Professional Documents
Culture Documents
Special examinations
Section
S8
FIRST NAMES
S EX M
:reM
MARITAL STATUS
OCCUPATION
PRESENT COMPLAINT
38
___.....(a) ?
2 Well, with the right eye, .. ,........... .(b) you see ......... ___ ....(e) ?
3 Now does ................ ,(d) make ,.
(e) difference?
4 VVhat about
---- .(f) one? Does ..
,......(9) have any eHect?
1.-> 10
Think about the intonation of the completed questions in Task 2. Mark the
words where you expect the speaker 's voice to go up or down .
Now listen to t he recording to check your answers.
YOll want to examine a patlent. Match the examinati ons in the first column
with the instructions in the second COIUIIJlL Tilell IJrat..:tlsl::! wIth a partner
what you would say to a patient when carrying out these examinations.
Rephrase the instructions acco rd ing to what you have studied in this u nit
and in Unit 3. For example:
I-d I'd just like to examine your throat. Could you please open your mou th as
wide as you can?
Examinations
the throat
Instructions
a) Remove your sock and shoe.
2 the eals
3 the chest
4 the back
S the foot
f) Stand up.
o
x
4 Could you fix your eyes on the tip of my pen and keep your eyes on it?
5 I want you to keep this under your tongue until I remove it.
6 Would you roll over on your left side and bend your knees up? This may be a
bi t uncomfortable.
7 I want to see you take your right heel and run it down the front of your left leg.
S Put out you r tongue. Say Aah.
c.
<-
'-,
39
U 1.... 10
You will hear an extract from an examination. As you listen, tick off the
systems examined .
System
Examined
ENT
RS
cvs
GIS
GUS
CNS
,
c
-'"
Others (specify)
'"x
Q)
'"
l;;
Langw 9
focus
if)
Note how the doctor carefully reassures the pat ient by explaining
what she is going to do and indicating that everything is all right :
- Can I have a took at you to find oul where your bad cough is coming
from ? ... 71'10(S fine.
40
1....
10
4 OK? First
your back.
SWell ;.
6 Now I'd ....................... (h) to see your tummy, .................... (i) will you he on the bed
for a minute?
7 Now while ....................... Q) lying there,
your arms.
8 Are you .. .......
,(I)?
41
Section
The form below is used to measure men tal impairment. Discuss wit h a
partner:
- in what order you migh t ask these questions
- in what form you might ask them
5 to 7
1 to 4
Moderate impairment
Severe impairment
Complete failure
You will hear an interview between a doctor and a patient he has known
for years. As you listen , number the questions above in the order they are
FlskNl ('omp(lre the order with your predictions.
Complete Task 12 before you check your answers in the Key.
42
Study the information about the patient given below. Then listen to the
Interview again with the purpose of giving the patient a score.
Wo.Ihts
SURNAME
FIRST NAMES
SEX fVI
AGE 13
OCCUPATION
:roM
MARITAL STATUS
Edward.
",,;ilvJMw"
Note how the doctor uses a rephrasing technique to encou rage the
patient and give him lime 10 answer. For example:
Qucstion 9: Have you been here long?
,
Predict the missing words in these extracts. Several words are required in
most of the ga ps. Then listen again to the interview to c heck your
predictions. Try to match the rephrasings with the correspondin g test
questions. Example (a) is done for you.
a) Question
f) Question
Can you .
............................. (2) ?
Do you remember what time of the month?
What
.......................... (3) '!
(4) 'I
How old will you be now
What year is it this year? Do you
Fine, and what month are we in?
(5) 'I
43
1.-.10
Think about the intonation of t he comp leted questions in Task 13. Mark
the words where you expect the speaker 's voke to go up or down .
Now listen to the recording to c heck your answers.
Look back at the test form in Task 10. Think of at least two ways of
rephrasing each question .
Mr Jameson (see Un it 3. p. 28) was referred to a neurologist for
examination. During the examination the neurologist touches Mr Jameson
with:
a) a needle
b) a piece of cotton wool
c) hot and cold tubes
d) a vibrating fork
Listen to Parts 1 to 4 of t he exam ination and number the steps in the
order that the neurologist carries them out.
n<
Note how the neurologist explains what she is going to do in Part I of
the examination:
- I
44
examination is as follow s:
1 the groin
2 behind the knee
:3 behind the ankle bone
4 the top of the foot
5 the other leg
Write what you would say to Mr Jameson. Then listen to Part 5 of the
exami nation to compare.
decide how you can explain to the patient each stage of the examination
and how you would inst ruct the patient. Then find a new partner to play
the patient.
Section
Here are the headi ngs that are commonly used in articles from American
journals. Number them in the order that you would expect them to
feature.
