Paper 1

Part A
In this part of the test, you hear two different extracts. In each extract, a health professional is
taking to his patient. For questions 1 to 24 complete the notes with the information you hear.
Now, look at the notes for extract 1.
Extract 1: Questions 1 to 12
You hear a doctor talking to a patient called Tainatongo. For questions 1 to 12, complete the
following notes with a word or short phrase.
You now have thirty seconds to look at the notes.
Patient : Tainatongo
Age : 36
Symptoms & disease : Allergies
Patient’s description of symptoms:
intolerance to grass allergies, (1)
no anaphylaxis or angioedema
Past medical history : when the patient was under dialysis due to renal failure six months back,
had an
: acute event of (2) etiology uncertain.
: diagnosis results showed allergic reaction was due to (3) for

treating
: cellulitis dialysis shunt infection.
Family history of illness : family members have severe heart disease, carcinoma, and food
allergies.
Medications : taking (4) for controlling blood pressure, (5) , Lovaza,

& Dialyvite.
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Previous treatments : corticosteroid therapy and antihistamine therapy and monitoring.
Allergies : Heparin causes (6)
Physical examination : blood pressure 128/78, pulse 70, temperature is 97.8, weight is
207 pounds, and height is 5 feet 7 inches.
mpression : (7)
Further diagnosis : (8) test, to investigate specific (9) to determine

the substances a subject is allergic to.
Further treatment : further treatment and medications upon the test results
: stop further usage of (10)
: (11) in the event of (12) or allergic reaction or

sensation of impending allergic reaction
Extract 2: Questions 13 to 24
You hear a physician talking to a patient called Ndamukong. For questions 13 to 24, complete
the following notes with a word or short phrase.
You now have thirty seconds to look at the notes.
Patient : Ndamukong
Age : 29
Symptoms & disease : Toothache
Patient’s description of symptoms: has multiple issues with teeth due to severe dental disease.
had many of his (13)
having severe tooth pain to both (14) for the

past three days.
doesn’t drink, but (15)
Family history of illness : none
Medications : (16) and Vicodin for (17)
Previous treatments : had removed many of his teeth
Allergies : penicillin and (18)
Physical examination : Temperature 97.9, blood pressure is (19) pulse is 74,

respirations 16, (20) 98% on room air and interpreted as normal
tenderness to (21) gums are normal
no (22) or swelling
no purulent or other discharge noted.
floor of the mouth is normal without any abscess,
no suggestion of Ludwig's syndrome.
Impression : (23) and Multiple Dental Caries
Further treatment : (24) intramuscular
: Teeth Filling
Complications : None
That is the end of Part A
Now look at Part B
Part B
In this part of the test, you will hear six different extracts. In each extract, you’ll hear people
talking in a different healthcare environment.
For questions, 25 to 30 choose the answer (A, B, or C) which fits best according to what you
hear. You will have time to read each question before you listen to the audio. Complete the
answers as you listen the audio.
Now look at the question 25
Extract 1
(25) You hear a discussion between a nurse and a physician explaining about
Nipah virus.
The genus of Nipah virus is;
A. Paramyxoviridae
B. Henipavirus
C. Pteropus
Extract 2
(26) You hear a monologue of a physician explaining about the use of

