Oxford English for Careers : Medicine 1, Teacher's Resource Book, Volume 1 ( PDFDrive )

100 Photocooiabl@e OxfordUniversitvPress lO Grammatrest 1 tvtatchthe questionbeginnings (1-8)with asmany endings(a-h) asyou can 1 Doyou like - a havingto takelotsof medication? 2 Would you rather - 3 Doyou dislike- b havingvisltorsthroughout the day? 4 Would you like to - L to have someonewith you during the 5 Doyouprefer- 6 Wouldyouprefer- interview? 7 Doyouhate- 8 Doyouenjoy- A beingon this ward? e administer the painkiller yourself ? f having aMarie Curienursecoming in to helpyou at hometo beingin hospital? dealingwith the challengesof working with terminally ill people? to callanotherfamilv member? Putthe verbsin bracketsinto the correctform. 1 Doyou prefer- (have)everything explainedto you or not to be told? 2 Jenniferdislikes- (work)on her own on the ward at night. 3 I can't stand- (wait)for things to happen. 4 Wouldyou iike - (move)into a home for a few weeks? 5 Helikes ( f o l l o w )h i s o w n r o u t i n e i n t h e m o r n i n g . 6 I d rather- (stay)hereasI feel much safer. 7 Dr Medway detests- (see)peoplesuffer unnecessarily. 8Danie]prefers-(surround)himselfwithpeopletobeingaloneat home with occasionavl isitors. Rearrangeand expandthe prompts in bracketsto completethe sentences. 1 (husband/ not / visit / enjoy/l / my /in / hospice) eventhough the environment was very pleasant. 2 (able/ Andy / rather / be / work / return) than spendtime in hospital. 3 (you/ this / evening/ prefer/ do / something/ different?) I knowyou're fed up with stayingin. 4 (you/ prefer/ do / somethingphysical) than to do somethingmental to helptakeyour mind off things? 5 (stand/ I / can't/ see/ my partner)in pain like this 6 (everyday / dislike / Marina / to work / travel)by public transport 7 I know (at/ the / home / at / moment / she/ love/ be), but perhapssheshouldstaywith us anotherday or so. fi/work/like/shift/on / early) Asa generalrule, soI canhavethe evening free.

P h o t o c o p i a b l@e O x f o r dU n i v e r s i t yP r e s s1 0 1 lO Communication

102 Photocooiabl@e OxfordUniversitvPress ll Grammatrest I Matchthetwo partsof the sentences.Intwo casesthereismorethan oneanswer. l IsitOKifI a toopenitforyou? 2 Wouldyoumindifl b couldpossiblytalk to youfor afew minutes? 3 Doyouthinkl c but couldyoucheckthis for me? 4 I'm sorrytodisturbyou, d arebusy,butwe needyourhelp. 5 Wouldyoulikeme e borrowedyourstethoscope? 6 Excuseme.Couldyou f usethisPC? 7 Icanseeyou g occupythisdesk? 8 Doyoumindifl h helpmeturnthis patient? Usethe promptsin bracketsto completethe sentences. 1 (mind/if) I rescheduledthe clinic slightly? 2 (I/ see/ busy/ but) I don'tquiteunderstandthetestresults. 3 (oK/ if) I borrowyourcarduringlunch? 4 (Excuse/ could) youmoveyourchairjust alittle? 5 (think/l/possibly) useyourroomto dosomeinterviews? 6 (sorry/disturb/but) youcomeandlookatthis patientfor me? 7 (mind / if) I helpedthem out in the orthopaedicsclinictoday? 8 (Would/Iike) helpyoumovethe computer? Completethe dialogueswith appropriatequestionsfrom2. I DrBarker.It'Ds rNizaminJonesWard. Ah. OK.Canyou give me justtwo minutes to finish this report and I'll look at them for you. Mmm,I'm sorrybut I needto goout into town myself.

