2020年下半年福建省医护英语水平考试METS听力考试真题练习及答案

2020年下半年福建省医护英语水平考试METS听力考试练习题练习及答案第一节（共5小题；每小题1分，满分5分）听下面5段对话。每段对话后有一个小题，从题中所给的A、B、C三个选项中选出最佳选项。对话1W:Goodmorning,Dr.Li.Mysonhashadahighfeverforthreedays.Healsocomplainsofasorethroatandheadache.M:Letmecheckhisthroatfirst.Openyourmouthwide,littleboy...Yes,thetonsilsareswollen.Haveyoutakenhistemperature?W:Yes,itwas39.5℃lastnight.Wegavehimibuprofen,butitonlycamedownto38℃.M:Doeshehaveanyothersymptoms,likearunnynoseorcough?W:No,justthefeverandsorethroat.Q:Whatistheboy’smainsymptom?A.RunnynoseB.SwollentonsilsC.Persistenthighfever对话2M:NurseWang,thepatientinRoom302iscomplainingofpaininhisleftleg.Hehadatotalkneereplacementtwodaysago.W:Letmecheckhisvitalsignsfirst.Bloodpressure130/85,heartrate88...normal.Whendidthepainstart?M:Hesaiditbegananhourafterphysicaltherapythismorning.Herateditas7onthepainscale.W:Didhetakehispainmedicationontime?M:Yes,hetookoxycodoneat8a.m.asscheduled.Q:Whydoesthepatientcomplainoflegpain?A.Hemissedhispainmedication.B.Thepainstartedafterphysicaltherapy.C.Hisbloodpressureistoohigh.对话3W:Dr.Chen,thelabresultsforMr.Zhangarehere.Hiswhitebloodcellcountis15,000/μL,whichiselevated.M:Anysignsofinfection?ThechestX-rayshowednopneumonia.Whatabouttheurineculture?W:TheurineculturecamebackpositiveforE.coli.Hehasaburningsensationwhenurinating.M:Thatexplainsit.Sohehasaurinarytractinfection.Let’sprescribeciprofloxacin500mgtwicedailyfor7days.Q:WhatisthecauseofMr.Zhang’selevatedwhitebloodcellcount?A.PneumoniaB.UrinarytractinfectionC.Stomachflu对话4M:Nurse,whencanItakeashoweraftermyappendectomy?Theincisioniscoveredwithadressing.W:Thedoctorsaidyoucanshower48hoursafterthesurgeryiftheincisionisdryandthere’snorednessordrainage.Butavoidsoakingit—justletthewaterrunoveritgently.M:Whatifthedressinggetswet?W:Ifitdoes,patitdrywithacleantowelandcalltheclinicifyounoticeanyswellingorpus.Q:Whatisthenurse’sadviceaboutshoweringafterappendectomy?A.Showerimmediatelyaftersurgery.B.Wait48hoursiftheincisionisdry.C.Soaktheincisioninwarmwater.对话5W:Mr.Liu,youneedtofastfor8hoursbeforeyourcolonoscopytomorrowmorning.Thatmeansnofoodordrink,includingwater,aftermidnight.M:CanIhaveblackcoffeeinthemorning?Iusuallycan’tstartthedaywithoutit.W:No,evenclearliquidslikecoffeeorteawithnomilkarenotallowedaftermidnight.Thebowelneedstobecompletelyemptyforaccurateresults.M:Whataboutmybloodpressuremedication?Itakeiteverymorning.W:Youcantakeitwithasmallsipofwaterat6a.m.toavoiddehydration.Q:Whatisallowedbeforethecolonoscopy?A.BlackcoffeeB.BloodpressuremedicationwithasipofwaterC.Alightbreakfast---第二节（共10小题；每小题1.5分，满分15分）听下面2段对话。每段对话后有5个小题，从题中所给的A、B、C三个选项中选出最佳选项。对话6（第6-10题）W:Goodafternoon,Dr.Wang.ThisisNurseLifromtheemergencydepartment.Wehavea55-year-oldmalepatient,Mr.Zhao,whocameinwithchestpain.M:Tellmethedetails.Whendidthepainstart?W:Hesaiditbegan2hoursagowhilehewasmowingthelawn.It’sasqueezingpaininthecenterofhischest,radiatingtohisleftarm.Healsofeelsnauseousandshortofbreath.M:Anyhistoryofheartdisease?W:Yes,hisfatherdiedofaheartattackat60.Hehashypertensionandsmokesapackofcigarettesaday.Hisbloodpressureis160/100,heartrate105,oxygensaturation92%onroomair.M:Hashetakenanymedication?W:Wegavehim325mgofaspirinandsublingualnitroglycerin,butthepainhasn’trelieved.TheECGshowsST-segmentelevationinleadsII,III,andaVF.M:That’sindicativeofanacuteinferiorwallmyocardialinfarction.Weneedtoactivatethecathlabimmediately.What’shislastmeal?W:Hehadlunchat12p.m.