医护英语考试三级模拟题

METS-3模拟试题Section I Listening Comprehension (30%)（25 minutes）Directions: This section is designed to test your ability to understand spoken English in nursing contexts. You will hear a selection of recorded materials and you must answer the questions that accompany them. There are THREE parts in this section, Part A, Part B, and Par C.Remember, while you are doing the test, you should first put down your answers in your test booklet. At the end of the listening comprehension section, you will have 4 minutes to transfer your answers from your test booklet onto your ANSWER SHEET.(Pause 00’05’’)(Tone) Now look at Part A in your test booklet.Part AYou will hear 10 short dialogues. For each dialogue, there is one question and FOUR possible answers. Choose the correct answer – [A], [B], [C], o r[D], and mark it in your test booklet. You will have 10 seconds to answer the question and you will hear each dialogue ONLY ONCE.1. What does the woman say about Doctor Langus?[A] He is the only one available. [B] He is too young for the operation.[C] He has done many operations. [D] He is an excellent doctor.*2. What do you learn about the discharge?[A] It is yellowish. [B] It has a bad smell.* [C] It is like mucus. [D] It is clear.3. When do headaches affect the patient?[A] When he takes aspirin. [B] When he lies down.[C] When he gets nervous.* [D] When he travels4. What does the doctor want to know?[A] The patient’s daily activity. [B] The patie nt’s life-style.[C] The patient’s exercise pattern. [D] The patient’s physical condition.*5. What seems to trouble the patient?[A] His urine does not come out easily.* [B] His problem has lasted about a week.[C] He urinates frequently. [D] He experiences pain after urinating.[A] The patient shouldn’t walk at all. [B]The patient shouldn’t lean on the wall.[C] The patient needs help if he walks.* [D] The patient should use a walker for support.7. What does the man think of what appears on his legs?[A] Something serious. [B] Something funny.[C] Something important. [D] Something insignificant.*8. What is the nurse trying to explain?[A] The way to do the test. [B] Necessity for the blood test.*[C] Signs of colon cancer. [D] What occult blood means.9. What does the woman say about lung cancer?[A] The death rate is high.* [B] It’s less prevalent than other forms.[C] Many patients can survive. [D] The cost for treatment is rising.10. What are the two talking about?[A] Maggie’s job performance. [B] Maggie’s family background.[C] Maggie’s personality. [D] Maggie’s career choice.*Part BDirections:You’re going to hear one long dialogue and one short talk. Before listening to each one, you will have 5 seconds to read each of the questions which accompany it. While listening, answer each question by choosing [A], [B], [C] or [D]. After listening, you will have 10 seconds to check your answer to each question. Then mark your answer on your Answer Sheet. You will hear each piece ONLY ONCE.11. What does the woman say in the beginning of the conversation?[A] She’s been working on a report. [B]She’s been looking for th e doctor.*[B] She needs to know the test result. [D] She’s got a new assignment.12. What does the man say about himself?[A] He’s been feeling bad recently.[B] He doesn’t have good memory.[C] He is very busy now.* [D] He has solved the case.[A] A man who died when he fell from a height.* [B] A man who had a heart attack while working.[C] A man who got hurt by some falling object. [D] A man who tripped and broke his arm.14. What did the employers say about the case?[A] The workman was careless. [B] The safety measure was sufficient.*[C] It was the result of a heart attack. [D] They were only partly responsible.15. What does the doctor think of the case?[A] It was definitely drug-related. [B] The workman shouldn’t have worked alone.[C] It was caused by poor management.* [D] The job was too heavy for the workman.16. What does the speaker imply about our feet?[A] We don’t think much of them.* [B] We think they are very important.[C] We know a lot about our feet. [D] They are very complicated.17. How can we best make use of our feet according to the talk?[A] Wearing stylish shoes. [B] Wearing light, soft shoes.[C] Changing shoes when necessary. [D] Fitting shoes to special activities*18. What may happen if your feet suffer from pain?[A] You may hurt your skeleton. [B] You may have backache.*[C] Your toenails may crack. [D] You may tear some ligaments.19. How can you keep your feet in good shape?[A] Keeping them clean.* [B] Wearing tight socks.[C] Never walking barefoot. [D] Not walking on rough surface.20. What can you do if your feet sweat a lot?[A] To wear clean, comfortable socks. [B] To walk barefoot on cold surface.[C] To wear shoes of natural materials.