Photocopiabl@e OxfordUniversityPress103 ll Communication rrr' -I -__!- I RoleCard1 I RoleCard2 :I i Youarea GPworkingin a smallpracticeY. ou I Youarea nurse.Youlike all t_h-.e_ -s_uDgo_g-_e-s_^t-io--,nsb_,_u_t I I ofoi t havesomemoneytospendtoimprovethe youarenot surethat the plasmascreenisthe I I waitineg areafor patientsin vyoursursgeryY. ou i bestuseof money.Youwould likethe money l i k e a l l t h e s u g g e s t i o n s m a d e , b u t w o u l d m o sIt spentonpostersandleaflets. I I! tite to havet[Jplasma screenfor patientsto I 1 watc.hW-- programmes. rI rl Role Card 3 RoleCard4 Youarea receptionistY. outhink that the Youarea GPworkingin a smallpractrceand plasmascreenwould driveyoumad,with TV think that the plasmascreenis not agoodidea or DVDsbeingon all day.AIsoyouthink that Youthink the decoration/ refurbishmentare redecorationandnew seating/ curtainsarea priorities,alongwith new leaflets. priority. ltl --- ---- t! Suggestionsforthe waiting area 1 plasma screenfor patients to watch TV while 4 new postersreflecting the ethnic mix of the waiting patients 2 plasma screenfor showing health promotion 5 magazine/ newspaperrackand daily videos newspapers 3 new leaflets designedby the peoplein the 5 new curtains and seatingand decorating 7 toysforthechildren surgery . . .... ;I i *$# *--*.-'l I * .-. '-L:,,:.:, L--- r_ri

104 Photocopiabl@e OxfordUniversitvPress l2 Grammatrest 1 Wnat aia the peoplesay?Changethe reportedspeechsentencesinto direct speech. 1 Dr Jonessaidthat he would finish at 5p.m. 2 Mrs Deanaskedif shecould changethe appointment. 3 I enquiredwhen the clinicwould start. 4 Thecallersaidher child was very sick. 5 The nurse askedhow I got there on my own. 6 Thereceptionistaskedwhat the patient'shospital number was. 7 He saidhe had had the illnessoncebefore. 8 Thedoctoraskedif I had everhad the illnessbefore. 9 Thepatient saidthat the problem had beengetting worse. 10 Theconsultantsaidhe would comeimmediately. 2 Changethe direct speechsentencesinto reportedspeech.Payparticular attention to the verbs. 1 'I don't want to stayin the hospital overnight,'saidMr Harmen. 2 'Why didn't you comesooner?'thenurseaskedthe patlent. 3 'l'11bookyou another appointment,'saidthe receptionist. 4 'l haven't sleptvery well for severalnights,'saidMr Connor. 5 'When did you last havea drink?'the nurseaskedme. 6 'l want to getup for awhile,'said the patlent. 7 'l didn't bring any bed clotheswith me,'saidMrs lames. 8 'How hasthe wound healed?'thedoctor asked. 3 Changethe direct speechsentencesinto reportedspeechP. ayparticular attention to the adverbsof time and the pronouns. 1 'My wife had her operationyesterday,'saidMr Aitkin. 2 'I am leavinghospital this afternoon,'saidthe patient. 3 'Takethe tabletsuntil tomorrow evenlng,'saidthe nurseto Mrs Gonzalez. 4 'When did you first feelthe pain in your left arm,Mr Jones?'askedDr Clarke. 5 'Youcanbookthe appointment for tomorrow,'said the consultantto Miss Downs. 6 'Wecando the procedurenow,'said Dr Brandt. 7 'Canyou do the test today?'thedoctor askedthe phlebotomist. 8 'Why can't I havethe operationthis morning?'askedMrs Patel.

