医护英语水平考试(医药类)---第三级样卷

医护英语水平考试(医药类)---第三级样卷 医护英语水平考试 (医药类) 第三级样卷 Medical English Test System (METS) (For Medical Professionals) Level 3 姓名: __________ 准考证号: __________ 时间:120分钟 考生须知 1. 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. 答题前考生须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 对教师党员的评价套管和固井爆破片与爆破装置仓库管理基本要求三甲医院都需要复审吗 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，不得带走。待监考人员收毕试卷并清点后，考生 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 ? Listening Part 1 Questions 1 – 5 , You will hear five short conversations. Each conversation is followed by a statement. , Are the statements “Right”(A) or “Wrong”(B)? -5, tick (?) A or B. , For questions 1 , You will hear each conversation and statement twice. Example: 0 A Right B Wrong ? 1 A Right ? B Wrong ? 2 A Right ? B Wrong ? 3 A Right ? B Wrong ? 4 A Right ? B Wrong ? 5 A Right ? B Wrong ? Part 2 Questions 6 – 10 , You will hear a conversation between a patient and a doctor. After the conversation there are 5 statements. , Are the statements (6-10) “Right” (A) or “Wrong” (B)? , Please tick (?) the corresponding letter A or B on the answer sheet. , You will hear the conversation twice. Example: 0 The patient has the respiratory problems. A Right B Wrong ? 6 The patient has throbbing and continuous pain in his teeth due to dental abscess. A Right B Wrong 7 The patient has some sore swellings on his gum and jaw also. A Right B Wrong 8 The patient has an artificial tooth fitted several years ago. A Right B Wrong 9 According to the doctor’s advice, the best way to avoid toothache is to keep teeth and gums healthy . A Right B Wrong 10 The pain will go away without treatment if the patient has painkillers. A Right B Wrong Part 3 Questions 11 – 15 , Listen to how the urologist prepares the patient for prostatectomy. , For questions 11-15, tick (?) A, B, C or D , You will hear the talk twice. Example: 0 The doctor prepares the patient for A hepatectomy. B prostatectomy. ? C splenectomy. D colectomy 11 The following tests are necessary before the operation EXCEPT ________. A blood and urine tests B heart tracing and chest X-ray C cystoscopy D intravenous pyelogram 12 The prostate can be removed by ________. A laparoscopic operation B making a cut in the lower abdomen C operating after inserting a telescope through the penis D both B and C 13 What kind of drinks is NOT recommended after the operation? A Water. B Squash. C Tea or coffee. D Fizzy drinks. 14 When is the bladder tube removed? A Two or three hours after the operation. B About five days after the operation . C Two to five days after the operation. D Two or three hours after the operation. 15 The patient can have sexual intercourse after the operation. A a few months B a few days C a few weeks D half a year Part 4 Questions 16 – 20 , You will hear a doctor talking with a patient. , Listen and complete blanks 16-20. In each blank write only one word. , You will hear the conversation twice. Example: (0) prepared Case History Chief Complaint: a severe pain in the (16) ……… of this toe since last midnight and the skin was red, hot and swollen. Personal History: drink often. eat a lot of (17) …………… Family History: father and elder bother had the same trouble. Tests: foot X-ray blood test for blood (18) …………… acid level Diagnosis: (19) …………… Doctor’s Advice: 1. rest affected toes and avoid any contact. 2. have regular meals--more salads and (20) ……………, and eat very little meat. 3. avoid all alcohol. ? Reading Part 1 Questions 1 – 5 , The following paragraphs are given in a wrong order. -5, you are required to reorganize these paragraphs into a coherent article by , For questions 1 choosing from the list A-G to fill in each numbered blank. , The first and the last paragraphs have been placed for you. G on your answer sheet. , Mark the correct letter A – Example : Order: G?11 B ?12 A ?13 D ?14 C ?15 E ?F A Story in the Emergency Room ,A,Next time, I may stay a little bit longer to be with my patient. ,B,I knew the difficult part was yet to come: telling the family the bad news. The mother was still at home being interviewed by the police. The father had arrived from his place of employment to the emergency department minutes after death was pronounced and not knowing the condition of his son. ,C,The child arrived in our emergency department pulseless and cold, with compressions being performed on him in the arms of the paramedic. Further history obtained by the paramedics indicated that the mother had left the infant alone in