69. SOME MINUTES AFTER () THE PATIENT WAS OPERATED ON.
1) movement
2) prescription
3) operation
4) admission
70. SHE CONTINUES TO () PAIN.
1) complain of
2) arrived at
3) get off
4) continue
71. H DOCTOR WROTE OUT PRESCRIPTION FOR PENICILLIN ().
1) examination
2) injections
3) drops
4) tablets
72. CANCER HAS ALREADY SPREAD BEYOND THE ().
1) head
2) heart
3) liver
4) stomach
73. NOW THE SURGEON IS PERFORMING AN OPERATION N THE ().
1) nose
2) liver
3) spleen
4) brain
74. YESTERDAY THE () PERFORMED A VERY COMPLICATED OPERATION.
1) surgeon
2) nurse
3) professor
4) doctor
75. WHERE IS DOCTOR NOVIKOV NOW? HE () THE PATIENT.
1) is watching
2) is listening
3) is examining
4) is taking temperature
76. THE PATIENT WAS TRANSFERRED TO THE ( ) BECAUSE HIS CONDITION BECAME BAD.
1) hospital
2) corridor
3) intensive care unit
4) ward
77. THE DOCTOR ON DUTY MAKES () EVERY MORNING.
1) examinations
2) round of wards
3) visits
4) consultations
78. THE () HAVE JUST PREPARED EVERYTHING FOR THE OPERATION.
1) patients
2) assistants
3) doctors
4) midwives
79. THE LUNGS ARE INVOLVED IN THE ( ).
1) pneumonic process
2) digestive system
3) nervous system
4) respiratory tract
80. HEN COUGHING BEGINS AND THERE M B BLOODY ().
1) sputum
2) expectoration
3) bleeding
4) contraction
81. WHAT DOES () REVEALS?
1) examination
2) palpation
3) observation
4) tests
82. THE DOCTOR CHECKS THE PATIENTS () EVERY DAY.
1) breathing
2) pulse
3) eyesight
4) pressure
83. THERE WAS MARKED ( ).
1) fever
2) prostration
3) sweat
4) general malaise
84. THE PAIN WAS ACCOMPANIED BY ().
1) injections
2) fatigue
3) sweating
4) temperature
85. THE CAUSE OF YOUR PROBLEM IS YOUR ( ).
1) pharynx
2) thyroid
3) glands
4) vessel
86. YOUR () REMAINS HIGH.
1) blood analysis
2) blood state
3) blood pressure
4) blood group
87. COSMETIC () MAKES YOU BEAUTIFUL.
1) surgery
2) X-RAY
3) psychology
4) treatment
88. THE SUCCESS OF THE SURGERY DEPENDS IN PART ON THE () OF THE SURGEON.
1) intelligence
2) skill
3) wish
4) understanding
89 IF YOU DISOBEY, YOU MAY ( ).
1) listen to
2) fall ill
3) get better
4) get worse
90. CAN YOU CALL ( ) FOR THE STUDENT?
1) an ambulance
2) a doctor
3) a nurse
4) a friend
91. SOME TYPES OF MYOCARDIAL INFARCTION ARE ().
1) silent
2) severe
3) strong
4) single
92. IF CORONARY ARTERY DISEASE IS SUSPECTED, YOU MAY HAVE ADDITIONAL TESTS ( ) THE DIAGNOSIS.
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1) to confirm
2) to contribute
3) to consult
4) to congest
93. A STENT TUBE WAS () INTO THE RIGHT CORONARY ARTERY.
1) increased
2) introduced
3) interviewed
4) inoculated
94. THE ELECTROCARDIOGRAM OFTEN SUGGESTS THE () DIAGNOSIS OF MYOCARDIAL INFARCTION.
1) productive
2) primary
3) private
4) preventive
95. HEART FAILURE, ESSENTIALLY IN THE RIGHT VENTRICULAR KIND, () ALMOST ALWAYS IN YOUNGER INDIVIDUALS UNDER THE AGE OF 40.
