Unit 5

Language Focus
1- “It won’t take very long” , “It won’t be sore” and “It shouldn’t be painful.” The doctor tries to ………………….
a- Explain b- Instruct c- Reassure d- warn

2- “You’ll be aware of ” and “This may feel a bit comfortable” The doctor tries to ………………….
a- Explain b- Instruct c- Reassure d- warn

3- “Lie on your ” , “Lie still” “I want you to .” and “Now can you ”The doctor tries to ………………….
a- Explain b- Instruct c- Reassure d- warn

4- The doctor tries to …………………. the patient to take up the correct position or take off clothes.
a- Explain b- Instruct c- Reassure d- warn

5- The doctor tries to ………… what he / she is going to do and why.

a- Explain b- Instruct c- Reassure d- warn

6- Doctors combine …………………………..

a- Explanation and instruction b- Instruction and reassurance
c- Reassurance and warning d- Explanation and Reassurance

7- “The patient could have MRI” The doctor shows that the investigation is ………….
a- Essential b- Possibly Useful c- NOT Required d- NOT Essential
 Unit 6
Language Focus
1- Expressions are used between doctors in ………………. diagnoses.
a- explaining b- instructing c- reassuring d- discussing

2- The results of the investigations provide stronger evidence for our final diagnosis are …………….
a- Certain b- Uncertain c- Fairly certain d- Possibly useful

3- The findings of the examination provide more likely evidence for our final diagnosis are ………….
a- Certain b- Uncertain c- Fairly certain d- Possibly useful

4- The little information provides possible evidence to base our diagnosis are ………….
a- Certain b- Uncertain c- Fairly certain d- Possibly useful

5- “Cervical spondylosis is a possibility.” This doctor shows his opinion in a ………………………..

a- Certain YES b- Uncertain NO c- Fairly certain Yes d- Uncertain Yes

6- “He seems to have Space-occupying lesion.” This doctor shows his opinion in a ………………………..
a- Certain YES b- Uncertain NO c- Fairly certain Yes d- Uncertain Yes

7- …………………………. involves describing cause and effect.

a- Explanation b- Reassurance c- Preparation d- Instruction
 Unit 7
Language Focus
1- “You’ll need” , “ You should “, “It’s really not good to” “If you rest, you will” and “Don’t..” are ………………
a- Explanation b- Advice c- Instruction d- Reassurance

2- “first, next, now and then” the physiotherapist marks the ………………of instruction
a- Explanation b- sequence c- Instruction d- Reassurance

3- “You should try to avoid bending directly.” The physiotherapist ……………… the patient of instruction
a- explains b- instructs c- cautions/negative advice d- reassures

4- “I feel sorry.” “I feel pity.” “I feel regret. “The doctor shows ……………….
a- explanation b- instruction c- sympathy d- reassurance
 Edge (noun) Lie (verb) Bend (verb) Put (verb)
Curl up (verb) Still (adj) Fluid (noun) Slightly (adverb)

Palpable Temporal artery

Unrelieved Temporal Arteritis
Space-occupying Lesion
Migraine Initially
Aneurysm Viral fever
Depression Stiffness
Biopsy Laparotomy
Occlusion Superior mesenteric artery
Gangrene Small/large bowel
Resect (verb) / Resection (noun) absent
Tenderness Diarrhoea
Fundi Giant cell arteritis
MRI Scan superficial

Place Lift [up] Bring down repeat

Keep Change Bend
+, ++, +++, - P Irreg. BP NAD CCF TURP
WBC RBC Hb Hct MCV ESR NEUTRO
LYMPH MONO EOSINO BASO
? ECG

O/E ENT RS CVS GIS GUS CNS

P T BP HS Reg. ESR

Rx Tab(s) Mitte Sig. Hrly p.c. t.i.d./t.d.s.

c.c. Mane b.i.d. / b.d. IU a.m. p.m. ml
 lumbar Depressed Pulsations
marrow Pulsations Femoral popliteal
dressing Posterior tibial Dorsalis pedis
antiseptic Lordosis Spasm
dehydrated Erector spinae Restricted
semi-comatose Depressed (not sad) reflexes
stimuli Depressed (sad) Neural
arouse Ankle jerk Physio
gastroenteritis lumbar Femoral artery
aesthetic Hypertensive
serum Osteoarthritis
Burr Cells Carcinoma (cancer of the bowel)
Low/Reduced Atopic eczema
Abnormal / Abnormally Epilepsy Insulin-dependent
High/Raised/Elevated Depressive illness Colostomy bags
 myelogram myocardial infarction
barium meal prolapsed intervertebral disc
sternal marrow duodenal ulcer
ultrasound scan lumbar puncture
EKG / ECG (electro-cardiogram) Coeliac disease
Crosby capsule Small foetus / baby / pregnant

Symptom
Lumbar puncture
Headaches - high blood pressure.
Headaches, nausea, vomiting
(+ History of high blood pressure)
Hypertensive crisis
(extremely high blood-pressure)
Investigations
Headache, high temperature, neck stiffness.
Urinalysis, and/or ECG, and/or, chest X-ray
Urinalysis, Haematological investigations
Chest X-ray, creatinine investigation, urinalysis,
urea and electrolytes, intravenous pyelogram
 Diagnosis Indicated treatment/management
Depressive illness Paroxetine
Insulin-dependent Human soluble insulin / isophane insulin
Epilepsy Carbamazepine
Hypertensive Atenolol
Osteoarthritis Naproxen
Carcinoma (of the bowel) Colostomy bags
Atopic eczema Hydrocortisone cream
Prolapsed intervertebral disk Dihydrocodeine

Symptoms presenting Diagnosis

Back pain referring down sciatic nerve with increasing severity + tingling in foot. O/E spasms in erector Prolapsed
muscles + restricted leg rises + depressed local reflexes intervertebral disk