Photocopiabl@e OxfordUniversityPress l2 Communication ?--- ---.- I l.t Role Card 2 I r Role Card 1 Youareadoctorin ahospitalandyouareabit : wary of item 3becauseyouthink consultants i ! Vouarethe chairpersonof ahospitaltrust shouldbeappointedaccordingto merit.You I who isin favourof the first four itemsonthe areopento suggestionsY.outhink item 2on I oFot agendaY. outhink item 1onthe agendais a the agendais i priority.Youdon'tthink an opendayis a goodideafor items5and6. : I priority andthink the bestwayto do 5and6 is I I; ronaveopenoays. I I I Role Card4 : I RoleCard3 Youarea doctorin ahospital.Youthink items i I 3 and4arepriorities,but youthink too much I Y.. ouarea nurseandthink item 6 onthe agenda moneyis spenton unnecessareyventsY. ou I ; don'tihinli anopendayis a gobaideafor items r is apriority.Youthink an opendayis a good 5and6.Youthinktherearebetterways : I idea.Youalsothink that lifts would help : I patientsandstaff. I I ltt lt -r- ' Agendaformeeting 1 Buildinglifts for disabledpatientsandstaff 4 Improvingthemale/femalebalanceinthe workforce- therearemoremenin high positions 2 Printinghospital eafletsin Brailleandother in administration languages 5 Promotingdiversityin the hospitalgenerally 3 Improvingthe male/ femalebalancein the workforce- therearemoremenin high 5 Reachingall sectorsof the community positionsin consultantposts

1 0 6 C r am m ar t es t sk e y UnitI 2t hasbeen 6 havefiust)performed 7 haven't received l r hasbeenwaiting 6 wait z booked 7 hasbeenteaching 2 'vetaught 8 talks 3 finished 8 caught 5 is/'s checking 9 checks 4 isgetting 10 istalking began 9 Have(you)met 5 'vebeengetting 5 have(you)had 10 started l r Haveyou been abroadthis year? 2 r ...how long youhave hadthe painin your chest? 2 Yes,(I have). 2 ...whetheryou have everhad an operation before? 3 Wheredidyou go? 3 ...howlong yourbackhas beentroubling you? 4 I went to India. 4 ...where the pain starts off? 5 Wereyou sickwhile you were there? 5 ...whatthe pain is like? 6 No,(Iwasn't). 6 ...where you getthe pain? 7 Haveyou felt sick eversinceyou returned? l r What's your date of birth? / Canyou tell me what 8 No,(Ihaven't). your date ofbirth is? 9 When didyou start feeling sick? 2 VVhat'syour family name? / Canyou tell me what t_0 I started feeling sicktwo weeks ago. yourfamily name is? 3 V1/hat'sthe time of your appointment? / Canyou Unit3 tell me what the time of your appointment is? I f (Voua) skthepatientto clenchhis/ her fist several 4 What's your hospital number? / Canyou tell me times. what your hospital number is? 2 Don'tforgetto preparethe equipment. 5 Do you have any brothers and sisters?/ Can 3 (You)applythetourniquetnearthevein site. you tell me whether you have any brothers and 4 Don'tforgetto checkthe identity ofthe patient. sisters? 5 (You)askthe patientto stretchouthis / herarm 6 What'syour job? / Canyou tell me what your job is? andrestit on apillow. 6 (You)selecthe appropriatevein. Unit2 7 (Youi)ntroduceyourselftothe patient. 8 (You)cleanthe areawith analcoholswab. I t haveregisteredregistered 2 hassonewent 2t I d likeyouto keepyourlegniceandstill for me,if 3 Did vou live Havevou lived youcan. 4 didn't receivehaven't received 5 were not have not been 2 Couldyoutilt yourheadforwardslightlyfor me? 6 hassivensave 3 Now,Id likeyouto raiseyourarm abit morefor 7 haveseensaw 8 havetakentook meif youcan. t has suddenly stopped suddenly stopped 4 Canyoujustpopup onthecouchforme? 5 Couldyouroll upyoursleevefor me,please? L0 have arrived arrived 6 Iustbringyourkneesup abit further for me. 7 Canyoutellmewhatyourdateofbirth is,please? 8 If youcan,just leanforwardslightlyfor me.

