Gastric and Duodenal Ulcer

«С.Ж.
АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ

НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
Редакция: 1
Кафедра языковых дисциплин МР Страница 1 из12
Work-out for practical classes
Grammar:“Complex Subject”
Aims. Didactic aims:
to form the students’ following components of competence:
 Educational (cognitive) component:
1. to form students’ knowledge on mastering medical terms from the text “Gastric and
duodenal ulcers”
2. to form students’ knowledge on using Complex Subject.
 Practical (operational) component:
1. to form students’skills on forming and using “Complex Subject”
2. to form students’ skills on listening, reading and translating the text with or without a
dictionary.
3. to form students’ skills on writng a short summary according to the text and rendering it
for using in the process of educational-professional communication.
 Self-studying component:
1. to form students’ skills and habits on using professional supplementary dictionaries.
2. to form students’ skills and habits on working with additional grammar references.
Urgency of the theme: Students should know and use medical terms for providing trinity
program of education.
Tasks of study: to teach the students the grammar “Complex Subject” and the theme “Gastric
and Duodenal Ulcers”, to develop their grammar and vocabulary habits by doing lexico-
grammatical exercises, reading and translating the text.
Basic thematic issues:
1. Lexis describing the disease “Gastric and duodenal ulcers”
2. Formation and usage of grammar “Complex Subject”
3. The text “Gastric and Duodenal Ulcers”
Methods of teaching: presentation of new theme using grammar table, associagrams.
Means of teaching: books, tables, associagrams
Literature:
Basic:
1. “Essential English for medical students”, A.M.Maslova, Z.I.Winestein, L.S.
Plebeyskaya,
M.-2003, p.216-218
2. “ Grammar in Use” for elementary and intermediate students, R.Murphy, p. 132-135
Additional:
1. “Headway”, Elementary, Oxford University Press, 1995.
2. “Vocabulary in use”, Intermediate, Stuart Redman with Ellen Shaw, Cambridge University
Press, 2001.
Кафедра «Иностранный язык и профессионнальный иностранный язык»

Страница 1 из 12
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
Редакция: 1
Reading -15 min

Gastric and duodenal ulcers
Gastric and duodenal ulcers are found to develop more frequently in men than in women,
mainly at ages of 25 to 40 years. This disease is characterized by pains, haemorrhages, nausea,
vomiting, etc. At the onset of the disease pain is usually dull in character. In gastric ulcers pain is
found to grow worse after meals. Acute pain in the stomach is known to be characteristic of
perforated ulcers. Pain due to ulcer is well known to occur periodically and be intermittent in
occurrence.
The course of ulcer has proved to vary with age and sex, location of ulcers, etc. At a young
age its course has no characteristic clinical manifestations. In old persons the incidence of ulcers
is known to be rare. But they are often complicated by considerable haemorrhage resulting from
sclerotic changes in the stomach.
Ulcers are known to have a chronic, cyclic course, with remissions from 6 to 12 months.
Exacerbation of ulcers, particularly that of duodenal ulcers, has been found to occur in spring
and autumn.
Post-reading exercises – 15 min
1. Find the sentences with Complex Subject.
2. Finish the sentences according to the text information choosing a) or b).

1.Patients with perforated ulcers are known to complain of …….. a) an acute pain in the
stomach; b) a sharp pain in the substernal area radiating to the shoulder. 2. In old persons ulcers
are complicated by haemorrhage which is due to ……. a) sclerotic changes in the stomach; b) an
irregular diet in combination with a nervous overstrain. 3. According to corticovisceral theory
the development of ulcer is associated with….. a) disturbances in the blood supply of the brain;
b) the lesions of the central and peripheral nervous systems.
3. Complete the sentences with the text information.