1) occurs
2) occupies
3) opens
4) orders
96. THE ( ) DEPOSITS DECREASE THE SPACE THROUGH WHICH BLOOD CAN FLOW.
1) pleasure
2) plaque
3) plague
4) plant
97. THERE WERE NO OTHER SYMPTOMS EXCEPT OF () AND FATIGUE.
1) weekend
2) wound
3) weakness
4) warming
98. PERSISTENT () IS ONE OF THE OUTSTANDING CAUSES OF THE HEART DISEASES.
1) hypotension
2) hypertension
3) hyperactivity
4) hyperthermia
99. APPENDICITIS OR PEPTIC ULCER MAY BECOME A COMMON () OF INFECTION.
1) swelling
2) sweat
3) source
4) cause
100. WHEN THE PATIENT HAS A RAPID PULSE, FEVER AND () IN THE ABDOMEN AT ANY MOVING, THE DIAGNOSIS IS EASILY MADE.
1) tremor
2) tiredness
3) tendon
4) tenderness
101. (), ESPECIALLY IN THE MORNING, IS A CHARACTERISTIC SYMPTOM OF GASTRITIS.
1) voting
2) varying
3) vomiting
4) voyaging
102. THE DISEASE USUALLY NEEDS AN () SURGICAL INTERVENTION.
1) impersonal
2) impossible
3) immovable
4) immediate
103. THE DIAGNOSIS OF ( ) MUST USUALLY BE MADE FROM THE HISTORY.
1) a gallbladder disease
2) a cardiac disease
3) a mental disease
4) a renal disease
104. () OF THE LIVER IS USUALLY DEMONSTRATED BOTH BY PALPATION AND PERCUSSION.
1) enlargement
2) environment
3) entertainment
4) employment
105. INTESTINAL () MAY BE CAUSED BY PROFOUND TOXEMIA.
1) remove
2) rupture
3) region
4) round
106. SYMPTOMS INCLUDE UPPER GASTROINTESTINAL SYMPTOMS SUCH AS ( ) AFTER MEALS.
1) vomiting and heartburn
2) diarrhea and nausea
3) heartburn and vomiting
4) heartburn and nausea
107. THE USE OF THIS EXPERIMENTAL DRUG HAS HELPED () REJECTION OF THE NEW ORGAN.
1) to present
2) to prevent
3) to predict
4) to prove
VII.
( )
:
1. IMMEDIATELY AFTER ANGIOGRAPHY THE PATIENT .. ( ).
1) was operating on
2) were operated on
3) was operated
4) operated on
2. AN X-RAY FILM OF THE CHEST .. () BILATERAL DIFFUSE INFILTRATES WITH CONFLUENCE IN BOTH MID-LUNG FIELDS.
1) was showed
2) shown
3) show
4) showed
3. THE ASSISTANTS .. JUST .. () EVERYTHING FOR THE OPERATION.
1) has prepared
2) have prepared
3) had prepared
4) have been prepared
4. SOMETIMES BOTH LUNGS .. () IN THE PNEUMONIC PROCESS.
1) is involved
2) involve
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3) involved
4) are involved
5. IF LOBAR PNEUMONIA .. () UNCOMPLICATED, THE DISEASE RUNS ITS COURSE IN FROM 7 TO 12 DAYS.
1) remained
2) remains
3) remain
4) is remained
6. THE PROFESSOR .. () HIM TOMORROW IF RESPIRATORY DISTRESS CONTINUES.
1) will be examining
2) will have examined
3) will examine
4) will be examined
7. CHEMOTHERAPY .. OFTEN .. () IN CANCER TREATMENT.
1) is .. using
2) are .. used
3) is .. use
4) is .. used
8. BRONCHIAL ASTHMA TREATMENT METHODS .. () ON EARLY TERMINATION OF CONTACTS WITH ALLERGENS.
1) is basing
2) base
3) are based
4 ) were based
9. THE TERM PATHOLOGY .. () THAT BRANCH OF MEDICINE WHICH TREATS OF THE ESSENTIAL NATURE OF DISEASE.
1) meant
2) means
3) meaning
4) mean
10. NOW THE PATIENTS HEART .. () MUCH FASTER THAN I CAN COUNT.
1) is beating
2) are beating
3) is beat
4) beat
11. THREE WEEKS BEFORE THE PATIENT WAS ADMITTED TO THE HOSPITAL HE .. () CHILLS, FEVER, HEADACHE, WEAKNESS, AND COUGH PRODUCTIVE OF A SMALL AMOUNT OF YELLOW SPUTUM.
