2020年下半年吉林省医护英语水平考试METS听力考试真题练习及答案

2020年下半年吉林省医护英语水平考试METS听力考试练习题练习及答案第一部分：短对话（SectionA）共10小题，每段对话后有一个问题，从A、B、C三个选项中选出最佳答案。对话1W:Doctor,I’vehadasorethroatforthreedays,andit’sgettingworse.Ialsohaveafeverof38.5℃.M:Letmecheckyourthroat.Oh,it’squitered.Doyouhaveanydifficultyswallowing?W:Yes,evendrinkingwaterhurts.M:Ithinkit’sacutepharyngitis.I’llprescribeantibioticsandathroatspray.Avoidspicyfoodanddrinkmorewarmwater.Q1:What’sthepatient’smainsymptom?A.CoughB.SorethroatC.Stomachache对话2M:Nurse,whencanItakethepainkiller?Thelabelsays“threetimesaday”,butIforgottheexacttime.W:Usually,it’stakenaftermealstoreducestomachirritation.Sobreakfast,lunch,anddinner—around8a.m.,12p.m.,and6p.m.Don’ttakeitonanemptystomach.Q2:Whenshouldthepatienttakethepainkiller?A.BeforemealsB.AftermealsC.Atbedtime对话3W:Doctor,mychildhasbeenvomitingsincelastnight.Hedidn’teatanythingunusual.Coulditbefoodpoisoning?M:Let’ssee.Vomitingcanbecausedbymanythings—stomachflu,foodpoisoning,orevenamildconcussionifhefell.Whenwasthelasttimehefell?W:Hebumpedhisheadonthetabletwodaysago,butheseemedfine.M:WeneedtodoaCTscantoruleoutintracranialissues.Q3:WhydoesthedoctorsuggestaCTscan?A.TocheckforfoodpoisoningB.ToruleoutheadinjuryC.Todiagnosestomachflu对话4M:Nurse,I’mhereformyannualphysical.WhattestsdoIneedtodotoday?W:First,thebasicones:bloodpressure,bloodtest(includingcholesterolandglucose),andurineanalysis.Sinceyou’reover50,we’llalsoaddacolonoscopyscreening.Thedoctorwillexplainthedetailslater.Q4:Whatadditionaltestisrecommendedfortheman?A.ChestX-rayB.ColonoscopyC.Electrocardiogram对话5W:Doctor,I’vebeenfeelingdizzylately,especiallywhenIstandupquickly.Myhandssometimestingletoo.M:Dizzinessonstandingcouldbeorthostatichypotension.Let’scheckyourbloodpressurelyingdownandthenstanding.Tinglyhandsmightberelatedtonervecompression—maybecarpaltunnelsyndrome.Q5:Whatconditiondoesthedoctorsuspectforthetinglinghands?A.OrthostatichypotensionB.CarpaltunnelsyndromeC.Anemia对话6M:Nurse,mywifehadacesareansectionyesterday.Whencanshestartbreastfeeding?W:Theearlierthebetter.Newbornshaveastrongsuckingreflexinthefirsthourafterbirth.Evenifshe’stired,skin-to-skincontactcanstimulatemilkproduction.We’llhelppositionthebabycorrectly.Q6:WhatdoesthenursesuggestaboutbreastfeedingafterC-section?A.Wait24hoursforthemothertorecoverB.StartassoonaspossibleafterbirthC.Useformulauntilmilkcomesin对话7W:Doctor,Ihaveasthma,andmyinhalerranoutlastweek.I’vebeencoughingalotatnight.M:Asthmacontroliscrucial.Withoutmedication,you’reatriskofanattack.Let’scheckyourpeakflow.It’slowerthannormal.I’llrefillyourinhalerandadjustthedose.Avoidtriggerslikedustandcoldair.Q7:Whyisthedoctorconcernedaboutthepatient?A.Shemissedafollow-upappointmentB.ShestoppedusingherinhalerC.Shehasanewallergy对话8M:Nurse,howshouldIstoretheinsulin?Thepharmacysaid“refrigerate”,butmyfridgeisfull.W:Unopenedinsulinshouldbekeptinthefridge(2-8℃).Onceopened,itcanstayatroomtemperature(below30℃)forupto28days.Don’tfreezeit—freezingruinsthemedication.Q8:What’sthecorrectwaytostoreopenedinsulin?A.FreezeitB.KeepitinthefridgeC.Storeatroomtemperature对话9W:Doctor,mysonhaseczema.Hisskinissodryanditchy.We’vetriedmoisturizers,butit’snotgettingbetter.M:Eczemaoftenneedsacombinationoftreatments.Let’sswitchtoasteroidcreamfortwoweeks—applyathinlayertwiceaday.Also,avoidhotbathsandusefragrance-freelaundrydetergent.Q9:Whatdoesthedoctorrecommendforthechild’seczema?A.HotbathstosoothetheskinB.SteroidcreamapplicationC.Fragrantlaundrydetergent对话10M:Nurse,I’mscheduledforabiopsytomorrow.Isitpainful?W:You’llgetlocalanesthesia,soyoumightfeelpressurebutnotseverepain.Aftertheprocedure,therecouldbemildsoreness.Avoidstrenuousactivityfor24hours.Q10:Whatshouldthepatientavoidafterthebiopsy?A.LightwalkingB.StrenuousactivityC.Eatingsolidfood第二部分：长对话（SectionB）共5小题，每段对话后有2-3个问题，从A、B、C三个选项中选出最佳答案。对话11-13W:Goodmorning,Mr.Li.I’mNurseWang.Let’sgooveryourdischargeinstructions.Youhadalaparoscopicappendectomytwodaysago,andthedoctorsaysyoucangohometoday.M:Great!WhatdoIneedtowatchoutfor?W:First,woundcare.Theincisionsaresmall,butkeepthemcleananddry.Changethedressingdaily—usethesterilepadsweprovided.Ifyouseeredness,swelling,orpus,comebackimmediately.M:Gotit.Whataboutactivity?Iusuallyexerciseeverymorning.W:Noheavylifting(over5kg)orintenseexercisefor2weeks.Youcanwalkslowly,butavoidbendingortwistingsharply.M:Whataboutdiet?Ilovespicyfood.W:Startwithsoft,easy-to-digestfoodslikeporridgeandnoodles.Graduallyaddsolidfoods.Avoidspicy,greasy,orgas-producingfoods(likebeans)foraweek—theymightupsetyourstomach.M:WhencanItakeashower?W:Wait48hoursafterremovingthedressings.Usewarmwater,don’tscrubtheincisions.Patthemdrygently.Q11:Whatisthepatient’scondition?A.HehadaheartsurgeryB.HeunderwentappendectomyC.HefracturedhislegQ12:Whatshouldthepatientavoidinthefirstweekafterdischarge?A.SoftfoodsB.SpicyfoodsC.WalkingQ13:Whencanthepatienttakeashower?A.ImmediatelyafterdischargeB.48hoursafterdressingremovalC.After2weeksofrest对话14-15M:Doctor,mymotheris75andhasbeenforgetfullately.Shemisplaceskeys,forgetsrecentevents,butremembersherchildhoodclearly.Isitjustnormalaging?W:Memorylosscanbenormal,butweneedtocheckfordementia.Let’sdoamini-mentalstateexam(MMSE).Howoftendoesthishappen?M:Almostdaily.Lastweek,shegotlostintheneighborhoodshe’slivedinfor30years.W:That’saredflag.Earlydementiaoftenaffectsshort-termmemory,orientation,anddailyfunctions.Let’sorderanMRItocheckforbrainatrophy.Bloodtestscanruleoutthyroidissuesorvitamindeficiencies,whichcanmimicdementia.M:Whatifitisdementia?Canitbetreated?W:There’snocure,butmedicationslikecholinesteraseinhibitorscanslowprogression.Lifestylechanges—balanceddiet,regularexercise,andcognitivetraining—alsohelp.Familysupportiscrucial.Q14:Whatisthemainconcernaboutthepatient’smother?A.Normalage-relatedmemorylossB.PossibledementiaC.ThyroiddiseaseQ15:Whattestdoesthedoctorsuggestfirst?A.BloodtestforvitaminlevelsB.MRIofthebrainC.Cholinesteraseinhibitortrial第三部分：独白（SectionC）共10小题，每段独白后有5个问题，从A、B、C三个选项中选出最佳答案。