2010下半年METS-3模拟试卷

2010下半年 METS-3模拟试卷 1 2020202010101010年 12121212月METSMETSMETSMETS第三级模拟试卷 医护英语水平考试 (护理类) 第三级 MedicalMedicalMedicalMedical EnglishEnglishEnglishEnglish TestTestTestTest SystemSystemSystemSystem (METS)(METS)(METS)(METS) (For(For(For(For Nurses)Nurses)Nurses)Nurses) LevelLevelLevelLevel 3333 姓名：__________ 准考证号__________ 时间：120 分钟 考生须知 1. 请严格遵守考场规则，考生得到监考人员指令后方可开始答题。 2. 答题前考生请将自己的姓名和准考证号写在试卷和答题卡上。 3. 答客观题时，一律用 2B 铅笔，按照答题卡上的要求答题。如要改动 答案 八年级地理上册填图题岩土工程勘察试题省略号的作用及举例应急救援安全知识车间5s试题及答案 ，必须用橡皮 擦干净。 4. 答写作题时，必须用黑色签字笔在答题卡上答题。 5. 注意字迹清楚，保持卷面整洁。 6. 考试结束时将试卷和答题卡放在桌上，请不要带走。待监考人员收毕清点后，方可离场。 =================================================== ※ 未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。 医护英语水平考试办公室 2010下半年 METS-3模拟试卷 2 IIII ListeningListeningListeningListening PartPartPartPart 1111 QuestionsQuestionsQuestionsQuestions 1111 –––– 5555 � You will hear five extracts from conversations on a ward. � For questions 1-51-51-51-5, choose from the list A-FA-FA-FA-F to show which case each nurse is talking about. Use the letters only once. There is one extra letter which you do not need to use. � You will hear each recording twice. 1111 2222 3333 4444 5555 NurseNurseNurseNurse 1111 NurseNurseNurseNurse 2222 NurseNurseNurseNurse 3333 NurseNurseNurseNurse 4444 NurseNurseNurseNurse 5555 AAAA The patient’s medical diagnosis is that he got a head laceration. BBBB The patient had a family history of for myocardial infarction. CCCC The patient had a gallstone in June. DDDD The patient developed a venous ulcer and the ulcer didn’t improve at home. EEEE The patient’s tachypnoea was caused by a lung infection. FFFF The patient needs to be given some more diabetes education. 2010下半年 METS-3模拟试卷 3 PartPartPartPart 2222 QuestionsQuestionsQuestionsQuestions 6666 –––– 13131313 � You will hear a conversation between two doctors. � Are the following statements “Right” or “Wrong”? If there is not enough information to answer “Right” or “Wrong”, choose “Not Mentioned.” � You will hear the recording twice. 6666 The male doctor is more positive about technological advances in medicine than the female doctor. AAAA Right BBBB Wrong CCCC Not Mentioned 7777 With the technological advances, patients will recover more quickly than before. AAAA Right BBBB Wrong CCCC Not Mentioned 8888 Keyhole surgery will prolong patients’ lives. AAAA Right BBBB Wrong CCCC Not Mentioned 9999 The easier medication is to take, the more likely patients forget to take medication. AAAA Right BBBB Wrong CCCC Not Mentioned 10101010 Both doctors are less than 60 years old. AAAA Right BBBB Wrong CCCC Not Mentioned 11111111 There is a danger with machines taking the place of human work. AAAA Right BBBB Wrong CCCC Not Mentioned 12121212 Digital blood pressure monitor machines are easier to read than the traditional sphygmomanometer. AAAA Right BBBB Wrong CCCC Not Mentioned 13131313 Both doctors agree than human beings should slow down technological advances. AAAA Right BBBB Wrong CCCC Not Mentioned 2010下半年 METS-3模拟试卷 4 PartPartPartPart 3333 QuestionsQuestionsQuestionsQuestions 14141414 –––– 20202020 � You will hear a conversation between Paul and Sarah, the patient and the ward nurse. � For questions 14-2014-2014-2014-20, choose the best answer. � You will hear the conversation twice. 14141414 How does Paul rate his pain? AAAA Six at rest, seven on movement. BBBB Zero at rest, six on movement. CCCC Six at rest, ten on movement. 15151515 Why has he been ordered paracetamol? AAAA It could relieve the pain a lot. BBBB It reduced the amount of opioids needed. CCCC It added the effect of the pain . 16161616 Sarah does the following things to help Paul sleep except AAAA She gives him some analgesia. BBBB She puts him in a comfortable position. CCCC She pull back the curtains. 