1) had felt
2) had been feeling
3) had been felt
4) has felt
12. REJECTION OF THE TRANSPLANTED LUNG .. (O O) BY THE VENTILATION-PERFUSION IMBALANCE.
1) was caused
2) was cause
3) were caused
4) was causing
13. THE ELECTROENCEPHALOGRAM .. ( ) ANY GROSS ABNORMALITIES.
1) doesnt shows
2) dont shows
3) doesnt show
4) dont show
14. THE DOCTORS .. ( ) WET DRESSINGS IN CASE OF DECUBITUS ULCER.
1) hadnt recommend
2) dont recommend
3) didnt recommend
4) werent recommend
15. THE DRUG SHOULD BE DISCONTINUED OR THE DOSE REDUCED WHEN BONE MARROW FUNCTION . ().
1) improves
2) improved
3) improve
4) will improve
16. THE PROLONGED COURSE OF ANTIBIOTIC THERAPY .. () BECAUSE OF CHRONIC ACTIVE HEPATITIS.
1) will be required
2) will required
3) will requiring
4) will have required
17. THE PROCESS OF INFECTION .. () FOR TWO WEEKS.
1) was developing
2) was developed
3) were developing
4) are developing
18. THE NECROTIC TISSUE .. ( ) AFTER A LINE OF DEMARCATION HAD FORMED.
1) was remove
2) was being removed
3) was removing
4) was removed
19. ANTIBACTERIAL THERAPY .. () ALWAYS FOR PERITONITIS TREATMENT.
1) is administering
2) is administer
3) was administered
4) is administered
:
20. PATIENTS WITH ONE OR MORE POLYPS .. () BE EXAMINED EVERY 6 MONTHS.
1) could
2) can
3) must
4) should
21. A HIGH FREQUENCY OF BILATERAL CANCERS .. (, ) HAVE GENETIC SIGNIFICANCE.
1) may
2) might
3) should
4) could
22. FEELING VERY BAD I .. ( ) FALL ASLEEP WITHOUT SEDATIVES.
1) cant
2) neednt
3) couldnt
4) mustnt
23. IN ACUTE MYOCARDIAL INFARCTION, CARDIAC FUNCTION .. () BE DAMAGED BY THE LOSS OF CONTRACTILITY OF THE INFARCTED AREA.
1) should
2) might
3) must
4) may
24. HE DOCTOR .. ( ) USE ELECTROCARDIOGRAPH TO MAKE CERTAIN OF HIS DIAGNOSIS.
1) can
2) had to
3) might
4) must
25. POOR BLOOD CIRCULATION .. () LEAD TO CHEST PAIN.
1) can
2) need
3) could
4) should
26. THE MYOCARDIUM AS A WHOLE .. () SHOW SEVERE INFLAMMATORY CHANGES.
1) must
2) might
3) should
4) may
27. THE PATIENT .. () SURVIVE AFTER MYOCARDIAL INFARCTION.
1) was to
2) was able to
3) were able to
4) had to
28. THE ULCERS .. () BE COVERED WITH STERILE DRESSINGS.
1) need to
2) can
3) should
4) may
:
29. THE DOCTORS MUST BE .. ( ) FOR THEIR WORK THAN THE PEOPLE OF OTHER PROFESSIONS.
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1) responsible
2) more responsible
3) less responsible
4) most responsible
30. .. ( ) COMPLICATION OF APPENDICITIS IS RUPTURE OF THE APPENDIX AND PERITONITIS.
1) one of dangerous
2) more dangerous
3) very dangerous
4) the most dangerous
31. LOBAR PNEUMONIA IS .. () IN THE MONTHS FROM DECEMBER UNTIL MAY.
1) less frequent
2) most frequent
3) more frequent
4) much more frequent
32. THE DOCTOR REMARKED THAT THIS WHEEZINESS WAS ALWAYS .. () AT THE BEGINNING OF EACH WEEK.
1) worse
2) the worst
3) better
4) very bad
33. .. () ATTACK OF ASTHMA HAD OCCURRED DURING JUNE.
