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In this free OET reading sample test 1, you will find Reading part b and c with answers.
You will have 45 minutes to answer 22 questions. You can find the correct answers after finishing the test.
OET READING MOCK TEST 1 – QUESTION PAPER: PARTS B & C
TIME: 45 MINUTES
INSTRUCTIONS TO CANDIDATES
DO NOT open this Question Paper until you are told to do so.
One mark will be granted for each correct answer.
Answer ALL questions. Marks are NOT deducted for incorrect answers.
At the end of the test, hand in this Question Paper.
DO NOT remove OET material from the test room.
Start OET Reading test 1 part B and C for doctors, nurses and all professions from englishey.com
Note: You can find answers with explanations for each question after the end of the test.
Click the button “Check correct answers” to find it
Start OET Reading mock test 1 Part B & C
Part B
In this part of the test, there are six short extracts relating to the work of health professionals. For questions 1-6, choose answer (A, B or C) which you think fits best according to the text.
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- Question 1 of 22
1. Question
Manual extract: Kuschall ultra-light wheelchair
Intended use
The active wheelchair is propelled manually and should only be used for independent or assisted transport of a disabled patient with mobility difficulties. In the absence of an assistant, it should only be operated by patients who are physically and mentally able to do so safely (e.g., to propel themselves, steer, brake, etc.). Even where restricted to indoor use, the wheelchair is only suitable for use on level ground and accessible terrain. This active wheelchair needs to be prescribed and fit to the individual patient’s specific health condition. Any other or incorrect use could lead hazardous situations to arise.1. The manual states that the wheelchair should not be used
CorrectIncorrect - Question 2 of 22
2. Question
MRSA Screening guidelines
It may be necessary to screen staff if there is an outbreak of MRSA within a ward or department.
Results will normally be available within three days, although occasionally additional tests need to be done in the laboratory. Staff found to have MRSA will be given advice by the Department of Occupational Health regarding treatment. Even minor skin sepsis or skin diseases such as eczema, psoriasis or dermatitis amongst staff can result in widespread dissemination of staphylococci. If a ward has an MRSA problem, staff with any of these conditions (colonised or infected) must contact Occupational Health promptly, so that they can be screened for MRSA carriage. Small cuts and/or abrasions must always be covered with a waterproof plaster. Staff with infected lesions must not have direct contact with patients and must contact Occupational Health.2. These guidelines contain instructions for staff whoCorrectIncorrect - Question 3 of 22
3. Question
Infection prevention
Infection control measures are intended to protect patients, hospital workers and others in the healthcare setting. While infection prevention is most commonly associated with preventing HIV transmission, these procedures also guard against other blood borne pathogens, such as hepatitis B and C, syphilis and Chagas disease. They should be considered standard practice since an outbreak of enteric illness can easily occur in a crowded hospital.Infection prevention depends upon a system of practices in which all blood and bodily fluids, including cerebrospinal fluid, sputum and semen, are considered to be infectious. All such fluids from all people are treated with the same degree of caution, so no judgement is required about the potential infectivity of a particular specimen. Hand washing, the use of barrier protection such as gloves and aprons, the safe handling and disposal of ‘sharps’ and medical waste and proper disinfection, cleaning and sterilisation are all part of creating a safe hospital.
3. The main point of the notice is that hospital staff
CorrectIncorrect - Question 4 of 22
4. Question
Extract from staff guidelines: Insulin pumps
Many patients with diabetes self-medicate using an insulin pump. If you’re caring for a hospitalised patient with an insulin pump, assess their ability to manage self-care while in the hospital. Patients using pump therapy must possess good diabetes self-management skills.They must also have a willingness to monitor their blood glucose frequently and record blood glucose readings, carbohydrate intake, insulin boluses, and exercise. Besides assessing the patient’s physical and mental status, review and record pump-specific information, such as the pump’s make and model.Also assess the type of insulin being delivered and the date when the infusion site was changed last. Assess the patient’s level of consciousness and cognitive status. If the patient doesn’t seem competent to operate the device, notify the healthcare provider and document your findings.
