INGLES III

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TEMA 1
READING AND COMPREHENSION

Malnutrition in poor countries

a. Responder las siguientes preguntas (en castellano):

1. What are the causes of famine?

Las causas del hambre son la sobrepoblación, pobreza y conflicto civil.

2. Of what do the body´s energy reserves mostly consist?

Consiste en usar los trigliceridos contenidos en el tejido adipose como Fuente de

energia.

3. When the body has exhausted its reserves of fat, what other source of energy can it
utilise?

4. Which organ does not shrink in starvation?

5. Why may cardiac failure occur in starvation?

6. What can happen to the small intestine in starvation?

7. What can be the brain learn to use as a source of energy? Why is this important?

8. Why may the legs swell up in starvation?

9. What is infantile marasmus?

10. Which are the two meanings of “Kwashiorkor” given by the text?

11. At what age does Kwashiorkor usually begin?

12. How many children die each year from Kwashiorkor?

13. Why are secondary infections important?

14. In one organ, changes brought about by Kwashiorkor may be irreversible. Which is it?

15. What does prevention of Kwashiorkor involve?

TEMA 1
VOCABULARY
 “Health and illness

1. Completar el cuadro con el adjetivo que corresponda. Tener en cuenta la terminología

adquirida en la ficha de “Health and illness”.

Noun Adjective

Fitness Fit

Health Healthy

Illness ill

Sickness Sick

2. Combinar las expresiones de ambas columnas para generar el termino medico adecuado.

Complete Sickness

Feel Health

Get Remission

Poor Sick

Travel Over

a.Feel Sick

b.Get over

c.Travel Sickness

d.Poor Health

e. Complete Remission

3. Completar el siguiente dialogo. Utiliza conceptos adquiridos en la ficha de “Health and

illness” para ayudarte.
 (1). Well

(2). Unwell/ill

(3).Health

(4).Fit

(5).Well

(6).Sick

(7).Sick

(8).Illness

4. Selecciona la palabra correcta para completar cada una de las siguientes oraciones.

a) Her condition _______________ (deteriorated / improved) and she died.

b) He _______________ (relapsed / recovered) and was allowed to go home from

hospital.

c) The cause of sleeping _______________ (illness / sickness) was discovered in 1901.

d) The patient made a full _______________ (remission / recovery).

e) I have been in _______________ (poor / good) health for months and feel very fit.

f) It was a month before I _______________ (got over / got better) the illness.

g) He seems to be rather _______________ (unhealthy / unwell) – his diet is bad and he

never exercises.
TEMA 2
READING AND COMPREHENSION

 Leer la primera parte de la entrevista “Welcoming the Patient & The

Presenting Complaint” y determinar cuál de las siguientes opciones son
correctas:

1. The patient's presenting complaint (PC) is a 1-month history of abdominal pain.

a. True
b. False

2. Dr Jones practices family medicine and is known as a:

a. Gynaecologist
b. Gastroenterologist
c. General Practitioner
d. Surgeon

3. Mr Smith had to wait to see his GP because:

a. Dr Jones is lazy
b. Dr Jones is new at the health centre
c. Dr Jones likes to make his patients wait
d. Dr Jones has been quite busy

4. Dr Jones's first question is "How can I help you today?" Which of the following
questions can also be used? (There is more than 1 answer).
a. "What seems to be the problem?"
b. "What now?"
c. "What do you want?"
d. "What brings you here today?"

5. Dr Jones asks Jim where the pain is. Which preposition does Jim use to describe
the location of his pain?
a. On my stomach
b. Near my stomach
c. In my stomach
d. Around my stomach

6. Jim describes his pain as: (There is more than 1 answer)

a. Terrible
b. Chronic
c. Mild
d. Burning

7. Jim's pain is there all the time.

a. True
b. False
8. Jim's other symptoms include nausea and:
a. Loss of appetite
b. Loss of consciousness
c. Loss of sex drive (libido)
d. Weight loss

9. The pain moves towards Jim's belly button?

a. True
b. False

10. Match the formal expressions (a-d) with the colloquial expressions (1-4).

a. abdominal pain 1
b. nausea 2
c. umbilicus 4
d. antacids 3

1. sore guts
2. to feel sick
3. medicine for indigestion or heartburn
4. belly button
TEMA 2
VOCABULARY

Symptoms and signs

1. Completar el cuadro con el adjetivo que corresponda. Tener en cuenta la terminología

adquirida en la ficha de “Symptoms and signs”.

Noun Adjective

Exhaustion a. Exhausted

Fatigue b.fatigued

Lethargy c.Lethargic

Tiredness d.Tired

2. Combinar las expresiones de ambas columnas para generar el termino medico adecuado.

a) ___Complain Of___
Complain With
b) _____Off Colour_____
Off- Of

Out of Out c) _____Out of sorts_____

Present On d) ____Present With_____

Put Colour e) ____Put on______

Worn Sorts
f) __Worn out___________

3. Completar las siguientes oraciones con la forma correcta del verbo “to present”.

PRESENT PRESENTS PRESENTING PRESENTED PRESENTATION

a. A 67-year-old man __________ with a 9-month history of increasing shortness of

breath.

b. The most common __________ is loss of consciousness.

c. Cranial arteritis may __________ as fever without any obvious causes.

d. The patient usually __________ with a severe sore throat.

e. The __________ symptoms in this patient could perhaps be due to renal failure.
 f. Other conditions with a similar __________ include acute cholecystitis.

g. Reduced growth is an important __________ complaint of coeliac disease.

h. Two months following __________, the patient was able to walk.

