《醫(yī)藥類一級大綱》word版參考模板

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（2012試用版）醫(yī)護英語水平考試(醫(yī)藥類)第一級考試大綱MedicalEnglishTestSystem(METS)ForMedicalProfessionals—Level1醫(yī)護英語水平考試辦公室目錄一、METS（醫(yī)藥類）簡介METS（醫(yī)藥類）考試體系的背景METS（醫(yī)藥類）考試的目標(biāo)與宗旨METS（醫(yī)藥類）考試的設(shè)計原則METS（醫(yī)藥類）考試成績的使用及適用范圍METS（醫(yī)藥類）考試的組織實施二、METS（醫(yī)藥類）第一級考試級別與內(nèi)容概述METS（醫(yī)藥類）第一級考試的語言能力描述METS（醫(yī)藥類）第一級考試的話題范圍及交際任務(wù)描述三、METS（醫(yī)藥類）第一級考試結(jié)構(gòu)與樣卷METS（醫(yī)藥類）第一級考試結(jié)構(gòu)METS（醫(yī)藥類）第一級考試樣卷METS（醫(yī)藥類）第一級考試答題卡METS（醫(yī)藥類）第一級考試樣卷聽力錄音文本METS（醫(yī)藥類）第一級考試樣卷參考答案附錄METS（醫(yī)藥類）第一級考試詞匯表PAGEPAGE69一、METS（醫(yī)藥類）考試簡介1．METS（醫(yī)藥類）考試體系的背景為適應(yīng)經(jīng)濟全球化、教育國際化、醫(yī)藥衛(wèi)生人才專業(yè)化的發(fā)展，滿足國內(nèi)外人才資源合理配置的需要，促進醫(yī)藥衛(wèi)生類專業(yè)人才英語水平的提高，同時為進一步貫徹落實《國家中長期教育改革和發(fā)展規(guī)劃綱要（2010年-2020年）》和《醫(yī)藥衛(wèi)生中長期人才發(fā)展規(guī)劃（2011-2020年）》的文件精神，健全符合醫(yī)藥衛(wèi)生人才特點的科學(xué)化、社會化評價機制，“以用為本”，促進醫(yī)藥院校的行業(yè)英語教育教學(xué)改革，為醫(yī)療機構(gòu)選拔人才提供評價服務(wù)，根據(jù)醫(yī)護英語水平考試主辦機構(gòu)的統(tǒng)一規(guī)劃，醫(yī)護英語水平考試辦公室（簡稱METS辦公室）總結(jié)了METS（護理類）考試的成功經(jīng)驗，力圖在衛(wèi)生行業(yè)除護理類以外，繼續(xù)提供其他專業(yè)的醫(yī)護英語考試評價標(biāo)準(zhǔn)。經(jīng)過幾年的積累，METS考試辦公室通過組織從事臨床和科研工作的專家、語言測試專家和英語教學(xué)專家，根據(jù)醫(yī)療機構(gòu)崗位的實際需求，開發(fā)設(shè)計了醫(yī)護英語水平考試（醫(yī)藥類）考試大綱（試用版），其中涉及臨床醫(yī)學(xué)、預(yù)防醫(yī)學(xué)、口腔醫(yī)學(xué)、中醫(yī)、藥學(xué)、助產(chǎn)、檢驗、康復(fù)等不同的專業(yè)類別，以下簡稱METS（醫(yī)藥類）。這一考核標(biāo)準(zhǔn)旨在通過醫(yī)藥衛(wèi)生英語的考核，加強醫(yī)藥衛(wèi)生專業(yè)技術(shù)人才英語學(xué)習(xí)能力的培養(yǎng)、提高醫(yī)藥衛(wèi)生人才隊伍的英語素質(zhì)，進而使METS（醫(yī)藥類）成為醫(yī)療機構(gòu)選才的英語標(biāo)準(zhǔn)，在醫(yī)療機構(gòu)招聘、考核、選拔人才中發(fā)揮一定的作用。同時，通過該考核標(biāo)準(zhǔn)的使用，促進醫(yī)藥院校衛(wèi)生英語的教學(xué)改革，以考促學(xué)、以考促教，為醫(yī)藥院校人才培養(yǎng)提供統(tǒng)一的測評手段，搭建起溝通醫(yī)藥院校人才培養(yǎng)和醫(yī)療機構(gòu)用人標(biāo)準(zhǔn)的橋梁，在衛(wèi)生人才隊伍的建設(shè)過程中做出應(yīng)有的貢獻。2．METS（醫(yī)藥類）考試的目標(biāo)和宗旨1）建立一個覆蓋衛(wèi)生行業(yè)不同專業(yè)（除護理類）、不同教育層次需要的、擁有4個級別的標(biāo)準(zhǔn)參照性醫(yī)藥衛(wèi)生英語考試體系?？忌皇苣挲g、學(xué)歷等方面的限制，在全國范圍內(nèi)推動醫(yī)藥衛(wèi)生英語的學(xué)習(xí)與提高，滿足社會發(fā)展特別是經(jīng)濟全球化的需要。2）完善各種考查手段，尤其是聽、說方面的考查方法，確保各級別都能考查考生聽、說、讀、寫、譯的語言交際能力，促進醫(yī)藥衛(wèi)生英語的教學(xué)改革。3）結(jié)合我國醫(yī)藥衛(wèi)生英語的教學(xué)實際和社會發(fā)展的客觀需要，在同一能力量表的基礎(chǔ)上進一步合理設(shè)置各級考試的評價標(biāo)準(zhǔn)并給出詳盡的說明，科學(xué)界定各種考查要求的關(guān)系。4）采取有效的技術(shù)手段，確保相同級別不同考次之間考生成績的等值，逐步與有關(guān)國際考試接軌，拓展考生成績的使用范圍，為考生就業(yè)和用人單位錄用人才提供有價值的參考標(biāo)準(zhǔn)。3．METS（醫(yī)藥類）考試設(shè)計原則1）突出語言交際能力的考查。