医护英语考试三级模拟题

METS-3模拟试题

Section I Listening Comprehension (30%)

（25 minutes）

Directions: This section is designed to test your ability to understand spoken English in nursing contexts. You will hear a selection of recorded materials and you must answer the questions that accompany them. There are THREE parts in this section, Part A, Part B, and Par C.

Remember, while you are doing the test, you should first put down your answers in your test booklet. At the end of the listening comprehension section, you will have 4 minutes to transfer your answers from your test booklet onto your ANSWER SHEET.

(Pause 00’05’’)

(Tone) Now look at Part A in your test booklet.

Part A

You will hear 10 short dialogues. For each dialogue, there is one question and FOUR possible answers. Choose the correct answer – [A], [B], [C], o r[D], and mark it in your test booklet. You will have 10 seconds to answer the question and you will hear each dialogue ONLY ONCE.

1. What does the woman say about Doctor Langus?

[A] He is the only one available. [B] He is too young for the operation.

[C] He has done many operations. [D] He is an excellent doctor.*

2. What do you learn about the discharge?

[A] It is yellowish. [B] It has a bad smell.* [C] It is like mucus. [D] It is clear.

3. When do headaches affect the patient?

[A] When he takes aspirin. [B] When he lies down.

[C] When he gets nervous.* [D] When he travels

4. What does the doctor want to know?

[A] The patient?s daily activity. [B] The patie nt?s life-style.

[C] The patient?s exercise pattern. [D] The patient?s physical condition.*

5. What seems to trouble the patient?

[A] His urine does not come out easily.* [B] His problem has lasted about a week.

[C] He urinates frequently. [D] He experiences pain after urinating.

[A] The patient shouldn?t walk at all. [B]The patient shouldn?t lean on the wall.

[C] The patient needs help if he walks.* [D] The patient should use a walker for support.

7. What does the man think of what appears on his legs?

[A] Something serious. [B] Something funny.

[C] Something important. [D] Something insignificant.*

8. What is the nurse trying to explain?

[A] The way to do the test. [B] Necessity for the blood test.*

[C] Signs of colon cancer. [D] What occult blood means.

9. What does the woman say about lung cancer?

[A] The death rate is high.* [B] It?s less prevalent than other forms.

[C] Many patients can survive. [D] The cost for treatment is rising.

10. What are the two talking about?

[A] Maggie?s job performance. [B] Maggie?s family background.

[C] Maggie?s personality. [D] Maggie?s career choice.*

Part B

Directions:You’re going to hear one long dialogue and one short talk. Before listening to each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing [A], [B], [C] or [D]. After listening, you will have 10 seconds to check your answer to each question. Then mark your answer on your Answer Sheet. You will hear each piece ONLY ONCE.

11. What does the woman say in the beginning of the conversation?

[A] She?s been working on a report. [B]She?s been looking for th e doctor.*

[B] She needs to know the test result. [D] She?s got a new assignment.

12. What does the man say about himself?

[A] He?s been feeling bad recently.[B] He doesn?t have good memory.

[C] He is very busy now.* [D] He has solved the case.

[A] A man who died when he fell from a height.* [B] A man who had a heart attack while working.

[C] A man who got hurt by some falling object. [D] A man who tripped and broke his arm.

14. What did the employers say about the case?

[A] The workman was careless. [B] The safety measure was sufficient.*

[C] It was the result of a heart attack. [D] They were only partly responsible.

15. What does the doctor think of the case?

[A] It was definitely drug-related. [B] The workman shouldn?t have worked alone.

[C] It was caused by poor management.* [D] The job was too heavy for the workman.

16. What does the speaker imply about our feet?

[A] We don?t think much of them.* [B] We think they are very important.

[C] We know a lot about our feet. [D] They are very complicated.

17. How can we best make use of our feet according to the talk?

[A] Wearing stylish shoes. [B] Wearing light, soft shoes.

[C] Changing shoes when necessary. [D] Fitting shoes to special activities*

18. What may happen if your feet suffer from pain?

[A] Y ou may hurt your skeleton. [B] Y ou may have backache.*

[C] Y our toenails may crack. [D] Y ou may tear some ligaments.

19. How can you keep your feet in good shape?

[A] Keeping them clean.* [B] Wearing tight socks.

[C] Never walking barefoot. [D] Not walking on rough surface.

