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OCCUPAIIONAL ENGLISH TESTADDITIONAL PRACTICE MATERIALS

Medicine

Readtng Test

IYrftrlg Te.t

L.t.t€rtrg rcst

64

3 l43

3

Apeakhg T€ar- Role-plt! Cords r to 6

- Rot4plt! tuepototiar

Addluonal tnformatto!- Inryuoge d Lledutr|e.

_Readtue tzst a$uer kegwftirw tzst sample ansuersLisbnhg test dEuer keg

Feading iea - Vercton I

trFE'

FaaE

FpFppppaaaaaaaaaatetaaet?t?t?teee?eeee7eu ' l?2

I,IINQOACE AUSTR'LIA

occsP TrorYrt Dl'tclrsE TlsT

1rm.a]|sEd: 60 !t!ut€

1l1@ are two edne !Nag6 rn tl,& ter. .Aftcr ach or ec passg€ 'ru rfl turda nD!6, acb rft! tou su€€6t€d slfu or @ys of Odsblig. you m6r.h@sorc lBw6 wrnci t@ tbr& ls b€t. For a.b qu6don, hdr€tc on you sl1ssE.be€r th. Lttd A B. c, o! D eg.lrEr lh. n@!d of thc qucadon,

Reocting fest - Ve6ion I

Reading Passase A

Dmployment rccords reveal the detsil of asbestos &rger

hn Ande60!, ltelbo@e

Alo a qMaer of rh€ r€olle Bbo qolked in e aibe$os mile i! WsteD Anshaliabe$eeo 1943 dd defclosu.e,bf the pitlD I966 ue ateady suflering fron disases Elatedro fien exloNre to the bliitlal, or iiat do i! tle tunr. This is the 6t!n te of tsedcheNwbo say dat the ode\ dploynelt r@ords bave e$bled th@ b carry oul otre of tbenosr tho@en $udies ev€. oftle Iong-tem teallb eilecls of exposuE to asbestos fibre.

Ile ree, based at the Udivesrty of Westem australia ud tle Sii Cldles Gairdnerfiosrirsl iD Peab, s5r lbd i is the onl/ stud) r! which a well defiDed group o'psplc hab@ erpced ro a sidgle fomof Abslos o!s a tpeotcd D€dod

Oftle 6502 neo ud 410 wotu! wbo wo*ed !t the nine, slbost 2000 bave dwdopedor wiu develo! @!cei dd oder dhqses lelated b asbestos. The Arb*los DisearesSociety oi AustFlir, a group fomed lo telp p@!l€ exlosed-lo dbeslos, claim tlat 300totur eork€rs have llrsdy died of dis46 thst .re Nbest6-relaled.

rhe Deorle, bon y b,srdl labouEF ftoF tuope. wa*ed io an asbesos dibe &d millia Wirietr;o& a rowo i! lbe Hamersle] R3!se, abour 1600 ktlooPt4 oon! ol Pen-bWirl€loom, orce the hone for 4000 people, is row virtully desened Tbe lbregove@eDt cui 4sdlial sflices lo tle ioM lsl ysr. Blue sbestos, d crocidolie, wd

Ite res.dhes v€E able to deftmine how much atbestos tbe volken were exposed toby mhog calcJlalio!. baed od re€didB. o drsr lha $ere uleo d vdiou liFes dringlhe mjF\ oDerar.o! rheDoq elteosve expoluF lodb$to"o.crnedro$e mllwb{eore rd sroud dow! aod the fibre eItacted.

Tte Alstralian study \ras putlisbed lst dotrt i! the MedicalJoumal ofAshalia otherradds of exDosue lo llue dbeslos - such as lhose lid Soulh Aftio - lave Dot !e@ asnsetul to es;cte$ s lhe drta ftom \vittelooB. says Willi@ Musk, ftoE the UoiYelsiry

Blue slbesios fibEs aje very thin, straidt ald snall - about 0 1 micronetrs in dieeter'As a resllt, tbey ale more lik€ly lo.nier the lungs the ofler twes ofasbestos fibEs Thevare also rie least litely to sdbere 10 and be inlercepted by tbe prol@dve mucus in lle

Scienlists have associaled tbe fib.es rdrded at Wit&loom witb t!re. D?es oi dise4e:maljelMl DesoihelioM, luDg c@€r aDd asbestosk. a samng oftbe LNg Mosl ofthevorkec aere !i the niDe for only sbo( p*iods - oodlhs, Btlet th& vem Tle dheaesmay rale u! lo 40 Y@s to develo!.

Raoding test - Vetston l

Tbe iecords until 1986 show 94 cases ofnesolhcliona. l4t lung canceA md 356 casesof asbestosis anong the wnGnoom worke6. ln rhe general popularion, resotbeliona, acancer ofthe ourercoverin8 oflhe lung, is rde, mcudine at the rare of tess rhan onc pcrnjllion p€ople each yed. The scie.lisrs say thal exposur€ lo 6benos cm accouor tor about40 per cenl ofrhe cases ol lung cancer at Wnienoon: tbe renaind€r q€re causcd by lhe

over lbe .exl 30 yeds, lher€ *ill be a s€v€nfold incr€ase in rbe nunber of cases ofnesorheliona, accordinE to the rcs€eched' esrimares. Tnere will be as nany as 25 casesof lhe dne6e a yed by the yed 2010, The rem predicrs that berween 198? dd 2020, aroral oa 692 .ew cases oi ncsorheliona wilt €cur. Most will be in lhe luns tDlerralm- oheliomz . bur rcn" sill be in rhe abdotr. ' , rrironerl ne,orhe.ioma '. .a;. ;r tu"ccancer md asbedos dong the workeG will Each a peat by abou12000, vid a lotd of r83$d 482 respeclively by the yed 2020.

The Asbestos Diseases SGiety claims thar lhe D.oblem vill .ol be contned io iomersork€rs. About 6000 of the 14 000 wives ed cbildrcn oi work€rs ai witlenoon pill dsoslifer frcn asbestos{elat€d disease, accordhg to rhe s@iety. "Foriy one p€ople in rheirlat€ 30s or40s wbo p€rc children atwitle.mn have died ot oesorh€lioma.. accordi"! ioRoo. r r vo t "^ovr . rhe Pre lopn or rhe .c .e r t H . obra . red Ine !d rbr . (s l rom d ; rhcedificat€s. The universnr nudy only ermined rhe rords of porkeis.

Last year, after a legal baute lasiing 13 years, csR. rhe ninins conpa.y whoscsubsidiary, Au$ralian Blu€ Asbenos, operaFd fie plant, aereed in an our ofcounseluened lo !q .omp€nsalion to fome. min€n fld residents of wirerood.

By 5 D€enb€r,350 people Md their families had receiled .ompensation totaui.e $42millioD. Th€ SEte Govedtoent hsumce Co@i$ion will shde the costs of conpcnsarionbased on eiposure to asbe$os ar wiu€noon affer 1959. The paynems, pan of tbe l[sesindustizl setl€menl i. Ausralia hislory, will rose in siz berwcen ,4$30,000 andA$600.oco.

Ho*ever, we$em Aushlia ha anorher probl€n. The rcd gorges witbin tbe HanersleyRuEe, inclu{iins th€ Wnrehooh Corse, bare beome a rourist affaclion. Th€ millions ofasbestos iaillngs rbat stil hler the dea aE Ea&ded as a h€alth haad, especially iochildren wto mishr be topted lo play on thc pilcs. Canping is forbidd€n in the

The stale Coremmrt n consid€rins burying rhe |ailides or pnrting then under the *arer.Borh solutions will be elPensivc. The abestos seiery is qing ro o6tain tunds from LaogHanco.k, the mjnihg mranate who opened rhe mine in 1be late 1930s, fld CSR. ro hclpr€nore wirlen@n Corye, pbi.h ir says couid be nade into a major tourisr afua.rion ,ralsowanrslhe rown ro be relmared wnbjn the go.ge.

Peoding lest - Vedon I

Dnptna@nL tmds rcpol t)e detdt oJ Bbes6 d.'qd

em Ausr.Jh tue, 25%

la) have died snlm 1966 ot tue Elared dlsa*!

ftl nav€ alrddy gol stmptoms ofdn€ rehred dj$ses.

lc) oay suffer frcn dn. Elated di*a*s l! tn. fure.(d) hav€ dwelop€d nine rebr€d dtseases or my do so.

2. rl'rch of rhe ronoung b rd 6rqc to rhe west Asrralja study"

la) Thctuek pt reftrdsof alrMrk rs.

lbl Thd dfl{ts oforry one fom ofasbcatds w€re stu.iled.

{cl Dala wE colected duihg a cra p..rod of ume.

rc) Trecroup 5turted wsskLdrtucd

3. The popuratson ofw'ttoen rs row

{r) dound 4.oo0 peopte.(b) €rttndy shax.

{c) @ud 1.600 p€opL.

ld) non endol

\l]ich or r}'. fonosirg rs not tl,!r.at of blue asbedos fibEs?

{al T}e fibEs tre so sn ! that they enrcr rhe tungs easrly.

{b) 'rrie AbEs easry adnere ro !rcred]E mucus h the att*]s.

lc) Tb€ nbcs tr€ Dsualy Do1hlffi€lted by mlcus h tnc ahays.(dl The nbEs ft r.ss thd a dcroncirr ta dramerer,

444444e44eE444e4e,14,el444444,444,6,4,444444444d44

4

thft tlTes or drs.ases as@rated vrtb asb€sbs nbres ar the wrr€nmn

mesorherom rs the E6t r€quendy ccurdru qTe.

asbestosrs Is th€ mGt rrequentiy occurriqg 9T€asbeslosis rs txe lest fiequduy occftg t,?€.ibg 6cer Is the reasl tcquenuy ecuElnE ge.

Reodlng lecl - Verston I

EatpbgMt t@ftls rewtL\e dztaa aJ 6b4Los drtgi

Thc !6ardr t@ pEdict Uut by the y€r 2O2O rbft ll De a robr ot ta3 esG of

Ibl pledr, n6omeno@,

ld) pedtonal ndtteuoD.

7. Statlsue quoted rn lhc dtclc @ bsd on{a) deth €mete.(b) Etnc dplorndt Eord!.

tc) carch cdrdud.d ar a wrv6rt'.(d) 3ll of th€ .bove.

a. A 13-yar legsl batUe fo. mpc@son of dts*e dccm6 Eult€d h(a) d ouFof-coun s.tu@dt hwrilgla}tdt !y tm !ard6.lbl cmp.@don pa,:n6t! ro fomd w6@oom , n6,tc, ontEEd@ F rar! to 35o \{tteom rEtd€lt3.(d) d out-of-@un 3.|d4.ni rnvo]llng paymot only by csR

9. $,brdrof thc fonowtE stat@dt. i6 &ost accEt ?Ial rhe }lllh @lM. oltouist tE6c ls .bdlng th. rd gorg€ ot rl]c l{mNlqa

Ib) fod,sts h tbc Hd6tq Fange sulld tq!6uy ftrn !Ile.(cl Culr'rg r. forbtdd.n tbeuEhour the g0tg6 of dE Hamdlitey Ranle.ldl T.unsE tu a h€lri nsk ,n 6rs .rs of lne Hamdsjey R3n€re.

