Oet Listening-15

Oetmaterial.com.
au, Maiva Corporation Pty Ltd and our practice material is not connected with, affiliated with or endorsed
by Cambridge Boxhill Language Assessment, Cambridge English Language Assessment or Box Hill Institute. Our practice
material has been prepared by our expert teachers to assist candidates in preparing for the OET exam.
www.oetmaterial.com.au
Listening Tests Answers 11- 15
LISTENING TEST 11 Part A
This test has two parts. In part A of the test, you will hear a general practitioner
talking to Alfonso Albert, a man suffering from ear infection. You will hear the
consultation once only, in sections. As you listen, you must make notes about the
consultation under the headings given on the answer paper. Turn over now and look
quickly through.
You must give as much relevant information as you can under each of the headings
provided. You may write as you listen, and there will be pauses during the
consultation for you to complete your notes under the relevant heading, and to read
the following heading. There will also be two minutes at the end of the test for you
to check your answers. Give your answers in note form. Dont waste time writing
full sentences. Remember you will hear the consultation once only, and you should
write as you listen.
Now look at Question 1. Question 1 has been done for you.
Name of the patient: Alfonso Albert
Problem: Ear Infection
2 Notes on Alfonsos problem
2.1 Ears are aching

2.2 Feels a lot of pain
2.3 Prickling / itching
2.4 This is the first time it has happened
3 Notes on Alfonsos medical history
3.1 On medicine
3.2 Taking pills for diabetes

3.3 Age: 49
4 Notes on further questions asked by the doctor
4.1 Smokes / Two packs of cigarettes daily

4.2 Not able to quit smoking
4.3 Drinks occasionally
5 Notes on examination by the doctor
5.1 Part of the ear is swollen

5.2 Red and painful
6 Notes on further questions by the doctor
6.1 Feels itching

6.2 Seems to be painful to touch
6.3 The patient was not able to sleep due to this same reason
6.4 He experiences a feeling of fullness
6.5 According to doctor, ear infections cause fluid build-up in the middle ear
7 Notes on explanation by the doctor
7.1 Kinds of infection:
There are two kinds of infections (i) Acute middle ear infections and (ii) Outer ear
infections
7.2 In the case of this patient it is an outer ear infection, called Otitis Enterna
7.3 The infection can be caused by or related to swimming
7.4 It is also called swimmers ear
8 Notes on further explanation of the problem by the doctor

8.1 Why does this infection occur?
It mostly occurs when contaminated water enters the outer ear.

The accumulation of water may allow the infection to grow.
The germs will grow and thrive due to warm and moist conditions.
Symptoms of this ear infection are very common and can be noted easily.
8.2 Symptoms include:

Ear redness
Flaking of the skin on the ear
Itching inside the ear
Drainage from the ear
9 Notes on further explanation and examination by the doctor
9.1 Does the patient feel pain while moving his head or when touching his ear?
Yes
10 Notes on prescription by the doctor
10.1 Are there any problems with hearing? - NO
10.2 In most of the cases, patients complain of hearing loss.
10.3 The pus accumulates and blocks the entrance of the sound.
10.4 The doctor prescribed antibiotic eardrops and told the patient to use them
three times a day.
If required, the doctor may have to clean the pus or clean out the debris.
10.5 Suggestions by the doctor:
Use ear plugs when you swim.

Advised the patient to stop swimming for at least two months.
Use earplugs while bathing or washing your face.
End of Part A
PART B
In this part of the test you will hear a discussion about Depressive Disorder. You will
hear the talk once only, in sections. As you listen, you must answer the questions in the
spaces provided on the answer paper. Turn over now and look quickly through Part B.
You have one minute to do this.
You may write as you listen and there will be pauses during the talk for you to complete
your answers and to read the following question. Remember, you will hear the tape once
only and you should write as you listen.
Now read Question 1. Question 1 has been done for you.
WRITE CLEARLY
1 Name of the doctor: Doctor Natali Cameron

Topic of discussion: Depressive Disorder
2 Notes on Depressive Disorder
2.1 In the Bible, King David, as well as Jacob, suffered from this affliction.
2.2 Hippocrates referred to depression as melancholia, which literally means
black bile.
2.3 Four (humours) fluids mentioned in the talk are: black bile, blood, phlegm
and yellow bile.
2.4 In the 19th Century, depression was seen as an inherited weakness of
temperament.
2.5 Freud linked the development of depression to guilt and conflict.
2.6 John Cheever was an author who wrote the book on Depressive Disorder- True
or False
3 Complete the Summary
A 3.1 Depressive disorder is a syndrome (group of symptoms) that indicates a 3.2

sad or irritable mood which in reality exceeds 3.3 normal sadness. It is specifically
characterized by 3.4 greater intensity and duration and by more severe symptoms
and 3.5 functional disabilities than is 3.6 normal. Commonly, signs and symptoms
are characterized by 3.7 negative thoughts, moods and specific changes in bodily
functions. There can be changes which might cause many 3.8 physical symptoms that
result in 3.9 diminished participation and a 3.10 decreased or increased activity
level.
4 Complete the following sentences:
4.1 A lot of research has shown that depressive disorder is especially related to bipolar
depression.
4.2 Depressive disorders are a huge public health problem.
4.3 It affects millions of people.
Facts about depression
4.4 Approximately 10% of adults, up to 8% of teens, and 2% of preteen children

experience some kind of depressive disorder.
4.5 What is mentioned in the talk about Postpartum depression?
Answer: Postpartum depression is the most common mental health disorder to

afflict women after childbirth.
5 Answer the following questions
5.1 What are adolescents who suffer from depression at risk of?
Answer: Adolescents who suffer from depression are at risk of developing and
maintaining obesity.
5.2 What does the medical study show?
Answer: In a major medical study, depression caused significant problems in the

functioning of those affected more often than did arthritis, hypertension, chronic
lung disease, and diabetes, and in some ways as often as coronary artery
disease.
5.3 List the names of the diseases mentioned in the talk
Answer: Coronary artery disease, HIV, asthma, and many other medical illnesses
6 Complete the gaps

