Tiếng Anh 2

I. Choose the best answer A, B, C or D to complete the following sentences.

The doctors who do work in rural communities are more interested in …………… in the community than getting the highest pay.

• causing a change
• making a difference: sự thay đổi tích cực
• Both A and B are correct
• Neither A nor B is correct

• shooting
• spasmodic: cơn đau quặn thận
• piercing / boring
• dull / persistent / vague

• Has the pain spread
• Has the pain been spreading
• Both A and B are correct
• Neither A nor B is correct

• aching
• extremely severe / intense
• scalding / burning
• like a tight band around the head

• aching
• extremely severe / intense
• scalding / burning
• like a tight band around the head

• patient centre
• patient-centred
• patient-centre
• All are correct

• removal of a structure by surgery
• the act of examining
• an opening between two cavities or the outside
• cutting something open

• removal of a structure by surgery
• the act of examining
• an opening between two cavities or the outside
• cutting something open

• removal of a structure by surgery
• the act of examining
• an opening between two cavities or the outside
• cutting something open c

• The Passive
• The Active
• Both A and B are correct
• Neither A nor B is correct

• endoscope / advanced
• consent / obtained
• patient / given
• air / blown

• endoscope / advanced
• consent / obtained
• patient / given
• air / blown

• be going to
• what we’re going to do is
• Both A and B are correct
• Neither A nor B is correct

• calm
• relaxed
• reliable
• foolproof

• compliance / supportive interventions
• compliant / supportive interventions
• compliance / supporting interventions
• compliant / supporting intervention

• balance /intake
• imbalance /output
• imbalance / intake
• balances / input

• consumption/ reduction

• consume / reduce
• consumptions /reductions
• All are correct

• possibility / interchangeably

• ability / changeably 

• Both A and B are correct
• Neither A nor B is correct

• CAN / ability
• MAY / ability
• CAN / possibility
• MAY / possibility

• CAN / ability
• MAY / ability
• CAN / possibility
• MAY / possibility

II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer A or B.

Before a gastroscopy, don’t eat for 4-6 hours because the stomach needs to be empty.

• T
• F

• T
• F

• T
• F

• T
• F

• T
• F

III. Read the text and choose the answer A, B, C or D to fill in the blanks with missing information.

Câu 1.Anxiety can be the basis of most conflicts tranh cãi in healthcare settings. Although not unique to healthcare, anxiety can cause nervousness, fear, apprehension and worry. It’s common for individuals to experience a general state of worry or fear when facing a new experience, and being involved in a healthcare situation is no exception.
Whatever the reason, anxiety can manifest itself in the patient and family in relief behavior, which can include anger, sarcasm, withdrawal and dismissive behavior toward healthcare providers. How you handle these emotions and conduct can make all the difference between a successful resolution of an identified concern and an outcome that is not helpful to all involved.
You can help reduce or even avoid patients or families’ anxiety by listening to patients.

Question 1. The word “conflicts” in paragraph 1 means …………….

• dispute
• disagreement
• Both A and B are correct
• Neither A nor B is correct

Câu 1.Anxiety can be the basis of most conflicts tranh cãi in healthcare settings. Although not unique to healthcare, anxiety can cause nervousness, fear, apprehension and worry. It’s common for individuals to experience a general state of worry or fear when facing a new experience, and being involved in a healthcare situation is no exception.
Whatever the reason, anxiety can manifest itself in the patient and family in relief behavior, which can include anger, sarcasm, withdrawal and dismissive behavior toward healthcare providers. How you handle these emotions and conduct can make all the difference between a successful resolution of an identified concern and an outcome that is not helpful to all involved.
You can help reduce or even avoid patients or families’ anxiety by listening to patients.
 

Question 2. In healthcare settings individuals can experience a general state of worry or fear when …………….

• facing a new experience
• being involved in a healthcare situation
• Both A and B are correct
• Neither A nor B is correct

Câu 1.Anxiety can be the basis of most conflicts tranh cãi in healthcare settings. Although not unique to healthcare, anxiety can cause nervousness, fear, apprehension and worry. It’s common for individuals to experience a general state of worry or fear when facing a new experience, and being involved in a healthcare situation is no exception.
Whatever the reason, anxiety can manifest itself in the patient and family in relief behavior, which can include anger, sarcasm, withdrawal and dismissive behavior toward healthcare providers. How you handle these emotions and conduct can make all the difference between a successful resolution of an identified concern and an outcome that is not helpful to all involved.
You can help reduce or even avoid patients or families’ anxiety by listening to patients.
 

