2020年下半年湖南省医护英语水平考试METS听力考试真题练习及答案

2020年下半年湖南省医护英语水平考试METS听力考试练习题练习及答案一、听力理解（共35题，每小题1分，共35分）第一节短对话（Text1-10）Text1W:Dr.Li,I'vebeenhavingheadachesforaboutaweek.Theystartinthemorningandgetworsebyafternoon.SometimesIfeeldizzytoo.M:Doyouhaveanynauseaorvomiting?W:No,justtheheadacheanddizziness.M:Let'scheckyourbloodpressurefirst.Highbloodpressurecancausethesesymptoms.Q1:Whatisthedoctorgoingtodofirst?A.OrderanMRIB.CheckbloodpressureC.PrescribepainkillersD.Recommendrest答案：BText2W:Mr.Wang,thisisyourmedication.Thewhitepillisforyourbloodsugar,takeoneafterbreakfast.Theblueoneisforyourheart,takehalfanhourbeforedinner.M:Sothewhitepillafterbreakfast,blueonebeforedinner.Gotit.Whatabouttheliquidmedicine?W:Theliquidisforyourcough,shakeitwellandtake10mlthreetimesaday,30minutesaftermeals.Q2:Whenshouldthepatienttaketheliquidmedicine?A.AfterbreakfastB.BeforedinnerC.30minutesaftermealsD.Halfanhourbeforemeals答案：CText3W:Doctor,Icutmyhandwithakitchenknifeaboutanhourago.Itwon'tstopbleeding.M:Letmetakealook.Thecutisabout3cmlong,deepenoughtoseetheunderlyingtissue.Weneedtocleanitfirstwithsaline,thensutureit.Haveyouhadatetanusshotinthelastfiveyears?W:IthinkIhadonethreeyearsagowhenIsteppedonanail.M:Good,thenyou'recovered.Thenursewillpreparethesupplies.ThismightstingabitwhenIcleanthewound.Q3:Whatwillthedoctordofirst?A.AdministertetanusvaccineB.SuturethewoundC.CleanthewoundwithsalineD.Checkthepatient'smedicalhistory答案：CText4W:Nurse,thedoctorsaidIcanstartmovingaroundaftersurgery.HowsooncanIgetoutofbed?M:Foryourlaparoscopicappendectomy,it'sactuallyencouragedtowalkwithin24hours.Earlymobilizationhelpspreventbloodclots,improvesdigestion,andspeedsuprecovery.Thefirsttime,I'llhelpyousitontheedgeofthebedfor5minutes,thenstandslowly.Ifyoufeeldizzy,we'llstopimmediately.W:CanItakeashowertomorrow?M:Theincisioniscoveredwithawaterproofdressing,soyoucanshower,butavoidsoakingit.Patitdrygentlyafterward.Nostrenuousactivityforaweek,though.Q4:Whenisthepatientencouragedtostartwalking?A.Within6hoursB.Within12hoursC.Within24hoursD.Within48hours答案：CText5W:Dr.Chen,mybloodpressurewas150/95atthelastcheck-up.DoIneedmedicationnow?M:Let'strylifestylemodificationsfirst.Reducesodiumintaketolessthan2,300mgperday—avoidprocessedfoods,cannedsoups,andsaltysnacks.Increasepotassium-richfoodslikebananas,spinach,andsweetpotatoes.Also,aimfor30minutesofaerobicexercisemostdaysoftheweek.W:Idrinkabeereverynight.Isthatokay?M:Limitalcoholtoonedrinkperdayforwomenandtwoformen.Excessalcoholcanraisebloodpressure.IfyourBPdoesn'timproveinthreemonths,we'llconsiderstartingadiureticorACEinhibitor.Q5:Whatisthedoctor'sfirstrecommendation?A.StartmedicationimmediatelyB.ReducesodiumintakeC.IncreasealcoholconsumptionD.Avoidpotassium-richfoods答案：BText6W:Pharmacist,Ijustgotthisprescriptionforamoxicillin.HowshouldItakeit?M:Takeonecapsuletwiceaday,morningandevening