医护英语水平考试METS(护理类)模拟试题集

医护英语水平考试（护理类）第二级Medical English Test System (METS)(For Nurses)Level 2姓名准考证号______________时间120分钟Now look at Question 1.1. How does the woman feel?[A] Nervous[B] Excited[C] Disappointed.2. Where does the conversation most likely take place?[A] In a pharmacy.[B] In an admission office.[C] In a consulting room.3. The woman is a (n) ______.[A] anesthetist[B] nurse[C] doctor4. What does the woman mean?[A] She’s willing to help the ma n.[B] She’s sorry that she injured the man.[C] She wants to know what happened to the man.5. What does the man mean?[A] Diets can be harmful.[B] He does not have enough energy to exercise.[C] By themselves diets are not useful.6. What does the woman want to know?[A] What she can do to help the man.[B] What is causing the man’s problem.[C] What the man just said.7. What does the woman imply?[A] She is going to miss the party.[B] The man will have enough time for the party.[C] The man might sleep late and miss his appointment.8. What can we learn about the woman?[A] Her father died, her uncle is still living.[B] Her uncle died, her father is still living.[C] Both her father and her uncle died.9. Which of the following can NOT be eaten by the woman?[A] Shrimps.[B] Pork.[C] Eggs.10. What’s wrong with the women?[A] Her wrist is swollen.[B] She has an X-ray exam.[C] She has got a wrist fracture.Part BYou’re going to hear one dialogue and two talks. Before listening to each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing [A], [B], or [C]. After listening, you will have 5 seconds to check your answer to each question. You will hear each piece TWICE.Questions 11-13 are based on a dialogue between a head nurse and a patient.11. What is the nurse doing?[A] She is helping the patient with his registration.[B] She is introducing the environment to the new patient[C] She is preparing the patient for an operation.12. When can patients’ relatives come to see them?[A] At 12 noon.[B] At 9 p.m.[C] At 7 p.m.13. Which of the following must be true according to the passage?[A] The patient will live happily during his stay in the hospital.[B] The bed and furniture will be sterilized every morning.[C] Mr. Tompson will have an operation tomorrow.Questions 14-16 are based on a dialogue about the information of a recovered patient.14. What is the patient busy doing?[A] Going through the admission formalities.[B] Going through the discharge formalities.[C] Borrowing money from a nurse.15. Which of the following is TRUE about the patient?[A] He has some mental stress.[B] He has experienced an operation.[C] He has had a bath.16. The patient may not pay the bill ________.[A] in cash [B] in cheque [C] by credit cardQuestions 17-20 are based on the following passage.17. According to the passage, HIV can not be found __________.[A]semen[B]phlegm[C]breastmilk18. Which of the following statements is NOT TRUE according to the passage?[A] HIV is transmitted through infected blood[B] HIV is transmitted from an infected mother to her baby.[C] HIV is transmitted through sexual intercourse only between a man and a woman.19. In most places today blood transfusions are completely safe because___________.[A]the blood is from the Blood Center[B]the blood is tested for HIV before it is used to treat patients[C]people use unsterilised needles and syringes20. According to the passage, If you share toilet seats with your wife, you_____________.[A]will not get HIV[B]will get AIDS[C]will get HIV but not AIDSSectionⅡVocabulary and Structure(10%)（10 minutes）Directions:There are 20 incomplete sentences in this part. For each sentence there are FOUR choices, marked [A], [B], [C] and [D]. Choose the one that best completes the sentence. Then mark the corresponding letter on Answer Sheet.21. Thomas didn’t survive the liver _______.[A]transfuse [B]transfer [C]transmit [D] transplant22. Sometimes fatigue is a _______ of illness.[A]syncope [B]sympathy [C] symptom [D]sigh23. His death was sudden: he _______ on a fish bone.[A]choked [B]checked [C] prevented [D]protected24. _______ the little girl didn’t take medicine made her mother very angry.[A]That [B]What [C]Because [D] Which25. For the first few days after the operation, patients will be required to be on a _______ diet for2-4 weeks.[A] water [B] watery [C] flowing [D] fluid26. In order to clean out the bowels before an operation, the nurse should give the patient a/an________.[A] calcium [B] insulin [C] enema [D] massage27. The prefix (前缀) “ dys—” in words like dysfunction and dysmenorrheal means:__________.[A] negative [B] difficult [C] positive [D] easy28. When the nurse came, the patient pretended _________ carefully.[A] reading [B] to be read [C] being read [D] to be reading29. You __________have brought your thermometer in hospitals. Our clinical nurses all havetheirs with them.[A] couldn’t [B] needn’t [C] wouldn’t [D] mustn’t30. He is suffering from _________ which is an acute contagious(传染性的) disease.[A] headache [B] sore throat [C] scarlet fever [D] arthritis31. ___________ warns that habitual abortion may cause infertility.[A] Obstetrician [B] Oculist [C] Dentist [D] Dietician32. According to the doctor’s advice, none of my family could drop in ________ me during theperiod of isolation.[A] to [B] for [C] on [D] with33. Patients of laryngitis are advised to watch out（警惕）for its complication of _________.[A] pharyngitis [B] mastitis [C] cystitis [D] otitis34. Patients with infectious disease must _________ the others.[A] be related to [B] be separated from[C] be protected against [D] be taken apart35. Dr. Olive believes that the drug from China is very effective _________ H1N1.[A] on [B] against [C] for [D] off36. I have to face the fact that this is the third time__________ in hospital this year.[A] I had been [B] I have been [C] I am [D] I will be37. The in-patient was brought in, with a bandage ________ over his head.[A] being tied [B] to be tied [C] having tied [D] tied38. He was ________ with a diagnosis of acute pneumonia.[A] admitted [B] permitted [C] restored [D] restricted39. Mrs. White is the head nurse of the surgical ward, so she is ________ the ward.[A] in charge of [B] in the charge of [C] in respect of [D] in the respect of40. Many children are afraid of injection, so when they see the ________ from the nurse, theyusually cry loudly.[A] sedative [B] sponge [C] syringe [D] shockSection ⅢCloze (10%)（15 minutes）Directions:Read the following text. Choose the best word or phrase for each numbered blank from among the four choices [A], [B], [C], and [D], and mark it on Answer Sheet.One of the nurse’s most rout ine and yet most important responsibilities(责任) is the preparation and administration of medications. Actually, their responsibility extends ___41___ preparation and administration. The ___42___ must know how medicines act, the usual dosage, the desired effects, and potential（潜在的）___43___ effects so that he or she can evaluate the ___44___ of the medication and ___45___ adverse effects quickly when they _ _46___. You will get this knowledge gradually as you study _ _47___ and care for patients with varying problems.The major nursing diagnosis to keep in _ _48___ when giving medications is Risk for Injury. _ _49___ can be injured by medications _ _50___ in the wrong dosage, _ _51___ the wrong time, or by an incorrect route. They also can be injured _ _52___ the omission of essential medications, the administration of an incorrect _ _53___, and by incorrect documentation. _ _54___ this nursing diagnosis will not appear on the care plan, it applies to every situation _ _55___ which a patient is being given medications._ _56___ nursing diagnosis frequently appropriate _ _57___ administering medications is Knowledge Deficit. In this _ _58___ the Knowledge Deficit would be related _ _59___ some aspect of the medication regimen; for example, the need _ _60___drug interactions when taking antacids (解酸药).41. [A] in [B] to [C] between [D] beyond42. [A] doctor [B] nurse [C] patient [D] hospital43. [A] good [B] poor [C] side [D] undesired44. [A] effect [B] effective [C] effectiveness [D] effecting45. [A] recognize [B] recognizes [C] to recognize [D] recognized46. [A] occur [B] will occur [C] occurred [D] occurring47. [A] pshychology [B] physiology [C] pathology [D] pharmacology48. [A] care [B] administration [C] mind [D] heart49. [A] Nurses [B] Patients [C] They [D] You50. [A] give [B] to give [C] giving [D] given51. [A] at [B] in [C] during [D] on52. [A] by [B] with [C] through [D] for53. [A] medicine [B] medicate [C] medication [D] medicating54. [A] So [B] Although [C] Thus [D] If55. [A] in [B] on [C] at [D] under56. [A] Another [B] other [C] the other [D] others57. [A] which [B] that [C] where [D] when58. [A] matter [B] condition [C] case [D] problem59. [A] in [B] on [C] to [D] with60. [A] be aware of [B] to be aware of [C] is aware of [D] awareness ofSection ⅣReading Comprehension (30%)(30 minutes)Directions:Read the following 4 passages. Answer the questions on each text by choosing [A], [B], [C] or [D]. Mark the corresponding letter on Answer Sheet.Passage AYou have been badly injured in a car accident. It is necessary to give you a blood transfusion. However, special care must be taken in selecting new blood for you. If the blood is too different from our own, the transfusion could kill you.There are four basic types of blood: A, B, AB and O. A simple test can show a person’s blood type. Everybody is born with one of these four types of blood. Blood type, like hair color and height, is inherited from parents.Because of substances(物质) contained in each type, the four groups must be transfused carefully. Basically, A and B cannot be mixed. A and B cannot receive AB, but AB may receive A or B. O can be given to any other group, and, hence, it is often called the universal giver. For the opposite reason, AB is sometimes called the universal receiver. However, because so many reactions can happen in transfusions, patients usually receive only salt or plasma until their blood can be matched as exactly as possible in the blood bank of a hospital. In is way, it is possible to avoid any bad reactions to the transfusion.There is a relationship between your blood type and your nationality（国籍）. Among Europeans and people of European ancestry, about 42 percent have type A while 45 percent have type O. There rarest is type AB. Other races have different percentages. For example, some American India groups have nearly 100 percent type O.61.A good title for this selection is ________.[A] Getting Blood And Plasma [B] Special Blood Colors[C] Universal Giver and Receiver [D] Human Blood Types62.The word “hence” in the third paragraph means “ ________” .[A] therefore [B] always [C] often [D] while63. The author suggests that the rarest blood type be ________ among Europeans.[A] A [B] B [C] AB [D] O64. People with type A blood can receive ________.[A] AB [B] B [C] O [D] all the above65. If you need a transfusion, the best and safest blood for you is _________.[A] type A [B] type AB[C] exactly the same type as yours [D] a mixture of salt, plasma, and type OPassage BThere is an English saying: “Laughter is the best medicine.” Until recently, few people took the saying seriously. Now, however, doctors have begun to look into laughter and the effects it has on the human body. They have found that laughter really can improve people’s health.Tests were carried out to study the effects of laughter on the body. People watched funny films while doctors checked their heart, blood pressure, breathing and muscles. It was found that laughter has similar effects to physical exercises. It increases blood pressure, the heart beating and breathing; it also works several groups of muscles in the face, the stomach, and even the feet. If laughter exercises the body, it must be beneficial.Other tests have shown that laughter appears to be able to reduce the effect of pain on the body. In one experiment doctors produced pain in groups of students who listened to different radio programs. The group that tolerated（忍受）the pain for the longest time was the groups which listened to a funny program. The reason why laughter can reduce pain seems to be that it helps to produce a kind of chemicals in the brain which diminish both stress and pain.As a result of these discoveries, some doctors in the United States now hold laughter clinics, in which they help to improve their patients’conditions by encouraging them to laugh. They have found that even if their patients do not really feel like laughing, making them smile is enough to produce beneficial effects similar to those caused by laughter.66.Doctors have proved the following except that _______.[A] smiling does good to health [B] laughter can be tolerated[C] there is a way to reduce pain [D] laughter can work the muscles in the feet67.The main idea of the passage is ______.[A] laughter and physical exercise have similar effects on the human body[B] smile can produce the same effects as laughter[C] pain can be reduced by laughter[D] laughter is the best medicine68.The students who ______ tolerated the pain for the longest time.[A] listened to different radio programs [B] could produce a kind of chemical[C] didn’t have stress or pain [D] listened to a funny program69. The underlined word “diminish” is similar to _______.[A] test [B] stop [C] reduce [D] increase70.Doctors hold laughter clinics _______.[A] to prove smile and laughter have the same effect[B] to improve patients’ health[C] to give better conditions to their patients[D] to make patients smilePassage CWhy do we cry? Crying makes sense if smoke gets in your eyes or if you’re cutting onions. The tears protect your vision. But what good is emotional crying?Crying often seems to make people feel better when they are sad or upset. A scientist in St. Paul, Minnesota, is investigating the reason for this. Dr. William Frey studied the behavior of a group of people when they cried; 85 percent of the women and 73 percent of the men said they felt better after crying.Frey believes that emotional weeping helps to reduce suffering by ridding the body of harmful chemicals. Such chemicals, he believes, are produced during stress. The chemicals can raise blood pressure, harm digestion, and increase the heartbeat.To test his theory, Frey has been collecting sad tears, drop by drop. He pays men and women to watch sad movies and catch their own tears in a test tube. He has found that about 60 percent of the viewers will cry if the theater is dark and they aren’t crowded close together. During th e movies, Frey also records signs of stress, such as fast heartbeat and high blood pressure, to see if crying reduces these.71. Feeling better after crying seems related to __________.[A]cutting onions[B]sad movies[C]the body’s chemistry[D]difference between men and women72.According to Frey, crying can protect the body by __________.[A]easing stress[B]reducing blood pressure[C]getting rid of chemicals[D]all of the above73. If Frey’s theory is correct, tears fr om sadness and tears from cutting onions will show _____.[A]similarities[B]stress[C]differences[D]harmful chemicals74. Details in the passage suggest that Frey’s theory is __________.[A]true[B]false[C]not proven[D]unreasonable75. Which of the following is NOT true?[A]Chemicals produced during weeping cause high blood pressure.[B]Chemicals produced during weeping harm digestion.[C]Chemicals produced during weeping increase heart beat.[D]Chemicals produced during weeping harm eyes.Passage DObesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat and/ or body water. Both terms mean that a person’s weight is greater than what’s considered healthy for his or her height.Obesity occurs over time when you eat more calories than you use. The balance between calories-in and calories-out differs for each person. Factors that might tip the balance include your genetic makeup, overeating, eating high-fat foods and not being physically active.Data shows that among adults aged 20~74 years the prevalence of obesity increased from 15.0% in the 1976~1980 survey to 32.9% in the 2003~2004 survey.The two surveys also show increases in obesity among children and teens. For children aged 2~5 years, the prevalence of obesity increased from 5.0% to 13.9%; for those aged 6~11 years, prevalence increased from 6.5% to 18.8%; and for those aged 12~19 years, prevalence increased form 5.0% to 17.4%.These increasing rates raise concern because of their implications for Americans health. Being overweight or obese increases the risk of many diseases and health conditions, including: hypertension (high blood pressure), osteoarthritis (骨关节炎), dyslipidemia (血脂异常), typeⅡdiabetes, coronary heart disease, stroke, gallbladder disease, sleep apnea and respiratory problems, some cancers(endometrial, breast, and colon).If you are obese, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases.76. The weight may come from _____.[A] muscle[B] bone[C] fat and/ or body water[D] All of the above.77. The following factors might tip the balance between calories-in and calories-out EXCEPT _____.[A] genetic makeup[B] working out properly[C] overeating[D] eating high-fat foods78. Among which population did the prevalence of obesity increase most according to the passage?[A] Children aged 2~5 years[B] Children aged 6~11 years[C] Teens aged 12~19 years[D] Adults aged 20~ 74 years79. According to the passage, many diseases are caused by _____.[A] fast food[B] taking in calories[C] getting old[D] being obese80. Which of the following statements is NOT true according to the passage?[A] If you lose even 5 to 10 percent of your weight, some disease can be delayed orprevented.[B] Obesity has influenced the Americans’ health.[C]The prevalence of obesity is on a rise in America.[D] Obesity may result in breast cancer.Section V Translation(15%)(15 minutes)Directions:In this part, there is a paragraph consisting of 4 sentences for you to translate into Chinese.You should write your response on ANSWER SHEET.81. Music can help the brain to release endorphins（内啡肽）that gives people happiness.Music can also relax the body into sleep as it stimulates the brain’s release of melatonin（褪黑激素）. A study of older adults who often enjoy music during outpatient surgery showed that they had greatly lower heart rates and blood pressure, and their hearts did not work as hard as those who had surgery without music. A second study, of patients experiencing colonoscopy（结肠镜检查）, showed that listening to their favorite music reduced their anxiety levels and lessened（减少）the dosage required for sedative.Section VI Writing(15%)(30 minutes)Directions:In this part, you are allowed 30 minutes to write a letter consulting an gastrointestinal(胃肠) expert for diagnosis and treatment. You should base your composition on the information given in Chinese below: Please write your response on Answer Sheet.82．患者Luis Sun，男，36，主诉(complain of) 多年来消化不良，食欲不振，常有呕吐及腹泻等症状。

METS第一级模拟试卷医护英语水平考试(护理类)第一级Medical English Test System (METS)(For Nurses)Level 1I ListeningPart 1Questions l - 5●You will hear five patients describing their pain. .●Where does each patient have pain?●For questions l-5, write a letter A-H next to each patient.●You will hear each conversation twice.Example:0．TimThe patients Where is the pain?1．Bob A．In the head2．Judy B．In the stomach. 3．James C．In the hand.4．Brodzik D．In the back5．Eric E．In the throat.F．In the wrist.G．In the chestH．In the kneePart 2Questions 6 - 10●Listen to a dialogue between a ward nurse and a patient.●Are the sentences (6-10) "Right (A) or "Wrong: (B)?●For questions 6-10, tick (√) A or B.●You will hear the conversation twice.Example:0 The patient doesn't want to talk about his illness A Right ( ) B Wrong ( √)6. The patient enjoys his meals A Right ( ) B Wrong ( )7. The patient's pain is getting worse A Right ( ) B Wrong ( )8. The patient is having radiotherapy treatment. A Right ( ) B Wrong ( )9. The patient felt sick after the radiotherapy treatment. A Right ( ) B Wrong ( )10. The patient is going to have something to eat A Right ( ) B Wrong ( )Part 3Questions 11 - 15 ,●Listen to a dialogue between a nurse and a patient. They are talking about a blood test.●For questions 11-15, tick (√) A, B or C.●You will hear the conversation twice.11 How does the patient feel?A Tired.B EnergeticC Happy.12 How much blood is the nurse going lo take?A 3.9 millilitersB 4.2 millilitersC 5 milliliters13 The test result shows the patient suffers fromA anaemiaB HIVC sore throat.14 How is the shape of the patient's red cells?A Not good.B Irregular. C. Normal15 How is the patient's white blood cell count?A Very low.B A little highC Just below the average.Part 4Questions 16 - 20●You will hear a conversation between a nurse and a patient.●Listen to the conversation and complete the form. Write a number for each space(16-20).●You will hear the conversation twice.City General HospitalObservation ChartADMISSION OBSERVATIONSMr. BracknettDATE: 03/10/2010Wt ( 16 ) ____________________kgT ( 17 ) ____________________BP ( 18 ) ____________________/75P ( 19 ) ____________________O2 SATS ( 20 ) ____________________II Reading and WritingPart lQuestions l - 5●Look at the words in the box and read the descriptions below●Match the words to their descriptions.●Mark the correct letter A - H on your answer sheet.Example:0 This is a chair with wheels in which someone can sit and move aroundAnswer:1 They visit patients in their homes2 It is a pad of cotton used to soak up blood from the operation site3 It is a mechanical device which sucks up blood.4 Press or rub parts of the body to relieve pain5 He or she is a specialist in diseases of the heart and circulationPart 2Questions 6 -10●Look at the following notices (A - H) on the right.●Read the sentences on the left, and decide which sentence describes which notice.●Mark the correct letter A - H on your answer sheet.Example:O We want expert nurses.Answer:6 We help motorists in an emergency7 You don't pay for this8 You have to stay in your seat.9 You can't park your car here.10 You can get a walking stick here.A EB FC G.D H.Part 3Questions 11 -15Look at the following pictures.Read the sentences on the next page.Match each sentence to a picture.Mark the correct letter A - H on your answer sheet.A B C DE F G HExample:0 Put your head down and put out your tongueAnswer:11 Slide your hand down your side12 Keep your knee straight.13 Breathe in and out14 Push as hard as you can15 Follow my fingertip with your eyes.Part 4Questions 16 - 20●Complete the conversation between a nurse and a patient●What does the patient say to the nurse?●Mark the correct letter A - H on your answer sheet.Example:Nurse: Hello, Peter. What's the problem with you?Peter: 0Answer:Nurse: How long have you had the cough?Patient: 16 _________________Nurse: Do you smoke?Patient: 17 _________________Nurse: Do you cough up any phlegm?Patient: 18 _________________Nurse: What color is it?Patient: 19 _________________Nurse: Have you ever noticed any blood in it?Patient: No.Nurse: Any problems with your breathing?Patient: 20 _________________A YesB Of course, I will.C Oh, for years.D Usually yellow.E Are you sure?F I have to stop halfway up the stairs toget my breath back.G I used to smoke heavily, but I gave upa year ago.H I had a terrible cough.Part 5Questions 21 - 27●What do you do before blood transformation?●Choose the best word (A, B or C) for each space (21 - 27).●Mark the correct letter A, B or C on your answer sheet.Example:0 Check the patient's ________ at the bedside.A identityB weightC educationAnswer:21 Check the patient's surname, ________ name, sex, and date of birth.A familyB lastC first22 Check the patient's hospital number, ________ group, and donor number.A bloodB supportC working23 Check the________ date of the unit of blood.A startingB expiryC heavy24 Check the compatibility________ on the bag.A tableB testC label25 The unit of blood must comply with the prescription________.A chartB chargeC cost26 Record the unit ________ of the blood on the IV fluid prescription chartA lastB numberC stop27 Sign the Transfusion Record Form ________ blood transfusion is startedA ifB afterC beforePart 6Questions 28 - 35●Read the following passage.●Are sentences 28 - 35 0n the next page ‘Right’ or ‘Wrong’? If there is not enough informationto answer 'Right' or 'Wrong', choose 'Doesn't Say'.●For each sentence 28 - 35, mark one letter A - C on your answer sheet.Your Sense of TasteTaste is one of our five senses. The other four are hearing, sight, smell, and touch. We hear with our ears, we see with our eyes, we smell with our nose, and we feel things with our whole body. Our sense of taste depends mostly on our tongue.On the tongue, there are groups of tiny taste buds（味蕾）. Taste buds send information about food to the brain. We have a lot of taste buds, maybe even 10,000. People do not all have the same number of them. Women often have more taste buds than men.Because of our taste buds, foods like ice cream and bananas taste sweet. French fries, cheese, and ocean water taste salty. Lemons have a sour taste, and coffee is bitter. Most people know about these four main tastes: sweet, salty, sour, and bitter. But scientists now know about a fifth taste: umami. We can find it in some kinds of cheese, meat, and mushrooms. Umami is a Japanese word. It means something like "good-tasting."People can lose their sense of taste. For example, if you have a cold and cannot breathe through your nose, then it is hard to taste food. Different foods may all taste the same. This happens because there is a close relationship between our sense of taste and our sense of smell. Each sense affects the other.The temperature of food also affects its taste. Tastes are not as strong in very hot or very cold foods. For example, very cold, hard ice cream is not as sweet as not-so-cold, soft ice cream. Also, sometimes a food tastes good only at the right temperature. Consider your favorite cold drink. Does it still taste good when it is not cold? Many people love cold Coca-Cola but cannot stand it warm.ExampleO People have five senses: taste, hearing, sight, smell, and touchA RightB WrongC Doesn't Say Answer:28 We need our tongue to taste thingsA RightB WrongC Doesn't Say29 Taste buds send information about food to your stomachA RightB WrongC Doesn't Say30 Men have more taste buds than women.A RightB WrongC Doesn't Say31 Ice cream tastes sweeter than bananasA RightB WrongC Doesn't Say32 There are five tastes: sweet, salty, sour, bitter, and umami.A RightB WrongC Doesn't Say33 0ur sense of taste doesn't change.A RightB Wrong :C Doesn't Say34 The temperature of food can be important to how it tastes.A RightB WrongC Doesn't Say35 Many people love warm Coca-Cola.A RightB WrongC Doesn't SayPart 7Questions 36 - 45●Read the following passage about a district nurse.●Choose the best word (A, B or C) on the next page for each space.●For each space 36 - 45, mark one letter A - C on your answer sheet.A Day as a District NurseDistrict nurses are just one (0) ________ the types of nurses who work in the community, (36) ________ than in a hospital. As a district nurse, you may (37) ________ in many different locations around the community, but your time will be spent mainly in people's own homes.A typical day might start at 8:30 am (38) ________ you drive to a residential care home in your area. Your first task is to (39) ________ the blood of a resident with diabetes, and inject him (40) ________ insulin. You then treat another resident with a minor head injury, checking the wound for infection and (41) ________ the appropriate dressing. For your next visit, you drive to the home of an elderly, disabled woman with-asthma and mild hearing difficulties. You ask her (42) ________ she is feeling, check her breathing and pulse rate, and gently syringe her ears. When you (43) ________ the house, your patient is feeling comfortable, and pleased to be able to hear better than before your visitYour day (44) ________ as you visit other housebound patients, and carry out the necessary nursing activities. You enjoy working in the community, and providing vital care to vulnerable people, (45) ________ of whom would need to be in a care home or hospital if there were no district nurses0 A for B of C in Answer: B36 A rather B less C more37 A study B find C work38 A when B after C if39 A have B test C give40 A with B to C on41 A apply B applying C applied42 A that B where C how43 A leave B enter C visit44 A spends B continues C enjoys45 A some B any C everyPart 8Question 46. Read the following patient record.. Write a report on this patient based on these notes. . Write the report on your answer sheet.。