20. What can you do if your feet sweat a lot?

[A] To wear clean, comfortable socks. [B] To walk barefoot on cold surface.

[C] To wear shoes of natural materials.* [D] To wash your shoes daily.

Part C: Note-taking and Gap-filling

Directions: Y ou will hear a talk. Before your listening, you will have 30 seconds to read the text briefly. You may take notes while you are listening; check your answers when the talk is read the second time. Be sure to write your answers in the corresponding spaces on your Answer Sheet. You will hear the talk TWICE.

The medical history of a patient is essential for the physician who is attempting to ______21______ of a disease. The first items to be recorded are the patient?s name, race, age, birthplace, sex, ______22______, and residence. The patient?s age is an important factor because certain diseases, including s ome contagious diseases, ______23______, and acute leukemia, are found mainly in young people, while other diseases, including arteriosclerotic heart disease and degenerative diseases, are much more common in ______24______ people. The patient?s occupation is also an important factor, especially if the patient?s job ______25______.

The real medical history starts with a ______26______ for the patient?s coming to the hospital for consultation. The physician needs to know the exact circumstances of the ______27______ of the symptoms. Further questioning develops details of the health of the patient?s family, his habits and lifestyle, and his ______28______. Finally, the physician asks a series of questions about _______29_____ such as the heart, lungs, and stomach. At the completion of a thorough medical history, the physician often has a good lead to ______30______, or at least he can begin to categorize illness.

Section Ⅱ Use of English (15%)

(15 minutes)

Part A Vocabulary and Structure

Directions:There are 20 incomplete sentences in this part. For each sentence there are FOUR choices, marked [A], [B], [C] and [D]. Choose the one that best completes the sentence. Then mark the corresponding letter on your Answer Sheet.

31. The doctor seemed to have _______ to order certain studies which we would consider routine and basic.

[A] informed [B] supervised [C] neglected* [D] delayed

32. When a person suffers from severe pain, _______ of bronchial tubes and increased respiratory rate provides greater oxygen intake.

[A] division [B] disturbance [C] dimension [D] dilation*

33. When one exercises _______, increased heart rate provides greater oxygen transport.

[A] strenuously* [B] moderately [C] absolutely [D] gently

34. In extreme cold weather, _______ vasoconstriction elevates blood pressure.

[A] peripheral* [B] parallel [C] pericardial [D] periodical

35. Increased muscle _______ prepares muscles for action.

[A] traction [B] tension* [C] extension [D] contraction

36. The sick child should be encouraged to ______ by using saline solution.

[A] rinse [B] gargle* [C] swallow [D] gurgle

37. Both fever and heat increase the pulse rate because of increased _______ rate.

[A] curative [B] calorie [C] energetic [D] metabolic*

38. _______ nutritional support is more effective physiologically and complete nutritionally.

[A] Thoracic [B] Edible [C] Enteral* [D] Tracheal

39. An odor of _______ in the urine may indicate a urinary tract infection.

[A] ammonia* [B] anemia [C] insomnia [D] uremia

40. The mechanisms by which platelets function in _______ are essentially unknown.

[A] hematemesis [B] hematuria [C] hemorrhage [D] hemostasis*

41. Artificial respiration is applied in cases _______ an individual has either temporarily or permanently lost the capacity to perform the normal motions of respiration.

[A] when [B] which [C] where* [D] of what

42. This type of injury occurs when, for example, a man _______ along a raised beam slips and lands with the beam between his legs.

[A] walks [B] walking* [C] walked [D] to walk

43. The bronchoscope is an instrument containing tiny mirrors, _______ that the doctor can inspect the bronchi and the larger bronchial tubes.

[A] arranged so [B] arranged such [C] so arranged* [D] such arranged

44. Dialysis saves the lives of many people who would _______ die of kidney failure and fatal uremic poisoning.

[A] then [B] otherwise* [C] rather [D] sooner

45. V ery often emergency tracheotomies are performed on children who have inhaled something large _______ the respiratory passages.

[A] blocks [B] blocking [C] so to block [D] enough to block*

46. It is important that the nurse _______a patient?s personal space by standing or sittin g too close.

[A] not violate* [B] didn?t violate [C] does not violate [D] would not violate

47. If all the tubes in the kidney _______ separated, straightened and laid end to end, they would span some 120 kilometers.

[A] were* [B] can be [C] would be [D] had

48. By the end of the third month the new individual, now known as a fetus, has reached a length of nearly 4 inches, _______ the legs.

