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The First Examination Lecture 8 of the Course “Medical English”

The First Examination Lecture 8 of the Course “Medical English” for Sophomore Medical Students of Taipei Medical University School of Medicine Taipei Medical University. Winston W. Shen, M.D. Professor and Chairman Department of Psychiatry

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The First Examination Lecture 8 of the Course “Medical English”

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  1. The First Examination Lecture 8 of the Course “Medical English” for Sophomore Medical Students of Taipei Medical University School of Medicine Taipei Medical University Winston W. Shen, M.D. Professor and Chairman Department of Psychiatry Taipei Medical University College of Medicine and Chief, Department of Psychiatry TMU-Wan Fang Medical Center Taipei, TAIWAN E-mail address: Shenwinw@gmail.com

  2. The Schedule for the Course “Medical English” (Version of 3/29/07) • Week 1 (March 1) The Digestive System • Week 2 (March 8) The Respiratory System • Week 3 (March 15) The Cardiovascular System • Week 4 (March 22) The Musculoskeletal System (Turning in a 400-word essay on “My Visit to the Clinic (Hospital)” (in double-line space hard copy) • Week 5 (March 29) The Central Nervous System • Week 6 (April 5) No class (Spring break) • Week 7 (April 12) Urinary and Reproductive Systems • Week 8 (April 19) The First Examination • Week 9 (April 26) Medical Records (Turning in a 400-word essay on “My Favorite Book” (in double-line space hard copy) • Week 10 (May 3) Scientific Papers • Week 11 (May 10) Hematology • Week 12 (May 17) Infectious Diseases • Week 13 (May 24) The Second Examination • Week 14 (May 31) Endocrinology (Turning in a 400-word essay on “How to Be a Good Physician” (in double line space hard copy) • Week 15 (June 7) Immunology • Week 16 (June 14) Oncology • Week 17 (June 21) No Class • Week 18 (June 28) Final (The Third) Examination

  3. 95學年度第二學期醫學系二年級必修課 • 課程：「醫用英文」 主授老師: 沈武典教授 • 第一次考試題目April 19, 2007 (第8週) • My Name: _________________ (in Mandarin) • My TMU registration number ________________ • The First Examination for the Course, “Medical English” for • Sophomore (The Second Year) Medical Students at Taipei • Medical University April 19, 2007 • Course Director, Winston W. Shen, M.D., Professor of Psychiatry • Please check or circle (A), (B), (C), (D), or (E). Only one choice • is required for the best answer. A score of three per correct answer • will be given. The maximal points in Questions 1-30 is 90. • Totalbonus points of 10 are given to every student if he/she • completes Questions 31-37. But one point will be taken away if any • question (in Questions 31-34) is unanswered, and one point per • unfilled blank will be taken away (Questions 35 and 37). The maximal • total deductions in Questions 31-37 is 10 points.

  4. (A) (1) Anus is located at the end of the digestive tract. The meaning of the word “anus” in Latin is pertaining to the shape of _____________. (A) ring (B) triangle (C) circle (D) trapezoid (B) (2) Which of the following segments of the gastrointestinal (GI) tract does NOT belong to small intestine: (A) duodenum (B) appendix (C) ileum (D) jejunum (D) (3) Which of the following statements is an INCORRECT statement: (A) Colon is adjacent to sigmoid. (B) Colon is adjacent to cecum. (C) Colon is a punctuation mark “:” in English, to mark a major division in a sentence, to indicate that what follows is an elaboration, summation, implication, and so on of what precedes (D) There is a city named “Colon” in Spain to honor her heroic explorer, Christopher Columbus’ discovering America.

  5. (B) (4) Which of the following statements is an INCORRECT statement: (A) The plural form of the word “pancreas” is “pancreas”; (B) The plural form of the word “pons” is “pons’; (C) The plural form of the word “appendix” is “appendices”; (D) The plural form of the word “esophagus” is “esophagi.” (A) (5) The word “delicatessen” (also “deli”) entered English through German, but it is of French origin. At a delicatesssen, you can pick up __________. (A) sandwich, chicken salad and salami (B) torsade, croissant and cake (C) orange, apple and apricot (D) café au lait, expresso and black coffee (D) (6) Cerebrovascular accident (CVA) which is a consequence of arteriosclerosis, is caused by one of the following vascular problems EXCEPT: (A) thrombosis (B) hemorrhage (C) embolism (D) vasospasm

  6. (A) (7) The arrhythmias of the ventricular origin consist of the following cardiac abnormalities EXCEPT: (A) atrial flutter (B) torsades de pointes (C) right bundle branch block (D) left bundle branch block (D) (8) According to the legendary story, Achilles was the greatest Greek warrior in Trojan War and a hero of Homer's Iliad. He killed Hector. But he was killed when Paris wounded him in the heel, his vulnerable spot, with an arrow. Which, most likely, was his injured body part. (A) one of the metacarpal bones (B) one of the carpal bones (C) a tendon of hamstring muscles (D) a tendon of the calf muscles (B) (9) Which expression of the four following English sentences is grammatically correct. (A) My left ankle sprained in playing basketball last week. (B) My father had his inflamed appendix removed yesterday. (C) My sister had removed her uterus (womb) when she was 34 years old. (D) My mother was removed a 10-cm segment of her small intestine 10 years ago.