METS（醫(yī)藥類）試題以考查交際能力為核心，以促進考生醫(yī)護英語實際交際能力的提高為原則。2）強調(diào)系統(tǒng)性，注重實用性。考查要求應(yīng)設(shè)計合理、連貫有序。注意各級別同類知識或技能之間的考查要求逐步遞進。努力做到低級別所要求的能力包括在高級別所要求的能力之中；高級別的考查要求應(yīng)是低級別考查要求在縱、橫兩個方面上的發(fā)展，妥善協(xié)調(diào)同級別各種技能之間的考查關(guān)系。3）妥善處理教學(xué)現(xiàn)狀與社會發(fā)展需要的關(guān)系。METS（醫(yī)藥類）的設(shè)計既要充分考慮我國醫(yī)藥衛(wèi)生技術(shù)人才國際化的需要，又十分注意我國衛(wèi)生英語目前的實際教學(xué)水平。既注重導(dǎo)向性又強調(diào)實用性。4）大膽使用現(xiàn)代考試技術(shù)，注意兼顧考試技術(shù)現(xiàn)狀與今后的技術(shù)發(fā)展。努力從實際出發(fā)，在考試的各個階段，盡可能采用高科技手段。注意既積極穩(wěn)妥地使用各種成熟的考試技術(shù)，又不斷引進、研發(fā)最新的考試手段，力爭使本考試成為設(shè)計先進、技術(shù)先進、較具權(quán)威的現(xiàn)代化專業(yè)英語考試。注意為今后考試技術(shù)的發(fā)展奠定良好的基礎(chǔ)。4．METS（醫(yī)藥類）考試成績的使用以及適用范圍METS（醫(yī)藥類）考試是綜合考慮用人單位的崗位需求和不同教育層次的實際情況設(shè)計開發(fā)的。METS（醫(yī)藥類）的考試級別設(shè)置為一級、二級、三級、四級；一級是初始級，四級是最高級?？己藢ο筮m用于臨床醫(yī)學(xué)、預(yù)防醫(yī)學(xué)、口腔醫(yī)學(xué)、中醫(yī)、藥學(xué)、助產(chǎn)、檢驗、康復(fù)等專業(yè)不同層次的在校和在職考生。METS（醫(yī)藥類）是社會評價類證書考試，考生不受年齡、學(xué)歷、專業(yè)和所在地區(qū)等方面的限制。為保證考試評價尺度的統(tǒng)一性，METS考試辦公室對考試成績擁有解釋權(quán)?？荚嚦煽冇行诘恼J(rèn)定和使用權(quán)由考生所在學(xué)校和相關(guān)用人單位自行決定。證書的簽章單位為教育部考試中心中英教育測量交流中心、中華醫(yī)學(xué)會、中國國際人才交流協(xié)會。5.METS（醫(yī)藥類）考試的組織實施METS（醫(yī)藥類）考試由METS考試辦公室組織實施，每年舉辦兩次。考試時間分別為每年6月和12月的第一個星期六，如與國家法定節(jié)假日沖突，METS考試辦公室會另行通知。2012年6月已進行了醫(yī)藥類第二級別的試考。若需獲取更多考試信息，請登錄METS考試官方網(wǎng)站：。二、METS(醫(yī)藥類)第一級考試級別與內(nèi)容概述METS(醫(yī)藥類)考試第一級是METS(醫(yī)藥類)考試四個級別中的初始級。通過該級考試的考生，能基本理解較為簡單的、初級的臨床醫(yī)藥類英語材料；能就常見的臨床醫(yī)藥類話題，如詢問病史、解釋診斷、安慰患者、討論癥狀、說明用藥等用英語進行簡單的交流；了解基本的英語語法知識，掌握2500左右英語單詞及相關(guān)詞組（其中醫(yī)藥類專業(yè)詞匯約950個）；其英語水平能滿足臨床醫(yī)藥類初級崗位對英語的基本要求。1.METS（醫(yī)藥類）第一級考試的語言能力描述1）聽力聽力部分檢測考生理解、分析口頭信息的能力，尤其是辨識重要或特定信息的能力。考生應(yīng)能基本聽懂較為簡單的臨床醫(yī)藥類談話內(nèi)容，能掌握中心大意，抓住要點。聽力部分的語速為每分鐘80詞左右。聽力測試技能包括：（1）理解所聽材料的內(nèi)容大意；（2）把握其中要點和細(xì)節(jié)；（3）正確判斷說話人的目的與態(tài)度；（4）正確推斷說話的背景、說話者之間的關(guān)系。2）閱讀閱讀部分測試考生獲取書面信息的能力，要求考生運用所學(xué)詞匯和語法知識基本讀懂較為淺顯的臨床醫(yī)藥類文章，能夠理解主要事實和相關(guān)細(xì)節(jié)，能夠在閱讀中使用有效的閱讀方法。閱讀測試技能包括：（1）理解語篇的基本含義；（2）辨識文中具體細(xì)節(jié)；（3）根據(jù)上下文推測生詞的詞義；（4）了解作者的目的、態(tài)度和觀點等。3）翻譯（英譯漢）翻譯是檢測考生語言運用能力的重要手段。要求考生在讀懂原文的基礎(chǔ)上，用地道的漢語忠實地表達原文。翻譯測試技能包括：（1）透徹理解英語原文的含義；（2）了解漢英兩種語言在語言風(fēng)格、句子結(jié)構(gòu)和用詞等方面的異同；（3）掌握被動語態(tài)、各種從句、with結(jié)構(gòu)等的譯法；（4）譯文應(yīng)忠實于原文，防止誤譯、漏譯或多譯；（5）譯文應(yīng)防止“洋化”等不符合漢語習(xí)慣的現(xiàn)象。4)寫作寫作部分測試考生用英語進行書面表達的能力。要求考生完成初級寫作任務(wù)，即在25分鐘內(nèi)完成80詞左右的臨床醫(yī)藥類應(yīng)用短文，或以某一話題為內(nèi)容的議論文、敘述文等；語義基本完整、連貫，用詞基本恰當(dāng)，無重大語法錯誤；能掌握基本的寫作規(guī)范。寫作測試技能包括：能夠清晰、準(zhǔn)確地表達思想；邏輯順暢，結(jié)構(gòu)分明；用詞基本準(zhǔn)確，無重大語法錯誤；能正確使用標(biāo)點符號；（5）能遵循合適的英語寫作規(guī)范。