17171717 What is said about Paul? AAAA He feels pretty good when he gets an injection. BBBB He’s got a throbbing stomachache. CCCC The pain he’s got in the broken cheek bone referred to his head. 18181818 How does Paul feel about the pain? AAAA The pain is the same all over. BBBB The pain gets worse when he lay down. CCCC The pain became worse when he moved. 19191919 What about the pain in Paul’s chest? AAAA It’s a stinging pain in the shadow cuts. BBBB It’s a slight pain like a knife. CCCC It aches continuously. 20202020 Which of the following statements about Sarah is true? AAAA She gets to know the details of Paul’s pain. BBBB She refuses to give Paul any painkillers because that wouldn’t help. CCCC She doesn’t know how to deal with Paul’s circumstances. 2010下半年 METS-3模拟试卷 5 PartPartPartPart 4444 QuestionsQuestionsQuestionsQuestions 21212121 –––– 25252525 � You will hear a talk of case history about the patient Mr Wildgoose. � For questions 21-2521-2521-2521-25, complete the notes. In each space write only one word. � You will hear the talk twice. THE ALEXANDRA HOSPITAL CASE CASE CASE CASE NOTES NOTES NOTES NOTES PATIENTPATIENTPATIENTPATIENT DETAILSDETAILSDETAILSDETAILS FullFullFullFull NameNameNameName：Wildgoose Age:Age:Age:Age: 56 Occupation:Occupation:Occupation:Occupation: driver ReasonReasonReasonReason forforforfor EmergencyEmergencyEmergencyEmergency AdmissionAdmissionAdmissionAdmission Severe (21)(21)(21)(21)……………………………… pain IIIInitialnitialnitialnitial SymptomsSymptomsSymptomsSymptoms (22)(22)(22)(22)……………………………….... and general malaise IIIInitialnitialnitialnitial DiagnosisDiagnosisDiagnosisDiagnosis Lower (23)(23)(23)(23)……………………………….... tract infection DDDDurationurationurationuration ofofofof IncreasedIncreasedIncreasedIncreased ThirstThirstThirstThirst andandandand NocturiaNocturiaNocturiaNocturia (24)(24)(24)(24)……………………………… weeks AAAAlcohollcohollcohollcohol ConsumptionConsumptionConsumptionConsumption Drank (25)(25)(25)(25)………………………………........ alcohol PastPastPastPast HistoryHistoryHistoryHistory Appendicectomy, cervical spondylosis, hypertension 2010下半年 METS-3模拟试卷 6 IIIIIIII ReadingReadingReadingReading PartPartPartPart 1111 QuestionsQuestionsQuestionsQuestions 1111 ––––5555 � Reading the following article about the operation of lumbar laminectomy. � For questions 1111––––5555, choose the most suitable heading from the list AAAA –––– FFFF for each part (1(1(1(1––––5555)))) of the article. For questions 6666––––10101010, choose the best answer for each space from the list AAAA –––– FFFF for each sentence ((((6666––––10101010)))). � Mark the correct letter AAAA –––– FFFF on your answer sheet. LumbarLumbarLumbarLumbar laminectomy:laminectomy:laminectomy:laminectomy: WhatWhatWhatWhat totototo expectexpectexpectexpect afterafterafterafter youryouryouryour operationoperationoperationoperation 1111 A lumbar laminectomy is an operation which involves making an incision in the middle of your back so that a lamina or part of the vertebra can be removed. This opens up the spinal canal and takes pressure off the nerves in the back which may be causing pain in your back and numbness in your legs. 2222 Wear and tear on the spine which is sometimes age-related can cause the spinal column to narrow. The joints on either side of the spinal cord may swell and press on nerves causing back pain and weakness in the legs. The operation aims to improve mobility by relieving the pressure on the nerves leading to the legs. 3333 Will I have a scar? Yes, a very small scar at the base of your spine. The scar is minimal. You will have a small dressing over the suture line on your back in case there is a small amount of discharge after the operation. If the discharge becomes discoloured and smelly, you will have to take a course of antibiotics to clear the infection. When you come back to the ward after your operation you will have an IV infusion or drip in your arm just until you are able to drink fluids again. You will be able to eat a soft diet as soon as the nursing staff is satisfied that your bowels are working again after the operation. 