Question 3. The word “which” in paragraph 2 refers to …………….

• anxiety
• patient
• family
• relief behavior

Câu 1.Anxiety can be the basis of most conflicts tranh cãi in healthcare settings. Although not unique to healthcare, anxiety can cause nervousness, fear, apprehension and worry. It’s common for individuals to experience a general state of worry or fear when facing a new experience, and being involved in a healthcare situation is no exception.
Whatever the reason, anxiety can manifest itself in the patient and family in relief behavior, which can include anger, sarcasm, withdrawal and dismissive behavior toward healthcare providers. How you handle these emotions and conduct can make all the difference between a successful resolution of an identified concern and an outcome that is not helpful to all involved.
You can help reduce or even avoid patients or families’ anxiety by listening to patients.
 

Question 4. The word “these emotions” in paragraph 2 refers to …………….

• anger, sarcasm, withdrawal and dismissive behavior
• anger, anxiety, withdrawal and dismissive behavior
• nervousness, fear, apprehension and worry
• nervousness, fear, sarcasm, and worry

Câu 1.Anxiety can be the basis of most conflicts tranh cãi in healthcare settings. Although not unique to healthcare, anxiety can cause nervousness, fear, apprehension and worry. It’s common for individuals to experience a general state of worry or fear when facing a new experience, and being involved in a healthcare situation is no exception.
Whatever the reason, anxiety can manifest itself in the patient and family in relief behavior, which can include anger, sarcasm, withdrawal and dismissive behavior toward healthcare providers. How you handle these emotions and conduct can make all the difference between a successful resolution of an identified concern and an outcome that is not helpful to all involved.
You can help reduce or even avoid patients or families’ anxiety by listening to patients.
 

Question 5. The text is mainly about ……………..

• how to reduce your anxiety
• how to deal with your anxiety
• what anxiety is in healthcare setting
• what anxiety is like

Câu 2.Health professionals should respect patient’s autonomy ý kiến and accept chấp nhận that increasing compliance with prescribing instructions tuân thủ sử dụng thuốc is not as important as meeting patients’ individual needs and priorities nhu cầu cá nhân. Patients need help to make informed choices about treatment. For example, there is a need to differentiate clearly between situations where varying the timing or quantity of medicine doses may be do little harm or even be beneficial, and situations in which there is high probability of adverse clinical outcomes.
Improvements in self-management skills and compliance in medicine taking can generate significant benefits for individuals and the population as a whole. Combining medication reviews with other forms of timely and appropriate support for patients and carers represents an important route towards better and more cost-effective use of medicines.

Question 1. Health professionals should respect patient’s …………….

• freedom
• self-rule
• Both A and B are correct
• Neither A nor B is correct

Câu 2.Health professionals should respect patient’s autonomy ý kiến and accept chấp nhận that increasing compliance with prescribing instructions tuân thủ sử dụng thuốc is not as important as meeting patients’ individual needs and priorities nhu cầu cá nhân. Patients need help to make informed choices about treatment. For example, there is a need to differentiate clearly between situations where varying the timing or quantity of medicine doses may be do little harm or even be beneficial, and situations in which there is high probability of adverse clinical outcomes.
Improvements in self-management skills and compliance in medicine taking can generate significant benefits for individuals and the population as a whole. Combining medication reviews with other forms of timely and appropriate support for patients and carers represents an important route towards better and more cost-effective use of medicines.
 

Question 2. Health professionals should accept that …………….

• meeting patients’ individual needs and priorities is more important than increasing compliance with prescribing instructions
• increasing compliance with prescribing instructions is more important than meeting patients’ individual needs and priorities
• meeting patients’ individual needs and priorities is as important as increasing compliance with prescribing instructions
• meeting patients’ individual needs and priorities is less important than increasing compliance with prescribing instructions

Câu 2.Health professionals should respect patient’s autonomy ý kiến and accept chấp nhận that increasing compliance with prescribing instructions tuân thủ sử dụng thuốc is not as important as meeting patients’ individual needs and priorities nhu cầu cá nhân. Patients need help to make informed choices about treatment. For example, there is a need to differentiate clearly between situations where varying the timing or quantity of medicine doses may be do little harm or even be beneficial, and situations in which there is high probability of adverse clinical outcomes.
Improvements in self-management skills and compliance in medicine taking can generate significant benefits for individuals and the population as a whole. Combining medication reviews with other forms of timely and appropriate support for patients and carers represents an important route towards better and more cost-effective use of medicines.

