25

IRS Test 5

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 Listening test

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Extract 1: Questions 1-12

You hear a doctor talking to a patient called Graham, a patient with breathing difficulty.
For questions 1-12, complete the notes with a word or short phrase.
You now have thirty seconds to look at the notes.

Patient : Graham

Reason for presenting : trouble with (1) ________________________

Description of symptoms : experiences wheezing and breathlessness

(2) ________________________ a lot (3 weeks)

white (3) ________________________ - thought it was a cold

(4) ______________________ getting worse as weeks progressed

very worried when he is (5) _______________________ able to

take breath.

(6) ________________________ are more frequent now

worse at night and in the morning

(7) ________________________ did not go for work yesterday

chest tightness without pressing pain

Precipitating factors : no known (8) ________________________ to dust

no known use of drugs

Further factors : work has been intense

(9) ________________________ has made him anxious

Points to consider : (10) ________________________ had anything like this before

has no other known medical conditions

first time being (11) ________________________

sister and mother has (12) ________________________

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 Extract 2: Questions 13-24

You hear a doctor talking to a client called Barbara Roberts, a patient with psychosomatic disorder.
For questions 13-24, complete the notes with a word or short phrase. © IRS Group

You now have thirty seconds to look at the notes.

Patient : Barbara Roberts

Age : 58 years

Difficulties experienced : terrible trouble with the stomach

(13) ________________________ nearly all the time

often times, feels (14) ________________________

swings between (15) ______________________ and constipation

cramping feeling (16) ________________________

passes very smelly wind

Onset of the condition : about (17) ________________________ ago

Previous treatment and : started with (18) ________________________

investigation took other medications including (19) ________________________

gastroscopy was performed

(20) ________________________ also administered

Assessment of : feels (21) _______________________ pain, can’t be all in the head

insight thought it was an infection that had not cleared

sometimes wonders if its an (22) ________________________

Treatment options : try to bring back few (23) ____________________________

(24) ________________________ between the tablets that are

helping and ones that aren’t

wait for 2-3 months for results to show

keep an eye on the symptoms

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

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 Part B
In this part of the test, you’ll hear six different extracts. In each extract, you’ll hear people talking in a different
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 nurse manager speak to his team.

What needs to be focused on

A effectively pacing the week ahead

B attending to the patient regularly
C ensuring the completion of procedures

26. You hear a doctor discussing with a patient the complications of a surgical procedure

The risks associated with the procedure are

A benign and can be corrected

B uncommon and problem free
C varied but usually infrequent

27. You hear the head of a unit discussing patient details

Observation made on the patient is

A satisfactory according to the results

B encouraging for further treatment
C stable as per ongoing treatment

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 28. You hear a nurse brief about behavioural nursing

What is the purpose of the extract

A to identify shortcomings in children

B to share school nursing experience
C to highlight a shortage of expertise

29. You hear a scientist deliver a talk on physical activities for children

What does he advocate

A repetitive activities for specific areas

B minimise overuse of certain parts
C must play in a variety of sports

30. You hear a talk by a nurse anasthetist

How do the mannequins respond to procedure

A by alerting the nurses if vitals fluctuate

B by being versatile to the presenting process
C by mimicking the changes in ill patients

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

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 Part C

In this part of the test, you’ll hear two different extracts. In each extract, you’ll hear health professionals
talking about aspects of their work.

For questions 31 to 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 to 36

You hear a talk on suicide prevention by a social researcher Mary Todd.

You now have 90 seconds to read questions 31-36.

31. Mary describes the purpose of secondary suicide prevention is as

A reduce the number of new cases

B bring down the attempts in an area
C minimise the attempts by the suicidal

32. Secondary suicide prevention is understated because

A it is only starting to be applied in practice

B suicide is difficult to predict due to complexity
C recent events lead to increased suicide

33. Mary talks on the importance of suicide assessment because

A psychiatric illness is a major contributing factor

B it enables in the identification of the risk factors
C it helps develop diagnosis and treatment methods

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 34. What must be done for subjective rating of severity of depression

A physicians should not hesitate to ask on suicidal ideation

B clinicians need to overcome obstacles in providing care
C additional information should be incorporated into assessment

35. Mary feels that suicide rates may be reduced by interventions like

A legal restrictions that reduce access to harmless substances

B psychological follow up and other methods including telephonic
C therapies that address repetition of suicide thoughts and behaviours

36. What is the increasing concern with digital media covering suicide

A there are still many gaps in the research

B it glamorises suicide among the vulnerable
C it provides accessible information for an attempt

Now look at extract two.

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Extract 2: Questions 37 to 42

You hear an interview with Samantha Solon, a lead scientist on diet that boosts the ‘miracle
hormone’
You now have 90 seconds to read questions 37-42.

37. Samantha feels that prospects for are high because?

A it has been proven effective for longevity

B the effects of administration are long term
C varied indicators of health can be influenced

38. What does the study of diet in mice identify

A an influence on metabolic rate

B effective way for increasing the hormone
C the animals showed an increase in weight

39. Samantha opines the influence of protein is

A minimal without high carbohydrate

B in tandem with the carbohydrates
C optimal with high carbohydrate

40. According to the expert, evidence from paradoxical conditions are

A that reduced protein intake is crucial

B teased apart for clarity on findings
C studied for influence of insulin variation

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 41. What can be done to harness the potential of the hormone?

A modify the diet and nutritional guidelines

B administration by means of chronic injection
C develop a mimetics for increased effectiveness

42. What can be said with certainty as per the expert

A everyone is in a race for an answer

B the dynamics can not be explained now
C no one knows the mechanism of action

That is the end of Part C.

You now have two minutes to check your answers.

THAT IS THE END OF THE LISTENING TEST

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LISTENING SUB-TEST 5

PART A: QUESTIONS 1 - 12

1 breathing
2 coughing
3 phlegm
4 started
5 not
6 attacks
7 nearly
8 allergy
9 mortgage
10 never
11 ill
12 eczema

PART A: QUESTIONS 13 - 24

13 (terrible) discomfort
14 bloated
15 diarrhoea
16 sometimes
17 4 years / four years
18 muscle relaxants
19 imodium
20 barium enema
21 real
22 ulcer
23 reassurable things
24 decide

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 PART B: QUESTIONS 25 - 30

25 C ensuring the completion of procedures

26 C varied but usually infrequent
27 C stable as per ongoing treatment
28 C to highlight a shortage of expertise
29 C must play in a variety of sports
30 B by being versatile to the presenting process

PART C: QUESTIONS 31 - 36

31 C minimise the attempts by the suicidal

32 A it is only starting to be applied in practice
33 B it enables in the identification of the risk factors
34 A physicians should not hesitate to ask on suicidal ideation
35 C therapies that address repetition of suicide thoughts and behaviours
36 C it provides accessible information for an attempt

PART C: QUESTIONS 37 - 42

37 C varied indicators of health can be influenced

38 B effective way for increasing the hormone
39 C optimal with high carbohydrate
40 B teased apart for clarity on findings
41 A modify the diet and nutritional guidelines
42 C no one knows the mechanism of action

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