METS（醫(yī)藥類）第一級考試的話題范圍及交際任務(wù)描述下面列出的話題范圍及交際任務(wù)適合METS（醫(yī)藥類）各級別考試，但各級別考試對語言交際的要求不同，因而試題難度有所不同。Greetingandreassuringpatients問候并安撫患者Askingaboutpatients’personaldetails(name,age,occupation,pastmedicalhistory,etc)詢問患者個人信息（姓名、年齡、職業(yè)、病史等）Askingapatientaboutsymptoms問詢患者癥狀A(yù)skingaboutacasehistory了解患者病史Understandingcomplaints(theintensityofpain,etc.)理解主訴（如疼痛的程度等）Describingpatientobservations(bloodpressure,pulse,respiration,etc.)描述患者生命體征（如血壓、脈搏、呼吸等）Describingsymptomsofcommondiseases描述常見疾病的癥狀Makingmedicalrecords填寫臨床診斷病歷Givingadvicetopatients指導(dǎo)患者就醫(yī)Takingaphysicalexamination檢查身體GivinginstructionsforCPR,etc.下達做心肺復(fù)蘇等的指令Explainingadiagnosistoapatient向患者解釋診斷結(jié)果Discussingsymptomsandtestsfordiagnosis與患者討論癥狀與檢驗報告Explainingpathologytestsandtheirresults解釋病理檢驗及其結(jié)果Explainingtoapatientadiagnosis,aplanoftreatment,andfurthertests向患者說明診斷結(jié)論、治療方案以及進一步化驗項目Explainingmedicalterminologytoapatient向患者解釋醫(yī)療術(shù)語Givinginstructionstoapatientduringaphysicalexaminationorbeforeandafteranoperation在患者體檢時或手術(shù)前后給予指導(dǎo)Describingpatients’feelings描述患者的感受Encouragingpatientstoexpresstheirfearsandconcerns鼓勵患者說出內(nèi)心的恐懼與憂慮Reassuringapatientforsurgery打消患者手術(shù)前的顧慮Explainingdruginteractions解釋藥物的相互作用Describingbenefitsandsideeffectsofmedication說明藥品的療效與副作用Givinginstructionsformedication指導(dǎo)患者用藥Describingcommonmedicalcharts(painassessmentchart,etc.)描述常見醫(yī)療圖表（如疼痛評估表等）Interpretingcommonmedicalimages(ultrasonography,ECG,etc.)解釋常見的醫(yī)療影像（如B超、心電圖等）Holdingconsultationofdoctors組織醫(yī)生會診Describingbenefitsandsideeffectsofaplanoftreatment說明治療方案的療效與副作用Describingalternativetreatments描述不同的治療方案Negotiatingaplanoftreatment協(xié)商治療方案Usingmedicaleuphemism使用醫(yī)學(xué)委婉用語Deliveringbadnewsinasensitiveway得體地傳遞噩耗Completingareportaboutapatient’sdeath完成病人死亡報告Usingcommonmedicalabbreviations使用常見的醫(yī)學(xué)縮略語Managingemergencycases處理急癥病例Offeringhealtheducationtopatients對患者進行健康教育Givingcasepresentationsandhavingcasediscussions說明病情并參與討論Havingdiscussionsinawardround進行查房討論Givingpresentationsandhavingdiscussionsinaconference在會議上發(fā)言并參與討論三、METS(醫(yī)藥類)第一級考試結(jié)構(gòu)與樣卷1.METS（醫(yī)藥類）第一級考試結(jié)構(gòu)METS（醫(yī)藥類）第一級考試（筆試）由四部分構(gòu)成：Ⅰ.聽力、Ⅱ.閱讀、Ⅲ.翻譯、Ⅳ.寫作?？荚嚂r間為120分鐘，滿分為100分。其中，聽力部分有4項任務(wù)，20道試題，原始賦分每題1分，共20分；閱讀部分有6項任務(wù)，40道試題，原始賦分每題1分，共40分；翻譯部分有5道試題，原始賦分每題1分，共5分；寫作部分原始賦分為15分。整份試卷原始賦分為80分。METS（醫(yī)藥類）第一級考試（筆試）采用分?jǐn)?shù)加權(quán)的辦法，對各部分題目的原始分?jǐn)?shù)分別給予不同的權(quán)重。