the home with two young children to watch the child, and upon her return the infant was found in bed not breathing and cold. As a medical team we simultaneously performed multiple procedures, (intubation, administration of epinephrine, cardiac compression), all to no avail. Twenty minutes after he arrived, I declared this 2-month-old child dead with a high suspicion of abuse of neglect. Everyone vacated the room almost immediately, except for the nurse, who never left the child’s bedside. I asked her why she needed to stay, and she looked at me and smiled, “why of course, to be with my patient a little bit longer.” ,D,We walked slowly back to the resuscitation room. The infant, who only moments ago lay covered with blood and secretions oozing from every orifice had been transformed. The nurse had left her patient, tending to him, cleaning him, wrapping in soft blankets, and now presenting the body to the grieving father. He seemed relieved to see his baby, not alive, surely, but at peace and thus the man could begin in the mourning process. I again left the room, tending to the busy emergency department; seeing patients somehow seemed to blunt my emotional response to what had just happened. As I listened to a resident present the next case, I saw the nurse carry the blanketed body of the child to the morgue. ,E,The father and I sat with chaplain to explain what we had done for the baby. I could tell from the stunned look on his face that he knew before I finished my story that his child was dead. Despite this I said in muffled voice, “I am so sorry your child passed away.” ,F,Just before dawn we received a call that an unresponsive infant was being brought by emergency medical services to our hospital. As the medical team---the paediatric resident, intern, respiratory therapist, nurse and me---prepared for the incoming patient, an eerie silence enveloped the trauma room, an event that frequently precedes a pediatric resuscitation. ,G,As I reflect on this episode, I realized that our medical resuscitation of this child was futile, as has been shown in children who present to the emergency department in full cardiac arrest. But it was the compassionate work of the nurse that ultimately made the difference in how we performed our job. Order: F?1____?2____?3____?4____?5____?A Part 2 Questions 6 – 20 , Read the following three passages. , For questions 6-20, choose the answer (A, B, C or D) which you think fits best according to the text. , Mark your answers on the answer sheet. Example 0 Keeping a diary is for your health according to the passage. A bad B good C easier D difficult Answer: Passage One Diary-keeping and Health Keeping a diary is bad for your health, say UK psychologists. They found that people who regularly keep diaries suffer from headaches, sleeplessness, digestive problems and social awkwardness more than people who don’t. These findings challenge the assumption that people find it easier to get over a traumatic experience even if they write about it. “We expected diary keepers to have more benefit, or be the same, but they were worst of,” says Elaine Duncan of the Glasgow Caledonian University. “In fact, you’re probably much better off if you don’t write anything at all,” she adds. The study, carried out with David Sheffield of Staffordshire University, was presented on Wednesday at a meeting of the British Psychological Society in Edinburgh. The pair studied 94 regular diarists and compared their health with that of 41 non-diarists. The subjects, all students at Staffordshire University, answered questions about their diary-keeping habits, and filled in a standard questionnaire. “We decided to test the idea that writing is cathartic,” says Duncan. She claims that her study is the first to investigate subjects who write of their own free will. In most other studies, volunteers are actually asked to write about traumatic experiences in a systematic way. The researchers asked the diarists recruited to say how often they made entries and for how long they had kept diaries. They were also asked if they had written about anything traumatic. Statistically, the diarists scored much worse on health measures than the non-diarists. The worst affected of all were whose who had written about trauma. “They were susceptible to headaches and the like,” says Duncan. 