[A] to include [B] and that include [C] included [D] including*

49. Sometimes so many air sacs become filled with fluid that the victim finds _______enough oxygen to maintain life.

[A] it hardly to absorb [B] to absorb hardly [C] it hard to absorb* [D] it hardly absorbing

50. A tear in the pelvic floor tissues does not heal readily; and _______, it often leaves a weakened area.

[A] after it has [B] after it does* [C] even it has [D] even it is

Part B Cloze

Directions: Read the following passage. Choose the best word or phrase for each numbered blank from among the four choices [A], [B], [C], and [D], and mark it on your Answer Sheet.

World-famous mountain biker John Tomac works massage therapy into a training program that also includes riding 20 hours a week. “Massage seems to ___51 ___ my recovery time,” he says, “which means that I?m better off at the start of the next race.”

Many athletes agree with Tomac, ____52____ the scientific evidence to support this idea is all but nonexistent. “I don?t ____53____any proof that massage has a positive effect on performance,” says Jenny Stone, a professor of sports medicine. “Still, most of the athletes here ____54____ in traveling with trainers who are certified massage therapists.”

So what is it that brings so many athletes to the massage table? One of the few benefits massage therapists agree on is that massage helps increase local circulation, with the result ____55____ the metabolic wastes that collect in muscle during exercise are swept away ____56____ oxygen and nutrients can move in and help the muscle recover.

How this ____57____ into performance is unknown, but no one is about to ____58____ massage as useless. “If a massage helps an athlete to come off after a(n) ____59____ workout and sleep better, who?s to say ____60____ alone doesn?t improve his or her performance the next day?”

51. [A] raise [B] decrease* [C] enlarge [D] fasten

52. [A] though [B] while [C] as [D] yet*

53. [A] read of [B] hear of [C] know of* [D] believe in

54. [A] assist [B] insist [C] persist * [D] determine

55. [A] which [B] that* [C] in [D] from

56. [A] in that [B] so that* [C] in order [D] provided that

57. [A] fits* [B] benefits [C] contributes [D] matches

58. [A] dismiss* [B] regard [C] accept [D] refuse

59. [A] intense* [B] relaxed [C] continual [D] constant

60. [A] if [B] whether [C] all [D] that*

Section III Reading Comprehension (40%)

(40 minutes)

Directions:There are 4 passages in this part. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked [A], [B], [C] and [D]. Y ou should decide on the best choice and mark the corresponding letter on the Answer Sheet with a single line through the center.

Passage A

Burns and scalds are painful injuries that may prove fatal if severe or if they cover a large area. Burns are caused by fire, hot metals, chemicals, radiation, or electricity. Scalds are caused by hot liquids, steam, or other hot vapors, and are treated much the same as burns.

Classification of burns is determined by the depth of the tissue injury. First-degree burns are those in which the surface is red and painful, but the skin is not broken or blistered. Typical first-degree burns result from sunburn, electric flash, and other mild causes. Second-degree burns are those in which blisters are formed. Third-degree burns are deep, with charring and actual destruction of the skin and tissue. Second- and third-degree burns frequently become infected and are very serious.

Treatment of burns must take into consideration the possibility of severe shock caused by the great pain of second- and third-degree burns. It is necessary to work rapidly to avoid chilling the patient, and he should be kept in a horizontal position. In large first-degree burns, the shock may be more serious than the burn itself.

In first-aid treatment, a sterile petrolatum ointment is excellent. When this is not available, baking soda (sodium bicarbonate) may safely be used in a slightly warm solution, three heaping table-spoonfuls to a quart of water. For large burns, clean linen, sheets, or towels dipped in the soda solution may be wrapped around the person, after which blankets and hot water bottles are used to combat shock. Immediate care by a physician

may prevent disfiguring scars.

Chemical burns should be washed immediately with flowing water (from a faucet or hose, or by pouring) to dilute and remove the chemical. After this has been done, the injury may be cared for as any other burns.

61. What do burns and scalds have in common?

[A] Both conditions cause pain.* [B] Both conditions are often fatal.

[C] Both are caused by something hot. [D] Both conditions usually affect large areas.

62. What is the classification of burns mainly based on?

[A] The extent of infection. [B] The causative factors.

[C] The depth of injury.* [D] The condition of skin and surface.