—about2hoursago.M:Noproblem.Preparehimforpercutaneouscoronaryintervention(PCI).Notifythecardiologyteamandgetconsentfromthefamily.Q6:Whatisthepatient’smaincomplaint?A.BackpainB.ChestpainC.AbdominalpainQ7:Wheredoesthepainradiate?A.RightshoulderB.LeftarmC.NeckQ8:Whatisthepatient’ssmokinghistory?A.Hesmokes10cigarettesaday.B.Hesmokes20cigarettesaday.C.Hequitsmoking5yearsago.Q9:WhatdoestheECGresultsuggest?A.NormalsinusrhythmB.AcutemyocardialinfarctionC.AtrialfibrillationQ10:Whatprocedureisplannedforthepatient?A.Coronaryarterybypassgrafting(CABG)B.Percutaneouscoronaryintervention(PCI)C.Echocardiogram对话7（第11-15题）M:Nurse,Ineedtotalkaboutmymother’scare.She’s78andwasadmittedwithheartfailure.Herlegsaresoswollen—shecanbarelywalk.W:Iunderstandyourconcern,Mr.Li.We’remanagingherwithdiuretics,andherweighthasdecreasedby2kgsinceadmission.Theswellingshouldimprovegradually.M:Whataboutherdiet?Thedoctormentionedalow-sodiumdiet,butshe’sapickyeater.W:Yes,limitingsodiumto2gramsperdayiscrucialtoreducefluidretention.Wecanprovideherwithflavoringslikeherbsorlemoninsteadofsalt.Doesshelikesoups?M:Shedoes,butstore-boughtsoupsarehighinsodium.W:Ourkitchencanmakelow-sodiumsoupsforher.We’llalsomonitorherfluidintake—nomorethan1.5litersperday.M:Shetakesseveralmedications.Isthereariskofdruginteractions?W:We’vereviewedhermedicationlist.She’sonfurosemide,enalapril,andmetoprolol.Nomajorinteractions,butwe’recheckingherpotassiumlevelsdailybecausefurosemidecancausehypokalemia.M:Whencanshegohome?W:Weneedtoseeherresponsetotreatment.Ifhersymptomsstabilize,shemightbedischargedin3-5days.We’llarrangeforhomehealthcaretoassistwithmedicationanddiet.Q11:Whywasthepatientadmitted?A.HeartfailureB.StrokeC.DiabetesQ12:Whatisthegoalofthelow-sodiumdiet?A.IncreaseappetiteB.ReducefluidretentionC.LowerbloodsugarQ13:Howmuchfluidisthepatientalloweddaily?A.1literB.1.5litersC.2litersQ14:Whichmedicationmaycauselowpotassiumlevels?A.EnalaprilB.MetoprololC.FurosemideQ15:Whenmightthepatientbedischarged?A.In1-2daysB.In3-5daysC.In7-10days---第三节（共15小题；每小题2分，满分30分）听下面2段独白。每段独白后有5个小题，从题中所给的A、B、C三个选项中选出最佳选项；后5段独白（注：实际应为2段，此处为示例调整）后有10个小题，需根据内容补全信息（注：METS可能以选择为主，此处统一为选择）。独白1（第16-20题）Goodmorning,everyone.Todaywe’lldiscussthemanagementoftype2diabetesinelderlypatients.Asweknow,diabetesiscommoninolderadults,buttheirneedsdifferfromyoungerpatients.First,bloodglucosetargetsshouldbeindividualized.Forfrailelderlywithmultiplecomorbidities,ahigherHbA1ctarget(7.5-8.5%)maybeappropriatetoavoidhypoglycemia,whichcanbedangerous.Medicationselectioniscrucial.Metforminisusuallyfirst-line,butweneedtocheckrenalfunctionsinceagingreduceskidneyfunction.Sulfonylureaslikeglipizidecancausehypoglycemia,sotheyshouldbeusedcautiously.NeweragentslikeSGLT2inhibitorsorGLP-1receptoragonistsarebeneficialforcardiovascularandrenalprotection,butcostandadherencemaybeissues.Lifestylemodificationremainskey.Encourageregularphysicalactivity,butadjusttothepatient’smobility—walkingorchairexercisesarebetterthanhigh-intensityworkouts.Dietshouldfocusonbalancednutrition,avoidingextremecalorierestrictionwhichcanleadtoweightlossandmusclewasting.Finally,regularmonitoring.Besidesbloodglucose,checkbloodpressure,lipidlevels,andfootexamstopreventcomplicationslikeneuropathyorcardiovasculardisease.Q16:Whatisthemaintopicofthelecture?A.Type1diabetesinchildrenB.Type2diabetesinelderlypatientsC.GestationaldiabetesmanagementQ17:WhyisahigherHbA1ctargetrecommendedforfrailelderly?A.TopreventhyperglycemiaB.ToavoidhypoglycemiaC.ToimproveinsulinsensitivityQ18:Whichmedicationshouldbeusedcautiouslyduetohypoglycemiarisk?A.MetforminB.GlipizideC.SGLT2inhibitorsQ19:Whatisadvisedforphysicalactivityinelderlydiabetics?A.High-intensityworkoutsB.WalkingorchairexercisesC.WeightliftingQ20:WhatisNOTmentionedasamonitoringfocus?A.BloodpressureB.LiverfunctionC.Footexams独白2（第21-25题）Hello,nurses.Today’strainingisaboutsafeinjectionpractices.Needlestickinjuriesareamajoroccupationalhazard—eachyear,millionsofhealthcareworkersareexposedtobloodbornepathogenslikeHIV,HBV,andHCVthroughneedlesticks.First,usesafety-engineereddevices.Allneedlesshouldhaveabuilt-insafetyfeature,suchasaretractablesheathoraslidingguard,topreventaccidentalsticks.Neverrecapneedlesbyhand—usetheone-handedscoopmethodorarecappingdevice.Second,properdisposal.Sharpscontainersmustbepuncture-resistant,leak-proof,andlabeled.Theyshouldbereplacedwhen¾fulltoavoidoverfilling,whichincreasestheriskofinjury.Neverplacesharpsinregulartrashbins.Third,post-exposureprotocol.Ifaneedlestickoccurs,immediatelywashtheareawithsoapandwater,donotsqueezethewoun