(2024) OET Listening Part A – Test 5

QUESTION

In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking to a patient.

For questions 1 to 24 complete the notes with information you hear.

Now, look at the notes for extract one.

Extract 1: Questions 1 to 12

You hear a doctor talking to a patient called Eugeniusz.

For questions 1 to 12, complete the following notes with a word or short phrase.

You now have 30 seconds to look at the notes

Patient: Eugeniusz

Age: 12

Symptoms & disease: Fell off from bicycles & having neck pain

Patient’s description of symptoms: fell off his bicycle. He was not wearing a helmet. There was a (1) ………… He is complaining neck pain

Family history of illness: none

Medications: none

Allergies: none

Physical examination: his blood pressure 150/75, pulse rate 80, respirations 18, temperature 37.4, (2) ………….. on room air. He is moderately obese.

Diagnosis: His neck is symmetric, the trachea is in the midline, and there are no masses. No crepitus is palpated. The thyroid is palpable, not enlarged, smooth, moves with swallowing, and has no palpable masses. Normal respiratory effort. There is no (3)…………. or action by the accessory muscles. Normal breath sounds bilaterally (4) ………………. wheezing or rubs.

The point of maximal impulse is palpable at the (5) …………….. no thrills on palpation. (6) …………… no audible S3, S4, murmur, click or rub. (7)……………. no audible abdominal bruits (8)……………. bilaterally without audible bruits. Extremities show no edema or (9) ………………….

Gastrointestinal investigation shows no palpable tenderness or masses. Liver and spleen are percusses but not palpable under the costal margins. No evidence for (10) ……………… no lymphatie nodes over 3 mm in the neck, axilla or groins. Musculoskeletal test shows normal gait and station. Symmetric muscle strength and normal tone, without signs of atrophy or abnormal movements.

There is a (11) ……… and one in the occipital scalp, and there are abrasions in the upper extremities and abrasions on the knees. No induration or subcutaneous nodules topalpation.

Impression: has concussion, facial abrasion, (12) ……………. and knee abrasions.

Further treatment: to admit the patient today and he will be medicated and under observation for 24 hours.

Extract 2: Questions 13 to 24

You hear a physician talking to a patient called Mr. Gregorius.

For questions 13 to 24, complete the following notes with a word or short phrase.

You now have 30 seconds to look at the notes

Patient: Mr. Gregorius

Age: 55

Symptoms & disease: Abnormal stress test with severe chest pain

Patient’s descriptsion of symptoms: had a markedly abnormal stress test with severe chest pain after 5 minutes of exercise on the standard Bruce with horizontal ST depressions and moderate (13) ……………. on stress imaging only.

Allergies: none

Physical examination: his (14) …………………. today shows mild-to-monderate left main distal disease of 30%, moderate (15) ………………. with a severe mid-left (16) ………… of 99%, and a mid-left (17) ……………. with normal (18) …………. and some mild (19) …………… in the right coronary artery with some moderate (20)…………. seen in the mid to distal right (21) ………………..

Impression: has (22)……………….. symptoms, as well as nocturnal angina symptoms, and especially given the severity of the mid left anterior descending lesion, with a markedly abnormal stress test.

Further treatment: Aspirin 325 mg once a day, (23) …………………… Zocor 40 mg once a day.
: (24) …………….. given tonight.
: transfer the patient for percutancous coronary intervention

ANSWERS