Depression can coexist with 6.1 virtually every other 6.2 mental health illness,
aggravating the 6.3 status of those who suffer the combination of both 6.4
depression and the other 6.5 mental illness. Depression in the elderly tends to
be 6.6 chronic, has a low rate of 6.7 recovery, and is often 6.8 undertreated.
This is of particular 6.9 concern given that elderly men, particularly 6.10 elderly
white men, have the highest suicide rate.
7 Complete the table

Comments Explanation Statement
It is not identified in a Yes, it is 7.4 100% Depression is usually first

7.1 mental health true identified in a 7.6
professionals office. primary-care setting.
The situation is fast 7.2 Yes, it is 7.5 true In spite of clear research
changing, there could evidence and 7.7 clinical
be better treatment guidelines regarding 7.8
solutions in the near
therapy, depression is
7.3 future.
often undertreated.
No comments For full recovery from a

mood disorder, 7.9
treatment with
medication and/or
electroconvulsive therapy
7.10 (ECT) and 7.11
psychotherapy are
necessary.
8 Complete the notes
Myths about depression and its treatment
8.1 It is a weakness rather than an illness.

8.2 If the sufferer just tries hard enough, it will go away.
8.3 If you ignore depression in yourself or a loved one, it will go away.
8.4 Highly intelligent or highly accomplished people do not get depressed.
Answer the following questions:
8.5 Who may not get depressed?
Answer: People with developmental disabilities do not get depressed. Children, teens,
the elderly and men do not get depressed.
8.6 Is it true that people with depression are crazy?
Answer: Yes, as per the explanation by the speaker, people with depression are "crazy."
8.7 Does depression really exist?
Answer: Depression does not really exist.
8.8 Which groups does the speaker talk about?
Answer: Ethnic groups

8. 9 Does Depression look like Irritability?
Answer: No
9 Complete the notes about the symptoms mentioned by the speaker:
Some people may experience a smaller amount of symptoms whereas some others may
experience a wider range of symptoms. The 9.1 severity of symptoms also varies with
individuals. Less severe symptoms that precede the more 9.2 debilitating symptoms
are called 9.3 warning signs.
Complete the list of symptoms:
9.4 Persistently sad, anxious, angry, irritable, or "empty" mood.

9.5 Feelings of hopelessness or pessimism.
9.6 Feelings of worthlessness, helplessness, or excessive guilt.
9.7 Loss of interest or pleasure in hobbies and activities that were once enjoyed.
9.8 Social isolation, meaning the sufferer avoids interactions with family or
friends.
9.9 Insomnia, early morning awakening, or oversleeping.
10 Complete the following summary
Severe or recurrent depressive illnesses may require 10.1 antidepressant

medications along with 10.2 psychotherapy for the best outcome. If a person
suffers one 10.3 major depressive episode, he or she has up to about a 10.4
75% chance of a second episode. If the individual suffers 10.5 two major
depressive episodes, the chance of a 10.6 third episode is about 80%. If the
person suffers 10.7 three episodes, the likelihood of a fourth episode is 10.8
90%-95%. Therefore, after a first depressive episode, it might make sense for the
patient to 10.9 gradually come off medication. However, after a second and
certainly after a 10.10 third episode, most clinicians will have a patient remain on
a 10.11 maintenance dosage of the medication for an extended period of
10.12 years, if not 10.13 permanently.
Doctors may prescribe a variety of 10.14 antidepressants before finding the 10.15
medication or combination of medications that is most effective for the 10.16 patient.
Sometimes, the dosage has to be increased to be 10.17 effective.
END OF PART B
This test has two parts. Part A. In this part of the test, you will hear a general
practitioner talking to Dylan Jones, a man suffering from unusual or discontinual
chest pain. You will hear the consultation once only, in sections. As you listen, you
must make notes about the consultation under the headings given on the answer
paper. Turn over now and look quickly through.
Name of the patient: Dylan Jones
Problem: Unusual or discontinual chest pain

2 Notes on Dylans problem
2.1 Problem is weird

2.2 Facing the same problem of chest pain
2.3 The doctor has asked the patient to go for a checkup last time
3 Notes on Dylans medical condition
3.1 Sugar - a bit higher

3.2 The patient didnt take the prescription on time as prescribed by the doctor
3.3 It skipped his mind, a few times
4.1 The patient didnt quit smoking / He still smokes but a lot less
4.2 The patient said he will try to quit smoking
4.3 The patient is not going for a morning walk
4.4 He is following the diet as suggested by the doctor
5 Notes on the patients problem
5.1 The patient feels the pain badly / sometimes, it is unbearable for the patient
5.2 He feels the pain when he breathes
5.3 Chest pain doesnt necessarily mean the sign of a heart attack
5.4 it has been over a month and the problem seems to be just the same
6 Notes on further discussion between the doctor and the patient
6.1 Chest pain is one of the common complaints but it can be treatable, provided the
patient takes the prescribed medicine on time.
6.2 Reason given by Mr. Dylan Jones was: his daughter came home so he was not able
to focus............. it was after three years that he got a chance to play with his
grandchildren.
6.3 Suggestion by the doctor: Focus on doing some exercise as well.......... morning
exercise can really help you a lot in staying fit and fine.
7 Notes on questions asked by the doctor
7.1 There are many possible reasons for the chest pain. It can be caused by almost
every structure present in the chest.
7.2 When did it happen, last time?
Answer: Just early in the morning at 7 or 8
7.3 How would you describe the pain on a scale of 1-10
Answer: 8 on a scale of 10.
7.4 Does anything make the pain better?
Answer: Nothing.... it comes and goes on its own........
8.1 What makes the pain worse?
Any movement from the patient, it is even difficult to breathe sometimes
8.2 Has there been any preceding illness? - No
8.3 Has there been any trauma? No
8.4 How many episodes of pain over the past month?
Answer: Two
9.1 Blood Pressure - normal
Temperature - normal
There is a rash too
10 Notes on suggestions and prescription by the doctor
10.1 Get the chest X-ray tomorrow
10.2 Possible Reason: It can be because of an increase in coldness too... as we have