1. The corticovisceral theory of the pathogenesis of ulcer was a further development of….. 2.
Male patients at the ages of 25 to 40 are known to suffer from ulcers more…….. 3. At the onset
of the disease the patients with ulcer complain of pain which is……. 4. According to
corticovisceral theory it has been proved that gastric and duodenal ulcer are due to…. 5.It is
known that an irregular diet as well as emotional overstrain may…. 6. In young patients the
course of ulcer may have no…. 7. The scientists consider that the lesions of the central and
peripheral nervous systems lead to…..
4. Tick true or false statements (T) or (F).

a) Exacerbation of ulcer has been found in winter and summer.
b) Gastric and duodenal ulcers are found to develop more frequently in men than in women.
c) The European scientists proved the existence of an association between a lesion of the central
and peripheral nervous systems and the development of ulcer.
d) In old persons ulcers are complicated by haemorrhage which is due to sclerotic changes in the
stomach.
Редакция: 1
6. Find the nouns of the following adjectives from the clouds.

1) duodenal
2) irregular
3) emotional diet overstrai
n theory
4) corticovisceral
5) sharp
pain
ulcer
7. Put the words in a correct order and make a question.

a) What / complain/ of / do / you?
b) What /complaints/ have/ you/ do?
c) How / can / help/ I/ you?
d) What / the symptoms/ are/ gastric and duodenal ulcer/ of?
e) What / the causes/ are / of /the disease?
f) You /could/ me/ prescribe/ drugs/ some?
Writing– 5 min
1. Put the following words in a correct order and make a sentence.
a) Men/ to develop /in /gastric and duodenal ulcers/ frequently /than /more /in /are /women
/found.
b) The causes / the disease/ are /of/ diet/ emotional/ and/ overstrain/ irregular.
c) Acute/ the stomach/ in/ is known/ characteristic/ to be/ pain/ ulcers/ of /perforated.
d) In the majority/ ulcer/ is observed/ to develop/ in/ persons/ particularly/ of/ nervous/ cases.
Speaking
Discussion – 15 min

Редакция: 1
Causes
Scientists
Gastric and Duodenal Ulcer
The course of the

disease Symptoms
Match the appropriate answers to the questions.
What do
you complain of?
Take these two
drugs twice a
day after meals
What can be the cause of Gastric and I have an acute pain in the
duodenal ulcers? stomach, nausea, vomiting. I
feel myself dizzy
What drugs are you going to

prescribe?
The cause of this disease
may be irregular diet and
emotional overstrain.
That’s why you need to
go for in sport and eat
healthy food

Редакция: 1
Control questions
Answer the questions.
1) What are the symptoms of Gastric and Duodenal ulcers?
2) What are the causes of Gastric and Duodenal Ulcers?
3) Who proved the existence of an associtaion between a lesion of the central and peripheral
nervous systems?
4) Who developed the corticovisceral theory?
Writing
2. Write a short summary of the text “Gastric and Duodenal Ulcers”
Work-out for
Theme: “Gastric and Duodenal Ulcers ” and “Complex Subject”
Lexis: Words and word combinations of the theme
Grammar: Complex Subject
to form the following competence of students:
 communicative component:
1. to form and develop the students’ skills on discussing the content of the theme and
dialogical speech
Urgency of the theme:

Medical students must know the importance of studying medical clinical lexis to describe
clinical picture of a disease, which they’ll study at clinical disciplines.
Literature:
Basic:
3. “Essential English for medical students”, A.M.Maslova, Z.I.Winestein, L.S. Plebeyskaya,
M.-2003, p.216-218
Additional:
Press, 2001.
Tasks:

Редакция: 1
a) to enlarge students’ knowledge in the given theme for developing practical skills in
commenting and giving their opinion
b) to develop students’ skills on monological and dialogical speech on the given theme by
using new lexis and grammar
Consolidation of grammar -20 min

Grammar “Complex Subject”
Discussion
See the tabe№1
He is said to know six languages.
Говорят, что он знает шесть языков.
He was said to know six languages.
Говорили, что он знает шесть языков.
He is said to have gone to London.
Говорят, что он уехал в Лондон.
He was said to have gone to London.
Говорили, что он уехал в Лондон.
Let’s revise Passive voice

To To say To be To be
know known said
Passive Voice
Active Voice
4. Transform the sentences below using Complex Suibject.

