OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 1 Wises SETTING Intensive Care Unit at Children’s Hospital | PATIENT You are the parent of a 3-year-old girl who is currently being treated in the ICU for | anaphylactic shook after an emergency admission yesterday. Your daughter suddenly became ill at a children’s birthday party, She seems to be out of danger today; you want to find out more about what caused the problem and what can be Gone to prevent (or treat) it in future. Yesterday you were panicky, but today you are calmer, although still feeling rather upset TASK * Ask the doctor for an interpretation of the situation. Include | questions. | Is your daughter going to be all ight? | - Did something she ate or drank at the party cause her ili - lf s0, how can you tell what caused the symptoms? - Is this an allergic reaction? What does this mean? = Will she always have this problem? - How can you avoid this situation in future (at kinderg friendsfamily, at home)? - fit happens again, what should yo! _© Camriago Boxhl Language Assessment SEPTEMBER 2 OET SEPTEMBER 2014 pera PU e 7a oe eS SETTING DOCTOR of a food allergy. She is currer of adrenaline. The parent appe TASK * Be sympathetic and reassuring. | © Include the following information in your response to his/her questions: - symptoms could have been caused by food/drink at party. - confirmation of allergen to be done by administration of diagnostic tests. ~ explanation of allergy: i.e., immune response (non-toxic substance treated as toxic by immune system), sometimes life-threatening. - outlook: many children outgrow allergies. - future prevention: avoid allergen (when identified); inform supervising adults of | problem/causes/dangers. | ~ treatment of possible future episodes: adranaline (using EpiPen autoinjector), immediate medical attention. soronenon | f Cambridge Boshi Language AssessmentOET SEPTEMBER 2014 ROLEPLAYER CARD Ni MEDICINE | SETTING Suburban Ciinic | | | | PATIENT You have recently been diagnosed with emphysema. You know this is related to | | smoking, and feel guilty because you smoked for 25 years, even though your father also had emphysema. You do not fully understand this disease, but know there is nothing that can be done to cure it. You are quite scared about what is to come and want to know if you can reduce the symptoms. TASK * Ask the doctor to explain the condition to you, * Find out if there is anything that can be done to make ‘the air get out? * Ask the doctor what physiotherapy could do. * Discuss some possible surgical options. * Seek advice on what c: be dons 8 to prevent getting frequent infections. * Explain why you feel responsible for getting it. © Cambridge Boxhil Language Assessment SEPTEMBER 2014 OET SEPTEMBER 2014 CoN ey Naor Na Os Se SETTING DOCTOR ysema of which there is 2 He/she feels guilty for g: having smoked for 25 years me for more information about the condition, and to find out what be done to improve his/her quality of life, and possibly extend life expectancy, TASK * Explain the condition to the patient - ‘air-trapping’ (L.e., ait/gas trapped in the lungs due to difficuity exhaling complataly) * Prescribe appropriate drugs - bronchodilators and/or steroid inhalers. * Recommend chest physiotherapy and outline ways in which this can help (@.g., breathing techniques to improve lung function and to increase tolerance to physical activity) * Answer questions about the surgical option (e.g., lung reduction) and the i benefits it can offer. * Explain the narrow window of opportunity for surgery (é.g., age, condition, etc.) * Answer questions about prevention of secondary infections (e.g., stop smoking immediately, antibiotics, etc.) * Try to allay the patient’s feelings of guilt » certo Sl Langige Aster serrevecn 2014 LOET SEPTEMBER 2014 SETTING ‘Suburban Clinic PATIENT You have recently been diagnosed with emphysema. You know this is related to smoking, and fee! guilty because you smoked for 25 years, even though your father also had emphysema. You do not fully understand this disease, but know there is nothing that can be done to cure it. You are quite scared about what is to come and want to know if you can reduce the symptoms. TASK * Ask the doctor to explain the condition to you. * Find out if there is anything that can be done to make exhaling casie the air get out? * Ask the doctor what physiotherapy could do. Is it likely to extend * Discuss some possible surgical options, °& @ on