C r a m m a r t e skt se y1 0 7 9 Canyoujust movealittle moretowardsthe edge 2 Possibleanswer o f t h e t r o l l e y f o rm e ,p l e a s e ? ACEinhibitors,like all medications, can causeside 10 Canyoustandupforme,please? effects,but this doesnot mean that you will get them.I am just pointing them out to you sothat Unit4 you are aware of them. For example,somepeople canget a drycoughwhentakingthem. Sometimes I t isprepared,iscarriedout they can also affect people'sblood pressure.And in 2 perform some people,ACEinhibitors can sometimes affect 3 areled theirtaste,while otherscan get hives.Somepeople's 4 isdone kidneys canbe affected and somepeople can have a 5 isinserted high level of potassium intheir blood. 6 aregiven 7 used 31can 5 can 8 obtained,anaesthetized 2 may 6 can,may t happens 3 can 7 may 4 may 8 can 10 isspent Unit6 2 t theprocedtgeisperformedbyanurseinthis practice. 1 couldtrv setawavcouldtrv to setawav/ could trygetting away 2 The/ A nurseusesasprayto numbthe patient's throat. 2 cantotrvcantrv 3 shouldliketotrvmisht Iiketotrv 3 The/ A doctorrepeatsthe explanationto the 4 couldfor exampletookup couldfor exampletake patientif necessary. up 4 Patientsrarelyreactto instruments. 5 shouldn'ttooverdoshouldn'toverdo 5 Appointmentsarearrangedbythereceptionist. 6 oushtbeoushttobe 6 Thewoundiscleaned. 7 mipht liketrv mieht liketo trv 7 A painkillerisinjectedasrequired. 8 The/ A doctorexplainsthe procedureto the patient. 2 1b 2a 3a 4b 9 Thesyringeisinsertedinto thetraining manikin 3 1 Yououghtto try to eatleanmeatwherepossible. justhere. 10 The/ A nurseexaminesthe patientfirst. 2 Youmight liketo try cutting out chocolate gradually. lr to betaken 3 Youshouldwalk upthe stairsratherthanusethe 2 you will be given / we'll giveyou lift. 3 afterwards is restfor about an hour 4 Youcanreducethe amountof foodyoueat gradually. 4 willbe scheduled 5 Youcouldfor examplegofor awalkwith afriend. 5 arewrittendonm 6 Youshouldn'tgoshoppingby car.Youshouldgo 6 we insert a tube down into the stomach by bus,orevenonfoot. 7 numbed / goingto benumbed 7 Youmight liketo try gettinginto the habit of 8 we askyouto lie on a couchon your left side walkingeveryday. facingthewall 8 Youshouldn'tfry food.Youshouldsteamorbakeit. Unit5 L,3,6,8 | 1 take..i.n 5 getup Unit7 2 vwoteout 6 Iookedat 3 gotinto 7 pointedout f rg 3e 5a 7h 4 cuts..d. ornm 8 was taken out 2c 4d 6b 8f

108 Grammartesktsey 2 t tflane developasfever,you'llneedtobecareful. 1- f hadfinished /finished 2 c hadgone 2 If Timurlosesanymoreweight,it will bebetterto 3 e was bringhimin. 4 h hadtreated 5 g sectioned 3 If the doctorarrives,I'll et youknow. 6 b hadturned 7 d moved 4 If younoticeanychangein Amir'scondition,the e a felt switchboardwill beableto bleepme. 1/ 5 If Tomgetsworse,we'Iltransferhim to intensive 2 found care. 3/ 6 If Juanstabilizesandmakesa speedyrecovery hadn't done we'll dischargehim soon. 5 ,/ 6 was 3r wouldbe 6 were 7 ,/ 7 wouldprepare 8 / (hadlearnt is alsopossible) 2 doesn'tgo 8 needed 3 were 9is 4 will probably admit 10 willkeep 5 did 4 1,3,6,8 Unit8 UnitlO I tao 4a o L a,b,d,g s b,d,f,g bc bc 2e 6 a,b,c,d,f,g,h 3 a,b,d,g 7 a,b,d,g 2aC 5a c 4e 8 a,b,d,g bo bo 3aC 6a L tohave 5 tofollow 2 working 6 stay bo bc 3 waiting 7 seeing 4 to move 8 surrounding 2 1 you,me,about,your 2 you,are,at,do 1 I didn't enjoyvisiting my husbandin the hospice 3 me,more,about 2 Andywouldratherbeableto returnto work 4 about,your,are 3 Wouldyouprefertodosomethingdifferentthis 5 Can(Could),th(ethis),more 6 did,the(your) evening? 7 Describe,for 4 Wouldyoupreferto dosomethingphysical 8 you,me,a,about,your 5 I can'tstandseeingmy partner 9 your,about 6 Marinadislikestravellingto work everyday 7 shedlovetobeat homeatthemoment 10 what,way 8 Iliketowork ontheearlyshift 7a4 c8 e1 96 b2 d5 f 3 h7 Unit9 Unitll l r had contacted 6 were t f tg 3 b 5a 7d 7 didn'tneedto 2e 4c 6h 8 f tg 2 hadbrought 8 went 3 didn't haveto 9 coulddo 1 Wouldyoumindif 4 borrowed 10 hadfollowed 2 I canseeyouarebusy,but 5 allowed 3 IsitOKif 4 Excuseme, (but) could