,withafullglassofwater.It'simportanttofinishtheentirecourse,evenifyoustartfeelingbetter,topreventantibioticresistance.W:CanItakeitwithfood?M:Yes,it'sbettertotakeitwithoraftermealstoavoidstomachupset.Avoiddairyproductslikemilkorcheesewithintwohoursoftakingthemedication,astheycanreduceabsorption.W:WhatifImissadose?M:Ifyourememberwithinafewhours,takeitassoonaspossible.Ifit'salmosttimeforthenextdose,skipthemissedoneandcontinuewiththeregularschedule.Don'tdoublethedose.Q6:Whenshouldthepatienttakeamoxicillin?A.OnanemptystomachB.WithoraftermealsC.BeforebedD.Withdairyproducts答案：BText7W:Mr.Li,fallsareacommonriskforolderadults.Let'smakesureyourhomeissafe.Arethereanylooserugsinyourlivingroom?M:Yes,there'sasmallrugbythesofa.W:Removeit—looserugsareatrippinghazard.Also,installgrabbarsinthebathroom,especiallynexttothetoiletandintheshower.Useanon-slipmatinthetub.M:Isometimesgetdizzywhenstandingup.W:That'sorthostatichypotension.Takeitslow—sitontheedgeofthebedforaminutebeforestanding.Wearnon-slipshoes,notsocks,whenwalkingaround.Keepalampbyyourbedsoyoucanseeifyouneedtogetupatnight.Q7:Whatshouldberemovedtopreventfalls?A.GrabbarsB.Non-slipmatsC.LooserugsD.Bedsidelamps答案：CText8W:Dr.Liu,I'm28weekspregnant.WhendoIneedtotaketheglucosetolerancetest?M:Thestandardtimeisbetween24-28weeks,soyou'rerightonschedule.You'llneedtofastfor8hours,thendrinkasugarysolution.We'lldrawbloodonehourlatertocheckyourbloodsugarlevel.W:Whatifthetestisabnormal?M:Itcouldindicategestationaldiabetes.Ifthat'sthecase,we'llworkwithadietitiantocreateamealplan,andyou'llneedtomonitoryourbloodsugarathome.Mostcasescanbemanagedwithdietandexercise,butsomemayrequireinsulin.W:I'vebeenhavingheartburnlately.Isthatnormal?M:Yes,astheuterusgrows,itcanpushagainstthestomach.Eatsmaller,morefrequentmeals;avoidspicy,fattyfoods;anddon'tliedownrightaftereating.Q8:Whenistheglucosetolerancetestusuallydone?A.12-16weeksB.18-22weeksC.24-28weeksD.30-34weeks答案：CText9W:Nurse,I'mnewtousinginsulin.HowdoIinjectitproperly?M:First,washyourhands.Chooseasite—abdomen,thighs,orupperarms.Rotatesitestopreventlipohypertrophy(thickenedskin).Pinchtheskin,inserttheneedleata90-degreeangle(ifyou'rethin,maybe45degrees),pushtheplungerslowly,thenholdfor10secondsbeforeremoving.W:DoIneedtorefrigeratetheinsulin?M:Unopenedvialsshouldberefrigerated,butonceopened,theycanbekeptatroomtemperatureforupto28days.Avoidextremeheatorcold.W:WhatifIinjecttoomuch?M:Symptomsoflowbloodsugarincludesweating,shaking,dizziness.Haveafast-actingcarbohydratelikeglucosetabletsorjuiceready.Ifsevere,callforhelpimmediately.Q9:Whereshouldinsulinbeinjectedtopreventlipohypertrophy?A.SamesiteeverytimeB.RotatedsitesC.OnlytheabdomenD.Onlythethighs答案：BText10W:Doctor,I'vehadafeverandcoughforfivedays.Thecoughisproductivewithyellowphlegm.M:Let'slistentoyourlungs.Ihearcracklesintherightlowerlobe.AchestX