2022年上半年上海市医护英语水平考试METS二级模拟真题

2022年上半年上海市医护英语水平考试METS二级模拟练习题第一部分：听力理解（共20题，每题1分，共20分）第一节：短对话（共5题）听下面5段短对话，每段对话后有一个小题，从题中所给的A、B、C三个选项中选出最佳选项。每段对话仅读一遍。1.W:Doctor,mychildhashadahighfeverforthreedays.Healsocomplainsofasorethroatandarunnynose.Isittheflu?M:Letmecheckhisthroatfirst.Oh,thetonsilsareswollen.Weneedtodoarapidstreptesttoruleoutstrepthroat.Q:Whatisthedoctorgoingtodonext?A.PrescribeflumedicineB.PerformastreptestC.Recommendafeverreducer2.M:Nurse,whenshouldItakethebloodpressuremedication?Thebottlesays"twicedaily",butIforgotifit'sbeforeoraftermeals.W:Theinstructionspecifies"withfood"toavoidstomachirritation.Takeonepillafterbreakfastandanotherafterdinner.Q:Howshouldthepatienttakethebloodpressuremedication?A.OnanemptystomachB.WithmealsC.Beforebedtime3.W:Sir,youneedtofastfor8hoursbeforethebloodtesttomorrowmorning.Nofoodordrinkexceptwater.M:Doesblackcoffeecountasadrink?Iusuallyhaveoneinthemorning.W:Unfortunately,yes.Coffeecontainscaffeineandcanaffectthetestresults.Sticktowateronly.Q:Whatisforbiddenbeforethebloodtest?A.WaterB.BlackcoffeeC.Bread4.M:MywifehadaC-sectionlastweek.She’sbeenhavingsharppaininherlowerabdomen.Isthatnormal?W:Somediscomfortisexpected,butsharppainmightindicateinfection.Letmecheckherincision—rednessandswellinghere.We’llneedtostartantibiotics.Q:Whydoesthedoctorsuggestantibiotics?A.ToreduceswellingaftersurgeryB.TotreatapossibleinfectionC.Torelievepost-surgicalpain5.W:Thepatientwithdiabetesisrefusinginsulininjections.Hesayshe’sscaredofneedles.M:Tryexplainingtherisksofhighbloodsugar—kidneydamage,visionproblems.Offeraglucometerdemotoshowhowpainlesstheprocessis.Q:Whatdoesthedoctoradvisethenursetodo?A.ForcethepatienttotakeinsulinB.EducatethepatientaboutcomplicationsC.Switchtooraldiabetesmedication第二节：长对话（共10题）听下面2段长对话，每段对话后有5个小题，从题中所给的A、B、C三个选项中选出最佳选项。每段对话读两遍。对话一W:Goodmorning,Mr.Li.I’mNurseWang.Let’sgooveryourdischargeinstructions.First,aboutyourmedication:youhavetwonewprescriptions—oneistheanticoagulantwarfarin,andtheotherisabeta-blockerforyourbloodpressure.M:Nurse,Irememberthedoctorsaidwarfarinneedsregularbloodtests.HowoftenshouldIcomein?W:Forthefirstmonth,weneedtocheckyourINR(InternationalNormalizedRatio)every3-5days.Onceitstabilizes,wecanextendittoweekly,thenmonthly.Also,avoidfoodshighinvitaminK,likespinachandkale,becausetheycanreducewarfarin’seffectiveness.M:Whataboutthebeta-blocker?AnysideeffectsIshouldwatchfor?W:Commononesarefatigueanddizziness.Ifyoufeellightheadedwhenstandingup,getupslowly.Anddon’tstoptakingitsuddenly—thatcouldraiseyourbloodpressuredangerously.M:Gotit.Whataboutactivity?Ilikewalking.CanIexercise?W:Gentleexerciseisfine,butavoidstrenuousactivitiesfor2weeks.Ifyouhavechestpainorshortnessofbreath,stopimmediatelyandcall120.M:Lastly,whendoIneedtofollowupwiththecardiologist?W:Theclinicwillcalltoscheduleanappointmentwithin10days.Ifyouhaveanyunusualsymptoms—bleeding,severeheadache—don’twait;cometotheERrightaway.6.Whatisthemainpurposeoftheconversation?A.Todiscussapatient’ssurgeryplanB.ToexplaindischargeinstructionsC.Toreviewlabtestresults7.HowoftenshouldMr.LihavehisINRcheckedinitially?A.EverydayB.Every3-5daysC.Every2weeks8.WhyshouldMr.LiavoidvitaminK-richfoods?A.TheyincreasetheriskofbleedingB.Theyreducewarfarin’seffectC.Theyinteractwiththebeta-blocker9.Whatsideeffectofthebeta-blockerismentioned?A.NauseaB.DizzinessC.Insomnia10.WhatshouldMr.Lidoifheexperienceschestpainduringexercise?A.ContinueexercisingandmonitorB.StopandcallemergencyservicesC.Takeanextradoseofbeta-blocker对话二M:Goodafternoon,Dr.Chen.I’mhereformyannualphysical.W:Let’sstartwithyourmedicalhistory.Anychangessincelastyear?M:I’vebeenhavingtroublesleeping.Ifallasleepokay,butwakeuparound3AMandcan’tgobacktosleep.Also,I’vegainedabout10pounds—mostlyfromeatinglateatnightwhenI’mawake.W:Doyousnoreloudly?Yourwifementionedthatinthequestionnaire.M:Yes,shesaysIsnoresoloudlyitwakesherup.SometimesIwakeupgaspingforair.W:Thatsoundslikesleepapnea.We’llneedasleepstudytoconfirm.Let’scheckyourbloodpressurefirst—145/95.That’shigherthanlastyear’s130/85.M:Couldthesleepissuesbecausingthehighbloodpressure?W:Possibly.Poorsleepcanraisebloodpressureandincreaseheartdiseaserisk.Let’sdoabloodtestforcholesterolandglucose.Fastingisrequired—cometomorrowmorningwithouteating.M:Whatabouttheweightgain?Itrytoeathealthy,butlate-nightsnacksaremyweakness.W:Let’ssetagoal:avoideating3hoursbeforebedtime.Keepafooddiarytotrackwhatyoueat.Also,30minutesofdailywalkingcanhelp.I’llreferyoutoanutritionistforapersonalizedplan.M:Thankyou,Doctor.WhenwillIgetthesleepstudyresults?W:Thelabwillsendthemtomein5-7days.I’llcallyouassoonasIhavethem.11.Whatisthepatient’smaincomplaint?A.ChronicbackpainB.SleepdisturbancesC.Jointstiffness12.Whatsymptomsuggestssleepapnea?A.NighttimehungerB.GaspingforairduringsleepC.Morningheadaches13.Whatisthepatient’scurrentbloodpressure?A.130/85B.145/95C.120/8014.Whattestdoesthedoctorrecommendforthepatient?A.ChestX-rayB.SleepstudyC.MRIscan15.Whatadvicedoesthedoctorgiveabouteating?A.Avoideating3hoursbeforebedB.SkipbreakfasttoreducecalorieintakeC.Eatmoreproteinforbettersleep第三节：独白（共5题）听下面一段独白，独白后有5个小题，从题中所给的A、B、C三个选项中选出最佳选项。独白读两遍。Goodmorning,everyone.Todaywe’lldiscusshandhygieneinhealthcaresettings.Properhandwashingisthemosteffectivewaytopreventthespreadofinfections.First,whenshouldyouwashyourhands?Beforeandafterpatientcontact,aftertouchingcontaminatedsurfaces,beforepreparingfood,andafterusingtherestroom.Evenifyouweargloves,youmustwashhandsbeforeputtingthemonandimmediatelyafterremovingthem.Now,thecorrecttechnique:wetyourhandswithcleanwater,applysoap,andrubthemtogetherforatleast20seconds.Don’tforgetthebacksofhands,betweenfingers,andundernails.Rinsethoroughlyanddrywithacleantowelorairdryer.Alcohol-basedhandsanitizersareagoodalternativewhensoapandwateraren’tavailable.Theyshouldcontainatleast60%alcohol.However,ifhandsarevisiblydirty,soapandwaterarestillnecessary.Studiesshowthathealthcareworkersoftenmisskeysteps—likescrubbinglongenoughordryinghandsproperly.Poorhandhygieneleadsto30%ofhospital-acquiredinfections.Let’smakeitahabit:"Washin,washout"—everytimeyouenterorleaveapatient’sroom.16.Whatisthemaintopicofthetalk?A.VaccinationprotocolsB.HandhygieneinhealthcareC.Surgicalinstrumentsterilization17.Whenishandwashingrequiredevenwithgloves?A.BeforeputtingonglovesB.DuringgloveuseC.Onlyifglovesaretorn18.Howlongshouldyourubhandswithsoap?A.10secondsB.20secondsC.30seconds19.Whenshouldalcohol-basedsanitizersnotbeused?A.AftercontactwithapatientB.WhenhandsarevisiblydirtyC.Beforepreparingmedications20.Whatpercentageofhospital-acquiredinfectionsislinkedtopoorhandhygiene?A.10%B.20%C.30%第二部分：词汇与语法（共20题，每题1分，共20分）从A、B、C、D四个选项中选出可以填入空白处的最佳选项。