医护英语考试三级模拟题

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 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 A

You 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.

[C] He has done many operations.

2. What do you learn about the discharge?

[A] It is yellowish.

3. When do headaches affect the patient?

[A] When he takes aspirin.

[C] When he gets nervous.*

4. What does the doctor want to know?

[A] The patient?s daily activity.

[C] The patient?s exercise pattern.

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.

[B] The patie

nt?s life

-style.

[D] The patient?s physical condition.*

[B] When he lies down.

[D] When he travels

[B] It has a bad smell.*

[C] It is like mucus.

[D] It is clear.

[B] He is too young for the operation.

[D] He is an excellent doctor.*

6. What does the woman mean?

[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.

[C] Something important.

8. What is the nurse trying to explain?

[A] The way to do the test.

[C] Signs of colon cancer.

9. What does the woman say about lung cancer?

[A] The death rate is high.*

[C] Many patients can survive.

10. What are the two talking about?

[A] Maggie?s job performance.

[C] Maggie?s personality.

[B]

Maggie?s family background.

[D] Maggie?s career choice.*

[B]

It?s less prevalent than other forms.

[D] The cost for treatment is rising.

[B] Necessity for the blood test.*

[D] What occult blood means.

[B] Something funny.

[D] Something insignificant.*

Part B

Directions:

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.

[C] He is very busy now.*

[B]

He doesn?t have good memory

.

[D] He has solved the case.

13. What is the report about?

[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.

14. What did the employers say about the case?

[A] The workman was careless.

[B] The safety measure was sufficient.*

[D] They were only partly responsible.

[D] A

man who tripped and broke his arm.

[C] It was the result of a heart attack.

15. What does the doctor think of the case?

[A] It was definitely drug-related.

[B]

The workman shouldn?t have worked alone.

[D] The job was too heavy for the workman.

[C] It was caused by poor management.*

16. What does the speaker imply about our feet?

[A] We don?t think much of them.*

[C] We know a lot about our feet.

[B] We think they are very important.

[D] They are very complicated.

17. How can we best make use of our feet according to the talk?

[A] Wearing stylish shoes.

[C] Changing shoes when necessary.

18. What may happen if your feet suffer from pain?

[A] Y

ou may hurt your skeleton.

[C] Y

our toenails may crack.

19. How can you keep your feet in good shape?

[A] Keeping them clean.*

[C] Never walking barefoot.

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.

[B] Wearing tight socks.

[D] Not walking on rough surface.

[B] Y

ou may have backache.*

[D] Y

ou may tear some ligaments.

[B] Wearing light, soft shoes.

[D] Fitting shoes to special activities*

Part C: Note-taking and Gap-filling

Directions:

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 Structure

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

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] delayed

32. 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] gently

34. In extreme cold weather, _______ vasoconstriction elevates blood pressure.

[A] peripheral*

[B] parallel

[C] pericardial

[D] periodical

35. Increased muscle _______ prepares muscles for action.

[A] traction

[B] tension*

[C] extension

[D] contraction

36. The sick child should be encouraged to ______ by using saline solution.

[A] rinse

[B] gargle*

[C] swallow

[D] gurgle

37. 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] Tracheal

39. An odor of _______ in the urine may indicate a urinary tract infection.

[A] ammonia*

[B] anemia

[C] insomnia

[D] uremia

40. 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 what

42. 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 walk

43. 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 arranged

44.

Dialysis

saves

the

lives

of

many

people

who

would

_______

die

of

kidney

failure

and

fatal

uremic

poisoning.

[A] then

[B] otherwise*

[C] rather

[D] sooner

45. 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 violate

47. 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] had

48. 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 absorbing

50. 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 is

Part B Cloze

Directions:

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] fasten

52.

[A] though

53.

[A] read of

54.

[A] assist

55.

[A] which

56.

[A] in that

57.

[A] fits*

58.

[A] dismiss*

59.

[A] intense*

60.

[A] if

[B] while

[C] as

[D] yet*

[D] believe in

[D] determine

[D] from

[D] provided that

[D] matches

[D] refuse

[D] constant

[D] that*

[B] hear of

[C] know of*

[B] insist

[C] persist *

[B] that*

[C] in

[B] so that*

[C] in order

[B] benefits

[C] contributes

[B] regard

[C] accept

[B] relaxed

[C] continual

[B] whether

[C] all

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]. Y

ou

should decide on

the best choice and

mark

the corresponding

letter on

the

Answer Sheet

with a

single line through the center.

Passage A

Burns 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

physician

may 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.

[D] Both conditions usually affect large areas.

[C] Both are caused by something hot.

62. What is the classification of burns mainly based on?

[A] The extent of infection.

[C] The depth of injury.*

63. The passage implies that _________.

[A] the burn patient should be chilled quickly

[B] The causative factors.

[D] The condition of skin and surface.

[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.

[D] Cleaning the burned surface with towels.*

[C] Keeping the patient warm with blankets.

65. What should be the first step in treating chemical burns?

[A] Calling in an experienced physician.

[B] Covering the affected area with ointment.

[D] Removing the chemicals with flowing water.*

[C] Wrapping up the affected parts with sheets.

Passage B

The 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 Y

ork City in

1999, has reached nearly every region east of the Rockies. Seven people have died so far this year, and health

officials

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.

Y

es, the West Nile virus has been found in birds and mosquitoes in many states. Y

es, 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 18

or 19

century, when mosquito-

borne illnesses like yellow fever ravaged New Y

ork. 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. Y

ou should also practice mosquito control around your house.

Y

ou 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.

[C] They have both caused great alarm.*

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

[D] West Nile virus should be judged objectively*

[B] They both occur near the water.

[D] There have been reports of more deaths from both.

th

th

[C] West Nile virus is a good reason for not going out