4. What do nursing staff have to do?
CorrectIncorrect - Question 5 of 22
5. Question
Extract from a monograph: Salbutamol Sulphate Inhalation Aerosol
Pregnant women
Salbutamol has been in widespread use for many years in humans without apparent ill consequence. However, there are no adequate and well controlled studies in pregnant women and there is little published evidence of its safety in the early stages of human pregnancy. Administration of any drug to pregnant women should only be considered if the anticipated benefits to the expectant woman are greater than any possible risks to the foetus.During worldwide marketing experience, rare cases of various congenital anomalies, including cleft palate and limb defects, have been reported in the offspring of patients being treated with salbutamol. Some of the mothers were taking multiple medications during their pregnancies. Because no consistent pattern of defects can be discerned, a relationship with salbutamol use cannot be established.
5. The extract states that abnormalities in babies born to mothers who took salbutamol are
CorrectIncorrect - Question 6 of 22
6. Question
Extract from a textbook: debridement
Debridement is the removal of non-viable tissue from the wound bed to encourage wound healing. Sharp debridement is a very quick method, but should only be carried out by a competent practitioner, and may not be appropriate for all patients. Autolytic debridement is often used before other methods of debridement. Products that can be used to facilitate autolytic debridement include hydrogels, hydrocolloids, cadexomer iodine and honey. Hydrosurgery systems combine lavage with sharp debridement and provide a safe and effective technique, which can be used in the ward environment. This has been shown to precisely target damaged and necrotic tissue and is associated with a reduced procedure time. Ultrasonic assisted debridement is a relatively painless method of removing non-viable tissue and has been shown to be effective in reducing bacterial burden, with earlier transition to secondary procedures. However, these last two methods are potentially expensive and equipment may not always be available.6. What is the purpose of this extract?
CorrectIncorrect - Question 7 of 22
7. Question
Part C
In this part of the test, there are two texts about different aspects of healthcare. For questions 7-22, choose the answer (A, B, C or D) which you think fits best according to the text.
Text 1: Cardiovascular benefits of exercise
Cardiovascular disease (CVD) is the leading cause of death for both men and women in the United States. According to the American Heart Association (AHA), by the year 2030, the prevalence of cardiovascular disease in the USA is expected to increase by 9.9%, and the prevalence of both heart failure and stroke is expected to increase by approximately 25%. Worldwide, it is projected that CVD will be responsible for over 25 million deaths per year by 2025. And yet, although several risk factors are non-modifiable (age, male gender, race, and family history), the majority of contributing factors are amenable to intervention. These include elevated blood pressure, high cholesterol, smoking, obesity, diet and excess stress. Aspirin taken in low doses among high risk groups is also recommended for its cardiovascular benefits.One modifiable behaviour with major therapeutic implications for CVD is inactivity. Inactive or sedentary behaviour has been associated with numerous health conditions and a review of several studies has confirmed that prolonged total sedentary time (measured objectively via an accelerometer) has a particularly adverse relationship with cardiovascular risk factors, disease, and mortality outcomes. The cardiovascular effects of leisure time physical activity are compelling and well documented. Adequate physical leisure activities like walking, swimming, cycling, or stair climbing done regularly have been shown to reduce type 2 diabetes, some cancers, falls, fractures, and depression. Improvements in physical function and weight management have also been shown, along with increases in cognitive function, quality of life, and life expectancy.
Several occupational studies have shown adequate physical activity in the workplace also provides benefits. Seat-bound bus drivers in London experienced more coronary heart disease than mobile conductors working on the same buses, as do office-based postal workers compared to their colleagues delivering mail on foot. The AHA recommends that all Americans invest in at least 30 minutes a day of physical activity on most days of the week. In the face of such unambiguous evidence, however, most healthy adults, apparently by choice it must be assumed, remain sedentary.
The cardiovascular beneficial effects of regular exercise for patients with a high risk of coronary disease have also been well documented. Leisure time exercise reduced cardiovascular mortality during a 16-year follow-up study of men in the high risk category. In the Honolulu Heart Study, elderly men walking more than 1.5 miles per day similarly reduced their risk of coronary disease. Such people engaging in regular exercise have also demonstrated other CVD benefits including decreased rate of strokes and improvement in erectile dysfunction. There is also evidence of an up to 3-year increase in lifespan in these groups.