4444 Any surgery can cause some discomfort. You will have Patient Controlled Analgesia running through the drip in your arm for the first day. When you are feeling uncomfortable, you can press a small hand-held control button and you will receive some pain relief through the drip. After the first day you will change to oral analgesia. 5555 We advise you to continue wearing your anti-embolism stockings until you are up and about again. Keep up the deep breathing exercises too using your Tri-ball. You will have a follow-up appointment between 6 and 12 weeks after the operation. 6666 The physiotherapist will assist you out of bed the day after surgery. After that, nursing staff will encourage mobilisation by helping you to walk around the unit as much as possible. 2010下半年 METS-3模拟试卷 7 1111 Paragraph 1 _____ 2222 Paragraph 2_____ 3333 Paragraph 3 _____ 4444 Paragraph 4 _____ 5555 Paragraph 5 _____ 6666 The purpose of lumbar laminectomy is to improve __________by relieving the pressure on the nerves leading to the legs. 7777 There will be a __________ scar at the base of the spine. 8888 After the operation, sometimes there will be discharge over the suture line, a course of __________are needed to be taken to clear the infection. 9999 According to the article, this operation involves making an incision in the middle of the back so that a __________ or part of the vertebra can be removed. 10101010 A (An) __________ or drip in the arm will be had after the operation just until one can drink fluids again. AAAA What’s the operation process like? BBBB What is lumbar laminectomy? CCCC How soon can I get back to normal activities? DDDD Why is the operation necessary? EEEE Will I be in a lot of pain? FFFF Is there anything else I’ll have to do after operation? AAAA IV infusion BBBB minimal CCCC mobility DDDD antibiotics EEEE lamina FFFF spinal column 2010下半年 METS-3模拟试卷 8 PartPartPartPart 2222 QuestionsQuestionsQuestionsQuestions 11111111 ––––17171717 � Read the following passage on China’s essential drugs. � For questions 11111111-1-1-1-17777, choose the answer (A,(A,(A,(A, B,B,B,B, CCCC or D)D)D)D) which you think fits best according to the text. � Mark your answers on the answer sheet. ChinaChinaChinaChina IssuesIssuesIssuesIssues EssentialEssentialEssentialEssential DrugsDrugsDrugsDrugs ListListListList China’s Health Ministry issued a list of 307 essential drugs on Aug 18, 2009, as part of its plan to create an essential medicine system in the coming 10 years to ensure people’s access to essential drugs and cut their medical costs. Essential medicines refer to those which satisfy the health care needs and are available to the public at all times in adequate amounts and in appropriate dosage forms, at a price the public can afford. According to the plan, by the end of this year, about 30 percent of the state-owned grass-roots health institutions would be equipped with all the essential medicines on Tuesday’s list and would be asked to give priorities to using them when treating patients. By 2020, all state-owned health institutions in both urban and rural areas should give priorities to using essential drugs. “Such measures would ensure most of the rural citizens with comparatively low incomes use cheap and safe medicines,” said Fu Wei, an official of the Rural Health Department with the Health Ministry. While the disposable income of China’s urban and rural residents grew close to 20 times in the last two decades, their average medical costs soared to more than 130 times as much as they used to be. “The system would help safeguard people’s basic rights in using drugs, and promote the integration of drug manufacturers and distributors,” said Chen Zhu, China’s Health Minister. According to the ministry, the essential medicine list will be adjusted every three years with respect to the changes of health demands. The drugs which have been confirmed to cause serious adverse reactions would be removed from the list. Building an essential drug system is part of China’s three-year plan on medical reform unveiled last April, which aims to lay a solid foundation for equitable and universal access to essential health care for everyone in China by 2020. 