19 - Victor Rosario

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Part A

In this part of the test, you'll hear two different extracts. In each
extract, a health professional is talking to a patient. For questions 1-
24 ,complete the notes with information you hear. Now, look at the
notes for extract one.

Extract 1

Questions 1-12

You hear a physician talking to a patient called Mr. Victor Rosario. For
questions 1-12, complete the notes with a word or short phrase. You
now have 30 seconds to look at the notes.

Patient : Victor Rosario

Age 67

Patient's description of symptoms:

• has frequent nausea & vomiting with aspiration pneumonia and


(1)

• endoscopy exposed a small ulcer after dropping hematocrit and


feels (2) now.

• last week CT scan revealed pneumatosis, cecum worrisome for


ischemic colitis, bilateral hydronephrosis and (3)

• had multiple bowel movements, passing flatus and heavy gastric


pain (4)

• chronic alcohol user, quitted (5) long ago

Past medical history :


• has chronic obstructive pulmonary disease

• has history of pneumonia and aspiration pneumonia,


osteoporosis, alcoholism & (6)

Physical examination :

• He is afebrile, heart rate— 100s-120s at times with (7) _

• respiratory rate- 17-20, BP- 130s-150s, 60s-70s

abdomen is distended with tenderness, mainly in the upper abdomen,


very hard to (8) _

Diagnosis : CT scan shows pneumatosis in the cecum enlarged &

filled with stool & (9) , chronically dilated small bowel.

• has a possibility of ischemic cecum with (10), bilateral


hydronephrosis on atrial fibrillation, aspiration pneumonia, chronic
alcohol abuse, acute renal failure,

chronic obstructive pulmonary disease, anemia with gastric ulcer.

Further diagnosis : (11) to assess it further to see if there's

worsening pneumatosis versus resolution to further evaluate liver


lesions & make decisions regarding planning at that time.

• has frequent desaturations secondary to aspiration pneumonia,


so any surgical procedure or any surgical intervention would definitely
need (12) and then require long-term ventilator care.
Extract 2

Questions 13-24.

You hear a doctor talking to a patient called Noah Baxter. For


questions

13- 24, complete the notes with a word or short phrase. You now
have thirty seconds to look at the notes.

Patient : Noah Baxter

Age 36

Symptoms & diseases: Allergies

Patient's description of symptoms:

• intolerance to inhalant and (13)

• no anaphylaxis or angioedema

Past medical history: was under dialysis due to (14) , 6 months ago

• during that time, had acute event of perioral swelling

• etiology uncertain

• diagnosis showed allergic reaction was because of

(15) , used to treat a cellulitis dialysis shunt infection

Medications : Atenolol for controlling blood pressure

• Sodium bicarbonate, Lovaza & (16) Previous treatments :


corticosteroid therapy, antihistamine therapy & monitoring
• Permcath insertion (17) in peritoneal dialysis

Allergies : heparin causes thrombocytopenia

Family history of illness:

family members have severe heart disease, (18)

and food allergies.

Physical examination : blood pressure-128/78, pulse-70,

• temperature-97.8, weight- (19) height-5'7" Impression


: has developed (20)

Further diagnosis : require radioallergosorbent test to investigate

(21) _ to determine allergic substances

Further treatment : avoid the (22) that test report shows

• stop further usage of (23)_ _

• Use EpiPen in the event of acute angioedema or

(24) or sensation of impeding allergic reaction.

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

Part B

In this part of the test, you'll hear six different extract In each extract,
you'll hear people talking in a differe healthcare setting. For questions
25-30, choose the answer A, B or C which fits best according to what
you hear. You'll have time to read each question before you listen.
Complete your answers as you listen. Now look at Question 25.

25. You hear a doctor explaining to his patient about a bone-marrow


biopsy. bone marrow sample can be obtained from

A. the blood forming portion of thinnercore of bone

B. both sternum and front of pelvic bone near groin

C. pelvic bone near the lower back side of the hip

26. You hear two hospital managers talking about an information


session for people who want to do voluntary work. What problem do
the managers discuss?

A. issues with event management systems

B. difficulty in finding a good catering service

C. issues with contacting the participant

27. You hear a discussion between a nurse and a doctor on different


categories of chemotherapy drugs. Antimetabolites

A. imitate as nutritional sources for cells

B. starve the essential cells to their death

C. prevent cancer cells from reproducing

28. You hear a discussion between a doctor and a nurse about


pancreatic neuroendocrine tumors.Which of the following tumors is
not usually located at the head of pancreas?
A. Glucagonoma

B. Insulinoma

C. Gastrinoma

29. You hear a monologue by a physician explaining about gall


stones.Which is the common type of gall stones?