6. According to UK psychologists, regular diarist are more likely to suffer from the following EXCEPT . A headaches or insomnia B respiratory problems C interpersonal problems D digestive disorders 7. The word “cathartic” (Para. 6) probably can be understood as . A awesome B fantastic C releasing D suffering 8. What is special about Duncan’s study? A The subjects were asked to write of their free will. B The subjects were asked to write in a systematic way. C The subjects were asked to say how often they made entries. D The subjects were asked if they had written down anything traumatic. 9. According to Duncan’s study, who are scored worst on the health measures?. A The diarists who write of their free will. B The diarists who were students at Stafordshire University. C The diarists who had written about trauma. D The non-diarists who were susceptible to headaches. 10. Which of the following statements is true according to the passage? A The students from Staffordshire University are asked to write diary in a systematic way. B The non-diarists were susceptible to headaches and the like so they should keep writing habits. C The diarists can release their emotional tension through writing according to Duncan’s studies. D People take for granted that it is easier to get over a traumatic experience if they write about it. Passage Two Growth and Development Growth and development, considered a single process, continues throughout childhood and into adulthood. Growth is de,ned as a change in body size and structure; development is a change in body function. Growth and development occurs in an orderly sequence; a person must accomplish a simple developmental task before he or she can attempt another, more complex task. Most children are able to perform certain tasks at about the same age, although normal variations exist. In relation to the body, the process of growth and development follows cephalocaudal (头尾 的) and proximodistal (远近的) directions. Cephalocaudal means from head to tail; babies lift their heads before they sit up; they make sounds before they walk. Proximodistal means from the center to the outside; babies roll over before they grasp small objects. Growth and development also progresses from simple to complex; the baby learns to sit before learning to walk, and to babble before learning to speak. Growth and development is inclusive and holistic, involving the entire child and family. Culture, ethnicity, and religion in,uence the process. All aspects of growth and development are in,uenced by each other, or interdependent. For example, children cannot learn to control their bowel movements (development) until their muscles are strong enough (growth) and until they can understand what is expected of them (development). Consider the interdependent process of learning to walk: •Walking is controlled by motor development. •Motor development depends on normal bone and muscle growth. •Normal growth depends on adequate food and energy. •The nervous system exercises overall control over the process. •Caregivers and loved ones provide the encouragement and emotional support needed for the child to progress. Heredity and environment in,uence child growth and development. Discussions have persisted for years, and continue today, about which element has a stronger in,uence or whether they are of equal importance. Hereditary characteristics are inherited from parents and are often called genetic factors. Skin color, eye color, and body build are examples of hereditary characteristics. Environment is the sum of all the conditions and factors surrounding the child. Housing, neighborhood, number of siblings, placement in sibling order, and amount of healthcare available are examples of environmental elements. A baby born into a large family may develop differently from one born into a small family. Religious practices, ethnicity, and location of birth also influence a child’s development. 11. Which is a baby more likely to exhibit by following a proximodistal direction? A. Lifting head before sitting up. B. Sitting before walking. C. Rolling over before grasping objects. D. Making sounds before being able to walk. 12. Concepts of growth and development include . A. growth from complex to simple B. growth in an orderly sequence C. growth from outside to center D. growth from tail to head 13. Which of the following is NOT a hereditary characteristic related to the concepts of growth and development? A. Body build. B. Eye color. C. Cognitive build. D. Skin color. 14. Which of the following is an environmental characteristic related to the concepts of growth and development? A. Eye color. B. Number of siblings. C. Body build. D. Skin color. 