独白16-20Goodmorning,everyone.Todaywe’lltalkaboutdiabetesmanagement,especiallyfornewlydiagnosedpatients.Diabetesisachronicconditionwherethebodycan’tregulatebloodsugarproperly.Therearetwomaintypes:Type1(autoimmune,usuallyyoungonset)andType2(linkedtolifestyle,morecommoninadults).First,monitoringbloodglucoseiskey.Youshouldcheckfastingbloodsugar(beforebreakfast)andpostprandial(aftermeals)levels.Targetsvary:formostadults,fastingshouldbe4.4-7.0mmol/L,andpostprandialbelow10.0mmol/L.Dietiscrucial.Focusonlow-glycemicfoods:wholegrains,vegetables,leanproteins.Avoidsugarydrinks,refinedcarbs(whitebread,pastries),andexcessivesaturatedfats.Portioncontrolmatters—useasmallplatetoavoidovereating.Exercisehelpslowerbloodsugar.Aimforatleast150minutesofmoderateactivity(briskwalking,cycling)perweek.Spreaditoutover5days.Alwayshaveasnackbeforeexercisingtopreventhypoglycemia(lowbloodsugar),andcarryglucosetabletsincaseofdizzinessorsweating.Medicationadherenceisnon-negotiable.ForType2,oraldrugslikemetforminarecommon.Someneedinsulininjections.Neverskipdoses—uncontrolleddiabetescanleadtocomplications:nervedamage,kidneydisease,orvisionloss.Lastly,regularcheck-ups.Seeyourdoctorevery3monthsforHbA1c(a3-monthaverageofbloodsugar).Annualeyeexamsandfootchecksarenecessarytodetectearlydamage.Q16:Whatisthemaintopicofthetalk?A.CausesofType1diabetesB.DiabetesmanagementfornewpatientsC.ComplicationsofhighbloodpressureQ17:Whatisthetargetpostprandialbloodsugarformostadults?A.Below7.0mmol/LB.4.4-7.0mmol/LC.Below10.0mmol/LQ18:Whichfoodshouldbeavoided?A.WholegrainsB.WhitebreadC.LeanproteinsQ19:Howmuchexerciseisrecommendedweekly?A.30minutesB.150minutesC.300minutesQ20:Whyareannualeyeexamsimportantfordiabetics?A.TocheckforvisionlosscomplicationsB.TotestforcolorblindnessC.Tomonitorbloodpressure独白21-25Welcometothehospital’sinfectioncontroltraining.Ashealthcareworkers,preventingthespreadofinfectionsisourresponsibility.Let’sreviewkeypractices.First,handhygiene.Washinghandswithsoapandwateristhegoldstandard,especiallywhenhandsarevisiblydirty.Ifnot,usealcohol-basedhandsanitizer(atleast60%alcohol).Rememberthe5moments:beforetouchingapatient,beforeclean/asepticprocedures,afterbodyfluidexposure,aftertouchingapatient,andaftertouchingpatientsurroundings.Next,personalprotectiveequipment(PPE).Weargloveswhenhandlingbloodorbodyfluids.Forprocedureswithsplashingrisk(e.g.,suctioning),usegowns,masks,andgoggles.RemovePPEproperly:glovesfirst,thengown,thenmask—avoidtouchingtheoutersurfaces.Environmentalcleaningisoftenoverlooked.High-touchsurfaces(bedrails,doorknobs,stethoscopes)shouldbecleaneddailywithdisinfectants.Usedisposablewipesforstethoscopestopreventcross-contamination.Isolationprecautionsarecriticalforcontagious