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performatleastapartialphysicalexaminationatthefirstvisit.Thealsotendtotakeaverydetailedmedicalhistory,includingnutritionalhabitsandenvironmentalfactors.(125ws)SectionWWriting(Time—30minutes)Directions:Inthispart,youareallowed30minutestowriteacasehistory.YoushouldbaseyourcompositionontheinformationgiveninChinesebelow:PleasewriteyourresponseonAnswerSheet2.82.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:2000年5月7号出生地点:湖北武汉性别:男入院日期:2007年9月1号主诉:咳嗽,哮喘(wheezing)伴呼吸困难。现病史:这是该患者(7岁,男)首次入院,他从三岁开始有哮喘病,但未因哮喘而住过院。患者之前一直很好,入院前游黄鹤楼时发生气短,使用咳嗽药无效。哮喘逐渐加重,孩子被带到武汉同济医院的急诊室,并收留入院。过去史:免疫接种:完全。过敏史:灰尘,洋葱。家族史:母亲32岁,健在。父亲38岁,健在。家族中无哮喘及糖尿病。诊断:支气管哮喘。病历号:CHARTNUMBER肾上腺素:epinephrine支气管哮喘:bronchialasthma黄鹤楼:YellowCraneTower(二)听力部分录音稿SectionI:ListeningcomprehensionDirections:ThissectionisdesignedtotestyourabilitytounderstandspokenEnglishinnursingcontexts.Youwillhearaselectionofrecordedmaterialsandyoumustanswerthequestionsthataccompanythem.ThereareTWOpartsinthissection,PartAandPartB.Remember,whileyouaredoingthetest,youshouldfirstputdownyouranswersinyourtestbooklet.Attheendofthelisteningcomprehensionsection,youwillhave3minutestotransferyouranswersfromyourtestbookletontoANSWERSHEET1.Ifyouhaveanyquestions,youmayraiseyourhandNOWasyouwillnotbeallowedtospeakoncethetesthasstarted.(Pause00’05’’)(Tone)NowlookatPartAinyourtestbooklet.

PartAYouwillhear10shortdialogues.Foreachdialogue,thereisonequestionandTHREEpossibleanswers.Choosethecorrectanswer-[A],[B],or[C],andmarkitinyourtestbooklet.Youwillhave10secondstoanswerthequestionandyouwillheareachdialogueONLYONCE.Example:Youwillhear:M:Ok.Wouldyoupleasetellmemoreaboutyourplan?W:Oh,Iwill...whenitisreadythisevening.Youwillread:Wheredoyouthinkthedialoguetookplace?Attheoffice.Inthewaitingroom.Attheairport.Fromthedialogue,weknowthatthetwoweretalkingaboutsomeworktheyhadtofinish.Thisismostlikelytohavetakenplaceattheoffice.Soyoushouldchooseanswer[A]andmarkitinyourtestbooklet.SampleAnswer:[,][B][C]NowlookatQuestion1.ThisistheendofPartA.W:Isyourleftlegstillpainful?NowlookatQuestion1.ThisistheendofPartA.W:Isyourleftlegstillpainful?M:Ifeelmuchbetterthanbefore.ButwhenIwalk,itisalittlebitpainful.W:Letmetakeyourbloodpressure.Oh,it’s170/110mmHg.It’sabnormal.Haveyouhadthisbefore?M:No,never.W:Theoperationstartsat9o’clock.ButyouwillhavetogetinjectionsM:Isee.M:WhatcanIdoifIwanttocallyou?W:Thepanelontheheadofthebedisequippedwithanurse-callsystem.Pleasepressthebuttontoalertthestaffatthenurses’Station,whenyouhavesomething.M:Canyousellmepenicillin?W:Sorry,sir.Icannotsellit,youmustfirstgetadoctor’scertificateorprescription.M:Isitpossibleformybrothertostayherewithme?W:Yes,buthehastopayforhisbed.Doeshewanttohavemealsheretoo?Wedon’tthinkitisnecessary.Yourconditionisn’tsoserious.M:CanIstandupagainsincethewoundissoserious?W:Thetechnologyissoadvancedandtherearealotofeffectivemedicines.Pleasebelievethedoctorsandthenurses.You’llbeOK.M:Canyoutellmehowtotakethecoughsyrup?W:Firstshakethebottle.Taketwospoonfulofitthreetimesaday.W:Whatseemstobetheproblem?M:Well,Iwascrossingtheroad,whereacarcameroundthecornertooquickly,andwhenthedriversawme,itwastoolatetostop.Iwasknockedtotheground,andwhenIgotup,Ihaveapaininmyribs.M:ThedoctorsuggestedIhaveaseriesofgastro-intestinaltestsmade.WhatshallIdo?W:I’llmakeanappointmentforyouatonce.Cometomorrowmorningat8.Pleasedon’teatordrinkanythingaftermidnight.PartBYou’regoingtohearonedialogueandtwopassages.Beforelisteningtoeachone,youwillhave5secondstoreadeachofthequestionswhichaccompanyit.Whilelistening,answereachquestionbychoosing[A],[B],or[C].Afterlistening,youwillhave5secondstocheckyouranswertoeachquestion.YouwillheareachpieceTWICE.Questions11-13arebasedonadialoguebetweenapatientandadoctor.Younowhave15secondstoreadQuestions11-13.