其中聽力部分20題占滿分100分權(quán)重的30%，閱讀部分40題占50%，翻譯部分5題占5%，寫作部分占15%。經(jīng)加權(quán)處理，考試成績60分以上為合格。合格者將獲得《醫(yī)護英語水平考試（醫(yī)藥類）合格證書（一級）》。凡參加METS（醫(yī)藥類）第一級考試者均能得到有關(guān)的成績通知書。 METS（醫(yī)藥類）第一級考試試卷結(jié)構(gòu)如下表所示：測試任務(wù)類型*為考生提供的信息Ⅰ.聽力Part1聽句選答單句553020Part2聽后判斷短對話55Part3多項選擇獨白55Part4填寫表格長對話55Ⅱ.閱讀Part1標(biāo)題選擇段落與標(biāo)題555065Part2單句插入段落與單句55Part3補全閱讀長對話、短文與單句55Part4多項選擇單句77Part5信息判斷短文88Part6完形填空短文1010Ⅲ.翻譯英譯漢單句55510Ⅳ.寫作短文寫作表格、話題等1151525Ⅰ.聽力（Listening）聽力測試由聽句選答、聽后判斷、多項選擇和填寫表格等四部分組成。主要測試考生理解難度較低的口頭信息的能力。測試時間為20分鐘，測試內(nèi)容為基礎(chǔ)的臨床醫(yī)藥類聽力材料，包括臨床醫(yī)藥類基本常識、常見疾病診治和用藥、醫(yī)學(xué)科普知識、醫(yī)療文化等?，F(xiàn)將聽力測試的四個部分說明如下：Part1聽句選答（5題）本部分測試考生對單句或單個問題的理解能力，要求考生根據(jù)聽到的5個簡單的句子或問題選出與該句或該問題最適合的答語。每句錄音播放兩遍。每題之間有5秒鐘的間隔時間供考生答題。Part2聽后判斷（5題）本部分測試考生對簡單對話的理解能力，要求考生根據(jù)聽到的5個簡短對話和與對話相關(guān)的5個句子，辨識重要或特定的信息，并針對聽到的句子作出“正確”或“錯誤”的判斷。每段錄音播放兩遍，對話之間有5秒鐘的間隔時間供考生答題。Part3多項選擇（5題）本部分考查考生理解較為簡單的整篇材料的能力。要求考生根據(jù)聽到的1段獨白，掌握重要或特定的細(xì)節(jié)內(nèi)容，并從給出的3個選項中選擇一個最佳答案。這段錄音持續(xù)約一分半鐘，錄音播放兩遍。Part4填寫表格（5題）本部分檢測考生理解較低難度的長對話的能力，要求考生根據(jù)聽到的1篇長對話，辨識較為簡單的事實性信息，并正確填寫表格。這段錄音持續(xù)約2分鐘，錄音播放兩遍。Ⅱ.閱讀(Reading)閱讀由標(biāo)題選擇、單句插入、補全閱讀、多項選擇、信息判斷、完形填空等6個部分組成，主要測試考生理解書面信息的能力。測試時間為65分鐘，測試內(nèi)容為基礎(chǔ)的臨床醫(yī)藥類閱讀材料，包括臨床醫(yī)藥類基本常識、常見疾病診治和用藥、醫(yī)學(xué)科普知識、醫(yī)療文化等?，F(xiàn)將閱讀測試的6個部分說明如下：Part1標(biāo)題選擇（5題）本部分考查考生理解段落大意的能力。本題通常選擇有6個段落的文章，將其中5段編號（首段通常不編號）；同時給出6個句子或標(biāo)題，這些句子或標(biāo)題分別是對文章某段的概括，要求考生根據(jù)文章內(nèi)容，從這6個選項中選出最恰當(dāng)?shù)?個選項填入編號的空格處。Part2單句插入（5題）本部分考查考生理解文章上下文邏輯關(guān)系的能力。本題給出5篇小短文，每篇短文中有三處分別標(biāo)有(A)、(B)、(C)；同時給出一句話（斜體），要求考生將這句話插入文中(A)、(B)、(C)中合適的一處。Part3補全閱讀（5題）這部分考查考生理解簡單的臨床醫(yī)藥類短文或會話文本的能力，通常要求考生在通讀全文的基礎(chǔ)上，根據(jù)上下文從7個選項中選出最佳答案。Part4多項選擇（7題）本部分考查考生理解常見醫(yī)療操作流程的能力。試題要求考生閱讀有關(guān)某種醫(yī)療操作流程的7個步驟，即給出7個前后連貫的句子，并從每句所給的3個選項中選出最佳答案。Part5信息判斷（8題）本部分檢測考生理解較低難度的臨床醫(yī)藥類短文、獲取重要信息的能力。試題要求考生在通讀全文的基礎(chǔ)上，對給出的8個句子作出判斷，或選擇ARight，或選擇BWrong；如文中沒有足夠的信息證明句子“正確”或“錯誤”，則選擇CDoesn'tSay（未提及）。Part6完形填空（10題）本部分考查考生理解與運用語言的綜合能力，著重考查考生的詞匯和語法知識。試題要求考生閱讀一篇130詞左右的短文（刪去其中10個詞），并根據(jù)上下文從每題的3個選項中選出最佳答案。Ⅲ.翻譯（Translation）本部分共5題，主要考查考生理解、翻譯英文句子的能力。要求考生將5句英文句子(均選自閱讀篇章)譯成漢語；漢譯應(yīng)忠實于原文，用詞恰當(dāng)，語義流暢。本部分測試時間為10分鐘。Ⅳ.寫作（Writing）寫作部分測試考生綜合運用英語知識進行書面表達的能力，要求考生在25分鐘內(nèi)完成80詞左右的短文寫作，內(nèi)容主要為臨床醫(yī)藥類應(yīng)用文，如病例報告、病史描述、出院報告、醫(yī)療便條、圖表、短信等；或以某一話題為內(nèi)容的議論文、敘述文等。