Among patients with experience of heart failure, regular physical activity has also been found to help improve angina-free activity, prevent heart attacks, and result in decreased death rates. It also improves physical endurance in patients with peripheral artery disease. Exercise programs carried out under supervision such as cardiac rehabilitation in patients who have undergone percutaneous coronary interventions or heart valve surgery, who are transplantation candidates or recipients, or who have peripheral arterial disease result in significant short- and long-term CVD benefits.
Since data indicate that cardiovascular disease begins early in life, physical interventions such as regular exercise should be started early for optimum effect. The US Department of Health and Human Services for Young People wisely recommends that high school students achieve a minimum target of 60 minutes of daily exercise. This may be best achieved via a mandated curriculum. Subsequent transition from high school to college is associated with a steep decline in physical activity. Provision of convenient and adequate exercise time as well as free or inexpensive college credits for documented workout periods could potentially enhance participation. Time spent on leisure time physical activity decreases further with entry into the workforce. Free health club memberships and paid supervised exercise time could help promote a continuing exercise regimen. Government sponsored subsidies to employers incorporating such exercise programs can help decrease the anticipated future cardiovascular disease burden in this population.
General physicians can play an important role in counselling patients and promoting exercise. Although barriers such as lack of time and patient non-compliance exist, medical reviews support the effectiveness of physician counselling, both in the short term and long term. The good news is that the percentage of adults engaging in exercise regimes on the advice of US physicians has increased from 22.6% to 32.4% in the last decade. The empowerment of physicians, with training sessions and adequate reimbursement for their services, will further increase this percentage and ensure long-term adherence to such programmes. Given that risk factors for CVD are consistent throughout the world, reducing its burden will not only improve the quality of life, but will increase the lifespan for millions of humans worldwide, not to mention saving billions of health-related dollars.
Text 1: Questions 7-14
7. In the first paragraph, what point does the writer make about CVD?
CorrectIncorrect - Question 8 of 22
8. Question
8. In the second paragraph, what does the writer say about inactivity?
CorrectIncorrect - Question 9 of 22
9. Question
9. The writer mentions London bus drivers in order to
CorrectIncorrect - Question 10 of 22
10. Question
10. The phrase ‘apparently by choice‘ in the third paragraph suggests the writer
CorrectIncorrect - Question 11 of 22
11. Question
11. In the fourth paragraph, what does the writer suggest about taking up regular exercise?
CorrectIncorrect - Question 12 of 22
12. Question
12. The writer says ‘short- and long-term CVD benefits‘ derive from
CorrectIncorrect - Question 13 of 22
13. Question
13. The writer supports official exercise guidelines for US high school students because
CorrectIncorrect - Question 14 of 22
14. Question
14. What does the writer suggest about general physicians promoting exercise?
CorrectIncorrect - Question 15 of 22
15. Question
Text 2: Power of Placebo
Ted Kaptchuk is a Professor of Medicine at Harvard Medical School. For the last 15 years, he and fellow researchers have been studying the placebo effect – something that, before the 1990s, was seen simply as a thorn in medicine’s side. To prove a medicine is effective, pharmaceutical companies must show not only that their drug has the desired effects, but that the effects are significantly greater than those of a placebo control group. However, both groups often show healing results. Kaptchuk’s innovative studies were among the first to study the placebo effect in clinical trials and tease apart its separate components. He identified such variables as patients’ reporting bias (a conscious or unconscious desire to please researchers), patients simply responding to doctors’ attention, the different methods of placebo delivery and symptoms subsiding without treatment – the inevitable trajectory of most chronic ailments.