(Pause00’15’’)(Tone)Doctor(M):What’sthematterwithyou?Patient(W):Doctor,Ihavegotapainthatcomesandgoesintheupperbellyforabouthalfamonth.Doctor:Whatkindofpainisit?Isitadull,hidden,orstabbingpain?Patient:It’sahiddenpain.Doctor:Doesithappenbeforemealsoraftermeals?Patient:UsuallycomesbeforemealsandgetsalittlebetterafterIeatsomething.Doctor:Howisyourappetite?Isthereanychangeinyoururinationandbowelmovementaftertheonsetofthedisease?Patient:IthinkmyappetiteisO.K.,butthecolorofthestoolseemstobecomedark.Doctor:Hmm,let’shavestooltestfirst,Isuspectitmightbestomachbleedingorsomething.Patient:O.K.,I’lldothat.Younowhave30secondstocheckyouranswerstoQuestions11-13.(Pause00’30’’)(Tone)Questions14-16arebasedonthefollowingpassage:Younowhave15secondstoreadQuestions14-16.(Pause00’15’’)(Tone)HearttransplantisthefourthmostcommontransplantoperationintheU.S.,withover2,200casesperyear.Cornea,kidneyandlivertransplantsarethemostcommon.Ahealthyheartisobtainedfromadonorwhoisbraindeadbutonlife-support.Thehealthyheartisputintoaspecialsolutionthatpreservestheorgan.Thepatientisputintoadeepsleepwithgeneralanesthesia,andacutismadethroughthebreastbone.Thepatient'sbloodiscirculatedthroughaheart-lungbypassmachinetokeepthebloodoxygen-rich.Thepatient'sdiseasedheartisremovedandthedonorheartisstitchedinplace.Theheart-lungmachineisdisconnected.Bloodflowsthroughthetransplantedheart.Younowhave30secondstocheckyouranswerstoQuestions14-16.(Pause00’30’’)(Tone)Questions17-20arebasedonthefollowingpassage:Younowhave20secondstoreadQuestions17-20.(Pause00’20’’)(Tone)HIVisfoundinbodyfluidssuchasblood,semen,vaginalfluidsandbreastmilk.Itispassedfromonepersontoanother-ortransmitted-onlyinveryspecificways.Theseare:throughsexualintercoursebetweenamanandawomanorbetweentwomen;throughinfectedblood-forexamplethroughcontaminatedbloodtransfusionsorunsterilisedneedlesandsyringes.(InmostplacestodaybloodtransfusionsarecompletelysafebecausethebloodistestedforHIVbeforeitisusedtotreatpatients);andfromaninfectedmothertoherbabywhileitisstillinthewomborduringchildbirthorduringbreastfeeding.HIVdoesnotspreadthrough"casual"everydaycontactbetweenpeople.Itisnottransmittedbycoughing,orsneezing,orbytouchingorhuggingsomeonewhohasthevirus.Itisnotspreadinair,waterorinfood,orbysharingcups,bowls,cutlery,clothing,ortoiletseats.AndHIVisnottransmittedbybitinginsectssuchasmosquitoes,becausethequantityofbloodontheirmouthpartsistoominute.Younowhave40secondstocheckyouranswerstoQuestions17-20.(Pause00’40’’)(Tone)ThisistheendofPartB.Nowyouhave3minutestotransferyouranswersfromyourtestbooklettoANSWERSHEET1.(Pause03’00’’)(Music00’05’’)Thatistheendofthelisteningcomprehensionsection.(三)二级试卷答案和评分标准SectionI1.C2.B3.A4.B5.B6.C7.A8.A9.B10.C11.A12.C13.B14.B15.C16.C17.B18.C19.A20.ASectionII21.D22.C23.A24.C25.A26.B27.A28.B29.B30.B31.A32.B33.D34.C35.A36.A37.B38.A39.D40.ASectionIII41.A42.B43.C44.D45.B46.C47.D48.A49.B50.D51.C52.A53.D54.C55.D56.C57.B58.B59.A60.BSectionIV61.C62.C63.D64.B65.C66.B67.C68.B69.A70.D71.C72.D73.C74.C75.D76.C77.D78.C79.A80.DSectionV.TranslationPossibleversion:针灸现在越来越多地被用来治疗头痛——毫无疑问,事实上针灸确实为许多尝试这一疗法的人在短时内带来好处。据估计,约50%70%的慢性疼痛患者在接受针灸治疗后,至少有暂时的缓解,而另一些人则能感受到长期的作用。针灸过程中的“针刺’’指的是将多支极细的银针插入体表的某些特定穴位。针灸疗法差异很大,各个针灸师的手法和风格不尽相同。大多数东方流派的针灸师会在首次就诊时至少为病人作部分体格检查。他们还会做详细的病历记录,包括饮食习惯和其它环境因素。SectionW.WritingOnepossibleversion:THEINPA

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