1) worse
2) the worst
3) the baddest
4) very bad
34. THE PATIENT FELT .. ( ) AFTER THE COURSE OF TREATMENT WITH VASODILATORS.
1) much better
2) much worse
3) much the best
4) much more better
35. THE STABLE ANGINA IS .. ( ) FOR LIFE THAN THE UNSTABLE ONE.
1) the most dangerous
2) the more dangerous
3) the least dangerous
4) less dangerous
36. STABLE ANGINA OCCURS WHEN THE HEART WORKS .. () THAN USUAL.
1) harder
2) hardly
3) more hard
4) hardest
37. OFTEN IN CASE OF MYOCARDITIS THE HEART RATE IS .. ( ) WHEN THE EXERTION IS FIRST BEGUN.
1) much quicker
2) a little quicker
3) less quicker
4) more quicker
38. THE PNEUMOCOCCUS WAS .. ( ) BACTERIAL AGENT CAUSING PNEUMONIA DURING THAT EPIDEMIC.
1) the more widespread
2) the widespreader
3) the widespreadest
4) the most widespread
39. STAINED SMEARS WILL BE .. ( ) IF THE ULCER IS OF A BACTERIAL ORIGIN.
1) more useful
2) the more useful
3) the most useful
4) very useful
40. THE MYOCARDIAL INFARCTION PAIN IS USUALLY .. () THAN ANGINA PECTORIS PAIN.
1) severer
2) more severe
3) much severe
4) very severe
41. THE PALPATION OF AN ENLARGED LIVER USUALLY PRESENTS .. () DIFFICULTY TO THE EXAMINER.
1) the less
2) the least
3) little
4) littlest
:
42. HE PAIN .. () FOR FIVE TO TEN MINUTES USUALLY BEGAN IN THE MORNING.
1) lasted
2) lasting
3) having lasted
4) being lasted
43. HE LABORATORY DATA .. () 30 MINUTES AFTER ADMISSION HELPED TO MAKE A CORRECT DIAGNOSIS AND ADMINISTER A PROPER TREATMENT.
1) obtained
2) had obtained
3) obtaining
4) been obtained
44. LIQUID DIET AND ANTIBIOTICS .. () BY THE FAMILY DOCTOR DID NOT RELIEVE THE SYMPTOMS.
1) administering
2) having administered
3) administer
4) administered
45. THE ARTERIAL BLOOD .. () FROM THE LUNGS BY TWO PULMONARY VEINS ENTERS THE LEFT ATRIUM.
1) coming
2) came
3) come
4) having come
46. IN ACUTE MYOCARDIAL INFARCTION, CARDIAC FUNCTION IS DAMAGED BY DYSKINETIC ANEURISMAL MOTION OF THE .. () SEGMENT.
1) involved
2) involving
3) being involved
4) have involving
47. COLD WEATHER, DRAUGHTS, LOSS OF SLEEP ARE THE CHIEF .. () FACTORS.
1) predisposed
2) being predisposed
3) predisposing
4) predisposition
48. .. ( ) BY THE DOCTOR, SHE COMPLAINED OF A SLIGHT WEAKNESS AND DRY COUGH.
1) when examined
2) when having been examined
3) when examining
4) when examine
49. THE FIRST SIGN OF ACUTE BRONCHITIS IS A SHORT, PAINFUL, DRY COUGH . () BY RAPID RESPIRATION.
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1) accompanying
2) accompanied
3) accompany
4) having accompanied
VIII. .
( )
:
Text 1
I am Jeff Oliver. I am 24 years old. I decided to become a paramedic when I saw two of them treating a driver at the scene of an accident when I was a boy.
I started as a trainee ambulance technician, and trained for two and a half years to become a qualified paramedic. Now I administer life-saving procedures myself. Its part of my everyday work to defibrillate the heart of a cardiac arrest, to apply splints to limbs and dress wounds, and to set up drips.
I have to make quick decisions its an important part of giving emergency treatments. So is communicating clearly and keeping a clear head in some difficult situations. And situations are often very difficult, especially when we have to deal with people under the influence of drugs and alcohol. But paramedics dont think twice we are always first at the scene when there is a suicide, a road accident, or a fire. When you save a life, its the best job in the world.