been experiencing much cold weather over the past two months..........
10.3 Suggested: continue the same prescribed medicine for a day again...... After new
tests and reports, the doctor will prescribe something new for the patient.
End of Part A
PART B
In this part of the test you will hear a talk on Mitral Valve Prolapse. You will hear
the talk once only, in sections. As you listen, you must answer the questions in the
spaces provided on the answer paper. Turn over now and look quickly through Part
B. You have one minute to do this.
You may write as you listen and there will be pauses during the talk for you to
complete your answers and to read the following question. Remember, you will hear
the tape once only and you should write as you listen.
WRITE CLEARLY
1 Name of the doctor: Doctor Daniel Chisel

Topic of discussion: Mitral Valve Prolapse.
2 Complete the notes on Mitral Valve Prolapse
2.1 Other names for Mitral Valve Prolapse are
Click murmur syndrome" and "Barlow's syndrome"
2.2 It is the most common heart valve abnormality which is reported to affect about
5% to 10% of the worlds population.
2.3 It is more prevalent in women than in men.
2.4 The mitral valve is one of the four heart valves.
2.5 A normal mitral valve consists of two thin leaflets, located between the left atrium
and the left ventricle of the heart.
2.6 Shape of the Mitral valve leaflets - Parachutes
2.7 What happens when Ventricles contract?
Answer: When the ventricles contract, the mitral valve leaflets close snugly and prevent
the backflow of blood from the left ventricle into the left atrium.
2.8 What happens when Ventricles relax?
Answer: When the ventricles relax, the valves open to allow oxygenated blood from the
lungs to fill the left ventricle.
3.1 What often gets affected in a Mitral Valve Prolapse?

Answer: In patients with mitral valve prolapse, the mitral apparatus (valve leaflets and
chordae) becomes affected.
3.2 What is the process called here?
Answer: The process is called myxomatous degeneration.
3.3 Fill in the gaps:
When severe, mitral regurgitation can lead to heart failure and abnormal heart
rhythms. Most patients are totally unaware of the prolapsing of the mitral valve.
Others may experience a number of symptoms discussed below.
4 True or False
4.1 Hereditary tendency is weak - True or False

4.2 Exact cause of the MVP is not known - True or False
Fill the gaps with appropriate words:
Affected family members are often tall, thin, with long 4.3 arms and fingers, and
straight backs. It is seen most commonly in women from 4.4 20 to 40 years old, but
also occurs in men.
5 Notes on symptoms
5.1 Most people do not show symptoms of MVP - True or False
5.2 Symptoms include:
Fatigue, palpitations, chest pain, anxiety, and migraine headaches
5.3 Which one is a very rare complication of the MVP?
Answer: A stroke is a very rare complication of mitral valve prolapse.

5.4 Complete the notes
Patients with mitral valve prolapse may have imbalances in their autonomic nervous
system which may cause inadequate blood oxygen delivery to the working muscles
during exercise, thereby causing fatigue.
6 Complete the following table
Anxiety and other Chest pains Palpitations

factors
Anxiety, 6.1 panic Sharp chest pains are Palpitations are 6.11
attacks, and 6.2 6.5 reported in some sensations of fast or
depression may be patients with 6.6 6.12 irregular heart
associated with mitral mitral valve beats. In most patients
valve prolapse. Like prolapse, which can with MVP, 6.13
fatigue, these 6.3 be prolonged. Unlike palpitations are
symptoms are 6.7 angina, chest pain harmless. In very rare
believed to be related with 6.8 mitral valve cases, 6.14 potentially
to 6.4 imbalances of prolapse rarely occurs serious heart rhythm
the autonomic nervous during or after abnormalities may
system. 6.9 exercise, and may underlie 6.15
not respond to 6.10 palpitations and
nitroglycerin. require further
evaluation and 6.16
treatment.
Other symptoms Strokes Migraine

Often the 7.1 severity MVP is 7.4 rarely Not so common but are
of symptoms in associated with strokes occasionally linked to
patients with mitral which occur in young 7.8 MVP.
7.5 patients. These
prolapse is 7.2
patients appear to have Related to 7.9
inversely correlated increased blood 7.6 abnormal nervous
to the degree of 7.3 clotting tendencies system control of the
anatomic due to abnormally 7.10 tension in the
abnormality. sticky 7.7 blood blood vessels in the
clotting elements, brain.
called platelets.
8 Complete the summary
Examination of the patient reveals characteristic findings unique to 8.1 mitral

valve prolapse. Using a 8.2 stethoscope, a clicking sound is heard soon after the
8.3 ventricle begins to contract but if there is 8.4 associated leakage
(regurgitation) of 8.5 blood through the abnormal 8.6 valve opening, a
"whooshing" sound (murmur) can be heard immediately following the 8.7 clicking
sound.
Answer the following questions or complete the sentences
8.8 Which is the most useful test for MVP?
Answer: Echocardiography (ultrasound imaging of the heart) is the most useful test for
mitral valve prolapse.
8.9 What can the test measure?
Answer: Echocardiography can measure the severity of prolapse and the degree of
mitral regurgitation.
8.10 What can the test detect?
Answer: It can also detect areas of infection on the abnormal valves.