4. Leer la descripción realizada por el paciente en la consulta médica.

“I was well until a few months ago. In the beginning, I just felt off-colour and a bit tired.

But lately I´ve been feeling completely worn out at the end of the day. I´m not eating any

more than usual but I´ve put on nine kilos in the last year. My motions are hard and my

hair started to fall out”.

Completar con el “symptom and sign” que corresponda a cada espacio en blanco de las
siguientes CASE NOTES.

A 50-year-old housewife, who had been well until four months, previously 1)
__________________ of tiredness and 2) __________________. She had 3) _____________
9 kg in weight in the year before she 4) ________________ to her GP although she denied
eating more than usual. She was 5) _______________ and she noticed that her hair had
started to fall out.

TEMA 3
READING AND COMPREHENSION

Taking A History (Abdominal Pain)

 Leer la segunda parte de la entrevista “Taking A History (Abdominal Pain)” y

determinar cuál de las siguientes opciones son correctas:

1. Jim's father suffered with depression.

a. True
b. False
2. Jim's Past Medical History (PMH) includes heart disease, high blood pressure and
diabetes.
a. True
b. False
3. Jim is a non-smoker
a. True
b. False
4. Jim takes 'Diclofenac' tablets, which are anti-inflammatory painkillers. How long has
he been taking them?
a. For about 6 years
b. For about 5 months
c. For about 5 years
d. For about 6 months
5. Jim drinks too much alcohol.
a. True
b. False
6. Jim's marital status is:
a. Single
b. Divorced
c. Married
d. Widowed
7. Which of the following are included in a patient's Social History (SH)?:
a. Marital Status
b. Alcohol intake
c. Smoking
d. Current medication
e. Occupation
f. Allergies
8. A patient's history of surgery (operations) is included in which of the following:
a. Drug History (DH)
b. Social History (SH)
c. Past Medical History (PMH)
d. Family History (FH)
e. History of the Presenting Complaint (HPC)
f. Presenting Complaint (PC)
9. After taking a history the next stage of the clinical process is:
a. Investigations (X-rays, scans, blood tests etc)
b. Follow-up (review the patient after treatment)
c. Physical Examination (inspection, palpation, auscultation, percussion)
10. Match the colloquial expressions on the left with the formal expressions on the
right. (a-d, 1-4)

a. Removal of the appendix

 b. High blood pressure
c. Inflammation of the joints
d. Inflammation of the appendix

1. Appendicitis
2. Appendicectomy
3. Arthritis
4. Hypertension
TEMA 3
VOCABULARY

Taking a history

1. Escribe la pregunta (IN ENGLISH) que le realizarías al paciente para obtener cada uno
de los datos (1-10) de la siguiente ficha médica.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

2. Completar las oraciones a continuación con expresiones adquiridas en la ficha de

“Taking a history 2”.

a. Pharmacies sell a wide variety of ____________ - ___________ - ___________

remedies as well as dispensing prescriptions from physicians.

b. The ________________ is the quantity of the medication to be taken at any one time.

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 c. A drug _________________ is hypersensitivity to a particular drug.

d. A ______________ ______________ is a medication prepared from plants, especially

a traditional remedy.

e. Your brothers and your sisters are your ______________.

f. ____________________ is what you do for physical or mental stimulus outside work.

g. ___________________ can take many forms: apartments, single rooms, houses,

hostels.

h. The patient’s ______________ to drug treatment, his willingness or ability to take the
right dose at the right time and frequency, is essential.

3. Escribe la pregunta (IN ENGLISH) que realizarías al paciente para cada una de las
respuestas del dialogo a continuación.

Doctor: (a) ______________________________________________________________?

Patient: My father died twenty years ago but my mother is in good health still. She’s seventy
now.

Doctor: (b) _______________________________________________________________?

Patient: I was still at school. He was forty-one.

Doctor: (c) _______________________________________________________________?

Patient: He had a heart attack.

Doctor: (d) _______________________________________________________________?

Patient: I’ve got a sister of forty-five and a brother who’s thirty-six.

Doctor: (e) _______________________________________________________________?

Patient: No, I had an elder brother but he died in his forties. He was forty-two.

Doctor: (f) _______________________________________________________________?

Patient: Like my father, a heart attack.

Doctor: (g) _______________________________________________________________?

Patient: Not that I know.

Doctor: (h) As far as you know _______________________________________________?

Patient: Apart from me, no.

Doctor: (i) _______________________________________________________________?

Patient: Yes, a boy and a girl. He’s fourteen and she’s twelve.

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