2020年下半年云南省医护英语水平考试METS听力考试真题练习及答案

2020年下半年云南省医护英语水平考试METS听力考试练习题练习及答案SectionA（短对话）说明：本部分共10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’vebeenhavingthisterriblecoughforafewdays.Itkeepsmeupatnight.M:Whendiditstart?Anyphlegm?W:ItbeganlastWednesday.Atfirst,itwasdry,butnowI’mbringingupyellowsputum.Q:Howlonghasthepatienthadthecough?A.3daysB.5daysC.1week对话2M:Nurse,whenshouldItakethisantibiotic?Thelabelsays“tid”.W:“Tid”meansthreetimesaday.Takeithalfanhouraftermealstoavoidstomachupset.Q:Whatisthemedicationfrequency?A.TwiceadayB.ThreetimesadayC.Fourtimesaday对话3W:Sir,yourbloodpressureis160/100mmHg.That’sabithigh.Haveyoubeenunderstresslately?M:Yes,I’vebeenworkingovertimeforaproject.ButI’vebeentakingmyantihypertensivepillsregularly.W:Let’scheckyourrecentbloodpressurelog.Thelastreadingtwodaysagowas155/95.It’sfluctuating.Wemayneedtoadjustyourdosage.Q:Whatisthepatient’scurrentbloodpressure?A.155/95mmHgB.160/100mmHgC.140/90mmHg对话4M:Doctor,mychildhasahighfever—39.5℃.She’sbeenirritableandwon’teat.W:Letmecheckherthroat.Oh,hertonsilsareswollenandtherearewhitepatches.Anyrash?M:No,butshe’sbeencomplainingofaheadache.W:Itlookslikeacutetonsillitis.I’llprescribeanantibioticandafeverreducer.Q:Whatisthechild’sdiagnosis?A.InfluenzaB.AcutetonsillitisC.Scarletfever对话5W:Nurse,I’msupposedtochangethedressingforthebedriddenpatient.HowoftenshouldIdoit?M:Foracleansurgicalwound,onceadayisenough.Butifthere’sexcessivedrainage,checkevery46hoursandchangeimmediately.W:Gotit.AndshouldIusesterilegloves?M:Absolutely.Aseptictechniqueiscrucialtopreventinfection.Q:Howoftenshouldthedressingbechangedforacleansurgicalwound?A.Every46hoursB.OnceadayC.Twiceaday对话6M:Doctor,IfeeldizzywhenIstandupquickly.ItstartedafterIhadtheflulastweek.W:Let’scheckyourbloodpressurelyingdownandthenstanding.Lying:120/80.Standing:90/60.That’sorthostatichypotension.M:Isitrelatedtotheflu?W:Possibly.Dehydrationfromtheflumighthaveloweredyourbloodvolume.Drinkmorefluidsandavoidsuddenposturalchanges.Q:Whatcausesthepatient’sdizziness?A.DehydrationB.HighbloodpressureC.Heartarrhythmia对话7W:Mr.Li,yourECGshowssinusarrhythmia.It’susuallybenigninyoungpeople,butweneedtomonitorit.M:ShouldIstopexercising?Iplaybasketballeveryweekend.W:No,moderateexerciseisokay.Butavoidextremeexertion.ComebackinamonthforarepeatECG.Q:Whatdoesthedoctoradvisethepatient?A.StopallexerciseB.AvoidextremeexertionC.Takemedicationimmediately对话8M:Nurse,thepatientinRoom302iscomplainingofshortnessofbreath.Hisoxygensaturationis88%.W:Let’sincreasetheoxygenflowto4L/min.PositionhiminhighFowler’stoeasebreathing.I’llnotifythedoctorandprepareforachestXray.Q:Whatisthepatient’soxygensaturation?A.85%B.88%C.92%对话9W:Doctor,mymotherhasdiabetes.She’sbeenfeelingweakandherurinetestsshowketones.M:Ketonesinurinecanmeandiabeticketoacidosis(DKA).Let’scheckherbloodglucose—32mmol/L.That’sveryhigh.WeneedtostartIVinsulinandrehydrationimmediately.Q:Whatisthepatient’sbloodglucoselevel?A.12mmol/LB.22mmol/LC.32mmol/L对话10M:Nurse,whencanmywifestarteatingafterthelaparoscopicappendectomy?W:Onceherbowelsoundsreturn,usually68hourspostop.Startwithclearliquids,thenprogresstosoftdietifshetoleratesit.M:Canshehavemilkrightaway?W:Betteravoiddairyinitially—itmightcausebloating.Sticktowater,broth,orapplejuicefirst.Q:Whatisthefirstdietafterthesurgery?A.ClearliquidsB.SoftdietC.DairyproductsSectionB（长对话）说明：本部分共2篇长对话，每篇对话后有5个问题，从A、B、C三个选项中选出最佳答案。