:
1. WHEN DID JEFF DECIDE TO BECOME A PARAMEDIC?
1) when he saw paramedics treating a driver
2) when he was 30
3) when he was a student
4) when he saw two of them treating a driver at the scene of an accident
2. HOW LONG DID HE TRAIN FOR THE JOB?
1) 3 years
2) 2 years
3) 1 year
4) 2,5 years
3. WHAT DOES HE HAVE TO MAKE QUICK?
1) to make quick decisions
2) to make the patients life miserable
3) to make a clear profit
4) make up the bed
4 WHO MAKES JEFF'S JOB DIFFICULT?
1) animals
2) people under the influence of drugs and alcohol
3) healthy people
4) nurses
5. WHY IS THIS JOB THE BEST ONE?
1) because you save a life
2) because you get a lot of money
3) because you travel a lot
4) because it is interesting
Text 2
The great painter Sir James Thornhill was employed for decorating the interior of the dome of St.Paul's in London. One day he stepped back on the scaffolding to see how his work looked at a distance. His servant, who was standing near, was terrified to see him within some inches of the edge of the scaffolding. At the last movement backwards he would be thrown and dashed to pieces on the pavement. How could he be warned of this danger? If the servant cried out, he would probably in his alarm take a fatal step.
So the man threw a pot of paint over the piece of work the painter was just admiring. Sir James, in a rage, rushed forward to punish him. Thus his life was saved. On finding out why the servant had spoilt his painting, Sir James was glad to reward him instead of punishing him.
6. :
THE TEXT IS ABOUT....
1) St.Paul's Cathedral and how it was built
2) the way Sir Christopher Wren decorated the cathedral
3) the servant who saved the life of his master
4) the servant who spoilt his master's painting
7. :
SIR JAMES THORNHILL WAS...
1) an actor
2) an architect
3) a builder
4) a painter
8. ,
1) Sir James Thornhill decorated the interior of St. Paul's Cathedral.
2) St.Paul's Cathedral is the City's greatest palace.
3) The painter fell off the scaffolding.
4) Sir James Thornhill punished his servant.
9. :
WHY DID THE SERVANT THROW THE POT OF PAINT OVER THE PAINTING?
1) He did not like the painting.
2) He was afraid of his master.
3) He wanted to warm his master.
4) He wanted to prevent his master's falling down.
10. ,
1) Sir James Thornhill got very angry.
2) The painter wanted to punish the servant.
3) Sir James Thornhill was surprised.
4) The master rewarded his servant.
11. "HAD SPOILT THE PAINTING"
1) had admired the painting
2) had ruined the painting
3) had made it better
4) had made it worse
12. : THE SERVANT PROVED THAT HE WAS....
1) modest
2) selfish
3) quick-witted
4) brave
13.
1) Sir James Thornhill's Masterpiece.
2) A Fatal Step.
3) Sir James Thornhill's Mistake.
4) The Servant Saves His Master.
Text 3
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It is easy to go to Washington now. You can go there by air-plane from any large town of the USA. There are also fast trains and you can go by car if you have it. But in the old days people had to travel several days to get from New York to Washington. People went there by coaches driven by horses or went on horseback. They stopped at inns to have a rest or to eat there and sleep.
There is a story about a new congressman who stopped at an inn one night and asked for a place to stay. The innkeeper wanted to know about the man and he asked, "Are you a Democrat or a Republican?"
"Why do you ask?" said the congressman.
"Well," said the innkeeper, "I always want to please my guests and I know that a Republican likes to have good food and rest, but a Democrat is more interested in the care and feeding of the horse."
"Well, it so happens" said the congressman, "that I am a Republican, but my horse is a Democrat."
14. :
THE TEXT IS ABOUT....
1) the ways of travelling in the past
2) a quick-witted congressman
3) the congressman's horse
4) a kind-hearted innkeeper
15. ,
1) It took little time to get from New York to Washington in the old days.
2) The congressman went to Washington by coach.
3) In the old days people traveled by car.
4) People had to stop at inns in the past.
16. ,
1) The congressman stopped at an inn to meet his friends.
2) Republicans took good care of themselves.
3) Democrats paid more attention to their horses.
4) The congressman wanted good food for himself and his horse.
17. :
WHY DID THE INNKEEPER ASK HIS QUESTION?
1) He wanted to know more about the congressman.
2) He was a talkative man.
3) He wanted to please the congressman.
4) He was in a hurry.
18. :... WERE MORE INTERESTED IN THE CARE AND FEEDING OF THE HORSES.