10. thc f!t@ oI touns ln \{4$mom c..g. d@dds on14 solvrrle trrc trobld ofhow to relo€te th. rom.(bl $l!j,g the p:lbta of hw to rdo€re th€ lolBe.l() dls!.6ui€ ot Mpoladon cj,ms by tM6.(d) dl6pctn€ oftrsnhgs tenby a€!6tosnl, ng

Pedcling len - Ve6ion I

Reading P.Aage B

The senses of the newbornTests fot lvdltlg otd Dilif�r. harE tr,ptored

sL"Lcae{e\ dsriptim or rle infdr, "M.wliis atrd Frt itre i! 6e Dur* s @,"1 sas ehoed in UEatridds ordotuN dlie !ft.dury ne nerb.m baby *6 &oustl ro be.ir!c drossy, slee!. or.ryile, od ro erpeid@ De vond e a ssr. blooning, buitrA @ntusion. ,1 tu. pe b.ve lsr ov6 rieDad 30 y* rhd rbe h4khy nevb.E baby .d disrjdid& b.dd djtrercd *rsridns ftor ineeDvnomenr dd spond Fl6riv.ly. ryi |nin hou.s or birdr rne b6by pix ldok d lne morhea s face. andti!6 tlE choie ldbom b.bbs prerer ro look a! a c&d shNing |ne fsrw or oorhd huh b.ing ftdEr$d fte 6e fedE jmbred np o $e rdruc cotrd@s€d jnb . leSe blr.k parrlr

'Irre ft*bon b3bt s,.idr ooly I l% ofd€ iine aprte and atd itr rh. ftrn kk of ufe, a FoDonior ib!!ris ro 2t% i. rhc four$ rel .1ti! saitn"ctior or wrreftlrG hirdd.d rb0 edtv d.vel0Dmar otmeuodr o'refus sns rr1rd djug!6poe 1ir inp.@' h rddo debab.suc d;rcr-br'9@ drp sie? ar oo. etup ed .]ns ar rh. ol}4 - ed ftahd I gib€havioElst6. Bozlorene ei iiis wrl b irdn ir@ orbish{ &uologicd n6cdd, ilcludibgrisal and odirory FrpoNs ro r ex ard m!te, &d hi5 n@rrl bdraviourai ffidr sl. is a ntu or$odDE h@c!iv. b.n!viour.7

$nr do re oed ro rd rhe srs ol rie n€vbon? we wr ro .mre 0Er rhe babv is able ro iDEer wirh' d d' 'nqP s no mpdmetr 'o si" .;odoo"r. "ogr Live, Do

lh3{tu6c dry€ropn tr! n i! on.n dirfi.uh ro Drcve rbar dlr irr.s. ioo is.fieriv. rn FiniEjsinEhndicap, hi lise G aidae - rd ilfu. $d d.rf cnndEtr nh.d wirh haiu lids j! rh. fid sji holdso|rp ilE b. r. sFs h ds 60* ,'i.d ud r4nd .[ !sm6 ud nN @;* "s* m, w] *ou.dli*e ro lrow of6y hddjep 6 @ly s pcsibh.

r.a"s "1."u. -a m.,i-i..,bod! or di,s be$s ed vsod sdirFtur, rhe) id dLqif t i4o* b s@o. t irus t d w r,s b i $6d cr,p dd r r.b3- binreGsihs nois, vnn ,rr@d@ i, then br.rinins p.dd. E€r Do$d @snis rb* rspoEs, burrhey @or bc usad ro d.r€r dorb3bi6 Elhbly because of lne w'l!n 06 rudon rovdmts babicsnate ed posdble bias o! Ue pd of rhc obs!e*. nre u* or! sihpl. r,rit. ro p@due b4d and.yeMhs h6 bea denbed.' bd de nday b€ ffiorded by devi.e iftdrponths oic.oprdsr scb 6 lne aud orr spoB dsdte (whicbsnourd.libinat ob*ner biat ne sirivity snd st cificiry of llis ddl. h.v. rrild ud! riats,1o 1rDd rb. rud sid'ns ba b be vay toud (30,35 .rB) ro rdl in a b.t vioral nsdr by l!€ b€by, so lhdDod@t hdins l]s 0e nised.

Ihe dehphJrldlosi.ll ESoe 1! sud my b. derd.d ry .udiob.ry brd m sked 6p.M inrhe bBi! sh. ad rhis is colsid.Ebly ntr sftfu.. Sinpt5@d n@ poiable hzin s6 F@6 blvenow b.@ daelop.n.u Mosr Meouy iabom bati6 haing b's betr enen by nsins oramsic.oi$i@q a ph.do@or f6. r@d.! by (@o i! 1973.! A.li.l3imut6 deliydrd rd a notut 6rdlb ii !r '€ho" $und 3ad€d bt de ce a, rbich c@ b{ derere! by d niniabne miftoph@q Ihcnerhod is quid6 6d ld5 ilvaive lbd hain s6 rudimll-y sd cd deler *en nnd hdiol tos.Sr@ and his oxe8u6 re@d 346 hrac atis* dd sho*.d rnar 20 of &e 2r w ifinrd-b *no *Nene8ari* rNlr & bratu 3da i@erly5kofril.dondrcol@ounicBLrthisqo.kdsohiCnUSnEdamjo! Foblm - rhd or vllid!.iq rel}dds or File Flg i, fie ne*boln brby. Tln ta b he by rollo*up, ctetjDg rhe oul@nr ri6 dre rdiry ftarbdds itat b@@c posibt. in $e otC{ iDtb! Srdok glouprdud a tod cor€laioo belweb difr.rion 6in3 ot rhe babiet tariDg ar 3 norhi or ,se dd bEin srn

eparct .onfimed by orha! 'rw. Eu5i los b. mor aurious ininre'ldin8 lhe n$us or.ldrophysiolo8iel ress in rbe ndbom Babies iho Bive negrive 6uts willne.d E@sritrg edar rin* durirs rh. fd ts Thoush lns sly tirhs or hains aids is d6icbr., 6edeSr@ ofh.ding iepaioenr reeds rd & de y .sblishdl. pdiculrty rs tutudidi oflne andiioryparhmys tuy be brhs plae, axroud del.yed.

lirr rtrming ro souid) lnis re$ mry nor b. nli,6l., *p..iauy ir I'dcm i ah , thp .dkF0druTn-Nd

' . , * . - , i . b l [ . | d ' R 0 0 " ' .

it;:ft; rnd 'Gi"" i" p**N.

PitMs mv 3r. i fasun orvissJ fuidior b only lnd rh. as. ot 2 moi'$ Tn. besr ndhod oI n.aurins Ynud scunv is to us thep€terenri,r lmrjns @hniqu nu 30 ves rso $i parened obla6

Reoding rest - Ve6lon l

Mkh ra$iidins md djoyzble resdh is b.ins done inb $. lbilirv or

f&llhdEwbonbabi.sdodpEienc.re'lpain,idit€dpG'oFIatrEs3lg3'a

*dieb/4qgft, iodsdrd'%]qJ36n

cM4 oJi'!tut t'qtuNtrah Pd@l@F@dl,i6disPddh@d@i.

fud4ii6dlLidso&lq.J,'}.

Paodlng tesl - Ve6lon I

rt@ se66 oJtt@ @tnar

(a) that lt rs Dtu.lr fo. a n Nbom baby 10 a?enend tn. m.ld as a creatblomlig b@lng conluslon',

tb) tlEt babr€s d€ nuch mor€ rcsponsrvc to usual md audltory cu.s h iet

sumundhgs thr w6 p.€lrously lhought.

Ic) i]1e nd,bom trabtcs n slw to dd€lop . ftspon* to !1sual ad audno.y

sumutus, sce th€y e€ aw:Ie ody(o thar babtds e ld$ abld to ds.ndnate betwecn drtr€rnt fatms of tne

envlftnoe.t tho us b€lded b &e arst half d t}l]s ceniuif,.

Accordhg to re.4h r.feftd to li lhe ar{cl., a baby given a chole abour vhal to

lal a rd showl4 hind fadar felures.

{b) a €rd shMgjunbled

lc) a carn sho*lng a large black patcn.(d) a black fld v}!re photocrap

the sn*s oftnc 4-we.k-old

(b) who trbc'tus.

(dl none ortn. abo!..

whlch of tlle rono6g sblemnb ts tue?(a) There rs $ne evrdc.ce tlEt 6ly t tffnuon la 9r€vent bmdjdps

lbl Therc rs Duch.vtdence that.dly liteNention ff mlt fu hddl€ps

{.) TheE 's $me e'1ddnc. t}al dly l'1eflentlo! (n njlnmtze h4dsps

(d) Therc t3 !o cvrdence that @ly bteruen on lfu mldtfu ihdreps.

bedg l,a Dcwbom bablcs ls d ncult for sI ol tc loUotug tusons.

Newbom bables sbow behallouJal respon$s to somd such 5 bunl(h8 dd

D€aJbabres som.uDes rEk€ Do€menrs by chde *bd rnt€rcsthg nol*s

obseFe6 @y be b,ased tr thet hierpretatlon ofbabres rcs9oFeg

The eudtlory r.sFotue frdle do* rot masu€ nodenle b€:rtrg ros*s G4

Reoctngf€3t- version I

7tE sM o_lo\etuhnm

16. Otoaoustic i:dsrons e

solnds deltured ro the cocht.a.'e.bo sounds €D$d by clrck sttndlcltck sumult delvertd to a nro.ld.souds gm.Et€d by a tr)lrnale dcmphonc.

cd detet @n hld heinrg b*.

14, ot th€ hcanrg t6dnE methods dedb.d rn the t xt

Ia) btu sten audlom.iry 6n.latcd w. nth9Ee!99enctqE.-

Col bd stm audlom.try @n€lat d v.u rntn dstnctro tesla€r.

{cl otoaoustic t€sts corlated poorly *lth b.ah srm audlonety.

ldl otoacoustr. t€sts co@rat€d wlr dth dstracirotr 16thg.

r9. wrrrch retnod of tBllng llsron tn ner$om babrcs rs not lst€d ,r trie amcle?

{sl bln* h Espose to a b.rgh! !ght. .

lbl folld the ntre'@t or a r€d senm b.[

Ic) chce b€twem lookr.g at enbe. a sHled tape or stdped drum.(d) ch@se betRe! l@Hng a! .rt}le. tl.i. or pattded cads.

20. of ure p!bt€!o6 nst€d b th€ foohobs on ihe pace follov,hg th€ Eadbg passg€

{a) all e ton loumals of psycholog/ or neuroloAr.(b) nonc d.al *{tn respotu* or behavloa of jrfdts.

(c) Fost d.d $ttt the rtsponses or b.nadour of rrfsts.

