Part 1

1. The substance either makes them feel good _____ stops them from feeling bad.
A. nor B. or C. and D. with
2. On entering the patient’s room, the nurse found him ______ and delirious.
A. confused B. to confuse C. confuse D. confusing
3. A(n) _____will reveal if Mary’s baby is a boy or girl.
A. CT-scan B. ECG C. MRI D. ultrasound
4. What is used to conduct auscultation of the patient’s breathing?
A. an inhaler B. an oxygen mask
C. a stethoscope D. a sphygmomanometer
5. You can avoid being exposed to the viruses by___ away from those with colds.
A. stay B. to stay C. staying D. stayed
6. Any necessary staff and equipment should be devoted to trauma
patients_______their vital signs are stabilized.
A. until B. when C. if D. unless
7. The anesthesiologist prepared the injections to put the patient ______for the
operations.
A. sleep B. sleeps C. to sleep D. will sleep
8. _____ hands _______ soap will help guarantee reduced infection outbreaks.
A. To wash/with B. Washing/with C. Washing/by D. Wash/with
9. The doctor _______some more blood tests to investigate the patient’s condition
further.
A. ordered B. detected C. declined D. showed
10. Don't forget to _______any used bandages in the examining room.
A. discard B. keep C. empty D. stitch
11. Here’s your appointment- you _____ the doctor at 11.45 tomorrow.
A. will see B. are seeing C. are going to see D. is going to
12. The doctor _____ to see this patient as quickly as possible.
A. need B. needs C. must D. have
13. The sick man.............. by the surgeon.
A. was operated B. operated on C. was operated on D. is operated
14. She..............a serious disease when she was working in the village.
A. gets B. caught C. infected D. suffered
15. I have recently had my appendix ______ by a Chinese surgeon.
A. remove B. removes
C. removed D. removing
16. Cleaning procedures for medical tools ______ carefully.
A. must follow B. mustn’t follow
C. must be followed D. mustn’t be followed
17. If you feel strong chest pains, you ______to the hospital immediately.
A. should go B. need go C. needn’t go D. ought go

II. Read the following passage and choose the word or phrase that best fits each of the
numbered blanks
The normal temperature of the body is 36◦C to 37◦C (98-4◦F) when (1)______ orally. A healthy
person’s temperature varies during the day. It rises slightly between four p.m. and six p.m. and
slowly falls (2)______ about 36◦C between two a.m. and four a.m.
A temperature of above 37◦C indicates an infection in a patient even though in all other respects
he may seem (3)______ healthy. However, in a healthy person, the temperature may be above
normal after (4)______ done something that would cause his temperature to go up (5)______
normally such as drinking a cup of hot tea, having a hot bath or taking some exercise.
In the same way that a raised temperature indicates that a patient may be suffering from
some kind of infection, a temperature below 36◦C (subnormal temperature) (6)______ also
a bad sign. Subnormal temperatures are found with patients (7)______ from the condition of
severe (8)______ or shock.
1. A. take B. takes C. taken D. taking
2. A. to B. at C. on D. in
3. A. perfect B. perfects C. perfected D. perfectly
4. A. have B. has C. having D. had
5. A. quite B. quiet C. quietness D. quietly
6. A. have B. has C. are D. is
7. A. suffer B. sufferers C. suffering D. suffered
8. A. bleed B. bleeding C. blood D. bloody

