EXAMEN
EXAMEN
EXAMEN
INGLÉS TÉCNICO I
Name:__________________________________________________________________________________
_______ Class:_________________________________________Date:
__________________________________________
Group:
_______________________________________________________________________________________
1
Hoja 2 de 2
Multiple Choice:
1. A 48-year-old woman ____________ to her general practitioner (GP) with 3 months’ history of back
pain in the mid-thoracic region.
a. presented
b. present
c. presenting
d. to present
2. The pain was intermittent, worse at night, and relieved by ibuprofen, which she ______ herself.
a. buy
b. bought
c. buying
d. to buy
3. She had no other symptoms, and no relevant past or family history. She had never smoked, and
_________ 10–12 units of alcohol most weeks.
a. drinking
b. drunk
c. to drink
d. drank
4. She _________ part-time stacking the shelves in a supermarket and ______ a very active and
competitive tennis and badminton player.
a. works / are
b. work / is
c. worked / was
d. to work / to be
5. She ______ advised that the pain was musculoskeletal due to exertion at work and sport, and she was
prescribed diclofenac for the pain. She ______ advised to rest from her tennis and badminton.
a. was / was
b. are / were
c. is / were
d. are / is
6. 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
a. heart attack
b. general anaesthetic
c. bone marrow
d. surgical intervention
2
Hoja 3 de 2
a. heart attack
b. general anaesthetic
c. bone marrow
d. surgical intervention
e.
9. Soft tissue in cancellous bone.
a. heart attack
b. general anaesthetic
c. bone marrow
d. surgical intervention
10. APPENDICITIS
A young man sought medical care because of central _______ pain that was diffuse and colicky.
a. chest
b. abdominal
c. back
d. arm
11. After some hours, the pain began to localize in the _____ iliac fossa and became constant.
a. right
b. inferior
c. higher
d. low
12. He was referred to an abdominal ________ , who removed a grossly inflamed appendix. The patient
made an uneventful recovery.
a. surgeon
b. surgical
c. surgery
d. surgeons
13. When the appendix becomes ________ , the visceral sensory fibers are stimulated.
a. inflamed
b. inflated
c. inflammation
d. inflation
3
Hoja 4 de 2
14. The typical symptoms are chest heaviness or pressure, which can be _______ , lasting more than 20
minutes, and often associated with sweating.
a. mild
b. severe
c. light
d. heavy
15. The pain in the chest (which may be described as an “elephant sitting on my chest” or by using a
clenched fist to describe the pain [Levine sign]) often ______ to the arms (left more common than the
right), and can be associated with nausea.
a. radiate
b. radiation
c. to radiate
d. radiates
16. The severity of ischemia and infarction depends on the rate at which the ______ or stenosis has
occurred and whether or not collateral channels have had a chance to develop.
a. occlusion
b. oculus
c. occult
d. auscultation
17. Although men and women can experience the typical symptoms of severe chest pain, cold sweats,
and pain in the left arm, women are more likely than men to have subtler, less ________ symptoms.
a. to recognize
b. recognition
c. recognize
d. recognizable
18. These may include abdominal _____ , achiness in the jaw or back, nausea, shortness of breath, or
simply fatigue.
a. painful
b. panic
c. pain
d. paint
19. The mechanism of this difference is not understood, but it is important to consider _______ ischemia
for a wide range of symptoms.
a. cardinal
b. cardiac
c. cardio
d. carditis
20. The most common abnormalities that occur during development are those produced by a _______ in
the atrial and ventricular septa.
a. defecting
b. defected
c. defective
4
Hoja 5 de 2
d. defect
21. A defect in the interatrial septum allows _____ to pass from one side of the heart to the other from
the chamber with the higher pressure to the chamber with the lower pressure; this is clinically
referred to as a shunt.
a. bleed
b. blood
c. water
d. air
22. An atrial septal defect (ASD) allows oxygenated blood to flow from the left atrium (higher pressure)
across the ASD into the right atrium (lower pressure), resulting in a left to right shunt and volume
overload in the right-sided _________.
a. circulate
b. circulated
c. circulation
d. circulating
23. Many patients with ASD are asymptomatic, but in some cases the ASD may cause symptoms and
needs to be closed surgically or by endovascular devices. Occasionally, increased blood flow into the
right atrium over many years leads to right atrial and right ventricular ___________ and enlargement
of the pulmonary trunk, resulting in pulmonary arterial hypertension.