1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 Field Teams：Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft-Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在ICU护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia，Cold Injury，and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal，Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity口腔健康教育活动56 Oral Health Education Unit [Department of Health]口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit口腔颌面外科及牙科部60 outbreak高峰期；发作；流行61 outbreak control疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of-pocket expenditure by the user服务使用者自付64 out-patient appointment system门诊病人预约制度65 out-patient clinic门诊诊疗所66 out-patient clinical operations support system门诊临床运作支持系统67 out-patient consultation service门诊服务68 out-patient department门诊部69 out-patient registration system门诊病人登记制度70 outreach community care programme外展小区护理计划71 outreach health care team外展医护队72 outreach medical team外展医疗队73 outreach specialist medical team外展专科医疗队74 outside appointment book出外就医册75 ordinary diet普通膳食76 organ donation器官捐赠77 Organ Donation Card器官捐赠证78 Organ Donation Centre器官捐赠中心79 organ donation form 器官捐赠表格80 Organ Donation Register [Hong Kong Medical Association] 器官捐赠册81 organ donor 器官捐赠人82 organ imaging器官造影83 organ pledge 承诺捐出的器官数目84 organ recipient器官受赠人85 organ transplant器官移植86 organic psychosis器质性精神病87 organoleptic inspection感官检查88 overall incidence总发病率89 overflow ward暂时收容病房；后备病房90 overnight room夜间当值室91 over-sensitivity过敏92 ovulation排卵93 ovulation cycle排卵周期94 ovulation method安全期避孕法95 on-call duty doctor候召当值医生96 oncology肿瘤学；肿瘤科97 one-way referral单向转介98 onset of labour分娩阵痛发作99 onset of symptom症状发作100 on-site triage treatment现场分流治疗101 occupational disease职业病102 occupational health 职业健康103 occupational health nurse职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist职业环境生师106 occupational mortality职业性死亡率107occupational neurosis职业性神经病108 occupational therapist职业治疗师109 Occupational Therapists Board职业治疗师管理委员会110 occupational therapy assessment room职业治疗评估室111 Occupational Therapy Assistant职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology眼科病理学114 ocular prosthesis假眼115 optimal health理想的健康状况116 optimum occupancy rate [hospital bed]最适度病住用率117 optometric assessment视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure]行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care口腔健康护理；口腔卫生服务124 oral health clinic口腔卫生诊疗所主任医师（讲课) Professor of Medicine主任医师（讲课) Professor of Medicine主任医师（医疗) Professor of Treatment儿科主任医师Professor of Paediatrics主治医师Doctor-in-charge外科主治医师Surgeon-in-charge内科主治医师Physician-in-charge眼科主治医师Oculist-in-charge妇科主治医师Gynaecologist-in-charge牙科主治医师Dentist-in-charge医师Doctor医士Assistant Doctor主任药师Professor of Pharmacy主管药师Pharmacist-in-charge药师Pharmacist药士Assistant Pharmacist主任护师Professor of Nursing主管护师Nurse-in-charge护师Nurse Practitioner护士Nurse主任技师Senior Technologist主管技师Technologist-in-charge技师Technologis技士TechnicianHello, may （can）I help you? 您好，我可以帮您吗？What seems to be bothering you? 您觉得哪儿不舒服？Do you have a record? 您有病历吗？I`ll transfer you to the surgery department. 我给您转到外科去what`s wrong with you? 您怎么了？Sit down，please. 请坐。

２0１0年6月METS模拟试题医护英语水平考试 (护理类)第三级Medical English Test System (METS)（For Nurses）Level 3姓名__________ 准考证号___________时间１２0分钟考生注意事项１、严格遵守考场规则，考生得到监考人员指令后方可开始答题。

２、答题前考生须将自己地姓名和准考证号写在试卷和答题卡上。

3、答客观题时，－律用２B铅笔，按照答题卡上地要求填涂。

如要改动答案，必须用橡皮擦干净。

4、"听力笔记"录音部分放音时，考生可在试卷上做记录，录音放音结束之后，将答案写在答题卡上。

5、答翻译或写作题时，必须用黑色签字笔在答题卡上答题。

6、注意字迹清楚，保持卷面整洁。

7、考试结束时将试卷和答题卡放在桌上，不得带走。

待监考人员收毕清点后，方可离场。

=========================================================================※未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。

医护英语考试办公室Section I Listening Comprehension (30%)（２5 minutes）Directions:This section is designed to test your ability to understand spoken English in nursing contexts. You will hear a selection of recorded materials and you must answer the questions that accompany them. There are three parts in this section, Part A, Part B, and Part C. Remember, while you are doing the test, you should first put down your answers in your test booklet. At the end of the listening comprehension section, you will have 4 minutes to transfer your answers from your test booklet onto your Answer Sheet.If you have any questions, you may raise your hand now, as you are not allowed to speak once the test has started.Now look at Part A in your test booklet.Part AYou will hear １0 short dialogues. For each dialogue, there is one question and four possible answers. Choose the correct answer 【A】, 【B】, 【C】, or【D】, and mark it in your test booklet. You will have １0 seconds to answer the question and you will hear each dialogue only once.Example:You will hear:W: Which department do you want to register with?M: I don't know which clinic. I have a rash all over my body. It itches badly. You will read:Which clinic should the patient register with?【A】 The dermatologic clinic.【B】 The medical clinic.【C】 The surgical clinic.【D】 The dental clinic.From the dialogue we know that the man has got skin disease. The dermatologic clinic is the right clinic treating such a problem. Therefore, you should choose 【A】on the Answer Sheet and mark it in your test booklet.Sample Answer: █［B］［C］［D］Now look at Question １.１. How is the man today?【A】 He's better.【B】 He's feeling worse.【C】 He's sick in bed.【D】 He has recovered.２. What does the woman suggest the man to do?【A】 To give his ankle a good rest.【B】 To treat his injury immediately.【C】 To do more regular activities【D】 To be careful when climbing steps3. What can we conclude from the man's reply?【A】 He wants to have more sleep.【B】 His wife doesn't sleep well.【C】 Women need more sleep than men.【D】 He doesn't need as much sleep as his wife.4. Which of the following symptom is NOT mentioned in the conversation?【A】 Shortness of breath.【B】 Severe coughing.【C】 High temperature.【D】 Serious headache.5. What will the woman do next?【A】 Give the patient an operation.【B】 Transfer the patient to surgery.【C】 Contact the surgery department.【D】 Inform the patient's family of his condition.6. What does the man ask the woman to do?【A】 To take vital signs every hour.【B】 To take vital signs every half an hour.【C】 To take vital signs when it is necessary.【D】 To take care of the patient.7. What is the man going to do?【A】 Get out of bed.【B】 Stay in bed.【C】 Be discharged.【D】 Take medicine.8. What does the woman suggest the man to do after being discharged?【A】 To go to work.【B】 To stay at home.【C】 To go back to his work.【D】 To go shopping with him.9. According to the passage, which of the following statement is TRUE?【A】 The surgery is very dangerous.【B】 Abdominal exploration is not dangerous at all.【C】 The patient will recover soon after the surgery.【D】 The patient overestimated（过高估计）the risk of the surgery.１0. What can you learn from the conversation?【A】 The patient's condition is serious.【B】 The patient's condition is excellent now.【C】 The patient's condition used to be good.【D】 The patient doesn't want to be treated.Part BDirections:You're going to hear one long dialogue and one short passage. Before listeningto each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing 【A】, 【B】, 【C】 or 【D】. After listening, you will have １0 seconds to check your answer to each question. Then mark your answer on your Answer Sheet. You will hear each piece only once.. Questions １１-１5 are based on a dialogue between a doctor and a nurse.１１. What is the patient's systolic pressure?【A】 86mmHg.【B】 55mmHg.【C】 85mmHg.【D】 56mmHg.１２. What surgery will the doctor give his patient?【A】 Appendectomy.【B】 Hepatectomy.（肝切除术）【C】 Pulmonectomy.（肺切除术）【D】 Gastrectomy. (胃切除术)１3. Why must the doctor perform the surgery on his patient?【A】 Because the patient has respiratory tract infection.【B】 Because the patient has rapid respiration.【C】 Because the patient has severe stomachache.【D】 Because the patient's bleeding is very serious.１4. When will the surgery begin?【A】１0 minutes later.【B】２0 minutes later.【C】 30 minutes later.【D】１ hour later.１5. The doctor asked the nurse to do all the following EXCEPT_________.【A】 to give the patient oxygen【B】 to prepare patient for the surgery【C】 to monitor the patient's consciousness【D】 to inform the patient's family of the surgeryQuestions １6-２0 are based on the passage.１6. "A nursing aide" in this passage probably means ______.【A】 a head nurse【B】 an assistant nurse【C】 a licensed nurse【D】 a registered nurse１7. The speaker waited ______ to get the results.【A】 four weeks【B】 five weeks【C】 six weeks【D】 seven weeks１8. Who helped the speaker go through those tough days?【A】 The Dean of Nurses.【B】 Her daughter.【C】 Her son.【D】 Herself.１9. How much did the speaker score in the examination?【A】 546.【B】 645.【C】 654.【D】 700.２0. Which of the following is TRUE according to the passage?【A】 Students will not be asked to work in holidays unless they voluntarily want to.【B】 Even in Thanksgiving Day and Christmas, the speaker had to work to earn more money.【C】 The speaker always looks back on those hard days with great pleasure.【D】 The speaker has a daughter and a son.Part C: Note-taking and Gap-fillingDirections:You will hear a talk. Before your listening, you will have 30 seconds to read the text briefly. You may take notes while you are listening; check your answers when the talk is read the second time. Be sure to write your answers in the corresponding spaces on your Answer Sheet. You will hear the talk twice.Asthma is a disease of the lungs that___２１__________ of the air pathways. Common symptoms of asthma are wheezing, _______２２______, coughing, chest pain, tightnessor pressure. Many of these conditions are reversible with medication but not １00% reversible in all patients. _____２3_______ of asthma are inflammation, airway obstruction and sensitivity. Some _____２4______ for asthma are a family history of asthma, regular lung infections, presence of allergies, exposure to tobacco smoke,______２5________, and being male.The current rise in asthma cases among children is alarming. Asthma may occurat any age but is very common in children. Approximately １0% of children have asthmaand that rate may rise in the future. It is because children are being exposed to more triggers which can ______２6_______ more triggers which can _____２7________ such as dust, tobacco smoke, pollution, etc. And don't have strong ______２8__________. The decrease in the rate of breast feeding may also play a role.Asthma is a _______２9___________. Some people have fewer attacks as they grow older, but most patients see ____30_____________ in their 30s and 40s. The effectsof asthma attacks on the lungs can cause serious problems later in life. Proper management of asthma is very important.Section Ⅱ Use of English (１5%)(１5 minutes)Part A Vocabulary and StructureDirections:There are ２0 incomplete sentences in this section. For each sentence there are four choices, marked 【A】, 【B】, 【C】 and 【D】. Choose the one that best completes the sentence. Then mark the corresponding letter on your Answer Sheet.3１. Mumps ____ a very common children's disease.?【A】 have been 【B】 is 【C】 are? 【D】 has been3２. Such noble deeds of the doctors and nurses can't be only__________with money.【A】 rewarded 【B】 awarded 【C】 praised 【D】 valued33. The human skeleton______ more than two hundred bones bound together by toughand relatively inelastic（无弹性地）connective tissues called ligaments．【A】 makes up 【B】 be consisted of 【C】 be made up 【D】 consistsof34. She's fainted. Throw some water on her face and she'll _____.【A】 come around 【B】 come along 【C】 come on 【D】 come out35. Saving people's life is a doctor's life goal and I'll try to realize it at any__________.【A】 price 【B】 cost 【C】 charge 【D】 expense36. He was kept alive with ___________ dripping of fluid.【A】 intramuscular 【B】 intradermal 【C】 intravenous 【D】 intracranial37. Following the outbreak of H１N１ Influenza A in Hong Kong, there is a growing concern on public ________.【A】 hygiene 【B】 medication 【C】 infection 【D】isolation38. _________is a disease of progressive bone loss associated with an increased risk of fractures.【A】 Osteomyelitis 【B】 Osteoarthritis 【C】 Osteoporosis 【D】Osteochondritis39. Acne occurs when tiny holes on the surface of the skin become _________.【A】 clotted 【B】 clogged 【C】 clenched 【D】collapsed40. _____________ engineering will have revolutionary consequences for mankind.【A】 Genetic 【B】 Genital 【C】 Gender 【D】Gene4１. There's a high ________ of stroke in men over 75.【A】 accident 【B】 improvement 【C】 progress 【D】 incidence4２. __________is used in surgeries as a method of minimizing pain during the procedure.【A】 Ageusia 【B】 Anorexia 【C】 Anesthesia 【D】 arrhythmia43. _______ no cells in our body, we could not live at all.【A】 There were 【B】 Were there【C】 There was 【D】 Was there44. One of his legs was remarkably handsome, the other, by some accident crooked and ______.【A】 misformed 【B】 informed 【C】 deformed 【D】 disformed45. I'm sure your suggestion will_________ the patient's condition.【A】 contribute to improving 【B】 be contributed to improveC】 contribute to improve 【D】 be contributed to improving46. On the way to the lungs, air passes from the voice box to the_________, the distal （末梢地）end of which divides to form the left and right main bronchi.【A】 nose 【B】 pharynx【C】 larynx 【D】 trachea47. Proper nutrition, adequate sleep, and regular exercise are good health habits to build up body's _________ to infections.【A】 resistance 【B】 instance 【C】insistence 【D】recurrence48. Fortunately they had not been _____ most diseases common to urban populations.【A】 immune from 【B】 cured of 【C】 exposed to 【D】 suffered from49. A ________ fracture is caused by disease of the bone or change in the tissue surrounding the bone, making it weak.【A】 pathological 【B】 physiological【C】 psychological 【D】 pharmacological50. The doctor administered him a drug that_________ the blood vessels.【A】 concentrates 【B】 distracts 【C】 extracts 【D】constrictsPart B ClozeDirections:Read the following passage. Choose the best word or phrase for each numbered blank from among the four choices 【A】, 【B】, 【C】, and 【D】, and mark it on your Answer Sheet.End-stage renal disease is the name for kidney failure so advanced that it cannot be reversed. The name is appropriate: the kidneys in end-stage renal disease function so poorly that they can no longer keep you__5１__.End-stage renal disease cannot be treated with conventional（常规地）medical treatments such as drugs. Only two treatments allow you to continue __5２___ when your kidneys stop functioning: dialysis(透析) and kidney transplantation. Dialysis is the term for several different methods of artificially filtering the blood. Kidney transplantation means replacement of the failed kidneys with a working kidney from another person, called a__53___. Kidney transplantation is not a complete__54___, although many people who receive a kidney transplant are able to live much as they did before their kidneys failed. People who receive a transplant must take medication, and for the__55___of their lives, be monitored by a physician who specializes in kidney disease.The most critical part of kidney transplantation is preventing rejection of the __56___ kidney. Different transplant centers use different drug combinations to fight rejection of a transplanted kidney. The drugs generally work by___57___the immune system, which is programmed to reject anything "___58___", such as a new organ. You must keep follow-up appointments with your transplant team to monitor for signs of rejection. You will have regular blood and urine tests to __59___any signs of organ failure. One or more ultrasounds of the new kidney may be done to see if there are structural abnormalities（异常）__60___rejection.5１. 【A】 live 【B】 living 【C】 life 【D】alive5２. 【A】 live 【B】 living 【C】 life 【D】alive53. 【A】 donor 【B】 donate 【C】 recipient 【D】receiver54. 【A】 treat 【B】 treatment 【C】 cure 【D】therapy55. 【A】 last 【B】 rest 【C】 end 【D】final56. 【A】 removed 【B】 operated 【C】 replaced 【D】graft57. 【A】 compressing 【B】 depressing 【C】 suppressing 【D】impressing58. 【A】 special 【B】 different 【C】 unique【D】 foreign59. 【A】 search 【B】 seek 【C】 detect 【D】find60. 【A】 suggest 【B】 being suggested 【C】 suggesting【D】 suggestedSection Ⅲ Reading Comprehension (30%)(40 minutes)Directions:There are 4 passages in this section. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked 【A】, 【B】, 【C】 and 【D】. You should decide on the best choice and mark the corresponding letter on the Answer Sheet.Passage AIn modern society, where people are always competing against each other and trying to achieve so much in their lives, almost everybody is said to be suffering from some amount of stress. But stress is not always bad. Some amount of stress in life is actually necessary as it motivates you to perform better. However, you should never allow stress to grow beyond a point where it breaks you down. Therefore, the key to leading a happy life is learning to manage stress effectively.Stress is the root cause of many illnesses. Every year millions of people lose their life because of heart disease, stroke and various forms of cancers caused primarily by overstress. Besides, stress tends to cause constipation or diarrhea which may eventually contribute to such serious conditions as ulcers（溃疡）. Chronic stress is also known to weaken the immune system, which makes you prone to frequent colds and upper respiratory infections.Your attitude towards a stressful situation plays an important role in successful stress management. Usually, people who have a negative attitude will report morestress than people with a positive attitude. If you are under the pressure of stress and find it tough to manage, you can spend more time on music, painting, dancing, sports or anything that interests you. Most importantly, do not keep silent. Find someone who supports you. Somebody in your family or your friends will be willing to help you out of stress. If you are still unable to come out of stress, turn to the counselor who can help you to take control of your life and to live positively.6１. According to the passage, why do people suffer from stress?【A】 Because the society develops very fast.【B】 Because people don't want to get much from their work.【C】 Because the competition is fierce.【D】 Because people have no time to communicate.6２. According to the passage, which of the following is NOT the disease caused by stress?【A】 Heart attack.【B】 Stroke.【C】 Ulcer.【D】 Lung infection.63. Why could stress make people catch cold frequently?【A】 Because it weakens the upper respiratory tract.【B】 Because it weakens the immune system.【C】 Because it makes people negative.【D】 Because it makes people positive.64. What does "negative attitude" (Para.3, Line ２) mean?【A】 A view from the dark side.【B】 A view from the bright side.【C】 A hard-working attitude.【D】 To be unwilling to work hard.65. What can you learn from the passage?【A】 Stress is bad to people's health.【B】 Stress should be wiped out completely.【C】 We may lead a happy life if we manage stress effectively.【D】 Because of stress people are inclined to take a pessimistic view of life.Passage BArthritis refers to the inflammation inside the joints of the body. There are many types of arthritis and in general the causes are still unknown. However, there are some risk factors for arthritis. These may include age, gender, lifestyle, andbeing overweight. Arthritis is the leading cause of physical disability, and one of the most frequently reported chronic conditions in the US. Those in mid-to-late life are particularly vulnerable to this disabling condition. According to the figure from the National Arthritis Data Workgroup, more than ２１% of American adults (46 million) have arthritis and over 60% of arthritis patients are women. "The higher prevalence of arthritis in the US may be a consequence of obesity and physical inactivity, particularly in women." noted Dr. Badley, the spokesman of the group.There are more than １00 different types of arthritis. With age, the cartilage of the joints wears down; and that causes the most common type of arthritis, osteoarthritis. The treatment may vary depending on the type of arthritis the patient has. Treatment for arthritis generally involves pain management, exercise, and relaxation. The goals of arthritis treatment are to avoid pain and further destruction of the joint. One way is to avoid pain-causing activities. When the joint becomes painful, pain-killers and anti-inflammatory medication should be taken to relieve the pain and swelling. A physical therapist may advise routine exercise to help the patient maintain joint mobility. Besides, surgery to cure the joint damage may also be an option.66. Who has the high risk of getting arthritis?【A】 Men in their 50's.【B】 Women in their ２0's.【C】 Women in their 50's.【D】 Men in their ２0's.67. According to the data given, how many American arthritis patients are male? 【A】 About １8.5 million.【B】 About １5.5 million.【C】 About １0 million.【D】 About ２7.5 million.68. According to the passage, what is the main cause of the osteoarthritis? 【A】 Overweight of the cartilage.【B】 The aging of the cartilage.【C】 The abrasion of the cartilage.【D】 The inactivity of the cartilage.69. Which of the following is NOT the way of avoiding pain?【A】 Doing less physical exercises that cause pain.【B】 Taking pain-killers.【C】 Taking anti-inflammatory medicine.【D】 Avoiding the swelling of the joint.70. What does physical therapist do?【A】 Help the patient to do more exercise.【B】 Operate on patient.【C】 Do physical examination for patient.【D】 Prepare medicine.Passage CThanks to medical and drug research, there are thousands of drugs that us lead healthier and happier lives. Antibiotics and vaccines help to cure many diseases that were formerly fatal. Medicines can lower blood pressure, treat diabetes, and reduce pain.However, a drug may be helpful or harmful. When people talk about the "drug problem," they usually mean abusing legal drugs or using illegal drugs. Today, drug abuse has already become a worldwide disaster, and it occurs in almost every country. Therefore, how to stop drug abuse has already become a problem of the world's common concern.The first step to stop drug abuse is to know why people start using drugs. The reasons people abuse drugs are as different as people are from one to another. But there seems to be one common thread: people seem to take drugs to change the way they feel. They want to feel better or feel happy or to feel nothing. Sometimes, they want to forget or to remember. People often feel better about themselves when they are under the influence of drugs. But the effects won't last long because drugs can't solve problems. They just postpone them. No matter how far drugs may take you, it's always around trip. After a while, people who miss drugs may feel worse about themselves, and then they may use more drugs.If someone you know is using or abusing drugs, you can help. The most important part you can play is to be there. You can let your friends know that you care. You can listen and try to solve the problems behind them and reduce their reliance on drugs. Studies of heavy abusers in the United States show that they felt unloved and unwanted. They didn't have close friends to talk to. When you or your friends take the time to care for each other, you're all helping to stop drug abuse. After all, what is a friend for?7１. Which of the following is TRUE according to the passage?【A】 Modern medical and drug research contribute to the growing problem of drug abuse. 【B】 Using drugs is one of the ways to treat some fatal diseases.【C】 The problem of drug abuse has already attracted widespread attention.【D】 Friend is the last person a drug abuser can turn to.7２. Which of the following can we infer from the passage as the cause of using drugs? 【A】 Heavy drug users usually have big monetary problems behind.【B】 It is difficult for heavy drug users to return to their families.【C】 Drug abusers can travel around the world mentally through using drugs.【D】 Many drug abusers have psychological problems and they have nobody to turn to.73. According to the passage, what is the best way to stop your friends from abusing drugs?【A】 To help solve their psychological problems.【B】 To make them aware of its harmfulness.【C】 To send them to the hospital.【D】 To stay with them all the time.74. Which of the following is correct, according to the studies of heavy drug users? 【A】 They care for each other.【B】 They need care and affection.【C】 They are ready to stop using drugs.【D】 They regard you as close friend.75. What is the passage mainly about?【A】 The treatment of drug abuse.【B】 A hot topic in drug abusing.【C】 Ways to help people stop using drugs.【D】 Pharmaceutical technology and drug abusing.Passage DThe Certified Nursing Assistant (CNA) plays an important role in basic patient care activities in hospitals, nursing homes, and other health care settings, including home health care.Actually, the CNA nurses assist in the basic human needs of the healthcare profession. They may help to bathe patients, feed them, change diapers or beds, empty bedpans, and help patients to bathroom or toileting facilities. They are also trained to take vitals, which are measurements of pulse, blood pressure, and respiration, and are responsible for charting vitals several times during each shift. The nursing assistant also needs to be fully aware of any changes in vitals, and any significant changes in a patient's condition, and report them to the nursing staff.In facilities where patients are hospitalized for long period of time, it is usually the nursing assistant who will help patients turn over every couple of hours so that the patients won't develop bedsores. A nursing assistant may be the first responder when a patient calls for help, and the job can require some pretty heavy lifting when patients who are ill or recovering need to get up to walk around, change their clothing, or get to the bathroom. It requires some physical strength and knowledge of safe lifting tactics（方法）to work as a nursing assistant.Some nursing assistants may additionally support patients by helping them with prescribed physical or respiratory therapy exercises. In long term care facilities, nursing assistants can be trained to help exercise patients who are paralyzed or in coma. These health care workers may also work with patients in home care settings, and may be the primary caretakers for patients recovering from conditions or who have long term disabling conditions.The many jobs a nursing assistant performs free up nurses to provide care that requires greater training, like administering IV medications and starting IVs, giving appropriate medications on time, charting and noting significant changes in a patient's health, and alerting doctors to potential problems. In many nursing centers, the higher patient-to-nurse ratio in recent years is a matter that can be somewhat resolved by more skilled nursing assistants. As the population ages and more people enter nursing homes, the certified nursing assistants are going to be more in demand than ever.76. According to the passage, when the patient calls for help, who probably might be the first to come and have a look?【A】 A doctor.【B】 A nurse.【C】 A nursing assistant.【D】 A registered nurse.77. According to the passage, all of the following are the nurses' job EXCEPT___________.【A】 to administer appropriate medications【B】 to help patients turn over every couple of hours【C】 to chart and note significant changes in a patient's health【D】 to alert doctors to potential problems78. According to the passage, which of the following nursing item does NOT require greater training?【A】 Starting and administering IV medications.【B】 Planning and giving appropriate medications.【C】 Charting vital signs many times during each shift.【D】 Monitoring and reporting significant changes and potential problems.79. What does the phrase "the higher patient-to-nurse ratio" (Para. 4) probably mean? 【A】 There are more patients than nurses in the unit.【B】 Fewer patients are cared for by the individual nurses in the unit.【C】 Individual nurses care for more patients in the unit.【D】 Individual patients are cared for by more than one nurse in the unit.80. Which of the following can we infer from the passage as the role of CNA? 【A】 They are responsible for charting vitals and fully aware of any changes in patients' vital signs.【B】 They help to reduce nurses' workload by providing some cares that require not much training.【C】 They support patients by administering medications to them.【D】 They report any significant changes in a patient's condition to the doctorsand nurses.Section Ⅳ Translation (１0%)(１5 minutes)Directions:Translate the following sentences from the reading passages into Chinese and write your version in the corresponding space in your Answer Sheet.8１. Chronic stress is also known to weaken the immune system which makes you prone to frequent colds and upper respiratory infections. (Para. ２, Passage A).8２. With age, the cartilage of the joints wears down; and that causes the most common type of arthritis, osteoarthritis. (Para. １, Passage B).83.Today, drug abuse has already become a worldwide disaster, and it occurs in almost every country. Therefore, how to stop drug abuse has already become a problem of the world's common concern. (Para.１, Passage C).84. In many nursing centers, the higher patient-to-nurse ratio in recent years isa matter that can be somewhat resolved by more skilled nursing assistants. As the population ages and more people enter nursing homes, the certified nursing assistants are going to be more in demand than ever. (Para. 5, Passage D).Section Ⅴ Writing ( １5%)(２5 minutes)Directions:A good and effective résumé is the first step towards finding a decent job. In this section you are allowed ２5 minutes to finish a résumé for a registered nurse (RN) called Barbra Smith., You should base your writing on her personal information given below.85.? 拟申请职位：ICU病房护士? 技能及特点：有5年地ICU病房地护理经历，精力充沛，工作努力，熟练使用各种医疗器械及先进技术，良好地人际沟通能力，能够很快地适应新环境，熟练掌握各种计算机技能。

