're still incomplete, but it's clear that it's positive. Any idea when infection took place? I'd say five or six weeks ago, but that's just an opinion. Do you want to see her medical history? 7 8 9 10 11 12 13 Group B: 1 admitted 2 3 4 5 6 7 8 9 10 11 Group C: 1 2 3
Extension. Practise the dialogues with a partner.
21
Word stress Unit 0000 2

One of the keys to English pronunciation is stress - emphasis. There are three normal patterns for four-syllable words:
A: vac-ci-na-ted B: pneu-mo-ni-a C: in-flu-en-za
Exercise 1. Complete the sentences below using the four-syllable words in the table. The first question has been done for you as an example. 1. She appeared to be improving, but a complication set in and she died a few hours later. 2. Bell's Palsy causes facial ______________.
Exercise 2. Decide which pronunciation pattern is correct for each of the words in the table and tick the appropriate column. A anaesthetic B C
3. Come right now: it's an ______________! 4. The patient was having difficulties breathing so we put him on a ___________. 5. She had an ______________ to replace the cornea. 6. He was given a general _____________ before the surgeons began work. 7. As a precaution against AIDS we use ___________ needles. 8. He can't take aspirin: he has an ______________ to it. 9. Rub your hands together to get the ______________ going. 10. He couldn't ______________ the movements of his arms and legs. 11. An ______________ was organised to test the drug on a small group of people. 12. Tests confirmed the _____________ of the growth. 13. This is the allergen which was _____________ for the patient's reaction. 14. ______________ showed that the food contained bacteria. 15. The surgeons are trying to find a ______________ donor. penicillin 16. A diet high in _____________ fats increases the risk of heart disease. 17. The surgeon ___________ to the students how to make the incision. 18. As many as 60-70% of diarrhoeal deaths are caused by ______________. 19. Autistic children do not ______________ with anyone. 20. _____________ is a common antibiotic produced from a fungus. respirator responsible saturated analysis circulation communicate compatible complication coordinate dehydration demonstrated disposable emergency experiment intolerance malignancy operation paralysis
22
Present simple Unit 0000

Verbs in the present tense add an 's' in the third person singular: I work, you work, he/she/it works. But the 's' has three different pronunciations. Look at these examples: A: /s/, for example treats B: /z/, for example heals C: /z/, for example changes Find the third person present tense verbs in these sentences and classify them by their pronunciation. Put them in the correct columns in the table on the right. Be careful: some sentences have more than one example. There are 27 verbs in total. The first one has been completed for you as an example.
1. The patient breathes with difficulty and coughs and sneezes constantly. This drug helps to alleviate the symptoms and reduces the risk of reinfection. A person whose resistance is low catches diseases more easily. When someone panics his heart beats more rapidly and his temperature rises. The laboratory analyses the blood samples and then the doctor examines the results and diagnoses the condition. He then recommends a course of treatment and prescribes any necessary drugs. This drug relaxes the muscles and relieves pain. The gland releases hormones into the bloodstream, causing an immediate reaction. If the patient sleeps well, he wakes feeling refreshed. She suffers constant pain and controls it by using morphine. This treatment counteracts the effects of the infection. It is a procedure which cures the condition or kills the patient. If the surgeon operates now the chance of success increases to about 50%. The sinoatrial node regulates the heart beat. Group A: /s/ 1 2 3 4 5 6 7 8 9 Group B: /z/ 1.breathes . 2 3 4 5 6 7 8 9 Group C: /z/ 1 2 3 4 5 6 7 8 9
2.
3. 4.
5.
6.
7. 8.
9. 10. 11. 12. 13.
14.
Extension. The same rule applies to plural nouns: /s/ patients, /z/ doctors, /z/ nurses. Work with a partner and find five example nouns for each sound.
23
Past 0000 Unit tense

Regular verbs have three different pronunciations in the past tense (or the past participle). The difference is in the sound you use for the ending. Look at these examples: A: /t/, for example placed B: /d/, for example examined C: /d/, for example injected Find the past tense verbs in these sentences and classify them by their pronunciation. Put them in the correct columns in the table on the right. Be careful: some sentences have more than one verb. There are 23 examples in total. The first one has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. She was vaccinated against smallpox as a child. Group A: /t/ The doctor diagnosed him as having hepatitis B. Her condition improved, so we reduced the dose. He consulted a specialist, who recommended surgery. The patient coughed and sneezed all through the consultation. The surgeons replaced her hip with a metal one. The doctor prescribed a course of antibiotics. The doctor's speedy action prevented further complications. The pharmacist mixed the chemicals in this bottle. The surgeons operated immediately on the child. He was completely cured. The nurse disinfected and dressed the wound. She was treated by a heart specialist. His pulse rate increased by 10%. The attack was preceded by a rise in body temperature. The surgical instruments were sterilised before use. Nobody noticed that the patient's blood pressure had dropped. The surgeon probed the wound with a scalpel. 1 2 3 4 5 6 7 8 Group B: /d/ 1 2 3 4 5 6 7 Group C: /d/ 1vaccinated... 2.................. 3 4 5 6 7 8
24
Good advice Unit 0000

These sentences all give very good advice, but they have been divided into separate halves. Match the half-sentences in Column A with the half-sentences in Column B to make 14 sentences which are correct, complete and true.
Column A 1. Regular exercise is ... a) b) c) Column B ... burn easily in the sun. ... cause back pain. ... be inoculated against diphtheria. ... be kept out of the reach of children. ... be kept warm and lying down. ... about 2.5 litres of fluid each day. ... good for the heart. ... five minutes' exercise every morning. ... be sterilised before use. ... make the eyes ache. ... provide all the nutrients needed, in the correct proportions. ... an unhealthy way of living. ... be by pressure and elevation. ... by using non-sterile needles.
2.
A balanced diet should ...
3.
Medicines should ...
4.
A patient in shock should ...
d)
5.
Not taking any exercise is ...
e)
6.
Reading in bad light can ... f)
7.
You should do ... g)
8.
A normal adult should drink ... h)
9.
HIV can be transmitted ... i) j)
10.
Bad posture can ...
11.
People with fair complexions ... k)
12.
Surgical instruments must ... l) m)
13.
Babies should ...
14.
Haemorrhage control routinely should ...
n)
Extension. Working with a partner, write five pieces of medical advice.
25
Multiple meanings Unit 0000

Some words have more than one meaning. For example, the word pulse means the pressure wave in an artery when the heart beats, but it also refers to a certain type of vegetable: beans and peas. In the table below 19 meanings appear in the column on the left. Match each meaning to one of the seven words across the top. The first one has been done for you as an example.
cold 1. A person who is in hospital or who is being treated by a doctor. To attach an appliance correctly. The point where light rays converge through a lens. To see or be aware of something. To change into something different. Weighing a comparatively small amount. An illness, with inflammation of the nasal passages, in which someone sneezes and coughs and has a blocked and running nose. The centre of an infection. To move the head or body to face in another direction. Being able to wait a long time without getting annoyed. A piece of writing giving information, usually put in a place where everyone can see it. To have convulsions. A slight illness or attack of dizziness. A sudden attack of a disorder, especially convulsions and epilepsy. The energy that makes things bright and helps a person to see. To adjust a lens until an image is clear and sharp. Strong and physically healthy. Not warm or hot. Referring to hair or skin which is very pale. fit focus light notice patient turn
2. 3. 4. 5. 6. 7.
8. 9.
10. 11.
12. 13. 14. 15.
16.
17. 18. 19.
26
Odd one out Unit 0000