8.11 What is endocarditis? Is it very rare?
Answer: Valve infection is called endocarditis and is very rare.
9 Notes on Holter Monitor
A 24-hour Holter monitor is a 9.1 device that takes a continuous recording of the
patient's heart rhythm as the patient carries on his/her daily 9.2 activities. 9.3
Abnormal rhythms occurring during the test period are 9.4 captured and
analyzed at a later date. If abnormal rhythms do not occur every day, the Holter
recording may fail to capture the abnormal rhythms. These patients can then be
fitted with a small 9.5 event-recorder to be worn for up to 9.6 several weeks.
When the 9.7 patient senses a palpitation, an 9.8 event button can be pressed
to record the heart rhythm prior to, during, and after the 9.9 palpitations.
10 True or False
10.1 Patients with MVP require no treatment - True or False
10.2 Mitral regurgitation in patients with mitral valve prolapse can lead to heart failure,
heart enlargement, and abnormal rhythms. - True or False
10.3 What do the procedures include?
Answer: Procedures include routine dental work, minor surgery, and procedures that can
traumatize body tissues such as colonoscopy or gynecologic or urologic examinations.
10.4 Antibiotics mentioned include:
Oral amoxicillin
Erythromycin
Intramuscular or intravenous ampicillin
Gentamycin, and Vancomycin.
10.5 Who may need treatment?
Answer: Patients with severe prolapse, abnormal heart rhythms, fainting spells,
significant palpitations, chest pain, and anxiety attacks may need treatment.
10.6 Names of the Beta-blockers mentioned in the talk are:
Atenolol (Tenormin),
Metoprolol (Lopressor), and
Propranolol (Inderal)
10.7 Calcium blockers include the following:
Verapamil (Calan) and Diltiazem (Cardizem)
End of Part B
practitioner talking to Audley Beckey, a man suffering from a stomach infection.
You will hear the consultation once only, in sections. As you listen, you must make
notes about the consultation under the headings given on the answer paper. Turn
over now and look quickly through.
Name of the patient: Audley Beckey

Problem: Stomach infection
2 Notes on Audleys problem
2.1 He has been suffering from stomach pain for the past three weeks........
2.2 Disturbing his sleep
2.3 It begins in the night time, the patient is fine during the morning.
3 Notes on Audleys medical condition
3.1 Where exactly does the patient feel pain?

Answer: Just right above the navel and a bit towards the left side of the tummy
3.2 What is the patients normal diet?
Answer: just the same as all Americans... it is very light.
3.3 What does the patient normally eat for dinner?
Answer: Well, anything that is available. Often, chicken.
4.1 Did the patient take anything to treat himself?

Answer: He took over-the-counter medicine. Something to get rid of the stomach
problem..........
4.2 Did it work for him? What was the effect of it?
Answer: No......... It in fact, worsened his problem
4.3 Does the patient eat any oily food?

Answer: No, not very much.
4.4 Does the patient have any special diet plan or does he follow any diet plan?
Answer: No
5.1 How does the patient rate the pain on a scale of 1-10?
Answer: It is 9 on a scale of 10
5.2 Pain is unbearable for the patient / he was awake all night due to this same
pain.
5.3 Does it last for minutes or hours?
Answer: Usually for minutes but yesterday it lasted for two hours.
6.1 The patient feels like vomiting due to the pain.

6.2 The patient didnt find any blood in bowel movements or in his urine.
6.3 The pain doesnt spread to any other part of his body like his chest, neck or
shoulders but just yesterday he felt a little pain around his shoulders..........
7 Notes on questions asked by the doctor
7.1 The patient doesnt feel any difficulty in passing urine.

7.2 The patient experienced a problem related to his appendix. It was some five years
back. He had his appendix removed.
7.3 There are no other medical problems.
8.1 Possible reason, as given by the doctor:
It can be because of stomach flu. Abdominal pain can also be caused by constipation,
reflux, bladder infection, peptic ulcer etc. It can also be due to lactose intolerance or
irritable bowel syndrome.
9.1 Get the prescribed tests done as early as possible.

9.2 Concentrate more on what you eat.
9.3 Avoid fatty or greasy foods.
Drink plenty of water each day.
Exercise regularly.
Do not eat food that may produce gas.
Always make sure that your meals are well-balanced and high in fiber.
Eat plenty of fruits and vegetables.
10.1 The doctor asked the patient to get the reports tomorrow.
10.2 The doctor told the patient to avoid soft drinks.
End of Part A
PART B
In this part of the test you will hear a talk on Implantable Cardiac Defibrillators
(ICDs). You will hear the talk once only, in sections. As you listen, you must answer
the questions in the spaces provided on the answer paper. Turn over now and look
quickly through Part B. You have one minute to do this.
WRITE CLEARLY
1 Name of the doctor: Doctor Joseph Stepney

Topic for discussion: Implantable Cardiac Defibrillators (ICDs).
2 Fill in the gaps
An implantable cardioverter defibrillator (ICD) is a small 2.1electronic device

installed inside the 2.2 chest to prevent sudden death from cardiac arrest due to
2.3 life threatening abnormally fast heart rhythms (tachycardias). The 2.4 ICD is
capable of monitoring the heart rhythm. When the heart is beating normally, the
device remains 2.5 inactive. If the heart develops a life-threatening tachycardia,
the ICD can attempt pacing to bring the 2.6 heart rhythm back to normal, or it
can deliver an 2.7 electrical "shock(s)" to the heart to terminate the abnormal
rhythm and return the heart rhythm to 2.8 normal.
3.1 What change can abnormal heart rhythms bring?
Answer: Abnormal heart rhythms, either too slow or too fast, decrease the delivery
of blood by the heart.
3.2 What is Bradycardia?
Answer: Bradycardia is a condition in which the heart rate is too slow.
3.3 What can be the cause of Bradycardia?