{dl atl deal $'ttn lhe audlory respon* ot |fsls,

CompaEd wnh rhc u* of otoaco$ac entsdoft. brah std audrom€try

th.t k .rE dd o(.!c R..dlrg T€t - Anru o! P4. 75

P6o.llng fesl - Vetslon 2

Redaling P.Issdge A

AIDS deaths blan€d on :mmune tberapy

THE DEATHS of rhr€c paticnG during trials of an expennental imnune lherary iorpeople *irh AIDS have Eneryed contrcve^y over exp€rine.ts ceied oul by the Fre.chs.ien-ri Daniel Zag!ry. The affair bas aho hi8hlighied sbon onings in lhe syslem of, ha \. rd coauo'. over (lircal re<edh

The French healrn mibisier. Btuno DDneux, recenlly dnou.ad thai e ibquiry4adcleded Agury and nn tem al lhe Piere and Mdie Cuie Un've6ity in Pais of allegeditreguleiries in the way drey conduded tests of a potent'ai va.cine ad an exP€ndenblinnune tberapy in patien$ al lhe Sainl Antoine dospnd (This week, 13 April) ButDurieux tude no nentlo. of thE deatbs which tbe jnquiry had Epolled-

Follovins EvelatiDns abou rh€ circun$ances in whi.h lh€ Patie.ls died, Dldeuxh6 now d.oDnced a new asessnenl of lhe res6, to b€ undena,k€n by ANRS, rhe nationaiaseDcy lor AIDS reemh.

Lat July, Zlgury and1?9) a trial on patients wnhFepaoiion bsed on protelns

hn coll.agues reporled in a lentd ra The Lancet (aol 336, PAIDS or AlDsjelat€d conplex. Th€ patienls rceived alrom HN 'hd wa. designed ro booq then imutresyJen!.

The prep&ation vas made fiom smples ol tbe patients own whitc blmd cells,punfi€d and cultur€d in lhe labohtory The rcsedches had jnfectcd dE while blood ceUswnh a genetjcally engin€ered fom of the llccinia virus that had genes from Hlv insertedinro its DNA. The vaccinia, or cowPox, virus, had firsl been inactivaled wnhfomardehyde, said the rcsedches.

Ld vek, the Chicago Trihune and t? Monde all€Ced that at le6r two or thcdearhs vee caused br vaccinia diseNe. a ra.€ conPljcation of inf4tion with vecinirvirus. vaccinia is harnless in h*lrhy people ed t!6 bec. used in ns live foF as rhe!ac.i.c asainsl 3nallpox porldwid€. But i. people whose iooDte sysr€ns aEsuDpresed, th€ virus a6 @cdionally sPead rapidly in rhe body and kill

A ?dh demalologil, tefl-Claude Guiurune, said that when he wmed ZaEuv srean thar he was collinced ohe ol thcn patien$ had contacied vaccinia disease rheEsoonse was thal lhis was not po$ible becausc tb€ vaccinia had been inactivated.Shonly before hjs death, tbe pati€nt had consulted GDillaune aboDr ldge, rubbery lesions

cuillaun€ consulted a colleagu€, Jean-Claude Roujeau, aboul th€'rnc dheaseRoujea! told thc Chicago Tibune rhar hi rest on lhe tissue samPles $,ken froh rwoDarienls &fore thev died bad derected vaccinia vins in rh€n skin cells

Reocling tesl - Vetsion 2

The SainnAnroine kams po.tsonem r.rb d'd no' Eveal va.drua Odil€ Prard.cbo n 'n chage oradniDner ng tte trcarment, \ays $eE were ftee po$ible cau!.r o(death - vaccitia disease, heDes or a loxic reaction to lhe p@edure used to prcpd€ whiteblood c.lls before injecting then into pari€nts. Zcgury, bovever insist d that oorhingauows us ro afim n [was yaccinia]. h could have bcen heQes or Kaposis sscoma .The tcsts de @ndnuing, he says.

Luc Montagni€r, co-discov*er of HIV, called lor 6 imediare hah to theerperimcnts. Ite says thrl intrarenoDs injections conld lead to ecneralised veiniadisease. His t€ab al lhe Pasteu. Itrstitut€ hs alEady snop. in laborarory rsls rhalvaccinia lirus Dayb. dangerou if lre imun€ sysred is unable 10 Esist n.

The findings !r rh€ P4r.ur Institure eeE app@ndy unkroM to Zasury! tem,vni.h works with Montasniert rival, 1he Es.&cner Rob.rt callo- callo! @llalohtiotrwi$ Zagury ha ben susp€ndcd by rhe Nadonal L6titlt s olHealth in the US becaus of

Zagu.y ond his lcan hav€ also denied chdges that lhey covcEd up tne dearhs.whicb mnotnorionedin th€n tepon inThe bhcet.'Tbeyw.rcnor.over.d!!, Picddsaid. They weE aeept€d linro rne bia]l on comp4sionaE crcDn<b.

me lancet t pon .oncems 2A padenE. 14 wio were rr.ared md i4 .ontrols ehowcr€ noI able lo Eciv. lhe trcarmenr. Picdd says rh five orber patients wee also eat dvilh rh. prcptradon but were.ol compared wirh rhe co.troh. Tten T4 c.ll coDnis hadfallcn loo low to b. compdable with th€ conrol gronp, so lh€y v€E .xclud.d froD rbcsludy md nol nerdor.d jn its Epon.

AIDS pati€nts m laniculely vulnerable b jnfecdon. Furibemor, tbe Frc.chethics council had sFcified thal yolunle.E should be chose. b€caD$ ̂ tileir slare pd soadvanced n .xclded ftstn€nl wilh AzT . Ar least sone of th. la.ienrs were beinEtreat€d wnh AzT at tne satr lin a imune rhenly.

The council bad ale sLed to b. iofomed of the rcsults ol tlc uials ce by case,but had .o. ben lold of thc derths. Th€ Een€licist Ardr€ Bou€, a n nbd oI Ibe coucil,eid: "The ethics council d@s not havejudicial po*ers; w€ de not the fdud squad."

Thc diElot otulte.AlDs resedch agen€y ANRS. Je&-Paul l,ra, js concem.drhat ax rhe controv€dy marl!e44 !o ! cisis of plblic conlideice but laid the blm€ frtrrlyat the d@r of the Dediivh€rc ".xesive praise js followed by ex.essive rcjstion ,

kvy, who had sdll h€ard nolhjne, "cv€n info@ally" from dle hcalth njnistry theday aft€r Duteux lold prlimeor ihal ANRS wolld assess imlne lhedpy trials, said hewdted to sndy rhe probletu "i. d€plb, but .or in tbe allnosln€re of a trilunal .

ANRS has a panel of expens in $e6p€utic tnals, whjch, says kvy, might *€kimematio.al conracr to obtain a broad cons.nsus on lne issues involved. The.e seechagencyl rolc is lo carry oul a plrely scienrific evaluarion, nor to 6sess wh.ther dere was abreach ofethicrl guidelin€s, according ro Lvy-

''If lh€ govemnent called on us lo exdi.e rhjs case, we could &l very gli€kly,said PhiliD@ Luc6 of th€ €thics comcil.

Rectdlng lesl - Vetsi.n 2

AjDS ddl6 btttuti d tue tunPu

r. w'!.h orthe fonMg b FAISE

d zagury s exp€nnenls have been mntrov.rsbl belorc

bl An lrqxiry found obvlous rftgulandes li zagJrlJs Mrk.

c) ^NRs b 10 re-€varlat zagurys tests

d) zagury s hrenuon had bem io hcltd panents tmmtrn€ svstens dth

2. 'the prepduon whlcb tl1e paucrts rdeived

a) had be€n accrdenElly bfecled $4th a rom of tbe Ecdna *rus

bl Ms mad€ from whtt. bled ccus vhicb }ad be€n ndufacr'ftd h lhe

laboratory'

c) had been stor€d ur tomald€hYde

d) @nrahed bbontdy_treted whlte blo.d cus wtu.h had bfrn bjr€n lrcm

3. Adordlng to the artrcre, va(fu

a) rs poten!.Iy leftal ror ax humms.

b) has been used b ng botn co*!d dd smarlpu all dound $e wrld

c) @ be ddg€rous ln people who haE abnord rmune svsr€ns

d) lJr.one ollhe above.

es also a neober or zaguy s tem,esrfted one of tlre p5lents who lrad been reIened to h]m bv zagurv s

lrrom€d the ctilego Tnbu.e about lh. Esults or th€ tests on he dssue

Ms/drd 'one offteabove.

whch or lhe fouotug people does NOT vork !''llh zgurr4

dl None of oe above w.rks Mih zagurY.

Reodlng lesl - Vetsion 2

rrl)s deatt$ bwed @ tune tututq

FAr-sE rlar llrdhgs at t})c Pasl€lr lnsdt e

Ner ignded bY zaCJnY s tff.

dld nol lcad to ,nr€ftntton by tne Nauotal lftututes ol H"lrn

showcd llEt bta*nors lnlecdotu were no1 g..d fo. padents dth wealrd

led to zaguJy s ted keephg qtner about the pallents vbo n'd dted

Hov rmy people wer€ lnjectcd dtn lhe prepdauon ln rhe id'P

wlrrch of tire fonodng starmdts b.st descnb.s the tlual condtilon of the p€ople

who took pan h ft. trlll?F€w.r $@ haif of them had AIDS

The Frcnch €$rcs 6mctl

4 is aga]Ist &c u* or4zr

bJ wdtcd to rmaln glotut of the d4rhs

.) rs dlttng to daluale th. td.r

d) may pmKule zguys rd

A.(ordhg to Jee Paul L€ly

over-.ecuon h tie med, rEs l€d to a cnsb ln publc snnd€ne

the healtn r dsty told hLim about tne deatns rhe dav aner pdnoent

cl lhe ANRS ttrd nol eat to .onducl their ass*smmt b a pubxc mta

d) ANRS nay pms{ub zagury s t€d ll tbev 6nd tbere was a brocb of

dthc.l guld.lhes.

Pedcllng lest - VeEion 2

Reailing P@ogc B

Insultn ts stil s hard act

Rese{ch groups dound the eorld d€ olrinisric tnar they tue n*jng prcgEss rovardsdeveloping tbe dng insulh in a fom thrt cd be ulen by nourh. Many diabetics nnsrinject $enselees every day virh insulin ro belp control rne bvel olsugtr in th€ir blmdFor decades, scienrisrs have been looking for fl effecdve way to giv€ p€ople j.sllin by

Insulin is tu essential homonc for genihg glucose fron the bloodstreo i.lo bodycelh, a.d nost people produce it narurally in tbe pancrea. Peopb *nh diabebs neUnusproduce €ither nor enough insulin or none at all. Th€ homo+e .dDor nomally be bl€nby mouthbecause insulin nolecules de desrroyed by d igest ire enzyhes in the glt Tnusmy diaberics nust inj€cr rhen{elves *itb insulin daity.

Researchers have thercfore been aiming ro package rhe homonc in some wat somd n ca sudive intacr ln rhe sur dd cross lhe aut wall into the blo.dst€m.

The curenl expcrioents &e all at an €dly nage. Even if tney do l€ad to anefi4tive lrcatmc.r, it nay not bc suibbl. for every diabclic. lnos aosl likely io benefirde p€ople who find injecions difficult, such N blind people dd younSe. children.