In each set of words one is the odd one out: different from the others. Find the word that is different, and circle it. For example:
callosum.................... cerebellum................... colliculus.................... coccyx..........................
Coccyx is the odd one out. It is a bone; the others are all parts of the brain.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. aching..................... bleeding.................. nagging................... throbbing................ hand....................... kidney..................... leg........................... liver......................... knee........................ forearm................... face......................... nose........................
ankle....................... elbow..................... ear.......................... eye.........................
nurse....................... orderly..................... surgeon................... patient.................... bandage.................. forceps.................... probe...................... scalpel..................... expiration................ inspiration............... respiration............... supination............... cataracts.................. eyelids..................... nearsightedness....... strabismus............... improve................... get better................ recover.................... relapse.................... iris........................... lens......................... palm........................ pupil........................ oval window............ semicircular canals... tympanic membrane vertebral column..... aluminium............... copper.................... iron......................... zinc.........................
break....................... crack....................... fracture................... wound.................... metacarpal bone..... nasal bone............... occipital bone.......... zygomatic arch........
liver......................... heart....................... pancreas.................. spleen..................... bite......................... hepatalgia.... chew....................... swallow................... taste........................ hernia liver. dermis.. hepatocyte... diabetes..
epidermis.. pore..
27
Body parts Unit 0000 - categories

In this table there are 38 words for parts of the body and six categories. Decide which category or categories each part belongs to. The first one has been done for you as an example.
arm abdomen Achilles tendon ankle buttock calf chest chin ear elbow eye eyebrow eyelash eyelid finger forearm forehead gum hip knee knuckle lip nail navel neck nipple nose palm rib scalp shoulder sole temple thigh thumb toe tongue tooth hand leg foot torso x head
28
wrist
Opposites 2
Exercise 1. Match the words in italics with their opposites in the box on the right. The first one has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. The opposite of back is front The opposite of acute is The opposite of dead is The opposite of improve is .. The opposite of healthy is The opposite of open is The opposite of major is The opposite of reduce is .. The opposite of smooth is . The opposite of benign is . alive chronic closed deteriorate front ill increase malignant minor rough
Exercise 2. Complete these sentences using the words from Exercise 1. Use one word from each pair of opposites.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. She had an ________________ attack of shingles. He became excited, causing his pulse rate to ________________. He was very ill, but now his condition has begun to ________________. The calf muscles are at the ________________ of the lower leg. She put cream on her hands, which were ________________ from heavy work. The tumour is ________________ and so may reappear even if removed surgically. The hospital is ________________ to visitors from noon to five o'clock. The doctor arrived too late: the patient was already ________________. There's nothing wrong with you: you're completely ________________. He had to undergo ________________ surgery on his heart.
Extension. Work with a partner and test each other. One partner closes the book, while the other asks questions such as "What's the opposite of back?".
29
Abbreviations
Test your medical abbreviations. What do the following stand for? Check the ones you don't know in the dictionary. The first one has been done for you as an example.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. A&E AIDS BMR CAT CHD D&V DOA GP HAV HIV MND OTC PM PMA PMT RQ RSI SAD SIDS STI TB TBI UV VDH WHO Accident & Emergency.............. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. ................. .................... ................. ................. ................. ................. .................
Extension. Work with a partner and test each other. One partner closes the book, while the other asks questions such as "What does A & E stand for?".
30
Symptoms & common illnesses 1

These words are all used to talk about illnesses: their symptoms and effects. Tick the ones you understand. Check the others in the dictionary.
1. 2. 3. 4. 5. allergic reaction blister cough fever infectious 6. 7. 8. 9. inflammation itchy malformation malaise 11. resistance 12. runny nose 13. sneeze 14. spot 15. swelling
10. rash
Read the descriptions below and match them to the names of the illnesses in the box on the right.
1. An infectious disease of the upper respiratory tract with fever and muscular aches, which is transmitted by a virus and can occur in epidemics. A common infectious viral disease of children, with mild fever, swollen lymph nodes and a rash. It can cause stillbirth or malformation of an unborn baby if the mother catches the disease while pregnant. allergic rhinitis coryza infectious parotitis influenza pertussis rubella rubeola varicella
2.
3.
An illness, with inflammation of the nasal passages, in which someone sneezes and coughs and has a blocked and running nose. An infectious disease of children, caused by a herpes virus, and characterised by fever and red spots which turn to itchy blisters. An infectious disease of children where the body is covered with a red rash. It can weaken the body's resistance to other disease, especially bronchitis and ear infections. If caught by an adult it can be very serious. An infectious disease of children, with fever and swellings in the salivary glands, caused by a paramyxovirus. An infectious disease affecting the bronchial tubes, common in children and sometimes very serious. The patient coughs very badly and makes a characteristic 'whoop' when inhaling after a coughing fit. Inflammation in the nose and eyes caused by an allergic reaction to plant pollen, mould spores, dust mites or animal hair.
4.
5.
6.
7.
8.
31
Symptoms & common illnesses 2

