METS第二級模擬試卷-醫(yī)護(hù)英語水平考試

performatleastapartialphysicalexaminationatthefirstvisit.Thealsotendtotakeaverydetailedmedicalhistory,includingnutritionalhabitsandenvironmentalfactors.(125ws)SectionWWriting(Time—30minutes)Directions:Inthispart,youareallowed30minutestowriteacasehistory.YoushouldbaseyourcompositionontheinformationgiveninChinesebelow:PleasewriteyourresponseonAnswerSheet2.82．根據(jù)下面的信息寫出英文病歷：同濟(jì)醫(yī)院住院部患者姓名：王堅(jiān)病歷號：1000出生日期：2000年5月7號出生地點(diǎn)：湖北武漢性別：男入院日期：2007年9月1號主訴：咳嗽，哮喘(wheezing)伴呼吸困難?，F(xiàn)病史：這是該患者(7歲，男)首次入院，他從三歲開始有哮喘病，但未因哮喘而住過院。患者之前一直很好，入院前游黃鶴樓時(shí)發(fā)生氣短，使用咳嗽藥無效。哮喘逐漸加重，孩子被帶到武漢同濟(jì)醫(yī)院的急診室，并收留入院。過去史：免疫接種：完全。過敏史：灰塵，洋蔥。家族史：母親32歲，健在。父親38歲，健在。家族中無哮喘及糖尿病。診斷：支氣管哮喘。病歷號：CHARTNUMBER腎上腺素：epinephrine支氣管哮喘：bronchialasthma黃鶴樓:YellowCraneTower(二)聽力部分錄音稿SectionI:ListeningcomprehensionDirections:ThissectionisdesignedtotestyourabilitytounderstandspokenEnglishinnursingcontexts.Youwillhearaselectionofrecordedmaterialsandyoumustanswerthequestionsthataccompanythem.ThereareTWOpartsinthissection,PartAandPartB.Remember,whileyouaredoingthetest,youshouldfirstputdownyouranswersinyourtestbooklet.Attheendofthelisteningcomprehensionsection,youwillhave3minutestotransferyouranswersfromyourtestbookletontoANSWERSHEET1.Ifyouhaveanyquestions,youmayraiseyourhandNOWasyouwillnotbeallowedtospeakoncethetesthasstarted.(Pause00’05’’)(Tone)NowlookatPartAinyourtestbooklet.

PartAYouwillhear10shortdialogues.Foreachdialogue,thereisonequestionandTHREEpossibleanswers.Choosethecorrectanswer-[A],[B],or[C],andmarkitinyourtestbooklet.Youwillhave10secondstoanswerthequestionandyouwillheareachdialogueONLYONCE.Example:Youwillhear:M:Ok.Wouldyoupleasetellmemoreaboutyourplan?W:Oh,Iwill...whenitisreadythisevening.Youwillread:Wheredoyouthinkthedialoguetookplace?Attheoffice.Inthewaitingroom.Attheairport.Fromthedialogue,weknowthatthetwoweretalkingaboutsomeworktheyhadtofinish.Thisismostlikelytohavetakenplaceattheoffice.Soyoushouldchooseanswer[A]andmarkitinyourtestbooklet.SampleAnswer:[，][B][C]NowlookatQuestion1.ThisistheendofPartA.W:Isyourleftlegstillpainful?NowlookatQuestion1.ThisistheendofPartA.W:Isyourleftlegstillpainful?M:Ifeelmuchbetterthanbefore.ButwhenIwalk,itisalittlebitpainful.W:Letmetakeyourbloodpressure.Oh,it’s170/110mmHg.It’sabnormal.Haveyouhadthisbefore?M:No,never.W:Theoperationstartsat9o’clock.ButyouwillhavetogetinjectionsM:Isee.M:WhatcanIdoifIwanttocallyou?W:Thepanelontheheadofthebedisequippedwithanurse-callsystem.Pleasepressthebuttontoalertthestaffatthenurses’Station,whenyouhavesomething.M:Canyousellmepenicillin？W:Sorry，sir.Icannotsellit，youmustfirstgetadoctor’scertificateorprescription.M:Isitpossibleformybrothertostayherewithme？W:Yes，buthehastopayforhisbed.Doeshewanttohavemealsheretoo？Wedon’tthinkitisnecessary.Yourconditionisn’tsoserious.M:CanIstandupagainsincethewoundissoserious?W:Thetechnologyissoadvancedandtherearealotofeffectivemedicines.Pleasebelievethedoctorsandthenurses.You’llbeOK.M:Canyoutellmehowtotakethecoughsyrup?W:Firstshakethebottle.Taketwospoonfulofitthreetimesaday.W:Whatseemstobetheproblem?M:Well,Iwascrossingtheroad,whereacarcameroundthecornertooquickly,andwhenthedriversawme,itwastoolatetostop.Iwasknockedtotheground,andwhenIgotup,Ihaveapaininmyribs.M:ThedoctorsuggestedIhaveaseriesofgastro-intestinaltestsmade.WhatshallIdo?W:I’llmakeanappointmentforyouatonce.Cometomorrowmorningat8.Pleasedon’teatordrinkanythingaftermidnight.PartBYou’regoingtohearonedialogueandtwopassages.Beforelisteningtoeachone,youwillhave5secondstoreadeachofthequestionswhichaccompanyit.Whilelistening,answereachquestionbychoosing[A],[B],or[C].Afterlistening,youwillhave5secondstocheckyouranswertoeachquestion.YouwillheareachpieceTWICE.Questions11-13arebasedonadialoguebetweenapatientandadoctor.Younowhave15secondstoreadQuestions11-13.