2010下半年 METS-3模拟试卷 9 11111111 The goal of the essential medicine system that is to be established in the coming ten years is AAAA To protect people from get serious health problem. BBBB To adjust the unfair drug policy in the society. CCCC To ensure people’s access and cut their medical costs. DDDD To ensure most of the rural citizens get more benefits. 12121212 Essential medicines include AAAA medicines which are at a higher price the public can afford. BBBB those which are in inappropriate dosage forms. CCCC medicines that are quite basic for the people with a lower social status. DDDD those which satisfy the health care needs and available to public at all times. 13131313 “integration” (line 2, the first sentence of the fifth paragraph) describes a behavior of AAAA separation. BBBB function CCCC differention. DDDD combination. 14141414 “soared” (line 2, in the sentence of the 4th paragraph from the bottom) means AAAA raise. BBBB reduced. CCCC deduced. DDDD increased. 15151515 Compare to the medical costs in the last two decades, the rise of the disposable income of urban and rural residents is AAAA 20 times vs. 130 times. BBBB 10 times vs. 20 times. CCCC 30 times vs. 10 times. DDDD 30 times vs. 20 times. 16161616 When will the essential medicine list be adjusted next time with respect to the changes of health demands? AAAA In the year of 2020. BBBB In the next year. CCCC In the year of 2012. DDDD In the year of 2011. 17171717 The essential medicine list will be adjusted every certain years because it can AAAA adapt to changes of health demands. BBBB ensure most of the urban people’s need. CCCC lay a good foundation for future development. DDDD give priorities to the state-owned health institutions 2010下半年 METS-3模拟试卷 10 PartPartPartPart 3333 QuestionsQuestionsQuestionsQuestions 18181818 ––––25252525 ���� Read the following article on cardiopulmonary resuscitation. ���� Are sentences 18181818 –––– 25252525 on the next page “Right” or “Wrong”? If there is not enough information to answer “Right” or “Wrong”, choose “Not Mentioned”. ���� For each sentence 18181818 –––– 25252525, mark one letter AAAA –––– CCCC on your answer sheet. CardiopulmonaryCardiopulmonaryCardiopulmonaryCardiopulmonary RRRResuscitationesuscitationesuscitationesuscitation Cardiopulmonary resuscitation (CPR) is an emergency procedure used to resume breath and circulation by exerting artificial respiration and external cardiac massage. It is widely spread and taught among health care workers and the public. The procedure of CPR follows an ABC rule, that is, A for airway, B for breathing and C for circulation. Assessment is the first step during the rescue and should be re-applied before and after each step. At the beginning of CPR, rescuer needs at first to gently shake the victim, shouting “Are you OK?” If the victim gives no response, emergency response system should be called at once for further help. Before starting CPR, the victim should be carefully moved onto the back. Then open the airway by tilting the victim’s head back with one hand and lifting the chin with the other hand. When head or neck injuries are suspected, choose the ‘jaw thrust’ way. By holding the airway open, the rescuer needs to look at the victim’s chest, listen for sounds of breathing and feel for air movement from the victim’s noses and mouth. If no regular breathing is detected, twice mouth-to-mouth or mouth-to-nose breathing rescue should be performed immediately. The artificial respiration should be delivered slowly. And also check for signs of effectiveness such as chest rise and air escape during exhalation. Circulation assessment is followed after two breathing rescues. Index and middle fingers should be put between the trachea and muscle at the side of the neck for carotid pulse detection. When no normal pulse could be felt, chest compression needs to be initiated right away. The heel of one hand should be placed on the lower half of the sternum between the victim’s nipples and the other on top of the first so as to keep the two hands parallel. 