Answer: Bradycardias can be due to diseases of the SA node or the conduction

tissues of the heart.
3.4 True or False
The slow-beating heart delivers an insufficient amount of blood to the body

True or False
Tachycardia is a condition in which the heart rate is fast - True or False
One of the effects of decreased blood delivery to the body is low BP - True or False
Notes on Tachycardias
4.1 Abnormally fast heart rates are called tachycardias
Reason: caused by rapidly 4.2 firing electrical signals arising from the
walls of the 4.3 atria or the ventricles which even overrides the signals
generated by 4.4 SA node
What are atrial and ventricular tachycardias?
Answer: Tachycardias caused by 4.5 electrical signals from the atria

are called atrial tachycardias. Tachycardias caused by electrical signals
from the 4.6 ventricles are called ventricular tachycardias.
5 Fill in the gaps
Symptoms of tachycardias include:
5.1 Palpitations or fluttering sensations in the heart;

5.2 Lightheadedness (due to low blood pressure);
5.3 Fainting spells or loss of consciousness (due to low blood pressure);
5.4 Fatigue and weakness (due to lack of blood supply); and
5.5 A flushing sensation.
6.1 What are the two common life-threatening tachycardias mentioned by the
speaker in the talk?
Answer: Two common life-threatening tachycardias are ventricular tachycardia and

ventricular fibrillation.
6.2 What is Ventricular Tachycardia?
Answer: Ventricular tachycardia is a rapid regular rhythm caused by electrical signals

originating from an area of the ventricle.
6.3 Complete the notes on Ventricular Tachycardia
Ventricular tachycardia can decrease blood delivery by the heart

It can cause low blood pressure.
It can also progress to a more serious heart rhythm called ventricular fibrillation.
6.4 Complete the notes on Ventricular Fibrillation
Ventricular fibrillation is an irregular rhythm.

It is a result of multiple rapid and chaotic electrical signals firing from many different
areas in the ventricles.
A heart undergoing ventricular fibrillation is in a state of standstill called cardiac
arrest.
If not terminated quickly then irreversible brain damage may occur within minutes
of the onset of ventricular fibrillation, leading to death.
Causes of ventricular tachycardia and ventricular fibrillation
Commonly caused by heart attacks (acute myocardial infarctions) or 7.1

scarring of the heart muscle from previous heart attacks.
Less common causes:
7.2 Weakening of the heart muscles (cardiomyopathy);

7.3 Medication toxicity (such as digoxin toxicity);
7.4 Medication side effects, and blood electrolyte disturbances (such as
a low potassium level).
8.1 Medications mentioned include the following:
Cordarone and beta-blockers such as Tenormin and Inderal.
8.2 The most effective treatment mentioned in the talk:
Administering mild electric shock(s) to the heart to terminate the tachycardia

and reset the heart rhythm to normal.
8.3 Restoring normal heart rhythm can prevent irreversible brain damage -True or False
8.4 It is, to a certain extent, not possible to save the patients by delivering shocks to
convert the fibrillation to normal rhythm before irreversible brain damages occur -True
or False
9 Notes on who should receive an ICD
Patients at risk of developing 9.1 sudden cardiac arrests due to ventricular

tachycardias and 9.2 fibrillations.
ICDs can quickly terminate 9.3 life-threatening rhythms when they occur.
Several groups of patients who should receive ICDs are
9.4 Patients who have survived cardiac arrest;

Patients with ventricular tachycardias that significantly 9.5 decrease the amount
of blood delivered by the heart, resulting in 9.6 low blood pressure;
Patients with significant heart muscle damage from a prior 9.7 heart attack, and
who have ventricular tachycardia episodes that are not 9.8 suppressed by
medications.
10 Notes on implantations of ICD
Implantation of an ICD is similar to that of a 10.1 permanent pacemaker.

The procedure can be a 10.2 minor one.
10.3 It will last 1-2 hours.
No involvement of 10.4 heart surgery.
Patients are 10.5 typically sedated during the procedure.
10.6 If there is more than one lead then the process is reversed - True or False
10.7 The patient may not feel the presence of the lead - True or False.
End of the test

practitioner talking to Donald Wilson, a man suffering from mild episodes of
headaches and dizziness. You will hear the consultation once only, in sections. As
you listen, you must make notes about the consultation under the headings
provided on the answer paper. Turn over now and look quickly through.
Name of the patient: Donald Wilson
Problem: Headaches and dizziness
2 Notes on Donalds problem
2.1 He has had continuous headaches for the past three weeks
2.2 This is the first time he has experienced such severe headaches.
3 Notes on Donalds medical condition
3.1 The patient is not experiencing any other medical problems.
3.2 He underwent a surgical operation once.