2.METS（醫(yī)藥類）第一級考試樣卷醫(yī)護英語水平考試(醫(yī)藥類)第一級樣卷MedicalEnglishTestSystem(METS)(ForMedicalProfessionals)Level1姓名：__________準(zhǔn)考證號：__________時間：120分鐘考生須知嚴(yán)格遵守考場規(guī)則，考生得到監(jiān)考人員指令后方可開始答題。答題前考生須將自己的姓名和準(zhǔn)考證號寫在試卷和答題卡上。答客觀題時，一律用2B鉛筆，按照答題卡上的要求答題。如要改動答案，必須用橡皮擦干凈。答寫作題時，必須用黑色簽字筆在答題卡上答題。注意字跡清楚，保持卷面整潔?？荚嚱Y(jié)束時將試卷和答題卡放在桌上，不得帶走。待監(jiān)考人員收畢試卷并清點后，考生方可離場。==================================================※未經(jīng)批準(zhǔn)，本試卷任何單位或個人不得保留、復(fù)制和出版，違者必究。醫(yī)護英語水平考試辦公室ⅠListeningPart1Questions1–5Youwillhearfivequestionsorstatements.ForeachquestionorstatementchoosethebestresponsebytickingA,B,orC.Youwillheareachquestionorstatementtwice.Example:√0A I’√B ButIdon’tfeelcold.C Youthinkit’sbadlycold?A DoIneedtorunveryfast?B Ok,Iwon’teatordrinkanything.C That’sreallyterrible.A Isee.Letmelookatyourthroat.B What’stroublingyou?C Areyoufeelingallright?A Yes.Ihavevomitedthreetimes.B No.Ididn’teatanything.C Yes.Ihaveachedsincelastsupper.A Ofcoursenot,goahead.B Ok,seeyouthen.Thankyou.C ItseemsthatIhavepainallover.A Yes,mymotherisadiabetic.B Yes,myfatherdiedofheartattack,andsodidmyuncle.C Yes,mybrotherandsisterarebothhealthy.

Part2Questions6–10Youwillhearfiveshortconversations.Eachconversationisfollowedbyastatement.Arethestatements“Right”(A)or“Wrong”(B)?Forquestions6-10,tick(√)AorB.Youwillheareachconversationandstatementtwice.Example:√0A.Right B.Wrong√6ARight□ BWrong7ARight□ BWrong□8ARight□ BWrong9ARight□ BWrong□10ARight□ BWrong□

Part3Questions11–15Listentoadetailedcasehistory.Forquestions11-15,tick(√)A,BorC.Youwillhearthetalktwice.Example:0 Sharonisa A 7-year-oldgirl.√B 17-year-oldgirl.√C 20-year-oldgirl.Sharon’sfatherwas A violent.B warm-hearted. C kind.Sharonfoundajobasa A worker.B washer.C cleaner.Sharondidnotrealizeshewas A fat.B pregnant.C ill.Sharon’sbloodpressurewas A verylow.B alittlehigh.C veryhigh.Thebabywaslackof A nutrition.B oxygen.C heartbeat.

Part4Questions16–20Youwillhearadialoguebetweentwodoctors.Listenandcompletequestions16-20.Youwillhearthedialoguetwice.Example:(0)dischargeMedicalRecordsDate:09-01-2012Patient’sname:AlanJamesonOccupation:workerChiefcomplaint:(16)……………inhisrightlegandbackabout(17)……………weeksagoandmoreandmoresevereoverthepastcoupleofweeks.Progressionofthepain:Atfirst,hethoughthe’djustpulleda(18)……………Thenit’sgotsobadthathehasn’tbeenabletoworkproperlyandthepainiswakinghimupatnight.It’sbeensoseverethathehasalsonoticedsomepaininhisrightfoot,weight(19)……………anddepression.Examination:painand(20)……………inhistoesontherightfoot.