63. The passage implies that _________.

[A] the burn patient should be chilled quickly

[B] great pains from burns sometimes lead to shock*

[C] the larger the area affected, the deeper the injury

[D] second- or third-degree burns often cause shock.

64. Which of the following is not mentioned as part of the first-aid?

[A] The application of a sterile ointment.[B] The use of baking soda in a warm solution.

[C] Keeping the patient warm with blankets. [D] Cleaning the burned surface with towels.*

65. What should be the first step in treating chemical burns?

[A] Calling in an experienced physician. [B] Covering the affected area with ointment.

[C] Wrapping up the affected parts with sheets. [D] Removing the chemicals with flowing water.*

Passage B

The big mid-year scare last year was shark attacks. This year it?s West Nile virus (西尼罗病毒)—a threat that is in some ways more frightening because you don?t have to go near the water to get hurt. Death this seas on is being spread by mosquitoes hatched in your backyards. The infestation, first reported in New Y ork City in 1999, has reached nearly every region east of the Rockies. Seven people have died so far this year, and health

officials believe that an eighth man, who died in Mississippi last week, was infested. Neighbors have practically come to blows over the pros and cons of spraying against mosquitoes.

Before you decide never to go out again at dawn or dusk, though, it pays to consider the latest information about West Nile virus. Y es, the West Nile virus has been found in birds and mosquitoes in many states. Y es, it seems likely to reach the West Coast by the end of the year. But the chances of getting infected are still pretty slim, and most people who get sick will develop mild flu-like symptoms. In only a rare few will the infection lead to encephalitis, a potentially deadly inflammation of the brain.

That does not mean you should ignore the West Nile virus. And public-health officials definitely need to update some of their long-forgotten plans for mosquito control. But it?s not as if we?re living in the 18th or 19th century, when mosquito-borne illnesses like yellow fever ravaged New Y ork. Back then, doctors didn?t even know that mosquitoes were to blame, and there was certainly no vaccine—as there is now for yellow fever—to help control the spread of the disease.

Work is progressing on a vaccine for West Nile. Meanwhile, the best strategy is to use a little common sense. Killing all the birds and mosqui toes that carry the virus is not really an option. “People are going to have to change their habits,” says Dr. John Shanley. That means wearing long-sleeved shirts and long pants and using insect repellent during mosquito season. Y ou should also practice mosquito control around your house. Y ou can never eliminate risk, but in this case at least, you can control it.

66. Why does the author mention shark attacks and West Nile together?

[A] They threaten people in the same way. [B] They both occur near the water.

[C] They have both caused great alarm.* [D] There have been reports of more deaths from both.

67. What has happened in the face of the seemingly growing problems?

[A] People have stood together to combat the problem.

[B] People have argued over whether to use pesticides.*

[C] People have weighed carefully the consequences.

[D] People have taken steps to stop the worsening situation.

68. The author stresses in the second paragraph that __________.

[A] West Nile virus is indeed a serious threat [B] West Nile virus is nothing to worry about [C] West Nile virus is a good reason for not going out [D] West Nile virus should be judged objectively*

69. Which of the following is not true about the yellow fever?

[A] It once caused disasters in some areas. [B] Mosquitoes were blamed for it early on.* [C] It was a big problem in the absence of a vaccine. [D] A vaccine for yellow fever is now available.

70. The last paragraph is ____________.

[A] a discussion of ways to prevent West Nile*

[B] an analysis of the causes and effects of West Nile

[D] a warning against unhealthy habits

[D] a summary of the fight against West Nile

Passage C

Gallbladder disease, also known as cholecystitis, occurs when the gallbladder has been repeatedly irritated by chemicals, infection, or overuse, thus reducing its ability to release bile for the digestion of fats. Usually, gallstones consisting of calcium, cholesterol, and other minerals, form in the gallbladder itself. When the patient eats foods that are high in fats, the gallbladder contracts to release bile, which is necessary for fat digestion; these contractions in turn cause pressure on the stone formations. One of the characteristic symptoms of gallbladder disease is acute pain in the upper right portion of the abdomen after eating fatty foods. This pain may feel like a heart attack or an ulcer attack and is often accompanied by nausea.

Who gets gallbladder disease? The old wise phrase about the “five f?s” of risk factors frequently holds true. Anyone who is …female, fat, fair, forty, and flatulent? (prone to pass gas) appears to be at increased risk. However, people who don?t fit this picture also get the disease.

