MOCK TEST - ENGLISH SPEAKING CLUB H.E.I.

- Y2
UNIVERSITY OF MEDICINE AND PHARMACY – HO CHI MINH CITY
ENGLISH SPEAKING CLUB H.E.I.
ENGLISH MOCK TEST
For Medicine Majors
November, 2024
Time: 60 minutes
Page Total: 05
(Do not write your answers on this test paper, and return it to the invigilator after the test.)

SECTION A. LISTENING COMPREHENSION (20 Points)

You will hear the recording TWICE.
PART 1. Listen to a conversation and fill in the missing information with ONE word only. Write
your answer on the separate answer sheet. (10 points)
(D = Doctor; P = Patient)
D: What brings you in to see me today?
P: I‘ve been having pain around the right side of my (1) _____________.
D: Have you felt sick or been sick?
P: No.
D: Can you describe the pain? Where it began and where it is now?
P: The pain started yesterday around my belly button and then moved down to the right side. It's a
dull (2) _____________ kind of pain.
D: Do you feel hungry? Have you eaten today?
P: I don't feel hungry now although I had breakfast earlier this morning.
D: Have you had any hot shivery turns or chills? Any problems with (3) _____________? Any back
pain? Any change in your (4) _____________ movements?
P: No, I’ve had none of those.
D: Have you had any colds or trouble with your chest over the past week?
P: No, I haven't.
D: Have you had any (5) _____________ over the past few days?
P: No.
D: Can you please get into a gown and I will return and examine you… Does it
hurt when I press here?
P: Ouch!
D: Does it hurt when I let it out?
P: Ouch! …
D: I think that there is a good possibility that you have (6) _____________ although one cannot be
sure. We'll get some blood tests looking at your white blood (7) _____________, however, based on
your symptoms I think it would be wise to (8) _____________ you to hospital, and put you on a (9)
_____________, and if you don't improve, then I think we should (10) _____________ that appendix.

PART 2. Listen to the conversation and choose the best answer. Then mark a cross (x) over
the letter of the answer you have chosen on the separate answer sheet. (10 points)
11. What did the patient’s wife first notice about his condition?
A. He felt sick.
B. He had pain in the centre of his chest.
C. He got breathless and agitated.
D. He started vomiting.
12. What did the patient use to relieve the chest pain?
A. Aspirin B. An inhaler C. A GTN spray D. A painkiller
13. What time did the patient’s wife call for an ambulance?
A. At 6:00 B. At 7:00 C. At 7:30 D. Around 7:00
14. How long did it take for the ambulance to arrive?
A. Less than an hour B. About 30 minutes C. More than an hour D. Immediately
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MOCK TEST - ENGLISH SPEAKING CLUB H.E.I. - Y2
15. What additional pain did the patient report?
A. Pain in both arms B. Pain in his stomach
C. Pain in both legs D. Pain in his head
16. Has the patient had any major illnesses or injuries before?
A. Yes, he had a stroke.
B. Yes, he had surgery recently.
C. No, he hasn’t had any major illness or injury.
D. Yes, he had a heart attack.
17. What is the proposed treatment for the patient?
A. Medication to get rid of blood clots B. A heart surgery
C. A blood transfusion D. Physical therapy
18. What does the doctor need from the patient’s wife before proceeding with the treatment?
A. Her approval for a major surgery
B. Her consent to administer the medication
C. Her agreement to transport the patient to another hospital
D. None of the above
19. What does the doctor recommend for the patient for the moment?
A. A bit of rest B. Physical therapy
C. Immediate exercise D. A follow-up surgery
20. What is the doctor’s opinion about the patient's condition?
A. The patient is in critical condition.
B. The patient will recover quickly and be active soon.
C. The patient will need more treatments after recovery.
D. The patient is stable but requires long-term care.