ⅡReadingPart1Questions1–5Readthefollowingtextandthelistofheadings.ChooseaheadingfromthelistA-Fthatbestfitsthemeaningofeachnumberedparagraphofthetext(1-5).Thefirstparagraphisnotnumbered.MarkthecorrectletterA-Fonyouranswersheet.Example:Improvetheresultsofthemedicalexperiment.Answer:AAntibioticscannotkillallkindsofbacteria.BTopicalantibioticsareavailableover-the-counterintheUnitedStates.CAntibioticscanbeusedtotreatbacterialinfections,butnotviralinfections.DTheuseofantibioticsmayleadtoserioussideeffects.EOralantibioticsareavailableover-the-counterinsomecountries.FTheuseofantibioticsmayleadtobacteriaresistance. Althoughtopicalantibioticscanbepurchasedwithoutaprescription,noover-the-counterantibioticsforinternaluseareallowedintheUnitedStates.Theprimaryreasonforrestrictionsonover-the-counterantibioticsisthepreventionofantibioticoveruseandmisuse,tolimitunnecessarysideeffects,andtoslowtheemergenceofantibioticresistanceinbacteria.1_____ Antibioticsareonlyusefulintreatingbacterialinfections,suchasstrepthroat(鏈球菌性喉炎)ortuberculosis.Theyareofnouseindealingwithviralinfections,suchascoldsandinfluenza.Consumers,however,donotalwaysunderstandthedifferencebetweenvirusesandbacteria,andoftenseektopurchaseanduseantibioticswhentheyaresufferingfromviralinfections.2_____ Allofthesedrugsworkbyattackingandkillingorweakeningbacteria,butthisprocessisneverperfect,andnotallbacteriaexposedtoanantibioticwilldie.Usually,theimmunesystemofapatientbeingtreatedwithanantibioticwillbeabletofinishthejob,andnobacteriawithresistancetotheantibioticbeingusedwillsurvive.3_____ Eachtimeanantibioticisused,however,thereissomechancethatbacteriawithresistancetothatdrugwillsurvive.Thesebacteriacanthenpassontheirimmunitytotheiroffspring,andeventually,theentirebacterialpopulationwillbeeitherresistantorimmunetoantibioticsthatwereonceeffectiveagainstit.Over-the-counterantibioticsarerestrictedintheUnitedStatesinordertominimizetherateatwhichbacteriacandevelopantibioticresistance.4_____ Serioussideeffectscanalsooccurwithantibioticuse.Sinceantibioticsare,inessence,toxins,theydodamagedirectlytothehumanbodywhiletheyarefightingbacterialinfection.Antibioticsareformulatedsothattheywilldoenoughdamagetobacteriatoremoveaninfectionbutwillnotgenerallypermanentlyharmahuman,buttherearestillrisksassociatedwithantibioticuse.5_____ Topicalantibioticsareanexceptiontothegeneralbanonover-the-counterantibioticsintheUnitedStates.Sincetheyactmostlyoutsideofthebody,theseantibioticscanbemuchstrongerthanthosetakeninternally,andsideeffectsarelessofanissue.Thesetopicalover-the-counterantibioticsshouldneverbetakeninternally.

Part2Questions6–10●Thereare5shortparagraphsbelow.●Foreachparagraphputtheitalicizedsentenceintooneofthethreepositionsmarked(A),(B),and(C).●Markthecorrectletteronyouranswersheet.Example:0(C)TheRedCrossisaninternationalorganization.6Theskinisthelargestorganofthebody.(A)Itisthefirstbarriertotheoutside.(B)Theskinkeepsoutmanyharmfulbacteriaandotherthings.Ofcourse,italsokeepsinallthethingsweneedinsideourbodies.(C)7Thishelpstotrapheatinsidethebody.Theskinhelpscontrolbodytemperature.(A)Glandsontheskinreleasefluidtocoolthebodywhenitgetstoohot.(B)Whenapersongetstoocold,bloodvesselsintheskinnarrow.(C)8Almostanyteenagercantellyouthemostcommondisorder:acne.(A)Yet,likeotherorgansofthebody,theskincanhaveproblems.(B)Acneisconnectedtohormonesandhowtheyaffecttheoilglandsoftheskin.(C)9Yetresearcherstellusnoneofthesecauseacne.Somepeoplethinkeatingchocolateoroilyfoodscausesacne.(A)Othersblamedirtyskinornervoustension.(B)Evendoctorsarenotsurewhatcausesacne,buttheybelieveandrogensplayapartinthedevelopmentofacne.(C)Androgensincreasewhenboysandgirlsentertheirteenageyears.10Mildcasesaregenerallytreatedwithmedicinesforusedirectlyontheskin.(A)Thereareseveraltreatmentsforacne.(B)Peoplewithmoreseriousacnemaybegivenantibioticstotakebymouth.Ortheymightuseacombinationofpillsandcreams.(C)Skinexpertssaytherearesimplewaystohelppreventacneoutbreaks.Oneistotouchyourskinaslittleaspossible;theotheristoavoidtheurgetoburstpimples(丘疹).

Part3Questions11–15●Completetheconversationbetweenthedoctorandthepatient.●MarkthecorrectletterA–Gonyouranswersheet.Example:Doctor:0Heisgoingtoreceiveanoperation.Doctor:Goodmorning,Mr.Green.What’sbroughtyouheretoday?Patient:Well,yousee,doctor.I’vebeenhavingheadaches,yousee,and…Doctor:11……………Patient:Er,well,theystartedabout,well,itmusthavebeenaboutthreemonthsago.Doctor:12……………Patient:Well,it’srightacrossthefronthere.Doctor:Canyoudescribethepain?Patient:13……………Doctor:Isee,anddotheycomeonatanyparticulartime?Patient:14……………Doctor:Isthereanythingthatmakesthembetter?Patient:Well,ifIliedownforawhile,theyseemtogoaway.Doctor:Yes,andhastherebeenanythingelseapartfromtheseheadaches?Patient:15……………Doctor:Oh?Well,Mr.Green,IthinkatthisstageI’dliketoexamineyou.AIt’sasortofdull,andthrobbingkindofpain.BAha,andhowlonghavetheybeenbotheringyou?CWell,mywifesaysthatIseemtobegettingabitdeaf.DDoesanybodyelseinyourfamilyhavethistypeofheadache?EIsee.Andwhichpartofyourheadisaffected?FTheyseemtobe;theyareusuallyworseinthemorning.GWell,I’mapostmanandIworkforthepostoffice.