Exercise 1. Many illnesses also have informal names. Match the informal and formal names listed below. The first one has been done for you as an example.
INFORMAL 1. Chickenpox is the same as 2. A cold is the same as 3. The flu is the same as 4. German measles is the same as 5. Hay fever is the same as 6. Measles is the same as 7. Mumps is the same as 8. Whooping cough is the same as FORMAL allergic rhinitis infectious parotitis coryza influenza rubella rubeola pertussis varicella
Exercise 2. Complete these six conversations between doctors and patients by writing in the name of the illness. Use the informal terms from the table above.
1. What seems to be the trouble? My eyes and my nose are running all the time. I feel terrible. When did this begin? At the beginning of July. It's probably just 5. What's the problem? 2. What's the problem? It's my son. He's got a rash and swelling in his armpits. Does he have a fever? Yes. Hmm. He may have 6. 3. How are you feeling? I've got this terrible cough. Mm-hmm. And after I cough I make a noise when I try to breathe. Sounds like So, what can I do for you? It's the twins. They're covered in these dreadful red spots. Are they experiencing any itching? Yes, they are. It may be It's my daughter. She's got a fever and this swelling. Where's the swelling? In her throat. It could be 4. How are you today? Oh, not very well. I've got a cough and a terrible cold. Do you have a fever? Umm, yes I do. It's probably a touch of
Extension. Practise the conversations with a partner.
32
Diagnosis
Read the eleven descriptions which follow, using your dictionary as and when necessary. What is the disease or illness being described in each case?
1. A disorder of the nervous system in which there are convulsions and loss of consciousness due to disordered discharge of cerebral neurons. A condition where tissues die and decay, as a result of bacterial action, because the blood supply has been lost through injury or disease of the artery. A condition where the lens of the eye gradually becomes hard and opaque. A progressive nervous disorder without a known cause which is a type of Parkinsonism, the main symptoms of which are trembling hands, a slow shuffling walk and difficulty in speaking. An infectious disease in which infected lumps form in the tissue. Its commonest form is infection of the lungs, causing patients to lose weight, cough blood and have a fever. It is caught by breathing in germs or by eating contaminated food, especially unpasteurised milk. A hereditary disease in which there is malfunction of the exocrine glands such as the pancreas, in particular those which secrete mucus, causing respiratory difficulties, male infertility and malabsorption of food from the gastrointestinal tract. A progressive disease of the liver, often associated with alcoholism, in which healthy cells are replaced by scar tissue. A serious, infectious disease of children. Its first symptoms are a sore throat, followed by a slight fever, rapid pulse and swelling of the glands in the neck. A fibrous growth like a membrane forms in the throat and can close the air passages. The disease is often fatal, either because the patient is asphyxiated or because the heart becomes fatally weakened. A disorder of the brain, mainly due to brain damage occurring before birth, or due to lack of oxygen during birth. The patient may have bad coordination of muscular movements, impaired speech, hearing and sight, and sometimes mental retardation. Inflammation of the membrane lining the intestines and the stomach, caused by a viral infection, and resulting in diarrhoea and vomiting. .
2.
3.
4.
5.
6.
7.
8.
9.
10.
Extension. Write a description of a disease or illness and see if your partner can recognise it.
33
How it works
Match the half-sentences in column A with the half-sentences in column B to make 18 sentences which are correct, complete and true. The first one has been done for you as an example.
Column A Column B
1. 2. 3.
Fluid accumulates in the tissue The autonomic nervous system works ...
a)
... the acetabulum at the hip and the tibia at the knee. the chest muscles relax and the lungs become smaller. ... as a man grows older. of patients suffering from dropsy. ... according to the ABO system. ... deoxygenated blood from the heart to the lungs for oxygenation. ... lines the joints and acts as a cushion. ... to digest fatty substances and to neutralise acids. is about 72 beats a minute. derived from the carotid artery. ... when a person is asleep or even unconscious. ... to human life. carries blood round the body. from the larynx to the lungs. ... can be used to detect and record organs or growths inside the body. ... into four distinct sections. ... are secretory only. . control the functioning of the other glands.
b) Cartilage is thick connective tissue which c) 4. A blood vessel is any tube (artery, vein, capillary) that The pituitary gland secretes hormones that The femur joins Expiration takes place when The pulmonary arteries take ... The trachea runs i) 10. Bile is produced by the liver, stored in the gall bladder and used The colon is divided ... Holocrine glands ... l) 13. 14. The prostate gland tends to enlarge ... m) The very high frequency waves of ultrasound Oxygen is essential The supply of blood to the sublingual region is The normal adult pulse Blood groups may be classified n) o) j) k) g) h) d) e) f) 6. 7. 8. 9.
5.
11. 12.
15. 16.
p) q) r)
17. 18.
34
Instruments and equipment

Match each of the following instruments and items of equipment with its correct description below. The first one has been done for you as an example.
bandage catheter curette drain forceps gag hook pipette probe scalpel sling splint stethoscope stretcher syringe thermometer tourniquet wheelchair 1. 2. 3. 4. wheelchair = a chair with wheels in which someone can sit and move around __________ = a small sharp-pointed knife used in surgery __________ = an instrument used to explore inside a cavity or wound __________ = a surgical instrument with handles like a pair of scissors, made in different sizes and with differently shaped ends, used for holding and pulling __________ = a surgical instrument like a long thin spoon, used for scraping the inside of an organ __________ = a thin glass tube used for taking and measuring samples of liquid __________ = an instrument or tight bandage wrapped round a limb to constrict an artery, so reducing the flow of blood and stopping bleeding from a wound __________ = a surgical instrument with a bent end used for holding structures apart in operations __________ = a tube used to remove liquid from the body __________ = an instrument placed between the teeth to stop the mouth from closing __________ = a medical instrument made of a tube with a plunger which either slides down inside the tube, forcing the contents out through a needle as in an injection, or slides up the tube, allowing a liquid to be sucked into it __________ = a tube passed into the body along one of the passages in the body __________ = a piece of cloth which is wrapped around a wound or an injured limb __________ = a triangular bandage attached around the neck, used to support an injured arm and prevent it from moving __________ = a folding bed, with handles, on which an injured person can be carried by two people __________ = a stiff support attached to a limb to prevent a broken bone from moving __________ = two earpieces connected to a tube and a metal disc, used to listen to sounds made inside the body __________ = an instrument for measuring temperature
5.
6. 7.
8.
9. 10. 11.
12. 13. 14.
15.
16. 17.
18.
Extension. Work with a partner and test each other. For example: "What do you call a chair with wheels in which someone can sit and move around?"
35
Chemistry
What are the names for the symbols of the chemical elements and compounds in the table below? Complete the 'name' column and connect each substance to the notes which refer to it. The first one has been done for you as an example.
Symbol 1. 2. 3. 4. 5. 6. 7. 8. Na Ca Pb Ti Ba Zn Fe Co Name ...sodium (e)... Notes (a) acid found in the gastric juices which helps to break apart the food acid which forms cyanide main alkaloid substance found in tobacco used as a contrast when taking X-ray photographs of soft tissue the basic substance in salt metallic element which is the basis of a radioactive isotope used to treat cancer colourless gas with a sweet smell, used in combination with other gases as an anaesthetic in dentistry and surgery colourless gas which is present in air and essential to human life one of the common non-metallic elements which is an essential component of living matter and organic chemical compounds an essential part of the red pigment in red blood cells, found in liver and eggs gas which combines with oxygen to form water heavy soft metallic element which is poisonous in compounds very light gas used in combination with oxygen, especially to relieve asthma or sickness caused by decompression light metallic element which does not corrode gas which is the main component of air and an essential part of protein metallic element which is the major component of bones and teeth powerful greenish gas, used to sterilise water soft yellow-coloured precious metal, used as a compound in various drugs, and sometimes as a filling for teeth white metallic trace element yellow non-metallic element found in some amino acids
....................... (b) ....................... (c) ....................... (d)
....................... (e) ....................... ....................... ....................... (f) (g) (h) (i)
9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
Cl He S Au O H HCl N HCN C N2O C10H14N2
....................... ....................... (j)
....................... (k) ....................... ....................... (l) (m)
....................... (n) ....................... ....................... (o) (p)
....................... (q) ....................... (r)
....................... (s) ....................... (t)
Extension. Check the pronunciation of the 20 elements and compounds, then work with a partner to test each other: one person writes the symbol, while the other says the names.
36
Anagrams 1
Solve the anagrams by reading the clues and putting the letters in order to form words. Write your answers in the grid to find the mystery word spelled by their initial letters.
1. 2. Action of breathing Sensitivity to certain substances, such as pollen or dust which cause a physical reaction... A female child of a parent Cut in a person's body made by a surgeon using a scalpel.............................................................. Surgical intervention. Study of the process of ageing and the diseases of old people..................................................................... Becoming worse after seeming to get better Equipment used in a laboratory or hospital... Give instructions for a person to receive a specific dosage of a drug.................................................... Place where sick or injured people are looked after............................................................. Physical or mental activity The ability of a person not to get a disease.. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. RAEINOPRIST AEGLLRY
3. 4.
ADEGHRTU CIIINNOS
5. 6.
AEINOOPRT EGGLNOOORTY
7. 8. 9.
AEELPRS AAAPPRSTU BCEEIPRRS
10.
AHLIOPST
11. 12.
CEEEIRSX ACEEINRSST
Mystery word: a person specially trained to operate a machine to take X-ray photographs
37
Parts of the body crossword 1