* [D] To wash your shoes daily.Part C: Note-taking and Gap-fillingDirections: Y ou will hear a talk. Before your listening, you will have 30 seconds to read the text briefly. You may take notes while you are listening; check your answers when the talk is read the second time. Be sure to write your answers in the corresponding spaces on your Answer Sheet. You will hear the talk TWICE.The medical history of a patient is essential for the physician who is attempting to ______21______ of a disease. The first items to be recorded are the patient’s name, race, age, birthplace, sex, ______22______, and residence. The patient’s age is an important factor because certain diseases, including s ome contagious diseases, ______23______, and acute leukemia, are found mainly in young people, while other diseases, including arteriosclerotic heart disease and degenerative diseases, are much more common in ______24______ people. The patient’s occupation is also an important factor, especially if the patient’s job ______25______.The real medical history starts with a ______26______ for the patient’s coming to the hospital for consultation. The physician needs to know the exact circumstances of the ______27______ of the symptoms. Further questioning develops details of the health of the patient’s family, his habits and lifestyle, and his ______28______. Finally, the physician asks a series of questions about _______29_____ such as the heart, lungs, and stomach. At the completion of a thorough medical history, the physician often has a good lead to ______30______, or at least he can begin to categorize illness.Section Ⅱ Use of English (15%)(15 minutes)Part A Vocabulary and StructureDirections:There are 20 incomplete sentences in this part. For each sentence there are FOUR choices, marked [A], [B], [C] and [D]. Choose the one that best completes the sentence. Then mark the corresponding letter on your Answer Sheet.31. The doctor seemed to have _______ to order certain studies which we would consider routine and basic.[A] informed [B] supervised [C] neglected* [D] delayed32. When a person suffers from severe pain, _______ of bronchial tubes and increased respiratory rate provides greater oxygen intake.[A] division [B] disturbance [C] dimension [D] dilation*33. When one exercises _______, increased heart rate provides greater oxygen transport.[A] strenuously* [B] moderately [C] absolutely [D] gently34. In extreme cold weather, _______ vasoconstriction elevates blood pressure.[A] peripheral* [B] parallel [C] pericardial [D] periodical35. Increased muscle _______ prepares muscles for action.[A] traction [B] tension* [C] extension [D] contraction36. The sick child should be encouraged to ______ by using saline solution.[A] rinse [B] gargle* [C] swallow [D] gurgle37. Both fever and heat increase the pulse rate because of increased _______ rate.[A] curative [B] calorie [C] energetic [D] metabolic*38. _______ nutritional support is more effective physiologically and complete nutritionally.[A] Thoracic [B] Edible [C] Enteral* [D] Tracheal39. An odor of _______ in the urine may indicate a urinary tract infection.[A] ammonia* [B] anemia [C] insomnia [D] uremia40. The mechanisms by which platelets function in _______ are essentially unknown.[A] hematemesis [B] hematuria [C] hemorrhage [D] hemostasis*41. Artificial respiration is applied in cases _______ an individual has either temporarily or permanently lost the capacity to perform the normal motions of respiration.[A] when [B] which [C] where* [D] of what42. This type of injury occurs when, for example, a man _______ along a raised beam slips and lands with the beam between his legs.[A] walks [B] walking* [C] walked [D] to walk43. The bronchoscope is an instrument containing tiny mirrors, _______ that the doctor can inspect the bronchi and the larger bronchial tubes.[A] arranged so [B] arranged such [C] so arranged* [D] such arranged44. Dialysis saves the lives of many people who would _______ die of kidney failure and fatal uremic poisoning.[A] then [B] otherwise* [C] rather [D] sooner45. V ery often emergency tracheotomies are performed on children who have inhaled something large _______ the respiratory passages.[A] blocks [B] blocking [C] so to block [D] enough to block*46. It is important that the nurse _______a patient’s personal space by standing or sittin g too close.[A] not violate* [B] didn’t violate [C] does not violate [D] would not violate47. If all the tubes in the kidney _______ separated, straightened and laid end to end, they would span some 120 kilometers.[A] were* [B] can be [C] would be [D] had48. By the end of the third month the new individual, now known as a fetus, has reached a length of nearly 4 inches, _______ the legs.[A] to include [B] and that include [C] included [D] including*49. Sometimes so many air sacs become filled with fluid that the victim finds _______enough oxygen to maintain life.[A] it hardly to absorb [B] to absorb hardly [C] it hard to absorb* [D] it hardly absorbing50. A tear in the pelvic floor tissues does not heal readily; and _______, it often leaves a weakened area.