21.Thepatientpresentedwith______chestpainradiatingtotheleftarm,whichistypicalofaheartattack.A.acuteB.chronicC.mildD.occasional22.Nursesmust______strictinfectioncontrolprocedurestopreventcross-contamination.A.applyB.followC.inventD.ignore23.Thedoctorrecommended______thepatient’sbloodsugarlevelsthreetimesaday.A.monitorB.tomonitorC.monitoringD.monitored24.The______ofthefluvaccineistoprotectagainstseasonalinfluenzaviruses.A.purposeB.resultC.symptomD.sideeffect25.Thepatientwas______totheICUafterhisconditiondeterioratedovernight.A.transferredB.dischargedC.admittedD.examined26.______thepatienthasahistoryofasthma,weneedtokeepaninhalernearby.A.AlthoughB.SinceC.UnlessD.Until27.Thenurse______thepatient’stemperature,pulse,andbloodpressurebeforethedoctor’srounds.A.measuredB.calculatedC.guessedD.ignored28.The______ofthewoundindicatedthatitwashealingwell—norednessorpus.A.appearanceB.smellC.sizeD.location29.Patientswithdiabetesshouldavoid______foodshighinsugarandrefinedcarbohydrates.A.eatB.toeatC.eatingD.eaten30.Theemergencyroomwas______withpatientsduetoasuddenoutbreakoffoodpoisoning.A.crowdedB.emptyC.cleanD.quiet31.The______reportshowedelevatedwhitebloodcellcounts,suggestinganinfection.A.X-rayB.MRIC.labD.ECG32.Thedoctorexplainedthatthesurgery______bedelayedifthepatient’sconditionimproved.A.mightB.mustC.shouldD.need33.______administeringthemedication,thenursecheckedthepatient’sIDbandtwice.A.BeforeB.AfterC.DuringD.Since34.Thepatient’s______includedapersistentcough,fever,andlossofappetite.A.diagnosisB.symptomsC.treatmentD.prognosis35.Thenewnursewas______inperformingCPRaftercompletingthetrainingcourse.A.skilledB.weakC.nervousD.afraid36.The______ofthedrugis50mgtwicedaily,asspecifiedintheprescription.A.doseB.colorC.shapeD.taste37.Thepatient______toquitsmokingafterthedoctorwarnedhimaboutlungcancerrisks.A.decidedB.refusedC.forgotD.continued38.______thenurseexplainedtheprocedure,thepatientfeltmorecomfortable.A.BeforeB.AfterC.BecauseD.Although39.The______careunitprovidesround-the-clockmonitoringforcriticallyillpatients.A.intensiveB.generalC.pediatricD.maternity40.Thedoctoradvisedthepatient______morewatertopreventdehydration.A.drinkB.todrinkC.drinkingD.drunk第三部分：阅读理解（共20题，每题2分，共40分）第一篇Hypertension,orhighbloodpressure,isoftencalledthe"silentkiller"becauseithasnoobvioussymptomsbutcanleadtoseriouscomplicationslikeheartattack,stroke,andkidneyfailure.AccordingtotheWorldHealthOrganization,over1billionpeopleworldwidehavehypertension,anditisamajorcauseofprematuredeath.Lifestylemodificationsarethefirstlineoftreatment.Patientsareadvisedtoreducesodiumintake(tolessthan5gramsofsaltperday),maintainahealthyweight,exerciseregularly,limitalcohol,andquitsmoking.Forthosewhostillhavehighbloodpressureafterlifestylechanges,medicationssuchasdiuretics,ACEinhibitors,orbeta-blockersmaybeprescribed.Regularbloodpressuremonitoringiscrucial.Homebloodpressuremonitorsareeasytouseandcanhelppatientstracktheirlevelsbetweendoctorvisits.It’simportanttomeasurebloodpressureatthesametimeeachday,afterrestingfor5minutes,andwiththearmatheartlevel.41.Whyishypertensioncalledthe"silentkiller"?A.ItcausessuddendeathwithoutwarningB.IthasnoobvioussymptomsC.ItaffectsonlyolderadultsD.Itisdifficulttodiagnose42.Whatisthefirstrecommendedtreatmentforhypertension?A.TakingdiureticsB.LifestylechangesC.SurgeryD.Bloodtransfusions43.Howmuchsaltshouldhypertensivepatientsconsumedaily?A.Lessthan3gramsB.Lessthan5gramsC.Lessthan10gramsD.Nosaltatall44.Whatisthepurposeofhomebloodpressuremonitors?A.ToreplacedoctorvisitsB.TotracklevelsbetweenappointmentsC.TomeasurecholesterolD.Tocheckbloodsugar45.Whenshouldbloodpressurebemeasuredathome?A.ImmediatelyafterexerciseB.Afterrestingfor5minutesC.WiththearmbelowheartlevelD.Onanemptystomach第二篇Vaccinesareoneofthemostsuccessfulpublichealthinterventions.Theyworkbytrainingtheimmunesystemtorecognizeandfightspecificvirusesorbacteria.Forexample,theCOVID-19vaccineteachesthebodytomakeantibodiesagainsttheSARS-CoV-2spikeprotein,soifthevirusentersthebodylater,theimmunesystemcanquicklydestroyit.Vaccinehesitancy,however,remainsachallenge.Somepeopleworryaboutsideeffects,whileothersbelievemisinformationthatvaccinescausediseaseslikeautism.Inreality,serioussideeffectsarerare.FortheCOVID-19vaccine,commonreactionsincludepainattheinjectionsite,fever,andfatigue—signsthattheimmunesystemisworking.Vaccinationnotonlyprotectsindividualsbutalsocommunitiesthrough"herdimmunity."Whenahighpercentageofpeoplearevaccinated,it’sharderforadiseasetospread,protectingthosewhocan’tbevaccinated(e.g.,infants,peoplewithweakenedimmunesystems).46.Howdovaccineswork?A.TheykillvirusesdirectlyB.TheytraintheimmunesystemC.TheyreduceinflammationD.Theyincreasebloodflow47.WhatdoestheCOVID-19vaccinetarget?A.Thevirus’sspikeproteinB.BacterialcellwallsC.RedbloodcellsD.Nerveendings48.Whatisacommonconcernaboutvaccines?A.TheyaretooexpensiveB.TheycauseautismC.TheyrequirefrequentdosesD.Theytastebad49.WhatarecommonsideeffectsoftheCOVID-19vaccine?A.OrganfailureB.SeizuresC.PainattheinjectionsiteD.Memoryloss50.Whatis"herdimmunity"?A.ImmunityfromnaturalinfectionB.ProtectionofcommunitiesthroughhighvaccinationratesC.ImmunitypassedfrommothertobabyD.Immunityfromtakingmultiplevaccines第三篇Nursingdocumentationisacriticalpartofpatientcare.Itincludesrecordsofvitalsigns,medicationsadministered,patientobservations,andcareprovided.Accuratedocumentationensurescontinuityofcare,helpswithlegalcompliance,andsupportsresearch.Onecommonmistakeisusingabbreviationsthatarenotstandardized.Forexample,"U"for"unit"canbemisreadas"0"(zero),leadingtomedicationerrors.TheJointCommissionprohibitstheuseofdangerousabbreviationsandrecommendswritingouttermslike"unit"instead.Anotherissueisincompletedocumentation.Ifanursefailstorecordthatapatientrefusedmedication,thenextshiftmayunknowinglyadministerit,causingharm.Timelinessisalsoimportant—documentationshouldbedoneassoonascareisprovided,nothourslaterwhendetailsareforgotten.51.Whyisnursingdocumentationimportant?A.ItreplacespatientcommunicationB.ItensurescontinuityofcareC.ItreduceshospitalcostsD.Itentertainspatients52.Whatproblemcannon-standardabbreviationscause?A.LegaldisputesB.MedicationerrorsC.FasterdocumentationD.Bettercommunication53.Whatdoes"U"asanabbreviationriskbeingmisreadas?A."O"(zero)B."V"(five)C."I"(one)D."S"(six)54.Whatisariskofincompletedocumentation?A.PatientsmayreceiveunnecessarytreatmentB.NursesmaygetpromotedC.HospitalssavetimeD.Patientsfeelmorecomfortable55.Whenshoulddocumentationbecompleted?A.AttheendoftheshiftB.AssoonascareisprovidedC.ThenextdayD.Afterdiscussingwiththedoctor第四篇Diabetesmellitusisachronicconditionwherethebodycannotproperlyregulatebloodsugarlevels.Therearetwomaintypes:Type1(thebodystopsmakinginsulin)andType2(thebodybecomesresistanttoinsulin).Symptomsofdiabetesincludeincreasedthirst,frequenturination,unexplainedweightloss,andblurredvision.Ifleftuntreated,itcandamagetheeyes,kidneys,nerves,andbloodvessels.ManagementofType2diabetesoftenstartswithlifestylechanges:abalanceddietlowinsugarandrefinedcarbs,regularexercise,andweightloss.Ifthesemeasuresaren’tenough,oralmedicationslikemetforminorinsulininjectionsmaybeneeded.Patientswithdiabetesmustchecktheirbloodsugarlevelsdailyusingaglucometer.Theyshouldalsovisitt