SECTION B. STRUCTURE AND VOCABULARY (20 Points)

PART 1. Choose the best answer. Then mark a cross (x) over the letter of the answer you have
chosen on the separate answer sheet. (10 points)
21. Once the blood gets __________, it returns along the pulmonary veins to the left atrium.
A. oxygenate B. deoxygenate C. oxygenated D. deoxygenated
22. __________ is the medical term used to describe the temporary chest discomfort that occurs
when the heart is not getting enough blood.
A. Arrhythmia B. Angina C. Hypertension D. Arteriosclerosis
23. The external urethral sphincter is made of ______ muscle and may be opened to allow urine
______ through the urethra or may be held closed to delay urination.
A. skeletal/ to pass B. skeletal/ passes C. smooth/ passing D. smooth/ passed
24. The structure of the lungs includes the bronchial tree - air tubes ___________ from the bronchi
___________ smaller and smaller air tubes, each one ending in a pulmonary alveolus.
A. branch off/ into B. branching out/ into C. branching off/ into D. branching off/ to
25. __________ is the place where urine is stored before it is eliminated from the body.
A. Urethra B. Kidney C. Ureters D. Bladder
26. The salivary glands are ___________ organs that produce a watery secretion known as saliva.
A. accessory B. primary C. secondary D. main
27. The pharynx or throat, which is a muscular tube, is divided into __________ behind the nasal
cavities, __________ behind the mouth and __________ which opens into the larynx or voice box.
A. oropharynx/ laryngopharynx/ nasopharynx
B. nasopharynx/ oropharynx/ laryngopharynx
C. oropharynx/ nasopharynx/ laryngopharynx
D. laryngopharynx/ nasopharynx/ oropharynx
28. Hypersecretion of the growth hormone during childhood is likely to lead to __________.
A. gigantism B. diabetes insipidus C. Cushing's syndrome D. hypothyroidism
29. If the thyroid gland doesn't make enough (a condition called __________), everything happens
more slowly. Your heart rate might __________. You could get constipated. And you might gain
weight.
A. hypothyroidism/ slow down B. hyperthyroidism/ race
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MOCK TEST - ENGLISH SPEAKING CLUB H.E.I. - Y2
C. hyperthyroidism/ slow down D. hypothyroidism/ race
30. The small intestine is the location where most foods are _________.
A. secreted B. digesting and absorbing
C. digested and absorbed D. secreting

PART 2. Choose the word, phrase or sentence that means the same as the underlined word,
phrase or sentence. Then mark a cross (x) over the letter of the answer you have chosen on
the separate answer sheet. (5 points)
31. Sometimes big salt crystals may lodge in the bile duct causing severe symptoms.
A. kidney stones B. cysts C. calcium deposit D. gallstones
32. Having angina means you have an increased risk of having a heart attack.
A. atherosclerosis B. myocardial infarction C. edema D. pericarditis
33. Kidney stones are usually composed of calcium, salts and uric acid.
A. Pyelonephritis B. Dysuria C. Urolithiasis D. Nephritis
34. The secondary bronchi divide further into tertiary bronchi, each of which supplies a
bronchopulmonary segment.
A. segmental bronchi B. lobular bronchi C. None is correct D. lobar bronchi
35. The main functions of the endocrine system and its hormone messengers are to maintain a stable
internal environment in the body and to promote permanent structural changes.
A. metabolism B. homeostasis C. regulation D. maturity
PART 3. Choose the underlined word or phrase that is incorrect. Then mark a cross (x) over
the letter of the answer you have chosen on the separate answer sheet. (5 points)
36. The nephron is the functional unit of the kidney filtering the blood produce urine.
A. The B. functional C. filtering D. produce
37. The portion of the pleura that covers the surface of the lung is called the parietal pleura.
A. portion B. covers C. of D. parietal
38. Blood pressure is the amount of force exerting on the artery walls by pumping blood.
A. is B. exerting C. walls D. pumping
39. Gestational diabetes are usually diagnosed through a blood test at 24–28 weeks into pregnancy.
Women who have had the condition in previous pregnancies may be tested earlier.
A. are B. into C. have had D. be tested
40. Sleepy apnea is a potentially serious sleep disorder in which breathing repeatedly stops and
starts.
A. Sleepy B. potentially C. in D. repeatedly

SECTION C. READING AND WRITING (45 points)

PART 1. Read the text below and think of the word which best fits each gap. Use only one
word in each gap. Write your answer on the separate answer sheet. (15 points)
Inside each kidney are around a million tiny structures called nephrons. The nephron is the (41)
_______ unit of the kidney that filters blood to produce urine. (42) _______ in the kidneys deliver
blood to a bundle of capillaries surrounded by a capsule called a (43) _______. As blood flows
through the glomerulus, much of the blood’s plasma is pushed out of the capillaries and into the
capsule, (44) _______ the blood cells and a small amount of plasma to continue flowing through the
capillaries. The liquid filtrate in the capsule flows through a series of tubules lined (45) _______
filtering cells and surrounded by capillaries. The cells surrounding the tubules selectively absorb
water and substances from the filtrate in the tubule and return it to the blood in the capillaries. At the
same time, waste products present in the blood are secreted (46) _______ the filtrate. By the end of
this process, the filtrate in the tubule has become urine containing only water, waste products, and
excess ions.