what can be done to prevent getting frequent infections. * Explain why you fee! esponsible for getting it SEPTEME OET SEPTEMBER 2014 CANDIDATE CARD NO. 4 Sel SETTING DOCTOR TASK Explain the condition to the patient - ‘air-trapping’ (ie., air/gas trapped in tl lungs due to difficulty exhaling completely). * Prescribe appropriate drugs - bronchodilators and/or steroid inhalers. * Recommend chest physiotherapy and outline ways in which this can help (@q., breathing techniques to improve lung function and to increase tolerance to physical activity) ‘* Answer questions about the surgical option (e.g., lung reduction) and the benefits it can offer. + Explain the narrow window of opportunity for surgery (@.g., age, condition, etc.) * Answer questions about prevention of secondary infections (e.g., stop smoking immediately, antibiotics, etc.) * Try to allay the patient's feelings of guilt, © Cambridge Soxhil Language Assessment SEPTEMBER 2014OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 3 EDICINE SETTING Suburban Clinic | PATIENT You have come to the doctor about your eyes which became red and itchy a few | days ago. You do not wear contact lenses, and have not been handling chemicals | or cleaning fiuids recently. There are no problems with your eyelids, just your eyes. It feels like there is grit in them and they are runny at times, but otherwise there is no pain. TASK * Tell the doctor that you have noticed a clear discharge for a couple of days, only since you had a cold last week. * Find out what could be causing these symptoms and how long this is likely to last. Ask if it would help to bathe your eyes in salty water. Find out how helpful an allergy test would be, especially fit Express concem that it will affect your vision. Ask about how to prevent others in the ho © Cambridge Boxnll Langu: OET SEPTEMBER 2014 CoN eT Nor Nat ORE) Sel SETTING DocTOR confirm your diagno: Task * Ask how long the discharge has occurred for — is it clear or purulent * Find out if the patient has had a cold recently. * Explain your diagnosis of conjunctivitis and the possible cause (¢ infection), * Explain the appropriate treatment and the usual course of conjunctivitis, virus: antihistamines, warm/cool compresses, etc.) * Answer questions about the need for an allergy test and the likelihood of recurrence, * Reassure the patient that it should not affect his/her vision permanently * Advise the patient not to share face washers/bed linen with others as the condition is contagious. G SEPTEMBER 2014OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 1 MEDICINE t | SETTING Intensive Care Unit at Children’s Hospital PATIENT You are the parent of a 3-year-old gir who is currently being treated in the ICU for anaphylactic shock after an emergency admission yesterday. Your daughter suddenly became ill at a children's birthday party. She seems to be out of danger | today; you want to find out more about what caused the problem and what can be done to prevent (or treat) it in future. Yesterday you were panicky, but taday you are calmer, although still feeling rather upset. TASK * Ask the doctor for an interpretation of the situation. Include the following questions. - Is your daughter going to be all right? - Did something she ate or drank at the party cause her ine - If so, how can you tell what caused the symptoms? - Is this an allergic reaction? What does this m - Will she always have this problem? How can you avoid this situation in future (at kinderg: frien - Ifit happe ambridga Boxsil Language Assessment CANDIDATE CARD Sete Ss DOCTOR TASK * Be sympathetic and Include the following information in - symptoms could have been caused by - confirmation of allergen to be done by adminis: - explanation of allergy: i.e, immune response (non-toxic sul toxic by immune system), sometimes life-threatening. - outlook: many children outgrow allergies. - future prevention: avoid allergen (when identified); inform supervising adul problem/causes/dangers. - treatment of possible future episodes: adrenaline (using EpiPen autoinjector immediate medical attention. | © cambridge Bosill Language AssessmentOET SEPTEMBER 2014 stele pie) Se wd eri em} SETTING Suburban Clinic PATIENT You are 47 years old. You are feeling intense burning pain in the joint of your right toe. Yesterday, the toe became very tender and swollen and tumed red. You have taken aspirin for pain relief but this doesn’t seem to be working, In fact, the pain is | getting