A. Blue –green gall stones

B. Pigment gall stones

C. Cholesterol gall stones

30. You hear a doctor briefing junior doctors about trigger point
injections. Which one of the following is not a complication of trigger
point injection?

A. Skin irritation

B. Mild healing

C. Skin infection

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


PART C

In this part of the test , you’ll hear two different extract.In each
extract,you’ll hear health professionals talking about aspects of their
aspects of their work. For questions 31-42 , choose the answer A,B or
C which fits best according to what you hear.Complete your answers
as you listen .Now look at extract one. Extract 1, Questions 31-36

You hear a psychiatrist called Dr Anthony Gibbons , giving a


presentation about the role of case stories in medicine.You now have
90 seconds to read questions 31-36

31. Which one of the following statements is incorrect? In the case


study sent to Dr Gibbons, at the first time the patient was not

A. hospitalized for panic attacks

B. treated with narco analysis

C. treated with antidepressant

32. According to Dr Gibbons, among readers case histories

A. had neutral impacts

B. provided morale-boosting

C. were used to identify depression

33. What disadvantage of doctors using case stories does Dr Gibbons


identify?
A. inclination to make quick conclusions

B. disregarding results of controlled trials

C. psychiatrists loosely supported descriptions

34. What is the most important benefit of case stories?

A. guiding role as true illustration

B. having a narrow focus on data

C. building hypothesis for practice

35. How does Dr Gibbons feel about randomized medical trials?

A. doubts the efficiency of the entire process

B. questions how data are collected for the method

C. doubts when the values are used independently

36. According to Dr Gibbons, in the future case stories will be

A. published more widely

B. widely accepted in medicine

C. used to inform research Now look at extract two. Extract 2

Questions 37-42
You hear the monologue of Dr Thaddeus Roxby, giving a lecture on the
types of eczema. You now have 90 seconds to read questions 37-42.

37. Which one of the following types of eczema happen due to


inhalant allergies?

A. A . Allergic contact dermatitis

B. Atopic dermatitis

C. Irritant dermatitis

38. Poison Ivy causes

A. Allergic contact dermatitis

B. Scabies

C. Irritant dermatitis

39. What occurs due to poor blood circulations in the veins of the
legs?

A. Irritant dermatitis

B. Atopic dermatitis

C. Stasis dermatitis

40. Tiny blisters on the sides of the fingers or toes and palms or soles
are the symptoms of
A. Scabies

B. Pompholyx

C. Fungal infections

41. Eczema that produce thickened plaques on the shins and neck is

A. Seborrheic dermatitis

B. Dyshidrotic eczema

C. Lichen simplex chronicus

42. Oozy rash behind the ears is caused by

A. Seborrheic dermatitis

B. Dyshidrotic eczema

C. Lichen simplex chronicus

That is the end of Part C

You now have two minutes to complete your answers. END OF


LISTENING TEST.
OET 2.0 NEW TEST 4 ANSWER KEY PART A

EXTRACT 1, QUESTIONS 1-12

1. abdominal discomfort

2. anemic

3. multiple liver lesions

4. yesterday

5. smoking

6. microcytic anemia

7. atrial fibrillation

8. localize

9. air fluid levels

10. possible metastatic disease

11. repeat CT scan

12. intubation

EXTRACT 2, QUESTIONS 13-24

13. environmental allergies

14. renal failure

15. Keflex
16. Dialyvite

17. three times

18. carcinoma

19. 207 pounds

20. acute anaphylaxis

21. specific lgE antibodies

22. offending agent

23. cephalosporin antibiotics

24. allergic reaction

PART B

25. B. both sternum and front of pelvic bone near groin

26. B. difficulty in finding a good catering service

27. A. fake as nutritional sources for cells

28. A. glucagonoma

29. C. cholesterol gall stones

30. B. mild healing

PART C

EXTRACT 1, QUESTIONS 31-36

31. C. treated with antidepressant


32. B. provided morale-boosting

33. A. inclination to make quick conclusions

34. B. having a narrow focus on data

35. C. doubts when the values are used independently

36. B. widely accepted in medicine

EXTRACT 2, QUESTIONS 37-42

37. B. Atopic dermatitis

38. A. Allergic contact dermatitis

39. C. Stasis dermatitis

40. B. Pompholyx

41. C. Lichen simplex chronicus

42. A. Seborrheic dermatitis

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