Question 3. Patients need help from health professionals ……………. they can make informed choices about treatment.

• in order that
• so that
• Neither A nor B is correct
• Both A and B are correct

Câu 2.Health professionals should respect patient’s autonomy ý kiến and accept chấp nhận that increasing compliance with prescribing instructions tuân thủ sử dụng thuốc is not as important as meeting patients’ individual needs and priorities nhu cầu cá nhân. Patients need help to make informed choices about treatment. For example, there is a need to differentiate clearly between situations where varying the timing or quantity of medicine doses may be do little harm or even be beneficial, and situations in which there is high probability of adverse clinical outcomes.
Improvements in self-management skills and compliance in medicine taking can generate significant benefits for individuals and the population as a whole. Combining medication reviews with other forms of timely and appropriate support for patients and carers represents an important route towards better and more cost-effective use of medicines.
 

Question 4. The word “which” in paragraph 1 refers to…………….

• the timing
• situations
• quantity of medicine
• doses

Câu 2.Health professionals should respect patient’s autonomy ý kiến and accept chấp nhận that increasing compliance with prescribing instructions tuân thủ sử dụng thuốc is not as important as meeting patients’ individual needs and priorities nhu cầu cá nhân. Patients need help to make informed choices about treatment. For example, there is a need to differentiate clearly between situations where varying the timing or quantity of medicine doses may be do little harm or even be beneficial, and situations in which there is high probability of adverse clinical outcomes.
Improvements in self-management skills and compliance in medicine taking can generate significant benefits for individuals and the population as a whole. Combining medication reviews with other forms of timely and appropriate support for patients and carers represents an important route towards better and more cost-effective use of medicines.
 

Question 5. The best title for the text is the most likely to be ……………..

• autonomy
• treatment
• concordance
• None is correct

IV. Read the doctor’s report below and choose ONE suitable word from the given ones to fill in each numbered blank.

Medication can be life-saving, ___ (0) in emergency and acute situations but in treating ___ (1) conditions like diabetes, high blood pressure and asthma too. It can also be dangerous if taken ___ (2), in too-large doses or by someone for whom the medication was not originally ___ (3) If your medication is prescribed by your GP or hospital doctor, it is crucial you take it ___ (4) as you have been told, i.e. the right ___ (5) at the right time.It is equally important to take the correct dosage of ___ (6) drugs. Over-the-counter medication should not be used with prescribed medication ___ (7) a doctor has confirmed it is safe to do so. Be certain to keep all medication well out of the ___ (8) of children.

Too many patients don't understand what their doctors tell them - a real ___ (0) for people taking medication, or recovering from injuries, ___ (1), or illnesses. The ___ (2) of many patients to follow doctors' instructions and understand the basics of the care they're getting - a ___ (3) of "health literacy" - may threaten their health.

Successful medical treatment often depends on patients giving ___ (4) medical histories, following detailed instructions, and ___ (5) what they need to do ___ (6) they leave the doctor's office. When patients can't do that, research suggests that diseases are managed ___ (7) successfully, and patients tend to report ___ (8) health. 

I. Choose the best answer A, B, C or D to complete the following sentences.

The word “susceptible” in the sentence “He is susceptible to many minor illnesses” means …………… in non-technical language.