-raywillconfirmifit'spneumonia.Ifso,we'llstartyouonanantibioticlikeazithromycin.W:HowlongwillIneedtotakeit?M:Usually5-7days,dependingonyourresponse.Also,drinkplentyoffluidstothinthemucus.Useahumidifiertoeasecoughing.Ifyourfeverdoesn'timprovein48hours,oryouhaveshortnessofbreath,comebackimmediately.Q10:Whattestwillconfirmpneumonia?A.BloodtestB.UrinetestC.ChestX-rayD.ECG答案：C第二节长对话（Text11-20）Text11-15（护士与患者家属讨论术后护理）W:Mrs.Zhang,yourhusbandhadasuccessfulkneereplacementsurgeryyesterday.Nowweneedtofocusonhispost-operativecare.M:Whatshouldwepayattentiontoathome?W:First,heneedstokeeptheincisioncleananddry.Changethedressingeverytwodays,andifthere'sredness,swelling,orpus,contactusimmediately.Second,physicaltherapyiscrucial.Thetherapistwillcometoyourhometwiceaweektoguidehimthroughexercises.Heshouldalsodosimplelegraisesandanklepumpsthreetimesaday.M:Whatabouthisdiet?W:High-proteinfoodslikeeggs,fish,andbeanswillhelpwithrecovery.Avoidspicyandgreasyfoods.Also,makesurehedrinksenoughwatertopreventconstipation,especiallysincehe'sonpainmedication.M:Anyrestrictionsonactivities?W:Noheavyliftingorprolongedstandingforthefirstmonth.Hecanwalkwithawalkerforsupport,butlimiteachwalkto15-20minutesinitially.Graduallyincreasethetimeashegetsstronger.Q11:Whatisthemaintopicoftheconversation?A.Pre-operativepreparationB.Post-operativecareC.SurgicalprocedureD.Medicationinstructions答案：BQ12:Howoftenshouldtheincisiondressingbechanged?A.EverydayB.EverytwodaysC.EverythreedaysD.Everyweek答案：BQ13:Whattypeofexerciseisrecommendedforthepatient?A.RunningB.SwimmingC.LegraisesD.Weightlifting答案：CQ14:Whatkindoffoodshouldbeavoided?A.High-proteinfoodsB.SpicyfoodsC.FishD.Eggs答案：BQ15:Whatistheinitiallimitforeachwalk?A.5-10minutesB.10-15minutesC.15-20minutesD.20-25minutes答案：CText16-20（医生与患者讨论糖尿病管理）W:Mr.Liu,yourrecentbloodsugartestshowsyourHbA1cis7.8%,whichishigherthanthetargetof7%.Weneedtoadjustyourmanagementplan.M:What'scausingthis?I'vebeentakingmymetforminasprescribed.W:Let'sreviewyourdietandexercise.Howmanymealsdoyouhaveaday?M:Threemainmeals,sometimesasnackintheafternoon.W:Snackscanaffectbloodsugar.Whatdoyouusuallyhave?M:Biscuitsorapieceofcake.W:Thosearehighinsimplecarbs.TryreplacingthemwithnutsorGreekyogurt,whichhavemoreproteinandfiber.Also,howmuchphysicalactivitydoyouget?M:Iwalktotheparkonceaweek,about30minutes.W:That'snotenough.Aimforatleast150minutesofmoderateexerciseperweek,likebriskwalking,cycling,orswimming,spreadoverfivedays.Even10-minutewalksaftermealscanhelplowerpost-mealglucose.M:Whataboutmedication?DoIneedtotakemore?W:Let'strylifestylechangesfirst.IfHbA1cdoesn'timproveinthreemonths,wecanconsideraddingaGLP-1receptoragonist.Also,monitoryourbloodsugarfourtimesaday:fasting,beforelunch,beforedinner,andatbedtime.Recordtheresultsandbringthemtothenextappointment.Q16:Whatisthepatient'scurrentHbA1clevel?A.6.5%B.7.0