2020年下半年辽宁省医护英语水平考试METS听力考试真题练习及答案

2020年下半年辽宁省医护英语水平考试METS听力考试练习题练习及答案SectionA:ShortConversations（共10题，每题1分）Directions:Inthissection,youwillhear10shortconversations.Attheendofeachconversation,aquestionwillbeaskedaboutwhatwassaid.Boththeconversationandthequestionwillbespokenonlyonce.Afteryouhearaconversationandthequestion,readthefourpossibleanswersmarkedA,B,CandD,anddecidewhichisthebestanswer.Conversation1W:Doctor,I’vehadasorethroatforthreedays,andit’sgettingworse.Ialsofeelabitfeverish.M:Letmecheckyourthroat...Yes,it’sinflamed.Haveyoubeencoughingorsneezing?W:Justadrycoughoccasionally.M:Ithinkit’sacutepharyngitis.I’llprescribeantibioticsandathroatspray.Avoidspicyfoodforaweek.Q:Whatisthewoman’smaincomplaint?A)ChestpainB)SorethroatandfeverC)PersistentsneezingD)SeverecoughingConversation2M:Nurse,whencanmywifestarteatingaftertheappendectomy?She’sstarving.W:Thedoctorsaidshecanhaveclearliquidsfirst,likebrothorapplejuice,onceherbowelsoundsreturn.Solidfoodmaytakeanother24hours.M:Gotit.ShouldItellhertoavoidanyspecificdrinks?W:Yes,nocarbonatedbeveragesforatleastthreedays—theycancausebloating.Q:Whatdoesthenurseadvisetheman’swifetoavoidinitially?A)BrothB)ApplejuiceC)CarbonateddrinksD)SoftriceConversation3W:Mr.Li,yourbloodpressureis160/100today.That’shigherthanlastweek.Haveyoubeentakingyourmedicationregularly?M:Iforgottorefillmyprescriptionlastweek,soImissedtwodays.W:Uncontrolledhypertensioncanleadtoheartorkidneydamage.Let’sadjustyourdosage—takeonemorepillinthemorning.Also,limitsaltintakeandmonitoryourBPathomedaily.Q:Whydidthepatient’sbloodpressureincrease?A)HeatetoomuchsaltB)HemissedtakingmedicationC)HehadakidneyproblemD)HestoppedexercisingConversation4M:Nurse,mymotherisonhemodialysis.She’sbeenfeelingdizzyaftersessionslately.Isthatnormal?W:Dizzinesscouldbeduetolowbloodpressureduringdialysis.We’llcheckherweightgainbetweensessions—excessfluidcancauserapidfluidremoval.Also,suggestsheeatslightlybeforetreatment,notaheavymeal.Q:Whatmightcausethepatient’sdizzinessduringhemodialysis?A)HighbloodpressureB)RapidfluidremovalC)ExcessiveproteinintakeD)IrregularmedicationConversation5W:Doctor,mybabyhasarashonhischest.Itstartedyesterdayandisitchy.M:Letmesee...Therashisredandraised,withsomesmallblisters.Hasheeatenanynewfoodrecently?W:Wetriedeggsforthefirsttimethreedaysago.M:It’slikelyafoodallergy.Avoideggsanddairytemporarily.Applythisanti-itchcreamtwiceaday.Q:Whatisthedoctor’sdiagnosis?A)EczemaB)HeatrashC)FoodallergyD)ViralinfectionConversation6M:Nurse,whenshouldIchangethedressingformylegwound?Thedischargesaysevery48hours,butit’soozingmoretoday.W:Ifthere’sincreaseddrainage,youshouldchangeitsooner—every24hours.Makesuretocleantheareawithsalinefirst,thenapplythenewdressing.Callusifthewoundsmellsbadorgetshotter.Q:Whatshouldthepatientdoifthewoundoozesmore?A)ApplymorecreamB)ChangethedressingdailyC)AvoidsalinecleaningD)Wait48hoursasinstructedConversation7W:Doctor,I’vebeenhavingtroublesleeping.Ilieinbedforhoursbutcan’tfallasleep.M:Doyouuseyourphonebeforebed?Bluelightcansuppressmelatonin.Trya30-minutewind-downroutine—readingorlisteningtosoftmusic.Ifitpersists,wecanconsiderashortcourseofsleepingpills,butonlyasalastresort.Q:Whatdoesthedoctorsuggestforbettersleep?A)UsingaphonetorelaxB)TakingsleepingpillsimmediatelyC)Apre-sleeprelaxationroutineD)DrinkingcoffeebeforebedConversation8M:Nurse,myfatherhasParkinson’sdisease.He’sbeenshufflinghisfeetwhenwalking.Isthereawaytohelp?W:Gaittrainingcanhelp.Encouragehimtotakebiggerstepsandswinghisarms.Usingalaserpointeronthefloortomarkstepsmightalsoimprovehisstride.Physicaltherapytwiceaweekisrecommended.Q:Whatissuggestedforimprovingthepatient’swalking?A)UsingawheelchairB)Laser-guidedsteptrainingC)IncreasingmedicationdosageD)RestrictingarmmovementConversation9W:Doctor,I’mhereformyannualphysical.Myurinetestshowsglucose2+.Doesthatmeandiabetes?M:Notnecessarily.Itcouldbetemporary—maybeyouateahigh-sugarmealbeforethetest.Let’scheckyourfastingbloodglucosetomorrow.Ifit’sstillhigh,we’lldoanHbA1ctest.Q:Whatwillthedoctordonext?A)DiagnosediabetesimmediatelyB)OrderafastingbloodglucosetestC)PrescribeinsulinD)RefertoaspecialistConversation10M:Nurse,thepatientinRoom302iscomplainingofshortnessofbreath.HisO2saturationis88%onroomair.W:Puthimon4Lofoxygenvianasalcannula.I’llcheckhisrespiratoryrateandlistentohislungs.Pagetheon-calldoctor—thismightbeanacuteexacerbationofhisCOPD.Q:Whatisthepatient’scurrentoxygensaturation?A)85%B)88%C)92%D)95%SectionB:LongConversations（共10题，每题1分）Directions:Inthissection,youwillhear2longconversations.Eachconversationwillbefollowedby5questions.Boththeconversationandthequestionswillbespokenonlyonce.Afteryouhearaquestion,readthefourpossibleanswersmarkedA,B,CandD,anddecidewhichisthebestanswer.Conversation1W:Goodmorning,Mr.Wang.I’mNurseLiu.Let’sgooveryourdischargeinstructions.First,aboutyourmedication:youhavetwonewpills—oneisforbloodthinningaftertheheartstent,andtheotherisastatinforcholesterol.Takethebloodthinneronceadayafterbreakfast,andthestatinatbedtime.M:Nurse,whatifIforgettotakethebloodthinner?W:Ifyoumissadose,takeitassoonasyouremember,butdon’tdoublethedose.Ifit’salmosttimeforthenextdose,skipthemissedone.Also,watchforsignsofbleeding—likepinkurine,blackstools,ornosebleedsthatwon’tstop.Callusimmediatelyifyouseeanyofthese.M:Gotit.Whataboutactivity?ThedoctorsaidIcanwalk,butnoheavylifting.W:Yes,avoidliftingmorethan5kgforsixweeks.Graduallyincreaseyourwalking—startwith10minutestwiceaday,thenadd5minuteseachweek.Nodrivingfortwoweeks,either,untilweconfirmyourheartfunctionisstable.M:Anddiet?Ilovesaltyfoods...W:Low-sodiumiskey.Aimforlessthan2gramsofsaltdaily.Increasevegetables,wholegrains,andfish.Limitredmeatandfriedfoods.Also,monitoryourweight—ifyougainmorethan2kginaday,itcouldmeanfluidretention.M:Okay,I’lltry.WhendoIcomebackforfollow-up?W:Thecardiologyclinicappointmentisonthe20thofnextmonth.Bringallyourmedicationswithyou,andkeeparecordofyourdailybloodpressureandheartrate.Q11:Whatisthepurposeofthestatinmedication?A)TothinthebloodB)TolowercholesterolC)ToreducebloodpressureD)TopreventbleedingQ12:WhatshouldMr.Wangdoifhemissesabloodthinnerdose?A)TakedoublethenexttimeB)SkipitandtakethenextdoseasusualC)TakeitimmediatelyregardlessoftimingD)CallthedoctorrightawayQ13:WhatactivityisMr.Wangallowedtodoafterdischarge?A)Lifting10kgB)DrivingwithinaweekC)Walking10minutestwicedailyinitiallyD)RunningforexerciseQ14:WhyshouldMr.Wanglimitsaltintake?A)TopreventfluidretentionB)ToreducecholesterollevelsC)ToimprovesleepqualityD)ToenhancemedicationabsorptionQ15:WhatshouldMr.Wangbringtothefollow-upappointment?A)HispreviousmedicalrecordsB)AlistofhisdailyactivitiesC)AllhiscurrentmedicationsD)AcopyofhisdischargesummaryConversation2M:Nurse,IneedtocheckonMrs.LiinRoom405.She’s72,post-opday3fromatotalkneereplacement.How’sshedoing?W:Hervitalsignsarestable—BP130/85,HR78,temp36.8°C.She’sbeencomplainingofpainattheincisionsite,rated6/10ontheVASscale.Wegaveher50mgoftramadoltwohoursago,andshesaysit’snow3/10.M:Good.AnysignsofDVT?W:Herlegsarewarmandpink,noswellingorredness.She’sbeendoinganklepumpseveryhourasinstructed.Weappliedsequentialcompressiondevices(SCDs)duringtheday.M:Whataboutmobility?W:Shesatontheedgeofthebedyesterdayandstoodwithawalkerthismorning.Physicaltherapyisscheduledforlatertoday—they’llhelphertakeafewsteps.She’sabitnervousaboutfalling.M:Reassureherthatfallsareunlikelywithassistance.Also,checkhersurgicalsite—anydrainage?W:Thedressingisdryandintact.Nosignsofinfection—nopus,noincreasedwarmth.M:Labresults?W:Herhemoglobinis10.2g/dL,whichisslightlylowbutstable.We’llmonitoritdaily.Plateletsarenormal.M:Okay,continuepainmanagement.Ifthepainincreases,switchto75mgtramadol,butnotmorethanevery6hours.Makesureshedoesherlegexercisestopreventstiffness.Q16:HowlonghasMrs.Libeenpost-surgery?A)1dayB)3daysC)5daysD)7daysQ17:WhatwasMrs.Li’spainlevelbeforetakingtramadol?A)3/10B)6/10C)8/10D)10/10Q18:WhatmeasureisusedtopreventDVT?A)AnklepumpsandSCDsB)PainmedicationC)BloodtransfusionD)EarlyambulationQ19:WhatisscheduledforMrs.Lilatertoday?A)AbloodtestB)PhysicaltherapyC)DressingchangeD)X-rayexaminationQ20:WhatisthenurseinstructedtodoifMrs.Li’spainincreases?A)Administer100mgtramadolB)SwitchtoadifferentpainkillerC)Increasetramadolto75mgD)ApplycoldcompressimmediatelySectionC:Passages（共10题，每题1分）Directions:Inthissection,youwillhear2shortpassages.Eachpassagewillbefollowedby5questions.Boththepassageandthequestionswillbespokenonlyonce.Afteryouhearaquestion,readthefourpossibleanswersmarkedA,B,CandD,anddecidewhichisthebestanswer.Passage1Newbornjaundiceisacommonconditionwhereababy’sskinandthewhitesoftheeyeslookyellow.Itoccursbecauseababy’sliverisn’tmatureenoughtoremovebilirubinfromthebloodefficiently.Bilirubinisayellowpigmentproducedwhenredbloodcellsbreakdown.Mostcasesare“physiologicaljaundice,”whichisnormalandharmless.Itusuallyappears2-3daysafterbirthandfadesby1-2weeks.However,“pathologicaljaundice”ismoreserious.Itmaystartwithin24hoursofbirth,getworsequickly,orlastlongerthan2weeks.Causesincludebloodtypeincompatibility,infections,orliverproblems.Mildjaundiceoftendoesn’tneedtreatment.Formoderatecases,phototherapy(lighttherapy)isused.Thebabyisplacedunderspecialbluelights,whichhelpconvertbilirubinintoaformthebodycanexcrete.Severecasesmayrequireexchangetransfusion,wheresomeofthebaby’sbloodisreplacedwithdonorbloodtolowerbilirubinlevels.Parentsshouldmonitortheirbaby’sjaundice.Signsofworseningincludedarkeryellowing,poorfeeding,high-pitchedcrying,orlethargy.Iftheseoccur,seekmedicalhelpimmediately.Q21:Whydoesnewbornjaundicehappen?A)ExcessredbloodcellsB)ImmatureliverfunctionC)HighbilirubinexcretionD)InfectionsafterbirthQ22:Whendoesphysiologicaljaundicetypicallyappear?A)Within24hoursofbirthB)2-3daysafterbirthC)1weekafterbirthD)2weeksafterbirthQ23:Whatisphototherapyusedfor?A)TreatingsevereinfectionsB)IncreasingbilirubinlevelsC)ConvertingbilirubinforexcretionD)Replacingthebaby’sbloodQ24:Whichisasignofworseningjaundice?A)LethargyB)GoodfeedingC)MildyellowingD)Low-pitchedcryingQ25:Whatisexchangetransfusionfor?A)TreatingmildjaundiceB)LoweringbilirubinlevelsC)PreventingliverimmaturityD)ImprovingfeedinghabitsPassage2Handhygieneisthemosteffectivewaytopreventhospital-acquiredinfections(HAIs).TheWorldHealthOrganization(WHO)recommendsthe“5MomentsforHandHygiene”:beforetouchingapatient,beforeclean/asepticprocedures,afterbodyfluidexposure,aftertouchingapatient,andaftertouchingpatientsurroundings.Properhandwashingwithsoapandwatertakesatleast20seconds.Thestepsare:wethands,applysoap,rubpalmstogether,rubbackofhands,interlacefingers,rubthumbs,rubfingertips,andrinse.Ifsoapisn’tavailable,useanalcohol-basedhandrub(ABHR)withatleast60%alcohol.HAIscanbecausedbybacteria,viruses,orfungi.Commontypesincludeurinarytractinfections(UTIs