Not all gallstones cause acute pain. In fact, small stones that pass through one of the bile ducts and become lodged may be more painful than gallstones that are the size of golf balls. Many people find out that they have gallstones only after undergoing diagnostic X-rays to rule out other conditions. The absence of symptoms is significant because gallstones are considered to be a predisposing factor for gallbladder cancer. In fact, gallstones are present in 75 percent of all gallbladder cancers in 1989.

Current treatment of gallbladder disease usually involves medication to reduce irritation, restriction of fat consumption, and surgery to remove the gallstones themselves. New medications designed to dissolve small stones are currently being used in some patients. In addition, a new technique known as lithotripsy is being used, in which small stones are broken up using a series of noninvasive shock waves.

71. According to the passage, cholecystitis is characterized by __________.

[A] feeling nausea at the sight of fatty food [B] acute pain in the abdomen after eating fat*

[C] the accompanying occurrence of heart attack [D] improper digestion of fat in the stomach

72. Which of the following is the main cause of gallstone formation?

[A] The contractions of gallbladder. [B] The overly irritation of the gallbladder.*

[C] Too much cholesterol and calcium in the food. [D] High pressure within the gallbladder.

73. What does the passage say about “five f?s”?

[A] They are basically correct.* [B] They are mostly imaginary.

[C] They are repeatedly told in the story. [D] They are still standards for diagnosis.

74. The passage implies whether pain occurs in gallstone formations may be determined by ________.

[A] the tendency to pass gas [B] the size of the stones

[C] the location of the stones* [D] the presence of cancer

75. Which of the following is not mentioned as a choice for the treatment of gallbladder diseases?

[A] Administering irritation-reducing drugs. [B] Surgical removal of the gallstones.

[C] Introducing a low-salt, high-protein diet.* [D] Crushing or dissolving gallstones.

Passage D

Do you still remember the times when you rolled up your sleeve and received a vaccine given by a doctor or a nurse?

The purpose of a vaccine is to provide an artificially acquired active immunity to a specific disease. A vaccine is a preparation made of the actual cause of the disease—the organism or its toxin—treated in such a way that it will not cause the disease when injected but nevertheless will stimulate antibody formation. Ordinarily the administration of a vaccine is a preventive measure, designed to provide protection in anticipation of an invasion by a certain disease organism.

V accines are now available for nearly all of the common contagious diseases with the exception of the common cold and chicken pox. The decrease in cases of smallpox and typhoid fever is so great that immunizations for these no longer are recommended in the United States.

An exception to the usual rule of a vaccine being given before the invasion of the disease organism is the rabies vaccine. Rabies is a virus disease transmitted by the bite of such animals as dog, and cats. There is no actual cure for rabies; it is fatal in exactly 100 percent of cases. However, the disease develops so slowly following the transmission of the organism that the “treatment” consists of the administration of a vaccine, since there is time enough to develop an active immunity. Anyone bitten by an animal suspected of having rabies should begin this treatment at once. The more desirable method of controlling rabies is to immunize all dogs.

In many cases an active immunity acquired by artificial (or even natural) means does not last a lifetime. Repeated inoculations, called booster shots, given at relatively short intervals, help materially in maintaining a high level of immunity. The number of such booster injections recommended varies with the disease and with the environment or range of exposure of the individual.

76. Which of the following is a correct statement about a vaccine?

[A] A vaccine is used to stimulate antibody formation.*

[B] A vaccine contains the actual disease organism or its toxin.

[C] A vaccine is prepared for the killing of invading organisms.

[D] A vaccine is injected to prevent various kinds of diseases.

77. What can you infer from the second paragraph?

[A] It is impossible to find a vaccine for the common cold.

[B] Common infections can be prevented without vaccines.

[C] V accines have been developed for all contagious diseases.

[D] Contagious diseases are now less of a threat due to vaccination.*

78. Which of the following is true of rabies?

[A] Humans can not be immunized against the disease.

[B] It develops so fast that there is no time for treatment.

[C] The result from being exposed to the virus is always fatal.

[D] It is a disease transmitted from animals to humans.*

79. When should rabies vaccine be given?

[A] As soon as treatment for rabies begins. [B] Immediately after one is bitten by any dog.

[C] Before rabies has a chance to develop.* [D] When other treatments for rabies have failed.

