2020年下半年海南省医护英语水平考试METS听力考试真题练习及答案

2020年下半年海南省医护英语水平考试METS听力考试练习题练习及答案SectionA:ShortConversations（每段对话仅播放一遍）Conversation1W:Goodmorning,Mr.Li.Letmecheckyourtemperaturefirst.Yousaidyou’vehadafeversincelastnight?M:Yes,nurse.Ifeelhotanddizzy.Isitserious?W:Don’tworry.Let’susetheelectronicthermometerunderyourarmpit.Keepittherefor3minutes.Q1:Whatisthenursegoingtodo?A)Checkthepatient’sbloodpressure.B)Measurethepatient’stemperaturewithanelectronicthermometer.C)Administeranantipyreticinjection.D)Examinethepatient’sthroat.Conversation2M:Doctor,I’vebeenhavingacoughforaweek.It’sworseatnight,andIcan’tsleepwell.W:Letmelistentoyourlungs.Takeadeepbreath...Good.Doyouhavechestpainorshortnessofbreath?M:No,butIfeeltiredallthetime.W:ThechestX-rayshowsamildinfection.I’llprescribeantibiotics.Takeonetablettwiceadayaftermeals.Q2:Whatisthedoctor’sdiagnosis?A)Severepneumonia.B)Bronchialasthma.C)Mildlunginfection.D)Pulmonaryembolism.Conversation3W:Mr.Wang,yourbloodtestresultsareback.Thewhitebloodcellcountis12×10⁹/L,whichishigherthannormal.M:DoesthatmeanIhaveaninfection?W:Mostlikely.Combinedwithyoursymptomsofsorethroatandswollentonsils,it’sabacterialinfection.Weneedtostartantibiotictherapy.Q3:Whatdoesthehighwhitebloodcellcountindicate?A)Anemia.B)Bacterialinfection.C)Viralflu.D)Leukemia.Conversation4M:Nurse,whencanIremovethebandageonmyhand?Ihadthestitchesremovedyesterday.W:Keepitcoveredforanother24hourstoprotectthewoundfromdirt.Ifthere’snorednessorswellingtomorrow,youcantakeitoff.Avoidsoakingitinwaterforaweek.Q4:Whatisthenurse’sinstructionforthepatient?A)Removethebandageimmediately.B)Keepthebandagefor24morehours.C)Soakthewoundinwatertonight.D)Checkforrednessafter48hours.Conversation5W:Doctor,mybabyis6monthsold.WhenshouldIstartgivingcomplementaryfoods?M:TheWHOrecommendsintroducingsolidfoodsat6months,asbreastmilkalonecan’tmeetallnutritionalneeds.Startwithiron-richfoodslikericecereal,thengraduallyaddvegetablesandfruits.Q5:Whatisthedoctor’sadviceoncomplementaryfeeding?A)Startat4monthswithfruitjuice.B)Waituntil8monthsforsolidfoods.C)Beginat6monthswithiron-richfoods.D)Introducemeatfirsttoensureproteinintake.Conversation6M:Nurse,I’msupposedtotakeinsulinbeforemeals,butIaccidentallytookitafterlunchtoday.Willthatbeaproblem?W:It’sbettertotakeit15-30minutesbeforemealstocontrolpost-mealbloodsugar.Takingitaftermaycauseadelayedeffect,butdon’tskipthenextdose.Monitoryourbloodsugarthisafternoon.Q6:Whatshouldthepatientdoaftertakinginsulinlate?A)Skipthenextinsulindose.B)Monitorbloodsugarintheafternoon.C)Takeanextradosetocompensate.D)Avoidcarbohydratesfortherestoftheday.Conversation7W:Sir,youneedtofastfor8hoursbeforethefastingbloodglucosetesttomorrowmorning.Nofoodordrinkexceptwaterafter10PMtonight.M:CanIhaveacupofblackcoffeeinthemorning?W:No,coffeecanaffecttheresults.Onlywaterisallowed.Q7:Whatisprohibitedbeforethebloodglucosetest?A)Water.B)Blackcoffee.C)Bread.D)Fruitjuice.Conversation8M:Doctor,mymotherhasAlzheimer’sdisease.Sheoftengetslostevenintheneighborhood.Whatcanwedo?W:InstallaGPStrackeronherphoneorbracelet.Keepalistofherpersonalinformationinherpocket.Also,createasafe,familiarenvironmentathometoreduceconfusion.Q8:WhatdoesthedoctorsuggestforthepatientwithAlzheimer’s?A)Limithertostayingindoors.B)UseaGPStracker.C)Administermemory-enhancingdrugs.D)Enrollherinadaycarecenter.Conversation9W:Nurse,I’mhereformyannualphysical.DoIneedtodoamammogram?I’m45yearsold.M:Theguidelinesrecommendmammogramsevery1-2yearsstartingatage40forwomenwithaveragerisk.Sinceyou’re45,it’sdefinitelyrecommendedthisyear.Q9:Whatisthenurse’sadviceonmammography?A)Startat50foraverage-riskwomen.B)Getitevery3yearsat45.C)Beginat40withannualorbiennialscreening.D)Skipitifnofamilyhistoryofbreastcancer.Conversation10M:Doctor,Isprainedmyankleanhourago.It’sswollenandpainful.WhatshouldIdofirst?W:FollowtheRICEprinciple:Rest,Ice,Compression,Elevation.Applyicefor15-20minuteseveryhour,wrapitwithanelasticbandage,andkeepitelevatedaboveheartlevel.Q10:Whatisthefirststepforasprainedankleaccordingtothedoctor?A)Takepainkillersimmediately.B)Applyheattoreduceswelling.C)FollowtheRICEprinciple.D)Performgentlestretchingexercises.SectionB:LongConversations（每段对话播放两遍）Conversation1W:Goodafternoon,Mr.Chen.I’mNurseLiu.Let’sgooveryourdischargeinstructions.Youhadalaparoscopicappendectomyyesterday,andthesurgerywassuccessful.M:Thankyou,NurseLiu.WhencanIgobacktowork?W:Mostpatientscanreturntolightworkin1-2weeks,butavoidheavyliftingorstrenuousactivityfor4weeks.Yourincisionissmall,butkeepitdryfor3days.Youcantakeashowerafterthedressingisremovedonday4.M:Whataboutdiet?Ifeelabitnauseous.W:Startwithclearliquidstoday,likebrothorriceporridge.Graduallyaddsoftfoodstomorrow,suchasmashedpotatoesoryogurt.Avoidspicy,greasy,orgas-producingfoodslikebeansforaweek—theymaycausebloating.M:WhendoIneedtocomebackforafollow-up?W:Thesurgeonwantstoseeyouin10days.Ifyouhavefeverover38.5°C,severeabdominalpain,orredness/drainagefromtheincision,cometotheERimmediately.M:Gotit.Andthepainmedication—howlongshouldItakeit?W:Taketheoralpainkillerevery6hoursasneeded,butnotmorethan4timesaday.Ifthepaindoesn’timproveafter3days,calltheclinic.Q11:HowsooncanMr.Chenreturntolightwork?A)In1-2days.B)In1-2weeks.C)In3-4weeks.D)In1month.Q12:Whatistheinstructionfortheincision?A)Keepitdryfor4days.B)Removethedressingonday3.C)Takeashowerimmediatelyaftersurgery.D)Avoidwaterfor3days.Q13:WhatfoodshouldMr.Chenavoidinthefirstweek?A)Broth.B)Mashedpotatoes.C)Spicydishes.D)Yogurt.Q14:Whenisthefollow-upappointment?A)In3days.B)In7days.C)In10days.D)In14days.Q15:HowoftencanMr.Chentakethepainmedication?A)Every4hours,upto6timesaday.B)Every6hours,upto4timesaday.C)Every8hours,upto3timesaday.D)Onlywhenseverepainoccurs.Conversation2M:Dr.Wang,let’sdiscussMrs.Zhang’scase.She’sa68-year-oldfemalewithahistoryoftype2diabetesfor10years.HerrecentHbA1cis8.2%,whichishigherthanthetargetof<7%.W:What’shercurrentmedication?M:She’sonmetformin500mgtwicedailyandglipizide5mgoncedaily.Herfastingbloodglucoseisaround8-9mmol/L,andpostprandialis12-14mmol/L.W:TheHbA1cindicatespoorcontroloverthepast3months.Let’sadjusttheregimen.Addempagliflozin10mgdaily—anSGLT2inhibitor.Ithelpslowerbloodsugarandhascardiovascularbenefits,whichisimportantsinceshehashypertension.M:Whataboutdietandexercise?W:Reinforcedietaryeducation.Sheshouldlimitrefinedcarbsandfocusonhigh-fiberfoods.Aimfor150minutesofmoderateexerciseweekly,likebriskwalking,preferablyaftermealstoimproveglucoseutilization.M:Arethereanypotentialsideeffectsofempagliflozin?W:Monitorforgenitalinfectionsanddehydration,especiallysinceshe’sonantihypertensives.Encourageadequatehydration.Also,checkrenalfunctionevery3months—SGLT2inhibitorsarecontraindicatedinsevererenalimpairment.M:Shouldweadjusttheglipizidedose?W:No,keepitat5mgfornow.Let’sreassessin2weeks.Iffastingglucoseisstill>7mmol/L,wemayconsiderincreasingmetforminto1000mgtwicedaily.Q16:WhatisMrs.Zhang’scurrentHbA1clevel?A)6.5%.B)7.0%.C)8.2%.D)9.0%.Q17:WhichmedicationisbeingaddedtoMrs.Zhang’sregimen?A)Metformin.B)Glipizide.C)Empagliflozin.D)Insulin.Q18:WhattypeofexerciseisrecommendedforMrs.Zhang?A)Weightlifting.B)Briskwalkingaftermeals.C)Yogainthemorning.D)Swimmingonemptystomach.Q19:Whatsideeffectsofthenewmedicationshouldbemonitored?A)Hypoglycemiaandweightgain.B)Genitalinfectionsanddehydration.C)Liverdamageanddizziness.D)Nauseaanddiarrhea.Q20:WhenwillthedoctorreassessMrs.Zhang’scondition?A)In1week.B)In2weeks.C)In1month.D)In3months.SectionC:Passages（每篇短文播放两遍）Passage1Goodmorning,everyone.Todaywe’lltalkaboutstrokeprevention.Strokeisthesecondleadingcauseofdeathworldwide,andearlypreventioncanreducetheriskbyupto80%.First,controlriskfactors.Hypertensionisthenumberoneriskfactor—keepbloodpressurebelow140/90mmHg.Fordiabetics,maintainHbA1c<7%toprotectbloodvessels.Cholesterolmanagementisalsokey:reduceLDL(“bad”cholesterol)to<100mg/dL.Second,adoptahealthylifestyle.Quitsmoking—smokershavetwicethestrokeriskofnon-smokers.Limitalcoholto1drinkperdayforwomenand2formen.Exerciseatleast30minutesdaily;evenwalkingreducesrisk.Third,recognizeearlysymptoms.RemembertheFASTtest:Facedrooping,Armweakness,Speechdifficulty,Timetocallemergency.Ifanyoftheseoccur,seekhelpwithin4.5hours—clot-bustingdrugsaremosteffectiveinthiswindow.Finally,regularcheck-ups.Peopleover50orwithfamilyhistoryshouldhaveannualscreeningsforcarotidarterystenosisandatrialfibrillation,bothofwhichincreasestrokerisk.Q21:Whatistheleadingriskfactorforstroke?A)Diabetes.B)Hypertension.C)Highcholesterol.D)Smoking.Q22:WhatisthetargetHbA1cfordiabeticstopreventstroke?A)<6.0%.B)<7.0%.C)<8.0%.D)<9.0%.Q23:Howmuchdailyexerciseisrecommendedforstrokeprevention?A)15minutes.B)30minutes.C)45minutes.D)60minutes.Q24:Whatdoesthe“S”intheFASTteststandfor?A)Severeheadache.B)Speechdifficulty.C)Suddendizziness.D)Sightloss.Q25:Whatshouldpeopleover50withfamilyhistorydo?A)Takeclot-bustingdrugsdaily.B)Avoidalltypesofexercise.C)Haveannualscreeningsforcarotidstenosis.D)Limitalcoholto3drinksperday.Passage2Vaccinationisoneofthemosteffectivepublichealthinterventions.Let’sfocusoninfluenzavaccination.Influenza,or“flu,”iscausedbyRNAvirusesthatmutateyearly.Symptomsincludehighfever(>38°C),chills,muscleaches,fatigue,anddrycough.Unlikethecommoncold,flucomesonsuddenlyandismoresevere.Complicationslikepneumonia,bronchitis,andevendeatharecommoninhigh-riskgroups:childrenunder5,adultsover65,pregnantwomen,andthosewithchronicdiseases(e.g.,asthma,heartdisease).Thefluvaccineworksbystimulatingantibodiesagainstthepredicteddominantvirusstrains.Itneedstobegivenannuallybecauseofviralmutation.Evenifthevaccinedoesn’tperfectlymatchthecirculatingstrain,itreducessymptomseverityandhospitalizations.Whoshouldgetvaccinated?Everyoneaged6monthsandolder,especiallyhigh-riskgroups.ThebesttimeisOctober-November,beforefluseasonpea