This monrh a leam in Ohio is applying for pemission lo tesl its oml insulin onp6ple. The rable! js a geladn capsule which contains insulh od a drug sinile ro aspninand sodiun bicdbonate. Tbe gelatin ha a coning of wal€rproof plastic lhat becomes

Muday saffrs, Nho is lexding rhd rcsearcb ar rh. Medical College or ohio inToledo, says the plast'. ba*d on a polyner phose structtr.€ co.lains cenain nrlrose.

t.ogen bonds l6own as u o bonds. In rhe gut, bacrena bpsL dowt the do bonds, edthe pl4tic becones pemeable to warer wat€r eniers th€ capsule ed causes a reaclionbelw€en tbe aspirin like drg a.d rhe sodiun bicrbohde. eivirg off cdbon dioide adruptuong the capsul€.

Tbe E sedchers bciieve the dpinn.]itc drug nay also h€tp the in s ul in to be absorbed. Th eidsulin is absorbed dnecrly frcn the sut inlo tbe veh carrying llood lo tbe liv€r.

Saffian and bn colleagues hav. so fd caried our tials oi tbe.apsnlc in rats andnost recenlly - diabetic dogs The resetrchers found that lh. level of glucose in lheblnab bl@d rell, on averaSe, iron nore than 400 to 120 nillisrans ler decililre aierrcceilirg rhc capsule. Al the sme rinc, thc insulin lereh in lh.n bbod rose, showingthey bad absorb€d lhe homone.

Peoding lest - Vetslon 2

A.other group has already stded Gning a different insutin catsute in humabs,having trsr perrod€d animal riais. Hanch Bd-O. and bis colleagles ar the Had4sabHospiral in Jerusalen have palenred rheir capsule, whi.n is coared so rhat n is nordesrroyed by rhe sronach acjd. BaFOn says rhe caDsute contains j.sulin and oth€rin8redienrs which help ro e.nan.e rhe homone s absor?rion in rhe grr and to inhibn tbe

So Id, the trial in Jeosalen has 6€n snall, involving onty eigbl heatlh votunree*.ln futuE, Br-on wants ro exrend lhe rriak to diaberi.s. bur he stresses the n&d for moEEseach b€fore he cd do so.

Th€ success of rhe tests so Id ha be€n linited, bur encouraSing, says Br-On: inrhrce ot$e.igh! the level olsugtr in thei. blood fell afie. lhey rook tbe capsute froD loonjllieraos Per d4ilite to berveen 80 and 85. Ar in. same tine, the insulin tevcl in thenblood was scn 10 rise to a FaI rhen lail oft For 1he Eroining five F€opte,lher€ wd .osignificar .ff€ct from |he cspsule.

A lhird proj€d n led by Youeh Cho at Murdoch Unive6iry in Penrr, Aunralia,tosetber wnh Conecs, a conpaby jn Isle wonh near Lo.dor. Cbo has devised aconbinaron ol insDlin &d faq nobcules, encapsulared i, Belarin. The fafiy nolecul€s.ahich occu! naturally in rbe gur as s producr oiihe digestion of fal, de esily absorbedfrcm lhe gut and cdied ro rhe liver. Insulin arrached ro rhese nolecutes can enler thebloodstrem.

Cho gave rhE diabeiic n n lhis prepdalion, in liqdd lom, In each of lbe menth€r pas a subsrdtial reducrion in rhe level ofbl@d sugd. Tnei insutin levels wereaho seen to p€ak a.d tail ofi The tean nas pnblished rhis {o.k in The Lancet (vol ii1989, p l5l8), ahd clinical tlails of rhe capsule &e due to stan soon ar Cuys Hospiraj, in

Ther€ ft. however, several problens sirh oral insulir. Firs! n h reldivelyinefiicient: eledl times as mucb insulin is.eeded lo a.hieve the sane dioD in blood su!trrhara.pe ' r . "mounrcould a. tu .vc ' r ,n ,ec ed Thi i \us€ers rhu " , ign ' i , - r oouniotinsulin is still b€ine d.sgoyed in rhe gut. Also,lbe amoDnt of insltin that witl b€ absorbedis unpr€dictable dd €d bc distupred, for exmplq by illnes.

Rea.tng fesl - ve'slon 2

I6utn G .dn o rd.r d1 b s@utu

,;'- ';;" "" '""e.' "."*"'" -ai drab"uca s''ourd mred ' h'm!'lve\ vn'

bl a lsrge number of dlaberics nd longer 6r ro fled th€nselvs frs

d a uab)e oral lom of he'nh hs be'n de!'loptd

o, " *on.- a*t t"ulf rovsd be dev'lop?d

T1!e m:ror probl€n k$ o oral rom of hsulln MsHn

at p'odu.Lna tr ln sufi'rentq6dur' ou'5d' th_ pan ds

br deltetue tr ddmgcd

", .--r"e u o* '*"*g dr€*uvr "/tTca l'' t''' 4u|

;' ;* "*";..,"'o '"'m$o'eeut qarr bF Lhe sroodsen

casurcvhlchls tobe testcd b ol{o r

v,tl also b? t.\cd on blnd p'ople dd voungft chld'r

;dns a codbhatlon or lnsult' 6pttt dd sodrum htdbonatc

;;-.""-.""" "*""". to otrcme the pr€r4ous ercbros

r€ctron bet'rtn tne €Psde @d

,s rkelY to desEdy rh€ tnstu

dddddCAddEqqtqt!a

@uscs lhe hslrh dd 1}r. sptu_llke dng ro bc raken hto u'

nroduces cdbon dioide as a bv prcduct

;n.ws oe hsdrn od the sodrum bicdbonare io pass hto ue

Rcseeh at tlE M€dical college of Oblo h Toledo

has shom srgns ol bebg successtut

has been orded out on diabeijc rars dd does

his>nod m dc ers. hblmd F\rl 'n rhF ddcrs resre'

15 .

Peocting l€st - Vetslon 2

rn resrs (rdcd our a1 rlE Hadas$l1 Hospft2r h Jerusar€oaJ saflre s upsutc has had sht' r€suus wtth humdbb) Satr@ s eraute nas nol had sinid resdts srh hurmscl tne l*dhe6 haw used a capsule wl1lch ls ardosr rderucat ro saitrd sd) the epsule bebg used ont hs subsr2nces to protccl rhe ituutjn f.om

anacKrg r. fte sto@ch

wlrrch ol the follo*1ng sbtemnts ts TRUEa) Bd-On lE used he.ilhy drab.{c lolunreec errlusrvcly ln hls trialsbl Bd-On rs ready ro e\t.nd hls datsc) Bd-On has not tfrn d,*ouEg.d by rtsulrs b dat€dl Less lhd s0% or Bd On 3 sublds erTeFienced mlijmar clhge or hsutr!

rn rh. ^ustraxd pm&da) ratty noleal€, jnnu to those fomd natuaxy{ccu.r'rrg ,n tn. body, de

uscd to .osr th€ rnsulti,g€tat1n .ombbitjontlE artxicraily'xrtioduced fatty mole.ules soldtt rn t}je gutfatty mlecures 6iy $e tisuiblhe gcla n.nlm tn€ bbodsrr.

a) the s ofchos resl subj4tsb, ln what fom tie pr@ddon ws adnjrl]stcredd wndl1s tne r4l ol t srln tn the subjsb hcrcased ornot

wtuch of tn€ folo*.tng rs NOT gtvcn as a probtd v,lth d oEt fom oflrtn i?al lt ls dlnrcul to *ur( out how much InsuIn needs ro be addrsieEdbi trrm *.Eiy p.ople who ffi unabre 10 swallow capsures sucftsstunycl the Et. of rftuxn abe.puon may be atr*red b', the generaj bearth of rhe diabedcd) patjents wodd nftd to be grvm srbstanualy moE hsulh uE they .wen y

Tb.r r3 .i. .nd of r!. rrcldirc Tdr - r'.F.B oD pr3. 7s

Wnnng lesl - Ve6too I

OCCI'PATIONTL ENCLIAH TBSA

R.rd ih. cB. trot6 h.I@ &d @npr.t. tL. sdrtll ter rhlc! to,l@.

He ls a s'}(a-old bdy aeompar .d t'y his noths.

5 yo boy, erc tllbat md busky vorce,

-ldge, t ected tonsns sth @date.-tdnde' mlrged rMGr 'odes -

Penlcltln v 25omg qrd ror 7 daYs

Mum rol.l.ed tnat .tarnl€ had brM trtue 4 days a€o. she sys he

G dftd dd 'etn4b No I'rstory ofii.quercr. dysuna d tEUm.

ENT tonstld h4ertrophy

UdnarYsk - nacoscopid lt@tuna.

? Posi siEpr@c€l nephtus

R/v rn 2 days; drjnt plenty or nulds- In€suaauons. -FaE + difi

Urea + cr€atirnne-Etectror) tes

Ascrr flde-MSU M/C/S + ceU borphology

?p?-

7-

-

-

{

-

-

{

{

{

1a.a{

.a2a7a.a-a-

-

-

-

It-

aa.aaa2,o7??p7p??p?777

Wiling lesl - Vetslon I

30.Or.9O Patlent sdl] asl.mplotuUc

9/E r' BP r 10/90 Notc ̂ BP , -)'_tl'rulvS" - -"*".opr" nu*ut'ru

Rslnts -tBE'nomal

-Ure + c@tL1nc - sl. d@ldl-rsoT - dealcd *++

-MSU - 4 x r0 | RBC oltual odglr'

Postslrepto@c@l n€dn$s s4th @rlv re&l failft

Rda to pa.dlatrlde Di F. Goldmn.

r7r !'tctod! Prnds E !r Merbo@a

Do NOT @e not. fod tn th€ l€tt€t; .rpmd ate rel.vut caB€

&nt€.ceE, ane letter 3toutd t. 1n-2o lln€r lo!4r onry the fst 26 ll.$ {tll be

sB€$ed.

lletlgrn. blor lo! l! th€ @e !ot€e, rdt€ a l€ficr of refcmlitolDr. F. Gltdne,

Supre @Per on Pag. 77

Wt ittg lesl - VeEi''n 2

OCCUPATONAI, EI{GI,IAII TEST

wRnmc TEsr. DoqroRs

ltd. rrb@d: no rnawe6

L4rt the cce note. belot dd co4l.t€ tle Ydttlg tBk ttlch fo|lo$'

Bemai Smlt! ls a pad€nt ln vou C€nelal?Ectta

?7y.o-rcdftdfamd. 2mthldstoryof sddpaln'trRltr'and

ls*. 5y€of "toublc wlthRblp wdght b€E notntlv pin

,furffi ovdth. day No tEli.Js'tth Paifad'n

walls slth Urnp, T@! 3? dr4r€6 C.I BP 15o/a5 D€cMsd

tlnod Dtatron and nod.n o! R b&-

ostdibnstrs Rh1P.

x-ny Rbl! - deg4@tlve cb,r3€.mslstdt *1lb ostdainBtls'

c.se of Indomedlacii t bs 50 mg l.d s.