Part4Questions16–22●Readthefollowingproceduresforbloodglucosetestingathome.●Forquestions16–22,choosetheanswer(A,BorC)whichyouthinkfitsbestaccordingtothetext.●Markyouranswerontheanswersheet.Example:0Makesurethatthepatientisinaright__________.Answer:Aposition Bway CmannerAnswer:Checkthe_________dateofyourteststrip.A inspiration B expiration C admissionIftheteststripsareoutof_________,openanewpackage.A reach B question C dateMake_________thatthecodeonyourstripsmatchesthatshowinginyourmeter.A sure B ensure C surelyWashyourhandswithwarmwaterandsoap,orcleantheareayouwilldrawblood_________withacottonballandalcohol.A since B through C fromTakeateststripfromits_________andimmediatelysealit.A bundle B bag C packageStickthesideofyourfinger,forearmorpalm_________thelancet（刺血針）,accordingtothemanufacturer'sinstructions.A with B to C afterPlacethe_________ofbloodontheteststripaccordingtothemanufacturer'sinstructions.A bottle Bdrop C piece

Part5Questions23–30●Readthefollowingpassage.●Aresentences23–30“Right”or“Wrong”?Ifthereisnotenoughinformationtoanswer“Right”or“Wrong”,choose“Doesn’tSay”.●Foreachsentence23–30,markoneletterA–Conyouranswersheet.Example0 Theallergiesshouldbetreatedimmediately.A Right B Wrong C Doesn’tSayAnswer: IntheUnitedStates,expertsestimatethatuptofourpercentofadultsanduptoeightpercentofyoungchildrenhavefoodallergies.Everyyeartheseallergiescauseaboutthirtythousandcasesofanaphylaxis（過敏反應(yīng)）,aseverereactionthatrequiresimmediatetreatment. Itcanresultintroublebreathingandinsomecasesdeath.TheNationalInstituteofAllergyandInfectiousDiseasessaysonehundredtotwohundredpeopledie.Itsaysmostofthereactionsarecausedbypeanutsandtreenutssuchaswalnuts. Peoplecanalsobeallergictomedicines.TheAmericanAcademyofAllergy,AsthmaandImmunologysaysaboutfivetotenpercentofbadreactionstocommonly-usedmedicinesareallergic.Inotherwords,aperson’simmunesystemoverreactsandproducesanallergicreaction. ButtheAcademyestimatesthatallergicreactionstodrugscauseonehundredsixthousanddeathseachyearintheUnitedStatesalone.Itsaysantibioticssuchaspenicillinareamongthedrugsmorelikelythanotherstoproduceallergicreactions.Soaresomevaccinesandhormonessuchasinsulin. 23Itisestimatedthatupto12%Americansareallergictoacertainkindoffood.A Right B Wrong C Doesn’tSay24Anaphylaxisisaseverereactionthatrequiresimmediatetreatment.A Right B Wrong C Doesn’tSay25Allergiesmayinterferewiththefunctionofthepatient’srespiratorysystem.A Right B Wrong C Doesn’tSay26Allfoodallergiesarecausedbyvariousnuts.A Right B Wrong CDoesn’tSay27Seafoodisthemostcommoncauseoffoodallergies.A Right B Wrong C Doesn’tSay28Peoplecanbeallergictosomecommonly-usedmedicinesA Right B Wrong C Doesn’tSay29IntheA Right B Wrong C Doesn’tSay30Antibioticsaremorelikelytoproduceallergicreactionsthanotherdrugs.A Right B Wrong C Doesn’tSay

Part6Questions31–40Readthefollowingpassage.ChoosethebestwordmarkedA,BorCforeachspace.Foreachspace31–40,markoneletterA–Conyouranswersheet.Example0 Alive B living C aliveAnswer:Painisanunpleasantfeelingofbeinghurt.Itisassociated(31)……………abodilyinjuryordisorder.Painisoneofman’s(32)……………enemies.Howeverapersonwhofeelsnopainmightbeindangerbecauseofaninfectionhedidn’tfindouttobe(33)……………toseeadoctor.People(34)……………ofpainafteranexperiencethataffectsoneoftheirsenses.Nervescarrypainimpulsestothebrain.Thereisnoonenervethatrecordsallpainand(35)……………ittothebrain.Somethingthatoccursinthebraindetermines(36)……………painisfelt.Intensityofpain(37)……………indifferentpersons.Sometimes,toeliminateorreduceseverepain,asurgeonmaydestroypartsofapatient’sbrainorspinalcord.Thepatientmaythendo(38)……………h(huán)ecoulddobeforethesurgery,buthewillfeelnopain.(39)……………,doctorstodayhaveover1,000differentpainkillersattheir(40)…………….inthebattleagainstpain.A with B by C throughA elder B older C oldestA ontime B intime C attimesA complain B describe C sayA transplants B transmits C transportsA what B which C whetherA changes B varies C altersA what B when C whereA Therefore B Besides C ConsequentlyAdisposalBcostCwill

ⅢTranslationQuestions1–5Translatethefollowing5sentences(extractedfromthereadingpassages)intoChinese.Writeyourversionsonyouranswersheet.1Eachtimeanantibioticisused,however,thereissomechancethatbacteriawithresistancetothatdrugwillsurvive.(Paragraph4,Part1)2Theskinkeepsoutmanyharmfulbacteriaandotherthings.Ofcourse,italsokeepsinallthethingsweneedinsideourbodies.(Paragraph1,Part2)3IntheUnitedStates,expertsestimatethatuptofourpercentofadultsanduptoeightpercentofyoungchildrenhavefoodallergies.(Paragraph4Themostcommonreactionsincludeskinrashes,itching,breathingproblemsandswellinginareassuchastheface.(Paragraph3,Part5)5Sometimes,toeliminateorreduceseverepain,asurgeonmaydestroypartsofapatient’sbrainorspinalcord.(Paragraph3,Part6)

ⅣWritingQuestion46Readthebriefpatientrecordbelow.Writeasummaryaboutthepatientonyouranswersheet.Youshouldwriteabout80words.SurnameSmithFirstnameMaryDOB20/03/60OccupationEngineerMaritalStatusDivorcedPersonalhistoryNosmokingordrinkingPasthistoryNoneChiefcomplaintPainlessmassintheleftbreastO/E1.0-cm,firm,nontendermassintheupperouterquadrantBiopsyrevealedascirrhouscarcinoma（硬癌）;notumorinthemarginsandnosentinelnode（前哨淋巴結(jié)）involvement.