• prone
• come and go
• there all the time
• book

• prone
• come and go
• there all the time
• book

• prone
• come and go
• there all the time
• book

• book
• come and go
• avoid
• admit

• book
• come and go
• avoid
• admit

• poverty
• cause
• occurrence
• level

• poverty
• causes
• occurrence
• level

• relaxed
• calm
• Both A and B are correct
• Neither A nor B is correct

• never
• seldom
• not often
• almost never

• occasionally
• now and then
• Both A and B are correct
• Neither A nor B is correct

• frequently
• typically
• regularly
• None is correct

• Four times a day
• in the morning
• immediately
• twice a day

• in the morning
• once a day/24h
• two tablets
• as required

• by mouth/orally
• intravenous
• by inhalation
• by nebuliser

• sedentary
• good
• active
• healthy

• settle into
• increase
• make
• devise

• a new regime / have
• some physical activity / find
• old habits / make
• minor changes/ set

• widen the bronchi
• make patients less agitated
• relieve pain
• treat reactions to drugs or anaphylactic shock

• relieve pain, thin the blood
• help prevent heart attacks
• help the blood flow more easily
• All are correct

• three times a day, by mouth, up to a maximum of 300 milligrams.
• as required, by mouth, up to a minimum of 300 milligrams.
• every 8 hours a day, by mouth, up to a minimum of 300 milligrams.
• twice a day, by mouth, up to a maximum of 300 milligrams.

II. Read the sentence and decide if it is True (T) or False (F) by choosing the answer A or B.

Understanding what the patient is feeling because you have experienced it yourself best explains sympathy. empathy

• T
• F

• T
• F

• T
• F

• T
• F

• T
• F

Câu 1. Stress in medical practice has always been a topical issue. This is partly because medical service involves taking care of other peoples' lives and mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctor himself must be in a perfect state of mind devoid of morbid worries and anxieties. This is however not usually the case, because the doctor apart from being affected by the same variables that impose stress on the general population, is also prone to stress because of the peculiarities of his work situation and the expectation of the society at large. 
The doctor is still perceived as a very comfortable person in our society and expectations are usually high financially and otherwise. Failure or inability to ‘meet up’ may constitute a significant stress factor in some physicians.


Question 1.The word “topical” in paragraph 1 means……………..

• current
• recent
• contemporary
• All are correct

Câu 1. Stress in medical practice has always been a topical issue. This is partly because medical service involves taking care of other peoples' lives and mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctor himself must be in a perfect state of mind devoid of morbid worries and anxieties. This is however not usually the case, because the doctor apart from being affected by the same variables that impose stress on the general population, is also prone to stress because of the peculiarities of his work situation and the expectation of the society at large. 
The doctor is still perceived as a very comfortable person in our society and expectations are usually high financially and otherwise. Failure or inability to ‘meet up’ may constitute a significant stress factor in some physicians

Question 2. ……………. why stress in medical practice has always been a topical issue.

• There is one reason
• There are two reasons
• There are three reasons
• There are four reasons

Câu 1. Stress in medical practice has always been a topical issue. This is partly because medical service involves taking care of other peoples' lives and mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctor himself must be in a perfect state of mind devoid of morbid worries and anxieties. This is however not usually the case, because the doctor apart from being affected by the same variables that impose stress on the general population, is also prone to stress because of the peculiarities of his work situation and the expectation of the society at large. 
The doctor is still perceived as a very comfortable person in our society and expectations are usually high financially and otherwise. Failure or inability to ‘meet up’ may constitute a significant stress factor in some physicians

Question 3. The medical doctor himself ……………. in a perfect state of mind devoid of morbid worries and anxieties.

• is expected to be
• is expected must be
• Both A and B are correct
• Neither A nor B is correct

Câu 1. Stress in medical practice has always been a topical issue. This is partly because medical service involves taking care of other peoples' lives and mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctor himself must be in a perfect state of mind devoid of morbid worries and anxieties. This is however not usually the case, because the doctor apart from being affected by the same variables that impose stress on the general population, is also prone to stress because of the peculiarities of his work situation and the expectation of the society at large. 
The doctor is still perceived as a very comfortable person in our society and expectations are usually high financially and otherwise. Failure or inability to ‘meet up’ may constitute a significant stress factor in some physicians

Question 4. The doctor is also prone to stress because of the ……………. of his work situation and the expectation of the society at large

• unusual features
• special habits (B)
• Both A and B are correct
• Neither A nor B is correct

Câu 1. Stress in medical practice has always been a topical issue. This is partly because medical service involves taking care of other peoples' lives and mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctor himself must be in a perfect state of mind devoid of morbid worries and anxieties. This is however not usually the case, because the doctor apart from being affected by the same variables that impose stress on the general population, is also prone to stress because of the peculiarities of his work situation and the expectation of the society at large. 
The doctor is still perceived as a very comfortable person in our society and expectations are usually high financially and otherwise. Failure or inability to ‘meet up’ may constitute a significant stress factor in some physicians
 

Question 5. Some physicians can be under a lot of stress when they ……………. to meet up the expectation of the society at large.