Thimerosal in vaccines.
Which of the following statements is correct?
A. Thimerosal contains methylmercury
B. Ethylmercury causes severe side effects to humans
C. Ethylmercury is the most widely used form of organic mercury
Extract 3
(27) You hear a discussion between two doctors on adjuvants used in vaccines.
A. Aluminum gels are used in Cervarix vaccine
B. Monophosphoryl lipid A has been used as an ingredient in vaccine since 1930
C. Cervarix doesn’t contain aluminum salts
Extract 4
(28) You hear a monologue of a physician explaining about Typhus Fevers.
Sylvatic typhus is also known as;
A. Scrub typhus
B. Louse-borne typhus
C. Murine typhus
Extract 5
(29) You hear a discussion between two doctors about VX and its effects.
A. Sarin is much more toxic by entry through the skin.
B. Symptoms will start appearing within few seconds of exposure to the liquid form of VX.
C. The least volatility makes the VX as short-term threat as well as long term threat.
Extract 6
(30) You hear a monologue of a doctor briefing about Rubella disease.
The vaccine for Rubella is not meant for;
A. Mumps
B. Measles
C. Shingles
Part C
In this part of the test, you'll hear two different extracts. In each extract, you'll hear health
professionals talking about specific aspects of their work.
For questions, 31 to 42 choose the answer (A, B, or C) which fits best according to what you
hear. Complete the answers as you listen the audio.
Now, look at extract one.
Extract 1
Questions 31 to 36
You hear the lecture given by a physician on the topic Amyotrophic lateral sclerosis disease
You have 90 seconds to read questions 31 to 36
(31) Which of the following statements is incorrect?
A. Amyotrophic lateral sclerosis is also known as Lou Gehrig's disease, after the famous
basketball player who was diagnosed with this condition.
B. The lifespan of the patients with Amyotrophic lateral sclerosis is about 3 to 5 years after the
appearance of the symptoms.
C. There is no cure to amyotrophic lateral sclerosis and treatment is aimed to relieve symptoms.
A. About 20 percent of patients will live 5 years or more after diagnosis,
B. About 50 percent of patients will live for 20 years.
C. just 10 percent of the patients will live for 10 years or more,
A. About 90 to 95 percent of patients are with sporadic amyotrophic lateral sclerosis
B. About 5 to 10 percent of patients are with inherited amyotrophic lateral sclerosis
C. About 5 to 10 percent of patients are with sporadic amyotrophic lateral sclerosis
(34) Higher levels of glutamate secretion occurs due to;
A. Chemical imbalance
B. Disorganized immune response
C. Mishandling of proteins
(35) Which of the following is not one of the early symptom of amyotrophic
lateral sclerosis?
A. Emotional lability
B. Slurred speech
C. Abnormal limb fatigue
(36) Which of the following is an upper motor symptom?
A. Muscle atrophy
B. Twitching
C. Stiffness
Extract 2
Questions 37 to 42
You hear the doctor giving a lecture on Tests used on biopsy and cytology specimens to
diagnose cancer.
You have 90 seconds to read questions 37 to 42
(37) Which of following statements suits best with this extract
A. Adenocarcinomas can produce mucus
B. mucicarmine stain leaves a pink-red appearance to mucus
C. Pink-read appearance of mucus is an indication of lung cancer
A. Histochemical stain tests can diagnose only different kinds of cancer tumors.
B. Special stains are used to identify microorganisms.
C. Some infections cause lumps similar to cancer tumor.
(39) Immunohistochemical stains are significant to;
A. Find out whether the antibodies have been attracted to the cells.
B. Find out the origin of the cancer.
C. Find out whether the tumor is cancer or or not
(40) Cytometry is used to diagnose the cells from;
A. Lungs
B. Colon
C. Bone Marrow
(41) The cells are diploid if;
A. The DNA amount is abnormal
B. The DNA amount is normal,
C. The cancer grow and spread aggressively
(42) The S-phase fraction measurement in cytometry test will measure;
A. Size of the cancer cell S-Phase
B. Size of the cancer tumor in S-Phase
C. Amount of cells in S-Phase

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Part A

Now, look at the notes for extract 1.

You now have thirty seconds to look at the notes.

Symptoms & disease : Allergies

Patient’s description of symptoms:

intolerance to grass allergies, (1)

: acute event of (2) etiology uncertain.

: diagnosis results showed allergic reaction was due to (3) for

: cellulitis dialysis shunt infection.

Medications : taking (4) for controlling blood pressure, (5) , Lovaza,

Allergies : Heparin causes (6)

Further diagnosis : (8) test, to investigate specific (9) to determine

: stop further usage of (10)

: (11) in the event of (12) or allergic reaction or

You now have thirty seconds to look at the notes.

Symptoms & disease : Toothache

had many of his (13)

having severe tooth pain to both (14) for the

doesn’t drink, but (15)

Medications : (16) and Vicodin for (17)

Previous treatments : had removed many of his teeth

Allergies : penicillin and (18)

Physical examination : Temperature 97.9, blood pressure is (19) pulse is 74,

tenderness to (21) gums are normal

no purulent or other discharge noted.

floor of the mouth is normal without any abscess,

no suggestion of Ludwig's syndrome.

Impression : (23) and Multiple Dental Caries

Further treatment : (24) intramuscular

That is the end of Part A

Now look at Part B

Now look at the question 25

The genus of Nipah virus is;

(26) You hear a monologue of a physician explaining about the use of

Which of the following statements is correct?

A. Thimerosal contains methylmercury

B. Ethylmercury causes severe side effects to humans

C. Ethylmercury is the most widely used form of organic mercury

Which of the following statements is correct?

A. Aluminum gels are used in Cervarix vaccine

C. Cervarix doesn’t contain aluminum salts

(28) You hear a monologue of a physician explaining about Typhus Fevers.

Sylvatic typhus is also known as;

Which of the following statements is correct?

A. Sarin is much more toxic by entry through the skin.

(30) You hear a monologue of a doctor briefing about Rubella disease.

The vaccine for Rubella is not meant for;

Now, look at extract one.

You have 90 seconds to read questions 31 to 36

(31) Which of the following statements is incorrect?

(32) Which of the following statements is incorrect?

A. About 20 percent of patients will live 5 years or more after diagnosis,

B. About 50 percent of patients will live for 20 years.

C. just 10 percent of the patients will live for 10 years or more,

(33) Which of the following statements is incorrect?

A. About 90 to 95 percent of patients are with sporadic amyotrophic lateral sclerosis

B. About 5 to 10 percent of patients are with inherited amyotrophic lateral sclerosis