Each renal tubule has three major regions. The first region is called the (47) _______ convoluted
tubule or PCT which is a (48) _______ area that extends from the Bowman’s capsule. The second
region is a long loop called the loop of Henle. The loop of Henle connects the PCT to the third region
which is called the (49) _______ convoluted tubule or DCT.

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MOCK TEST - ENGLISH SPEAKING CLUB H.E.I. - Y2
The blood exiting the capillaries has reabsorbed all of the nutrients along with most of the water and
ions that the body needs to function. The kidneys maintain the (50) _______ of several important
internal conditions by controlling the excretion of substances out of the body.

41. A. functions B. functional C. functionally D. function

42. A. Arterioles B. Venules C. Arteries D. Capillaries
43. A. corpuscle B. medulla C. glomeruli D. glomerulus
44. A. which leave B. leaving C. leaves D. Both A&B
45. A. to B. by C. in D. with
46. A. into B. in C. away D. from
47. A. proximity B. proximate C. proximal D. proximad
48. A. coiled B. curl C. straight D. long
49. A. distance B. distancing C. distal D. distant
50. A. metabolic B. homeostasis C. hemostasis D. metabolism

PART 2. Read the following text and write your answers in complete sentences to questions
on the separate answer sheet. (15 points)
Chronic obstructive pulmonary disease (COPD) is a type of obstructive lung disease characterized by
long-term breathing problems and poor airflow. Key symptoms involve shortness of breath and
frequent productive cough. The disease progresses over time, eventually making daily activities, like
walking or getting dressed, challenging.

Different types of COPD have older terms such as chronic bronchitis and emphysema. Chronic
bronchitis consists of a productive cough lasting at least three months each year for two years.
Emphysema is the condition in which alveoli lose elasticity causing distention of the lungs, making it
hard to breathe, especially during exercise. Tobacco smoking is the main cause of COPD, though air
pollution and genetics can also contribute.

The diagnosis relies on lung function tests showing poor airflow. Reducing exposure to risk factors is
the most common way to prevent COPD, including smoking cessation, vaccinations, respiratory
rehabilitation, and using bronchodilators or steroid inhalers. Although COPD treatments can slow
worsening, there is no cure. In severe cases, it is necessary to increase the use of medications and
hospitalization.

Questions:
51. What is the definition of COPD?
52. What do the main symptoms of COPD include?
53. When does emphysema happen?
54. What primarily leads to COPD?
55. How is COPD diagnosed?

PART 3. WRITING (15 points)

Write a case report of about 80 words on the patient, using these notes
Patient name: Paul Green Age: 56 Sex: Male
Marital status: Married Occupation: accountant
Present complaints:
Waking up 3-4 times per night to urinate over the past three months
Daytime fatigue due to sleep loss
Laboratory tests:
Urine culture, urinalysis, several blood tests, and bladder diary
Initial diagnosis:
Benign Prostatic Hyperplasia (BPH)

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MOCK TEST - ENGLISH SPEAKING CLUB H.E.I. - Y2
Treatment:
Restrict fluid intake in the evening
Manage diuretic use
Monitor blood glucose levels
Adjust the timing and dosage of prescribed medications

SECTION D. TRANSLATION (15 points)

Translate the following passage into Vietnamese on the separate answer sheet.
ARRHYTHMIA
An abnormal heart rhythm, or arrhythmia, occurs when your heart beats too fast, slow, or irregularly.
If the functions of the system in your heart are disrupted or damaged, it can change the pattern with
which your heart beats. Arrhythmias can cause no symptoms, or you may feel discomfort, fluttering,
pain, or pounding in your chest, but not all arrhythmias are dangerous. To be safe, any abnormal
heart rhythm should be reported to your doctor. Your doctor will perform a physical examination,
using a stethoscope or an electrocardiogram to detect abnormal heart rhythms and determine the
cause. Treatment varies based on the cause, like lifestyle changes. You might require medication to
control your abnormal heartbeat, as well as any secondary symptoms.

THIS IS THE END OF THE TEST.