Had cesed merttedon of (m a@ord sf

.TDmsed rdlge ol mo@nctt tn R I!p. Eabl€ to welEht lr@

Exacdtratlon ol osteoanrmsus ln R p

I t l i t t r tJ) /

Reomen . lndoocthacrn tabs 50 nrg t d'5'

Wrilhg fest - VeGion 2

aomplen€ oldy"pepsb rJ|6 rRo]m{.Dg lndom4nlq

Mnd tuEs|n. tendemes. /t!F d.hdged

Dyspepsla semndary to hdometnadl

A.d MJ$B: ('Mgc o TdrcUl 25 n8 M kbs frd. i

utue ,nptuvddt tn R hlp, lnd€srnsy nxncdt to ger aroad

-**--]" *"0.

osrsartMsus not rtspondhg to antl'hrla@rdry m.dlcation.

lrefs to oruDpa.rtc sug@n for asssdent and ad}tce _ lossflrlv

udln! the into@tloa |! tte d* aot B, rrlte ! r.tht of rcleffil to Mr. B. Door.v.

o.tnopaealtc 6urgeod, s4 volte! st, Fe*ud€n.

DO NOt G€ aote fo.m tn the re$€i €rpand the r€tevut cse !ote. tnto f!,1

sestenc.r, Tle letter.nodd D€ r5-2o ltne. loag; olrt the trrsi 25 riner Bill b€

sMlle Gwei ob P8ge ?a

Witing lesl - Vetslon 3

OCCI'PATIOI{rI, ENGLISII AF-ST

WRTTING TgS?: DOCTORS

tnne 6ilosed: 4{) Etllt€r

Re.d th€ .a* nor€s b€tow dd @mpt€t. tne nitrng t 5t ,hich foUm,

sdde oGd ol L row€r abdoftrral paln '

paln.llll pBot sharp & constantwo6e dturg up, %rllJne 01 bddne

No urhary or bos€l srnl1dns ; ro hrlrlr€ or Eusa.No loss ofrt+h! i no charg€ or borel hahr,

vaern r bl..d & 6$odat€d rmpy abdonrEl p.ls.hospibr o/padars tdrauE dracnosrs I spontseoE

r *tk n€for )G@ | eptsode of L lMr abdontrat pa!r.

ovd& q6tetomy & appmdtcetomy

Very tod6 on tlghr palpadon oI L l@a quadEt of aldomd.

Wdlhg len - vetsion 3

Bhcc to dclud€ pE€]uncy, fuMood derr.!uo4, F,sR

No boed modon snce 26/1/89 : Fa8s.d bard sto.l i{rh bd&r blood o! thc outstd..

Ha@globh 9.3eld. Mnd l€lt sI ll

Prh qrE aid @nng toniEht.

Moddt€ly dtsE*.d. Abdomo tGe.

Su|l no bo*€r a.tton or llatus.

6lt !o@r obstncEon du. to

u.r4 tbe irlomattor in the d. rota, rdL r leiter ol af.rnl to th. .utled.

DO NOT s.€ loie tor |! i!. letleE .:!.nd the rerevet cse !ot.3 ,nto lotl6dt nce.. f!. l€tter 6!odd be l5-2o rine6longl olrt dre itt 26ltn.6 sfll t€

Listening fesl - vetslon I

couNc[. oN or?RsEAs PRoFESSTONA! gXrlIFlCArlO\S

OCCU?ATIONTL ENO'I$T TEST

DEMONSTRATION SAENINCTEST

har pan of a pog6me .bont snorhg You t01 har the

rl1 sddo6. Yo! must a'ls@ th. quesuoG ln lh. spac€ lrodd€d

Thel:€'in !€ tl'n. b.tv€d 6c queuons for you to r€d €ch

your sns6. us. not€ tomi dont vastc tln. Etlutlg .omple!.

Tn 6ct quedon ls doneforto!

1r,h!t rs the ffie oI the condtuon assodat d attb snodng m;uoned h tls sddon?

obshrctbE sleep opn ea (o.s.A)

Durirg lhc apnot c stlie, vhat 13 thc efect on bldod !Exr.?

Uslen,ng lesl - Ve/'/�on I

ou.rog tr" "poo"r" "ut , Gr,; tn. efecr on o*yem ld€ls h tne bbod?

q) How lone doe rhe sholc cyclc IGP I l '

b) h w@ es4. h@r16y @lBod6 olosAtuy octr pd nght? 1 Ta'. '

gd.rtid 6

\thy e '@y sult.6 of OsA rnstrk€Dly sdt to psyctllatnst3?

€!6rid 6

Nm€ tm lactoG Flnch gredlspo* a pGm to s!trcrhB osA, es sduon d ln fis

Lislenlng lert- Vetsbn I

N@e de of th. o&er lrcdlsposln€ factoE n6tloned L lhls secUon.

Is lt esy for a C.P, to make a de6dte dragnost oI OSA:

wlEt cosequace of OSA is eduon.d h thls s(fldn?

t ,

clve on ol &e rqh conclnstotu of tne Datlsh study.

Uslanlng lest - Ve6lon I

lvtEt turths po$tble conscqude of osa Is !@uon.d h tbrs sed.n?

rvha! tro tttngs drd the grouls mattoned ln &. study haw h comon?

ar --......... .. .:: I -...-.,..-.........,, i I

A nmber oI @16 fo. snorrr4 ar. mmuored h tlrs sfttlon. Ar€ rh.t ]@m6ded

Nde ole of th€ suggestedcours* ot acflon for sullerss of OSA mentlon.d ln trns

Lidenkg fen - Veglon I

How etretlve L drlg irahdt for sr,llelft of OSq?

\that ns.ondluon ls mentloned L1 lils secuon?

\raEt slndlm. rs poslbly assclat d r,lth ttus @nduon ln babls?

crve d€ cdet ol sleephg pnb and t-dqutlxs6 on oSA sufi@6.ad'44.4.44e,d

Uslenlng fesl - Verclon I

,\litEt ls @ dldt oI al€ohot tr rdauon to OSA?

wbat sstoE cotu.qu6c6 of Fpai.d .lmhol hta!. ln OSA sull46 i! mctdon.d ln

at.! 13 r-hc .nd of ldr A

Llstening fest - veEion I

PART E - rtltening tD i condbtion

In thrs part of trlc t61. you u4n nclr a doctor ln Sencral practlc. cotducdng a

consultauon wifi a ns patlent, Ma€aret Budd. a 32 y4r old

come 10 see t}le do.tor be€Ee oI pa]n 1n hd hMds.

Yo! edl lar the lnieFlil once orny. Your las! ls to mar{e ndtes about the cdnsdlauon

und- dle l-edrrg" gvrn on di. nqL M pag6 of b. Ms* 5 5F"a Tuflove and €d

rbroleh n16e hedrtls !oP. Yon fin ha* one nlnlte to do ftrs

You nlsr glve as fluch r- omatlon as you 6 under e.h ol the had1ngs pror'lded

there Mx be pa!s6 durhg the corerllbdon f.r tou to strte vou d$e6 Thde stl

also be a tw nxnutes dta ai the 6d for you to cof,llet vou o$6

G1ve ydu dse^ h nor. fom. Dont Msle tr,n€ *rtdng ful sentdcB

R@mbs, You e,Il har the h

Lblening fesl - Ve.slon I

Make tut6 about dE cons'nbdon uder .ach oI tre h€dhgs b.lo*.

Tine of on*t ol std!lo@:

Deb ! ol Ddtoit colnddlng tiih odet ofrtDDt @:

r&r TSREE my.ln rblch tt€ p ta '. ue hcbcenafi.ct€dhv th' Dat!

ActtF t6L.n b rmprcre pd!:

Lbtening fesl - Vetslon I

Timc vrE! lrln 13 soFt:

D€t'trl of fdxt b*t36@d ts@ltl bl.iorvl:

Dlr€!@ts gt@a by the doctor:

Lhlenkg lest - Ve6lon 1

qn.t do.s rhedocrorpoDr dtto Fssu. thr piri.nr?

Possibre shod{em '@agro.nt de6m6r

the docto. for hfornatton or

That I! i.t€ €!d of the list.ning r.rt.

lislening lesl - Verslon 2

hlgrage Au6Edia

occlPAToNArEncu$l Tast

In tbis patt. you pin her a talk on Hw End AlD6 glv.n by lrr Dorcta Gddc of tb.

Macfarlane Bmctt Cetr. for M.dI

You nll hE lh. t k onc. only, ln s.cuore. You tuu6t 9lNd thc quefom tn th.

spac* pmvtd€d, T!@ dn be ttne durtng the ta!{ foryou ro rad ach queuon, and to

Th oq dd look qulckly rbft!€h the lapd now. Yourtl lar d. olftte to do thi5,

You @t wite as )ou !!ten. ed you cu complete yonr dws li the paus6 betsd

Rddbq, ,ru rtlt hd lhe tap. ole ody.

Lislenkg fesl - veBion 2

hok rt guation r !ov. gudtion 1 b6 teen done for yor

Amongst sbtch gmup of psple in lhe USA ms ADS lst idc.tiled?

H orr!2 S?..XjtpJ.ne.. n

EFdmrobo/ t! the stxdy of the txstory md detomrmts of rllsasc rn poldauos-

H@ has eplddxolog n€Fed to conrrol the ADs E,donrc?

There ar. three vays h vhlch the rll@n hmuno-deftrtency Vlrus (tllv) €n b€

,l (j) whlt tl th€ E$t qoal€ of lnndlsto! adtio!.d?

!! wtut tnlofl.tlo! ts gtven l!o!t tLe €lEciency of tmbtEton?

Urlenlng lej' - Ve6lon 2

wblt is the 6.cond dod. of te.blsston m.nttdeil?

(,n ci€ t'F. tupl6 metrtt@€d orttls mode ortmnanbdlo!?

( l )

t2l

cl u) Wh.r ts lh. t rd mo.t of (@sDhsrotr mendomd?

The spek r m.ntrons sar.ar Mys tnat tlds modc of t4rsErsston 6

what de tvo ofther€ mt!?( t t

Al {rhat bJoftadon ls proided about th€ nedla! tine t!.hen for AIDS to dw.lo!

fmtu Ihe ume ofHlvlntudon?

Listenlng fesl - vetgon 2

Bl iixa! l,Idmudor ls given on rne usual slfl]va1 tln€ 2fter the oreet ot aiDs?

tlEt ona AID.S tEs ddelop.d h wm@ they do no! xw

'_- llv2fne spale.lr!.s ab01$o qT

*a * *o *t*" "O" *auo@ thlt difierddr!' 'In'2 ftom BIv12

fhe speaks dGcuse World Health Organj?'don ($rHOl liguc

!In/ dd AIDS dound th. sodd

wlat tlfodttlo! i. !tle! dout !e* IlMd€'tton3 ovet the llBt tit

Lislening lest - Verclon 2

B] whrt !4dictto! ,! Elde fd th€ yeu 2ooo?