15. Which of the following is NOT true about growth and development? A. Growth and development include heredity, environment, and health status. B. Growth and development are influenced by each other and occur in an orderly sequence. C. Growth and development progress from simple to complex and include the child and family. D. Growth and development allow for accomplishment of developmental tasks at exactly the same age. Passage Three What Happens to the Brain? Drugs are chemicals that tap into the brain’s communication system and disrupt the way nerve cells normally send, receive, and process information. There are at least two ways that drugs are able to do this: (1) by imitating the brain’s natural chemical messengers, and/or (2) by overstimulating the “reward circuit” of the brain. Some drugs, such as marijuana and heroin, have a similar structure to chemical messengers, called neurotransmitters, which are naturally produced by the brain. Because of this similarity, these drugs are able to “fool” the brain’s receptors and activate nerve cells to send abnormal messages. Other drugs, such as cocaine or methamphetamine, can cause the nerve cells to release abnormally large amounts of natural neurotransmitters, or prevent the normal recycling of these brain chemicals, which is needed to shut off the signal between neurons. This disruption produces a greatly amplified message that ultimately disrupts normal communication patterns. Nearly all drugs, directly or indirectly, target the brain’s reward system by flooding the circuit with dopamine(多巴胺). Dopamine is a neurotransmitter present in regions of the brain that control movement, emotion, motivation, and feelings of pleasure. The overstimulation of this system, which normally responds to natural behaviors that are linked to survival (eating, spending time with loved ones, etc.), produces euphoric effects in response to the drugs. This reaction sets in motion a pattern that “teaches” people to repeat the behavior of abusing drugs. As a person continues to abuse drugs, the brain adapts to the overwhelming surges in dopamine by producing less dopamine or by reducing the number of dopamine receptors in the reward circuit. As a result, dopamine’s impact on the reward circuit is lessened, reducing the abuser’s ability to enjoy the drugs and the things that previously brought pleasure. This decrease compels those addicted to drugs to keep abusing drugs in order to attempt to bring their dopamine function back to normal. And, they may now require larger amounts of the drug than they first did to achieve the dopamine high—an effect known as tolerance. Long-term abuse causes changes in other brain chemical systems and circuits as well. Glutamate(谷氨酸) is a neurotransmitter that influences the reward circuit and the ability to learn. When the optimal concentration of glutamate is altered by drug abuse, the brain attempts to compensate, which can impair cognitive function. Drugs of abuse facilitate nonconscious (conditioned) learning, which leads the user to experience uncontrollable cravings when they see a place or person they associate with the drug experience, even when the drug itself is not available. Brain imaging studies of drug-addicted individuals show changes in areas of the brain that are critical to judgment, decision-making, learning and memory, and behavior control. Together, these changes can drive an abuser to seek out and take drugs compulsively despite adverse consequences—in other words, to become addicted to drugs. 16. What does “reward circuit” (Line 4, Para. 1) mean? A. Mental mechanism. B. Blood circulation. C. Feedback mechanism. D. Systemic circulation. 17. What is the meaning of the italicized word “euphoric” in the fourth paragraph? A. Depressing. B. Happy. C. Stimulating. D. Controlling. 18. The people will have a tolerance when he requires amounts of the drug than he first did. A. larger B. lesser C. identical D. different 19. How do drugs lead to changes in the structure and function of the brain? A. Releasing the special chemical substance to interrupt the system of communication. B. Acting on the special region of the brain to send the similar chemical message. C. Stimulating the communication system and/or understimulating the natural brain’s response. D. Imitating the natural brain’s messengers or/and overstimulating the system of brain. 