Reading Sub-Test - Answer Key Part A: Joby'S Toppers International Academy Private Limited
Reading Sub-Test - Answer Key Part A: Joby'S Toppers International Academy Private Limited
PART A: QUESTIONS: 1 – 20
1 D
2 C
3 B
4 D
5 A
6 B
7 C
8 headache(s)
9 hepatitis C OR hep C
10 ALF OR acute liver failure
11 renal failure (NOT: renal dysfunction)
12 methionine
13 (activated) charcoal
14 speed of absorption
15 right upper quadrant
16 nausea OR vomiting OR nausea and vomiting OR vomiting and nausea
17 enzyme-inducing
18 100 OR a hundred OR one hundred
19 12 OR twelve
20 supportive (treatment)
w . .
© Cambridge Boxhill Language Assessment – ABN 51 988 559 414
READING SUB-TEST – ANSWER KEY
70 PRACTICE TEST 1
READING SUB-TEST – ANSWER KEY
1 A
2 B
3 A
4 D
5 B
6 C
7 B
8 fine bore
9 water-based lubricant
10 tape
11 (a) syringe
16 stretch
17 gastroesophageal reflux
18 6/six Fr/French
19 breathlessness
PRACTICE TEST 1 71
Reading sub-test
Answer Key – Parts B & C
72 PRACTICE TEST 1
READING SUB-TEST – ANSWER KEY
12 B infection control
PRACTICE TEST 1 73
JOBY'S TOPPERS INTERNATIONAL ACADEMY PRIVATE LIMITED
JOBY'S TOPPERS INTERNATIONAL ACADEMY PRIVATE LIMITED
JOBY'S TOPPERS INTERNATIONAL ACADEMY PRIVATE LIMITED
JOBY'S TOPPERS INTERNATIONAL ACADEMY PRIVATE LIMITED
JOBY'S TOPPERS INTERNATIONAL ACADEMY PRIVATE LIMITED
READING SUB-TEST – QUESTION PAPER: PARTS B & C
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© Cambridge Boxhill Language Assessment – ABN 51 988 559 414
96 PRACTICE TEST 2
Part B
In this part of the test, there are six short extracts relating to the work of health professionals. For
questions 1-6, choose answer (A, B or C) which you think fits best according to the text.
Post-operative dressings
PRACTICE TEST 2 97
2. As explained in the protocol, the position of the RUM container will ideally
A Returned Unwanted Medicine (RUM) Project approved container will be delivered by the
wholesaler to the participating pharmacy.
Needles, other sharps and liquid cytotoxic products should not be placed in the container,
but in one specifically designed for such waste.
98 PRACTICE TEST 2
3. The report mentioned in the memo suggests that
Nurse Unit Managers are directed to review their systems for the administration of oral
anti-cancer drugs, and the reporting of drug errors. Serious concerns have been raised in a
recent report drawing on a national survey of pharmacists.
PRACTICE TEST 2 99
4. What point does the training manual make about anaesthesia workstations?
B There are several ways of ensuring that the ventilator is working effectively.
Anaesthesia Workstations
Studies on safety in anaesthesia have documented that human vigilance alone is
inadequate to ensure patient safety and have underscored the importance of monitoring
devices. These findings are reflected in improved standards for equipment design,
guidelines for patient monitoring and reduced malpractice premiums for the use of
capnography and pulse oximetry during anaesthesia. Anaesthesia workstations integrate
ventilator technology with patient monitors and alarms to help prevent patient injury in
the unlikely event of a ventilator failure. Furthermore, since the reservoir bag is part of
the circuit during mechanical ventilation, the visible movement of the reservoir bag is
confirmation that the ventilator is functioning.
Cleaning Audits
Three rounds of environmental cleaning audits were completed in 2013-2014. Key personnel
in each facility were surveyed to assess the understanding of environmental cleaning from
the perspective of the nurse unit manager, environmental services manager and the director
of clinical governance. Each facility received a report about their environmental cleaning
audits and lessons learned from the surveys. Data from the 15 units were also provided to
each facility for comparison purposes.