3.METS（醫(yī)藥類）第一級考試答題卡4.METS（醫(yī)藥類）第一級考試樣卷聽力錄音文本ThisisMETS1ListeningTest.Therearefourpartstothetest.PartOne,Two,Three,andFour.Youwillheareachparttwice.Wewillnowstopforamomentbeforewestartthetest.Pleaseaskanyquestionsnowbecauseyoumustnotspeakduringthetest.Pause(10seconds)Now,lookattheinstructionsforPartOne.Pause(5seconds)Youwillhearfivesimplequestionsorstatements.ForeachquestionorstatementchoosethebestresponsebytickingA,B,orC.Youwillheareachquestionorstatementtwice.Hereisanexample.I'vegotabadcold.Pause(5seconds)ThebestresponseisA,sotickAinthebox.Nowwearereadytostart.Pause(5seconds)1Youarerequiredtofastaftermidnightfortheoperationthismorning.Pause(5seconds)RepeatPause(5seconds)2Well,I’vehadabadsorethroatforalmostaweek.Pause(5seconds)RepeatPause(5seconds)3Doyoufeelpainaftermeals?Pause(5seconds)RepeatPause(5seconds)4Ithinkyouneedsomeexaminationsfirst.DoyoumindifIexamineyoubriefly?Pause(5seconds)RepeatPause(5seconds)5Isthereanyhistoryofheartproblemsinyourfamily?Pause(5seconds)RepeatPause(5seconds)ThisistheendofPartOne.Pause(5seconds)NowlookatPartTwo.Pause(5seconds)Youwillhearfiveshortconversations.Eachconversationisfollowedbyastatement.Arethestatements“Right”(A)or“Wrong”(B)?Forquestions6-10,tick(√)AorB.Youwillheareachconversationandstatementtwice.Hereisanexample.Man:AreyougoingtoseeDr.Smiththisafternoon?Woman:NotuntilFridaymorning.Statement:ThewomanwillgotoseeDr.SmithFridaymorning.Pause(5seconds)TheanswerisRight,sotickAinthebox.Nowwearereadytostart.Pause(5seconds)Conversation1Man:Haveyoufoundanythingwrongwithmystomach?Woman:Thetestresultshaven’tcomeback.I’llletyouknowtomorrow.Statement:Thetestresultsarenotimportant.Pause(5seconds)RepeatPause(5seconds)Conversation2Man:Shirley,what’swrongwithyourrighteye?Didyouhurtyourself?Woman:Nothingserious.Butifithadn’tbeenfortheseatbelt,Iwouldreallyhavebeenbadlyhurt.Statement:TheseatbeltsavedShirley.Pause(5seconds)RepeatPause(5seconds)Conversation3Man:Wouldyoupleasegetmytestresultformeonyourwaytoschool?Woman:IwouldifIweregoing,butIhavetoworktoday.Statement:Thewomanwillhelpgettheman’sresultonherwaytowork.Pause(5seconds)RepeatPause(5seconds)Conversation4Man:ThedoctorsaidifIkeptsmoking,itwouldincreasemychancesofhavingaheartattack.Woman:Didhesuggestyoulosingsomeweighttoo?Statement:Thewomanthinksthatthemanisoverweight.Pause(5seconds)RepeatPause(5seconds)Conversation5Man:Mrs.Smith,haveyou,yourhusband,oranymembersofyourfamilysufferedfromanyformofmentalillness?Woman:No,butmyfather’sfamilyhasahistoryofheartproblems.Statement:Thereisafamilyhistoryofmentalillnessinherfather’sfamily.Pause(5seconds)RepeatPause(5seconds)ThisistheendofPartTwo.Pause(5seconds)NowlookatPartThree.Pause(5seconds)Listentoadetailedcasehistory.Forquestions11-15,tick(√)A,BorC.Youwillhearthetalktwice.Pause(5seconds) Sharonwasa17-year-oldgirlwhoranawayfromhomebecauseherfatherwasviolent.Shefoundaroominacold,dampapartmentandgotajobasacleaner.Shesmoked30cigarettesadayandateapoordiet.Shehadaboyfriendbutshedi