1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 Field Teams：Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft-Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在ICU护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia，Cold Injury，and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal，Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity口腔健康教育活动56 Oral Health Education Unit [Department of Health]口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit口腔颌面外科及牙科部60 outbreak高峰期；发作；流行61 outbreak control疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of-pocket expenditure by the user服务使用者自付64 out-patient appointment system门诊病人预约制度65 out-patient clinic门诊诊疗所66 out-patient clinical operations support system门诊临床运作支持系统67 out-patient consultation service门诊服务68 out-patient department门诊部69 out-patient registration system门诊病人登记制度70 outreach community care programme外展小区护理计划71 outreach health care team外展医护队72 outreach medical team外展医疗队73 outreach specialist medical team外展专科医疗队74 outside appointment book出外就医册75 ordinary diet普通膳食76 organ donation器官捐赠77 Organ Donation Card器官捐赠证78 Organ Donation Centre器官捐赠中心79 organ donation form 器官捐赠表格80 Organ Donation Register [Hong Kong Medical Association] 器官捐赠册81 organ donor 器官捐赠人82 organ imaging器官造影83 organ pledge 承诺捐出的器官数目84 organ recipient器官受赠人85 organ transplant器官移植86 organic psychosis器质性精神病87 organoleptic inspection感官检查88 overall incidence总发病率89 overflow ward暂时收容病房；后备病房90 overnight room夜间当值室91 over-sensitivity过敏92 ovulation排卵93 ovulation cycle排卵周期94 ovulation method安全期避孕法95 on-call duty doctor候召当值医生96 oncology肿瘤学；肿瘤科97 one-way referral单向转介98 onset of labour分娩阵痛发作99 onset of symptom症状发作100 on-site triage treatment现场分流治疗101 occupational disease职业病102 occupational health 职业健康103 occupational health nurse职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist职业环境生师106 occupational mortality职业性死亡率107occupational neurosis职业性神经病108 occupational therapist职业治疗师109 Occupational Therapists Board职业治疗师管理委员会110 occupational therapy assessment room职业治疗评估室111 Occupational Therapy Assistant职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology眼科病理学114 ocular prosthesis假眼115 optimal health理想的健康状况116 optimum occupancy rate [hospital bed]最适度病住用率117 optometric assessment视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure]行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care口腔健康护理；口腔卫生服务124 oral health clinic口腔卫生诊疗所主任医师（讲课) Professor of Medicine主任医师（讲课) Professor of Medicine主任医师（医疗) Professor of Treatment儿科主任医师Professor of Paediatrics主治医师Doctor-in-charge外科主治医师Surgeon-in-charge内科主治医师Physician-in-charge眼科主治医师Oculist-in-charge妇科主治医师Gynaecologist-in-charge牙科主治医师Dentist-in-charge医师Doctor医士Assistant Doctor主任药师Professor of Pharmacy主管药师Pharmacist-in-charge药师Pharmacist药士Assistant Pharmacist主任护师Professor of Nursing主管护师Nurse-in-charge护师Nurse Practitioner护士Nurse主任技师Senior Technologist主管技师Technologist-in-charge技师Technologis技士TechnicianHello, may （can）I help you? 您好，我可以帮您吗？What seems to be bothering you? 您觉得哪儿不舒服？Do you have a record? 您有病历吗？I`ll transfer you to the surgery department. 我给您转到外科去what`s wrong with you? 您怎么了？Sit down，please. 请坐。

目录医护英语水平考试（护理类）第一级模拟试题 ................................................. 错误!未定义书签。

医护英语水平考试（护理类）第二级模拟试题 ................................................. 错误!未定义书签。

医护英语水平考试（护理类）第三级模拟试题 ................................................. 错误!未定义书签。

医护英语水平考试（护理类）第一级模拟试题2010 年6 月METS 模拟试题医护英语水平考试（护理类）第一级Medical English Test System （METS）（For Nurses）Level 1姓名准考证号时间：120 分钟考生注意事项1．严格遵守考场规则，考生得到监考人员指令后方可开始答题。

2．答题前考生须将自己的姓名和准考证号写在试卷和答题卡上。

3．答客观题时，一律用2B 铅笔，按照答题卡上的要求答题。

如要改动答案，必须用橡皮擦干净。

4．答翻译与写作题时，必须用黑色签字笔在答题卡上答题。

5．注意字迹清楚，保持卷面整洁。

6．考试结束时将试卷和答题卡放在桌上，不得带走。

待监考人员收毕清点后，方可离场。

※ 未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。

医护英语水平考试办公室第一部分听力理解（20% ）（ 20分钟）第一节选择填空在本节中，你将听到10 个句子，每个句子后有三个选项，根据你所听到的录音，从试卷中所给的[ A] 、[B] 、[C]三个选项中选出正确答案填入句子空白处，并在答题卡上将相应字母涂黑。

每个句子读两遍。

例如，你将听到以下内容：I ' ve goatn awful pain in my belly.请看选项：I ' ve goatn awful pain in my _______ .[A] joints [B] armpit [C] belly根据你所听到的录音，答案应选[C] 项。

2010年6月METS模拟试题医护英语水平考试(护理类)第三级Medical English Test System (METS)（For Nurses）Level 3姓名__________ 准考证号___________时间120分钟考生注意事项1、严格遵守考场规则，考生得到监考人员指令后方可开始答题。

2、答题前考生须将自己的姓名和准考证号写在试卷和答题卡上。

3、答客观题时，一律用2B铅笔，按照答题卡上的要求填涂。

如要改动答案，必须用橡皮擦干净。

4、“听力笔记”录音部分放音时，考生可在试卷上做记录，录音放音结束之后，将答案写在答题卡上。

5、答翻译或写作题时，必须用黑色签字笔在答题卡上答题。

6、注意字迹清楚，保持卷面整洁。

7、考试结束时将试卷和答题卡放在桌上，不得带走。

待监考人员收毕清点后，方可离场。

=========================================================================※未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。