All the answers in this crossword are parts of the body.
1 6 8 11 14 17 18 19 21 22 23 24 25 26 ACROSS 1. Joins the femur and the tibia (4) 2. The organ into which food passes after being swallowed and where the process of digestion continues (7) 6. The first part of the small intestine (8) 8. Hinged joint in the arm (5) 10. It grows on your head (4) 11. The upper chambers of 18 across (5) 12. Breathing organs (5) 15. They carry blood to 11 across (5) 17. Part of the body with which a person sees (3) 18. The organ which moves blood around your body (5) 21. Cell in the nervous system which transmits impulses (6) 22. An organ which secretes substances which act elsewhere in the body (5) 24. A white oily substance in the body, which stores energy and protects the body against cold (3) 25. Tissue which forms the outside surface of the body (4) 26. Type of nerve ending or cell (8) 27. For hearing with (3) 27 DOWN 1. It cleans your blood (6) 3. Main part of the body, without the arms, legs and head (5) 4. A major artery (5) 5. Connected to 8 across, funnily enough (7) 7. Eye socket (5) 9. Narrow part of the body below the chest and above the buttocks (5) 12. The major detoxicating organ (5) 13. Hard growth which forms on the top surface at the end of each finger and toe (4) 14. Cheekbone (6) 16. Protects the brain (5) 18. At the end of your arm (4) 19. The throat or neck, major artery (7) 20. The back of each joint on a person's hand (7) 23. Bundle of fibres which take impulses from one part of the body to another (5) 24. End part of the leg on which a person stands (4) 20 7 9 12 15 10 13 16 2 3 4 5
38
Communicative crossword 1
sheet A
This crossword is not complete: you have only half the words. The other half are on sheet B. Check that you know the words in your crossword. Then work with a partner who has sheet B to complete the two crosswords. Follow these three rules:
1. 2. 3. Speak only in English. Don't say the word in the crossword. Don't show your crossword to your partner. "What's one across?" across, down
R E
5 6
I T
A N
T I
C H
G
9
N
10 11
I N
12 13 14 15
R E
S A
16
F
17
G I T T
20
L E
18
19
E A
A
22
21
R
23
P
24
L
25 26
E E
E G
27
28
39
sheet B
This crossword is not complete: you have only half the words. The other half are on sheet A. Check that you know the words in your crossword. Then work with a partner who has sheet A to complete the two crosswords. Follow these three rules:
S C
5
P A
H I
7
Z O P
12
T
9
E
10 11
P I
13 14
E Y
O V E R
15
H R E
17
G L
16
E L G L A S H E C A N S N
O T T
19
D O S E
N I
18
A
20
I S
21
22
H
23 24 25 26
I P
27
T I
28
40
Anagrams 2
Solve the anagrams by reading the clues and putting the letters in order to form words. Write your answers in the grid to find the mystery word spelled by their initial letters.
1. 2. Main part of the brain. Value calculated by adding together several quantities and dividing the total by the number of quantities Effect produced by a stimulus Way of acting. To notice or to see something and understand it Spasm causing sudden inhalation followed by closure of the glottis which makes a characteristic sound.... Reflex action when tired or sleepy. To become worse.. Reducing strain or stress. Not asleep.. Operating room. Causing vomiting.. BCEEMRRU AAEEGRV
3. 4. 5 6.
ACEINORT ABEHIORUV BEEORSV CCHIPU
7. 8. 9. 10. 11. 12.
ANWY ADEEIORRTTE AAEILNORTX AAEKW AEEHRTT TMECEI
1 2 3 4 5 6 7 8 9 10 11 12
Mystery word: found in sugar and starch, and provides the body with energy
41
Word search
Find the 28 medical terms and expressions hidden in the letters below; 14 read across and 14 read down. The first word has been found for you as an example. The clues listed beneath will help you to find all of the words.
P E N D E M I C D F A I A C L I N I C H O S T R T N S H O C O S R U S E T A T I Y A L T E N L D I N A S A L O R E E I S S C P P G L G I N A D O O R A S H E I L I V E R N E A S E R S P O T W E E A G E H G T R I C E P S S T A K E W O M B T H E R N I A N
M M B L O C U M O O C B R P E L N N
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28.
Number of years that a person has lived Substance which produces hypersensitivity Lack of tone or tension in the muscles Decubitus ulcer Small hospital or department in a large hospital which deals only with walking patients or which specialises in the treatment of certain conditions Hormone secreted in small quantities by the adrenal cortex To make pain or worry less Referring to any disease which is very common in certain places Condition where an organ bulges through a hole or weakness in the wall which surrounds it Person or animal on which a parasite lives Protected against an infection or allergic disease Chemical element essential to the body, found in liver, eggs, etc. Large gland in the upper part of the abdomen Speech defect where the patient has difficulty in pronouncing 's' sounds and replaces them with 'th' Doctor who takes the place of another doctor for a time Referring to the nose One of the two passages in the nose through which air is breathed in or out Gland which lies across the back of the body between kidneys Doctor who examines dead bodies to find out the cause of death Mass of small spots which stays on the skin for a period of time, and then disappears Light wall, sometimes with a curtain, which can be moved about and put round a bed to shield the patient Piece of glass, on which a tissue sample is placed, to be examined under a microscope Small round mark or pimple To swallow a medicine To remove or drain liquid from part of the body Muscle formed of three parts, which are joined to form one tendon Not dry Uterus
42
sheet A
R E
8
R
7
C H A I N R E
T E N D O N
E T I
9
D U C
10 11
R R A M
12 13
T I O
15
14
P U
17
C
16
A C
18
O C H
21
T
19
T I O N
23 24
A
20
A T E
22
B N O
25
L E M A N I
26
C L
R
27
S A L I M I G N
M A
28
O S E
43
Communicative crossword 2 sheet B