worse. You have had two previous attacks of gout. However, this episode seems much worse and the pain is very intense. TASK + Ask the doctor what causes gout. * Find out how to relieve the pain, * Tell the doctor that you are worried about how long the attack wil be attending your friend's wedding on the weeker * Become upset when the doctor suggest: your toe to get better. You don't underst of gout. € Cambrigge Boxtu Language CANDIDATE CARD NO. 5 Ses SETTING Suburban Cinic DOCTOR TASK © Explain gout to * Advise on appropriat (allopurinol). * Tell the patient that it might take several weeks to gat better. * Reassure the patient that recurrent attacks are common but can be prevented, * Educate the patient on how to reduce the frequency of attacks (e.g., modify diet, reduce alcohol consumption, lose weight, ete.)OET SEPTEMBER 2014 ie ea eos =>) fet SETTING ‘Suburban Clinic PATIENT You are 50 years old and have recently been diagnosed with Parkinson's disease, which has caused stifmess and movement difficulties. You cannot swing your arms, and are getting muscle spasms, especially in your left foot. You do not have a tremor at this stage. The doctor has put you on a drug, but you are keen to try alternatives so you can cease the medication. TASK * Explain that you do not like taking drugs. * Find out why the doctor thinks you need to persevere. * Find out what exactly Parkinson's disease is. What causes it? How does it affect your brain? * Find out if there is anything else that would help (e.g., exercise, acupuncture or massage, ete.) * Be difficult to convince, but eventually, reluctantly agree to stay on the drug, © Cambriage Box Language Assessment QET SEPTEMBER 2014 CANDIDATE CARD NO. 2 Useless SETTING Suburban Clinic DOCTOR This 50-year-old patient was recently diagnosed with Parkinson's disease (PD) You prescrioed L-DOPA (levodopa/carbidopa), but the patient is reluctant to continue with it even though he/she is having muscle spasms in the left foot and cannot swing his/her arms. As he/she has no tremors, he/she is keen to try alternative therapies and asks about them instead of taking the prescribed drugs. TASK * Encourage him/her to persist with L-DOPA, by explaining the importance of the medication and how it will improve the prognosis. “© Explain what PD is {i.e., degenerative disorder of the central nervous system) and what happens neurologically (i.e., often impairs the motor skills, speech and other functions). + Explain that the causes of PD may be due to head trauma, exposure to toxins or simply unknown. * Recommend physiotherapy and explain ways in which it can help (e.g., with movement, initiating gait, pain, breathing, etc). * Answer questions about the benefits of exercise, acupuncture, massage, but emphasise these are not alternatives to the medication. vage Assessment SEPTEMBER 2014OET SEPTEMBER 2014 ROLEPLAYER CARD MEDICIN! ING ‘Suburban Clinic PATIENT You are 47 years old. You are feeling intense burning pain in the joint of your right toe. Yesterday, the toe became very tender and swollen and turned red. You have taken aspirin for pain relief but this doesn’t seem to be working. In fact, the pain is getting worse. You have had two previous attacks of gout. However, this episode seems much worse and the pain is very intense. TASK * Ask the doctor what causes gout. * Find out how to raliave the pain. * Tell the doctor that you are worried about how long the attack will last as you wil be attending your friend’s wedding on the weekend, * Become upset when the doctor suggests that it might take several weeks for | your toe to get better. You don’t understand why you are having another attack | of gout | {© Cambyidce Boxtill Language Assessment SEPTEMBER 2014 OET SEPTEMBER 2014 CANDIDATE CARD NO. 5 MEDICINE SETTING Suburban Clinic DOCTOR 47-year-old presents with an attack of gout (intense pain, sweling and inflammation in the joint of his/her right big toe). The attack seems much worse than two previous attacks. This time, the patient has taken aspirin for the pain but the pain is getting worse. The patient is seeking your advice on how to relieve the pain. He/she has little knowledge about gout, TASK ‘* Explain gout to the patient (build up of uric acid leading to crystalising) * Advise on appropriate pain relief (avoid aspirin) and medical preventive treatment (allopurinob. © Tell the patient that it might take several weeks to get better. * Reassure the patient that recurrent