  7. (D) (10) In making the diagnosis of dementia, the physician should assess whether a patient with memory impairment has one of the following symptoms EXCEPT: (A) aphasia (B) apraxia (C) agnosia (D) ataxia. (B) (11) Rectus means “straight” in Latin. Rectus muscles have been named in ___________ EXCEPT: (A) the neck (B) lower legs (C) eyes (D) the abdomen

  8. (B) (12) “Esophagus” is a muscular tube that in adult humans is about 9 inches (23 cm) in length and 1 inch (2.5 cm) in diameter and passes from the pharynx down the neck between the trachea and the spinal column and behind the left bronchus where it pierces the diaphragm slightly to the left of the middle line and joins the cardiac end of the stomach. Etymologically, the word “esophagus” is the result of the “o” being dropped from the oe (or œ) in “oesophagus.” It derives from Greek; οiσω -oeso, future tense of the verbφερω, “will bring” or “will carry” and from the verb έφαγον, -phagus, past tense of τρώγω, “ate” or “to have eaten” The meaning of the whole word means “will carry what have eaten.” When pronounced, the accent of “esophagus” should be is stressed in which syllable. (A) the first syllable “e” (B) the second syllable “sof” (C) the third syllable “a” (D) the fourth syllable “gus” (B) (13) When turning (or rotating) the head to the left, we need to use the coordination of two (or more) muscles by ______________. (A) relaxing left Sternocleidomastoid muscle and contracting right Sternocleidomastoid muscle (B) contracting left Sternocleidomastoid muscle and relaxing right Sternocleidomastoid muscle. (C) contracting left Biceps Brachis muscle and relaxing right Biceps Brachis muscle. (D) relaxing left Biceps Brachis muscle and contracting right Biceps Brachis muscle.

  9. (D)(14) A patient’s X-ray film has the finding of a hairline fracture of the left radius bone. In the roentgenological report, the radiologist is likely to state that a faint radio-opaque linear density of five cm long is seen in the middle of radio-lucent density of the left radius bone. The hairline fracture belongs to a/an _____ fracture. (A) comminuted (B) compressed (C) impacted (D) incomplete (C) (15) A patient with major depressive disorder (MDD) has suffered from at least 5 of the 9 following symptoms and signs, for two weeks. They include depressive mood, lack of interest, changes of appetite, sleep disturbances, irritability or psychomotor retardation, lack of energy, feelings of guilt, poor concentration ability, and suicidal risk. To treat this MDD patient, a psychiatrist usually prescribes an antidepressant medication with the following drugs EXCEPT: (A) fluoxetine (Prozac) (B) duloxetine (Cymbalta) (C) haloperidol (Haldol) (D) meclobemide (Aurorix)

  10. (B) (16) A patient with epilepsy can have the following clinical symptoms or signs EXCEPT: (A) déjà vu as an aura (B) la belle indifférence (C) grand mal seisures (D) petit mal seizure (A) (17) The following CNS diseases usually have movement disorders (shakiness, rigidity, bradykinesia, chorea, and so forth) as symptoms EXCEPT: (A) Alzheimer’s disease (B) Tourette’s syndrome (C) Huntington’s disease (D) Parkinson’s disease (B) (18) The behavioral and psychological symptoms of dementia (BPSD) are commonly seen in patients with dementia. Which of the following symptoms is NOT considered as a symptom in BPSD. (A) agitation (B) psychomotor withrawal (C) aggression (D) psychotic symptoms (hallucinations and/or delusion)

  11. (B) (19) Which of the following physiological changes is NOT usually seen in a lady • who is sexually aroused (excited): • (A) Clitoris becomes erected. • (B) The nipples of the breasts become flaccid. • (C) Vagina increases in size. • (D) Uterus rises in position. • (D) (20) People can have an erection or tumenscence more easily if better relaxation • of the smooth muscles in corpora cavernosa of the penis or clitoris is achieved. • When a phosphodiesterase (PDE) type 5 inhibitor (e.g., Viagra, Cialis or • Levitra) is taken, the time the body takes to degrade ___________ (an enzyme) • is prolonged. Which of the following enzymes can be degraded by PDE type 5? • (A) adenosine triphosphatase (ATP) • (B) guanine triphosphatase (GTP) • (C) cyclic adenosine monophosphotase (cATP) • (D) cyclic adenosine monophosphotase (cGMP)