C U
V I
R
7
H N T
R E
A B
9
L
10 11
12
13
14
H
15 16
R
17
O C
N
18
Y T P O
19
20
21
T H
22
23
24
O
25 26
E E R M I
L
27
V A
28
44
Parts of the body crossword 2

All the answers to this crossword are parts of the body.
1 2 3 4
10 11 12 13
14
15 18 20
16
17 19
21 22
23
ACROSS 1. Ligament (5) 4. One of the calcified pieces of connective tissue which make 1 down (4) 5. Organ used for hearing (3) 8. Sight, hearing, smell, taste and touch (6) 11. It connects your foot to your leg (5) 13. Thorax (5) 14. Other side to the front (4) 16. Egg-producing organ (5) 20. Clavicle (10) 21. One of twenty-four inside 13 across 23. Plural of foot (4)
DOWN 1. All the bones which make up a body (8) 2. Joint between the hand and the forearm (5) 3. Branch of a nerve, artery or vein (5) 4. Encephalon (5) 6. Inside layer of the eye which is sensitive to light (6) 7. In the middle of your face (4) 9. Cavity inside the body, including the cavities inside the head behind the cheekbone, forehead and nose (5) 10. Main muscle in 13 across (8) 12. Part of the body which joins the head to the body (4) 14. Air passage from the trachea to the lungs (8) 15. Human tail, at the end of the backbone (6) 17. One of two muscles in the top part of the back which moves the shoulder blades (8) 18. Soft, fat flesh (4) 19. Wall between two parts of an organ (6) 21. Radix, point from which a limb grows (4) 22. One of ten found on 23 across (3)
45
Gap fill crossword

Complete the crossword with the missing words from the sentences.
1 2 3 4
6 7 8
9 11 12 13
10
14 16 17 18 19 22 24 25 20 21 23
15
26 27
ACROSS 1. He ______ a new type of catheter. (8) 5. Blood ______ were taken from all the staff in the hospital. (7) 7. There is a ______ of names in alphabetical order. (4) 8. She must have a cold - her ______ is running. (4) 9. We will ______ the operating theatre with the latest scanning devices. (5) 10. Fear of snakes is a common ______. (6) 13. Sugar is a source of ______ . (6) 14. The doctor ______ the patient's broken arm. (3) 16. When she cut her finger it ______. (4) 17. He breathed in the smoke from the fire and it made him ______. (5) 18. He went to see an ______ specialist about his deafness. (3) 19. Anorexic patients may become ______ and may need hospitalisation. (9) 24. Can I make an ______ to see Dr Jones? (11) 26. The box is so heavy she can't ______ it off the floor. (4) 27. He became hysterical and had to be put under ______. (8)
DOWN 1 The catheter is ______ into the passage. (8) 2. How can you afford this ______ treatment? (9) 3. She gave ______ to twins. (5) 4. The surgeon was able to move the organ back to its ______ position. (8) 6. The doctor put her to ______ with a powerful narcotic. (5) 11. The patient suffers from an allergic ______ to oranges. (8) 12. Her ______ rate was very irregular. (5) 14. The lining of the uterus is ______ during menstruation. (4) 15. When you add the reagent, the solution will ______ blue. (4). 20. We have ______ out the extent of the tumour. (6) 21. The drug begins acting after a very short ______. (4) 22. There were two hundred ______ of cholera in the recent outbreak. (5) 23. The clinic has a ______ of 100. (5) 25. The ______ is the ratio of a person's mental age, given by an intelligence test, to the person's actual age. (2)
46
sheet A
N E
6
T
5
A L
7
A R S
8
P A R T
I G
9
10
H T
I A
11
12
E
13
D
14 15
S T
17
O
16
N E S
19
D E F E N
E
18
R
20
A G
24
I
21 22
23
L P E N
M D E N C
C E
L D
47
sheet B
E P
6
A N
N
5
H U R A B L E
7
I L E
8
C Y L
O S T
P S
O S
9
10
T O
11 12
N A A T E R N O
14 15
M
13
R C O
W R
S
16
I
17
E I T
18
T I
S T
20
E
19
L O
21
22
23
I
24
48
Quiz
How many of these questions can you answer?
1. 2. Name four sources of Vitamin D. Complete the following sentence. "In human anatomy, the hand has a dorsal and a palmar surface, and the foot a dorsal and a __________ surface." What is the difference between myopia and hypermetropia? Which of the following substances are poisonous? arsenic cyanide fructose glucose polyunsaturated fat starch strychnine Fill the gaps in the sentence with the correct numbers. "Permanent teeth, otherwise known as adult teeth, are formed of eight incisors, __________ canines, __________ premolars and __________ molars." What is the term for an organisation responsible for overseeing the provision of primary healthcare and the commissioning of secondary care in a district. Key members include GPs, community nurses, social services and lay members? If a patient is living at home and going to a hospital for treatment, is he/she classed as an "inpatient" or an "outpatient"? What is the child's term for the stomach or abdomen? Are the following statements true or false? [T / F] Blood is formed of red and white corpuscles, platelets and plasma. [T / F] The liver maintains the circulation of the blood around the body by its pumping action. [T / F] A mastectomy is a surgical operation to deliver a baby by cutting through the abdominal wall into the uterus. 10. 11. 12. What is the normal average human body temperature? To which part of the body do words beginning with "gastr-" refer? Formerly, burns were classified by degrees (first-degree burn and second-degree burn). The modern classification is into two categories. What are these categories?
3. 4.
5.
6.
7.
8. 9.
Extension. Work with a partner and write a medical knowledge quiz. Make sure you know the answers. Then ask the questions to another pair of students in the class.
49
Vocabulary Record Sheet

WORD CLASS NOTES (Translation, definition, example, etc.)
This page can be photocopied.
50
Answer key
Answer key
Word-building
Word association 1: missing links (p. 1)
1. 2. 3. 4. 5. 6. body pain bone muscle eye cell
Word formation: adjectives (p. 5)

1. 2. 3. 4. 5. The surgeons operated to repair the patient's defective heart valve. His diet is calcium-deficient. She is physically dependent on amphetamines. The doctor noted an excessive amount of bile in the patient's blood. A hypoglycaemic attack can be prevented by eating glucose or a lump of sugar when feeling faint. The vaccine should make you immune to tuberculosis. They have periods when they are completely inactive. His foot is so painful that he can hardly walk. I suffered spinal injuries in the crash. She complained of stiff joints.
Word formation: nouns (p. 2)