80. Why do we need booster shots according to the passage?

[A] The effects of immunization are limited.* [B] V accines are often not strong enough.

[C] V accines do not work in some people. [D] Our environment is becoming worse.

Section IV Translation (10%)

(15 minutes)

Directions:Translate the following sentences from the reading passages into Chinese and write your version in the corresponding space in your Answer Sheet.

81. First-degree burns are those in which the surface is red and painful, but the skin is not broken or blistered.

82. Before you decide never to go out again at dawn or dusk, though, it pays to consider the latest information about West Nile virus.

83. Many people find out that they have gallstones only after undergoing diagnostic X-rays to rule out other conditions.

84. An exception to the usual rule of a vaccine being given before the invasion of the disease organism is the rabies vaccine.

Section V Composition (15%)

(25 minutes)

Directions：The following is some information concerning a patient. Write a nursing report of about 120 words based on this information.

男孩，15岁，首次入院。四周前严重喉咙痛，伴有发热、头疼、呕吐等症状;症状约在一周消退(subside)，直到入院两天前出现胸痛，呼吸时加剧，偶尔转向(migrate)左肩；痛呈散发状(sporadic)，身体前倾稍有缓解。入院前一天突感右膝关节痛，膝区肿，触痛。昨日开始发烧，持续至入院。无消瘦、气急或脚踝水肿(ankle edema)史。

Transcripts for Listening Comprehension

Part A Dialogues

1. W: I can assure you that this operation is not complicated.

M:But is Doctor Langus suitable for the operation? He?s so young.

W: He may look young, but there?s no more capable s urgeon for this operation than Doctor Langus.

2. W: Y ou say you have a buzzing sound in your ear? Can you hear clearly?

M: I have difficulty in hearing, and there is discharge from the ear.

W: Does the discharge have any odor?

M:Y es, it?s fetid.

3. M: Do your headaches come at any special time of the day?

W: No. They seem to come on any time I get nervous.

M: Does it help to take aspirin or lie down?

W: No, they just seem to go away by themselves.

4. M: Do you have trouble climbing steps?

W: Y es. Climbing up the steps at home, I have to stop and catch my breath.

M: About how many steps can you make before you have to stop?

W: About ten.

5. W: Y ou say you have some urinary problems. Can you explain it?

M: My urine is cloudy and brownish. And I have a burning pain when I urinate.

W: How about your urinary flow?

M:The stream is weak. I feel the urge, but can?t have it out.

6. W: Y ou?re walking again! But you?re not strong enough to walk by yourself. If you want to walk, call one of us.

M: I wanted to see how I?d do at home.

W: But at home you?ll have support. Y our wife will be there. Y ou?ll have some walls nearby.

7. W: Eric! What have you got on your legs?

M:I don?t know. Little infection, maybe.

W:It doesn?t look little to me. Impetigo is what it looks like. That?s no joke. We?d better go to the doctor?s right now.

8. M: Nurse, my doctor wants me to have a stool test for occult blood. Why?

W: Well, it sometimes is a sign of colon cancer.

M: But is colon cancer curable?

W: Y es, curable, but first you have to detect it, and that means you need the test.

9. M: The news report says lung cancers are on the rise.

W:Oh, that?s real bad news, because lung cancer is one of the scariest forms of cancer.

M: What do you mean?

W: Y ou know, while more people are living with some other forms of cancer, the survival rate for all lung cancers is still less than 15 percent.

10. W: I think Maggie has been pushed into nursing.

M: Y ou probably are right. Her father and uncle are doctors. Her mother is a director of nursing. And I hear her mother is very strict with her.

W: I always have the feeling that she became a nurse to please her family, not herself.

Part B Long Dialogue and Short T alk

Long Dialogue

W:Oh, Dr. Pearson. I?ve found you at last. Would you spare me a short moment?

M: Y ou?ve got me at a bad time. What is it?

W: These test reports have to be signed, Dr. Pearson. The Health Board has asked for extra copies.

M: Some other time. I?m in a hurry.

W: Please, Doctor. It?ll only take a moment. I?ve been trying to get you for three days.

M: I don?t know what want me to sign. What is it?

W:It?s the Larry case, Dr. Pearson.

M: There are so many cases. I don?t remember.

W:It?s the workman who was killed when he fell from a high catwalk. If you remember, the employers s aid the fall must have been caused by a heart attack because otherwise their safety precautions would have been prevented it.