%C.7.8%D.8.5%答案：CQ17:Whatsnackdoesthedoctorrecommend?A.BiscuitsB.CakeC.NutsD.Chocolate答案：CQ18:Howmuchmoderateexerciseshouldthepatientaimforweekly?A.30minutesB.60minutesC.100minutesD.150minutes答案：DQ19:Whenmightthedoctorconsideraddinganewmedication?A.ImmediatelyB.AfteronemonthC.AfterthreemonthsD.Aftersixmonths答案：CQ20:Howmanytimesadayshouldthepatientmonitorbloodsugar?A.TwiceB.ThreetimesC.FourtimesD.Fivetimes答案：C第三节短文理解（Text21-35）Text21-25（关于流感疫苗接种的讲座）"Goodmorning,everyone.TodayI'dliketotalkabouttheimportanceofinfluenzavaccination,especiallyforhigh-riskgroups.Influenza,orflu,isacontagiousrespiratoryillnesscausedbyinfluenzaviruses.Itcancausemildtosevereillness,andattimescanleadtodeath.Thebestwaytopreventthefluisbygettingvaccinatedeachyear.Whoshouldgetvaccinated?First,everyone6monthsofageandolderisrecommendedtogetafluvaccine,withrareexceptions.However,certaingroupsareathigherriskofdevelopingseriousflucomplications.Theseincludeyoungchildren,especiallythoseunder5yearsold;adults65yearsandolder;pregnantwomen;andpeoplewithchronichealthconditionslikeasthma,diabetes,heartdisease,orweakenedimmunesystems.Whenshouldyougetvaccinated?ThefluseasoninourregiontypicallystartsinOctoberandpeaksbetweenDecemberandFebruary.Ittakesabouttwoweeksaftervaccinationforantibodiestodevelop,soit'sbesttogetvaccinatedbytheendofOctober.However,evenifyougetvaccinatedlater,itcanstillbebeneficialaslongasfluvirusesarecirculating.Whatarethepossiblesideeffects?Mostpeoplehavenoormildsideeffects.Themostcommonaresoreness,redness,orswellingattheinjectionsite.Somemayexperiencelow-gradefever,headache,ormuscleaches,whichusuallygoawaywithinafewdays.Severeallergicreactionsareveryrarebutcanoccur,soit'simportanttostayattheclinicfor15-30minutesaftervaccinationtobemonitored.Insummary,fluvaccinationissafeandeffective.Itnotonlyprotectsyoubutalsohelpspreventthespreadofflutoothers,especiallythosewhoaremorevulnerable.Iencourageeveryonetomakeanappointmentwithyourhealthcareprovidertogetvaccinatedthisseason."Q21:Whatisthemainpurposeofthepassage?A.ToexplainthesymptomsoffluB.TopromoteinfluenzavaccinationC.TodiscussflutreatmentD.Tocomparedifferentfluviruses答案：BQ22:Whichgroupisathigherriskofflucomplications?A.Teenagersaged15-18B.Adultsunder30C.PregnantwomenD.Healthyyoungadults答案：CQ23:Whenisthebesttimetogetvaccinatedintheregion?A.BytheendofSeptemberB.BytheendofOctoberC.BytheendofNovemberD.BytheendofDecember答案：BQ24:Whatisacommonsideeffectofthefluvaccine?A.SevereallergicreactionB.HighfeverC.SwellingatinjectionsiteD.Vomiting答案：CQ25:Howlongshouldonestayattheclinicaftervaccinationtobemonitored?A.5-10minutesB.10-15minutesC.15-30minutesD.30-60minutes答案：CText26-30（关于COVID-19疫情期间的医院感染控制措施）"DuringtheCOVID-19pandemic,hospitalshaveimplementedstrictinfectioncontrolmeasurestoprotectpatients,healthcareworkers,andvisitors.Let'sgothroughthekeyprotocols.First,triageandscreening.Allindividualsenteringthehospitalmustpassthroughatriagestation.Staffwillcheckbodytemperature,askaboutrecenttravelhistory,contactwithCOVID-19patients,andsymptomslikefever,cough,orshortnessofbreath.Thosewithsuspectedsymptomsaredirectedtoaseparatewaitingareaandprovidedwithsurgicalmasks.Second,personalprotectiveequipment(PPE)forhealthcareworkers.Dependingonthelevelofexposurerisk,staffmayweargloves,gowns,surgicalmasks,N95respirators,faceshields,orgoggles.Forexample,whenperformingaerosol-generatingprocedureslikeintubationorCPR,N95respiratorsandfaceshieldsaremandatory.Third,environmentalcleaning.High-touchsurfacessuchasdoorknobs,elevatorbuttons,waitingroomchairs,andexamtablesarecleanedanddisinfectedwithEPA-approvedproductsatleasteverytwohours.Patientroomsarethoroughlycleanedafterdischarge,withfocusonbedrails,IVpoles,andbedsidetables.Fourth,visitorrestrictions.Toreducetheriskoftransmission,mosthospitalslimitvisitorstooneperpatient,whomustbeasymptomatic,wearamask,andfollowhandhygiene.InCOVID-19wards,visitorsaregenerallynotallowedexceptforend-of-lifesituations,withstrictPPErequirements.Fifth,stafftrainingandmonitoring.Allhealthcareworkersreceiveregulartrainingoninfectioncontrolpractices,includingproperhandhygiene(20-secondsoapandwateroralcohol-basedsanitizer),donninganddoffingPPE,andreportinganysymptomspromptly.Dailytemperaturechecksandsymptomscreeningsareconductedforstaffmembers.Thesemeasures,combinedwithvaccinationandpublichealthefforts,havebeencrucialinpreventingoutbreakswithinhealthcarefacilitiesandensuringsafecaredeliveryduringthepandemic."Q26:Whatisthefirststepwhenenteringthehospital?A.GettingvaccinatedB.TriageandscreeningC.WearingPPED.Visitingrestrictions答案：BQ27:WhatPPEisrequiredforaerosol-generatingprocedures?A.SurgicalmaskB.N95respiratorandfaceshieldC.GlovesonlyD.Gownandgloves答案：BQ28:Howoftenarehigh-touchsurfacescleaned?A.EveryhourB.EverytwohoursC.EveryfourhoursD.Everysixhours答案：BQ29:Whatisthevisitorpolicyinmosthospitals?A.NovisitorsallowedB.TwovisitorsperpatientC.OneasymptomaticvisitorperpatientD.Visitorscanstayovernight答案：CQ30:Whatisincludedinstaffmonitoring?A.MonthlytemperaturechecksB.WeeklysymptomscreeningsC.DailytemperaturechecksD.QuarterlyPPEtraining答案：CText31-35（关于糖尿病足的预防）"Diabetescanleadtovariouscomplications,andoneofthemostseriousisdiabeticfoot.Diabeticfootreferstochangesinthefeetofpeoplewithdiabetes,includingulcers,infections,andevenamputation.However,withpropercare,mostcasescanbeprevented.First,dailyfootinspectionisessential.Patientsshouldchecktheirfeeteverydayforcuts,blisters,redness,swelling,orchangesinskintemperature.Sincediabetescancausenervedamage(neuropathy),somepatientsmaynotfeelpainfrominjuries,sovisualinspectioniscritical.Ifanyabnormalitiesarefound,contactahealthcareproviderimmediately.Second,goodfoothygiene.Wash