6. Exercise 1. 1. diagnosis 2. examination 3. prescription 4. suffering 5. operation 6. cure 7. recovery 8. analysis 9. infection 10. carrier 11. replacement 12. degeneration 13. referral 14. paralysis 15. obstruction Exercise 2. 1. My diagnosis was that the patient had a heart condition. 2. I made a full examination of the patient. 3. I wrote a prescription for a course of antibiotics. 4. He experienced very little suffering. 5. The operation was performed immediately. 6. There is no cure for this disease. 7. He has made a full recovery. 8. The lab made an analysis of the blood sample. 9. We found an infection in the tissue. 10. Ten per cent of the population are thought to be carriers of the bacteria. 11. The patient was given a hip replacement. 12. There has been a degeneration in his condition. 13. The patient was given a referral to a specialist. 14. He suffered paralysis of the arm after the stroke. 15. The blood clot formed an obstruction in the artery. 7. 8. 9. 10.
Word association 2: partnerships (p. 6)

Exercise 1. 1. administer a drug 2. analyse a sample 3. arrange an appointment 4. burp a baby 5. catch a cold 6. detect an improvement 7. discontinue the treatment 8. ease the pain 9. resist some infections 10. prescribe antibiotics Exercise 2. 1. The doctor will administer a drug to the patient. 2. She was prescribed antibiotics. 3. As soon as the patient reported severe side-effects, the doctor discontinued the treatment. 4. I've caught a cold from one of my colleagues at work. 5. The laboratory analysed a sample of the food and found traces of bacteria. 6. A healthy body can resist some infections. 7. I would like to arrange an appointment with the dental hygienist for 10.00am tomorrow. 8. She had an injection to ease the pain in her leg. 9. The health visitor advised the new parents to burp the baby after feeding. 10. The nurses detected an improvement in the patient's condition.
Two-word expressions (p. 3)

1. heart attack 2. general anaesthetic 3. bone marrow 4. surgical intervention 5. primary tooth 6. plastic surgery 7. brain death 8. bedside manner 9. allergic reaction 10. clinical trial 11. malignant tumour 12. general practitioner 13. biological clock 14. digestive system 15. balanced diet
Plural formation (p. 4)

1. strata 2. feet 3. fibulae 4. glomeruli 5. abscesses 6. joints 7. bullae 8. testes 9. septa 10. oesophagi 11. diagnoses 12. humeri 13. syringes 14. acetabula 15. larvae 16. chordae 17. varices 18. fungi 19. ganglia 20. villi 21. atria 22. pontes 23. ova 24. bouts 25. cortices or cortexes
Opposites 1: prefixes (p. 7)

Exercise 1. il1. illegal
ir1. irreducible 2. irregular
51
Answer key
Answer key
im1. immovable 2. impalpable 3. impure un1. unconscious 2. uncontrollable 3. undigested 4. unfit 5. unhealthy 6. unhygienic 7. unqualified 8. unstable 9. unwell
Adjectives 1 (p. 11)

1. safe 2. poisonous 3. compatible 4. inoperable 5. lethal 6. inborn 7. incipient 8. inactive 9. severe 10. confused 11. motionless 12. hygienic 13. predisposed 14. aware 15. delicate 16. insanitary 17. depressed 18. regular 19. infectious 20. hoarse
in1. inactive 2. inadequate 3. incoherent 4. incompatible 5. incomplete 6. independent 7. indirect 8. infertile 9. inoperable 10. insanitary 11. insoluble
Adjectives 2 (p. 12)

1. lethal 2. critical 3. persistent 4. subjective 5. infirm 6. inflamed 7. mobile 8. painful 9. viable 10. deaf 11. premature 12. excessive 13. acute 14. bedridden 15. latent 16. obsessive 17. tender 18. severed 19. depressed 20. harmful
Verbs 1 (p. 13)

a) diagnose b) treat c) cure d) endanger e) prescribe f) specialise g) suffer h) operate i) vaccinate j) soothe k) dress l) suppress
Exercise 2. 1. unconscious 2. unwell 3. incapable 5. irregular 6. unfit 7. unpasteurised 9. unstable 10. uncontrollable
4. unhealthy 8. insanitary
Verbs 2 (p. 14)

a) transfer b) harm c) penetrate d) perforate e) probe f) save g) limp h) admit i) prevent j) respond k) faint l) perform
Word formation: verbs (p. 8)

Exercise 1. 1. abuse 2. admit 3. bandage 4. blood 5. breathe 6. coagulate 7. consult 8. convalesce 9. fertilise 10. identify 11. immunise 12. implant 13. macerate 14. manage 15. occur 16. perspire 17. prepare 18. provide 19. reabsorb 20. regenerate 21. register 22. regurgitate 23. rehabilitate 24. reproduce 25. resuscitate 26. sedate 27. stammer 28. stitch 29. suppress 30. sweat
Verbs: past tense ~ regular verbs (p. 15)

1. received 2. strained 3. recovered 4. fainted 5. required 6. suffered 7. adapted 8. developed 9. fractured 10. reacted 11. weighed 12. prolonged 13. aggravated 14. examined 15. trembled
Verbs: mixed tenses (p. 16)

1. visit 2. overcame 3. rebuilt 4. undergone 5. froze 6. bruised 7. measures 8. expelled 9. hurting 10. heal 11. burnt 12. controls 13. amputated 14. bitten 15. progressing
Word association 3: mind maps (p. 9)

Exercise 1. 1. operating theatre 2. theatre nurse department 4. major surgery 5. surgeon anaesthetic 7. consultant 8. heart surgery up 10. surgery
3. A&E 6. local 9. scrub
Phrasal verbs (p. 17)

1. got over 2. looking after 3. picked up 4. drops off 5. passed out 6. broke down 7. takes after 8. take off 9. bringing up 10. got around 11. give up 12. knocked out 13. propped up 14. go down 15. coughing up
Parts of Speech
Nouns (p. 10)
Verbs: active/passive (p. 18)

1. allergy 2. paroxysms 3. overdose 4. surgery 5. course 6. recurrence 7. tendency 8. examination 9. injection 10. exercise 11. ambulance 12. intake 13. biopsy 14. consent 15. progress 16. treatment 17. excess 18. accident 19. vaccination 20. rash 1. 2. 3. 4. A rise in the patient's pulse was noticed by the nurse. He is being allowed by the consultant to watch the operation. The tablets are sold by all chemists. Appendicitis was diagnosed by the doctor.
52
Answer key
Answer key
5. 6. 7. 8. 9. 10. 11. 12. 13. 14. The injured person was comforted by the paramedics until the ambulance arrived. The twins were delivered by the midwife. An excess of hormones was being produced by the gland. He was very well looked after in hospital. The tissue was examined under the microscope. I was given an unpleasant mixture to drink by the doctor. The lotion cannot be taken orally. The workers were poisoned by toxic fumes. A rise in cases of whooping cough is being predicted by doctors. The body's natural instinct to reject the transplanted tissue is suppressed by the drug. 13. 14. He will have an operation to remove of an ingrowing toenail. Please ensure that the patient takes of his medicine.
Pronunciation
Word stress 1 (p. 21)
Group A: hospital regular exercise alcohol minimum haemorrhage operate theatre serious painkillers positive medical history Group B: admitted improvement condition develop injection equipment allergic reaction prescription infection opinion Group C: recommend reassure incomplete
Word stress 2 (p. 22) Adverbs (p. 19)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. The bandage was loosely tied around her wrist. Mentally, she is very advanced for her age. If the patient sweats excessively, it may be necessary to cool his body with cold compresses. The tumour is awkwardly placed and not easy to reach. She manages all her patients very efficiently. The relief team urgently requires more medical supplies. This is a mildly antiseptic solution. Physically, he is very weak, but his mind is still alert. He became ill immediately after he came back from holiday. The herb can be used medicinally. He has been working as a doctor only for a fairly short time. Her breathing was severely affected. Exercise 1. 1. complication 2. paralysis 4. respirator 5. operation 7. disposable 8. intolerance 10. coordinate 11. experiment 13. responsible 14. Analysis 16. saturated 17. demonstrated 19. communicate 20. Penicillin Exercise 2. 3. emergency 6. anaesthetic 9. circulation 12. malignancy 15. compatible 18. dehydration
A anaesthetic analysis circulation communicate compatible complication coordinate
B x
C x x x x x x x
Prepositions (p. 20)