1) Somebody has told me that Jack is in town.
Jack………..
2) It is thought that life on Earth was brought from space.
Life………..
3) Many people think that Stevenson wrote more poems than he know of.
Stevenson…….
4) Everybody believed that somebody had prompted Jack what shares to buy.
Jack…………
5) People suppose that crises are a regular display of economics.
Crises………
6) It is said that Peter used to be a talented journalist.

Редакция: 1
Peter………
7) Some people suppose that this derelict land was a bustling town in the past.
This derelict land……….
8) They thought that Steve was the person who was guilty.
Steve…..
9) Everyone firmly believes that Manchester United is the strongest team.
Manchester United………
10) Everyone firmly believed that Manchester United is the strongest team.
Manchester United…….
11) Everyone firmly believes that Manchester United was the strongest team.
Manchester…….
12) People suppose that there is a huge amount of natural resources in the ocean floor.
Ocean floor………
Match the appropriate answers to the questions.
What do Take these two drugs twice a day after
you complain of? meals
What can be the cause of Gastric and I have an acute pain in the
duodenal ulcers? stomach, nausea, vomiting. I feel
myself dizzy
What drugs are you going to The cause of this disease

prescribe? may be irregular diet and
emotional overstrain.
That’s why you need to
go for in sport and eat
healthy food
5. Join the sentences below using Complex Subject

Редакция: 1
to be very well organized

Sally was noticed to be efficient
to pay on time
This company is to win the prize
expected to eat porridge
to learn quickly
He is likely
Poor Mary was made
This method proved
Now she seemed
Consolidation of the text – 25 min

Discussion
1. Let’s revise what we know about Gastric and Duodenal Ulcers. (Write down what you
remember)
What do we know about

Gastric and Duodenal
Ulcers?
Say whether these statements are true or false (T) or (F).

a) Exacerbation of ulcer has been found in winter and summer.
b) Gastric and duodenal ulcers are found to develop more frequently in men than in women.
c) The European scientists proved the existence of an association between a lesion of the central
d) In old persons ulcers are complicated by haemorrhage which is due to sclerotic changes in the
stomach.
Give general and special questions to the sentences below and write the questions in the
clouds.

Редакция: 1
a) The symptoms of Gastric and Duodenal Ulcers are acute pain in the stomach, haemorrhage,
nausea etc.
f.ex:
1) What are the

symptoms of Gastric
and Duodenal Ulcers?
b). The Soviet scientists proved the existence of an association between a lesion of the central
c) In the majority of cases ulcer is observed to develop in particularly nervous persons, often
after emotional overstrain.
d) In gastric ulcers pain is found to grow worse after meals.
e) The causes of Gastric and Duodenal Ulcers are irregular diet and emotional overstrain.
Causes
Scientists
The course of the disease
Symptoms

Редакция: 1
Work-out
Theme: “Gastric and Duodenal Ulcers ” and “Complex Subject”
Lexis: Words and word combinations of the theme
Grammar: Complex Subject
to form the following competence of students:
 communicative component:
2. to form and develop the students’ skills on discussing the content of the theme and
dialogical speech
Urgency of the theme:

Medical students must know the importance of studying medical clinical lexis to describe
clinical picture of a disease, which they’ll study at clinical disciplines.
Literature:
Basic:
5. “Essential English for medical students”, A.M.Maslova, Z.I.Winestein, L.S. Plebeyskaya,
M.-2003, p.216-218
Additional:
Press, 2001.
Tasks:
c) to enlarge students’ knowledge in the given theme for developing practical skills in
commenting and giving their opinion
d) to develop students’ skills on monological and dialogical speech on the given theme by
using new lexis and grammar
Speaking – 20 min
1. Give the questions using the words below.

f.ex: a)
a) What / complain/ of / do / you? What do
b) What /complaints/ have/ you/ do? you
c) How / can / help/ I/ you? complain
d) What / the symptoms/ are/ gastric and duodenal ulcer/ of?
e) What / the causes/ are / of /the disease?
f) You /could/ me/ prescribe/ drugs/ some