20. What does the passage mainly talk about? A. The different mechanisms of drugs acting on the brain. B. The similar structures of drugs and neurotransmitter. C. The impact of drugs on the brain when taking drugs. D. The reasons why people are addicted to drugs. Part 3 Questions 21 – 25 , Read the following passage. , Are sentences 21 – 25 “Right” or “Wrong”? If there is not enough information to answer “Right” or “Wrong”, choose “Doesn’t Say”. , For sentences 21 – 25, mark one letter A – C on your answer sheet. Example 0 Sleep is a natural state of rest. A Right B Wrong C Doesn’t Say Answer: Understanding the Mechanisms of Sleep Sleep is a natural state of rest characterized by reduced body movement and decreased awareness of surroundings. Sleep is distinguished from other sleeplike states, for instance, hibernation or coma, because it is easily interrupted by external stimulation, such as a loud noise. While the mechanism of sleep has been studied for decades, sleep researchers have made enormous strides in understanding how sleep occurs in humans and other animals, and the nature of sleep disorders. In the 1950s American physiologists Eugene Aserinsky and Nathaniel Kleitman reported that periods of eye movement and twitching occur during sleep. They named these periods rapid eye movement (REM) sleep. Aserinsky and Kleitman found that when subjects were awakened during REM sleep, they reported vivid dreams. Scientists believe that REM sleep is closely related to wakefulness because brain wave activity during REM sleep is marked by short, rapid wave patterns similar to brain wave activity of the waking state. Sleep characterized by little or no eye movement is called nonrapid eye movement (NREM) sleep. During NREM sleep, breathing and heart rates slow down, and body temperature and blood pressure often decrease. When awakened from periods of NREM sleep, subjects are much less likely to report vivid, action-packed dreams. Brain wave activity during NREM sleep is dominated by large, slow waves that contrast markedly to the short, rapid wave patterns characteristic of REM sleep and the waking state. Sleep research shows that certain regions of the brain play critical roles in sleep. The brainstem, the portion of the brain just above the spinal cord, is critical in REM sleep control, while the forebrain is particularly important in NREM sleep control. REM sleep is generated by a region in the brainstem, called the pons，脑桥，, and adjacent portions of the midbrain. Researchers have found that chemical stimulation of the pons will induce very long periods of REM sleep, while this area contains neurons that become most active before and during sleep. Animal studies have found that some neurons within the pons and midbrain are active only in REM sleep while other neurons in this region are entirely inactive only during REM sleep. Together, these neurons control muscle tone and other aspects of REM sleep. The neurons most critical to NREM sleep control are in the basal forebrain, the region of the brain lying in front of the hypothalamus. Researchers have found that people who have suffered damage or injury to the neurons in the basal forebrain have difficulty falling and staying asleep. Animal studies have shown that damage or injury to this brain region can greatly reduce or even prevent REM sleep. Many of these neurons are activated by heat, which explains how a warm bath or a hot day at the beach causes sleepiness. 21. Hibernation or coma has the identical states and characteristics with sleep. A Right B Wrong C Doesn’t Say 22. The person is dreaming during REM sleep and awakens during NREM sleep. A Right B Wrong C Doesn’t Say 23. The brainstem controls REM sleep while the forebrain manipulates NREM sleep. A Right B Wrong C Doesn’t Say 24. Sleeplessness contributes to lower mental ability and learning inefficiency. A Right B Wrong C Doesn’t Say 25. Any damage or injury to the neurons will result in sleep deprivation. A Right B Wrong C Doesn’t Say Part 4 Questions 26 – 35 , Read the following passage on administration of medications. or D) for each space. , Choose the best word (A, B, C , For spaces 26 – 35, mark one letter A – D on your answer sheet. Example 0 A live B living C alive D lively Answer: Administering Medications One of the nurse’s most routine and yet most critical responsibilities is the preparation and administration of medications. The responsibility extends (26) preparation and administration. The nurse must know how medicines act, the usual dosage, the (27) effects, and potential side effects so that he or she can evaluate the effectiveness