attacks are common but can be prevented. * Educate the patient on how to reduce the frequency of attacks (e.g., modify diet, raduce alcohol consumption, lose weight, ete.) © Cambridge Boshi Language Assessment SEPTEMBER 2014SETTING PATIENT TASK © Cambridge Box Lan OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 2 LUT} Nts Suburban Clinic You are 50 years old and have recently been diagnosed with Parkinson's disease, which has caused stiffness and movement difficulties. You cannot swing your arms, and are getting muscle spasms, especially in your left foot. You do not have a tremor at this stage. The doctor has put you on a drug, but you are keen to try alternatives so you can cease the medication. * Explain that you do not like taking drugs, * Find out why the doctor thinks you need to persevere. * Find out what exactly Parkinson's disease is. What causes it? How does it affect your brain’? * Find out if there is anything else that would help (e.g., exercise, acupuncture or massage, etc.) * Be difficult to convince, but eventually, reluctantly agree to stay on the drug 5 Assessmont He fee SEPTEMBER 2014 OET SEPTEMBER 2014 CANDIDATE CARD NO. 2 syle Nts SETTING DOCTOR | TASK © Cambridge Box Language Assessmen ‘Suburban Clinic This 50-year-old patient was recently diagnosed with Parkinson's disease (FD) You prescribed L-DOPA (levodopa/carbidopa), but the patient is reluctant to continue with it even though he/she is having muscle spasms in the left foot and cannot swing his/her arms. As he/she has no tremors, he/she is keen to try alternative therapies and asks about them instead of taking the presoribed drugs. medication and how it will improve the prognosis. * Explain what PD is (i.2., degenerative disorder of the central nervous system) and what happens neurologically (L.e., often impairs the motor skills, speech and, other functions). * Exolain that the causes of PD may be due to head trauma, exposure to toxins or simply unknown, mmend physiotherapy and explain ways in which it can help (e.g., with ment, initiating gait, pain, breathing, etc). questions about the benefits of exercise, acupuncture, massage, but * Encourage him/her to persist with L-DOPA, by explaining the importance of the emphasise these are not alternatives to the medicatian SEPTEMBER 2014OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 6 MEDICINE SETTING Work Place Health Check PATIENT You are a 50-year-old factory worker. You are attending a work health check minute health assessments conducted at work) organised by your employer. do not want to cooperate with the assessment because you are concemed your employer having access to your medical information, You have not had ‘ealth check for a long time and are fearful that you may have developed Giabetes or some other disease. You would prefer not to know. TASK * Express your concem about your employer having access to your personal information. * Tell the doctor that you do not understand why you need a health check - as long as you are performing your duties, what does your health matter? * Inform the doctor that your older brother was diagnosed with diabetes a year ago and has made big changes to his diet and lifestyle. You couldn't be bothered going through such big changes (I'm feaiing ok, why should | worry?) ‘8 Camidgo Boxhill Language Assessment _ fee ed SEPTEMBER 2014 OET SEPTEMBER 2014 Cera yer U2 Neat} MEDICINE SETTING Work Place Health Check DocToR You are conducting 15-minute health assessments at a tactory workplace. A 50-year-old factory worker does not want to cooperate with the assessment because he/she is concerned about the employer having access to his/her medical information. The worker has not had a health check for a long time and is fearful that he/she may have developed diabetes or some othar disease, He/she would prefer not to know. * Provide reassurance — work health checks are confidential and provide opportunity to receive immediate feedback and advice on results. * Explain that health checks support a healthier workforce with wide-ranging benefits (e.g., improved productivity, reduced workplace injuries, etc.) pl personal benefits (¢.g,, individuals learn more about their own health, etc.) * Convince the patient to attend local doctor and undertake testing for diabe! Exolain benefits of risk assessment for preventable disease. Encourage patient to reduce risk factors (@.g., dietary modification, regular exercise, Language Assessment