• failure
• inability
• fail
• All are correct

Câu 2. General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological tâm lý and social aspects of care. 
General practitioners have an important role in looking after patients in their homes and within the communities where they live. They are part of a much wider team whose role includes promoting, preventing and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.
Looking after the whole person - the physical, emotional, social, spiritual, cultural and economic aspects through patient-centred approaches is a vital part of any GP’s role.

Question 1. General practitioners (GPs) …………….

• treat all medical conditions
• refer patients who need urgent and specialist treatment to hospitals
• Both A and B are correct
• Neither A nor B is correct

Câu 2. General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological tâm lý and social aspects of care. 
General practitioners have an important role in looking after patients in their homes and within the communities where they live. They are part of a much wider team whose role includes promoting, preventing and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.
Looking after the whole person - the physical, emotional, social, spiritual, cultural and economic aspects through patient-centred approaches is a vital part of any GP’s role.

Question 2. There are ……………. aspects of care General Practitioners (GPs) focus on the health of the whole person.

• one
• two
• three
• four

 Câu 2. General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological tâm lý and social aspects of care. 
General practitioners have an important role in looking after patients in their homes and within the communities where they live. They are part of a much wider team whose role includes promoting, preventing and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.
Looking after the whole person - the physical, emotional, social, spiritual, cultural and economic aspects through patient-centred approaches is a vital part of any GP’s role.

Question 3. The word “whose” in paragraph 2 refers to belonging to …………….

• a much wider team
• General Practitioners
• Both A and B are correct
• Neither A nor B is correct

Câu 2. General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological tâm lý and social aspects of care. 
General practitioners have an important role in looking after patients in their homes and within the communities where they live. They are part of a much wider team whose role includes promoting, preventing and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.
Looking after the whole person - the physical, emotional, social, spiritual, cultural and economic aspects through patient-centred approaches is a vital part of any GP’s role.

Question 4. ……………. a role in promoting, preventing and initiating treatment

• A much wider team plays
• General Practitioners play
• Both A and B are correct
• Neither A nor B is correct

Câu 2. General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological tâm lý and social aspects of care.
General practitioners have an important role in looking after patients in their homes and within the communities where they live. They are part of a much wider team whose role includes promoting, preventing and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.
Looking after the whole person - the physical, emotional, social, spiritual, cultural and economic aspects through patient-centred approaches is a vital part of any GP’s role.

Question 5. ……………. are a vital part of any GP’s role.

• Patient-centred approaches
• The physical, emotional, social, spiritual, cultural and economic aspects
• Both A and B are correct
• Neither A nor B is correct

IV. Read the doctor’s report below and choose ONE suitable word from the given ones to fill in each numbered blank.

Receiving good pain treatment can depend in part on how ___ (0)  the patient can describe his/her pain to your health care providers. ___ (1) has a language all its own and sometimes people may find it a ___ (2) to clearly describe their pain. ___ (3), not all pain feels the same. ___ (4) pain is sharp, tingling, burning, dull, or something else completely. It may be felt on the ___ (5)  of the body, or deep inside. Pain can be ___ (6)  , or come and go, rapidly or slowly, over long or short periods of time. People have different levels of ___ (7)  for pain, so what one person may describe as ___ (8)  pain, might be described as mild pain by someone else

Clear communication and obvious ___ (0) will go a long way towards making surgical procedures successful and ___ (1) the patient feel that they aren’t just another product on an assembly line. Dehumanization is a real ___ (2)  when it comes to medicine. Preventing it should be one of the top ___ (3) for any caregiver. Especially since it can be corrected easily and quickly by keeping in mind just how frightening and mysterious these ___ (4)  are for the average patient.

Quality ___ (5) begins with the first visit, by humanizing the patient and treating them with all of the ___ (6) and respect they should expect. Talking with them, making their concerns ___ (7) and not shutting them out of all aspects of the decision making process should be the mantra of all ___ (8)