of the medication and recognize (28) effects promptly when they occur. You will acquire this knowledge gradually as you study pharmacology and care for patients (29) varying problems. The major nursing diagnosis to keep in mind when giving medications is Risk (30) Injury. Patients can be injured by medications given in the wrong dosage, at the wrong time, or by an incorrect rout. They also can be injured by the (31) of essential medications, the administration of an incorrect medication, and by incorrect documentation. (32) this nursing diagnosis will not appear on the care plan, it applies to every situation in which a patient is being given medications. Another nursing diagnosis (33) appropriate when administering medications is Knowledge Deficit. In this case the Knowledge Deficit would be related to some aspect of the medication regimen; for example, the need to be (34) of drug interactions when taking antacids. In any healthcare facility, medications are administered according to procedures and polices (35) by that facility. 26. A over B beyond C through D with 27. A desired B great C contrast D minor 28. A additive B placebo C adverse D positive 29. A for B as C with D in 30. A as B for C against D at 31. A commission B omission C emissions D admission 32. A Because B Whereas C Although D Thus 33. A frequently B consequently C definitely D occasionally 34. A unconscious B aware C neglecting D determined 35. A defined B dominated C noticed D recited . ? Translation Questions 1-5 , Translate the following 5 sentences (extracted from the reading passages) into Chinese. , Write your versions on your answer sheet. 1. As I reflect on this episode, I realized that our medical resuscitation of this child was futile, as has been shown in children who present to the emergency department in full cardiac arrest. (Paragraph 7, Part 1) 2. The researchers asked the diarists recruited to say how often they made entries and for how long they had kept diaries. They were also asked if they had written about anything traumatic. (Paragraph 7, Passage 1) 3. Growth is de,ned as a change in body size and structure; development is a change in body function. (Paragraph 1, Passage 2) 4. Drugs are chemicals that tap into the brain’s communication system and disrupt the way nerve cells normally send, receive, and process information. (Paragraph 1, Passage 3) 5. Sleep characterized by little or no eye movement is called nonrapid eye movement (NREM) sleep. (Paragraph 3, Part 3) ? Writing , Read the following case summary. , Write a case report on your answer sheet. , You should write about 120 words. Surname: Sharp First name: Mary Sex: Female Age: 29 four weeks after a third uncomplicated pregnancy and delivery Description of one week history of lower back pain the patient the pain first occurred when she lifted her baby; getting progressively worse History of presenting left-side sciatica and perianal (会阴的) and vaginal numbness for 3 days referred to hospital when developed urinary retention condition olimitation of straight leg raising to 20 bilaterally loss of ankle reflexes Physical examination saddle anesthesia (鞍区麻木) reduced anal tone 1700 ml of urine drained upon catheterization (导尿术) a central L5-S1 disc prolapse Diagnosis and treatment L5-S1 laminectomy (椎板切除术) uneventful Expected/ symptom free with full bladder control Actual normal perineal sensations at six-month follow-up outcome 1. METS医药类考试第三级答题卡 4. METS(医药类)第三级考试样卷听力录音文本 This is METS 3 Listening Test. There are four parts in the test. Parts One, Two, Three, and Four. We will now stop for a moment before we start the test. Please ask any questions now because you must not speak during the test. Pause (10 seconds) Now, look at the instructions for Part One. Pause (3 seconds) , You will hear five short conversations. Each conversation is followed by a statement. , Are the statements “Right” (A) or “Wrong” (B)? , Please tick (?) the corresponding letter A or B on the answer sheet. , You will hear each conversation and statement twice. Here is an example: Man: What can I do for you? Woman: Can you fill the prescription for me?. Statement: The woman wants to have some medicine. Now you’ll hear the conversation again. Repeat Pause (5 seconds) The answer is Right, so tick A in the box. Pause (3 seconds) Now we are ready to start. Pause (3 seconds) Conversation 1 Man: Hello. Mrs. Thomas. I understand you’re having some difficulty. Woman: Yes. About an hour or so after I lay down, I had to sit up to catch