  12. (C) (21) _________ is a percussion instrument. • (A) Whistle • (B) Flute • (C) Cymbal • (D) Violin • (D) (22) What kind of subspecialty physician do you need to consult with if you have • suffered from a migraine for three months? • (A) neuroscientist • (B) psychiatrist • (C) neurosurgeon • (D) neurologist • (C) (23) The word __________ does NOT have a Latin prefix “de,” meaning to negate • or to take away. • (A) “degrade” • (B) “design” • (C) “debris” • (D) “decrease”

  13. (A) (24)Which of the following statements is an INCORRECT expression: (A) A gynecologist does a “digital examination” to palpate if the patient has any rough surfaces on the cervix. (B) A gastroenterologist does a “digital examination” to palpate if the patient has any palpable mass inside the rectum. (C) The major component of “digitalis” is the extract of foxglove leaves which are shaped like fingers. Digitalis is a medication which is commonly used to improve the contractile ability of the cardiac muscles. (D) “Intestinum duodenum digitorum” is the first segment of small intestine. In Latin, it means that this segment of intestine is 12 fingerbreadths long counting from pyloric border of the stomach. (B) (25) The term clitoris, is coined from Greek kleitoris, a diminutive, but the exact sense is uncertain. In Greek, kleiein means “to sheathe,” “to shut,” or “to be covered.” Which specific female genitalia is (are) covering the clitoris. (A) labia majora (B) labia minora (C) Bartholin’s glands (D) vagina

  14. (B) (26) In Yemen, people have the habit of chewing the green leaves of Khat. The • chewers get a mild euphoric feeling from Khat. The term “euphoric feeing” • means feeling _____________________ ? • (A) awful and nauseated • (B) good and high • (C) sad and distressed • (D) disturbed and troubled with hallucination. • (D) (27) ______________ is NOT attributed to the country Denmark. • (A) Prince Hamlet in Shakespeare play • (B) Hans Christian Anderson, the writer of “The Little Mermaid” • (C) Kierkegaard, the author of “Either/Or” • (D) Albert Camus, the author of “The Stranger” • (A) (28) Parenteral route of giving a drug to a patient does NOT include taking the • medication by _______________. • (A) mouth (per os, PO) • (B) intravenous (IV) injection • (C) intramuscular (IM) injection • (D) inhaling

  15. (D) (29) The doctor arranged for me to take an X-ray examination, blood • chemistry and urine analysis after his detailed _____________. • (A) interrogation. • (B) interview. • (C) questions and answers • (D) history taking • (A) (30) When you go to a doctor’s clinic in Taiwan if you have an • appointment and you have been seen there previously, you still • need _____________ . • (A) to check in • (B) to register • (C) to report • (D) to fill in your registration

  16. Feedback questions (31-37). (See instructions on Page 1 for scoring.) • Colloquially, on TMU campus, a “nutritional” course is one which the students • find good grades and are easy to come by without putting much time and effort into • studying before the examinations. I found that this one-credit course, “Medical • English,” is highly “nutritional.” • (A) Strongly agree • (B) Somewhat agree • (C) No opinion • (D) Somewhat disagree • (E) Strongly disagree • I have found that the teacher for the course “Medical English” is effective in • building up my medical vocabulary in the past one and half months: • (A) Strongly agree • (B) Somewhat agree • (C) No opinion • (D) Somewhat disagree • (E) Strongly disagree

  17. I have found that the Ten Commandments to Write Better English have helped • improve my English writing skills. • (A) Strongly agree • (B) Somewhat agree • (C) No opinion • (D) Somewhat disagree • (E) Strongly disagree • (34) I have found that turning in the 400-word essay was helpful in improving my • English writing skills. • (A) Strongly agree • (B) Somewhat agree • (C) No opinion • (D) Somewhat disagree • (E) Strongly disagree

  18. (35)Please write two positive (praising)words or phrases describing the course • “Medical English.” • (A) _________________________ (B) __________________________ • Please write two negative (condemning) words or phrases describing the • course “Medical English.” • (A) __________________________ (B) __________________________ • Please write two most memorable words or phrases in English or any • other languages you have learned in taking the course “Medical English.” • (A)__________________________ (B) __________________________

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