1. 2. 3. 4. 5. 6. 7. 8. 9. The hospital has installed new apparatus through^ the physiotherapy department. in Her lips were cracked of^ the cold. from The boy's little toe was crushed^ the door. by The tissue was examined on ^ the microscope. under It is important that needles used at^ injections should be sterilised. for He is recovering from a bout^ flu. of She was given to a pain-killing injection. Some types of wool can irritate to the skin. This report quotes the number of cases of cervical cancer from^ thousand patients tested. per The doctor put the patient to sleep within a strong narcotic. She burnt her hand at^ the hot frying pan. on We have no spare beds on^ the hospital at the moment. in
dehydration demonstrated disposable emergency experiment intolerance malignancy operation paralysis penicillin respirator responsible saturated x x x x x x x x x x
x x
10. 11. 12.
53
Answer key
Answer key
Present simple (p. 23)
Group A: coughs helps panics beats sleeps wakes counteracts operates regulates Group B: breathes examines recommends prescribes relieves suffers controls cures kills Group C: sneezes reduces catches rises analyses diagnoses relaxes releases increases 14. 15. 16. 17. 18. bones metacarpal bone; the others are all in the skull pancreas; the others deal with blood taste; the others are all physical actions hernia; the others relate to the liver diabetes; the others are all part of the skin
Body parts - categories (p. 28)

abdomen - torso Achilles tendon - foot ankle - leg (or foot) buttock - torso calf - leg chest - torso chin - head ear - head elbow - arm eye - head eyebrow - head eyelash - head eyelid - head finger - hand forearm - arm forehead - head gum - head hip - torso (or leg) knee - leg knuckle - hand lip - head nail - hand (or foot) navel - torso neck - torso nipple - torso nose - head palm - hand rib - torso scalp - head shoulder - torso (or arm) sole - foot temple - head thigh - leg thumb - hand toe - foot tongue - head tooth - head wrist - arm (or hand)
Past tense (p. 24)

Group A: reduced coughed replaced mixed dressed increased noticed dropped Group B: diagnosed improved sneezed prescribed cured sterilised probed Group C: vaccinated consulted recommended prevented operated disinfected treated preceded
Vocabulary in Context
Good advice (p. 25)
1. g) 2. k) 3. d) 4. e) 5. l) 6. j) 7. h) 8. f) 9. n) 10. b) 11. a) 12. i) 13. c) 14. m)
Opposites 2 (p. 29)

Exercise 1. 1. front 2. chronic 3. alive 4. deteriorate 5. ill 6. closed 7. minor 8. increase 9. rough 10. malignant Exercise 2. 1. acute 2. increase 3. improve 4. back 5. rough 6. malignant 7. open 8. dead 9. healthy 10. major
Multiple meanings (p. 26)

1. patient 2. fit 3. focus 4. notice 5. turn 6. light 7. cold 8. focus 9. turn 10. patient 11. notice 12. fit 13. turn 14. fit 15. light 16. focus 17. fit 18. cold 19. light
Odd one out (p. 27) Abbreviations (p. 30)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. bleeding; the others are words which describe types of pain liver; you have two of all the others forearm; the others are all joints face; the others are all specifically sense organs patient; the others are all jobs bandage; the others are all instruments supination; the others are all connected to breathing eyelids; the others are all eye conditions relapse; the others all mean to return to normal after an illness palm; the others are all parts of the eye vertebral column; the others are all part of the ear aluminium; the others are all normally found in the body wound; the others refer principally to damage to 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. A & E: Accident & Emergency AIDS: Acquired Immunodeficiency Syndrome BMR: Basal Metabolic Rate CAT: Computerised Axial Tomography CHD: Coronary Heart Disease D & V: Diarrhoea & Vomiting DOA: Dead On Arrival GP: General Practitioner HAV: Hepatitis A Virus HIV: Human Immunodeficiency Virus MI: Motor Neurone Disease OTC: Over The Counter PM: Post Mortem PMA: Progressive Muscular Atrophy PMT: Premenstrual Tension RQ: Respiratory Quotient RSI: Repetitive Strain Injury
54
Answer key
Answer key
18. 19. 20. 21. 22. 23. 24. 25. SAD: Seasonal Affective Disorder SIDS: Sudden Infant Death Syndrome STI: Sexually Transmitted Infection TB: Tuberculosis TBI: Total Body Irradiation UV: Ultraviolet VDH: Valvular Disease of the Heart WHO: World Health Organization
Chemistry (p. 36)

1. 2. 3. 4. 5. 6. 7. 8. Na, sodium, (e) the basic substance in salt Ca, calcium, (p) metallic element which is the major component of bones and teeth Pb, lead, (l) heavy soft metallic element which is poisonous in compounds Ti, titanium, (n) light metallic element which does not corrode Ba, barium, (d) used as a contrast when taking X-ray photographs of soft tissue Zn, zinc, (s) white metallic trace element Fe, iron, (j) an essential part of the red pigment in blood cells, found in liver and eggs Co, cobalt, (f) metallic element which is the basis of a radioactive isotope used to treat cancer Cl, chlorine, (q) powerful greenish gas, used to sterilise water He, helium, (m) very light gas used in combination with oxygen, especially to relieve asthma or sickness caused by decompression S, sulphur, (t) yellow non-metallic element found in some amino acids Au, gold, (r) soft yellow-coloured precious metal, used as a compound in various drugs, and sometimes as a filling for teeth O, oxygen, (h) colourless gas which is present in air and essential to human life H, hydrogen, (k) gas which combines with oxygen to form water HCI, hydrochloric acid, (a) acid found in the gastric juices which helps to break apart the food N, nitrogen, (o) gas which is the main component of air and an essential part of protein HCN, hydrocyanic acid, (b) acid which forms cyanide C, carbon, (i) one of the common non-metallic elements which is an essential component of living matter and organic chemical compounds N2O, nitrous oxide, (g) colourless gas with a sweet smell, used in combination with other gases as an anaesthetic in dentistry and surgery C10H14N2, nicotine, (c) main alkaloid substance found in tobacco
Symptoms & common illnesses 1 (p. 31)

