2024年下半年湖北省医护英语水平考试METS听力考试真题练习及答案

2024年下半年湖北省医护英语水平考试METS听力考试练习题练习及答案METS听力考试练习题练习（2024年下半年·湖北卷）---SectionA:ShortConversations(15points)Directions:Inthissection,youwillhear15shortconversations.Attheendofeachconversation,aquestionwillbeaskedaboutwhatwassaid.Boththeconversationandthequestionwillbespokenonlyonce.Afteryouhearaconversationandthequestion,readthefourpossibleanswersonyourpaperandchoosethebestone.1.W:Doctor,my5-year-oldsonhasbeenvomitingaftermealsfortwodays.Healsohasstomachcramps,butnodiarrhea.Coulditbefoodpoisoning?M:Let’scheckhistemperaturefirst.37.8°C,slightlyelevated.Whenwasthelasttimeheatesomethingunusual?Q:WhatsymptomdoesthechildNOThave?A.VomitingB.StomachcrampsC.DiarrheaD.Low-gradefever2.M:Nurse,Ineedtopickupmymother’smedication.HernameisLiFang,andtheprescriptionwasissuedbyDr.Wanglastweek.W:Letmecheckthesystem.Yes,wehavetwoboxesofomeprazoleandabottleofamlodipine.Doesshehaveanyallergiesweshouldnote?Q:Whatmedicationisthemanpickingup?A.AntibioticsandpainkillersB.StomachacidreducersandbloodpressurepillsC.AntipyreticsandantihistaminesD.Insulinandanticoagulants3.W:Sir,youneedtofastfor8hoursbeforethebloodtesttomorrowmorning.Avoidfattyfoodstonight,anddrinkonlywateraftermidnight.M:Gotit.ButIusuallytakemymorningbloodsugarmedication.ShouldIskipit?W:No,takeitwithasipofwater.Weneedtomonitoryourfastingglucoseaccurately.Q:Whatinstructiondoesthenursegiveaboutthebloodtestpreparation?A.SkipallmedicationsbeforethetestB.AvoidwateraftermidnightC.Fastforatleast8hoursD.Eatalow-fatmealfordinner4.M:Doctor,I’vebeenhavingtroublesleepinglately.Ifallasleeparound2a.m.andwakeupat5a.m.,feelingtiredallday.W:Doyouuseelectronicdevicesbeforebed?Bluelightcansuppressmelatonin.Tryreadingabookinstead.Also,avoidcaffeineafter3p.m.Q:Whatisthedoctor’ssuggestionforimprovingsleep?A.TakingsleepingpillsB.ReducingscreentimebeforebedC.ExercisingrightbeforebedtimeD.Drinkingcoffeeintheafternoon5.W:Patient307inWardBiscomplainingofchesttightness.Hisbloodpressureis160/100,andheartrateis110bpm.M:Administer5mgofnitroglycerinsublingually.MonitorhisECGevery15minutes.Ifsymptomspersist,prepareforatroponintest.Q:WhatactionshouldbetakenimmediatelyforPatient307?A.PerformatroponintestB.GivenitroglycerinunderthetongueC.AdjusttheheartratemonitorD.Administerintravenousantibiotics6.M:Nurse,whencanmywifestartphysicaltherapyafterherkneereplacement?Thedoctormentionedit’simportantforrecovery.W:Typically,webegingentlerange-of-motionexercisesonthefirstpost-operativeday.Aphysiotherapistwillassessherconditionthisafternoon.Q:Whenwillthephysicaltherapylikelystart?A.OnthedayofsurgeryB.ThedayaftersurgeryC.OneweekaftersurgeryD.Twoweeksaftersurgery7.W:I’vebeencoughingupyellowphlegmforaweek,andmychesthurtswhenIbreathedeeply.Isitpneumonia?M:Let’sdoachestX-rayfirst.Pneumoniaoftenpresentswithfever,butyourtemperatureisnormal.Itmightbeacutebronchitis.Q:Whatdoesthedoctorsuspect?A.PneumoniaB.BronchitisC.TuberculosisD.Asthma8.M:Thebaby’svaccinationschedulesaysheneedstheDTaPvaccineat2,4,6months,andaboosterat18months.Isthereanyriskofsideeffects?W:Mildreactionslikerednessorlowfeverarecommon.Severeallergiesarerare,butwe’llmonitorhimfor30minutesaftertheshot.Q:WhatisacommonsideeffectoftheDTaPvaccine?A.SevereallergicreactionB.Highfever(over39°C)C.LocalrednessattheinjectionsiteD.Prolongedcryingforhours9.W:Mygrandmotherhasdementiaandoftenwandersatnight.Whatcanwedotokeephersafe?M:Installdooralarmsandmotionsensors.Keepdangerousitemslockedaway.AmedicalIDbraceletwithhernameandcontactinfoisalsohelpful.Q:Whatisrecommendedforpreventingwanderingindementiapatients?A.SedatingmedicationsB.DooralarmsandmotionsensorsC.RestrainingthepatientinbedD.Keepingthelightsoffatnight10.M:Doctor,I’madiabetic.CanIeatfruits?I’veheardsomearehighinsugar.W:Yes,butchooselow-glycemicoptionslikeberries,apples,orpears.Limitportionsto15-20gramsofcarbsperserving.Avoiddriedfruitsandfruitjuices.Q:Whatfruitisrecommendedfordiabetics?A.DriedapricotsB.OrangejuiceC.RaspberriesD.Mangoes11.W:Thepatientwithacompoundfractureofthetibianeedsatetanusbooster.Whenwashislasttetanusshot?M:Hismedicalrecordshowshereceivedone5yearsago.Thestandardisaboosterevery10years,butforopenwounds,wegiveitwithin24hours.Q:Whyshouldthepatientgetatetanusboosternow?A.HeneverhadatetanusshotbeforeB.OpenwoundsincreasetetanusriskC.Thelastshotwas10yearsagoD.Hehasahistoryoftetanusinfection12.M:Nurse,myfatherisonwarfarin.Hecuthimselfshavingthismorning,andthebleedingwon’tstop.Whatshouldwedo?W:Applydirectpressurefor10minutes.Ifitcontinues,bringhimtotheER.Warfarinaffectsbloodclotting,soevensmallcutscanbeserious.Q:Whyisthebleedingaconcernforthepatientonwarfarin?A.WarfarincauseshighbloodpressureB.WarfarinthinsthebloodC.WarfarinincreasesinfectionriskD.Warfarinimpairswoundhealing13.W:I’mhereforaflushot.DoIneedtomakeanappointment,orcanIwalkin?M:Walk-insarewelcometoday.Theclinicisopenuntil6p.m.Pleasefilloutthisconsentformfirst,notinganyallergiesorpastreactions.Q:Whatshouldthepatientdobeforegettingtheflushot?A.MakeanappointmentonlineB.ProvideproofofinsuranceC.CompleteaconsentformD.Bringarecentbloodtestresult14.M:Doctor,mydaughterhaseczema.Herskinisredanditchy,especiallyafterbathtime.Whatcanwedo?W:Uselukewarmwater,nothot.Applyafragrance-freemoisturizerimmediatelyafterdrying.Avoidwoolclothes;cottonisbetter.Q:Whatisarecommendedcaretipforeczema?A.TakehotbathstosootheitchingB.UsescentedlotionsafterbathingC.WearcottonclothingD.Applyicetoitchyareas15.W:TheelderlypatientinRoom102isrefusingtotakehermedication.Shesaysitmakesherfeeldizzy.M:Checkherbloodpressurefirst—hypotensioncouldbethecause.Ifit’slow,wemayneedtoadjustthedosageorswitchtoadifferentdrug.Q:Whatshouldthenursedofirstfortherefusingpatient?A.ForcethemedicationintohermouthB.CheckherbloodpressureC.ReporttothepharmacyimmediatelyD.Administerananti-dizzinesspill---SectionB:LongConversations(20points)Directions:Inthissection,youwillhear2longconversations.Eachconversationwillbefollowedby5questions.Boththeconversationandthequestionswillbespokenonlyonce.Afteryouhearaquestion,readthefourpossibleanswersandchoosethebestone.Conversation1W:Goodmorning,Mr.Zhang.I’mNurseLiu.Let’sgooveryourpre-operativechecklist.First,haveyoufastedsincemidnight?M:Yes,Ididn’teatordrinkanythingafter11p.m.lastnight.W:Great.Doyouhaveanyallergies?Theanesthesiologistneedstoknow.M:I’mallergictopenicillin—itmakesmebreakoutinarash.W:Noted.We’llinformtheteamtoavoidpenicillin-baseddrugs.Whataboutcurrentmedications?M:Itakemetforminfordiabetesandlisinoprilforhighbloodpressure.Itookthemwithasipofwaterthismorning.W:That’sfineformetformin,butlisinoprilcansometimesaffectbloodpressureduringsurgery.Thesurgeonmightadjustthedose.Didyousmokerecently?M:Iquitsmokingthreemonthsago.Beforethat,Ismokedapackadayfor20years.W:Quittingisgood,butwestillneedtomonitoryourlungfunction.Lastly,doyouhaveanymetalimplantsorpacemakers?M:No,nothinglikethat.Ihadawisdomtoothremovedlastyear,butthat’sit.W:Perfect.Thesurgeryisscheduledfor10a.m.Theanesthesiologistwillmeetyouin30minutes.Questions16-20:16.WhattimedidMr.Zhangstopeating/drinkingbeforesurgery?A.9p.m.B.10p.m.C.11p.m.D.Midnight17.WhatisMr.Zhangallergicto?A.AspirinB.PenicillinC.IodineD.Latex18.WhymightthesurgeonadjustMr.Zhang’slisinoprildose?A.ItcancausehighbloodpressureduringsurgeryB.ItinteractswithmetforminC.ItmayaffectintraoperativebloodpressureD.Itincreasestheriskofallergicreactions19.HowlonghasMr.Zhangquitsmoking?A.OnemonthB.ThreemonthsC.SixmonthsD.Oneyear20.WhatmedicalhistorydoesMr.Zhanghave?A.ApacemakerimplantationB.ArecenthipreplacementC.AwisdomtoothextractionD.ApriorheartsurgeryConversation2M:Dr.Li,I’mhereformy6-weekfollow-upaftertheACLreconstruction.How’smyrecoverygoing?W:Let’scheckyourrangeofmotionfirst.Bendyourkneeasfarasyoucan…Good,120degrees.Lasttimeitwas90degrees.Now,straightenit—perfect,fullextension.M:ThephysicaltherapistsaidIcanstartlightjoggingnextweek.Isthatsafe?W:YourMRIshowsthegraftishealingwell,butavoidpivotingorsuddenstopsforanothermonth.Focusonstrengtheningthequadricepsandhamstrings.M:I’vebeentakingthepainmedicationasprescribed,butmykneestillswellsafterexercise.W:Swellingisnormalatthisstage.Applyicefor20minutesevery2hoursafteractivity.Ifitgetsworseoryoufeelinstability,comeinimmediately.M:WhencanIreturntobasketball?Iplayonacommunityteam.W:Mostpatientsresumesports6-9monthspost-surgery.Let’sreassessat3monthswithanotherMRIandstrengthtests.M:Understood.Onemorething—myincisionsiteisitchy.Isthatasignofinfection?W:No,itchingoftenmeanstheskinishealing.Avoidscratching;useamoisturizingcreamifit’sdry.Questions21-25:21.Whatwasthepatient’skneerangeofmotionatthelastfollow-up?A.90degreesB.100degreesC.120degreesD.135degrees22.Whatactivityshouldthepatientavoidforanothermonth?A.LightjoggingB.QuadricepsstrengtheningC.PivotingorsuddenstopsD.Applyingiceafterexercise23.Whatisrecommendedforpost-exerciseswelling?A.Heattherapyfor30minutesB.Icefor20minutesevery2hoursC.IncreasingpainmedicationdosageD.Elevatingthelegaboveheartlevel24.Whencanthepatientlikelyreturntobasketball?A.3monthspost-surgeryB.6-9monthspost-surgeryC.12monthspost-surgeryD.18monthspost-surgery25.Whyistheincisionsiteitchy?A.ItindicatesaninfectionB.It’sasignofnervedamageC.ItmeanstheskinishealingD.It’sasideeffectofpainmedication---SectionC:Passages(25points)Directions:Inthissection,youwillhear2passages.Eachpassagewillbefollowedby5questions.Thepassagewillbespokentwice.Afteryouhearaquestion,readthefourpossibleanswersandchoosethebestone.Passage1Goodmorning,everyone.Todaywe’lldiscussmanaginghypertensioninelderlypatients.Hypertension,orhighbloodpressure,iscommoninthoseover65,affectingnearly70%ofthispopulation.Unlikeyoungeradults,olderpatientsmayhave“isolatedsystolichypertension,”whereonlythetopnumber(systolic)ishigh,oftenduetostiffeningarteries.Whentreatingelderlypatients,wemustbalancebloodpressurecontrolwiththeriskofhypotension(lowbloodpressure).Aggressiveloweringcanleadtodizziness,falls,orreducedbloodflowtothebrain.Currentguidelinesrecommendatargetsystolicbloodpressureof130-140mmHgformostolderadults,unlesstheyhaveotherconditionslikediabetesorkidneydisease.Lifestylemodificationsarekey.Encouragealow-sodiumdiet—lessthan1,500mgofsodiumdaily.Regularphysicalactivity,suchaswalking30minutesaday,5daysaweek,helps.However,avoidintenseexercisethatcausesshortnessofbreath.Alcoholintakeshouldbelimitedto1drinkperdayforwomenand2formen.Medicationselectionisalsoimportant.Diureticsandcalciumchannelblockersareoftenfirst-linechoicesbecausethey’rewell-tolerated.Angiotensin-convertingenzyme(ACE)inhibitorsmaycausecough,whichcanbeproblematicintheelderly.Alwaysstartwithlowdosesandtitrateslowlytoavoidsideeffects.Finally,monitorpatientsclosely.Homebloodpressuremonitoringisencouraged,butteachthemtomeasureatthesametimedaily,afterrestingfor5minutes.Reportanysymptomslikefaintingorblurredvisionimmediately.Questions26-30:26.Whatpercentageofelderlypatientshavehypertension?A.30%B.50%C.70%D.90%27.Whatis“isolatedsystolichypertension”intheelderly?A.OnlydiastolicbloodpressureishighB.OnlysystolicbloodpressureishighC.BothsystolicanddiastolicarehighD.Bloodpressurefluctuatesdrastically28.Whyshouldbloodpressureloweringbecautiousintheelderly?A.ItincreasestheriskofhypotensionandfallsB.ItcauseskidneydamageC.ItleadstohighcholesterolD.Itworsensdiabetes29.Whatisarecommendeddailysodiumintakeforelderlyhypertensives?A.Lessthan500mgB.Lessthan1,500mgC.Lessthan2,500mgD.Lessthan3,500mg30.Whyarediureticspreferredforelderlyhypertensives?A.TheycausefewersideeffectsB.TheylowercholesterolC.TheypreventdiabetesD.TheyreducetheriskofcoughPassage2Childhoodobesityhasbecomeamajorpublichealthconcern.InChina,theprevalencehasrisenfrom3%in2000to12%in2023,withseriousimplicationsforlong-termhealth.Obesechildrenareathigherriskfortype2diabetes,fattyliverdisease,andorthopedicproblems.Thecausesaremultifactorial.Poordietisakeyfactor—highintakeofsugarydrinks,fastfood,andprocessedsnacks.Sedentarybehavior,suchasexcessivescreentime(average4-6hoursdaily),reducesphysicalactivity.Geneticpredispositionplaysarole,butenvironmentoftenamplifiesit.Preventionstartsearly.Forinfants,exclusivebreastfeedingforthefirst6monthsreducesobesityrisk.Introducecomplementaryfoodsat6months,avoidingaddedsugars.Fortoddlers,limitscreentimetolessthan1hourperdayandencourageactiveplay.Inschool-agedchildren,familyinvolvementiscritical.Parentsshouldmodelhealthyhabits:cook