Al The spsk r dlsdsd th. lattan of s!@d ot Hw,

which flctoE d€ ldenttfied e trctlttr.g the dpsll:t .t tou.t"- i*t";(11

7,

?t7-

7,tat?a-.-

.-

a,a.a.-

.-

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.-

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77.-

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B) ]rccor.nlg to t!. $rso, rh.t lr th. do.t .06o0! Dod. of 6.ru.l

C@o&8toa of aDs lrohtly?

c) wLrt t. ti. 6D.ailelo pEdrctt@ rbdt th. 6pr€.d of AIDS nr Ada dd Afrlo?

nre Fp@l<er dl,scusses the dmstug efiets ol AIDS on Afrle. wherc r lrt 40 adults de

m gly€n for the npid .pr€ad of AIDS in Atrt@?

(B)

Listening fest - version 2

'It€ .peake. discu*6 th€ gror9s

conplete the foll@irg t!}le to

of p@ple atrected by HnlADS rn dlfierenl countrlF,

li$ tne D.in goqs of peotL aff..t€d

COT]NTRY MAIN CROIJPS AFFECTED

U,X.

(t)

&bort th. rat4 0l IIIV tnfecrton foi the

(xl

LHenkg fetl - Velsion 2

(1)

vhit !e4o6 il@s tte 6letrcr gtt. fd t$5 .ntrtion?

R€cdtly, arsttilra bls scn no hd@. h thc ndbd ol nq dragnose of AIDS !€r

w!!t eo@3 der rh. .!..lcr gr4 loi tht ?

T h.r Ir the etrd of lrJt A

Lislenkg fest - ve$ion 2

La.4luage Austraua

OCCI]PATIONIL DNGIISE TEST

h d s pan of ure t*l vou vIl h€r a doclor tn Ed't"t p€cuce sulgerv IttdleFlng

G@ll Bm. a !au6t vnh a rcc.nt p@b14. aq vou lGta vo! dct D3ke nots about

the c.reLnt ton !nde. tbe hadrngs Elvo on th' ds'J sh

tltroug! lne. hadrigs now You wgl haft o@ mlnqte to do thls

Yon nusl gv€ a3 mrch trfomatloa s vou can ddd ach ol tbe hedhgs prodded

fndc arl be !aus6 dltltg the .otsuliadon ior tou to compbt' vou note undet the

rel@n! !€{!ng, There sll alsd te a !s txnutd sta at thc €nd for vo! to nrn5b

Giv. yrlr alNN ri lote lom. Don t Mst€ lhe ntidng tull stdc6

RdeEbef. you wt! ha! tne hldr1w @lt onrv';

dedatalcaataa7€

€

a€-

Listening lest - Ve6ion 2

.ach Dr the hedt4s below. C$e as much

. ............ .Chesj p4Jr-rs-.qlter.Lh.e-]gat 2.]/]ceks

Patrertt de.criprton of conrution olcludtng 6ymptom. Ed prcctpttattng

Resotr ror prtiedr8 vGrt

Lislening Tesl - ve$ion 2

(al c.r.ral @.ncd tjstory

lalR.3urB orlr.vloB medr@r r€sr€

Lldenlng ted - Ve|slon 2

Far .Iy tudior ti.tory

DDpil?o7atI?o??o?????7u7??III1'

III7'

IIa,INIIIal777'77

5,

Fudenlng fest- velsion 2

P@6lbl€ Edds for coniUdon

lrDpo.ed M@!g€E.ar otcondtlrd

Mqncltbn dd t4tecfio4

Uslenlng lett - Velsion 2

ReEon for..€Llng sgeat beitj.ar art .dm

sEp8 lr t@td..t ro be uden!}.. tod.t

erd of the llst€lhg te6t,bin!1.3 to cleclr you usrem,

Speoklng bn - Role-ploy Cotd I

candt rdE c4rd No I D@6s

""*,*-l"J). \---�' '/

Tb.ls 42-yd-old has bad Mll]@t bllary couc ovdtv€rve monrhs. ,t!93!9s4! shows a srrgttuvtEcdonhg gan uadd.r slth thtd cal-94l0tdleilngahol€cftctomvl-

Tst Er?bh lb€ ultrasou4d 6tdltgs. R'ls€rthccboleystatonv slth thc lattat E*pLrn tEttuuth.. btrt that the gd@l as6thcsla fo.errl€ a sma! nsk s4get mlllng lor lalaaftigc slrgay sben .ofld'rdr

7a,7,a,a,4?,-)

-2-l-2

Rtlepldtl€B ca'd No t Dxtts

Yoa d. 42 ya6 old. Oad tbe bst yer you haE had 6dtlarad.cks or ga'rbLddd p6h. vou d hoasl'lely rcnsed lbot!b. tequdcy of $. atracLe and the nrcd for lnjedo6 to releve

You $l6h to tod tb€ redts of an ulLa3ound t6t ldlomedruotly on thc adltctofyor d@tor, You woads about bav[rgy9!a!ax-4d4s rdo"cd sfgrc.lty. nnd out about PtEt tlisftdd hvolvc, and dy attdddt nsks, Ex!G3 corsldcEbl.h6ltancy abolt $rg€ry tut ey you telly ent sme&hg don€

Speokkg lest - Role-Ploy Catd 2

CuJtdidate Cnrd, No 2 DEbrc

Sxblrnd Cd@l P.acu€

Thrs lJty y@ old psudt nas hrlatenl @tancb and ls wodtcdthat he/she rs go1"€ lllind-

E*platn td lhe pad{t tlat he/she lDs bllaidal callects.Ressu'. rhar tb4 Is an opaadon o cofe(t rl-r Probl;Grv4 thc pauofs agel. ca]n !.nnlsslon to anang€ the

Rot4'raUd ctrd No 2 D@16

Slbubar Cm.€l PFcue

Yon e 6Jty y€4 old. Y@ bav. noucedd€r the past fd oonth!-

lnrest'glt loor Mdon

Fiid out nlh Jhe&do@tyiLs5@@tfleetqry:q,oqqiYou arc vdy s6!.C t.b3t you a. gohs bund dd aE indautoknoe rJ t!bF B @ trebdt you @ havc You l€t @difpcoplc luvhg opd?tsore on fi@ .rG bur k soMd3 hd]ly ds!t,

Speaklng l€�st - Fole-ploy Cold 3

,,J s \-.rr tpea t' uE.. ̂ J,Z .ryyf ,

bn7E7flfr,fl7)?)rfflv,aaa7'a7'7'7'd,dad,??7?7?7a???1I111'??I?

suburbr cener, Pr?crice

Thi.r hjrty year old pftnt ts concemed abou! hts/he. ch d\foream, whrch appears brckaboul t}re tratrncnt ed lflhe fracture * afieci tut!re Crdtu.

rbd oul how rt happencd. Eenhaton shows that rhe chxdbas suffered a g]€as[ck frsdure vhlch l'lll requft a ptaster

- ,urureSro{nn sho'ird norb€ impaired- approx. 6 weel* ro beaii

xdbio.s of wearlig ptasler

tubera!* cotd No 3 D@rot

suburbd cenerzl haclle

You de 1ne tlirq/ yed old penr of a lour yed old chud. (Mellssa)You were carled ro her kjnderganen as shd had r2rren rrom rhepraygrcund .qurpment You nouce that your cblld h5 a swolcn

Find out rf your .bld s m is broken. F ld out whal rrahent rsnecesszry. FInd our lJ lr.. am sn grow propffly l. rhe tuture.

I}is as she rs h a tol ofpdn, sdhas never bad any aeldent llke thts before. what can be done

Speoklng lest - Role-play Cot.l I

cdndlddk card N. 4 D*bE

ageaa

dd6dddq

Thls nlieteed year old pad€nt h hlT€Fenllalng This i3 thcttrst ume lt has ocard.

;J)""6;"",",.*6;)"p-nr6 *,m-"d... rryod sF**13ruatron atuae apDrcpnate foll&;

Rolet'la!6 cdrd No 4 Iteto€

You de nhet*n yrN old.very desp.ete od Dodm a

on your way home 6:otu work you r€ellot of dfncdty br€&1n9.

You ftrl that you ac Eohc to pas out o. dte. You feel vcryfrlghtcn€d. You continuaxy ask t}l. doctor lor rcassurdce mdwsl to knov shat rs eohc rmre.

If asked. you ce re,uctantly dd graduany glvc the fouoMne

- you m lanappy Mt}j you lob 0dtch€nnddli

- you re u$appy about your appeamcei' you have very low self esr€em;

you nnd ll hard to male rri€nds;you I'kh you had a gdrnend/boyfrtend

Answers

Answens - Peoding Iesl Answet Keys

ANSWER dY . PART A

4,

10.

l l ,

.ANSWEiR KE.l' ' PART A A\SWER I@f . PART B

3.

6.

3 .

9.

t2_

19.

Answe6 - wtiling lesl - vetslon I - Somple Answel

OCCr]PATIO lt' ENCLISH TDST

aItrTrNc Al{s1fr ERi DOCTORS

DOB: l015/45

.BFq lr{tLIly lrsdt d qnrh bnstuu3 on Lhe 2ol12/sddqtu/

Four wc.k! latd Jrnl pr.fit d Pllh Pa,..d€s @doscoplc na@tuda. H!-or v oth6

syhptoo appar.d to be Ltldg, Exaj4!:!!E-ES9.,tEIg3SE9C€ halp tondnah'leJtropny hrs BF 90/60 ud dalFs lco

on rcvlw rl odsJ ,-],n4bga bons showrd a n dly elRsrcd ure and cr€bilne. t

ss n6uy\t!6-i;Got-nF6d lE@r@ or dDl onar.

Pau@r's blmd p$s@ hE tnc.d to rro/90.

ey I berwe Jsd. b.s p6t s|J.!tmo(al 'elbntB Md lhat hc t! at nsl ot ddclopltg Rr'.]

fard. I roLnd appredar. you s*nql snd d,na€m.nl '.-";-" 7\.

Answers - Wtiting lest - Ve$ton 2 - Sotnple Answel

OCCI'PATIONA! ENCLISII IEST

a€iks for s€e,ng Mr. smrth. a 77 yar old redr€d fame., He 8Er pr6ar€d to m€ tnNovdbd rsgr $4th a nvc l€r bstory of rlght ht! paln. 4t rlls dne he brd a tsonorrh htsiory of sade pali h rb. dght lrlp whlcb Ms ,ro! repond,ng ro s,rnpleendg6ia. He foud rt dfic'rtr to ber edghr dd hrd a drrased Fnge of novd€nt onhrs lrghl dde. othds4sc, qznd@uon qs nomrt. x.Ey !t tlljs the shwcd modeated.€6.Euon oI r}l. rgbr hlp jornrcomror vu,os*oanrms

I colme.€d }lllr or rrdom.thadn s0 ng t.d.s. . I'ntlany trs r€sponse,as Eood brtniJortundteiy hc 6dt*d a furlhd ltsn !p llr Jdury 1992. hdoE.rbad, Grecomeft€d ar t s trn. brr eased sjEinn@t dysp€lda. I thcr€foE co@acedMylmta ad cl@ged nrm on to T cout 25 m8 reo rrbs dary. unfortl&1ely, tls hlp larlhas coneud to 'o6en and the .br,gc h lh@py n:! nor h€lpcd.

I {ourd ap!.eclatc you opblon re€lrdrng bls ilrure mdag.n.nr lnd {odd b€htftsied to know lf he @uld be a slttabt. 6dt.lalc lor a t p repla@mt.

thanks fo!youol'lJ on.