3.3 He had his appendix removed.
3.4 The patient didnt face the problem he is experiencing now at any time in the
past and has never suffered from these types of headaches before.
4.1 Age of the patient: 43
4.2 Profession: Works at a plastic manufacturing company.
4.3 He takes all the precautions while working.
5.1 He eats food on time
5.2 Sometimes he has to skip his lunch due to work
5.3 Occurrence of the problem:
Must have happened for about 5-10 times

The head spins
The patient sees things moving round and round
6.1 The patient feels like vomiting (he vomited yesterday)

6.2 No one in his family had migraines
6.3 About migraines, as explained by the doctor:

Migraines are a common cause of headache pain and disability. They can be associated
with at least one form of dizziness too.
7.1 The uncle of the patient died because of brain cancer.

7.2 The father of the patient also had some undetected problems related to headaches.
7.3 His father died some two years ago.

7.4 His uncle died just 5 months ago.
8.1 Possible reason as given by the doctor:
It can be due to many reasons. It can be due to low blood pressure or can be
because of a traumatic brain injury or due to migraines etc. People who may have
had a traumatic brain injury (TBI) because of a blow to the head or due to a fall or
other event may experience dizziness which can often be a kind of vertigo that
occurs when the head is in a specific position - along with headaches.
9.1 Fatigue may also accompany these types of headaches. The headaches after TBI
may vary from tension-type headaches to migraines, or a mix of the two.
9.2 What has the doctor suggested?

The doctor suggested that the patient should get the MRI report as soon as he can.
10.1 Fill in the gaps

Get your reports as early as you can so that we can detect the root cause of the
problem. It is really not safe to deal with migraines lightly. And focus on your diet as
well. Maintain a good and healthy diet and be tension-free. Use the prescription
thats suggested here; it is to tackle dizziness.
End of Part A
PART B
In this part of the test you will hear a talk on Pinworm Infection. You will hear the
talk once only, in sections. As you listen, you must answer the questions in the
WRITE CLEARLY
1 Name of the doctor: Mackenzie Fustuva

Topic of discussion: Pinworm Infection
2 Notes on Pinworm Infection
Pinworm infection is an infection of 2.1 the large intestine and anal area
Medical name of the worm - 2.2 Enterobius vermicularis
Other terms
2.3 seatworms or threadworms
Infection is medically termed as
2.4 enterobiasis or helminthiasis
More common in the 2.5 US
Pinworm Infection in children and adults
Adults Children
Pinworm infection often occurs in School-age children have the 3.1

more than one 3.4 family highest rates of pinworm
member. Adults are less likely to infection. They are followed by
have pinworm infection, except 3.2 preschoolers.
for 3.5 mothers of infected
children. Institutional settings including day
care facilities often 3.3 harbor
cases of pinworm infection.
4 What do pinworms look like?
4.1 Pinworms are white
4.2 They can be seen with the naked eye
4.3 Length: 8-13 mm for female and 2-5mm for male worms
4.4 The eggs are laid by female worms.
4.5 The eggs are invisible. They are about 55 micrometers in diameter.
4.6 The male and female worms are endoparasites.
5 Fill the gaps
Often, during night time, 5.1 female pinworms leave the intestine through the
anus and 5.2 deposit the eggs on the skin. This leads to 5.3 itching and
irritation of the surrounding area. After scratching the rectal/anal area, 5.4
children get eggs on their fingers or underneath their fingernails and
5.5 transport the infective eggs to 5.6 bedding, toys, other humans, or back to
themselves. The eggs hatch into 5.7 larval forms in the small intestines and then
progress to the 5.8 large intestine where they 5.9 mature, 5.10 mate, and
progress to the rectal/anal area where females deposit about 5.11 10 to 15
thousand eggs.
6 Notes on how pinworm infection is spread
6.1 Pinworm infection is spread person-to-person.
6.2 Within a few hours of deposition, pinworm eggs become infective.
6.3 They can survive up to two weeks on clothing, bedding, or other objects.
6.4 Infection is acquired when these eggs are accidentally swallowed, usually due
to inadequate hand washing by the parents and children.
6.4 However, eggs on bedding or other objects that are touched while the eggs are still
viable can cause infection or reinfection of people.
7 Notes on Symptoms
7.1 Intense itching
7.2 Upset stomach
7.3 Loss of appetite
7.4 Irritability
7.5 Restlessness
7.6 Insomnia.
7.7 The symptoms of the infection are caused by the female pinworm laying her
eggs.
7.8 Most infected individuals have few or no symptoms but, if the infection is heavy,
the symptoms can be correspondingly more severe.
8 Notes on how pinworm infection is diagnosed?
8.1 If pinworms are suspected, transparent adhesive tape or a pinworm paddle

are applied to the anal region.
8.2 The eggs and sometimes the parasites themselves adhere to the sticky tape or
paddle.
8.3 They are identified by examination under a microscope.
8.4 The test is sometimes referred to as "the Scotch Tape test."
8.5 Why should the test be done as soon as the affected individual wakes
up in the morning?
Answer: The test should be done as soon the affected individual wakes up in the
morning because bathing or having a bowel movement may remove most eggs and
parasites.
8.6 What might the examination require?
The exam may require several samples for diagnosis.
8.7 What might the fingernails contain? How?
Answer: Samples taken from under the fingernails may also contain eggs, since
scratching of the anal area is common by affected individuals.
9 Notes on pinworm medications
9.1 Usually a single tablet of mebendazole (vermox) is used for treatment.
9.2 Some clinicians recommend a treatment protocol of a drug dose every 3 weeks,
3 times, so that the person has effective drug treatment for about 9 weeks in total.
9.3 Another effective medication is albendazole (albenza) but it may require other
medications to reduce the inflammation of the central nervous system, a side effect
of the drug.
9.4 Pyrantel pamoate (Pin-Rid, Pin-X) is available over-the-counter for pinworm