The knowledge and experiences from the audits were shared at the BMTEC Forum in August
2014. This forum allowed environmental services managers, cleaners, nurses and clinical
governance to discuss the application of the standards and promote new and improved
cleaning practice. The second day of the forum focused on auditor training and technique with
the view of enhancing internal environmental cleaning auditing by the participating groups.
For many, homeopathy is simply unscientific, but regular users hold a very different view.
Homeopathy works by giving patients very dilute substances that, in larger doses, would
cause the very symptoms that need curing. Taking small doses of these substances
– derived from plants, animals or minerals – strengthens the body’s ability to heal and
increases resistance to illness or infection. Or that is the theory. The debate about its
effectiveness is nothing new. Recently, Australia’s National Health and Medical Research
Council (NHMRC) released a paper which found there were ‘no health conditions for
which there was reliable evidence that homeopathy was effective’. This echoed a report
from the UK House of Commons which said that the evidence failed to show a ‘credible
physiological mode of action’ for homeopathic products, and that what data were available
showed homeopathic products to be no better than placebo. Yet Australians spend at least
$11 million per year on homeopathy.
So what’s going on? If Australians – and citizens of many other nations around the world –
are voting with their wallets, does this mean homeopathy must be doing something right?
‘For me, the crux of the debate is a disconnect between how the scientific and medical
community view homeopathy, and what many in the wider community are getting out of it,’
says Professor Alex Broom of the University of Queensland. ‘The really interesting question
is how can we possibly have something that people think works, when to all intents and
purposes, from a scientific perspective, it doesn’t?’
Part of homeopathy’s appeal may lie in the nature of the patient-practitioner consultation. In
contrast to a typical 15-minute GP consultation, a first homeopathy consultation might take
an hour and a half. ‘We don’t just look at an individual symptom in isolation. For us, that
symptom is part of someone’s overall health condition,’ says Greg Cope, spokesman for the
Australian Homeopathic Association. ‘Often we’ll have a consultation with someone and find
details their GP simply didn’t have time to.’ Writer Johanna Ashmore is a case in point. She
sees her homeopath for a one-hour monthly consultation. ‘I feel, if I go and say I’ve got this
health concern, she’s going to treat my body to fight it rather than just treat the symptom.’
Most people visit a homeopath after having received a diagnosis from a ‘mainstream’
practitioner, often because they want an alternative choice to medication, says Greg Cope.
‘Generally speaking, for a homeopath, their preference is if someone has a diagnosis from a
medical practitioner before starting homeopathic treatment, so it’s rare for someone to come
and see us with an undiagnosed condition and certainly if they do come undiagnosed, we’d
want to refer them on and get that medical evaluation before starting a course of treatment,’
he says.
The question of a placebo effect inevitably arises, as studies repeatedly seem to suggest
that whatever benefits are being derived from homeopathy are more a product of patient
faith rather than of any active ingredient of the medications. However, Greg Cope dismisses
this argument, pointing out that homeopathy appears to benefit even the sceptics: ‘We might
see kids first, then perhaps Mum and after a couple of years, Dad will follow and, even
though he’s only there reluctantly, we get wonderful outcomes. This cannot be explained
simply by the placebo effect.’ As a patient, Johanna Ashmore is aware scientific research
does little to support homeopathy but can still see its benefits. ‘If seeing my homeopath
each month improves my health, I’m happy. I don’t care how it works, even if it’s all in the
mind – I just know that it does.’
But if so many people around the world are placing their faith in homeopathy, despite
the evidence against it, Broom questions why homeopathy seeks scientific validation.
The problem, as he sees it, lies in the fact that ‘if you’re going to dance with conventional
medicine and say “we want to be proven to be effective in dealing with discrete physiological
conditions”, then you indeed do have to show efficacy. In my view this is not about broader
credibility per se, it’s about scientific and medical credibility – there’s actually quite a lot of
cultural credibility surrounding homeopathy within the community but that’s not replicated in
the scientific literature.’
7. The two reports mentioned in the first paragraph both concluded that homeopathy
C acceptance of the view that the subject may merit further study.
D concern over the risks people face when receiving such treatment.
C the way that homeopathic remedies endanger more than just the user
From the comments quoted in the sixth paragraph, it is clear that Johanna
13.