15 compressions should be performed continuously at a rate of 100 times per minute. A one-minute rotation of 15 chest compressions and two rescue breaths should be performed before the second circulation assessment. If no sign of circulation is detected, the rotation needs to be replicated. If the victim resumes normal pulses, no more chest compressions are needed. Rescue breaths may be delivered if needed. 2010下半年 METS-3模拟试卷 11 18181818 Cardiopulmonary resuscitation (CPR) is widely spread and taught among health care workers and the public. AAAA Right BBBB Wrong CCCC Not Mentioned 19191919 The significance of shouting “Are you OK?” to the victim is to ascertain the state of consciousness of the victim. AAAA Right BBBB Wrong CCCC Not Mentioned 20202020 Rescuer needs at first to quickly shake the victim to know whether he is in conscious at the beginning of CPR. AAAA Right BBBB Wrong CCCC Not Mentioned 21212121 The artificial respiration is the act of simulating respiration, which provides for the overall exchange of gases in the body by pulmonary ventilation, external respiration and internal respiration AAAA Right BBBB Wrong CCCC Not Mentioned 22222222 Hematological system plays an important role in Cardiopulmonary resuscitation. AAAA Right BBBB Wrong CCCC Not Mentioned 23232323 The chest compression should be performed at a rate of 15. AAAA Right BBBB Wrong CCCC Not Mentioned 24242424 According to the passage, the “ABC” should be administered again for a victim under the condition of resumed consciousness. AAAA Right BBBB Wrong CCCC Not Mentioned 25252525 Tilting the head and lifting the chin should be performed when rescuing a victim with injured neck. AAAA Right BBBB Wrong CCCC Not Mentioned 2010下半年 METS-3模拟试卷 12 PartPartPartPart 4444 QuestionsQuestionsQuestionsQuestions 26262626 ––––30303030 ���� Read the following text about the background to the development of contemporary care practices. Five sentences have been removed from the article. ���� Choose from the sentences AAAA –––– FFFF the one which fits each space ((((26262626----30303030)))). There is one extra sentence which you do not need to use. ���� For each space (26(26(26(26 –––– 30)30)30)30), mark one letter AAAA –––– FFFF on your answer sheet. BackgroundBackgroundBackgroundBackground ttttoooo tttthehehehe DevelopmentDevelopmentDevelopmentDevelopment ooooffff ContemporaryContemporaryContemporaryContemporary CareCareCareCare PracticesPracticesPracticesPractices Historically, people with learning disabilities were viewed negatively and often with suspicion by other members of society. Thus it is not surprising that people with a learning disability have acquired a negative image as words now considered derogatory in the English language have been used legislatively to describe people with learning disabilities. ((((26262626)))) …………… Other terminology that would be considered equally derogatory, such as ‘moral defective’, has also been used legislatively and academically to describe the nature of a person’s learning disability. The Mental Health Act (1959) saw a change in the legislative language used to define the various classifications of learning disability and replaced words such as ‘idiot’ with ‘subnormal’, ‘severely subnormal’ or ‘educationally subnormal’. At the time this was an attempt to remove the previously used derogatory labels, although the 1959 Act was not just about people with learning disabilities or changing labels. As attitudes changed the terminology in this act proved over time to be unhelpful and eq