Part A

In this part of the test, you’ll hear two different extracts. In each extract, a health professional is talking to a patient. For questions 1-24, complete the notes with information that you hear. Now, look at the notes for extract one.

Extract 1: Questions 1-12

You hear a patient, Mrs. Gopal, talking to a doctor about managing her seasonal allergies. For questions 1-12, complete the notes with a word or short phrase that you hear. You now have thirty seconds to look at the notes.

Patient: Mrs Gopal

Reason for Visit:

• Managing  (1) allergies

Symptoms:

• Sneezing, runny nose, and (2) watery eyes
• Worse in the mornings
• Intense sneezing fits
• Scratchy throat, sinus pressure, and (3)

Duration and Progression:

• Had seasonal allergies for many years, worse over the past few (4)
• Symptoms start in spring and last until late summer
• Tried over-the-counter antihistamines like cetirizine and (5)

Triggers:

• Being outdoors, especially in the (6)
• Gardening and walking in parks
• Dust and pet dander

Current Management:

• Using saline nasal spray and over-the-counter eye drops
• Wearing sunglasses and a hat outdoors
• Regular cleaning and vacuuming to reduce (7) and pet dander
• Taking showers at night

Impact on Daily Life:

• Difficult to teach due to sneezing fits and itchy throat
• Hard to concentrate on lesson planning and grading due to (8) pressure and headaches

Future Treatment Options Discussed:

• Prescription nasal sprayÂ
• Allergy shots
• Exploring natural remedies and (9) changes

• using a high-efficiency particulate air (HEPA) filter
• washing their bedding weekly
• more (10) foods

• (11)  or natural remedies
• (12) preventive Â

You hear a patient, Mr. Anderson, talking to a doctor about managing his vertigo. For questions 13-24, complete the notes with a word or short phrase that you hear. You now have thirty seconds to look at the notes.

Patient: Mr Anderson

Reason for Visit:

• Managing (13) symptomsÂ

Symptoms:

• Spinning sensation, nausea, and (14)
• Trouble maintaining balance
• Ringing in the ears and affected (15)

Duration and Progression:

• Had occasional episodes for a few years, worse over the past six (16)
• Initially thought it was due to stress or lack of sleep
• Tried over-the-counter medications like (17)

Triggers:

• Certain movements like turning head quickly or standing up too (18)
• Crowded or noisy environments
• Stress and fatigue

Current Management:

• Practicing balance exercises
• Staying hydrated and eating regular meals
• Using an extra pillow to keep head (19) at night

Impact on Daily Life:

• Difficult to work as an (20) due to dizziness and disorientation
• Relying on family for help with daily tasks

Future Treatment Options Discussed:

• Prescription medications and vestibular rehabilitation therapy
• Getting a hearing (21)
• Exploring dietary changes and natural remedies

• reduced (22) and alcohol
• reduced stress
• limited (23) time

• (24) and natural remediesÂ