after confirmation of the diagnosis by a licensed healthcare practitioner. Drugs
available over-the-counter vary from country to country. Pyrantel is the treatment
of choice for pregnant women.
9.5 To treat pinworms affecting urinary and genital organs, combination therapy
with oral mebendazole (vermox) and ivermectin (stromectol) for the worms as well
as topical therapy for the eggs may be required.
10 Notes on the consequences of untreated pinworms
10.1 When untreated, pinworms can cause:
Diarrhea
Significant malabsorption of food
Genital itching
Bedwetting
10.2 Good hygiene will help reduce the spread of the parasites.
Hand washing after handling bedding, diapers, underwear, and other items that may
contain the infective pinworm eggs will also help.
Cleaning under the fingernails and not biting the fingernails will also help reduce the
chance of contracting the parasites.
Clothes, especially underwear, should be changed and washed daily to help prevent
spreading the disease.
End of the Test
practitioner talking to Marshall Marelo, a man suffering from a problem of hair loss.
You will hear the consultation once only, in sections. As you listen, you must make
notes about the consultation under the headings given on the answer paper. Turn
over now and look quickly through.
Name of the Doctor: Dr Krusova
Name of the patient: Marshall Marelo
Problem: Hair loss

2 Notes on Marshalls problem
2.1 Marshalls main problem was related to hair loss.
2.2 Fill in the blanks:

Hair loss is a very common condition and affects most people at some time in their lives,
but can be controlled in some cases.
3 Notes on Marshalls family history
3.1 No one in his family has ever experienced this problem of hair loss.
3.2 His father had no hair loss problems. He had healthier hair. He had full crop of hair.
3.3 Age: 25
3.4 The patient hasnt experienced this hair loss problem until very recently.
4.1 What does Marshall do?
Answer: He is a student, studying at Cambridge university.
4.2 Part-time work - Worked in a coffee shop, Electra Cafe, after his studies for pocket
money.
4.3 He has no siblings
5.1 Explanation by the doctor:

There are many possible reasons for hair loss. Many people inch towards baldness as
early as in their 20s, although some people over 50 face no problems at all.
5.2 Hairs from the center of the head are missing which can be a serious thing.
6 Notes on examination by the doctor
6.1 The patient has lost quite a handful of hair from the center of his head
6.2 Rarely encounters problems like this
7.1 Name of the shampoo - It is Kientzy

7.2 Did the patient have any injury marks on his head?
Answer: Yes
7.3 What happened last year?

Answer: He was playing rugby and he got injured seriously. The doctor then removed
the top hair too.
8.1 What did the patient apply after that injury to his head?
Answer: It was PTL Hair CREAM
8.2 Did the patient use anything else apart from the hair cream?
Answer: There were a few tablets. It was a medical course of about 30 days.
8.3 Explanation by the doctor:
Nine times out of ten people face baldness due to use of the wrong products.

9.1 Hair loss can occur due to reasons such as
Stress
Vices
Pollution
Poor nutrition
9.2 About Marshall
He doesnt take any tension. He always deals with problems with a cool attitude. He
maintains a good diet.
9.3 Possible reason for the hair loss:
The doctor believes hair loss in the case of this patient is due to side effects of
certain unfriendly medicines the patient has used. It cant be a genetical case.
10.1 The doctor has prescribed a hair tonic and certain tablets for the patient.
10.2 Name of the hair tonic: It is FHK Hair Tonic.
10.3 The patient needs to apply this hair tonic when going to bed.
10.4 Asked the patient to stop making use of chemical-based shampoo or gels which
may harm him.
10.5 Asked the patient to come after one month again.
10.6 Suggested that the patient focuses on what he eats. There should be good dietary
sources of iron and protein, such as red meat, non-fat dairy products and iron-fortified
cereal etc.
End of Part A
PART B
In this part of the test you will hear a talk on Aspergers Syndrome. You will hear
the talk once only, in sections. As you listen, you must answer the questions in the
WRITE CLEARLY
1 Name of the doctor: Doctor Michele Fernandez

Topic of discussion: Aspergers Syndrome
2 Notes on Aspergers Syndrome
2.1 Also known as Asperger disorder
2.2 One of a group of neurodevelopmental disorders
2.3 Will have effects on an individual's behavior, use of language and

communication and pattern of social interactions.
2.4 Asperger disorder was formerly characterized as one distinct autism spectrum
disorder.
2.5 Asperger disorders represent high-functioning form of autism - True or False

3 Notes on DSM
3.1 DSM Stands for Diagnostic and Statistical Manual of Mental Disorders
3.2 Year of publication: May 2013
3.3 Explains about Asperger's syndrome and autistic disorder
3.4 Asperger's syndrome and autistic disorder combined into one condition for
diagnostic purposes, known as ASD.
3.5 The presentation of the ASD arose controversy - True or False
3.6 Fill in the gaps:
People with Asperger's syndrome typically have normal to above-average

intelligence but typically have difficulties with social interactions and often have
pervasive, absorbing interests in special topics.
4 Notes on Dr. Hans Asperger
4.1 Dr. Hans Asperger was an Austrian pediatrician.
4.2 First to describe the condition in the year 1944.
4.3 Dr. Asperger described four boys who showed "a lack of empathy, little ability to
form friendships, one-sided conversation, intense absorption in a special interest,
and clumsy movements."
4.4 He termed the boys "little professors."
4.5 APA recommended "subsuming" Asperger's Disorder into Autism Spectrum

Disorders.
4.6 The academic debate regarding this decision is still continuous.
5 Notes on positive aspects of Aspergers Syndrome