Answet - Llslenlng fecl - Version I

p)

3333fl71Aa7.c7777??7'?7????777777777777??777?v7'a

Esda rrolll pdsslble mdks tor t s s.cuon: 22 nsrrGl

Durtn€ tne apnoeic d.dte, wblt ls tle cfi€.t on hlood !E3sde?

During the .ploetc 6r!t . shlt Is th€ ef.ct o! orvg€n t4veb in iie tlood?

Eow torg do4 tae Fhole cYcb r6t?

et r{ara rDl4te 130 seond6) ll ddk)

b) ln se\e €ses, how mdy @lsod6 oI OSA may ocdr pei nlght?

Sd€ral lundr€d (I !ulk)

flny s l@y slnen6 of osA qllt Lnlv 9q1!o P.t ttulst!?'ir.y donr rc5lar lhry lEv€ bes warM8 dunng tn' rJehl TF4r dodors Uru* lcrr

s1eepL16s has E psycbologrcal €se (r mr[i

gqFEln O

Nm. t@ factoE ftntch pEdr.po.e I pc6on to.!tter,n€ osa a b€ltroned tn tbtE

o{ote ansN 6 be glvo h uy ord( I trk for ach ffi61

a) Agc

(Not€: arso e!.w S*, ddo th. stllld6 d€ sdq 50 )

qlrfll&r-z

Nde d€ of th€ oth€r Ptedbposhg flctoG !e!tt6ed tn tl13 s.cuon'

, ru'k 'or any one ot sm6ll ld.rjaw {ehld lfuDs h€ longua i.g*-r otrontxt

pmblms assoctated q,lth,tonsljand palak:6;aad1v rittng dentue _')

..- \-* . ,---./

Il tt easy ior€ c.P. to malle a d€fi.it. iuagnGt. ot osa?

AnsweE - Lhlenlng lesl - veEion I

Gire one of $€ mai' co4lErorc oftl. D.ntd}.tu.ly,

Any one ot snor€F tEve hlgher blood praslr€i more a!gi!a: dd more aderlal dtsa€e

1n tle lcgs ind non-snoEF O nru

what rurtn€r po$lble coGequde of osA b mddo!€d t! tb& 6ecdon?

rrnparrmdr of lt6rn irncuon o narkl

wtlt tro thrn€! drd 6e gol'3 mentioled tn tle .tudy hlv. i! .omon?

0{o1€r ds6 @ rre gvd 1n dy ord;: r l6k ror ech ew6)

b) borh s!fiq€d qce$ivc dattjne d€@n6s

ryblt con.eqrcnce or oSA ls oenrbned rn tlls 6ection?

H]gh brood lressu€ o1r.pedenslonl o neru

A n@b€r of c@5 tor .noilng 4 m€ntion d ln tlls secttoa Ar. th€y

rccolo€ld€d lor .off€rcF of oSA?

Nme ole of th. 6r€ge.ted coa$ of &cd@ for .u6€EF of OSIA m€ndded tn ttt!

r mrk for dy one ot lostlg I0% o! noE welebt 0I the sutrd ,s ob*)i .oftcdv€

surge.yi suJEl€l blPass of lhe obsbacsofl.

lta .fi€ctte t3 dflg tr€ate€lt fo. suttered or osa?

Not voy efecdvc {t marr<l

rYhrt fte coadidon is mentloned ln thi 8..tio!?

Cent$l aPnoca (1 mark)\

AnsweE - Ustenhg test - Vedon I

9rrlsrran rzrfh"r .y"d':i ,qirTtj!:.ocbt4d vttt tnir c@t&rd rn a.brdt

, Srdden hfant dath slndDmc\oi d€tn) O @kl

Cte one e6ect of.l.epi.g ptue ed tEqdtlb4 o! OSA 5rfieE6,

Any one oi de!!s replEtory ddver ,nt€riE€ euh Epom t! bodys o.rgd.y dg.allptutong apnoelc eplsodei turth.r rd!.. oxt€6 ldab rn lh€ tlood. lr @dd

whlt ll o!. .flsct or.lcoLol tn rehdon to OSA?

Any one ot tncr*d dMdon tn otuDlDryngar msilei d.prse tBphiory rldvei

sl@ up €r<hg epms.i cd Indlce cdt6l apnoqi prcmot* snodrg (1 D.r:kl

q!e&!-2o

whli ..d@ mnequelce of re!€rt€d qlcohor l!t6!e t! OSA aufeB t! E@ttd.d

llot l lGsltne adks tor tlrs 6€cuon: 25 l

I:doe-d-orr!!al-!rer!!a8r''!ast f@ dal€'/ dd of b5r weak /^Ir 16 bcn occurtng orcr th. wa\" 11 narri

xEbtr3 ol ftidd minddlng vrtl dr.r .f rm.tGi:

Unusualy busy pdlod at wort, l,th dadrng (1 trEru

EriblttjaDrtrDU opetor/k yb@d op€dtor/wod prcGtor op@ior O lru

@Note: ansc6 en be gv6 tl any o.ddi 1 mrk prssws)

a) Tllrd^tn€ doh a loi

blPd prwdt he dotng uugs dr home, 6ped:xy ho dfg urrr€s

cl t{as rrxm srne otrwork

t

Answe6 - Listening lesl - Vetsion I

adra! t!le! iqlallaie.'erLPuts hdds urdo cold Qro o mdkl

Lybg dow ai ddht (h b.d) o nfkl

No olha oajor s'tptoG (1 mar4ErLhuot "ose sboJdo/ne<k pcrn: los or appeua (, rukt

444etcc,1r,cl.cct666dddd44e,c,I,c,44d

q,qq

{

44,4,e.14. 4

; , 1i per.n! or..drv h,cldmmd r.odd n'iroFr:2 goud ohld.m lt nark)Husb3frl r. a 1ach6 (l ndk)

vh.r dos .h. d.dd mhr d4 r!:4e$!,. tn€ o!&{riNo le'l:hat lnjury or lncapacrt/"{r .s,rt o -*u

)

(Note a@€ 6 be glvd tn dny orddi I Ifuk rE uswd)a) (I'medrat ) retln to work ''

cJ RelMdon |}teEly // dJ Modniadoc to wrk svtrcmenl/tuFniure/rc!3ne/as

No s8dnqt n6s6 (l mr}]

Dl'dndh6Erhyth.nfttd:

Rsl (r@ed!rc st6]n irjlry) O ndk)

dnn r€ ofretm to E.kbl 9de-,lr.cts of anargescs or othe. o€drquons.l kr€tn oI duauon of srrnptons4 Jwntten) adtce on viar @/@ r be donc ar vork. at hom€l

(Notei @sc 6 be gven tn dy ord€ri I mdr pd d$d

Answers - Uslenhag led - vetshon 2

Ln A - T.lt o! EV/^!DA. It Do6t! C€rdc

l mdl rrrtd.d for €tcn.oftct d*r

1O!61&L! done ror .ddldat6)

o@tton 2 {wty. rn Fhtch ettdetliorog b helpt g to cdir.r Ard!)

- :-sedl+ .d!6uona - cladne)nod6 or L€n@l$16-.=irsdrfrpffidon

ptuEds:Ge;6r.-nd 3Ded (or dsas.)

glBtton 3 (a metno& oftntrElslo! ofAIDsl

AI G) {66ld.ndoftd Eod€ ot tdn.bnlton of EIv)

- u!rctec|d q/dptutet d s@sl I'rtdcos./ usst sq/s6alcontact/s4uar ntdolF

D) 0)

N

(ttl (.dcr.n.y ol !rd.nr..ld or IrIU

- more €liclat mare b fdmle t}l3n fdEL to malc / M to F !.ttd oh F

toM / 4peda[yMt F, oi- 1% dlk of t rsrrsron / l% 6r€ of dndmcy

Gecond@ndded md. oi tld@letotl

/ hocgatron le/th Uood oi btood pod&r5l rtfeted Uood d t1..d

!rcductr/1rf*ted blood/@nlact s{h tnood, or:- t€nersslon ua brood (or u@d Fodrctsl

(o) (2 et@lrE of t!j! doir. oltt@E sionl

2 m.}s for arly tee ol th€ fdndr.p€ 3 pohls 0! dy ordrl:

- E$stuslon ofrrlood/trdGtuslon olttood or t'lood prtducts,'bloodtr&sluson/ttrsfus,on. dd or- sbann€ r6dl6/sbanrg hjddlg dtug .qulpddt/Glng Ldeted

/ n;a;u&,n,w in hedlb ff s.Lu,4slinlu rv ,rom ned6

tl ltlird h.de of ttu3rd$ld !.ndomd)ct

Answets - Lislenlng led - Ve$lon 2

u) ('lvo sF tn {nbh tlh Doit. of tMl$lon @ oc.E,

2 m.ks fdr any t*€ oa tne lonodig 3 pol,aLs 0n dv ordd):

- (dlnng PreEMncY, and/or(durinel bith Proc63. {d/o.:

- {lhrongt brast nlnk

g!€Etior 4 (Pbgteslon fton lrw t o r{D51

A) @edru tr4. for.t elolm.nt ofllw t4to dDs)

Bl (Gu.l s@i*t tlme ft@ th€.reveropmert olAIDs)

cl (n@oG for ron.! rfth Ar,s not nd!€ s rong u E n)

2 drrks ror uy M of the fouorttS 3 po,r16 lu dv orddl

' ddascd acc6s to helur @/pdor h..lth l8/41luc acc6s !o halth @.

- lard draetus.d t!:n E6/1ale dlatnosls dd/orddve t€Endt lals tnd nd/not L€led dlvllatt EaEnat

(NOTE: 7x = ftatndtl

guesdon 6 (tm l6t|@ drfi.rentilttld lllvz non Evrl

2 t@Ls lor sv tlo of Ih€ follostng 4 poltrts iln ev otdfJ

- lodd ln w6tAfde/'$/6rnfd€, dd/or' ld l6s Nmon lhd Hnrr/f,r l6s comon dd/ot

procr€e.lon td ds ron€d4o.gd to dderop alAs/pFg6ston ta!6 ldngd.

' l6s €1!d6tly ba.s!tded,46 dndst tst@l$ton

glesrton 6 Erobar .ptd€&roroA. or Ev/AIDs)

Al {llfodrtioa on ne Ev bJectl@ @d tn€ lBi 6 mont&)

- 30 ro 40r Dlot..r:. I rtllon nd lnfecsos, or:' 1 pson l.Idted ddy 15 20 seconds/l litelcd sery 15 20 s<

B) lprc<licted 6gEt lor trre ted 2ooo)- r0 nl]lron uitdet€d orpnds

Ancwe$ - ldanlng fe^n - Ve'J�on 2

g@tim 7 (pdt n of .pud of Ev grotilt)

rrl {frctoF facutat!'g tne 6poad or ArI)s !t loBi rr*!