Crammartesktes y109 5 Doyouthinklcouldpossibly Mr Connor said (that) he had not slept verywel 6 I'm sorryto disturb you, but could for severalnights. 7 Wouldyoumindif 8 Wouldyoulikemeto 5 Thenurse askedme when I had last had a drink. L6 2s 32 43 6 Thepatient said (that) he / shewanted to get up forawhile. Unit12 7 Mrs Jamessaid (that)shehadn't brought anybed I t filfinishat5p.m. clotheswith her. 2 Canlchangetheappointment? 3 Whenwillthe clinicstart? 6 Thedoctoraskedhowthe wound had healed. 4 My child is very sick. 5 Howdidyou gethere onyourown? 3 r Mr Aitkin said (that) his wife had had her 6 What'syourhospitalnumber? 7 I havehad the illness oncebefore. operation the day before. 8 Haveyou everhad the illness before? 9 Theproblernhasbeengetting worse. 2 Thepatient said (that) he / shewas leaving hospitalthat afternoon. 10 I'llcomeimmediately. 3 Thenursetold Mrs Gonzalezto take the tablets 2 1 Mr Harmen said (that) he didn't want to stay in untilthe evening ofthe next day. the hospital overnight. 4 Dr ClarkeaskedMr Joneswhen he had first felt 2 The nurse askedthe patient why he / shehadn't the pain in his left arm. comesooner. 5 The consultant said (that)Miss Downs could book 3 The receptionist said (that) he / shewould book the appointment for the next day / the day after. / another appointment. The consultant told Miss Downs that shecould book... Dr Brandt said (that) they could do the procedure then / atthat moment. The doctor askedthe phlebotomist if he / she could do the test that day. Mrs Patelaskedwhy shecouldn't havethe operation that morning.

-ve+ve negativeandpositive,respectively Echo echocardiogram increase4decreaseda,ndnormal, tl* respectively(egserumlevel) ENT ear,nose,andthroat diagnosisA; A meansdifferential A;AA diagnosis(Iistof possibilities) ERCP endoscopicretrograde antibody cholangiopancreatographsye;ealsoMRCP Ab airway,breathing,and circulation:basiclife ABC support EUA examinationunder anaesthesia arterialbloodgas ABG antecibum(beforefood) FB foreignbody Ac ad libitum; asmuch/asoftenaswanted adlib (Latinfor atpleasure) FBC fullbloodcount acquiredimmunodeficienry syndrome AIDS abdominalx-ray (plain) FroM fullrange ofmovements A)(R bisdfe(twicea day) Bd BritishMedicaloumal/BritishMedical g gram BM]/BII'IA Association BritishNationalFormulary GA generalanaesthetic BNF bloodpressure BP beatsperminute (egpulse) GCS Glasgowcomascde bPm cancer Ca coronarycareunit GI gastrointestinal coronaryheartdisease ccu contraindications GP generalpractitioner centralnervoussystem CHD chronicobstructivepulmonarydisease cu(M) genitourinary (medicine) CI cardiopulmonaryresuscitation chronicrenal failure h hour cNs c-reactiveprotein cerebrospinalfluid TIAV hepatiilsAvirus COPD computertomography CPR cardiovasculasrystem Hb haemoglobin CRF chestx-ray CRP day(s)(alsoexpressedas/7) HBsAg/HB\\l hepatitis Bsurfaceantigen/hepatitis B decilitre virus csF Departmentof Health (UK) HC\\l(HDV) hepatitisCvirus(HDVishepatitisDvirus) CT diarrhoeaandvomiting deepvenousthrombosis HIV human immunodeficienry virus cvs electrocardiogram cxR HRT hormonereplacemerfttherapy d Hs\\I herpessimplexvirus dl DoH IBD infl ammatoryboweldisease (orDH) D&V IBW idealbodyweight DvT ECG IM intramuscular INR international normalizedratio (prothrombin ratio) ITU intensivetherapyunit iu international unit Iv(I) intravenous(infusion) IAMA Iournalof theAmericanMedicalAssociation Kg kilogram t litre I3W leanbodyweight IST Iiverfunction test TJ(KS Iiver,kidney (R)k, idney (t),spleen I^P lumbarpuncture tUQ left upperquadrant