a. hypertrophic
b. hyperactivity
c. hypertrophy
d. hypoactivity
a. Skeletal system
b. Reproductive system
c. Integumentary system
d. Digestive system
25. Framework and Movement: Shape, support, protection, and storage place for minerals. Movement is
made possible through joints.
a. Skeletal system
b. Reproductive system
c. Integumentary system
d. Digestive system
26. Framework and Movement: ______ produce movement, maintain posture, and produce heat.
a. Skeletal system
b. Reproductive system
c. Muscular system
5
Hoja 6 de 2
d. Digestive system
27. Communication and Control: The ______ system transmits impulses, responds to change, is
responsible for communication, and exercises control over all parts of the body.
a. skeletal
b. reproductive
c. muscular
d. nervous
28. Communication and Control: The glands of the _______ system produce hormones, chemical
messengers, that provide for communication and control over various parts of the body.
a. skeletal
b. reproductive
c. endocrine
d. nervous
29. Transportation and Immunity: Transports oxygen and carbon dioxide, delivers nutrients and
hormones, and removes waste products.
a. Skeletal system
b. Reproductive system
c. Muscular system
d. Cardiovascular system
30. Transportation and Immunity: Transports oxygen and carbon dioxide, chemical substances and cells
that act to protect the body from foreign substances. The lymphatic system stimulates immune
response, protects the body, and transports proteins and fluids.
a. Skeletal system
b. Reproductive system
c. Muscular system
d. Blood and the Lymphatic system
a) -al 1. Hyperhidr______
b) -ary 2. Ventr______
c) -icle 3. Congenit____
d) -ior 4. Integument_____
e) -osis 5. Decubit____
f) -us 6. Anter_____
6
Hoja 7 de 2
g) Occipit/o l) Nails
h) Ocul/o m) Back of the head
i) Odont/o n) Umbilicus
j) Omphal/o o) Teeth
k) Onych/o p) Eye
7
Hoja 8 de 2
Beliefs
We all take our culture for granted but it can profoundly affect notions about symptoms, causes
of illness and appropriate behavior and treatment.
It influences when to seek medical assistance, what patients and doctors expect of the
consultation and how they communicate. In some cultures, for example, it is very difficult for a
woman to see a male doctor. Sometimes, family members may think it is their duty to talk for
the patient whilst the doctor will expect to talk directly with the patient. Sensitive topics may be
difficult to address but failure to do so could jeopardize care. It helps to apologize if offence is
inadvertently caused and explain why such questions are required. Clinicians vary too. Those
from traditional cultures may have a more paternalistic style than some patients want.
36. How can cultural beliefs and practices influence a patient's decision to seek medical
assistance, and what implications does this have for healthcare providers?
37. Can you provide examples of cultural differences that might affect doctor-patient
communication and the role of family members in healthcare decision-making?
40. In what ways can cultural competence training help healthcare practitioners
bridge the gap between their own cultural beliefs and those of their patients, ultimately
improving the quality of care provided?
Grammar
The patient is unsure whether or not he is allergic to penicillin, because he _____ get tested.
a) doesn't
b) didn't
Hoja 9 de 2
c) don't
The patient suffered from paroxysms of coughing. He didn't ________ quite well from
Pertussis.
a) recovering
b) recovered
c) recover
The surgeon probed the wound with a scalpel, but the patient ____ respond.
a) don't
b) didn't
c) doesn't
He didn't _______ the new kidney from his brother, since they are compatible.
a) reject
b) accept
c) rejected
The accident was serious enough, but fortunately the fibula didn't _______.
a) broke
b) break
c) breaks
The tissue was examined under the microscope. It _____ present any type of anomalies.
a) don't
b) didn't
c) doesn't
His diet is calcium-deficient. He ____ get enough nutrients from western food.
a) did
b) don't
c) didn't
Despite following the prescribed diet and exercise plan, the patient didn't ______ a significant
improvement in their cholesterol levels.
a) see
b) saw
c) seeing
The medication didn't _______ the patient's pain as expected, prompting further investigation
into alternative pain management strategies.
a) alleviate
b) alleviated
c) alleviates
Hoja 10 de 2
The patient didn't _________ well to the initial antibiotic treatment, so we had to switch to a
different medication.
a) responded
b) respond
c) responds