Kaptchuk’s first randomised clinical drug trial involved 270 participants who were hoping to alleviate severe arm pain such as carpal tunnel syndrome or tendonitis. Half the subjects were instructed to take pain-reducing pills while the other half were told they’d be receiving acupuncture treatment. But just two weeks into the trial, about a third of participants – regardless of whether they’d had pills or acupuncture – started to complain of terrible side effects. They reported things like extreme fatigue and nightmarish levels of pain. Curiously though, these side effects were exactly what the researchers had warned patients about before they started treatment. But more astounding was that the majority of participants – in other words the remaining two-thirds – reported real relief, particularly those in the acupuncture group. This seemed amazing, as no-one had ever proved the superior effect of acupuncture over standard painkillers. But Kaptchuk’s team hadn’t proved it either. The ‘acupuncture’ needles were in fact retractable shams that never pierced the skin and the painkillers were actually pills made of corn starch. This study wasn’t aimed at comparing two treatments. It was deliberately designed to compare two fakes.
Kaptchuk’s needle/pill experiment shows that the methods of placebo administration are as important as the administration itself. It’s a valuable insight for any health professional: patients’ feelings and beliefs matter, and the ways physicians present treatments to patients can significantly affect their health. This is the one finding from placebo research that doctors can apply to their practice immediately. Others such as sham acupuncture, pills or other fake interventions are nowhere near ready for clinical application. Using placebo in this way requires deceit, which falls foul of several major pillars of medical ethics, including patient autonomy and informed consent.
Years of considering this problem led Kaptchuk to his next clinical experiment: what if he simply told people they were taking placebos? This time his team compared two groups of IBS sufferers. One group received no treatment. The other patients were told they’d be taking fake, inert drugs (from bottles labelled ‘placebo pills’) and told also, at some length, that placebos often have healing effects. The study’s results shocked the investigators themselves: even patients who knew they were taking placebos described real improvement, reporting twice as much symptom relief as the no-treatment group. It hints at
a possible future in which clinicians cajole the mind into healing itself and the body – without the drugs that can be more of a problem than those they purport to solve.But to really change minds in mainstream medicine, researchers have to show biological evidence – a feat achieved only in the last decade through imaging technology such as positron emission tomography (PET) scans and functional magnetic resonance imaging (MRI). Kaptchuk’s team has shown with these technologies that placebo treatments affect the areas of the brain that modulate pain reception. ‘It’s those advances in “hard science”’, said one of Kaptchuk’s researchers, ‘that have given placebo research a legitimacy it never enjoyed before’. This new visibility has encouraged not only research funds but also interest from healthcare organisations and pharmaceutical companies. As private hospitals in the US run by healthcare companies increasingly reward doctors for maintaining patients’ health (rather than for the number of procedures they perform), research like Kaptchuk’s becomes increasingly attractive and the funding follows.
Another biological study showed that patients with a certain variation of a gene linked to the release of dopamine were more likely to respond to sham acupuncture than patients with a different variation – findings that could change the way pharmaceutical companies conduct drug trials. Companies spend millions of dollars and often decades testing drugs; every drug must outperform placebos if it is to be marketed. If drug companies could preselect people who have a low predisposition for placebo response, this could seriously reduce the size, cost and duration of clinical trials, bringing cheaper drugs to the
market years earlier than before.Text 2: Questions 15-22
15. The phrase ‘a thorn in medicine’s side’ highlights the way that the placebo effect
CorrectIncorrect - Question 16 of 22
16. Question
16. In the first paragraph, it’s suggested that part of the placebo effect in trials is due to
CorrectIncorrect - Question 17 of 22
17. Question
17. The results of the trial described in the second paragraph suggest that
CorrectIncorrect - Question 18 of 22
18. Question
18. According to the writer, what should health professionals learn from Kaptchuk’s studies?
CorrectIncorrect - Question 19 of 22
19. Question
19. What is suggested about conventional treatments in the fourth paragraph?
CorrectIncorrect - Question 20 of 22
20. Question
20. What does the phrase ‘This new visibility’ refer to?
CorrectIncorrect - Question 21 of 22
21. Question
21. In the fifth paragraph, it is suggested that Kaptchuk’s research may ultimately benefit from
CorrectIncorrect - Question 22 of 22
22. Question
22. According to the final paragraph, it would be advantageous for companies to be able to use genetic testing to
CorrectIncorrect