References
Summary
Com ment
Materials and methods
Authors
Editor's note
Tille
Results
Introduction
"ii)
V>
45
Here a~e ~o m e brief extracts from an article that featured in the Archiv
of Pedwtrlc and Adolescent Medicine. Try to match them to the head' ges
given in Task 20. What features of the text helped you to ident'! th on s
parts?
l ye
Now put the headings in the o rder that you wou ld expect to find t h em.
a)
b)
AbSlf(lC[ sc(.ring and s.ciection
throughout the ~Iudy )'eaN All
~mained cow,tam
allonymouslv. ic aUlho ;.
a trac15 were :,;ued
.'
~
name, and . ,. ,
.
In~ llu!lOnl>
ere omluerl. All allst
~Ith I indica,,',. raels "ere r.ued from J (05
.
unsu'taille ~
. '
2. C()IIsrdcr only jf nece~~:II)'" 3 boor prcselllaIJon;
1. 115 (suppl2),A'IJ..-A"4
5. a "mu~," 'M.. _
rUcrlmc; 4. g"""
I II" rntl lll:S ~
. J
.
Il~cr.tged. AMlf<lC!
or C;JC I abStr.iC1 I"'ere
' ..... ere soned by "
'
"
hIghe~t :l\eragc Scores :u the to . run. with lhe
..... ere
~pa~'c
~clt:C[
.... next
Ighest !>C
- onng ab\lrJcl.~
prC'ClltnllOn
BEH-and
,-h:hrpeNms (Res)
three catcJ.!ories: fR'
. "beER,bt l
.
the ehairpel"l;()n of the
~ el~ ~ert! re\iewed by
member of the BOD Th ~ G. IIw RC~. and one
reVie"l-d by the eh . '
e BE ll nb\trnc ts were
RC
alrpcn-on of Ihc BPI! S IG
~. and two members of th B
~
. two
~Irnets wcre reI icwcd
cOO. rhe GP abo
and six RC
by five member.. of the BOD
s. !iO every abstract
Ica~1 file rate- S~'fi
wa~ reviewed by"
"' .
I~~I IC ""~ I"
.
modond) byadmimsi t" : . enme!U<, "ere made
ra lIe Maff at the APA omIce.
Abslracts were di\ld onal
OEH. and GP 1
46
cd
11110
ER'
d)
e)
~ew cannot agree. Add more, and they also cannol agree. If not
g)
~ D~l:R
Rl:\,tEW IS
cornerslone of Inc
roCe5~ II IS Inc
estecm"
(0
h)
Usually the part 01 the article that one reads iirs~ is the abstra~t or t he
summary. In American journals it usually compnses four parts.
Conclusions
Methods
Objective(s)
Results
Put the headi ngs in the order you would expect them to appear.
"u
41
Here is the Summary of the article from Task 21. Complete the text by
putting in the appropriate head ings and missi ng words. Each gap can be
completed by adding either one word , or one word plus an article (the, a
or an) .
'"Co
.......................... ( 14): The number and expen ise .......................... ( 15) those rating
abstracts increased from 1990 to 1995 ........................... ( 16). interrater agrcemen t
did ..........................( 17) change and remained low. Further efforts are needed
.......................... ( 18) improve the interrater agreement.
E
Think about some of the journal articles tha t you regularly read. Do they
follow the same s truc ture, or are there some differences? Compare no tes
with a partner o r ot her members of your group.
If you have the oppo rtunity, visit the medical library. or a library that has
some medical and scientific journals and compare their structures. How
do they compare with the st ructures of journal articles written In your
mother tongue?
48
Section
Mr Hudson was put on a waiting list for a TURP following his consultation
with Mr Fielding. However, after five weeks he was admitted to hospital as
an emergency. Study the registrar's case notes on M r Hudson following his
admission .
PRESENT COMPLAINT
A...."'~j
'" S<Jm
.
iffJRp
OlE
General Condition
Rst1lSSI\.$S
s...1i'tl
AA fo f"""
Ti-
ENT
RS
Q,cl
!IF
?uo
81' 110
CVS
cJ.".
lIS I, n 1\0
fV\oY""U1'5
UO
GIS
soft
hi"""" "'S~ to
\kV\hilM
/'JAD
DIAGNOSIS
'=
MANAGEMENT
SWot>.
CotwlJist
Ask
P'jSiciM
to su
hiM
......
(
"CD
INVESTIGATIONS
""'"'jS;S .31-
0/
<
MANAGEMENT
~ 0 .1.5 ":'l drul~
~'" Soo ":'l t.~.5.
R".
c
What addition would you make to the Diagnosis section?
Write a letter to Mr Hudson's doctor, Dr Watson. explaining your findings .
49