医护英语考试办公室Section I Listening Comprehension (30%)（25 minutes）Directions:This section is designed to test your ability to understand spoken English in nursing contexts. You will hear a selection of recorded materials and you must answer the questions that accompany them. There are three parts in this section, Part A, Part B, and Part C. Remember, while you are doing the test, you should first put down your answers in your test booklet. At the end of the listening comprehension section, you will have 4 minutes to transfer your answers from your test booklet onto your Answer Sheet.If you have any questions, you may raise your hand now, as you are not allowed to speak once the test has started.Now look at Part A in your test booklet.Part AYou will hear 10 short dialogues. For each dialogue, there is one question and four possible answers. Choose the correct answer [A], [B], [C], or[D], and mark it in your test booklet. You will have 10 seconds to answer the question and you will hear each dialogue only once. Example:You will hear:W: Which department do you want to register with?M: I don't know which clinic. I have a rash all over my body. It itches badly.You will read:Which clinic should the patient register with?[A] The dermatologic clinic.[B] The medical clinic.[C] The surgical clinic.[D] The dental clinic.From the dialogue we know that the man has got skin disease. The dermatologic clinic is the right clinic treating such a problem. Therefore, you should choose [A] on the Answer Sheet and mark it in your test booklet.Sample Answer: █［B］［C］［D］Now look at Question 1.1. How is the man today?[A] He’s better.[B] He’s feeling worse.[C] He’s sick in bed.[D] He has recovered.2. What does the woman suggest the man to do?[A] To give his ankle a good rest.[B] To treat his injury immediately.[C] To do more regular activities[D] To be careful when climbing steps3. What can we conclude from the man’s reply?[A] He wants to have more sleep.[B] His wife doesn’t sleep w ell.[C] Women need more sleep than men.[D] He doesn’t need as much sleep as his wife.4. Which of the following symptom is NOT mentioned in the conversation?[A] Shortness of breath.[B] Severe coughing.[C] High temperature.[D] Serious headache.5. What will the woman do next?[A] Give the patient an operation.[B] Transfer the patient to surgery.[C] Contact the surgery department.[D] I nform the patient’s family of his condition.6. What does the man ask the woman to do?[A] To take vital signs every hour.[B] To take vital signs every half an hour.[C] To take vital signs when it is necessary.[D] To take care of the patient.7. What is the man going to do?[A] Get out of bed.[B] Stay in bed.[C] Be discharged.[D] Take medicine.8. What does the woman suggest the man to do after being discharged?[A] To go to work.[B] To stay at home.[C] To go back to his work.[D] To go shopping with him.9. According to the passage, which of the following statement is TRUE?[A] The surgery is very dangerous.[B] Abdominal exploration is not dangerous at all.[C] The patient will recover soon after the surgery.[D] The patient overestimated（过高估计）the risk of the surgery.10. What can you learn from the conversation?[A] The patient’s condition is serious.[B] The patient’s condition is excellent now.[C] The patient’s condition used to be good.[D] The patient doesn’t want to be treated.Part BDirections:You’re going to hear one long dialogue and one short passage. Before listening to each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing [A], [B], [C] or [D]. After listening, you will have 10 seconds to check your answer to each question. Then mark your answer on your Answer Sheet. You will hear each piece only once..Questions 11-15 are based on a dialogue between a doctor and a nurse.11.What is the patien t’s systolic pressure?[A] 86mmHg.[B] 55mmHg.[C] 85mmHg.[D] 56mmHg.12. What surgery will the doctor give his patient?[A] Appendectomy.[B] Hepatectomy.（肝切除术）[C] Pulmonectomy.（肺切除术）[D] Gastrectomy. (胃切除术)13. Why must the doctor perform the surgery on his patient?[A] Because the patient has respiratory tract infection.[B] Because the patient has rapid respiration.[C] Because the patient has severe stomachache.[D] Because the patient’s bleeding is very serious.14. When will the surgery begin?[A] 10 minutes later.[B] 20 minutes later.[C] 30 minutes later.[D] 1 hour later.15. The doctor asked the nurse to do all the following EXCEPT_________.[A] to give the patient oxygen[B] to prepare patient for the surgery[C] to monitor the patie nt’s consciousness[D] to inform the patient’s family of the surgeryQuestions 16-20 are based on the passage.16. “A nursing aide” in this passage probably means ______.[A] a head nurse[B] an assistant nurse[C] a licensed nurse[D] a registered nurse17. The speaker waited ______ to get the results.[A] four weeks[B] five weeks[C] six weeks[D] seven weeks18. Who helped the speaker go through those tough days?[A] The Dean of Nurses.[B] Her daughter.[C] Her son.[D] Herself.19. How much did the speaker score in the examination?[A] 546.[B] 645.[C] 654.[D] 700.20. Which of the following is TRUE according to the passage?[A] Students will not be asked to work in holidays unless they voluntarily want to.[B] Even in Thanksgiving Day and Christmas, the speaker had to work to earn more money.[C] The speaker always looks back on those hard days with great pleasure.[D] The speaker has a daughter and a son.Part C: Note-taking and Gap-fillingDirections:You will hear a talk. Before your listening, you will have 30 seconds to read the text briefly. You may take notes while you are listening; check your answers when the talk is read the second time. Be sure to write your answers in the corresponding spaces on your Answer Sheet. You will hear the talk twice.Asthma is a disease of the lungs that___21__________ of the air pathways. Common symptoms of asthma are wheezing, _______22______, coughing, chest pain, tightness or pressure. Many of these conditions are reversible with medication but not 100% reversible in all patients._____23_______ of asthma are inflammation, airway obstruction and sensitivity. Some _____24______ for asthma are a family history of asthma, regular lung infections, presence of allergies, exposure to tobacco smoke, ______25________, and being male.The current rise in asthma cases among children is alarming. Asthma may occur at any age but is very common in children. Approximately 10% of children have asthma and that rate may rise in the future. It is because children are being exposed to more triggers which can ______26_______ more triggers which can _____27________ such as dust, tobacco smoke, pollution, etc. And don’t have strong ______28__________. The decrease in the rate of breast feeding may also play a role.Asthma is a _______29___________. Some people have fewer attacks as they grow older, but most patients see ____30_____________ in their 30s and 40s. The effects of asthma attacks on the lungs can cause serious problems later in life. Proper management of asthma is very important.Section ⅡUse of English (15%)(15 minutes)Part A Vocabulary and StructureDirections:There are 20 incomplete sentences in this section. For each sentence there are four choices, marked [A], [B], [C] and [D]. Choose the one that best completes the sentence. Then mark the corresponding letter on your Answer Sheet.31. Mumps ____ a very common children’s disease.[A] have been [B] is [C] are [D] has been32. Such noble deeds of the doctors and nurses can’t be only__________with money.[A]rewarded [B] awarded [C] praised [D] valued33. The human skeleton______ more than two hundred bones bound together by toughand relatively inelastic（无弹性的）connective tissues called ligaments．[A] makes up [B] be consisted of [C] be made up [D] consists of34. She’s fainted. Throw some water on her face and she’ll _____.[A] come around [B] come along [C] come on [D] come out35. Saving people’s life is a doctor’s life goal and I’ll try to realize it at any __________.[A] price [B] cost [C] charge [D] expense36. He was kept alive with ___________ dripping of fluid.[A] intramuscular [B] intradermal [C] intravenous [D] intracranial37. Following the outbreak of H1N1 Influenza A in Hong Kong, there is a growing concern onpublic ________.[A] hygiene [B] medication [C] infection [D] isolation38. _________is a disease of progressive bone loss associated with an increased risk of fractures.[A] Osteomyelitis [B] Osteoarthritis [C]Osteoporosis [D]Osteochondritis39. Acne occurs when tiny holes on the surface of the skin become _________.[A] clotted [B] clogged [C] clenched [D] collapsed40. _____________ engineering will have revolutionary consequences for mankind.[A] Genetic [B] Genital [C] Gender [D] Gene41. There’s a high ________ of stroke in men o ver 75.[A] accident [B] improvement [C] progress [D] incidence42. __________is used in surgeries as a method of minimizing pain during the procedure.[A] Ageusia [B] Anorexia [C] Anesthesia [D] arrhythmia43. _______ no cells in our body, we could not live at all.[A] There were [B] Were there[C] There was [D] Was there44. One of his legs was remarkably handsome, the other, by some accident crooked and ______.[A] misformed [B] informed [C] deformed [D] disformed45. I’m sure your suggestion will_________ the patient’s condition.[A] contribute to improving [B] be contributed to improveC] contribute to improve [D] be contributed to improving46. On the way to the lungs, air passes from the voice box to the_________, the distal（末梢的）end of which divides to form the left and right main bronchi.[A] nose [B] pharynx[C] larynx [D] trachea47. Proper nutrition, adequate sleep, and regular exercise are good health habits to build up body’s_________ to infections.[A] resistance [B] instance [C] insistence [D] recurrence48. Fortunately they had not been _____ most diseases common to urban populations.[A] immune from [B] cured of [C] exposed to [D] suffered from49. A ________ fracture is caused by disease of the bone or change in the tissue surrounding thebone, making it weak.[A] pathological [B] physiological[C] psychological [D] pharmacological50. The doctor administered him a drug that_________ the blood vessels.[A] concentrates [B] distracts [C] extracts [D] constrictsPart B ClozeDirections:Read the following passage. Choose the best word or phrase for each numbered blank from among the four choices [A], [B], [C], and [D], and mark it on your Answer Sheet.End-stage renal disease is the name for kidney failure so advanced that it cannot be reversed. The name is appropriate: the kidneys in end-stage renal disease function so poorly that they can no longer keep you__51__.End-stage renal disease cannot be treated with conventional（常规的）medical treatments such as drugs. Only two treatments allow you to continue __52___ when your kidneys stop functioning: dialysis(透析) and kidney transplantation. Dialysis is the term for several different methods of artificially filtering the blood. Kidney transplantation means replacement of the failed kidneys with a working kidney from another person, called a__53___. Kidney transplantation is not a complete__54___, although many people who receive a kidney transplant are able to live much as they did before their kidneys failed. People who receive a transplant must take medication, and for the__55___of their lives, be monitored by a physician who specializes in kidney disease.The most critical part of kidney transplantation is preventing rejection of the __56___ kidney. Different transplant centers use different drug combinations to fight rejection of a transplanted kidney. The drugs generally work by___57___the immune system, which is programmed to reject anything “___58___”, such as a new organ. You must keep follow-up appointments with your transplant team to monitor for signs of rejection. You will have regular blood and urine tests to__59___any signs of organ failure. One or more ultrasounds of the new kidney may be done to see if there are structural abnormalities（异常）__60___rejection.51. [A] live [B] living [C] life [D] alive52. [A] live [B] living [C] life [D] alive53. [A] donor [B] donate [C] recipient [D] receiver54. [A] treat [B] treatment [C] cure [D] therapy55. [A] last [B] rest [C] end [D] final56. [A] removed [B] operated [C] replaced [D] graft57. [A] compressing [B] depressing [C] suppressing [D] impressing58. [A] special [B] different [C] unique [D] foreign59. [A] search [B] seek [C] detect [D] find60. [A] suggest [B] being suggested [C] suggesting [D] suggestedSection ⅢReading Comprehension (30%)(40 minutes)Directions:There are 4 passages in this section. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked [A], [B], [C] and [D]. You should decide on the best choice and mark the corresponding letter on the Answer Sheet.Passage AIn modern society, where people are always competing against each other and trying to achieve so much in their lives, almost everybody is said to be suffering from some amount of stress. But stress is not always bad. Some amount of stress in life is actually necessary as it motivates you to perform better. However, you should never allow stress to grow beyond a point where it breaks you down. Therefore, the key to leading a happy life is learning to manage stress effectively.Stress is the root cause of many illnesses. Every year millions of people lose their life because of heart disease, stroke and various forms of cancers caused primarily by overstress. Besides, stress tends to cause constipation or diarrhea which may eventually contribute to such serious conditions as ulcers（溃疡）. Chronic stress is also known to weaken the immune system, which makes you prone to frequent colds and upper respiratory infections.Your attitude towards a stressful situation plays an important role in successful stress management. Usually, people who have a negative attitude will report more stress than people with a positive attitude. If you are under the pressure of stress and find it tough to manage, you can spend more time on music, painting, dancing, sports or anything that interests you. Most importantly, do not keep silent. Find someone who supports you. Somebody in your family or your friends will be willing to help you out of stress. If you are still unable to come out of stress, turn to the counselor who can help you to take control of your life and to live positively.61. According to the passage, why do people suffer from stress?[A] Because the society develops very fast.[B] Because people don’t want to get much from their work.[C] Because the competition is fierce.[D] Because people have no time to communicate.62. According to the passage, which of the following is NOT the disease caused by stress?[A] Heart attack.[B] Stroke.[C] Ulcer.[D] Lung infection.63. Why could stress make people catch cold frequently?[A] Because it weakens the upper respiratory tract.[B] Because it weakens the immune system.[C] Because it makes people negative.[D] Because it makes people positive.64. What does “negative attitude” (Para.3, Line 2) mean?[A] A view from the dark side.[B] A view from the bright side.[C] A hard-working attitude.[D] To be unwilling to work hard.65. What can you learn from the passage?[A] Stress is bad to people’s health.[B] Stress should be wiped out completely.[C] We may lead a happy life if we manage stress effectively.[D] Because of stress people are inclined to take a pessimistic view of life.Passage BArthritis refers to the inflammation inside the joints of the body. There are many types of arthritis and in general the causes are still unknown. However, there are some risk factors for arthritis. These may include age, gender, lifestyle, and being overweight. Arthritis is the leading cause of physical disability, and one of the most frequently reported chronic conditions in the US. Those in mid-to-late life are particularly vulnerable to this disabling condition. According to the figure from the National Arthritis Data Workgroup, more than 21% of American adults (46 million) have arthritis and over 60% of arthritis patients are wome n. “The higher prevalence of arthritis in the US may be a consequence of obesity and physical inactivity, particularly in women.” noted Dr. Badley, the spokesman of the group.There are more than 100 different types of arthritis. With age, the cartilage of the joints wears down; and that causes the most common type of arthritis, osteoarthritis. The treatment may vary depending on the type of arthritis the patient has. Treatment for arthritis generally involves pain management, exercise, and relaxation. The goals of arthritis treatment are to avoid pain and further destruction of the joint. One way is to avoid pain-causing activities. When the joint becomes painful, pain-killers and anti-inflammatory medication should be taken to relieve the pain and swelling. A physical therapist may advise routine exercise to help the patient maintain joint mobility. Besides, surgery to cure the joint damage may also be an option.66. Who has the high risk of getting arthritis?[A] M en in their 50’s.[B] Women in their 20’s.[C] W omen in their 50’s.[D] M en in their 20’s.67. According to the data given, how many American arthritis patients are male?[A] About 18.5 million.[B] About 15.5 million.[C] About 10 million.[D] About 27.5 million.68. According to the passage, what is the main cause of the osteoarthritis?[A] Overweight of the cartilage.[B] The aging of the cartilage.[C] The abrasion of the cartilage.[D] The inactivity of the cartilage.69. Which of the following is NOT the way of avoiding pain?[A] Doing less physical exercises that cause pain.[B] Taking pain-killers.[C] Taking anti-inflammatory medicine.[D] Avoiding the swelling of the joint.70. What does physical therapist do?[A] Help the patient to do more exercise.[B] Operate on patient.[C] Do physical examination for patient.[D] Prepare medicine.Passage CThanks to medical and drug research, there are thousands of drugs that us lead healthier and happier lives. Antibiotics and vaccines help to cure many diseases that were formerly fatal. Medicines can lower blood pressure, treat diabetes, and reduce pain.However, a drug may be helpful or harmf ul. When people talk about the “drug problem,”they usually mean abusing legal drugs or using illegal drugs. Today, drug abuse has already become a worldwide disaster, and it occurs in almost every country. Therefore, how to stop drug abuse has already become a problem of the world’s common concern.The first step to stop drug abuse is to know why people start using drugs. The reasons people abuse drugs are as different as people are from one to another. But there seems to be one common thread: people seem to take drugs to change the way they feel. They want to feel better or feel happy or to feel nothing. Sometimes, they want to forget or to remember. People often feel better about themselves when they are under the influence of drugs. But the effects won’t last long because drugs can’t solve problems. They just postpone them. No matter how far drugs may take you, it’s always around trip. After a while, people who miss drugs may feel worse aboutthemselves, and then they may use more drugs.If someone you know is using or abusing drugs, you can help. The most important part you can play is to be there. You can let your friends know that you care. You can listen and try to solve the problems behind them and reduce their reliance on drugs. Studies of heavy abusers in the United States show that they felt unloved and unwanted. They didn’t have close friends to talk to. When you or your friends take the time to care for each other, you’re all helping to stop drug abuse. After all, what is a friend for?71. Which of the following is TRUE according to the passage?[A] Modern medical and drug research contribute to the growing problem of drug abuse.[B] Using drugs is one of the ways to treat some fatal diseases.[C] The problem of drug abuse has already attracted widespread attention.[D] Friend is the last person a drug abuser can turn to.72. Which of the following can we infer from the passage as the cause of using drugs?[A] Heavy drug users usually have big monetary problems behind.[B] It is difficult for heavy drug users to return to their families.[C] Drug abusers can travel around the world mentally through using drugs.[D] Many drug abusers have psychological problems and they have nobody to turn to.73. According to the passage, what is the best way to stop your friends from abusing drugs?[A] To help solve their psychological problems.[B] To make them aware of its harmfulness.[C] To send them to the hospital.[D] To stay with them all the time.74. Which of the following is correct, according to the studies of heavy drug users?[A] They care for each other.[B] They need care and affection.[C] They are ready to stop using drugs.[D] They regard you as close friend.75. What is the passage mainly about?[A] The treatment of drug abuse.[B] A hot topic in drug abusing.[C] Ways to help people stop using drugs.[D] Pharmaceutical technology and drug abusing.Passage DThe Certified Nursing Assistant (CNA) plays an important role in basic patient care activities in hospitals, nursing homes, and other health care settings, including home health care.Actually, the CNA nurses assist in the basic human needs of the healthcare profession. They may help to bathe patients, feed them, change diapers or beds, empty bedpans, and help patients tobathroom or toileting facilities. They are also trained to take vitals, which are measurements of pulse, blood pressure, and respiration, and are responsible for charting vitals several times during each shift. The nursing assistant also needs to be fully aware of any changes in vitals, and any significant changes in a patient’s condition, and report them to the nursing staff.In facilities where patients are hospitalized for long period of time, it is usually the nursing assistant who will help patients turn over every couple of hours so that the patients wo n’t develop bedsores. A nursing assistant may be the first responder when a patient calls for help, and the job can require some pretty heavy lifting when patients who are ill or recovering need to get up to walk around, change their clothing, or get to the bathroom. It requires some physical strength and knowledge of safe lifting tactics（方法）to work as a nursing assistant.Some nursing assistants may additionally support patients by helping them with prescribed physical or respiratory therapy exercises. In long term care facilities, nursing assistants can be trained to help exercise patients who are paralyzed or in coma. These health care workers may also work with patients in home care settings, and may be the primary caretakers for patients recovering from conditions or who have long term disabling conditions.The many jobs a nursing assistant performs free up nurses to provide care that requires greater training, like administering IV medications and starting IVs, giving appropriate medications on time, charting and noting significant changes in a patient’s health, and alerting doctors to potential problems. In many nursing centers, the higher patient-to-nurse ratio in recent years is a matter that can be somewhat resolved by more skilled nursing assistants. As the population ages and more people enter nursing homes, the certified nursing assistants are going to be more in demand than ever.76. According to the passage, when the patient calls for help, who probably might be the first to come and have a look?[A] A doctor.[B] A nurse.[C] A nursing assistant.[D] A registered nurse.77. According to the passage, all of the following are the nurses’ job EXCEPT___________.[A] to administer appropriate medications[B] to help patients turn over every couple of hours[C] to chart and note significant changes in a patient’s health[D] to alert doctors to potential problems78. According to the passage, which of the following nursing item does NOT require greater training?[A] Starting and administering IV medications.[B] Planning and giving appropriate medications.[C] Charting vital signs many times during each shift.[D] Monitoring and reporting significant changes and potential problems.79. What does the phrase “the higher patient-to-nurse ratio” (Para. 4) probably mean?[A] There are more patients than nurses in the unit.[B] Fewer patients are cared for by the individual nurses in the unit.[C] Individual nurses care for more patients in the unit.[D] Individual patients are cared for by more than one nurse in the unit.80. Which of the following can we infer from the passage as the role of CNA?[A] They are responsible for charting vitals and fully aware of any changes in patients’ vital signs.[B] They help to reduce nurses’ workload by providing some cares that require not much training.[C] They support patients by administering medications to them.[D] They report any significant changes in a patient’s condition to the doctors and nurses.Section ⅣTranslation (10%)(15 minutes)Directions:Translate the following sentences from the reading passages into Chinese and write your version in the corresponding space in your Answer Sheet.81. Chronic stress is also known to weaken the immune system which makes you prone tofrequent colds and upper respiratory infections. (Para. 2, Passage A).82.With age, the cartilage of the joints wears down; and that causes the most common type ofarthritis, osteoarthritis. (Para. 1, Passage B).83.Today, drug abuse has already become a worldwide disaster, and it occurs in almost everycountry. Therefore, how to stop drug abuse has already become a problem of the world'scommon concern. (Para.1, Passage C).84. In many nursing centers, the higher patient-to-nurse ratio in recent years is a matter that can besomewhat resolved by more skilled nursing assistants. As the population ages and more people enter nursing homes, the certified nursing assistants are going to be more in demand than ever.(Para. 5, Passage D).Section ⅤWriting (15%)(25 minutes)Directions:A good and effective résumé is the first step towards finding a decent job. In this section you are allowed 25 minutes to finish a résumé for a registered nurse (RN) called Barbra Smith., You should base your writing on her personal information given below.85.。

1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury ／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 FieldTeams ：Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft-Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在 ICU 护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia， Cold Injury， and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns ／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal， Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity 口腔健康教育活动56 Oral Health Education Unit [Department of Health] 口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit 口腔颌面外科及牙科部60 outbreak 高峰期；发作；流行61 outbreak control 疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of-pocket expenditure by the user 服务使用者自付64 out-patient appointment system 门诊病人预约制度65 out-patient clinic 门诊诊疗所66 out-patient clinical operations support system 门诊临床运作支持系统67 out-patient consultation service 门诊服务68 out-patient department 门诊部69 out-patient registration system 门诊病人登记制度70 outreach community care programme 外展小区护理计划71 outreach health care team 外展医护队72 outreach medical team 外展医疗队73 outreach specialist medical team 外展专科医疗队86 organic psychosis 器质性精神病87 organoleptic inspection 感官检查88 overall incidence 总发病率89 overflow ward 暂时收容病房；后备病房90 overnight room 夜间当值室91 over-sensitivity 过敏92 ovulation 排卵93 ovulation cycle 排卵周期94 ovulation method 安全期避孕法95 on-call duty doctor 候召当值医生96 oncology 肿瘤学；肿瘤科97 one-way referral 单向转介98 onset of labour 分娩阵痛发作99 onset of symptom 症状发作100 on-site triage treatment 现场分流治疗101 occupational disease 职业病102 occupational health 职业健康103 occupational health nurse 职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist 职业环境生师106 occupational mortality 职业性死亡率107occupational neurosis 职业性神经病108 occupational therapist 职业治疗师109 Occupational Therapists Board 职业治疗师管理委员会110 occupational therapy assessment room 职业治疗评估室111 Occupational Therapy Assistant 职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology 眼科病理学114 ocular prosthesis 假眼115 optimal health 理想的健康状况116 optimum occupancy rate [hospital bed] 最适度病住用率117 optometric assessment 视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service 行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure] 行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care 口腔健康护理；口腔卫生服务124 oral health clinic 口腔卫生诊疗所主任医师(讲课) Professor of Medicine 主任医师(讲课) Professor of Medicine 主任医 师(医疗) Professor of Treatment 儿科主任医师 Professor of Paediatrics 主治医师 Doctor-in-charge 外科主治医师 Surgeon-in-charge 内科主治医师Physician-in-charge 眼科主治医师 Oculist-in-charge 妇科主治医师Gynaecologist-in-charge 牙科主治医师 Dentist-in-charge 医师 Doctor 医士师 Pharmacist 药士 Assistant Pharmacist 主任护师 Professor of Nursing 主管护Nurse 主任技师Technologis 技士Technician Assistant Doctor 主任药师 Professor of Pharmacy 主管药师 Pharmacist-in-charge 药 师 Nurse-in-charge 护师 Nurse Practitioner 护士Technologist 主管技师 Technologist-in-charge 技师SeniorHello, may ( can ) I help you? 您好，我可以帮您吗？What seems to be bothering you? 您觉得哪儿不舒服？Do you have a record? 您有病历吗？I`ll transfer you to the surgery department. 我给您转到外科去what`s wrong with you? 您怎么了？Sit down， please. 请坐。

1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 Field Teams:Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft—Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在ICU护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia，Cold Injury，and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal, Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity口腔健康教育活动56 Oral Health Education Unit ［Department of Health]口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit口腔颌面外科及牙科部60 outbreak高峰期；发作；流行61 outbreak control疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of—pocket expenditure by the user服务使用者自付64 out—patient appointment system门诊病人预约制度65 out—patient clinic门诊诊疗所66 out-patient clinical operations support system门诊临床运作支持系统67 out-patient consultation service门诊服务68 out-patient department门诊部69 out—patient registration system门诊病人登记制度70 outreach community care programme外展小区护理计划71 outreach health care team外展医护队72 outreach medical team外展医疗队73 outreach specialist medical team外展专科医疗队74 outside appointment book出外就医册75 ordinary diet普通膳食76 organ donation器官捐赠77 Organ Donation Card器官捐赠证78 Organ Donation Centre器官捐赠中心79 organ donation form 器官捐赠表格80 Organ Donation Register ［Hong Kong Medical Association］器官捐赠册81 organ donor 器官捐赠人82 organ imaging器官造影83 organ pledge 承诺捐出的器官数目84 organ recipient器官受赠人85 organ transplant器官移植86 organic psychosis器质性精神病87 organoleptic inspection感官检查88 overall incidence总发病率89 overflow ward暂时收容病房；后备病房90 overnight room夜间当值室91 over-sensitivity过敏92 ovulation排卵93 ovulation cycle排卵周期94 ovulation method安全期避孕法95 on—call duty doctor候召当值医生96 oncology肿瘤学；肿瘤科97 one-way referral单向转介98 onset of labour分娩阵痛发作99 onset of symptom症状发作100 on-site triage treatment现场分流治疗101 occupational disease职业病102 occupational health 职业健康103 occupational health nurse职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist职业环境生师106 occupational mortality职业性死亡率107occupational neurosis职业性神经病108 occupational therapist职业治疗师109 Occupational Therapists Board职业治疗师管理委员会110 occupational therapy assessment room职业治疗评估室111 Occupational Therapy Assistant职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology眼科病理学114 ocular prosthesis假眼115 optimal health理想的健康状况116 optimum occupancy rate [hospital bed］最适度病住用率117 optometric assessment视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure］行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care口腔健康护理；口腔卫生服务124 oral health clinic口腔卫生诊疗所主任医师（讲课) Professor of Medicine主任医师（讲课） Professor of Medicine主任医师（医疗）Professor of Treatment儿科主任医师 Professor of Paediatrics主治医师 Doctor-in-charge外科主治医师 Surgeon-in-charge内科主治医师 Physician-in-charge眼科主治医师 Oculist—in—charge妇科主治医师 Gynaecologist-in-charge牙科主治医师 Dentist-in-charge医师 Doctor医士 Assistant Doctor主任药师 Professor of Pharmacy主管药师 Pharmacist—in—charge药师 Pharmacist药士Assistant Pharmacist主任护师 Professor of Nursing主管护师 Nurse—in-charge护师 Nurse Practitioner护士 Nurse主任技师 Senior Technologist主管技师 Technologist—in-charge技师Technologis技士 TechnicianHello, may （can） I help you? 您好,我可以帮您吗?What seems to be bothering you? 您觉得哪儿不舒服？Do you have a record? 您有病历吗？I`ll transfer you to the surgery department。

、1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 Field Teams：Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft-Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在ICU护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia， Cold Injury， and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal， Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity口腔健康教育活动56 Oral Health Education Unit [Department of Health]口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit口腔颌面外科及牙科部60 outbreak高峰期；发作；流行61 outbreak control疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of-pocket expenditure by the user服务使用者自付64 out-patient appointment system门诊病人预约制度65 out-patient clinic门诊诊疗所66 out-patient clinical operations support system门诊临床运作支持系统67 out-patient consultation service门诊服务68 out-patient department门诊部69 out-patient registration system门诊病人登记制度70 outreach community care programme外展小区护理计划71 outreach health care team外展医护队72 outreach medical team外展医疗队73 outreach specialist medical team外展专科医疗队74 outside appointment book出外就医册75 ordinary diet普通膳食76 organ donation器官捐赠77 Organ Donation Card器官捐赠证78 Organ Donation Centre器官捐赠中心79 organ donation form 器官捐赠表格80 Organ Donation Register [Hong Kong Medical Association] 器官捐赠册81 organ donor 器官捐赠人82 organ imaging器官造影83 organ pledge 承诺捐出的器官数目84 organ recipient器官受赠人85 organ transplant器官移植86 organic psychosis器质性精神病87 organoleptic inspection感官检查88 overall incidence总发病率89 overflow ward暂时收容病房；后备病房90 overnight room夜间当值室91 over-sensitivity过敏92 ovulation排卵93 ovulation cycle排卵周期94 ovulation method安全期避孕法95 on-call duty doctor候召当值医生96 oncology肿瘤学；肿瘤科97 one-way referral单向转介98 onset of labour分娩阵痛发作99 onset of symptom症状发作100 on-site triage treatment现场分流治疗101 occupational disease职业病102 occupational health 职业健康103 occupational health nurse职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist职业环境生师106 occupational mortality职业性死亡率107occupational neurosis职业性神经病108 occupational therapist职业治疗师109 Occupational Therapists Board职业治疗师管理委员会110 occupational therapy assessment room职业治疗评估室111 Occupational Therapy Assistant职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology眼科病理学114 ocular prosthesis假眼115 optimal health理想的健康状况116 optimum occupancy rate [hospital bed]最适度病住用率117 optometric assessment视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure]行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care口腔健康护理；口腔卫生服务124 oral health clinic口腔卫生诊疗所主任医师（讲课) Professor of Medicine主任医师（讲课) Professor of Medicine主任医师（医疗) Professor of Treatment儿科主任医师 Professor of Paediatrics主治医师Doctor-in-charge外科主治医师 Surgeon-in-charge内科主治医师 Physician-in-charge 眼科主治医师 Oculist-in-charge妇科主治医师 Gynaecologist-in-charge牙科主治医师Dentist-in-charge医师 Doctor医士 Assistant Doctor主任药师 Professor of Pharmacy主管药师 Pharmacist-in-charge药师 Pharmacist药士 AssistantPharmacist主任护师 Professor of Nursing主管护师 Nurse-in-charge护师 Nurse Practitioner护士 Nurse主任技师 Senior Technologist主管技师Technologist-in-charge技师 Technologis技士 TechnicianHello, may （can） I help you 您好，我可以帮您吗？What seems to be bothering you 您觉得哪儿不舒服？Do you have a record 您有病历吗？I`ll transfer you to the surgery department. 我给您转到外科去what`s wrong with you 您怎么了？Sit down， please. 请坐。

2010年12月METS第一级模拟试卷医护英语水平考试(护理类)第一级Medical English Test System (METS)(For Nurses)Level 1姓名__________ 准考证号__________ 时间：120分钟考生须知1.严格遵守考场规则，考生得到监考人员指令后方可开始答题。

2.答题前考生须将自己的姓名和准考证号写在试卷和答题卡上。

3.答客观题时，一律用2B铅笔，按照答题卡上的要求答题。

如要改动答案，必须用橡皮擦干净。

4.答写作题时，必须用黑色签字笔在答题卡上答题。

5.注意字迹清楚，保持卷面整洁。

6.考试结束时将试卷和答题卡放在桌上，不得带走。

待监考人员收毕清点后，方可离场。

===================================================※未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。

医护英语水平考试办公室I ListeningPart 1Questions 1 – 5● You will hear five patients describing their pain. ● Where does each patient have pain?● For questions 1-5, write a letter A-H next to each patient. ●You will hear each conversation twice.Example:TimThe patients Where is the pain? 1 Dick2 Leo3 Borg4 Wood5 DavidA In the leg.B In the chest.C In the stomach.D In the foreheadE In the throat. FIn the wrist.G In the arm. H In the back.FQuestions 6 – 10●Listen to Peter Long taking a call on the helpline.●Are the sentences (6-10) “Right” (A) or “Wrong” (B)●For questions 6-10, tick (√) A or B.●You will hear the conversation twice.Example:0 The boy is seven years old.A Right√B Wrong6 The boy wheezes when he coughs.A RightB Wrong7 The boy coughs up blood.A RightB Wrong8 The boy vomits when he coughs.A RightB Wrong9 The boy is allergic to eggs. A RightB Wrong10 The boy has a fever. A RightB WrongQuestions 11 – 15●Listen to a ward team meeting about Lidia, a Russian patient.●For questions 11-15, tick (√) A, B or C.●You will hear the talk twice.Example:0 The Russian lady is A80.√B40.C18.11 She‟s always been very A careful.B independent.C kind.12 She had a stroke A while her daughters were visiting her.B the night before a Sunday morning.C three hours ago.13 She had difficulty with her A hands.B speech.C sight.14 In hospital, she has been A very unhelpful.B worried about her house.C trying very hard.15 She is now ready A to get out of hospital.B to receive an operation.C to visit her daughters.Questions 16 – 20●You will hear a nurse getting personal details from a patient.●Listen and complete questions 16-20.●You will hear the conversation twice.II Reading and WritingPart 1Questions 1 – 5●Read the descriptions of some things you can find in a hospital.●What is the word for each one?●Mark the correct letter A – H on your answer sheet.Example:0 This is a chair with wheels in which someone can sit and move around.Answer:A wheelchair E bandageB drain F wardC stethophone G injectorD thermometer H ambulance1 Doctors use it to listen to sounds of the heart or lungs.2 It is a tube used to remove liquid from the body.3 You use it to measure the patient‟s temperature.4 It is a piece of cloth which is wrapped around a wound.5 This is the place in a hospital which has beds for p eople who need treatment.Questions 6 – 10●Look at the notices.●Which notice (A – H) says this (6 – 10)?●Mark the correct letter A – H on your answer sheet. Example:0 We want expert nurses.6 This is suitable for vegetarians.7 You help patient sit up in bed with this.8 The patient is diabetic.9 You need to put on rubber gloves.10 The elder should take only onetablet daily.Answer:Questions 11 – 15●Look at the graphs.●Read the sentences on the next page.●Match each sentence to a graph.●Mark the correct letter A – H on your answer sheet.A C E GB D F HExample:０His temperature was up and down all night, but now it‟s stable at 37.5.Answer:11 His heart rate fell to 20 bmp, but now it‟s rising again.12 His blood pressure varies from 120/80 to 160/100.13 Her pulse rate was extremely low but now it went up to 70.14 His respiratory rate fell between 10 and 25 bmp.15 He was running a fever, but his temperature‟s back to normal now.Part 4Questions 16 – 20●Complete the conversation between the doctor and the patient.●What does Tim say to Jenny?●Mark the correct letter A – H on your answer sheet. Example:Jenny: Good afternoon, Mr Tim, come in and have a seat.Tim: 0……………e Jenny: Now I‟ve had a letter from yourdoctor saying that you‟ve beenhaving problems with your sight.Tim: 16……………Jenny: Could you tell me how long the left eye has been bad for?Tim: 17……………Jenny: Mm, and what do you do?Tim: 18……………Jenny: How is your work being affected?Tim: 19……………Jenny: I see, yes. I‟d just like to examine your eyes and perhaps we couldstart with the chart. Can you seeany letters at all?Tim: 20……………Jenny: OK. Well, with the right eye canyou see anything?Tim: NHTA. That‟s about all, I‟m afraid.Jenny: OK. Thank you very much indeed. A Oh, going on for about a year now. Isuppose.B Oh. It‟s really bad. I can hardly seethe letters let alone the addresses. Ihave to get my mates to do thatsort of thing for me.C Yes, that‟s right doctor.D No, nothing.E If I‟m out in a cold wind my eyesstart running.F I‟m a postman. I deliver letters andthat sort of thing.G What about that one? Does thathave any effect?H Good afternoon, Ms Jenny.Answer:Questions 21 – 27● Read the sentence about how to make the heart start beating.● Choose the best word (A, B or C) for each space (21 – 27)?● Mark the correct letter A, B or C on your answer sheet.Example:The patient has had a cardiac __________. A arrest B cycle C output21 Make sure the patient is __________ on a hard, flat surface.A sittingB lyingC fixing22 Support his head, hold his nose __________.A forwardB stillC closed23 Then open his mouth and __________ strongly into it.A breatheB pressC get24 Blow two quick breaths and watch for the patient ‟s __________ to rise.A handB chestC head25 Remove your mouth and look for the chest to __________.A moveB beatC fall26 Listen for breath sounds, and feel for the patient ‟s breath on your __________.A cheekB armC thumb27 If breathing does not start on its own, __________ the procedure.A repeatB startC try Answer:Questions 28 – 35●Read about David Borg, a hospital porter.●Are sentences 28 – 35on the opposite page …Right‟ or …Wrong‟? If there is not enoughinformation to answer …Right‟ or …Wrong‟, choose …Doesn‟t Say‟●For each sentence 28 – 35, mark one letter A – C on your answer sheet.David BorgI’m the Head Porter in this hospital. What do I do?Well, I run the place.Porters do more than just push food trolleysaround the hospital. We transport patients bywheelchair or stretcher from the wards toRadiology or Physiotherapy and back again. We remove dead bodies to the mortuary, we lift and carry heavy equipment and furniture, and we dispose of all the waste. Each hospital bed produces 4.5 kilos of waste every day. We collect it each day and take it away for recycling.We deliver the post all over the hospital and bring letters for patients –that’s a very important thing. As we move around the place, we take files, samples, and specimens from here to there and back again. Last year I walked 1800 kilometres!To do all these things a porter must be fit, be able to think clearly in an emergency, and be polite and friendly. Next time you are waiting for a porter to answer your call, please be patient. He will be with you as soon as he can.Example0 David Borg is a hospital porter.A RightB WrongC Doesn‟t Say Answer:28 Porters only push food trolleys around.A RightB WrongC Doesn‟t Say29 They move patients around the hospital.A RightB WrongC Doesn‟t Say30 Porters take dead patients from the wards.A RightB WrongC Doesn‟t Say31 Each ward makes 4.5 kilos of waste a day.A RightB WrongC Doesn‟t Say32 The porters recycle all the waste.A RightB WrongC Doesn‟t Say33 Porters give patients their mail.A RightB WrongC Doesn‟t Say34 David goes to work on food every day.A RightB WrongC Doesn‟t Say35 Porters should be friendly and helpful.A RightB WrongC Doesn‟t SayPart 7Questions 36 – 45●Read about the patient profile.●Choose the best word (A, B or C) for each space.●For each space 36 – 45, mark one letter A – C on your answer sheet.Example0 A is B was C there Answer:36 A after B before C since37 A lose B losing C lost38 A in B of C at39 A that B what C who40 A much B any C some41 A while B because C if42 A him B her C them43 A as B to C with44 A this B a C each45 A have B will C shallPart 8Question 46●Read the patient record.●Write a summary about the patient.●Write the summary on your answer sheet.听力部分录音稿This is METS 1 Listening Test.There are four parts to the test. Part One, Two, Three, and Four.You will hear each part twice.We will now stop for a moment before we start the test.Please ask any questions now because you must not speak during the test. Pause (10 seconds)Now, look at the instructions for Part One.Pause (5 seconds)You will hear five patients describing their pain.Where does each patient have pain?For questions 1-5, write a letter A-H next to each patient.You will hear each conversation twice.Here is an example:Nurse (Woman): What‟s brought you here, Tim?Patient (Man):My wrist is throbbing since I fell in the street.Pause (5 seconds)The answer is In the wrist, so write letter F in the box.Now we are ready to start.Pause (5 seconds)Conversation 1Nurse (Woman): How are you today, Dick? Are you still in pain?Patient (Man):Well, there‟s pain around my stomach. It‟s quite bad.Pause (5 seconds)RepeatPause (5 seconds)Conversation 2Nurse (Woman): Do you still have a headache, Leo?Patient (Man):Yes, I‟ve got this pain in the forehead, right between my eyes.Pause (5 seconds)RepeatPause (5 seconds)Conversation 3Nurse (Woman): So, you are having pains in your arm, Borg.Patient (Man):Yes, I keep getting this terrible pain down my left arm. It starts at the shoulder and shoots down to my hand.Pause (5 seconds)RepeatPause (5 seconds)Conversation 4Nurse (Woman): What can I do for you, Wood?Patient (Man):Well, I‟ve got this sharp pain up and down my leg.Pause (5 seconds)RepeatPause (5 seconds)Conversation 5Nurse (Woman): Can you tell me what seems to be bothering you, David?Patient (Man):I‟ve got this crushing pain right here in my chest.Pause (5 seconds)RepeatPause (5 seconds)This is the end of Part OnePause (5 seconds)Now look at Part Two.Pause (5 seconds)Listen to Peter Long taking a call on the helpline.Are the sentences (6-10) “Right” (A) or “Wrong” (B)For questions 6-10, tick (√) A or B.You will hear the conversation twice.Nurse (Man): National Health line. How can I help?Mother:Oh, hello. It‟s my little boy – he‟s seven. I‟m worried because he‟s got a terrible cough.Nurse (Man): OK. So, can you describe the cough? I mean, does he wheeze when he coughs?Mother:Yes, he does.Nurse (Man): Does he wheeze when he breathes in or when he breathes out? Mother:Mm…when he breathes in. Yes, not when he breathes out.Nurse (Man): When he coughs, does he cough up any blood?Mother:No, but sometimes when he coughs, he vomits.Nurse (Man): I see. Does he have any allergies?Mother:No, I don‟t think so.Nurse (Man): Right. Does he have a fever? Have you taken his temperature? Mother:Yes, he‟s burning. The thermometer says 37 degrees.Pause (5 seconds)RepeatPause (5 seconds)This is the end of Part TwoPause (5 seconds)Now look at Part Three.Listen to a ward team meeting about Lidia, an old Russian patient.For questions 11-15, tick (√) A, B or C.You will hear the talk twice.Pause (5 seconds)Nurse: Let‟s start with Lidia. Lidia‟s an 80-year-old Russian lady. She‟s been living in her own home for 40 years; she‟s a very independent woman. You might remember that her daughters had visited her on a Sunday morning as usual and found her to be uncoordinated; um, she was having trouble picking up her cup of tea. Lidia said she‟d had a …funny turn‟ the night before so, unfortunately, by the time they brought her to hospital it was well over the initial three hours from the onset of the stroke. She‟s been with us for two weeks now and has been working really hard with everyone so that she can get back to her own home. The purpose of this meeting is for us to report back on what we‟ve all been doing for Lidia. Then we need to finalize her discharge plan. William, do you want to kick off?Pause (5 seconds)RepeatPause (5 seconds)Now look at Part Four.You will hear a nurse getting personal details from a patient.Listen and complete questions 16-20.You will hear the conversation twice.Nurse: Mustapha, isn‟t it?Mustapha: Yes, that‟s right.Nurse: So, what happened to you?Mustapha: I was working on a ladder. It was raining and I slipped and fell.Nurse: Did you hit your head?Mustapha:Yes. I saw stars and felt sick at first. But now it‟s OK.Nurse: I see. You may have concussion. First, I‟ll take down your details and fill in this form. So, what‟s your surname?Mustapha:It‟s Hussein.Nurse: Can you spell that for me?Mustapha:H-U-double S-E-I-N.Nurse: What‟s your occupation?Mustapha:I‟m a painter.Nurse: Right. What‟s your date of birth?Mustapha:First of the ninth, eighty-two.Nurse: First of the ninth, eight-two .. and what‟s your marital status?Mustapha:I‟m single.Nurse: And do you have a contact telephone number for your next of kin? Mustapha:401229 - it‟s my brother, Yusuf.Nurse: Do you smoke?Mustapha:Yes.Nurse: How many do you smoke a day?Mustapha:Twenty a day.Nurse: Uh huh. Do you drink?Mustapha:No.Nurse: Right. Are you allergic to anything?Mustapha:No.Nurse: Now, family history. Does any of your close family suffer from any of the following – mental illness?Mustapha:No.Pause (5 seconds)RepeatPause (5 seconds)This is the end of Part Four.You now have four minutes to write your answers on the answer sheet.Pause ( 4 minutes)You have one more minute.Pause (60 seconds)This is the end of the listening test.I ListeningPart 1 1. C 2. D 3. G 4. A 5. BPart 2 6. A 7. B 8. A 9. B 10. APart 3 11. B 12. B 13. A 14. C 15. APart 4 16. Hussein 17. painter 18. single 19. 401229 20. headII Reading and WritingPart 1 1. C 2. B 3. D 4. E 5. FPart 2 6. E 7. B 8. D 9. G 10. CPart 3 11. B 12. D 13. C 14. E 15. APart 416. C 17. A 18. F 19. B 20. DPart 521. B 22. C 23. A 24. B 25. C 26. A 27. APart 628. B 29. A 30. A 31. A 32. B 33. A 34. C 35. APart 736. A 37. C 38. B 39. A 40. C41. A 42. B 43. A 44. C 45. B参考样文：Mrs Sarah Behr was admitted to Alexandra Hospital on December 28, 2009 because of the snake bite. She was born on January 2, 1985. She is married and works as a teacher. Her next of kin is her father, Ian. She can be contacted on 01782-783276. She does not smoke, but drinks about ten units of alcohol per week. She is allergic to nothing. There is a history of heart disease on her father’s side.21。

本文部分内容来自网络整理，本司不为其真实性负责，如有异议或侵权请及时联系，本司将立即删除！== 本文为word格式，下载后可方便编辑和修改！ ==mets模拟试题篇一：METS-3模拟试题METS-3模拟试题Section I Listening Comprehension (30%)（25 minutes）Directions: This section is designed to test your ability to understand spoken English in nursing contexts. You will hear a selection of recorded materials and you must answer the questionsthat accompany them. There are THREE parts in this section, Part A, Part B, and Par C.Remember, while you are doing the test, you should first put down your answers in your test booklet. At the end of the listening comprehension section, you will have 4 minutes to transfer your answers from your test booklet onto your ANSWER SHEET.(Pause 00’05’’)(Tone) Now look at Part A in your test booklet.Part AYou will hear 10 short dialogues. For each dialogue, there is one question and FOUR possible answers. Choose the correct answer – [A], [B], [C], o r[D], and mark it in your test booklet. You will have 10 seconds to answer the question and you will hear each dialogue ONLY ONCE.1. What medications is the patient taking right now?[A] Sulfa drugs.[B] Iron tablets.*[C] Iodine supplements. [D] Calcium pills.2. What do you learn about the patient?[A] He knows it’s bad to take drugs.* [B] He can’t give up his smoking habit.[C] He promises to stop smoking. [D] He is sorry about taking drugs.3. What’s wrong with the patient’s eyes?[A] He’s strained his eyes.[C] Something’s go t into his eyes.4. What has happened to the woman?[A] She has lost appetite.[C] She has put on weight fast.*5. What is the man’s problem?[A] He injured his head.[C] His occupation is not safe.[B] He may have a brain tumor.[D] His platelet counts are low.* [B] She has slipped when taking a bath. [D] She has found a tumor growing. [B] He’s read too much. [D] His eyes hurt.*6. What does the woman mean?[A] She knows no such exam.[C] She does it infrequently.*7. What does the speaker imply about Mary’s attitude toward patients?[A] She handles them carelessly.*[C] She tries to be impersonal.8. Where does the dialogue most likely take place?[A] In a ward.[C] In an elevator.9. What are the two talking about?[A] Teenage pregnancy.*[C] Dating in high school.10. What does the woman imply?[A] The man looks pale now.[C] The man stayed too long.[B] The man looked terrible last night.* [D] The man should do more exercise.[B] Care of babies. [D] Failure in sex education.[B] In an emergency room. [D] In the hallway.* [B] She is kind to most of them.[D] She is rough occasionally. [B] She does it as ordered. [D] She considers the exam necessary.Part BDirections: Yo u’re going to hear one long dialogue and one short talk. Before listening to each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing [A], [B], [C] or [D]. After listening, you will have 10 seconds to check your answer to each question. Then mark your answer on your Answer Sheet. You will hear each piece ONLY ONCE.Long Dialogue11. What does the man demand?[A] To get a bed for his father. [B] To let him lie down.[C] To talk with the doctor. [D] To be honest with him.*12. What does an exploratory involve?[A] Taking out a tumor. [B] Cutting the abdomen open.*[C] Draining an abscess.[D] Repairing a wound.13. What does the woman ask the man not to do?[A] To get scared for nothing.[B] To expect too much.[C] To make guesses without facts. *[D] To ask too many questions.14. What does the woman say about what might be found?[A] It will be at an early stage.*[C] The pain will be mild. [B] There will be little bleeding. [D] It doesn’t take long to cure.15. What can be learned about the man?[A] He is understanding.[B] He is scared. [D] He is puzzled.[C] He is relieved.*Short Talk16. What does the talk say about the role of heredity?[A] It is easy to see.[C] It does not exist.17. What does the talk say about cancer?[A] Cancers are caused by defective genes.[B]Cancers are not communicable diseases.[C] Cancers may appear in a family.*[D] Certain cancers are still incurable.18. Why do certain diseases occur within families, according to some scientists?[A] They are genetic by nature.[C] They are just accidental.19. What does the talk imply?[A] One’s life style may be a risk factor.*[B] One’s behavior may be hereditary.。

机密☆启用前METS第二级模拟试卷医护英语水平考试(护理类)第二级Medical English Test System (METS) （For Nurses）Level 2姓名__________ 准考证号______________________时间120分钟考生注意事项1、严格遵守考场规则，考生得到监考人员指令后方可开始答题。

2、答题前考生须将自己的姓名和准考证号写在试卷和答题卡上。

3、答客观题时，一律用2B铅笔，按照答题卡上的要求填涂。

如要改动答案，必须用橡皮擦干净。

4、答翻译与写作题时，必须用黑色签字笔在答题卡上答题。

5、注意字迹清楚，保持卷面整洁。

6、考试结束时将试卷和答题卡放在桌上，不得带走。

待监考人员收毕清点后，方可离场。

================================================================= =====未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。