[A] after it has [B] after it does* [C] even it has [D] even it isPart B ClozeDirections: Read the following passage. Choose the best word or phrase for each numbered blank from among the four choices [A], [B], [C], and [D], and mark it on your Answer Sheet.World-famous mountain biker John Tomac works massage therapy into a training program that also includes riding 20 hours a week. “Massage seems to ___51 ___ my recovery time,” he says, “which means that I’m better off at the start of the next race.”Many athletes agree with Tomac, ____52____ the scientific evidence to support this idea is all but nonexistent. “I don’t ____53____any proof that massage has a positive effect on performance,” says Jenny Stone, a professor of sports medicine. “Still, most of the athletes here ____54____ in traveling with trainers who are certified massage therapists.”So what is it that brings so many athletes to the massage table? One of the few benefits massage therapists agree on is that massage helps increase local circulation, with the result ____55____ the metabolic wastes that collect in muscle during exercise are swept away ____56____ oxygen and nutrients can move in and help the muscle recover.How this ____57____ into performance is unknown, but no one is about to ____58____ massage as useless. “If a massage helps an athlete to come off after a(n) ____59____ workout and sleep better, who’s to say ____60____ alone doesn’t improve his or her performance the next day?”51. [A] raise [B] decrease* [C] enlarge [D] fasten52. [A] though [B] while [C] as [D] yet*53. [A] read of [B] hear of [C] know of* [D] believe in54. [A] assist [B] insist [C] persist * [D] determine55. [A] which [B] that* [C] in [D] from56. [A] in that [B] so that* [C] in order [D] provided that57. [A] fits* [B] benefits [C] contributes [D] matches58. [A] dismiss* [B] regard [C] accept [D] refuse59. [A] intense* [B] relaxed [C] continual [D] constant60. [A] if [B] whether [C] all [D] that*Section III Reading Comprehension (40%)(40 minutes)Directions:There are 4 passages in this part. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked [A], [B], [C] and [D]. You should decide on the best choice and mark the corresponding letter on the Answer Sheet with a single line through the center.Passage ABurns and scalds are painful injuries that may prove fatal if severe or if they cover a large area. Burns are caused by fire, hot metals, chemicals, radiation, or electricity. Scalds are caused by hot liquids, steam, or other hot vapors, and are treated much the same as burns.Classification of burns is determined by the depth of the tissue injury. First-degree burns are those in which the surface is red and painful, but the skin is not broken or blistered. Typical first-degree burns result from sunburn, electric flash, and other mild causes. Second-degree burns are those in which blisters are formed. Third-degree burns are deep, with charring and actual destruction of the skin and tissue. Second- and third-degree burns frequently become infected and are very serious.Treatment of burns must take into consideration the possibility of severe shock caused by the great pain of second- and third-degree burns. It is necessary to work rapidly to avoid chilling the patient, and he should be kept in a horizontal position. In large first-degree burns, the shock may be more serious than the burn itself.In first-aid treatment, a sterile petrolatum ointment is excellent. When this is not available, baking soda (sodium bicarbonate) may safely be used in a slightly warm solution, three heaping table-spoonfuls to a quart of water. For large burns, clean linen, sheets, or towels dipped in the soda solution may be wrapped around the person, after which blankets and hot water bottles are used to combat shock. Immediate care by a physicianmay prevent disfiguring scars.Chemical burns should be washed immediately with flowing water (from a faucet or hose, or by pouring) to dilute and remove the chemical. After this has been done, the injury may be cared for as any other burns.61. What do burns and scalds have in common?[A] Both conditions cause pain.* [B] Both conditions are often fatal.[C] Both are caused by something hot. [D] Both conditions usually affect large areas.62. What is the classification of burns mainly based on?[A] The extent of infection. [B] The causative factors.[C] The depth of injury.* [D] The condition of skin and surface.63. The passage implies that _________.[A] the burn patient should be chilled quickly[B] great pains from burns sometimes lead to shock*[C] the larger the area affected, the deeper the injury[D] second- or third-degree burns often cause shock.64. Which of the following is not mentioned as part of the first-aid?[A] The application of a sterile ointment. [B] The use of baking soda in a warm solution.[C] Keeping the patient warm with blankets. [D] Cleaning the burned surface with towels.*65. What should be the first step in treating chemical burns?[A] Calling in an experienced physician. [B] Covering the affected area with ointment.[C] Wrapping up the affected parts with sheets. [D] Removing the chemicals with flowing water.