my breath, and I haven’t been able to catch it at all. Statement: The woman has great difficulty in catching his breath. Repeat Pause (5 seconds) Conversation 2 Doctor, is my wife’s disease very serious? Is it curable? Man: Woman: Yes, this case could be cured. But she may have a relapse. This is a natural phenomenon. Don’t worry. Statement: the man’s wife can recover completely without relapse. Repeat Pause (5 seconds) Conversation 3 Man: Well, Mrs. Wilkins, you’ve got some lumps of fibrous tissue on the womb which are causing the bleeding. I think we should deal with them. Woman: Oh. Is that serious? Statement: The woman is diagnosed with tumors in her uterus. Repeat Pause (5 seconds) Conversation 4 Man: Has this medicine any clinical application? Woman: It is used alone or with other drugs to treat tuberculosis and to prevent it in people who have had contact with tuberculosis bacteria. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. Statement: This medicine can be used alone to treat tuberculosis. Repeat Pause (6 seconds) Conversation 5 Man: the 6g a day figure has been pushed quite strongly in the media, but it is important to remember that this is the maximum daily limit for adults. Woman: Children should actually take much less than this. Statement: Keep children on a low salt diet with 6g a day. Repeat Pause (5 seconds) This is the end of Part One Pause (3 seconds) Now look at Part Two. You will hear a conversation between a doctor and a patient. Are the following statements “Right” or “Wrong”? Please tick (?) the corresponding letter A or B on your answer sheet. You will hear the conversation twice. Pause (3 seconds) Patient (male): I’ve got a toothache. Why does it cause such a terrible pain? Doctor (Female): The pain from a dental abscess tends to be in response to pressure on the teeth, and is throbbing and continuous. Patient: What causes toothache? Doctor: Dental decay. A fracture of the tooth… Patient: Several years ago, I had one of my teeth filled. It was done very well. Doctor: Regardless of how well it is done, dental treatment and the materials used to fill the tooth can sometimes cause pain later. Patient: It must be that tooth. Doctor: I must give you an examination. Although you feel pain in a particular tooth, the problem may actually be in a different tooth---even one located in the opposite jaw. Patient: How can toothache be avoided? Doctor: The best way to prevent toothache is to keep your teeth and gums healthy. Brush your teeth twice daily using a toothpaste containing fluoride. Clean between your teeth using dental floss, wood sticks or an inter-dental brush according to your dentist’s advice. Visit your dentist regularly. This way, problems can be diagnosed early and your treatment will be more straightforward. Patient: What should I do if I have toothache? Doctor: If you have toothache, seek immediate advice from your dentist before the problem becomes severe. Patient: Can you give me some painkillers? I can’t stand it. Doctor: If the pain is prolonged and severe, painkillers may provide some relief. Remember even if the pain goes away, without treatment it will eventually become worse. Pause (3 seconds) Now you’ll hear Part Two again. Repeat This is the end of Part Two. Pause (3 seconds) Now look at Part Three. You will hear a monologue about how the urologist prepares the patient for prostatectomy. For questions 11-15, choose the best answer. You will hear the monologue twice. Pause (3 seconds) Before your operation, I would like to explain what happens when your prostate gland is removed. You will have a few tests before your operation, like blood and urine tests, heart tracing, a chest X-ray and sometimes an IVP intravenous pyelogram, which means we’ll take some X-rays of your kidneys. You will speak to an anaesthetist who will decide on your type of anaesthesia---a general---when you would be completely asleep or an epidural which only numbs the lower part of your body. There are two ways of removing the prostate. One is by operating after inserting a telescope through the penis or by making a cut in the lower abdomen. I’ll decide which method to use after I’ve examined you. After the operation your urine will be drained by a tube called an in-dwelling catheter. You may have some blood in the tube. Your bladder will be washed with water. You’ll also have a tube in your arm called an IV which may supply you with saline or blood. It’s recommended that you start drinking large quantities after the