医护英语水平考试办公室Section I Listening Comprehension（Time—20 minutes）Directions:If you have any questions, you may raise your hand NOW as you will not be allowed to speak once the test has started.Now look at Part A in your test booklet.Part AYou will hear 10 short dialogues. For each dialogue, there is one question and THREE possible answers. Choose the correct answer – [A], [B], or [C], and mark it in your test booklet. You will have 10 seconds to answer the question and you will hear each dialogue ONLY ONCE.Now look at Question 1.1. How is the man’s left leg?[A] Still very painful.[B] Not painful at all.[C] Much better than before.2. The man’s blood pressure is_______.[A] 117/110mmHg[B] 170/110mmHg[C] 170/100mmHg3. When will the man have to get injections?[A]About 30 to 45 minutes before the surgery.[B]About 30 to 45 minutes after the surgery.[C]By 7:30.4. Where did the conversation happen?[A] At the Operation Room.[B] At the In-patient Department.[C] At the out-patient Department.5. The conversation probably happened between__________.[A] The patient and the doctor.[B] The patient and the chemist[C] The nurse and doctor.6. The man’s brother_____________.[A]will stay with him.[B]can not stay with him.[C]can stay with him, but has to pay.7. What does the man worry about?[A] Whether he can stand up or not.[B] Whether there are a lot of effective medicines.[C] Whether there are good doctors and good nurses.8. What should the man do before he takes the medicine?[A] Shake the bottle.[B] Drink some water.[C] Take it three times a day.9. The man______________.[A]was knocked by a train.[B]has a pain in his ribs now.[C]crossed the road too quickly.10. What did the woman ask the man to do?[A] Come tomorrow morning at 9.[B] Make an appointment with the doctor[C] Don’t eat or drink anything after midnight.Part B:Questions 11-13 are based on the following dialogue.11. How long has the patient got a pain in the upper belly?[A] For about half a month.[B] For about a month[C] For one and half months12. This dialogue happened_________.[A] At the In-patient Department.[B] At the Operation Room.[C] In the Clinic Office13. What kind of disease has the patient got?[A] The patient has told the doctor it might be stomach bleeding.[B] The doctor has known the patient’s disease exactly.[C] The doctor has not exactly known the patient’s disease yet.Questions 14-16 are based on the following passage.14. How many cases of heart transplant operations are there in the U.S. every year?[A] More than 22,000.[B] More than 2,200.[C] More than 2,400.15. Where is a healthy heart obtained from?[A] From the people who live on selling his organs.[B]From the prisoners who are sentenced to death.[C] From a donor who is brain dead but on life-support.16. Which of the following statements is NOT TRUE about the operation?[A] A cut is made through the patient’s breast bone.[B] The patient is put into a deep sleep with general anesthesia.[C] The patient's blood is circulated through his own heart until the operation is finished.Questions 17-20 are based on the following passage.17. According to the passage, HIV can not be found __________.[A]semen[B]phlegm[C]breastmilk18. Which of the following statements is NOT TRUE according to the passage?[A] HIV is transmitted through infected blood[B] HIV is transmitted from an infected mother to her baby.[C] HIV is transmitted through sexual intercourse only between a man and a woman.[A]the blood is from the Blood Center[B]the blood is tested for HIV before it is used to treat patients[C]people use unsterilised needles and syringes20. According to the passage, If you share toilet seats with your wife,you_____________.[A]will not get HIV[B]will get AIDS[C]will get HIV but not AIDSSectionⅡ Vocabulary and Structure（Time—10 minutes）Directions:21. If rapid_______ is desired, drugs should be taken on an empty stomach.[A]abuse [B]abdomen [C] abortion [D] absorption22. Examination of extremities revealed numerous _______ over the lower ones.[A]damages [B]wounds [C] bruises [D]destruction23. His death was sudden: he _______ on a fish bone.[A]choked [B]checked [C] prevented [D]protected[A]deficit [B]efficiency [C]deficiency [D] inefficiency25. Both chronic bronchitis and________ result in airways narrowing.[A]emphysema [B]encephalitis [C]enteritis [D]epistaxis26 Examination of the________ often gives the clue to the cause of diarrhea.[A]fetus [B]feces [C]urine [D]fibre27. The building_____ roof is red is the hospital[A]whose [B] which [C] of which [D]which of28. Caring for the patients_______ skills and patience.[A]require [B]requires [C]is required [ D] are required29. The wound must be kept clean so that_______ do not infect it.[A]genes [B]germs [C] veins [D] viruses30. Small hematomas may resorb, but they increase the________ of wound infection.[A]incision [B] incidence [C]accidence [D]indication31. _____ after an operation has been performed, the patient is moved to a recovery room.[A]Soon [B] Sooner [C] The soon [D]The sooner[A]of…from [B]of…to [C]about…from [D] to…from33. The neck contains vessels, nerves, and other structures connecting the head and the _______.[A]tray [B]truck [C] track [D] trunk34. No other issue has received more attention in recent years than_________.[A]unpractise [B]dispratice [C] malpractice [D]impractice35. _______ include carbohydrates, fats, proteins, minerals and vitamins.[A]Nutrients [B]Nutritional [C]Water [D]Food36. There may be sufficient inflammatory swelling to_______ the airway.[A]obstruct [B]abstract [C]distract [D] contract37. The patient needs__________.[A]examine [B]examining [C]to examine [D]be examined38. ______ means the science of function in living organisms, and study of this subject goes a long way toward explaining life itself.[A]Physiology [B]Pathology [C] Psychology [D]Pharmacology39. The heart_________ the rate at which the blood circulates.[A] recurs [B]recovers [C] responds [D]regulates40. The nurses’ work is_______ in the clinical diagnosis.[A] a great help [B] great helpful to[C]a great help to [D] a great helpful toSection ⅢCloze（Time—15 minutes）Directions:Read the following text. Choose the best word or phrase for each numbered blank from among the four choices [A], [B], [C], and [D], and mark it on Answer Sheet.Healthcare is one of the fastest growing professions throughout the world. As the population_41___, and healthcare costs_42____, the demand for nurses will continue to__43___. The health care delivery system is shifting, and nurses,__44____those with _45_____education, will be in demand for _46____some time._47____the rising costs of healthcare, physicians are spending _48____time with patients, and nurses are shifting into an ever expanding role of health educator, _49___providing more direct care to the patients.__ 56___salaries, bonuses, and job security are not the only benefits for nurses. Caring _ 57___others and making a difference __ 58____the lives of others everyday is a rewarding aspect to a career in nursing. It's something_ 59____ can be said_60____be missing in many careers. （167ws）[A] ages [B] aged [C] aging [D] has been aged[A] rose [B] rise [C]arise [D]raise[A] decrease [B]reduce [C] increase [D]meet[A] particular [B] peculiar [C] non-particular [D] particularly[A]ill [B] advanced [C] developed [D] highly[A]few [B]little [C]quite [D]a little[A]By [B]In [C]For [D]With[A]less [B]least [C]more [D]most[A]as well [B]as well as [C] and as good [D]and as well as[A]now [B]past [C] later [D]present[A]inspected [B]expecting [C]expected [D]inspecting[A]next [B]later [C]back [D]followed[A]aging [B]rising [C]healthcare [D]shortage[A]Patients [B]Schools [C]Hospitals [D]Physicians[A]in [B]at [C]of [D]for[A]Low [B]Cheap [C]Attractive [D]Expensive[A]of [B] for [C]by [D]after[A]at [B]in [C]of [D]from[A]that [B]which [C] in that [D]in which[A]of [B]to [C]from [D]aboutSection Ⅳ Reading Comprehension(Time—30 minutes)Directions:Read the following 4 passages. Answer the questions on each text by choosing [A], [B], [C] or [D]. Mark the corresponding letter on Answer Sheet.Passage AThe reason you're there as a children's nurse is because children are not just mini adults: their bodies (and minds) work in different ways. The onset of symptoms can be sudden and extreme. Because children are still growing, the impact of the illness or injury on their development has to be taken into account. And because they are young, they may be more scared or confused by what is happening to them. That's why they need pediatric nurses who understand their particular needs.Children have parents and brothers and sisters who are all involved in different ways. Children's nurses work closely with patient's families as part of the caring process. One of the most striking features of pediatric nursing is how often you share your nursing skills with others: the child's parents or whoever would normally look after them at home. Your job is to give the child's carers the confidence and ability to carry on with their caring role, knowing when to stand back and when to take-over if necessary. It requires a special set of attitudes and open mindedness to people's different ways of relating to their children.61. Pediatric nurses________ .[A]are not just mini adults[B]work in different ways[C]understand children’s particular needs[D]are scared by what is happening to them62. In Para. 1, ‘‘onset’’ here means_______.[A]ending[B]falling[C]beginning[D]raising63. We can infer from the passage that pediatric nurses share their nursing skills with_________.[A] The child's brothers.[B] The child's sisters.[C] The grandmother.[D] The grandfather who always takes care of the child at home.64. What is the pediatric nurse’s role?[A] To require a special set of attitudes and open mindedness to people's different ways of relating to the children.[B] To give the child's carers the confidence and ability to carry on with their caring role[C] To know when to stand back and when to take-over if necessary.[D] To look after the children at home normally.65. Which of the following statements is NOT TRUE according to the passage?[A] Children's nurses work closely with patient's families as part of the caring process.[B] The parents or carers often feel powerless, guilty, anxious, etc. when the child is ill.[C] Pediatric nurses play a key part in looking after the child at home.[D] Pediatric nurses are just children's nurses.Passage BConfusion is the inability to think with your usual speed or clarity. When confused, you have difficulty focusing your attention and may feel disoriented(不知所措的). Confusion interferes with your ability to make decisions.A good way to test to see if a person is confused is to ask the person his or her name, age, and the date. If they are unsure or answer incorrectly, they are confused.A confused person should not be left alone. To ensure a confused person's safety, physical restraints may be required in some situations. Try to keep the surroundings calm, quiet, and peaceful.When visiting a person whose confusion is from a chronic disease, you should always introduce yourself each time you see them, no matter how well he or she once knew you. Placing a calendar and clock near the person can help keep him or her oriented. When taking care of someone who is confused, frequently remind the person of his or her location. Talk to him or her about current events and plans for the day.For sudden confusion due to low blood sugar (for example, from diabetes medication), the person should drink a sweet drink or eat a sweet snack. If the confusion lasts longer than 10 minutes, call the doctor.(255ws)66. Which of the following statements is NOT TRUE about confusion?[A] Confusion interferes with your ability to make decisions.[B] Confusion is permanent and not curable.[C] Confusion often occurs during hospitalization.67. Which of the following statements is NOT TRUE about a confused person?[A] A confused person has difficulty focusing his attention.[B] A confused person is often not sure of or answer incorrectly his or her name, age, and the date.[C] To ensure a confused person's safety, physical restraints should always be required.[D] We had better keep the surroundings of a confused person calm, quiet, and peaceful if we can.68. Which of the following statements is TRUE about the cause of confusion?[A] High blood sugar may cause sudden confusion.[B] A chronic disease may cause confusion.[C] Confusion may make you feel disoriented.[D] Confusion interferes with your ability to make decisions.69. When taking care of a confused person, we _______________.[A]remind the person of his or her location very often.[B]talk to him or her about past events[C]give him or her a sweet drink frequently[D]are ready to call the doctor.70. The passage mainly tells us _____________.[A]how the doctors cure confusion[C]the causes of confusion[D]the definition and home care of confusionPassage CWhy do we cry? Crying makes sense if smoke gets in your eyes or if you’re cutting onions. The tears protect your vision. But what good is emotional crying?Crying often seems to make people feel better when they are sad or upset. A scientist in St. Paul, Minnesota, is investigating the reason for this. Dr. William Frey studied the behavior of a group of people when they cried; 85 percent of the women and 73 percent of the men said they felt better after crying.Frey believes that emotional weeping helps to reduce suffering by ridding the body of harmful chemicals. Such chemicals, he believes, are produced during stress. The chemicals can raise blood pressure, harm digestion, and increase the heartbeat.To test his theory, Frey has been collecting sad tears, drop by drop. He pays men and women to watch sad movies and catch their own tears in a test tube. He has found that about 60 percent of the viewers will cry if the theater is dark and they aren’t crowded close together. During the movies, Frey also records signs of stress, such as fast heartbeat and high blood pressure, to see if crying reduces these. (199ws)71. Feeling better after crying seems related to __________.[A]cutting onions[B]sad movies[C]the body’s chemistry[D]difference between men and women72.According to Frey, crying can protect the body by __________.[A]easing stress[B]reducing blood pressure[C]getting rid of chemicals[D]all of the above73. If Frey’s theory is correct, tears from sadness and tears from cutting onions will show _____.[A]similarities[B]stress[C]differences[D]harmful chemicals74. Details in the passage suggest that Frey’s theory is __________.[A]true[B]false[C]not proven[D]unreasonable75. Which of the following is NOT true?[A]Chemicals produced during weeping cause high blood pressure.[B]Chemicals produced during weeping harm digestion.[C]Chemicals produced during weeping increase heart beat.[D]Chemicals produced during weeping harm eyes.Passage DFainting may occur while you are urinating, having a bowel movement (especially if straining), coughing very hard, or when you have been standing in one place too long. Fainting can also be related to fear, severe pain, or emotional distress.A sudden drop in blood pressure can cause you to faint. Your blood pressure may drop suddenly if you are bleeding or severely dehydrated. It can also happen if you stand up very suddenly from a lying position.Certain medications may lead to fainting by causing a drop in your blood pressure or for another reason. Common drugs that contribute to fainting include those used for anxiety, high blood pressure, nasal congestion, and allergies.Other reasons you may faint include hyperventilation, drug or alcohol use, and low blood sugar.76. What can cause fainting according to the passage?[A] Coughing a little.[B] Standing for a while.[C] Severe pain.[D] Most of medications.77. A sudden drop in blood pressure can cause you to faintbecause____________.[A]your blood pressure may drop suddenly[B]you are coughing very hard[C]you are bleeding[D]Not mentioned.78. Certain medications may lead to fainting because______________.[A] Not mentioned.[B] all the medications have side effects[C] the medications cause a drop in your blood pressure or for another reason.[D]the medications include those used for anxiety, high blood pressure, nasal congestion, and allergies.79. In Para. 4, ‘‘hyperventilation’’ means_____________.[A]ventilating too much [B]ventilating from inside to outside[C]ventilating too little [D] ventilating from outside to inside80. According to the passage, fainting caused by heart disease and stroke______________.[C]happens less likely in persons over age 65 and more likely in those younger than 40[D]happens less likely in persons younger than 40 and more likely in those over age 65Section ⅤTranslation(Time—15 minutes)Directions:In this part, there is a paragraph consisting of 4 sentences for you to translate into Chinese. You should write your response on ANSWER SHEET.81. Acupuncture is promoted as a treatment for pain--- and there is absolutely no question that it does in fact provide short-term benefit for many of the people who try it. By some estimates, between 50 and 70 percent of patients with chronic pain receive at least temporary relief when treated with acupuncture, and some experience long-term relief as well.The ‘‘puncture’’ in acupuncture refers to insertion of tiny needles at certain very specific points on the surface of the body. The treatments vary widely, depending on the individual practitioner and the style of acupuncture. Most practitioners of Oriental-style（东方流派）acupuncture perform at least a partial physical examination at the first visit. The also tend to take a very detailed medical history, including nutritional habits and environmental factors.(125ws)Section ⅥWriting(Time—30 minutes)Directions:2．根据下面的信息写出英文病历：同济医院住院部患者姓名：王坚病历号：1000出生日期：20xx年5月7号出生地点：湖北武汉性别：男入院日期：20xx年9月1号主诉：咳嗽，哮喘(wheezing)伴呼吸困难。