*Passage BThe big mid-year scare last year was shark attacks. This year it’s West Nile virus (西尼罗病毒)—a threat that is in some ways more frightening because you don’t have to go near the water to get hurt. Death this seas on is being spread by mosquitoes hatched in your backyards. The infestation, first reported in New York City in 1999, has reached nearly every region east of the Rockies. Seven people have died so far this year, and healthofficials believe that an eighth man, who died in Mississippi last week, was infested. Neighbors have practically come to blows over the pros and cons of spraying against mosquitoes.Before you decide never to go out again at dawn or dusk, though, it pays to consider the latest information about West Nile virus. Yes, the West Nile virus has been found in birds and mosquitoes in many states. Yes, it seems likely to reach the West Coast by the end of the year. But the chances of getting infected are still pretty slim, and most people who get sick will develop mild flu-like symptoms. In only a rare few will the infection lead to encephalitis, a potentially deadly inflammation of the brain.That does not mean you should ignore the West Nile virus. And public-health officials definitely need to update some of their long-forgotten plans for mosquito control. But it’s not as if we’re living in the 18th or 19th century, when mosquito-borne illnesses like yellow fever ravaged New York. Back then, doctors didn’t even know that mosquitoes were to blame, and there was certainly no vaccine—as there is now for yellow fever—to help control the spread of the disease.Work is progressing on a vaccine for West Nile. Meanwhile, the best strategy is to use a little common sense. Killing all the birds and mosqui toes that carry the virus is not really an option. “People are going to have to change their habits,” says Dr. John Shanley. That means wearing long-sleeved shirts and long pants and using insect repellent during mosquito season. You should also practice mosquito control around your house. You can never eliminate risk, but in this case at least, you can control it.66. Why does the author mention shark attacks and West Nile together?[A] They threaten people in the same way. [B] They both occur near the water.[C] They have both caused great alarm.* [D] There have been reports of more deaths from both.67. What has happened in the face of the seemingly growing problems?[A] People have stood together to combat the problem.[B] People have argued over whether to use pesticides.*[C] People have weighed carefully the consequences.[D] People have taken steps to stop the worsening situation.68. The author stresses in the second paragraph that __________.[A] West Nile virus is indeed a serious threat [B] West Nile virus is nothing to worry about [C] West Nile virus is a good reason for not going out [D] West Nile virus should be judged objectively*69. Which of the following is not true about the yellow fever?[A] It once caused disasters in some areas. [B] Mosquitoes were blamed for it early on.* [C] It was a big problem in the absence of a vaccine. [D] A vaccine for yellow fever is now available.70. The last paragraph is ____________.[A] a discussion of ways to prevent West Nile*[B] an analysis of the causes and effects of West Nile[D] a warning against unhealthy habits[D] a summary of the fight against West NilePassage CGallbladder disease, also known as cholecystitis, occurs when the gallbladder has been repeatedly irritated by chemicals, infection, or overuse, thus reducing its ability to release bile for the digestion of fats. Usually, gallstones consisting of calcium, cholesterol, and other minerals, form in the gallbladder itself. When the patient eats foods that are high in fats, the gallbladder contracts to release bile, which is necessary for fat digestion; these contractions in turn cause pressure on the stone formations. One of the characteristic symptoms of gallbladder disease is acute pain in the upper right portion of the abdomen after eating fatty foods. This pain may feel like a heart attack or an ulcer attack and is often accompanied by nausea.Who gets gallbladder disease? The old wise phrase about the “five f’s” of risk factors frequently holds true. Anyone who is ‘female, fat, fair, forty, and flatulent’ (prone to pass gas) appears to be at increased risk. However, people who don’t fit this picture also get the disease.Not all gallstones cause acute pain. In fact, small stones that pass through one of the bile ducts and become lodged may be more painful than gallstones that are the size of golf balls. Many people find out that they have gallstones only after undergoing diagnostic X-rays to rule out other conditions. The absence of symptoms is significant because gallstones are considered to be a predisposing factor for gallbladder cancer. In fact, gallstones are present in 75 percent of all gallbladder cancers in 1989.Current treatment of gallbladder disease usually involves medication to reduce irritation, restriction of fat consumption, and surgery to remove the gallstones themselves. New medications designed to dissolve small stones are currently being used in some patients. In addition, a new technique known as lithotripsy is being used, in which small stones are broken up using a series of noninvasive shock waves.71. According to the passage, cholecystitis is characterized by __________.