pg microgram PE pulmonaryembolism mane morning (from Latin; the'e' may be written'6') PEF(R) peakexpiratoryflow (rate) MAOI monoamine oxidaseinhibitors MC&S microscopy,culture and sensitivity PERI.A pupilsequalandreactiveto light and mg milligram accommodation MI myocardial infarction min(s) minute(s) PMH pastmedicalhistory mt millilitre mmHg millimetres of mercury PO peros(bymouth) MND motorneurone disease MRCP magnetic imaging PR perrectum(bythe rectum) cholangiopancreatography (alsoMember MRI of RoyalCollegeof Physicians) PRN pro renata(asrequired) MRSA magnetic resonanceimaging MS methicillin-resistant Staphylococcusaureus PV pervaginam(bythevagina) NAD multiple sclerosis NBM nothing abnormal detected qds;qqh q u a t e rd ies u m e n d u(st ob et a k e n4 x d a ily ) ; ND nilbymouth qqhquartaquaquehora:every4h n8 notifiable disease nanoSram R right NG(r) nasogastric (tube) National Health Service(UK) RA rheumatoidarthritis NHS National Institute for Health and Clinical NICE Excellencewww.nice.org.uk RBC redbloodcell at night Nocte normalrange RCT randomizedcontroltrial NR nauseaand/orvomiting N&V omni die (oncedaily) RFT respiratoryfunctiontests od overdose OD OxfordHandbookof ClinicalMedicine,Te, Rh Rh;not anabbreviationb, ut derivedfrom OHCMT OUP,Longmoreet al the rhesusmonkey OxfordHandbookof ClinicalSpecialties,8e, oHcsS OUBCollier & Longmore RUQ right upperquadrant OxfordHandbookfor the Foundation OHFPz Programme,zeO, UPH, urley et al Sor sec second(s) Oxford Handbook of GeneralPractice,ze, OHGPz OUBSimon et al SE side-effect(s) Oxford Handbook of Psychiatry,ze,OUP, OHPz Sempleet al soB shortofbreath(SOB(O)sEh:ortofbreathon OxfordHandbookof PalliativeCare,OUP, exercise) OHPC Watson et al omni mane (in the morning); omni nocte(at SR slow-release(alsocalledMR,modified- om;on night) release) out-patients department OPD blood group O,Rhnegative Stat statim(immediatelya; sinitial dose) oRh- occupational therapist OT STD/STI sexually-transmitted iseaseor sexually- transmittedinfection sv(n) slmdrome T\" temperature TB tuberculosis tds terdiesumendu(stobetaken3timesaday) tid terin dte(3timesaday) TPR temperaturep, ulse,andrespirationscount units u U&E ureaandelectrolytesandcreatinine ultrasound(scan) us(s) WBC;WCC white bloodcell:whitebloodcellcount wk(s) week(s) vr(s) year(s)

OXFORD ENGLISH tsBN 978-0-1 9-402301-6 ilililltili