METS-3模拟试题Section I Listening Comprehension (30%)（25 minutes）Directions: This section is designed to test your ability to understand spoken English in nursing contexts. You will hear a selection of recorded materials and you must answer the questions that accompany them. There are THREE parts in this section, Part A, Part B, and Par C.Remember, while you are doing the test, you should first put down your answers in your test booklet. At the end of the listening comprehension section, you will have 4 minutes to transfer your answers from your test booklet onto your ANSWER SHEET.(Pause 00’05’’)(Tone) Now look at Part A in your test booklet.Part AYou will hear 10 short dialogues. For each dialogue, there is one question and FOUR possible answers. Choose the correct answer – [A], [B], [C], o r[D], and mark it in your test booklet. You will have 10 seconds to answer the question and you will hear each dialogue ONLY ONCE.1. What does the woman say about Doctor Langus?[A] He is the only one available. [B] He is too young for the operation.[C] He has done many operations. [D] He is an excellent doctor.*2. What do you learn about the discharge?[A] It is yellowish. [B] It has a bad smell.* [C] It is like mucus. [D] It is clear.3. When do headaches affect the patient?[A] When he takes aspirin. [B] When he lies down.[C] When he gets nervous.* [D] When he travels4. What does the doctor want to know?[A] The patient’s daily activity. [B] The patie nt’s life-style.[C] The patient’s exercise pattern. [D] The patient’s physical condition.*5. What seems to trouble the patient?[A] His urine does not come out easily.* [B] His problem has lasted about a week.[C] He urinates frequently. [D] He experiences pain after urinating.[A] The patient shouldn’t walk at all. [B]The patient shouldn’t lean on the wall.[C] The patient needs help if he walks.* [D] The patient should use a walker for support.7. What does the man think of what appears on his legs?[A] Something serious. [B] Something funny.[C] Something important. [D] Something insignificant.*8. What is the nurse trying to explain?[A] The way to do the test. [B] Necessity for the blood test.*[C] Signs of colon cancer. [D] What occult blood means.9. What does the woman say about lung cancer?[A] The death rate is high.* [B] It’s less prevalent than other forms.[C] Many patients can survive. [D] The cost for treatment is rising.10. What are the two talking about?[A] Maggie’s job performance. [B] Maggie’s family background.[C] Maggie’s personality. [D] Maggie’s career choice.*Part BDirections:You’re going to hear one long dialogue and one short talk. Before listening to each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing [A], [B], [C] or [D]. After listening, you will have 10 seconds to check your answer to each question. Then mark your answer on your Answer Sheet. You will hear each piece ONLY ONCE.11. What does the woman say in the beginning of the conversation?[A] She’s been working on a report. [B]She’s been looking for th e doctor.*[B] She needs to know the test result. [D] She’s got a new assignment.12. What does the man say about himself?[A] He’s been feeling bad recently.[B] He doesn’t have good memory.[C] He is very busy now.* [D] He has solved the case.[A] A man who died when he fell from a height.* [B] A man who had a heart attack while working.[C] A man who got hurt by some falling object. [D] A man who tripped and broke his arm.14. What did the employers say about the case?[A] The workman was careless. [B] The safety measure was sufficient.*[C] It was the result of a heart attack. [D] They were only partly responsible.15. What does the doctor think of the case?[A] It was definitely drug-related. [B] The workman shouldn’t have worked alone.[C] It was caused by poor management.* [D] The job was too heavy for the workman.16. What does the speaker imply about our feet?[A] We don’t think much of them.* [B] We think they are very important.[C] We know a lot about our feet. [D] They are very complicated.17. How can we best make use of our feet according to the talk?[A] Wearing stylish shoes. [B] Wearing light, soft shoes.[C] Changing shoes when necessary. [D] Fitting shoes to special activities*18. What may happen if your feet suffer from pain?[A] You may hurt your skeleton. [B] You may have backache.*[C] Your toenails may crack. [D] You may tear some ligaments.19. How can you keep your feet in good shape?[A] Keeping them clean.* [B] Wearing tight socks.[C] Never walking barefoot. [D] Not walking on rough surface.20. What can you do if your feet sweat a lot?[A] To wear clean, comfortable socks. [B] To walk barefoot on cold surface.[C] To wear shoes of natural materials.* [D] To wash your shoes daily.Part C: Note-taking and Gap-fillingDirections: Y ou will hear a talk. Before your listening, you will have 30 seconds to read the text briefly. You may take notes while you are listening; check your answers when the talk is read the second time. Be sure to write your answers in the corresponding spaces on your Answer Sheet. You will hear the talk TWICE.The medical history of a patient is essential for the physician who is attempting to ______21______ of a disease. The first items to be recorded are the patient’s name, race, age, birthplace, sex, ______22______, and residence. The patient’s age is an important factor because certain diseases, including s ome contagious diseases, ______23______, and acute leukemia, are found mainly in young people, while other diseases, including arteriosclerotic heart disease and degenerative diseases, are much more common in ______24______ people. The patient’s occupation is also an important factor, especially if the patient’s job ______25______.The real medical history starts with a ______26______ for the patient’s coming to the hospital for consultation. The physician needs to know the exact circumstances of the ______27______ of the symptoms. Further questioning develops details of the health of the patient’s family, his habits and lifestyle, and his ______28______. Finally, the physician asks a series of questions about _______29_____ such as the heart, lungs, and stomach. At the completion of a thorough medical history, the physician often has a good lead to ______30______, or at least he can begin to categorize illness.Section Ⅱ Use of English (15%)(15 minutes)Part A Vocabulary and StructureDirections:There are 20 incomplete sentences in this part. For each sentence there are FOUR choices, marked [A], [B], [C] and [D]. Choose the one that best completes the sentence. Then mark the corresponding letter on your Answer Sheet.31. The doctor seemed to have _______ to order certain studies which we would consider routine and basic.[A] informed [B] supervised [C] neglected* [D] delayed32. When a person suffers from severe pain, _______ of bronchial tubes and increased respiratory rate provides greater oxygen intake.[A] division [B] disturbance [C] dimension [D] dilation*33. When one exercises _______, increased heart rate provides greater oxygen transport.[A] strenuously* [B] moderately [C] absolutely [D] gently34. In extreme cold weather, _______ vasoconstriction elevates blood pressure.[A] peripheral* [B] parallel [C] pericardial [D] periodical35. Increased muscle _______ prepares muscles for action.[A] traction [B] tension* [C] extension [D] contraction36. The sick child should be encouraged to ______ by using saline solution.[A] rinse [B] gargle* [C] swallow [D] gurgle37. Both fever and heat increase the pulse rate because of increased _______ rate.[A] curative [B] calorie [C] energetic [D] metabolic*38. _______ nutritional support is more effective physiologically and complete nutritionally.[A] Thoracic [B] Edible [C] Enteral* [D] Tracheal39. An odor of _______ in the urine may indicate a urinary tract infection.[A] ammonia* [B] anemia [C] insomnia [D] uremia40. The mechanisms by which platelets function in _______ are essentially unknown.[A] hematemesis [B] hematuria [C] hemorrhage [D] hemostasis*41. Artificial respiration is applied in cases _______ an individual has either temporarily or permanently lost the capacity to perform the normal motions of respiration.[A] when [B] which [C] where* [D] of what42. This type of injury occurs when, for example, a man _______ along a raised beam slips and lands with the beam between his legs.[A] walks [B] walking* [C] walked [D] to walk43. The bronchoscope is an instrument containing tiny mirrors, _______ that the doctor can inspect the bronchi and the larger bronchial tubes.[A] arranged so [B] arranged such [C] so arranged* [D] such arranged44. Dialysis saves the lives of many people who would _______ die of kidney failure and fatal uremic poisoning.[A] then [B] otherwise* [C] rather [D] sooner45. V ery often emergency tracheotomies are performed on children who have inhaled something large _______ the respiratory passages.[A] blocks [B] blocking [C] so to block [D] enough to block*46. It is important that the nurse _______a patient’s personal space by standing or sittin g too close.[A] not violate* [B] didn’t violate [C] does not violate [D] would not violate47. If all the tubes in the kidney _______ separated, straightened and laid end to end, they would span some 120 kilometers.[A] were* [B] can be [C] would be [D] had48. By the end of the third month the new individual, now known as a fetus, has reached a length of nearly 4 inches, _______ the legs.[A] to include [B] and that include [C] included [D] including*49. Sometimes so many air sacs become filled with fluid that the victim finds _______enough oxygen to maintain life.[A] it hardly to absorb [B] to absorb hardly [C] it hard to absorb* [D] it hardly absorbing50. A tear in the pelvic floor tissues does not heal readily; and _______, it often leaves a weakened area.[A] after it has [B] after it does* [C] even it has [D] even it isPart B ClozeDirections: Read the following passage. Choose the best word or phrase for each numbered blank from among the four choices [A], [B], [C], and [D], and mark it on your Answer Sheet.World-famous mountain biker John Tomac works massage therapy into a training program that also includes riding 20 hours a week. “Massage seems to ___51 ___ my recovery time,” he says, “which means that I’m better off at the start of the next race.”Many athletes agree with Tomac, ____52____ the scientific evidence to support this idea is all but nonexistent. “I don’t ____53____any proof that massage has a positive effect on performance,” says Jenny Stone, a professor of sports medicine. “Still, most of the athletes here ____54____ in traveling with trainers who are certified massage therapists.”So what is it that brings so many athletes to the massage table? One of the few benefits massage therapists agree on is that massage helps increase local circulation, with the result ____55____ the metabolic wastes that collect in muscle during exercise are swept away ____56____ oxygen and nutrients can move in and help the muscle recover.How this ____57____ into performance is unknown, but no one is about to ____58____ massage as useless. “If a massage helps an athlete to come off after a(n) ____59____ workout and sleep better, who’s to say ____60____ alone doesn’t improve his or her performance the next day?”51. [A] raise [B] decrease* [C] enlarge [D] fasten52. [A] though [B] while [C] as [D] yet*53. [A] read of [B] hear of [C] know of* [D] believe in54. [A] assist [B] insist [C] persist * [D] determine55. [A] which [B] that* [C] in [D] from56. [A] in that [B] so that* [C] in order [D] provided that57. [A] fits* [B] benefits [C] contributes [D] matches58. [A] dismiss* [B] regard [C] accept [D] refuse59. [A] intense* [B] relaxed [C] continual [D] constant60. [A] if [B] whether [C] all [D] that*Section III Reading Comprehension (40%)(40 minutes)Directions:There are 4 passages in this part. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked [A], [B], [C] and [D]. You should decide on the best choice and mark the corresponding letter on the Answer Sheet with a single line through the center.Passage ABurns and scalds are painful injuries that may prove fatal if severe or if they cover a large area. Burns are caused by fire, hot metals, chemicals, radiation, or electricity. Scalds are caused by hot liquids, steam, or other hot vapors, and are treated much the same as burns.Classification of burns is determined by the depth of the tissue injury. First-degree burns are those in which the surface is red and painful, but the skin is not broken or blistered. Typical first-degree burns result from sunburn, electric flash, and other mild causes. Second-degree burns are those in which blisters are formed. Third-degree burns are deep, with charring and actual destruction of the skin and tissue. Second- and third-degree burns frequently become infected and are very serious.Treatment of burns must take into consideration the possibility of severe shock caused by the great pain of second- and third-degree burns. It is necessary to work rapidly to avoid chilling the patient, and he should be kept in a horizontal position. In large first-degree burns, the shock may be more serious than the burn itself.In first-aid treatment, a sterile petrolatum ointment is excellent. When this is not available, baking soda (sodium bicarbonate) may safely be used in a slightly warm solution, three heaping table-spoonfuls to a quart of water. For large burns, clean linen, sheets, or towels dipped in the soda solution may be wrapped around the person, after which blankets and hot water bottles are used to combat shock. Immediate care by a physicianmay prevent disfiguring scars.Chemical burns should be washed immediately with flowing water (from a faucet or hose, or by pouring) to dilute and remove the chemical. After this has been done, the injury may be cared for as any other burns.61. What do burns and scalds have in common?[A] Both conditions cause pain.* [B] Both conditions are often fatal.[C] Both are caused by something hot. [D] Both conditions usually affect large areas.62. What is the classification of burns mainly based on?[A] The extent of infection. [B] The causative factors.[C] The depth of injury.* [D] The condition of skin and surface.63. The passage implies that _________.[A] the burn patient should be chilled quickly[B] great pains from burns sometimes lead to shock*[C] the larger the area affected, the deeper the injury[D] second- or third-degree burns often cause shock.64. Which of the following is not mentioned as part of the first-aid?[A] The application of a sterile ointment. [B] The use of baking soda in a warm solution.[C] Keeping the patient warm with blankets. [D] Cleaning the burned surface with towels.*65. What should be the first step in treating chemical burns?[A] Calling in an experienced physician. [B] Covering the affected area with ointment.[C] Wrapping up the affected parts with sheets. [D] Removing the chemicals with flowing water.*Passage BThe big mid-year scare last year was shark attacks. This year it’s West Nile virus (西尼罗病毒)—a threat that is in some ways more frightening because you don’t have to go near the water to get hurt. Death this seas on is being spread by mosquitoes hatched in your backyards. The infestation, first reported in New York City in 1999, has reached nearly every region east of the Rockies. Seven people have died so far this year, and healthofficials believe that an eighth man, who died in Mississippi last week, was infested. Neighbors have practically come to blows over the pros and cons of spraying against mosquitoes.Before you decide never to go out again at dawn or dusk, though, it pays to consider the latest information about West Nile virus. Yes, the West Nile virus has been found in birds and mosquitoes in many states. Yes, it seems likely to reach the West Coast by the end of the year. But the chances of getting infected are still pretty slim, and most people who get sick will develop mild flu-like symptoms. In only a rare few will the infection lead to encephalitis, a potentially deadly inflammation of the brain.That does not mean you should ignore the West Nile virus. And public-health officials definitely need to update some of their long-forgotten plans for mosquito control. But it’s not as if we’re living in the 18th or 19th century, when mosquito-borne illnesses like yellow fever ravaged New York. Back then, doctors didn’t even know that mosquitoes were to blame, and there was certainly no vaccine—as there is now for yellow fever—to help control the spread of the disease.Work is progressing on a vaccine for West Nile. Meanwhile, the best strategy is to use a little common sense. Killing all the birds and mosqui toes that carry the virus is not really an option. “People are going to have to change their habits,” says Dr. John Shanley. That means wearing long-sleeved shirts and long pants and using insect repellent during mosquito season. You should also practice mosquito control around your house. You can never eliminate risk, but in this case at least, you can control it.66. Why does the author mention shark attacks and West Nile together?[A] They threaten people in the same way. [B] They both occur near the water.[C] They have both caused great alarm.* [D] There have been reports of more deaths from both.67. What has happened in the face of the seemingly growing problems?[A] People have stood together to combat the problem.[B] People have argued over whether to use pesticides.*[C] People have weighed carefully the consequences.[D] People have taken steps to stop the worsening situation.68. The author stresses in the second paragraph that __________.[A] West Nile virus is indeed a serious threat [B] West Nile virus is nothing to worry about [C] West Nile virus is a good reason for not going out [D] West Nile virus should be judged objectively*69. Which of the following is not true about the yellow fever?[A] It once caused disasters in some areas. [B] Mosquitoes were blamed for it early on.* [C] It was a big problem in the absence of a vaccine. [D] A vaccine for yellow fever is now available.70. The last paragraph is ____________.[A] a discussion of ways to prevent West Nile*[B] an analysis of the causes and effects of West Nile[D] a warning against unhealthy habits[D] a summary of the fight against West NilePassage CGallbladder disease, also known as cholecystitis, occurs when the gallbladder has been repeatedly irritated by chemicals, infection, or overuse, thus reducing its ability to release bile for the digestion of fats. Usually, gallstones consisting of calcium, cholesterol, and other minerals, form in the gallbladder itself. When the patient eats foods that are high in fats, the gallbladder contracts to release bile, which is necessary for fat digestion; these contractions in turn cause pressure on the stone formations. One of the characteristic symptoms of gallbladder disease is acute pain in the upper right portion of the abdomen after eating fatty foods. This pain may feel like a heart attack or an ulcer attack and is often accompanied by nausea.Who gets gallbladder disease? The old wise phrase about the “five f’s” of risk factors frequently holds true. Anyone who is ‘female, fat, fair, forty, and flatulent’ (prone to pass gas) appears to be at increased risk. However, people who don’t fit this picture also get the disease.Not all gallstones cause acute pain. In fact, small stones that pass through one of the bile ducts and become lodged may be more painful than gallstones that are the size of golf balls. Many people find out that they have gallstones only after undergoing diagnostic X-rays to rule out other conditions. The absence of symptoms is significant because gallstones are considered to be a predisposing factor for gallbladder cancer. In fact, gallstones are present in 75 percent of all gallbladder cancers in 1989.Current treatment of gallbladder disease usually involves medication to reduce irritation, restriction of fat consumption, and surgery to remove the gallstones themselves. New medications designed to dissolve small stones are currently being used in some patients. In addition, a new technique known as lithotripsy is being used, in which small stones are broken up using a series of noninvasive shock waves.71. According to the passage, cholecystitis is characterized by __________.[A] feeling nausea at the sight of fatty food [B] acute pain in the abdomen after eating fat*[C] the accompanying occurrence of heart attack [D] improper digestion of fat in the stomach72. Which of the following is the main cause of gallstone formation?[A] The contractions of gallbladder. [B] The overly irritation of the gallbladder.*[C] Too much cholesterol and calcium in the food. [D] High pressure within the gallbladder.73. What does the passage say about “five f’s”?[A] They are basically correct.* [B] They are mostly imaginary.[C] They are repeatedly told in the story. [D] They are still standards for diagnosis.74. The passage implies whether pain occurs in gallstone formations may be determined by ________.[A] the tendency to pass gas [B] the size of the stones[C] the location of the stones* [D] the presence of cancer75. Which of the following is not mentioned as a choice for the treatment of gallbladder diseases?[A] Administering irritation-reducing drugs. [B] Surgical removal of the gallstones.[C] Introducing a low-salt, high-protein diet.* [D] Crushing or dissolving gallstones.Passage DDo you still remember the times when you rolled up your sleeve and received a vaccine given by a doctor or a nurse?The purpose of a vaccine is to provide an artificially acquired active immunity to a specific disease. A vaccine is a preparation made of the actual cause of the disease—the organism or its toxin—treated in such a way that it will not cause the disease when injected but nevertheless will stimulate antibody formation. Ordinarily the administration of a vaccine is a preventive measure, designed to provide protection in anticipation of an invasion by a certain disease organism.Vaccines are now available for nearly all of the common contagious diseases with the exception of the common cold and chicken pox. The decrease in cases of smallpox and typhoid fever is so great that immunizations for these no longer are recommended in the United States.An exception to the usual rule of a vaccine being given before the invasion of the disease organism is the rabies vaccine. Rabies is a virus disease transmitted by the bite of such animals as dog, and cats. There is no actual cure for rabies; it is fatal in exactly 100 percent of cases. However, the disease develops so slowly following the transmission of the organism that the “treatment” consists of the administration of a vaccine, since there is time enough to develop an active immunity. Anyone bitten by an animal suspected of having rabies should begin this treatment at once. The more desirable method of controlling rabies is to immunize all dogs.In many cases an active immunity acquired by artificial (or even natural) means does not last a lifetime. Repeated inoculations, called booster shots, given at relatively short intervals, help materially in maintaining a high level of immunity. The number of such booster injections recommended varies with the disease and with the environment or range of exposure of the individual.76. Which of the following is a correct statement about a vaccine?[A] A vaccine is used to stimulate antibody formation.*[B] A vaccine contains the actual disease organism or its toxin.[C] A vaccine is prepared for the killing of invading organisms.[D] A vaccine is injected to prevent various kinds of diseases.77. What can you infer from the second paragraph?[A] It is impossible to find a vaccine for the common cold.[B] Common infections can be prevented without vaccines.[C] Vaccines have been developed for all contagious diseases.[D] Contagious diseases are now less of a threat due to vaccination.*78. Which of the following is true of rabies?[A] Humans can not be immunized against the disease.[B] It develops so fast that there is no time for treatment.[C] The result from being exposed to the virus is always fatal.[D] It is a disease transmitted from animals to humans.*79. When should rabies vaccine be given?[A] As soon as treatment for rabies begins. [B] Immediately after one is bitten by any dog.[C] Before rabies has a chance to develop.* [D] When other treatments for rabies have failed.80. Why do we need booster shots according to the passage?[A] The effects of immunization are limited.* [B] Vaccines are often not strong enough.[C] Vaccines do not work in some people. [D] Our environment is becoming worse.Section IV Translation (10%)(15 minutes)Directions: Translate the following sentences from the reading passages into Chinese and write your version in the corresponding space in your Answer Sheet.81. First-degree burns are those in which the surface is red and painful, but the skin is not broken or blistered.82. Before you decide never to go out again at dawn or dusk, though, it pays to consider the latest information about West Nile virus.83. Many people find out that they have gallstones only after undergoing diagnostic X-rays to rule out other conditions.84. An exception to the usual rule of a vaccine being given before the invasion of the disease organism is the rabies vaccine.Section V Composition (15%)(25 minutes)Directions：The following is some information concerning a patient. Write a nursing report of about 120 words based on this information.男孩，15岁，首次入院。

1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 Field Teams：Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft-Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在ICU护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia， Cold Injury， and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal， Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity口腔健康教育活动56 Oral Health Education Unit [Department of Health]口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit口腔颌面外科及牙科部60 outbreak高峰期；发作；流行61 outbreak control疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of-pocket expenditure by the user服务使用者自付64 out-patient appointment system门诊病人预约制度65 out-patient clinic门诊诊疗所66 out-patient clinical operations support system门诊临床运作支持系统67 out-patient consultation service门诊服务68 out-patient department门诊部69 out-patient registration system门诊病人登记制度70 outreach community care programme外展小区护理计划71 outreach health care team外展医护队72 outreach medical team外展医疗队73 outreach specialist medical team外展专科医疗队74 outside appointment book出外就医册75 ordinary diet普通膳食76 organ donation器官捐赠77 Organ Donation Card器官捐赠证78 Organ Donation Centre器官捐赠中心79 organ donation form 器官捐赠表格80 Organ Donation Register [Hong Kong Medical Association] 器官捐赠册81 organ donor 器官捐赠人82 organ imaging器官造影83 organ pledge 承诺捐出的器官数目84 organ recipient器官受赠人85 organ transplant器官移植86 organic psychosis器质性精神病87 organoleptic inspection感官检查88 overall incidence总发病率89 overflow ward暂时收容病房；后备病房90 overnight room夜间当值室91 over-sensitivity过敏92 ovulation排卵93 ovulation cycle排卵周期94 ovulation method安全期避孕法95 on-call duty doctor候召当值医生96 oncology肿瘤学；肿瘤科97 one-way referral单向转介98 onset of labour分娩阵痛发作99 onset of symptom症状发作100 on-site triage treatment现场分流治疗101 occupational disease职业病102 occupational health 职业健康103 occupational health nurse职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist106 occupational mortality职业性死亡率107occupational neurosis职业性神经病108 occupational therapist职业治疗师109 Occupational Therapists Board职业治疗师管理委员会110 occupational therapy assessment room职业治疗评估室111 Occupational Therapy Assistant职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology眼科病理学114 ocular prosthesis假眼115 optimal health理想的健康状况116 optimum occupancy rate [hospital bed]117 optometric assessment视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure]行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care口腔健康护理；口腔卫生服务124 oral health clinic口腔卫生诊疗所主任医师（讲课) Professor of Medicine主任医师（讲课) Professor of Medicine主任医师（医疗) Professor of Treatment儿科主任医师 Professor of Paediatrics主治医师Doctor-in-charge外科主治医师 Surgeon-in-charge内科主治医师 Physician-in-charge 眼科主治医师 Oculist-in-charge妇科主治医师 Gynaecologist-in-charge牙科主治医师Dentist-in-charge医师 Doctor医士 Assistant Doctor主任药师 Professor of Pharmacy主管药师 Pharmacist-in-charge药师 Pharmacist药士 Assistant Pharmacist主任护师 Professor of Nursing主管护师 Nurse-in-charge护师 Nurse Practitioner护士 Nurse主任技师 Senior Technologist主管技师Technologist-in-charge技师 Technologis技士 TechnicianHello, may （can） I help you? 您好，我可以帮您吗？What seems to be bothering you? 您觉得哪儿不舒服？Do you have a record? 您有病历吗？I`ll transfer you to the surgery department. 我给您转到外科去what`s wrong with you? 您怎么了？Sit down， please. 请坐。

1 Introduction to Trauma Care 创伤护理导论2 Patterns of Blunt Injury 钝器损伤的类型3 Mechanisms of Injury ／Penetrating Trauma 损伤发病机制／穿透性创伤4 The Physiologic Response to Injury 对损伤的生理学反应5 Shock 休克6 Measurements of Injury Severity 损伤严重程度的测定7 Prehospital Triage 送医院前伤员分类8 Prehospital Therapy 送医院前的治疗9 FieldTeams ：Composition，Direction, and Communication with the Trauma Center 现场救护队：组成，指导，与创伤中心的联系10 Air Medical and Interhospital Transport 空中医疗和医院间转运11 Trauma Team Activation 创伤救护队的活动12 Organization prior to Trauma Patient Arrival 创伤病人到达前的组织13 Adult Trauma Resuscitation 成人创伤复苏14 Airway Management in the Trauma Patient 创伤病人的气道处理15 Vascular Access 血管穿刺16 Imaging of Trauma Patients 创伤病人的影像17 Operating Room Practice 手术室常现18 Head Injury 头损伤19 Injuries to the Spinal Cord and Spinal Column 脊髓和脊柱损伤20 Soft Tissue Wounds of the Face 面部软组织伤21 Ophthalmic Injuries 眼损伤22 Penetrating Neck Injury 穿透性颈损伤23 Blunt Neck Injury 颈部钝器损伤24 Thoracic Injury 胸部损伤25 Thoracic Vascular Injury 胸部血管损伤26 Abdominal Injury 腹部损伤27 Abdominal Vascular Injury 腹部血管损伤28 Damage Control 损伤的控制29 Abdominal Compartment Syndrome 腹部隔室综合征30 Genitourinary Injuries 泌尿生殖系统损伤31 Orthopedic Injuries 矫形外科损伤32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手创伤34 Compartment Syndrome and Rhabdomyolysis 隔室综合征和横纹肌溶解35 Peripheral Vascular Injuries 周围血管损伤36 Soft-Tissue Trauma 软组织创伤37 Priorities in the ICU Care of the Adult Trauma Patient 在 ICU 护理的成人创伤病人的优先项目38 Commonly Missed Injuries and Pitfalls 常遗漏的损伤和易犯的错误39 Anesthesia for the Trauma Patient 创伤病人的麻醉40 Trauma Pain Management 创伤疼痛的处理41 Hypothermia， Cold Injury， and Drowning 低温、冷损伤和淹溺42 Blood Transfusion and Complications 输血和并发症43 Nutrition/Metabolism in the Trauma Patient 创伤病人的营养/代谢44 Support of the Organ Donor 器官供体的保养45 Burns ／Inhalation 烧伤／吸入46 Pediatric Trauma 儿科创伤47 Care of the Pregnant Trauma Patient 妊娠创伤病人的护理48 Geriatric Trauma 老年人创伤49 Rehabilitation 康复50 Venous Thromboembolism 静脉血栓栓塞51 Injury Prevention 损伤的预防52 House Staff Responsibilities 住院医师的责任53 Legal， Ethical and Family Issues 法律、伦理道德和家庭问题54 Miscellaneous Procedures 各种其它操作程序55 oral health education activity 口腔健康教育活动56 Oral Health Education Unit [Department of Health] 口腔健康教育组57 oral poliomyelitis trivalent 脊灰口服剂58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit 口腔颌面外科及牙科部60 outbreak 高峰期；发作；流行61 outbreak control 疫症控制；暴病控制62 outcome management project 医疗成效管理计划63 out-of-pocket expenditure by the user 服务使用者自付64 out-patient appointment system 门诊病人预约制度65 out-patient clinic 门诊诊疗所66 out-patient clinical operations support system 门诊临床运作支持系统67 out-patient consultation service 门诊服务68 out-patient department 门诊部69 out-patient registration system 门诊病人登记制度70 outreach community care programme 外展小区护理计划71 outreach health care team 外展医护队72 outreach medical team 外展医疗队73 outreach specialist medical team 外展专科医疗队86 organic psychosis 器质性精神病87 organoleptic inspection 感官检查88 overall incidence 总发病率89 overflow ward 暂时收容病房；后备病房90 overnight room 夜间当值室91 over-sensitivity 过敏92 ovulation 排卵93 ovulation cycle 排卵周期94 ovulation method 安全期避孕法95 on-call duty doctor 候召当值医生96 oncology 肿瘤学；肿瘤科97 one-way referral 单向转介98 onset of labour 分娩阵痛发作99 onset of symptom 症状发作100 on-site triage treatment 现场分流治疗101 occupational disease 职业病102 occupational health 职业健康103 occupational health nurse 职业健康护士104 Occupational Health Officer 职业健康科医生105 Occupational Hygienist 职业环境生师106 occupational mortality 职业性死亡率107occupational neurosis 职业性神经病108 occupational therapist 职业治疗师109 Occupational Therapists Board 职业治疗师管理委员会110 occupational therapy assessment room 职业治疗评估室111 Occupational Therapy Assistant 职业治疗助理员112 ochlophobia 众恐惧113 ocular pathology 眼科病理学114 ocular prosthesis 假眼115 optimal health 理想的健康状况116 optimum occupancy rate [hospital bed] 最适度病住用率117 optometric assessment 视力测验118 Operations and Training Division [Auxiliary Medical Service Headquarters] 行动及训练部〔医疗辅助队总部〕119 Operations and Training Officer [Auxiliary Medical Service 行动及训练主任〔医疗辅助队〕120 Operations Section [Auxiliary Medical Service Headquarters] 行动组〔医疗辅助队总部〕121 Operations Wing [Auxiliary Medical Service volunteer structure] 行动翼〔医疗辅助队志愿架构〕122 operative treatment 施手术123 oral health care 口腔健康护理；口腔卫生服务124 oral health clinic 口腔卫生诊疗所主任医师(讲课) Professor of Medicine 主任医师(讲课) Professor of Medicine 主任医 师(医疗) Professor of Treatment 儿科主任医师 Professor of Paediatrics 主治医师 Doctor-in-charge 外科主治医师 Surgeon-in-charge 内科主治医师Physician-in-charge 眼科主治医师 Oculist-in-charge 妇科主治医师Gynaecologist-in-charge 牙科主治医师 Dentist-in-charge 医师 Doctor 医士师 Pharmacist 药士 Assistant Pharmacist 主任护师 Professor of Nursing 主管护Nurse 主任技师Technologis 技士Technician Assistant Doctor 主任药师 Professor of Pharmacy 主管药师 Pharmacist-in-charge 药 师 Nurse-in-charge 护师 Nurse Practitioner 护士Technologist 主管技师 Technologist-in-charge 技师SeniorHello, may ( can ) I help you? 您好，我可以帮您吗？What seems to be bothering you? 您觉得哪儿不舒服？Do you have a record? 您有病历吗？I`ll transfer you to the surgery department. 我给您转到外科去what`s wrong with you? 您怎么了？Sit down， please. 请坐。