3 '6ls for dy tE* ol th. fono}{,rg nrc !.nn!e (li my orddl:

, socro-snobrc &cto6/!d.rty, ad/or- lo,tUer @d cdturar bddF. and/ot- etot otgMtanv. ,rltdduon, dd/d- (pr@la.e o0 o6s sdu]ry hlG'llttcd ds.€s/othq Sms. dd/or

gcr{r,r r,rcRtson

B) (wEO l'to!@tr@ on tte d@t @@on dod. ot .4ral tnqDtslo! ol

- het@al {,n ddtlop[ig wdd)

c) (c@!€ri!on tetre! alb url atdd ln th. lealtcicat .!sal otrrDs)

- astq si]l supds AAre ltl nqt 10 yq4/Asla dlr s@ slrrqss Afd€/Asla vln

g!€!tr@ a f€Dd. ror ih. $dd ilsil or ̂ lDs h Afttcal

2 marks for dy t@ 6f drc IolropLg 4 lol'lts 0r ay orddl:

- pderv, ud/ctac& orm.dcar @€, ed/or

- hrgh pffiaro.e of geilbl lr.ddon/gddt3r ds. drd/or- utu to ruEil mov@atll'l€rauon

gne.ir@ e g6up. rf.c..it tr Brv/ADs rn dme@t 66ttte)

eohts li dy ofttd rbsutholt ou€don 9)

COUNIRY MAIN CROUPS AIIECIED

- hletrr€ dtu€ u€6/Iv drug ss, dd/dsa MrkG/ pbsdtute, ud/or

- het6sdla1l gaffi I polulatun

- losutut6/sd work6, dd

Answe6 - lislenlng lest - veEion 2

LaJ€clne dru€ us*/n/ drug us6

' hjccdng dig rs6/rv drug uffi, and/orhomGmal md, and/o.

rl trrfoE.tton d tt ivo nddlbrpa orp€olr. tu.t co'MotlyEv-inf.ct d ltr rtGtnlirl

gu.rtlon 10 (Er,/AIDs tn AEtnr!)

2 na*s ror !!IIr of rh. folotuC lolrll9 lh ey od€rl I

0j$ low6t lslorfdn h hje.tnr€ drue u6/low€! ir dru€ Gd3/<2% r{

hrghGt tn honosdual ncn/flrlr y homGqual o@/3696 honos*ual(o

b) (Reo.ore 4En tor tlll snutror)

3 ldks for sy lbl$ of the lold}{ng 6 pohtsi- Isuesturl ps4don progIma dd/o!- .ootengon bed afidt d md ue dd go@dl. dd/or

.du@uon !rccrm ldbet d t@fds rrdn.salzr ns{, ad/ort hav{ou cbdg., !d/or

' hdtr ml,rnlellon/n .dlc ddiarg. progre/mtl]niedon It lv ddg use6

brgh aems of Hn/. ud/or- hr€h tGBnC fo. HIv

guestlon 11 (R.do@ for ptlteau ln au!.r of r€w dtagr@e. of AlDs t! Alsintla

2 rorks to! blb of lhe lono*{ng po,tlts (l,r dy ords):

' use ofdrugs/sydouihe/.{2Tlaru ret ovltal t-€h.6ts/nstEhrent/tratmcnt f or AIDS.

TSAT IS TllE I^'D OI PART A

Answe$ - Ll'lenlng legl - vedon 2

gle.tid 1 R@or fd pEd@t 3 vlllt

- ch6t lerc wd rhc llst 2 w€qks {done fo. ddtdatGl

NoTE: lo,rls 0 t. n! @y b. h dy ordd

M/1RMNG SCHEidE AI{D IGY

t3tl6t . d.!cdrt!o! of @ndnio! (lncladl,4 clrcllfui,n.B,syEpt@ ud usckied sy&!to@l

,lll

r ffik tor dy @ ol dE fonoFhE 4 po,r !:

- clmtrlg statB/got,g lFstala

r mrk lordt!!cof therollo*,lng3point : .- sght pdns ,.@ fr@t of ihcl/pah/s€htn* strclo\e aclN r.od oqclt€t^dd oflain a.N ch.st- !€inltqbhc do6 not hw./pdn do6 not Edlatc/parn do6 tu: 8o .ladbw- pafiltl€hurG g06 s@y rnd 3-4 d.s ct/psrn d@ mi last long/pdnsulslde aftd 3 4 Elnute Evpsln g06 amy by lts€{/pah sulrslde by ltldI

r mrk for the folodtrg poril- lhon of b@ih/6one shorttres of brerh/a$odrt€d soB

e[esrb! a M€drcd Blstory

a) c€ldl rdedtc.r Ebtort

NorE: poht n ' rv) My b. rr sy oldd- nnd da!et6/dtabe!6 m€lltus

- (dsgnosrdl l0 y6 agolhld for t r0,€s/5- r0 yeF- alpddetony at lslFhd a teEgd- G.d to snok€/$ok€d up to ]s ya6 agolmok€d tion renag€ to 30 tG/q'snol€r/c€sed soldrg at 30 yFNqa snoks/sokB dgarettGl

- .ontroned by dtet/no oedl@don ned.d/dtei @ltrol or y/ci ttx det,rong/or'- not ov@deht/lomal xd8ht

Answe6 - llslenlng lest - ve$ton 2

R4drtr 6fpedou mediclr t .t

- dDlest€rol ovchol NAD/chol6rerot NAD, o!:blood Iat OK/,tlood lat NAD

ft{oT cnoletdot oR Brood r.!

gEsfid 4 Fldxt medjcli rulbry

- n:d hrgh blood pres@/nad mch Bp/h.d n]Idradon^ad ll:rN, and- di€d ot stmk€/dred oIcvA

- rlldftlood pus@/hnd Bp/trJld hrlen.ndon/rlld IIT, am- on m.d1@tlon for blood p@ur/rabl.i for btood pBurc/daty tlhlet Ior llood

B)

lEs@/tablct for Ry forBp

- broih- drd 6rstE 6n./bror!s ed d6td or/brdlhs sd stsrd rdl of nore

guetror 6 DlrgnosL

- artste to hc.Jt Em@d edlor brocked/lor €no4h orrg€n (o2J Ecrlng tohd/'blood suppty to hen b nor eood

guestr@ 6 r,o6alnlc Esod to. m.trdoD

' dlabet€s, dd/or- &rnJy hsrory/fanl]y Hd tr(:ltas nsk3). ed/o.- elmrcd btood p@E/h€h blood pEs@/r1ch Bp,lh}lcltdslon/ rrT

gre6tl@ 7 Dopoe.al !&nrg€eent ot cotrdifi@ (d.rans ofactoF t bc ctrccled andmorntor.d t6rs ro be undenlla m€dre on etc.

. l0orr rorlasss rffilble tactoB/monltor eleuve bur coferabteNOIE: Polnts X) - Ivl fono*lng nay be I,r uy ordd

- nornto. djabele/c!€ck dtabetG

Answe6 - Ustening fe't - Ve,6ton 2

- re do blood t6ts. &{l/or

dek brood fatslrwd ofn@d fak^lood .ail, and/or- aheri chol€t Fl/Chot, and/or- ch6k trrttceddG/"rc-lact to, conrr'ot btood 6tE

kc.p d €ye on blood pr6sw/nor tor blood presuE/check bloodpcsuE/@tch BP, and/or- ihak 'dsht/Fatch ec,€ht. ddlor- Etih dcvnor ro. dlcr

' reld to helt sp€crrlsi lnd/or

- treadnllll t€vmorttorh€r md@qr bd6 sr!6r, and/orgerlda orsd61qors ndor/e.r lda or dtot of tuno&rrg or ane.l€,

Medtcltl@ dd tEtftctloE

- hedlo uoD ro open up bhod Bsds/h.ddu6 ro LbpB. btood suDp y ronedlangtue rrbt.t /l)lht6 (NoT roelrdrn.l, drd/or- slbnnguel iabrctsforlEh {rn.fugmo!/r!k.onc dui,g!.h/tak one to!l@nt p.inlr.L r to rcld. rqln, dd/or- t lr. one b.foE ddcGe/q.rdon, a,rd/or- rabler wlll help 6nnm dagnosls

9@3don 3 t{eaon fd eertu! EC.nt Dedtc.t .nentto!

-IIt k r tabl.r. no .dtef aod 10_ r5 &r\ take doth6. no r€uef/tf take 1 tabLt,R€ti 10-15 rnn, tatre dothd, dd6n,t wor!< .nd 5- rO n n, or, ongoing p.h not Frd€d by nedl€dor o.- dsk ofaote myoerdlal ldarcdon/rr.k ot,1Ml/d6k ot Ml/rjsk of nyocarrtiarrrlaedor/rls.t ot h..Ji e1ta.k

g@do! I at rF b tl€rreelt to lE ud.narE toirly

stmde r6is/btood r€16, dd/o.- 6dtognpb/EcC/(obrahl basel'rE Lace. md/or- lpecnbq able1s/medle{on, dd/o.

rdcr to hart spectrtsr/refml to left spc.raltst.

TIIIO Is tIIE AND OF PART B

Answe/s - Llslenlng lesl - Vetslon 2

!rl - re-do ttood t6ts. ed/o.

- che.l ttood rats/l*€l ofllodd rdrsArood fats. and/lr- .b.ck chol6t.ol/Chol, and/or- ahek td€tcdid€,-rrc-(a.t tol @ntrol blmd fats

- kep d ey€ on blood pEsw/nonltor blood p6s@/th€ck bloodpcsurc/utch BP, @d/or- che.k edlht/etch werthr, dd/or- @tih devnoirto. dl€t

- refd to hen s!ar.l6t, ddldr

- hEddll tevf,ot'rtd hert nmt bd6 6tr6s, andlore.t Id4 ot s*rlty of6ndr6on/gcr Ga ol drdt ol mE v1ng of aridre,

M€att itl6 ual trtftctl@

- medleuon to open up Uood r*d6/nedr6uon to irlldeblood seply toltdn/angldne tabr.ts/nr!!t6 (NoT E!dyc.rhe), drd/or- 8ub!4ual tabLt! tor paln lEtu€dd!/tlkc @e ddnng Fdn/r,ike one toPddl Pah/l3ke I lo relrde Pst! ald/ot- t3l. on bdorc dd.rsc/q.ruon, aid/or- tauel *{l hdt @nim d1agrosls

vt

g@ltlon 3 R.t$. rd *ethg sl.nr Eedlcd llteltlot

g@su@ I st p! tn ln:ie6t .o te ddenlre! roday

,lt he 1 tltid, no r.lldaltcr 10'15 rlln, t 1| eotha. m rdl.f/Ut lr€ t lableiFati l0-r5 rnh, ral@ dotlE do6nl wrk aftq 5- lo 61n, or- onSo'ng p.h n t rdrd€d by m.dr@dm, or- rlsL ofa@t€ rlyo@didl bfarcuon/.ts! of AMI/dsk ot Ml/rrsk of myocsrdialIrfandm/rtsL of h@n a[ack

- s,rnple tets/blood t€t , sd/or- erdioElaph/Ecc/(obtdi) basella. iEce, ed/or- (pecrtbe) tableis/nedr@don, ddlor

lv) rder ro h€rr speddst/rdqEr ro herr spedalist.

IHAf IS TTIE !trD OF PART B