1. influenza 2. rubella 3. coryza 5. rubeola 6. infectious parotitis 8. allergic rhinitis 4. varicella 7. pertussis
Symptoms & common illnesses 2 (p. 32)

9. Exercise 1. 1. Chickenpox is the same as varicella 2. A cold is the same as coryza 3. The flu is the same as influenza 4. German measles is the same as rubella 5. Hay fever is the same as allergic rhinitis 6. Measles is the same as rubeola 7. Mumps is the same as infectious parotitis 8. Whooping cough is the same as pertussis Exercise 2. 1. hay fever 2. German measles 4. flu 5. mumps 6. chickenpox 10.
11. 12.
13. 3. whooping cough 14. 15.
Diagnosis (p. 33)

1. epilepsy 2. gangrene 3. cataracts 4. Parkinson's disease 5. tuberculosis 6. cystic fibrosis 7. cirrhosis 8. diphtheria 9. cerebral palsy 10. gastroenteritis 16.
17.
How it works (p.34)

18. 1. d) 2. k) 3. g) 4. m) 5. r) 6. a) 7. b) 8. f) 9. n) 10. h) 11. p) 12. q) 13. c) 14. o) 15. l) 16. j) 17. i) 18. e)
19.
20.
Instruments and equipment (p. 35)

1. wheelchair 2. scalpel 3. probe 4. forceps 5. curette 6. pipette 7. tourniquet 8. hook 9. drain 10. gag 11. syringe 12. catheter 13. bandage 14. sling 15. stretcher 16. splint 17. stethoscope 18. thermometer
55
Answer key
Answer key
Puzzles & Quizzes
Anagrams 1 (p. 37)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Respiration Allergy Daughter Incision Operation Gerontology Relapse Apparatus Prescribe Hospital Exercise Resistance
Parts of the body crossword 1 (p. 38)

1 2 3 4 5
K I
6
T R
A O
H U M E
D N
8
O R
U N
R T
10
E Y
B I
W A
R U
11
12
13
I S
L I
15
N A
14
16
Z
17
T E
18
V E
I L
S K U
Y G
H A
21
T
20
19
J U
22
O M
23
K E U R O N U
24
L L
N N E R V D
G U L A
26
F O O P T
T
25
C S K L
27
56
Answer key
Answer key
Word search (p.42) Anagrams 2 (p. 41)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Cerebrum Average Reaction Behaviour Observe Hiccup Yawn Deteriorate Relaxation Awake Theatre Emetic
P E N D E M I C D F A I
A C L I N I C H O S T R
T N S
H O C
O S R U S E T A T I Y A
L T E N L D I N A S A L
O R E E I S S C P P G L
G I N A D O O R A S H E
I L I V E R N E A S E R
S P O T W E E A G E H G
T R I C E P S S T A K E
W O M B T H E R N I A N
M M B L O C U M O O C B R P E L N N
Parts of the body crossword 2 (p. 45)

1 2 3 4
S K
5
W R
R A M U
8
B R
E L E T O N
R E T I
I S T
A I
9
N O S I E S E
10
N
11 12
P N E C K L E
13
N U H E S T
C T
16
14
15
17
B R O N C H U
C O
20
K
18
O F R L A L
R H
Y
19
S N E P T U M
C C Y X
L A B
O M
21
R
22
B O I D
T O
23
O O E T
57
Answer key
Answer key
Gap fill crossword (p. 46)
1 2 3 4
I N
5
E X
B I
O R I G I N
S E
P E
8
E
7
S L I E S
R T H
R T
9
N S Q U I V
12 13
E E
10
E D
P
11
P R
A L
P U
16
E A
17
Y
14 15
S O U G H
18
T U
L S
19
C T
E
21
R N
20
E
22
M A
I O
T I
D
23
C
24
S E N T A
26
25
A S E
27
P P E
I Q
M E
L A T I O N
F F
Quiz (p. 49)

1. 2. 3. butter, egg yolk, fish liver oils, oily fish, yeast (Vitamin D is also produced in the skin when exposed to sunlight.) plantar Myopia is a condition where the patient can see clearly objects which are close, but not ones which are far away, whereas with hypermetropia, the patient sees more clearly objects which are a long way away, but cannot see objects which are close. (More common words for myopia are shortsightedness or nearsightedness. A more common word for hypermetropia is longsightedness.) arsenic; cyanide; strychnine four canines, eight premolars and twelve molars primary care group outpatient tummy True, False (The organ described here is the heart), False (The operation described here is a caesarean.) about 37 Celsius or 98 Fahrenheit stomach deep; superficial
4. 5. 6. 7. 8. 9. 10. 11. 12.
58

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Self-study Self-study Self-study Self-study Self-study Self-study Self-study Self-study

Verbs: active/passive Adverbs Prepositions PRONUNCIATION

Self-study Self-study Self-study

Word stress 2 Present simple

Self-study Pair work Self-study Pair work

How it works Instruments and equipment Chemistry

Using the Unit 0000 workbook

Students work in groups, checking vocabulary

Word association 1: missing 0000 Unit links

Word formation: nouns Unit 0000

3. I prescribed a course of antibiotics. I wrote a

4. He suffered very little. He experienced very little

12. His condition has degenerated. There has been a

5. We operated immediately. The

6. This disease cannot be cured. There is no

14. His arm was paralysed after the stroke. He suffered

7. He has recovered fully. He has made a full

8. The lab analysed the blood sample. The lab made an

Two-word expressions Unit 0000

Plural formation Unit 0000

Word formation: adjectives Unit 0000

The surgeons operated to repair the patient's

His diet has a calcium deficiency.

His diet is calcium-

She has a physical dependence on amphetamines.

The doctor noted an excess of bile in the patient's blood.

The doctor noted an

The vaccine should give immunity to tuberculosis.

The vaccine should make you

They have periods of complete inactivity.

They have periods when they are completely

The pain in his foot is so great that he can hardly walk.

I injured my spine in the crash.

She complained of stiffness in the joints.

Word association 2: partnerships Unit 0000

Opposites 1: prefixes Unit 0000

im1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Word formation: verbs Unit 0000

Word association 3: mind maps Unit 0000

Nouns Unit 0000

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

15. 16. 17. 18. 19.

Adjectives 1 Unit 0000

hoarse hygienic insanitary lethal safe severe

Adjectives Unit 0000 2

These fumes are

Unit 0000 Verbs 1

Nurses dressed the wounds of the accident victims.

He specialises in children with breathing problems.

Some forms of cancer cannot be cured.

The calamine lotion will soothe the rash.

h) 8. The doctor diagnosed appendicitis.

The doctor prescribed a course of antibiotics. i)

The operation may endanger the life of the patient.

Verbs 2 Unit 0000

Verbs: past tense ~ regular verbs Unit 0000