operation. You can have tea, coffee, squash or water but fizzy drinks are not recommended. This will speed up your recovery and wash away the blood in the catheter. The bladder tube will be removed 2-5 days after the operation. You should continue to drink as much as possible and pass water every two or three hours. Depending on your recovery, you are usually allowed home after about five days. Drink a lot of liquids at home and we’ll give you a stool softener to avoid constipation. If you have any problems, call your doctor. Your sex life will change a little. You can have intercourse a few weeks after the operation, but you will not emit any semen from your penis at sexual climax. Your semen will flow into your bladder and your urine may be cloudy after intercourse. You are unlikely to produce any further children but should not rely on this as safe contraception. Pause (3 seconds) Now you’ll hear Part Three again. Repeat This is the end of Part Three. Pause (3 seconds) Now look at Part Four. You will hear a doctor talking with a patient. Listen and complete blanks 16-20. In each blank write only one word. You will hear the conversation twice. Patient (male): Doctor, I’ve a terrible pain in my foot. Doctor (Female): Now tell me exactly what is wrong? Patient: I suddenly began to feel a severe pain in the joint of this toe. Doctor: Can you describe the pain? Patient: It feels like a red-hot knife stabbing my toe. Doctor: How long have you had it? Patient: Since last midnight. It hurt so much I couldn’t sleep at all. This morning I saw that the skin was red, hot and swollen. Doctor: Have you had it before? Patient: No. this is the first time. It’s never happened before. Doctor: Have you noticed any lumps on your ear? Patient: No. Doctor: Do you drink a lot? Patient: Yes, I drink often. Doctor: Do you eat a lot of meat? Patient: Yes, I love meat. Doctor: Has anyone in you family had the same trouble? Patient: Yes, my father and my elder brother. They died ten years ago. Doctor: I think it’s probably gout. You’d better have your foot X-ray and have a blood test for blood uric acid level, just to be sure. Take this paper to the office; the nurse will tell you what to do. Patient: When shall I come back? Doctor: Come back the day after tomorrow for the results. ***** Doctor: Your X-ray and raised blood uric acid level show you have gout. Patient: Can it be cured? Doctor: Yes. Here’s your prescription. In addition, the affected toes should be rested and protected from any contact. Have regular meals, keep to a diet of salads and fruit, and eat very little meat. Avoid all alcohol. Pause (3 seconds) Now you’ll hear Part Four again. Repeat Pause (3 seconds) This is the end of Part Four. You now have five minutes to write your answers on the answer sheet. Pause ( 4 minutes) You have one more minute. This is the end of the test. 5. METS(医药类)第三级考试样卷参考答案 I Listening Part 1 1. A 2. B 3. A 4. A 5. B Part 2 6. A 7. B 8. B 9. A 10. B Part 3 11. C 12. D 13. D 14. B 15. C Part 4 16. joint 17. meat 18. uric 19. gout 20. fruit II Reading Part 1 1. C 2. B 3. E 4. D 5. G Part 2 6. B 7. C 8. A 9. C 10. D 11. A 12. B 13. C 14. B 15. D 16. C 17. B 18. A 19. D 20. C Part 3 21. B 22. B 23. A 24. C 25. B Part 4 26. B 27. A 28. C 29. C 30. B 31. B 32. C 33. A 34. B 35.A III Translation 1. 回想此情此景，我意识到在急救室对这个孩子所做的所有抢救都是徒劳的，因为孩子早已停止了心跳。 2. 研究人员要求记日记的人告之他们多久写一次日记以及写日记所花费的时间长短。是否记录了一些有关受创伤的经历也被问及。 3. 生长是指身体尺寸和结构的变化，发育指身体功能上的变化。 4. 药物即化学物质，它能影响大脑的通讯系统，扰乱神经细胞正常发送、接收和处理信息的过程。 5. 很少或没有眼部活动的睡眠称之为非快速动眼睡眠。 IV Writing 参考样文 A woman aged 29 was seen four weeks after a third uncomplicated pregnancy and delivery with a 1-week history of lower back pain. The pain first occurred when she lifted her baby, but had been getting progressively worse. In the three days before admission she had also experienced left-side sciatica and perianal and vaginal numbness. The symptoms were initially attributed to the pregnancy and childbirth, but the patient was referred to hospital when she developed urinary o retention. On admission clinical examination revealed limitation of straight leg raising to 20 bilaterally, loss of ankle reflexes, saddle anesthesia and reduced anal tone. 1700 ml of urine was drained upon catheterization. MRI showed a central L5-S1 disc prolapse with marked thecal displacement. An urgent L5-S1 laminectomy was therefore performed. Postoperative recovery was uneventful and the patient was symptom free with full bladder control and normal perineal sensations at six-month follow-up.