Ashmore is
14. What does the word ‘this’ in the final paragraph refer to?
Paralysed from the neck down by a stroke, Cathy Hutchinson stared fixedly at a drinking straw
in a bottle on the table in front of her. A cable rose from the top of her head, connecting her to
a robot arm, but her gaze never wavered as she mentally guided the robot arm, which was
opposite her, to close its grippers around the bottle, then slowly lift the vessel towards her
mouth. Only when she finally managed to take a sip did her face relax. This example illustrates
the strides being taken in brain-controlled prosthetics. But Hutchinson’s focused stare also
illustrates the one crucial feature still missing from prosthetics. Her eyes could tell her where the
arm was, but she couldn’t feel what it was doing.
Prosthetics researchers are now trying to create prosthetics that can ‘feel’. It’s a daunting
task: the researchers have managed to read signals from the brain; now they must write
information into the nervous system. Touch encompasses a complicated mix of information
– everything from the soft prickliness of wool to the slipping of a sweaty soft-drink can. The
sensations arise from a host of receptors in the skin, which detect texture, vibration, pain,
temperature and shape, as well as from receptors in the muscles, joints and tendons that
contribute to ‘proprioception’ – the sense of where a limb is in space. Prosthetics are being
outfitted with sensors that can gather many of these sensations, but the challenge is to get the
resulting signals flowing to the correct part of the brain.
For people who have had limbs amputated, the obvious way to achieve that is to route the
signals into the remaining nerves in the stump, the part of the limb left after amputation. Ken
Horch, a neuroprosthetics researcher, has done just that by threading electrodes into the
nerves in stumps then stimulating them with a tiny current, so that patients felt like their fingers
were moving or being touched. The technique can even allow patients to distinguish basic
features of objects: a man who had lost his lower arms was able to determine the difference
between blocks made of wood or foam rubber by using a sensor-equipped prosthetic hand.
He correctly identified the objects’ size and softness more than twice as often as would have
been expected by chance. Information about force and finger position was delivered from the
prosthetic to a computer, which prompted stimulation of electrodes implanted in his upper-arm
nerves.
As promising as this result was, researchers will probably need to stimulate hundreds or
thousands of nerve fibres to create complex sensations, and they’ll need to keep the devices
working for many years if they are to minimise the number of surgeries required to replace
them as they wear out. To get around this, some researchers are instead trying to give
patients sensory feedback by touching their skin. The technique was discovered by accident
by researcher Todd Kuiken. The idea was to rewire arm nerves that used to serve the hand,
for example, to muscles in other parts of the body. When the patient thought about closing his
or her hand, the newly targeted muscle would contract and generate an electric signal, driving
movement of the prosthetic.
Nurmikko and other researchers are therefore using light, in place of electricity, to activate
highly specific groups of neurons and recreate a sense of touch. They trained a monkey to
remove its hand from a pad when it vibrated. When the team then stimulated the part of its
brain that receives tactile information from the hand with a light source implanted in its skull, the
monkey lifted its hand off the pad about 90% of the time. The use of such techniques in humans
is still probably 10–20 years away, but it is a promising strategy.
Even if such techniques can be made to work, it’s unclear how closely they will approximate
natural sensations. Tingles, pokes and vibrations are still a far cry from the complicated
sensations that we feel when closing a hand over an apple, or running a finger along a table’s
edge. But patients don’t need a perfect sense of touch, says Douglas Weber, a bioengineer.
Simply having enough feedback to improve their control of grasp could help people to perform
tasks such as picking up a glass of water, he explains. He goes on to say that patients who
wear cochlear implants, for example, are often happy to regain enough hearing to hold a phone
conversation, even if they’re still unable to distinguish musical subtleties.
15. What do we learn about the experiment Cathy Hutchinson took part in?
17. What is said about the experiment done on the patient in the third paragraph?
18. What drawback does the writer mention in the fourth paragraph?
D The research into the new technique hasn’t been rigorous enough.
20. What do we learn about the experiment that made use of light?
21. In the final paragraph, the writer uses the phrase ‘a far cry from’ to underline