1) Democrats
2) Republicans
3) Innkeepers
4) Travelers
19. "TO PLEASE"
1) to satisfy
2) to thank
3) to surprise
4) to welcome
20. : THE CONGRESSMAN WAS....
1) a great liar
2) a quick-witted man
3) a thief
4) a fool
21.
1) Traveling in the Past.
2) A Selfish Innkeeper.
3) Happy Congressman.
4) A Republican and a Democrat
Text 4
Two friends went on a trip to London. In London they went into a restaurant for dinner. On a table stood a jar of mustard. Not having seen mustard before, one of them took a big spoonful into his mouth. Tears immediately filled his eyes. His friend asked him what he was crying about. I am crying at the thought of the death of my unfortunate father, who was hanged twenty years ago", the man answered.
They continued eating, and soon the other traveler also took a big doze of mustard. As soon as he had done so, tears ran down his cheeks also. "What are you crying about?" asked his friend. "Oh, I am crying because you were not hanged many years ago with your poor father", was the answer.
22. : THE TEXT IS ABOUT....
1) the friends who wanted to buy a house
2) the friends who met at the theatre
3) the travelers who didn't know what mustard was
4) the friends who went to the restaurant on business
23. "IMMEDIATELY"
1) at once
2) soon
3) this moment
4) suddenly
24. ,
1) One of the friends took a big spoonful of mustard and gave it
to his friend.
2) They have never seen mustard before.
3) The traveler laughed tasting the mustard.
4) The father of one of the friends was awarded twenty years ago.
25. ,
1) Two friends went to London in search of work.
2) They went to a restaurant for dinner.
3) They have never seen mustard before.
4) One of the travelers tasted mustard.
26. :... WENT INTO A RESTAURANT FOR DINNER
1) Students
2) Travelers
3) Dockers
4) Doctors
27. :
WHY DID ONE OF THE FRIENDS CRY?
1) He cried because his father had been hanged.
2) He was unfortunate.
3) He ate a big spoonful of mustard.
4) He was sorry for his friend.
28. : THE FRIENDS WERE....
1) true
2) false
3) devoted
4) real
29.
1) A Mistake.
2) Two Travelers.
3) Two Friends.
4) A Story about Friendship.
Text 5
A Frenchman was travelling in England. He couldn't speak English at all. He knew only a few English words and it was difficult for him to make himself understood. One day he came to a country inn. He felt hungry and decided to have lunch there. He wanted to order some mushrooms which he liked very much. So he called the waiter and spoke to him in French. The waiter could not understand a single word.
What was the Frenchman to do?
At last he had a good idea. "If I show him a picture of a mushroom, he will understand what I want," he said to himself.
So he took a piece of paper and a pencil and drew a picture of a mushroom. The waiter looked at it and ran out of the room. A few minutes later the waiter returned with an umbrella, for this was how he had understood the picture.
30. :
THE TEXT DESCRIBES....
1) the difficulties of a Frenchman travelling in England
2) the difficulties of a traveler, who did not know French
3) the way the traveler discussed the problems with the waiter
4) the way of cooking mushrooms in a country inn
31. "WAITER"
1)
2)
3)
4)
32. ,
1) The Frenchman wanted to draw a picture of an inn.
2) The Frenchman tried to make the waiter speak French.
3) The waiter understood what the Frenchman wanted.
4) The Frenchman wanted to have a lunch in an inn.
33. : ... FRENCHMAN DECIDED TO ORDER SOME MUSHROOMS.
1) tired
2) thirsty
3) hungry
4) cheerful
34.
THE FRENCHMAN HAD DIFFICULTIES WITH....
1) mushroom for lunch
2) an umbrella
3) a pen and paper
4) the English language
35. ,
1) The Frenchman was hungry and came to an inn.
2) He wanted to eat his favourite mushrooms.
3) The Frenchman showed a picture of a mushroom to the waiter.
4) The waiter ran to prepare lunch for the Frenchman.
36. :
WHAT DID THE WAITER BRING?
1) He brought apiece of paper and a pen.
2) He brought a picture of a mushroom.
3) He brought a plate of mushrooms.
4) He brought an umbrella.
37.
1) A Frenchman in English.
2) Misunderstanding.
3) A Lunch in an Inn.
4) A Talk in an Inn