Редакция: 1
2. Give general and special questions to the sentences below and write the questions in the
clouds.
a) The symptoms of Gastric and Duodenal Ulcers are acute pain in the stomach, haemorrhage,
nausea etc.
f.ex:
1) What are the

symptoms of Gastric
and Duodenal Ulcers?
b). The Soviet scientists proved the existence of an association between a lesion of the central
c) In the majority of cases ulcer is observed to develop in particularly nervous persons, often
after emotional overstrain.
d) In gastric ulcers pain is found to grow worse after meals.
e) The causes of Gastric and Duodenal Ulcers are irregular diet and emotional overstrain.
3. Read and give the translations of the following word-combinations.
Development of ulcer, neurogenous theory, gastric juice, contraction of vessels, internal stimuli,
irregular diet, considerable haemorrhage, exacerbation of ulcer, gastric and duodenal ulcers.
4. Find the nouns of the following adjectives from the clouds.

1) duodenal
2) irregular
3) emotional diet overstrai
n theory
4) corticovisceral
5) sharp
pain
5. Finish the sentences according to the text information choosing a) or b).

1.Patients with perforated ulcers are known to complain of …….. a) an acute pain in the
stomach; b) a sharp pain in the substernal area radiating to the shoulder. 2. In old persons ulcers
are complicated by haemorrhage which is due to ……. a) sclerotic changes in the stomach; b) an
irregular diet in combination with a nervous overstrain. 3. According to corticovisceral theory
the development of ulcer is associated with….. a) disturbances in the blood supply of the brain;
b) the lesions of the central and peripheral nervous systems.
6. Put the following words in a correct order and make a sentence.

e) Men/ to develop /in /gastric and duodenal ulcers/ frequently /than /more /in /are /women
/found.
f) The causes / the disease/ are /of/ diet/ emotional/ and/ overstrain/ irregular.
Редакция: 1
g) Acute/ the stomach/ in/ is known/ characteristic/ to be/ pain/ ulcers/ of /perforated.
h) In the majority/ ulcer/ is observed/ to develop/ in/ persons/ particularly/ of/ nervous/ cases.
Speaking
Discussion -10 min What scientists What are the
do you know? causes of the
disease?
What are the

What is the symptoms of the
course of the disease?
disease?
Speaking
Making up a dialogue – 20 min
7. Make up a dialogue with your partner on the theme “Gastric and duodenal ulcer”
(between a doctor and a patient).
Student A is a physician who treats patients.
Student B is a patient who has a gastric and duodenal ulcer
 Task:
Student B should see the doctor and tell about his complaints.
Student A should ask about the patient’s complaints and examine him.
1) Finish the dialogue.
Student B: - Good Morning, Doctor!
Student A: -Good Morning! How are you? What do you complain of?
Student B: -Oh, I have been feeling myself bad for last few days. I have an acute pain in the
stomach, sometimes nausea and vomiting
Student A: - So, I need to examine you to define what it is. So, let me see your tongue!
Student B: - Doctor, are you going to give me injections today?
Student A: - No, first of all we need to examine you. We will take some analysis for making
a correct diagnosis and treat you properly
Student B:
Student A:
8. Finish the dialogue.
Control questions
Answer the questions.
5) What are the symptoms of Gastric and Duodenal ulcers?
6) What are the causes of Gastric and Duodenal Ulcers?
7) Who proved the existence of an associtaion between a lesion of the central and peripheral
nervous systems?
8) Who developed the corticovisceral theory?


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«С.Ж.

АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ

Work-out for practical classes

Кафедра «Иностранный язык и профессионнальный иностранный язык»

Reading -15 min

Post-reading exercises – 15 min

1. Find the sentences with Complex Subject.

2. Finish the sentences according to the text information choosing a) or b).

3. Complete the sentences with the text information.

4. Tick true or false statements (T) or (F).

6. Find the nouns of the following adjectives from the clouds.

7. Put the words in a correct order and make a question.

Кафедра «Иностранный язык и профессионнальный иностранный язык»