[A] feeling nausea at the sight of fatty food [B] acute pain in the abdomen after eating fat*[C] the accompanying occurrence of heart attack [D] improper digestion of fat in the stomach72. Which of the following is the main cause of gallstone formation?[A] The contractions of gallbladder. [B] The overly irritation of the gallbladder.*[C] Too much cholesterol and calcium in the food. [D] High pressure within the gallbladder.73. What does the passage say about “five f’s”?[A] They are basically correct.* [B] They are mostly imaginary.[C] They are repeatedly told in the story. [D] They are still standards for diagnosis.74. The passage implies whether pain occurs in gallstone formations may be determined by ________.[A] the tendency to pass gas [B] the size of the stones[C] the location of the stones* [D] the presence of cancer75. Which of the following is not mentioned as a choice for the treatment of gallbladder diseases?[A] Administering irritation-reducing drugs. [B] Surgical removal of the gallstones.[C] Introducing a low-salt, high-protein diet.* [D] Crushing or dissolving gallstones.Passage DDo you still remember the times when you rolled up your sleeve and received a vaccine given by a doctor or a nurse?The purpose of a vaccine is to provide an artificially acquired active immunity to a specific disease. A vaccine is a preparation made of the actual cause of the disease—the organism or its toxin—treated in such a way that it will not cause the disease when injected but nevertheless will stimulate antibody formation. Ordinarily the administration of a vaccine is a preventive measure, designed to provide protection in anticipation of an invasion by a certain disease organism.Vaccines are now available for nearly all of the common contagious diseases with the exception of the common cold and chicken pox. The decrease in cases of smallpox and typhoid fever is so great that immunizations for these no longer are recommended in the United States.An exception to the usual rule of a vaccine being given before the invasion of the disease organism is the rabies vaccine. Rabies is a virus disease transmitted by the bite of such animals as dog, and cats. There is no actual cure for rabies; it is fatal in exactly 100 percent of cases. However, the disease develops so slowly following the transmission of the organism that the “treatment” consists of the administration of a vaccine, since there is time enough to develop an active immunity. Anyone bitten by an animal suspected of having rabies should begin this treatment at once. The more desirable method of controlling rabies is to immunize all dogs.In many cases an active immunity acquired by artificial (or even natural) means does not last a lifetime. Repeated inoculations, called booster shots, given at relatively short intervals, help materially in maintaining a high level of immunity. The number of such booster injections recommended varies with the disease and with the environment or range of exposure of the individual.76. Which of the following is a correct statement about a vaccine?[A] A vaccine is used to stimulate antibody formation.*[B] A vaccine contains the actual disease organism or its toxin.[C] A vaccine is prepared for the killing of invading organisms.[D] A vaccine is injected to prevent various kinds of diseases.77. What can you infer from the second paragraph?[A] It is impossible to find a vaccine for the common cold.[B] Common infections can be prevented without vaccines.[C] Vaccines have been developed for all contagious diseases.[D] Contagious diseases are now less of a threat due to vaccination.*78. Which of the following is true of rabies?[A] Humans can not be immunized against the disease.[B] It develops so fast that there is no time for treatment.[C] The result from being exposed to the virus is always fatal.[D] It is a disease transmitted from animals to humans.*79. When should rabies vaccine be given?[A] As soon as treatment for rabies begins. [B] Immediately after one is bitten by any dog.[C] Before rabies has a chance to develop.* [D] When other treatments for rabies have failed.80. Why do we need booster shots according to the passage?[A] The effects of immunization are limited.* [B] Vaccines are often not strong enough.[C] Vaccines do not work in some people. [D] Our environment is becoming worse.Section IV Translation (10%)(15 minutes)Directions: Translate the following sentences from the reading passages into Chinese and write your version in the corresponding space in your Answer Sheet.81. First-degree burns are those in which the surface is red and painful, but the skin is not broken or blistered.82. Before you decide never to go out again at dawn or dusk, though, it pays to consider the latest information about West Nile virus.83. Many people find out that they have gallstones only after undergoing diagnostic X-rays to rule out other conditions.84. An exception to the usual rule of a vaccine being given before the invasion of the disease organism is the rabies vaccine.Section V Composition (15%)(25 minutes)Directions：The following is some information concerning a patient. Write a nursing report of about 120 words based on this information.男孩，15岁，首次入院。