2010年12月METS第二级模拟试卷医护英语水平考试 (护理类)第二级Medical English Test System (METS)(For Nurses)Level 2姓名__________ 准考证号__________ 时间：120分钟考生须知1.严格遵守考场规则，考生得到监考人员指令后方可开始答题。

2.答题前考生须将自己的姓名和准考证号写在试卷和答题卡上。

3.答客观题时，一律用2B铅笔，按照答题卡上的要求答题。

如要改动答案，必须用橡皮擦干净。

4.答写作题时，必须用黑色签字笔在答题卡上答题。

5.注意字迹清楚，保持卷面整洁。

6.考试结束时将试卷和答题卡放在桌上，不得带走。

待监考人员收毕清点后，方可离场。

===================================================※未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。

医护英语水平考试办公室I ListeningPart 1Questions 1 – 5● You will hear five patients describing their pain to the nurse. ● Where does each patient have pain?● For questions 1-5, mark the correct letter A – H on your answer sheet. ●You will hear each conversation twice.Example:Heath1 Hales2 Ian3 Jack4 Swift5 BloomfieldA In the eye.B In the stomach.C In the leg.D In the back.E In the chest. FIn the hands.G In the forehead H In the throat.Questions 6 – 10●You will hear a conversation between Dr Davis and Miles, the Ward Nurse, abouthis patient‟s IV infusion regimes.●For questions 6-10, decide if each sentence is correct or incorrect.●If it is correct, put a tick (√) in the box next to A for YES. If it is not correct, put atick (√) in the box next to B for No.●You will hear the conversation twice.Example:0 Doctor Davis wants to review Mrs Miles‟ IV fluids.A YesB No6 Miles is looking after Mrs Cohen all day today.A YesB No7 Mrs Smith‟s postassium levels are above average.A YesB No8 A YesB No9 Her antibiotics are to be given through a separate line. A YesB No10 Mr Clark‟s cannula is going to be removed. A YesB No √Mrs Smith has been started on one litre of Normal Saline for more than eight hours.Questions 11 – 15● You will hear a conversation between Louisa, the Ward Nurse, and Gina about heroperation. ● For questions 11-15, choose the correct answer A, B or C . Put a tick (√) in thebox.● You will hear the conversation twice.11A Very anxious.B More excited.C Much confident.12 A Transplant surgery.B Keyhole surgery.C Emergency surgery.13 A a plastic container. B a laparoscope.C a light cover.14 A Two or three hours. B Three or four days.C A week.15A afraid of seeing the blood.B worried about the blood ‟s smell.C not allowed to see its contents.How long will the plastic mini-drain remain inside after the operation?Louisa will ask someone to cover the drain because Gina isThe surgeon carries out the operation withWhat kind of operation is she going to have?How was Gina feeling about her coming operation?Questions 16 – 20●You will hear a nurse getting personal details from a patient.●Listen and complete questions 16-20 on your answer sheet.●You will hear the conversation twice.II Reading and WritingPart 1Questions 1 – 5●Look at the routine precautions.●Match the reassurance and explanations (A – F) to the actions (1 – 5).●Mark the correct letter A – F on your answer sheet.1 Putting on rubber gloves.2 Putting on a plastic apron.3 Asking relatives to washtheir hands.4 Spillages.5 Moving the patient to aside room.I need to take special care when doingyour dressing to make sure that yourwound doesn’t become in fected.ABCDEFPart 2Questions 6 – 15●Read the descriptions of six cases on the next page.●Which case (A – F) mentions this (6 – 15)?The cases may be chosen more thanonce. There is an example at the beginning (0).●Mark the correct letter A – F on your answer sheet.Which case(s) mention(s) someone whohad his teeth broken?suffered from loss of hearing?was weak in fingers?had a fever?suffered from weight loss?was diagnosed with pericarditis?lost hair?could not distinguish hot from cold?had night sweats?CASE AName: James FoxAge: 6Occupation: PupilChief complaint: Hit in face by swing at school. Other symptoms: Blooding, no significant fever.Physical examination: One tooth knocked out, one broken. Missing tooth replaced and splinted. Temporary crown put on broken tooth. No other injuries besides teeth.CASE BName: Art HalamkaAge: 45Occupation: HousewifeChief complaint: Chest pain at work.Other symptoms: FeverPhysical examination: ECG shows generalized ST segment elevation and there is some pericardial fluid around the heart as shown by echo. The cardiologist diagnosed pericarditis and is going to drain the fluid.CASE CName: Charmine PlantzAge: 31Occupation: Sales ManagerChief complaint: Lump on front of neck for one month.Other symptoms: Palpitations, heat intolerance, nervousness, insomnia, breathlessness.Physical examination: Enlarged thyroid. Tachycardia. Slight hypertension. Warm, moist, smooth skin. Exophthalmus. Tremor. Weight loss. Muscle weakness. Hair loss. CASE DName: Selina BurtonAge: 37Occupation: TypistChief complaint: Tingling of first three fingers and thumb that gets worse at night.Other symptoms: Weakness of fingers (has difficulty buttoning clothes).Physical examination: Muscle wasting at base of thumb. Unable to distinguish hot from cold.CASE EName: Bob SmithsonAge: 50Occupation: Construction workerChief complaint: Attacks of dizziness with nausea and vomiting. During attack, high pulse rate and rapid breathing. No pattern to attacks.Other symptoms: Hissing or ringing in ears (on both sides), loss of hearing.Physical examination: Vital signs normal. Nystagmus. Positive Romberg test.CASE FName: Chuck TalaveraAge: 38Occupation: Farmer.Chief complaint: Low subjective fever, cough with bad tasting phlegm, night sweats, and weight loss getting worse over the last four months.Physical examination: Temperature of 38 centigrade, gingival disease, dullness to percussion and absent breath sounds in lower right lobe of lung. Clubbing of fingers.Part 3Questions 16 – 25●Read the following passage.●Are sentences 16 – 25 on the next page …Right‟ or …Wrong‟? If there is not enoughinformation to answer …Right‟ or …Wrong‟, choose …Doesn‟t Say‟.●For each sentence 16 – 25, mark one letter A – C on your answer sheet.16 The hospitals in Malawi have plenty of qualified nurses.A RightB WrongC Doesn‟t Say17 The qualified nurses in Malawi prefer to work in private hospitals.A RightB WrongC Doesn‟t Say18 Nurse tutors in Malawi need to mentor students in the clinical area.A RightB WrongC Doesn‟t Say19 Nurse tutors in the UK also supervise the students in the clinical area.A RightB WrongC Doesn‟t Say20 Nurse students in the UK seldom take care of sick patients on their own in thehospital.A RightB WrongC Doesn‟t Say21 The author teaches her students to collaborate with the patients, their friends andfamily.A RightB WrongC Doesn‟t Say22 There are many patients with HIV positive in the suburb London hospitals.A RightB WrongC Doesn‟t Say23 The author has had to become inventive in the clinical area in Malawi.A RightB WrongC Doesn‟t Say24 The clinical area in Malawi is well resourced.A RightB WrongC Doesn‟t Say25 The qualified nurses are well paid in government hospitals in Malawi.A RightB WrongC Doesn‟t SayPart 4Questions 26 – 30●Read the text on the human genome.●For questions 26-30, choose the answer(A, B, C or D) which you think fits bestaccording to the text.●Mark the correct letter A, B, C or D on your answer sheet.Unlocking the Human GenomeA project to unlock secrets – what scientist could resist thatchallenge? This is what many scientists are doing as theywork on the Human Genome Project. The aim of the projectis to decode all of the some 100,000 genes in the humanbody. Scientists are using DNA fingerprinting techniques todo the decoding.DNA is the substance found in the chromosomes of acell. A chromosome is a chain of genes. Each gene carriesa piece of information. At any one moment in a cell,thousands of genes are turned on and off to produce proteins. The challenge for scientists is to find out what role each gene plays in protein production. At some point this decoding will be complete. Then scientists will have a map of an ideal genome, or a picture of the total genetic nature of a human being. The ideal genome is called a consensus genome. Everything works well in a consensus genome.But no one in the world has a consensus genome. Everyone‟s genome is different from the ideal. These differences are referred to as genetic mutations. Genetic mutations in a person‟s genome mean that the person has a greater than average chance of suffering from health problems. Some problems are not life-threatening. These would include things like baldness, stuttering, or mild headaches. Other problems are serious, such as schizophrenia, heart disease, or diabetes.The Human Genome Project is one of the most ambitious and challenging quests ever undertaken by science. Its goal is to completely map and sequence all of the genetic material that makes us human. When it is done, we will have a new and profoundly powerful tool to help us to unlock the mysteries of how the human body grows and functions.26 This passage is mostly aboutA how DNA works.B decoding all the human genome.C the future of science.27 The Human Genome Project is mainly a scientificA challenge.B agreement.C debate.28 When a person‟s genome is different from the ideal one, the person will probablyA live much longer than the average people.B produce more proteins.C suffer from health problems.29 The first sentence in this passage is intended toA make you angry.B arouse your interest.C present the main idea.30 The goal of the Human Genome Project isA to develop DNA decoding techniques.B to identify the role of the ideal genome.C to construct a map of the entire human genome.Part 5Questions 31 – 35●Read the following procedures for skin closure removal.●Choose from the procedures A – F the one which fits each gap (31-35). There is oneextra procedure which you do not need to use.●Mark your answers on the separate answer sheet.Removal of Skin Closures: Sutures/StaplesProcedureI. Follow the procedure for the aseptic dressing techniques.II. Taking care to maintain sterility, open the stitchcutter and forceps or staple remover onto the sterilefield.III. (31) …………….IV. Wash your hands or use alcohol hand-rub. Make sure that your hands are completely dry before proceeding.V. (32) …………….VI. Turn the bag inside out so that the dressing is contained within it, and using the adhesive strip, attach the bag to the side of the trolley or other convenient place close to the wound.VII. (33) …………….VIII. Inspect the wound for signs of healing. If the wound looks inflamed or there is any exudate (pus) present, advice should be sought from an experienced nurse. It may be necessary to remove just one or two sutures/staples to allow the pus to drain.IX. Do not clean the wound before removing the sutures/staples, as cleansing solution may seep into the holes made by the sutures/staples when removed. X. (34) …………….XI. Use a gauze swab soaked in cleansing solution to clean and then dry around the wound if necessary.XII. (35) …………….XIII. If appropriate, apply the new dressing. Remove gloves and discard them into clinical waste bag.A If the wound is longer than 15 cm, remove alternate sutures/staples and checkthat the wound is fully healed before removing the rest.B Open the sterile waste bag and put your hand inside so that the bag acts as aglove. Use this to remove and inspect the old dressing.C If there are any small areas where the skin edges are not completely healedtogether, skin-closure strips may be applied.D Adjust any remaining bedclothes to expose the wound then loosen the existingdressing but do not remove it.E Ensure privacy and dignity are maintained.F Take care not to touch the outside of the gloves, put on the sterile gloves.Part 6Questions 36 – 45●Read the following passage.●Choose the best word (A, B or C) for each space.●For each space 36 – 45, mark one letter A – C on your answer sheet.36 A at B for C on37 A baking B baked C bakes38 A in B with C at39 A made B collected C completed40 A but B and C or41 A As B Because C If42 A mad B shocked C unhappy43 A This B These C It44 A bring B send C get45 A heard B saw C foundPart 7Question 46●Read the patient discharge summary.●Use the information in the summary to write a report.●Write the report in about 120 words on your answer sheet.听力部分录音稿This is METS-2 Listening Test.There are four parts to the test. Part One, Two, Three, and Four.You will hear each part twice.We will now stop for a moment before we start the test.Please ask any questions now because you must not speak during the test. Pause (10 seconds)Now, look at the instructions for Part One.Pause (5 seconds)You will hear five patients describing their pain to the nurse.Where does each patient have pain?For questions 1-5, mark the correct letter A – H on your answer sheet.You will hear each conversation twice.Here is an example:Nurse (Woman): Are you feeling better today, Mr Heath?Patient (Man):Not really. My hands ache a lot.Nurse (Woman): Would you like some pain relief?Patient (Man):Yes, please. My hands ache more in the mornings.Pause (5 seconds)The answer is In the hands, so write letter F in the box.Now we are ready to start.Pause (5 seconds)Conversation 1Nurse (Woman): Are you all right, Mr Hales?Patient (Man):No. I‟ve got a really bad stomach ache.Nurse (Woman): Sit down on the bed and I‟ll get you some pain relief?Patient (Man):Thanks.Nurse (Woman): When did you last have some tablets?Patient (Man):I‟m not sure. I think it was a few hours ago.Pause (5 seconds)RepeatPause (5 seconds)Conversation 2Nurse (Woman): How are you feeling, Mr Ian?Patient (Man):Not very well. Can I have some painkillers, please?Nurse (Woman): Sure. Where does it hurt?Patient (Man):My lower back‟s really aching.Nurse (Woman): OK, I‟ll get the tablets and a heat pack, too.Pause (5 seconds)RepeatPause (5 seconds)Conversation 3Nurse (Woman): Hello, Jack. How do you feel today?Patient (Man):Well, I‟ve got a bit of a sore throat.Nurse (Woman): I‟ll get you some pain relief for that.Patient (Man):Thanks, it‟s really painful. Can I have a cold drink too, please?Nurse (Woman): Sure. I‟ll get some iced water for you.Pause (5 seconds)RepeatPause (5 seconds)Conversation 4Nurse (Woman): So, what brings you here today, Mr Swift?Patient (Man):Um, I‟ve been having these really bad headaches.Nurse (Woman): Go on …Patient (Man):Well, I keep getting them.Nurse (Woman): Ah-huh? Can you describe them?Patient (Man):Um, it‟s quite a dull pain, but there‟s a constant throbbing pain as well –it builds up.Nurse (Woman): Mm. Whereabouts do you get these headaches?Patient (Man):Here, around the front, around the forehead.Pause (5 seconds)RepeatPause (5 seconds)Conversation 5Nurse (Woman): Good morning, Mr Bloomfield. What can I do for you?Patient (Man):I‟ve been having some problems with my breathing.Nurse (Woman): Mm-hmm. Can you tell me a little bit more about it?Patient (Man):Well, I keep getting breathlessness and wheezing in my chest. It all started about three weeks ago, and I‟ve been coughing a lot with it. Ithought it might be a cold coming on, but then after about another weekI started finding it more and more difficult to catch my breath.Nurse (Woman): Right, so you‟ve had the wheezing and the breathlessness for roughly three weeks.Patient (Man):Yes, give or take a day.Pause (5 seconds)RepeatPause (5 seconds)This is the end of Part OnePause (5 seconds)Now look at Part Two.Pause (5 seconds)Look at the six sentences for this part.You will hear a conversation between Dr Davis and Miles, the Ward Nurse, about his patient’s IV infusion regimes.For questions 6-10, decide if each sentence is correct or incorrect.If it is correct, put a tick (√) in the box next to A for YES. If is not correct, put a tick (√) in the box next to B for No.You will hear the conversation twice.Doctor (Man): Hello, Miles. Are you looking after Mrs Cohen today?Nurse (Woman): No, that‟s Jane, but she‟s just gone down to X-ray with a patient. Doctor (Man): Oh, I wanted to review Mrs Cohen‟s IV fluids.Nurse (Woman): I‟m looking after Jane‟s patients while she‟s away. Do you want me to pass on any updates?Doctor (Man): Yeah, thanks. Could you take down Mrs Cohen‟s IV when it‟s finished, please?Nurse (Woman): Sure. I‟ll just write a note about it for Jane. What about the cannula? Do you want it left in?Doctor (Man): I think so. Leave it for another day in case she needs some more fluids. Nurse (Woman): OK. Do you want to see Mrs Smith in the next room, too?Doctor (Man): Yes, I need to see her. According to her blood results her potassiumlevels are quite low. I‟ll put in a cannula when I finish my rounds. Couldyou start her on a litre of Normal Saline with 40 millimols of KCI? Nurse (Woman): OK. Here‟s the Prescription Chart for you to fill out.Doctor (Man): Thanks. That saves me a bit of leg work. Can you run it over eight hours, please?Nurse (Woman): Sure. One litre of Normal Salilne with 40 millimols KCI over eight hours. Doctor (Man): Oh, I‟ll have to order her some IV antibiotics, too?Nurse (Woman): Yeah, OK. We‟ll run them through a secondary line. The primary line will have the KCI running through, so we won‟t mix the solutions in thesame line.Doctor (Man): Great. Now there‟s just Mr Clark left. How is he?Nurse (Woman): He‟s one the Jane‟s patients, too. He‟s pretty good. He‟s going home today, I think.Doctor (Man): Yes, that‟s right. He‟s ready for discharge. Can you take out his cannula before he goes home, please?Nurse (Woman): Yes, sure, we can do that. I‟ll pass on your instructions to Jane when she gets back.Pause (5 seconds)RepeatPause (5 seconds)This is the end of Part TwoPause (5 seconds)Now look at Part Three.You will hear a conversation between Louisa, the Ward Nurse, and Gina about her operation.For questions 11-15, choose the correct answer A, B or C. Put a tick (√) in the box. You will hear the conversation twice.Pause (5 seconds)Nurse (Woman): Hello, Gina. I‟ll be looking after you today. I want to have a talk about your operation tomorrow.Patient (Woman): Oh. Is everything all right?Nurse (Woman): Yes, everything‟s fine. There are no problems. I just want to go through what will happen when you come back to the ward after the operation.People always feel better when they know what to expect.Patient (Woman): Oh, yes, you‟re right. I‟m so nervous about the operation. I haven‟t been in a hospital since I was a kid, when I broke my leg. Things haveprobably changed a lot since then.Nurse (Woman): Well, hospitals have changed a bit, but don‟t worry. I‟ll go through it allnow, and you‟ll have the opportunity to ask as many questions as youlike.Patient (Woman): Thanks. I feel silly being so worried. I‟m not normally like this.Nurse (Woman): That‟s OK, Gina. I t‟s quite normal to feel a bit worried. Um, I‟ll try and cover everything so you‟re prepared for what‟ll happen after theoperation. Um, I see you‟ve brought the leaflet about keyhole surgery. Patient (Woman): Yes, um, it was sent to me at home last week. The only thing I know is that I won‟t have a big cut so the operation won‟t leave a big scar.Nurse (Woman): That‟s right. Um, keyhole surgery is also called minimally invasive surgery because it‟s performed with the use of a laparoscope, usingsmall incisions or surgical cuts. They are just small holes made nearyour navel. And you‟ll have a small dressing covering the holes madeduring surgery. It‟s just a light covering to keep the area clean until itheals.Patient (Woman): Oh.Nurse (Woman): During the operation, the surgeon uses a laparoscope, which is passed through the holes to visualize your gallbladder. The infected gallbladderis removed through the largest puncture site. You‟ll have a mini-drainwhich will only stay in for a couple of hours. It‟s a small plastic containerattached to some tubing which takes away any excess blood from yourwound.Patient (Woman): Ah-hah. There won‟t be lots of blood, will there? I can‟t stand the sight of blood.Nurse (Woman): No, not much, but I can make a note for the rest of the staff to cover the drain for you so you don‟t see any of it.Patient (Woman): Thanks. UmPause (5 seconds)RepeatPause (5 seconds)Now look at Part Four.You will hear a nurse getting personal details from a patient.Listen and complete questions 16-20 on your answer sheet.You will hear the conversation twice.Nurse: Come in, Mr Green. Come and sit down here. So, what‟s your surname? Green: I t‟s Peter.Nurse: That‟s P-E-T-E-R. Is that right?Green: Yes.Nurse: Well, how are you feeling, Mr Green?Green: I‟ve been having pain, pain in my chest.Nurse: Yes, now when did you first notice this pain?Green: Er, well, I suppose about six months ago.Nurse: And can you remember when it first came on?Green: Yes, well I remember, I got a bad pain in my chest when I was shopping. It was so bad I couldn‟t breathe and …Nurse: And where, in which part of your chest did you feel the pain?Green: Well, right across my chest.Nurse: And how long did it last?Green: Ooh, about ten minutes.Nurse: And what did you do when it happened?Green: I had to stop and wait for it to go away.Nurse: So, have you had this, the pain again since then?Green: Yes, I often get it when I overdo things, and when I ...Nurse: Well, I think at this stage I‟d like to examine you, your chest. So if you could strip to your waist?Green: Right. There we go.Nurse: That‟s fine. I‟ll just check your pulse first of all. Fine. That‟s fine. It‟s quite normal, seventy per minute.Green: Er, right.Nurse: Now your blood pressure. Fine. That‟s quite normal too. 130 over 80.Green: Oh, I‟m pleased to hear it.Nurse: Now you‟re going to take deep breaths in and out while I check your lungs. In. Out.In. Out. Fine. They‟re completely clear. Well, Mr Green, the pain you‟ve been having sounds very much like the pain of what we call angina, and this, well, this occurs when not enough oxygen is getting to the heart. Now I‟d like to check a few tests, and, following that I‟ll be able to advise some treatment for you …Pause (5 seconds)RepeatPause (5 seconds)This is the end of Part Four.You now have five minutes to write your answers on the answer sheet.Pause ( 4 minutes)You have one more minute.Pause (60 seconds)This is the end of the listening test.第二级考试答案I ListeningPart 1 1. C 2. D 3. H 4. G 5. EPart 2 6. B 7. B 8. B 9. A 10. APart 3 11. B 12. B 13. A 14. C 15. APart 4 16. Peter 17. Central/central 18. 10 19. clear/normal 20. BP/blood pressureII Reading and WritingPart 1 1. A 2. D 3. E 4. C 5. BPart 2 6. E 7. D 8. B 9. F 10. F 11. C 12. B 13. C 14. D 15. FPart 316. B 17. A 18. A 19. B 20. A 21. A 22. C 23. A 24. B 25. BPart 4 26. A 27. A 28. C 29. B 30. CPart 531. D 32. B 33. F 34. A 35. CPart 636. B 37. A 38. C 39. C 40. B 41. A 42. B 43. C 44. C 45. A参考样文：Mrs Martha was born on 17 September, 1921. She was admitted on 23 April, 2009, and discharged on 10 May, 2009.There are still some problems to be solved after discharge. For example, she has been suffering from hypertension and degenerative bone disease. Besides, she needs to urinate frequently and is diagnosed with left pneumonia and urinary tract infection. Since she doesn’t have any immediate family member, she needs a bath seat and safety rails in the bathroom. What’s more, she needs a nurse to visit her twice a week to monitor the medications. Finally, she needs physiotherapy 3 times a week.By the way, she is a very independent-minded woman who is fully alert and articulate.。