PART A

Extract 1: Questions 1 to 12

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

Patient : Daniel

Age : 37

Symptoms & disease : Asthma, cholesterol, high blood pressure, joint pain, back pain, foot
and ankle

pain & swelling on right leg and foot.

Patient’s description of symptoms:

has asthma, difficulty in walking even ten steps. weight is 344

has high cholesterol and high blood pressure, joint pain, back pain,
foot

and ankle pain and swelling on leg and foot.

has sleep apnea & snoring.

he is a diabetic patient & has hemorrhoids.

pursuing (1)

smokes but stopped drinking a year back

Past medical history : (2)

Family history of illness : All family members have obesity, heart disease, and diabetes and
negative for (3)

Food habits : eats bacon, eggs, and cheese, cheeseburgers, fast food four times a day

Medications : Diovan, (4)

Physical examination : cranial nerves II-XII are intact. Neck is soft and supple.

Has positive (5)

Heart is regular rhythm and rate.

His abdomen is soft.

has (6)

Further treatment : (9) gastric bypass.

Impression : bariatrics

Further diagnosis : upper endoscopy, (7) thyroid function tests, LFTs,

Complications : infection, bleeding, (10) deep venous thrombosis, leakage from

Extract 2: Questions 13 to 24

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

You now have thirty seconds to look at the notes.

Patient : (13)

Age : 6

Symptoms & disease : shortness of breath

Patient’s description of symptoms:

: gets shortness of breath with vigorous play and exercise

: no cough, wheezing or chest congestion

: takes a long period to catch her breath after running race

Past medical history : she was in (14) after birth for three months

Family history of illness : none

Medications : none

Allergies : none

Physical examination : pulmonary function test shows premature ventricular contraction is 1.21
liters

that is 77% of predicted. FEV1 was 1.19 that is 81 % of predicted.

(15) that is 82% of predicted.

Post bronchodilator, no change in the forced vital capacity or FEV1.

had a 10% improvement in the peak expiratory flow up to 195 liters

(16) is 25-75% increased to 2.5 liters per second.

which is a 28% improvement : Her (17) as measured by the forced vital capacity
and FEV1 and

her flows are in the normal range, has some (18)

: chest x-ray shows normal.

Impression : (19) exertion, etiology unknown.

May be reactive airways disease be a potential cause.

(20) and infectious.

15 minutes prior to (22)

(23) daily for rhinitis symptoms,

(24) every six hours for significant nasal congestion.

That is the end of Part A

Now look at Part B

Part B

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

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

Now look at the question 25

Extract 1

You hear a discussion between a nurse and a physician explaining about ingredients used
in a vaccine. (25)

What is the use of albumin in vaccines?

A. Used to deactivate bacteria or virus

B. Used as a preservative

C. Used as a suspending fluid

Extract 2
You hear a discussion between a nurse and a physician explaining about Vancomycin-
resistant Enterococci. (26)

Which of the following diseases is also called as sepsis?

B. Bloodstream infection

C. Endocarditis

Extract 3

You hear a discussion between a nurse and a physician explaining about the causes of
Chapare hemorrhagic fever. (27)

Which of the following statements suits best with this extract?

B. There was a massive epidemic of Chapare hemorrhagic fever in bolivia.

C. The disease is mainly caused by person-to-person transmission through aerosolization.

Extract 4

You hear a dialogue between two physicians discussing about Taeniasis. (28)

Cysticercosis is caused by;

A. Taenia saginata

B. Taenia asiatica

C. Taenia solium

Extract 5

You hear a monologue by a physician briefing about rickettsiosis. (29)

Rickettsialpox is caused by

A. Rickettsia akari

B. Rickettsia philippi
C. Rickettsia parkeri

Extract 6

You hear a dialogue between two physicians discussing about healthcare-associated

Which of the following statements is incorrect?

A. Surgical site infections at healthcare settings are caused by Klebsiella bacteria.

B. Klebsiella bacteria mainly infects the intestines in human beings.

C. Klebsiella bacteria develops antimicrobial resistance.

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

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

Now, look at extract one.

Extract 1

Questions 31 to 36

You hear the discussion between a doctor and nurse on the symptomes, signs and causes of
vulvovaginal candidiasis infection.

You have 90 seconds to read questions 31 to 36

Which of the following is not a symptom of vulvovaginal candidiasis

A. Pruritus

B. Dyspareunia

C. Internal dysuria
Which of the following is complicated candidiasis? (32)

A. Non albicans candidiasis

B. Sporadic vulvovaginal candidiasis

C. Candida albicans

Which of the following is not a sign of vulvovaginal candidiasis ? (33)

A. Vulvar edema

B. Fissures

C. Vulvar pruritus

Which of the following methods improves the visualization of mycelium and yeast during
diagnosis? (34)

A. Wet preparation

B. 10% KOH preparation

C. Gram stain

Which of the following statements is correct? (35)

A. Identifying Candida by culture without any signs or symptoms is an indication for treatment.

B. Vaginal cultures for Candida should be considered for patients with negative wet mounts but
existing

symptoms or signs.

C. Postcoital testing for yeast is the approved method by Food & Drug Administration.

Which of the following is not one of the over-the-counter intra vaginal

A. Butoconazole 2% cream

B. Miconazole 200 mg vaginal suppository

Extract 2

Questions 37 to 42

You hear the doctor giving a lecture on colon polyps and its treatment.

You have 90 seconds to read questions 37 to 42

Which of the following types of polyps are non-cancerous (37)

A. Adenomas polyps

B. Hyperplastic polyps

C. Malignant polyps

Gardner syndrome is caused by; (38)

A. Over eating of red meat

B. Inadequate fiber in diet

C. Genetic conditions

Injecting a liquid underneath the polyp is a procedure in; (39)

A. Colonoscopy

B. Proctocolectomy

C. Laparoscopy

Which of the following procedures is used for large polyps? (40)

A. Polypectomy

B. Proctocolectomy

C. Laparoscopy
The method used for cancerous polyps is; (41)

A. Polypectomy

B. Proctocolectomy

C. Laparoscopy

Usually, a proctocolectomy is performed for; (42)

A. Smaller polyps

B. Familial polyps

C. Larger adenomas polyps