M: Y eah. I remember something like that.

W: The examination, however, showed that the man had a healthy heart and no other physical condition which might have caused him to fall.

M: I know all that.

W: So, could you sign these reports now?

M:Sure. And I?m quite sure it was an accident. They?ll have to give the widow a pension. Maybe I can get on with my real work now, eh?

W: Thank you, Doctor. Thank you very much.

Short T alk

Do you think much about your feet? If you?re like most people, you probably take your feet for granted. Each of your feet contains 26 small bones and 150 ligaments, along with many different muscles. All these work together so you can walk, run, and jump.

To get the most from your feet, wearing the right shoes is vital. Too often, people—especially women—choose style over comfort.

It?s a good idea to alternate shoes daily. Wearing the same pair every day can be h ard on your feet. Also, wear shoes designed for the activity you?re doing. Each has a particular arch to support the movement in the foot.

Correct support for your foot is important for your back, too. Pain in your feet can lead to pain in your back. That?s because your feet are the foundation of your skeleton.

Daily foot care can help keep your feet in good shape. Wash and dry your feet thoroughly each day, especially between the toes. Trim your toenails straight across. Wear clean socks and change them da ily. Don?t wear socks that are too short or too tight. If you walk barefoot, stay away from hot surface.

Some people?s feet sweat a lot, making them susceptible to athlete?s foot. These people should wear shoes of leather or other natural materials. Using foot powder also helps.

Part C Note-taking and Gap-filling

The medical history of a patient is essential for the physician who is attempting to analyze the manifestations of a disease. The first items to be recorded are the patient?s name, race, age, bi rthplace, sex, marital status, occupation, and residence. The patient?s age is an important factor because certain diseases, including some contagious diseases, congenital heart disease, and acute leukemia, are found mainly in young people, while other diseases, including arteriosclerotic heart disease and degenerative diseases, are much more common in middle-aged and elderly people. The patient?s occupation is also an important factor, especially if the patient?s job exposes him to certain substances.

The real medical history starts with a description of the reason for the patient?s coming to the hospital for

consultation. The physician needs to know the exact circumstances of the appearance, extent, and duration of the symptoms. Further questioning dev elops details of the health of the patient?s family, his habits and lifestyle, and his previous medical experiences. Finally, the physician asks a series of questions about each of the body systems such as the heart, lungs, and stomach. At the completion of a thorough medical history, the physician often has a good lead to the nature of the patient?s disorder, or at least he can begin to categorize illness.

Key

Section I Listening Comprehension

1. D

2. B

3. C

4. D

5. A

6. C

7. D

8. B

9. A10. D

11. B 12. C 13. A14. B 15. C 16. A17. D 18. B 19. A20. C

Section II Use of English

31. C 32. D 33. A34. A35. B 36. B 37. D 38. C 39. A40. D

41. C 42. B 43. C 44. B 45. D 46. A47. A48. D 49. C 50. B

51. B 52. D 53. C 54. C 55. B 56. B 57. A58. A59. A60. D

Section III Reading Comprehension

61. A62. C 63. B 64. D 65. D 66. C 67. B 68. D 69. B 70. A

71. B 72. B 73. A74. C 75. C 76. A77. D 78. D 79. C 80. A

Section IV T ranslation

81. 一度烧伤是指的是皮肤表面发红、疼痛，但无破碎或水泡。

82. 不过，在你做出清晨或傍晚决不再出门的决定之前，考虑一下关于西尼罗病毒的最新情况是有益的。

83. 许多人只是在为了排除另一些疾病而进行X光诊断时，才发现自己有胆结石。

84. 疫苗要在病菌入侵以前接种这一通常规则的一个例外是狂犬病疫苗。

Section V Composition

A possible version：

The boy is 15 years old, and this is his first hospital admission. About four weeks prior to admission, the patient had a severe sore throat accompanied by fever, headache, and vomiting. This subsided in about a week,

and apparently the patient was well until two days prior to admission, at which time he began to experience sharp chest pain, which became worse on respiration and occasionally would migrate to the left shoulder, the pain is sporadic, and partial relief is obtained when the patient leans forward. One day prior to admission the patient experienced sudden joint pain in the right knee. The area was swollen and painful to touch. Fever began yesterday and persisted up to the time of admission. There is no history of weight loss, shortness of breath, or ankle edema.

理解性材料信息表