Section 2. Read the passage and then choose the best answer to each question
 ANAESTHESIA
1.‘Anaesthesia’ means ‘loss of sensation’. Drugs that cause anaesthesia work by
blocking the signals that pass along your nerves to your brain. This stops you
feeling pain. When the drugs wear off, you start to feel normal sensations again.
The development of effective anaesthetics in the 19th century was an important
factor in successful surgery. Before this time, few operations were possible, and
surgeons were judged by their speed. Some doctors used alcohol or morphine to
reduce the pain, but patients were usually held or strapped down. Many died on the
operating table. Anaesthesia meant that surgeons could take more time and
perform more complex procedures.
2. Ether was one of the earliest anaesthetics, but it had some drawbacks-for
example, it could cause vomiting. It was quickly replaced by chloroform, which
was more potent and easier to use than ether. However, it was not as safe to use as
ether, and could cause sudden death. By the 1920s, intravenous induction agents
were introduced. They enabled patients to fall asleep quickly and pleasantly. In the
1940s muscle relaxants became available.
3. Anaesthesia can be given in different ways, and not all anaesthesia makes you
unconscious.
 Local anaesthesia numbs a small part of your body. You stay conscious but free
from pain.
 Regional anaesthesia can be used for operations on larger or deeper parts of the
body. The most common regional anaesthetics (also known as regional ‘blocks’)
are spinal and epidural anaesthetics. These can be used for operations on the lower
body, such as Caesarean sections, bladder operations, or hip replacements. You
stay conscious but free from pain.
 General anaesthesia is a state of controlled unconsciousness, and you feel
nothing. It is essential for some operations such as abdominal surgery. As the
anaesthetic drugs wear off, your consciousness starts to return.
4. Modern monitoring systems and a greater understanding of the functions of the
body mean that anaesthesia is now very safe. Fewer than 1 in 250,000 deaths
during operations are directly related to anaesthesia.
Questions:
[Link] section of the text (1-4) has the heading “ A short history of anaesthesia?
A.1 B.2 C. 3 D.4
[Link] section of the text ( 1-4) has the heading “ Anaesthesia today”
A.1 B.2 C. 3 D.4
3. What word or phrase in the text has the meaning “having the strong effect”?
A. relaxants B. wear off C. potent D. pleasantly
4. What surgery can be used with regional anaesthesia?
A. heart surgery B. eye surgery C. caesarean sections D. ear surgery
5. What word or phrase in the text has the meaning “disappear gradually”?
A. wear off B. potent C. strapped down D. drawbacks
6. What difference did anaesthetic drugs make to the work of surgeons?
A. stay conscious B. free from pain
C. cause vomiting D. perform more complex procedures
7. How is the rate of the death that results from anaesthesia?
A. common B. rare C. none D. very common
8. What word or phrase in the text has the meaning “ loses the power to feel”?
A. numb B. potent C. relaxants D. pleasantly

Section 3. Read the passage and then choose the best answer to each question

A challenging career: Psychiatric nursing

If you would like to specialize in one area of nursing, psychiatric nursing could be
the right thing for you. It’s a growing field, and nurses work in a wide range of
locations, using surprisingly diverse therapies.

Psychiatric nursing is the care of people with mental illnesses. Such problems may
include dementia, schizophrenia, bipolar disorder, eating disorders, depression and
addiction. Nurses use the DSM-IV as their main reference source.

Nurses may work in a hospital setting, but they are also likely to meet patients in
their own homes, or even in prisons, as many nurses are involved in the
rehabilitation of those who have been hospitalized or imprisoned.
Psychiatric nursing involves a range of different interventions. Nurses need skill in
the administration of medicines, both orally and through intramuscular injection.
Nurses may also treat patients using electroconvulsive therapy. Nurses may also be
involved in delivering psychotherapy to aid patients’s recovery and manage any
future crises in their medical health.

If you would like any further details on a career in Psychiatric Nursing, please
contact Wendy Stevens at the Center for Psychiatric Training at [Link]@[Link]

[Link] is the purpose of the article?

[Link] encourage nurses to specilize in a particular field

B. to pursuade people with mental illnesses to get treatment

C. to inform psychiatric nurses about new forms of treatment

D. to advise psychiatric nurses on how to treat particular patients

2. Which of the following treatments do psychiatric nurses NOT use?

A. psychoanalysis

B. oral medicine

C. intramuscular injections

D. electroconvulsive therapy

3. What can you infer about psychiatric nurses?

A. They focus on treatment of teens

B. They are not trained to treat physical illnesses

C. They work in a range of locations

D. They require less education than other nurses.