长对话1（门诊就诊）W:Goodmorning,Mr.Wang.Whatbringsyouintoday?M:Doctor,I’vehadthischestpainforthepasttwodays.It’sreallyworryingme.W:Let’sgothroughitstepbystep.Whereexactlyisthepain?M:Rightbehindmybreastbone.Itfeelslikeaheavyweightispressingonmychest.W:Doesitspreadtootherareas?M:Yes,itradiatestomyleftarmandjaw.It’sworsewhenIclimbstairsorwalkfast.W:Howlongdoeseachepisodelast?M:About510minutes.Restinghelps,butitcomesbackwhenI’mactive.W:Anyothersymptoms?Nausea?Shortnessofbreath?M:Ifeelabitnauseousduringthepain,andIgetoutofbreatheasily.W:Haveyouhadanyheartproblemsbefore?M:Myfatherhadaheartattackat60,butI’veneverhadissues.Itakeababyaspirindaily.W:Let’scheckyourvitalsigns.Bloodpressure:145/95mmHg.Heartrate:88bpm,regular.M:Isitaheartattack?W:Itcouldbeangina,whichischestpainfromreducedbloodflowtotheheart.WeneedanECGandbloodtestsforcardiacenzymestoruleoutaheartattack.I’llalsoscheduleastresstest.M:WhatshouldIdointhemeantime?W:Avoidstrenuousactivity.Ifthepainlastsmorethan15minutesorgetsworse,call120immediately.问题111511.Whereisthepatient’schestpainlocated?A.LeftsideofthechestB.BehindthebreastboneC.Rightupperabdomen12.Whichareadoesthepainradiateto?A.RightshoulderB.LeftarmandjawC.Lowerback13.Howlongdoeseachpainepisodelast?A.12minutesB.510minutesC.1520minutes14.Whattestdoesthedoctororderfirst?A.ChestXrayB.ECGandcardiacenzymesC.Stresstest15.Whatisthedoctor’sadviceforthepatient?A.TakemoreaspirinimmediatelyB.AvoidstrenuousactivityC.Startahighfatdiet长对话2（术后护理指导）M:NurseZhang,myhusbandhadatotalkneereplacementyesterday.Whencanhestartmoving?W:Mr.Liu,earlymobilizationiskeytopreventbloodclotsandimproverecovery.Hecansitontheedgeofthebedtoday,andwithassistance,standforafewminutes.Tomorrow,we’llhelphimwalkwithawalker.M:Whataboutpainmanagement?He’sbeencomplainingalot.W:We’lladjusthisanalgesicsbasedonhispainscore.Ifthepainisabove4ona010scale,pressthePCA(patientcontrolledanalgesia)button.Avoidrubbingtheincision—reportrednessorswelling.M:Whencanheshower?W:Theincisioniscoveredwithawaterproofdressing.Hecanshowerafter48hours,butnosoakinginabathtubfor2weeks.Pattheareadrygently.M:Whataboutphysicaltherapy?W:ThePT(physicaltherapist)willvisittwiceaday.They’llfocusonrangeofmotionandstrengtheningexercises.Aimfor90degreesofkneeflexionbydischarge.M:Whatshouldwewatchoutfor?W:Signsofinfection:feverover38.5℃,increasedpain,pusfromtheincision.Also,calfpainorswellingcouldmeanabloodclot—callusimmediately.问题162016.Whencanthepatientstartstandingafterkneereplacement?A.TodayB.TomorrowC.In2days17.Whatshouldthepatientdoifpainisabove4/10?A.RubtheincisionB.PressthePCAbuttonC.Takeoralantibiotics18.Whencanthepatientshower?A.ImmediatelyaftersurgeryB.After24hoursC.After48hours19.Howoftenwillthephysicaltherapistvisit?A.OnceadayB.TwiceadayC.Threetimesaday20.Whatisasignofabloodclot?A.Feverover38.5℃B.CalfpainorswellingC.PusfromtheincisionSectionC（听力填空）说明：听一段关于“糖尿病足护理”的讲座，补全以下10个空格（每空1词）。Goodmorning,everyone.Todaywe’llfocusondiabeticfootcare,acriticalpartofmanagingdiabetes.Diabetescandamagebloodvesselsandnerves,leadingtoreducedsensationinthefeet(peripheralneuropathy)andpoorbloodflow(peripheralvasculardisease).Thismakesthefeetpronetoulcersandinfections,whichcanevenresultinamputationifnottreated.First,dailyinspectionisessential.Checkyourfeeteverydayforcuts,blisters,redness,orswelling.Useamirrorifyoucan’tseethesoles.Washyourfeetdailywithwarmwater—avoidhotwater,asitcanburn(sinceyoumaynotfeeltheheat).Drygently,especiallybetweenthetoes,topreventfungalinfections.Next,nailcare.Trimnailsstraightacross,nottooshort,toavoidingrowntoenails.Ifyournailsarethickorcurved,seeapodiatristinstead