5.1 Aspergers Syndrome represents a defective way of thinking - True or False
Aspergers syndrome has been described as beneficial too in many professions including:
5.2 Increased ability to focus on details

5.3 Capacity to persevere in specific interests without being swayed by others'
opinions
5.4 Ability to work independently
5.5 Recognition of patterns that may be missed by others
5.6 Intensity
5.7 An original way of thinking
6 Notes on Dr. Temple Grandin
6.1 She was a noted engineer, author, and professor
6.2 She was affected by Asperger disorder
6.3 Her condition had been an asset for her in her professional life.
6.4 Her life and story was featured in a film that first aired in 2010.
6.5 Complete the list of the names of many successful historical figures who
might have had Asperger's syndrome
Mozart
Albert Einstein
Benjamin Franklin
Thomas Jefferson and
Marie Curie
7 Notes on what causes Asperger's syndrome

If it is accepted that the Asperger's syndrome is one of the autistic disorders, then the
causes of Asperger's syndrome would be expected to be the same as the causes of
autism.
What might Autistic Disorders be related to?
Autistic disorders may be related to toxic exposures, teratogens, problems with

pregnancy or birth, and prenatal infections.
8 Notes on how common Asperger's syndrome is
8.1 Asperger's syndrome affects a greater number of boys than girls - True or False
8.2 Asperger's syndrome has been estimated to affect two and a half out of every
1000 children, based upon the total number of children with autistic disorders.
8.3 In the US, an increase in autistic spectrum disorders has been noted.
8.4 The most recent studies show that one out of every 110 children in the U.S.
has an autism spectrum disorder.
9 Fill in the gaps
Symptoms mentioned include the following:
9.1 Lack of social awareness
9.2 Lack of interest in socializing/making friends
9.3 Difficulty making and sustaining friendships
9.4 Inability to infer the thoughts, feelings, or emotions of others
9.5 Either gazing too intently or avoiding eye contact
9.6 Lack of changing facial expression, or use of exaggerated facial expressions

9.7 Lack of use or comprehension of gestures
9.8 Unusually sensitive to noises, touch, odors, tastes, or visual stimuli
9.9 Inflexibility and over-adherence to or dependence on routines and
9.10 Stereotypical and repetitive motor patterns such as hand flapping or arm waving.
10 Complete the summary
The DSM-IV showed 10.1 specific diagnostic criteria for Asperger's syndrome.
However, 10.2 a revised edition that is 10.3 DSM-V, published in 10.4 May 2013
included Asperger's syndrome in the same 10.5 diagnostic group as people with 10.6
autism and pervasive developmental disorders.
10.7 Medical therapy is not effective in treating Aspergers syndrome - True or False
10.8 Often SSRI medications are used for relief of anxiety or depression - True or False
10.9 SSRI stands for selective serotonin reuptake inhibitors.
End of the Test 15
Copy right All rights Reserved: Maiva Corporation

Oet Listening-15

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Oet Listening-15

Uploaded by

Copyright:

Available Formats

Oetmaterial.com.

LISTENING TEST 11 Part A

Now look at Question 1. Question 1 has been done for you.

Name of the patient: Alfonso Albert

Problem: Ear Infection

2 Notes on Alfonsos problem

2.1 Ears are aching

3 Notes on Alfonsos medical history

3.2 Taking pills for diabetes

4 Notes on further questions asked by the doctor

4.1 Smokes / Two packs of cigarettes daily

5 Notes on examination by the doctor

5.1 Part of the ear is swollen

6 Notes on further questions by the doctor

6.1 Feels itching

7 Notes on explanation by the doctor

7.1 Kinds of infection:

7.3 The infection can be caused by or related to swimming

7.4 It is also called swimmers ear

8 Notes on further explanation of the problem by the doctor

8.1 Why does this infection occur?

It mostly occurs when contaminated water enters the outer ear.

8.2 Symptoms include:

9 Notes on further explanation and examination by the doctor

10 Notes on prescription by the doctor

10.1 Are there any problems with hearing? - NO

10.2 In most of the cases, patients complain of hearing loss.

10.5 Suggestions by the doctor:

Use ear plugs when you swim.

Now read Question 1. Question 1 has been done for you.

1 Name of the doctor: Doctor Natali Cameron

2 Notes on Depressive Disorder

3 Complete the Summary

A 3.1 Depressive disorder is a syndrome (group of symptoms) that indicates a 3.2

4 Complete the following sentences:

4.2 Depressive disorders are a huge public health problem.

4.3 It affects millions of people.

Facts about depression

4.4 Approximately 10% of adults, up to 8% of teens, and 2% of preteen children

4.5 What is mentioned in the talk about Postpartum depression?

Answer: Postpartum depression is the most common mental health disorder to

5 Answer the following questions

5.2 What does the medical study show?

Answer: In a major medical study, depression caused significant problems in the

5.3 List the names of the diseases mentioned in the talk

6 Complete the gaps

7 Complete the table

It is not identified in a Yes, it is 7.4 100% Depression is usually first

No comments For full recovery from a

8 Complete the notes

Myths about depression and its treatment

8.1 It is a weakness rather than an illness.

Answer the following questions:

8.5 Who may not get depressed?

8.6 Is it true that people with depression are crazy?

8.7 Does depression really exist?

Answer: Depression does not really exist.

8.8 Which groups does the speaker talk about?

Answer: Ethnic groups

8. 9 Does Depression look like Irritability?

9 Complete the notes about the symptoms mentioned by the speaker:

Complete the list of symptoms:

9.4 Persistently sad, anxious, angry, irritable, or "empty" mood.