d23-Lt23 Text Jason Riley-Sylvia Gunn

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You hear a knee specialist talking to a new patient called Jason Riley. For qustions 1-12, complete te notes with 2 word or shot rae. ‘You now have 30 seconds to oo tne notes Patient Jason Rey Patlenthistory + sna bacame swollen ate playing (1) (vo years 290) reeporde to est + agrosed with brie : + some arly istry (motor had tin her (2), ow works a8 (3) (eangod one year 290) + recutenc of swelng,krae also appeared (4) (sixmonths 290) 7 ~ some pain - dovloped mil over + medica fo poesibe (6) (some improvement) som svalnglache contnoes Furhertrestment + oceasoral us of pana nt has acres estonia) + ates, tothe secs area + food an excise regime (tevaton of ea) + useca(@) at right keep el csed + aspiration (8) of uid eroved (GP srecommendations + use (10 ___intoctuea + ply (9) to ees wnt woking + lose weaht (ot ctioves) ost recent eatment th courses of (12) — Extract 2: Questions 13-24 You hear a neurologist talking to a new patient called Sylvia Gunn. For qvestons 13:24, connote nots wth wad or shoe pasa ‘Yau now have 30 seconds olook at the notes. Patient Patient history Further treatment Current position Syva Gunn “+ pain in tooth (three years ogo) = te of provious (13), ont administered (14) Interment pain — in busi of (15), uration pain exacerbated by use of 16) referea to GP ( prosrived pains (had no ees) an exuded sinusitis (prevous history), sd none damage ‘Ani-oplepsy madication prescribed wth some success) + tenth gain iegular~pards ofemision + eperances (18) nthe jaw immetatay prior tthe est of pn sinlr symptoms affecting ye (same side of ace) aye triggered by. - move to anew (19) erpomre to (20) a warmer months) sme rel rom symptoms when wearing (2) + mptoms worsening ~ at peak ocuing over (22) has exporenced (28) loss + as stopped attending (24. (teoings of statentsegression) “That isthe ond of Part A. Now look at Part 8. Part B inthis pt of he et youl ari iteren extracts, n each enact her pop tag in ifort haatoae «ties For questions 290, chose teaser (AB or 6) which Ss bet acco wha youher Youle bet fro eet qucsten bre ouster Cort our arawer 8 yous, Now oo at quston25 25. Youea: wore contig ptt handover What doestnincring nse need od? ® cvotise radian vst chia bes oso ats © conocer ia esseesmet 26, You hear GP tang a pation ‘what dos ne ecoramend for her ansemia? ® sake appropiate mediation © rang spect charges ther det © ving the eis to ont he agnosis sn, Yason ase nega ag sou wins om nat oe yo xan? ® ony docs can aor @: + © Trem wort de recur doa sways needs abe done in thea, 28 Youneara dentist ating toa patent \nst nes he patent tunic tou he sient fr soot? ® remaecalnarv ve wses ® tery econsecionhoinave © resent of mone het havea py 28, Younes tie nunein te emergency dopant king to a dt Wats dong? @ sstingto ov an attsen t's nade acting hat hes ode iste © _ passing on a comptint 38, Yasha an aye surgeon sg sen late ay ll ais se ng? ® ising tom how sol win some defeats © exssing how cas symptoms canbe missed © suossng he ned og ide xetence ‘Thatis the ond of Part B, Now look at Part. Part tn his pao thet ou hear wo deren rac, neath exact yeu hear heath pofestnas ang stout septs thee work For questions 2142, hone the answer (A, Bor which best according what you hea. Compl your aneware a outer Extract 1: Questions 3136 ‘You hear an inten widen called Ben iteose wong boi adn deen “You now have 99 seconds tread quetions 316, 31. Ben says te main reson somany people lack one he eis ® trevype ote they choose o eat the distance ny ve fo these 32, Ben soy hath conmonest symptom ood dterey endo be ® erro tatue © stat ntarng bey heat 238, Below shel Sout Anarcafx Eucpo, Bas par calle Mebote ® hat aready begun to develop symptoms of one dfeiney had amor vale dt than she adoped on her © aint oon afte by te ck of ert 34 How did Meal et whon she raised sw ceva ote? ® stares toe wiht be a nortan enénaton rit © eoarassed not to have recogeiod he waning slgns © sures because so thought her do was sce votes OF 135, What dd Gon advise trabelle to do? . ® exrconsn eosin combination © ova atypee of processed fos © reser rec on supplements 16, What conclusions does Ben draw aboutiodine éefclency rm Mabel’ case? ® wore tovs may have been overestimates © tavernas of oop ae atk of surg foi © enyctange in ctr has can meres suceptoaty oi [Now ook at extract two. Extract 2: Questions 37-42 ‘ ‘You heae a laste ergeon called Norma Woolston giving a presentation abou surgical teatment fora condion called upuyiren's contract ‘You now have 90 sands a react questions 37-42, 37, Norma sys that when the condition is lagnosed early enaish © rian can ease pa at tous © veooy nt ron tan ot mveet © sexy may ie ede every 3! Wen the patent cated ie fist presented with he condition, Noms ® texiatis ccogaion maybe making the smote worse © aleosnt ner an bet ger was ace © cxttcco ath fund x onbaresing - ss _ Q.rrrsi‘(‘(C@wSWS 38. _ Norma fal tat Eric cndon may have s genetic basls because ® horse octrs wore founstobe post © there was.a sory of rls cancers inthe fay. © twbeinaes oan ste grove non ndonn ok 40, Before agrosing to undergo surgery. Ere expressed concerns about © steer sey neces. © topossvn sd tects of anoeshesia © _owknoid nant nts ges etn. “41. inet problem ld Exc have inthe eve needy ater the procodre? ® tis xoonad on unexpected lel of He ound hat ha had cat a lepg. © owes wale oe ais wokdone 42. _Attis fa exnssation, Exc revealed hat ho felt ® erased ware outcome of he test © cxncomed abt th cercs othe conton suring © sted tow ng kwon eco fon epoca, ‘That isthe end of Pat. ‘You now have two minutes to check your answers END OF THE LISTENING TEST

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