(Pause00’15’’)(Tone)Doctor(M):What’sthematterwithyou?Patient(W):Doctor,Ihavegotapainthatcomesandgoesintheupperbellyforabouthalfamonth.Doctor:Whatkindofpainisit?Isitadull,hidden,orstabbingpain?Patient:It’sahiddenpain.Doctor:Doesithappenbeforemealsoraftermeals?Patient:UsuallycomesbeforemealsandgetsalittlebetterafterIeatsomething.Doctor:Howisyourappetite?Isthereanychangeinyoururinationandbowelmovementaftertheonsetofthedisease?Patient:IthinkmyappetiteisO.K.,butthecolorofthestoolseemstobecomedark.Doctor:Hmm,let’shavestooltestfirst,Isuspectitmightbestomachbleedingorsomething.Patient:O.K.,I’lldothat.Younowhave30secondstocheckyouranswerstoQuestions11-13.(Pause00’30’’)(Tone)Questions14-16arebasedonthefollowingpassage:Younowhave15secondstoreadQuestions14-16.(Pause00’15’’)(Tone)HearttransplantisthefourthmostcommontransplantoperationintheU.S.,withover2,200casesperyear.Cornea,kidneyandlivertransplantsarethemostcommon.Ahealthyheartisobtainedfromadonorwhoisbraindeadbutonlife-support.Thehealthyheartisputintoaspecialsolutionthatpreservestheorgan.Thepatientisputintoadeepsleepwithgeneralanesthesia,andacutismadethroughthebreastbone.Thepatient'sbloodiscirculatedthroughaheart-lungbypassmachinetokeepthebloodoxygen-rich.Thepatient'sdiseasedheartisremovedandthedonorheartisstitchedinplace.Theheart-lungmachineisdisconnected.Bloodflowsthroughthetransplantedheart.Younowhave30secondstocheckyouranswerstoQuestions14-16.(Pause00’30’’)(Tone)Questions17-20arebasedonthefollowingpassage:Younowhave20secondstoreadQuestions17-20.(Pause00’20’’)(Tone)HIVisfoundinbodyfluidssuchasblood,semen,vaginalfluidsandbreastmilk.Itispassedfromonepersontoanother-ortransmitted-onlyinveryspecificways.Theseare:throughsexualintercoursebetweenamanandawomanorbetweentwomen;throughinfectedblood-forexamplethroughcontaminatedbloodtransfusionsorunsterilisedneedlesandsyringes.(InmostplacestodaybloodtransfusionsarecompletelysafebecausethebloodistestedforHIVbeforeitisusedtotreatpatients);andfromaninfectedmothertoherbabywhileitisstillinthewomborduringchildbirthorduringbreastfeeding.HIVdoesnotspreadthrough"casual"everydaycontactbetweenpeople.Itisnottransmittedbycoughing,orsneezing,orbytouchingorhuggingsomeonewhohasthevirus.Itisnotspreadinair,waterorinfood,orbysharingcups,bowls,cutlery,clothing,ortoiletseats.AndHIVisnottransmittedbybitinginsectssuchasmosquitoes,becausethequantityofbloodontheirmouthpartsistoominute.Younowhave40secondstocheckyouranswerstoQuestions17-20.(Pause00’40’’)(Tone)ThisistheendofPartB.Nowyouhave3minutestotransferyouranswersfromyourtestbooklettoANSWERSHEET1.(Pause03’00’’)(Music00’05’’)Thatistheendofthelisteningcomprehensionsection.（三）二級試卷答案和評分標(biāo)準(zhǔn)SectionI1.C2.B3.A4.B5.B6.C7.A8.A9.B10.C11.A12.C13.B14.B15.C16.C17.B18.C19.A20.ASectionII21.D22.C23.A24.C25.A26.B27.A28.B29.B30.B31.A32.B33.D34.C35.A36.A37.B38.A39.D40.ASectionIII41.A42.B43.C44.D45.B46.C47.D48.A49.B50.D51.C52.A53.D54.C55.D56.C57.B58.B59.A60.BSectionIV61.C62.C63.D64.B65.C66.B67.C68.B69.A70.D71.C72.D73.C74.C75.D76.C77.D78.C79.A80.DSectionV.TranslationPossibleversion:針灸現(xiàn)在越來越多地被用來治療頭痛——毫無疑問，事實(shí)上針灸確實(shí)為許多嘗試這一療法的人在短時(shí)內(nèi)帶來好處。據(jù)估計(jì)，約50%70%的慢性疼痛患者在接受針灸治療后，至少有暫時(shí)的緩解，而另一些人則能感受到長期的作用。針灸過程中的“針刺’’指的是將多支極細(xì)的銀針插入體表的某些特定穴位。針灸療法差異很大，各個(gè)針灸師的手法和風(fēng)格不盡相同。大多數(shù)東方流派的針灸師會在首次就診時(shí)至少為病人作部分體格檢查。他們還會做詳細(xì)的病歷記錄，包括飲食習(xí)慣和其它環(huán)境因素。SectionW.WritingOnepossibleversion:THEINPA