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MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 2
UNIT 1 – VITAMIN
I. CLOZE TESTS
1.1. Fill each gap with one of the words given in the box.
1.2. Fill each gap with one of the words given in the box.
1.3. Fill each gap with one of the words given in the box.
A. avoid B. classified C. consumption D. couple E. deficiency
F. interfere G. limits H. liver I. occurs J. result
Vitamin Deficiencies
Deficiencies of vitamins are _________(1) as either primary or secondary. A primary deficiency
_________(2) when you do not get enough of the vitamin in the food you eat. A secondary deficiency may
be due to an underlying disorder that prevents or _________(3) the absorption or use of the vitamin, due to
a “lifestyle factor”, such as smoking, excessive alcohol _________(4), or the use of medications that
_________(5) with the absorption or the body's use of the vitamin. Individuals who eat a varied diet are
unlikely to develop a severe primary vitamin _________(6). In contrast, restrictive diets have the potential to
cause prolonged vitamin deficits, which may _________(7) in often painful and potentially deadly diseases.
Because humans do not store most vitamins in their bodies, a human must consume them regularly to
_________(8) deficiency. Human corporeal stores for different vitamins vary widely; vitamins A, D, and B12
are stored in significant amounts in the human body, mainly in the _________(9), and an adult human may
be deficient in vitamin A and B12 for long periods of time before developing a deficiency condition. Vitamin
B3 is not stored in the human body in significant amounts, so stores may only last a _________(10) of
weeks.
Classification of Vitamins
Vitamins are classified _________(1) water soluble,
meaning that they dissolve easily in water, or fat soluble,
and are absorbed through the intestinal tract with the help
of lipids. Each vitamin is typically used in multiple
reactions and therefore, most have multiple functions.
In humans there are thirteen vitamins, divided
_________(2) two groups; four fat-soluble vitamins (A, D,
E and K), and nine water-soluble vitamins (eight B
vitamins and vitamin C).
Vitamins are essential _________(3) the normal growth
and development of a multicellular organism. Using the genetic blueprint inherited _________(4) its
parents, a fetus begins to develop, at the moment of conception, from the nutrients it absorbs. The
developing fetus requires certain vitamins and minerals to be present _________(5) certain times.
These nutrients facilitate the chemical reactions that produce, among other things, skin, bone, and
muscle. If there is serious deficiency _________(6) one or more of these nutrients, a child may
develop a deficiency disease. Even minor deficiencies have the potential to cause permanent
damage.
For the most part, vitamins are obtained through food sources. However, a few vitamins are obtained
_________(7) other means: for example, microorganisms in the intestine - commonly known as "gut
flora" - produce vitamin K and biotin, while one form of vitamin D is synthesized in the skin
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 4
_________(8) the help of natural ultraviolet in sunlight. Humans can produce some vitamins
_________(9) precursors they consume. Examples include vitamin A, which can be produced from
beta carotene; and niacin, from the amino acid tryptophan.
Once growth and development are completed, vitamins remain essential nutrients for the healthy
maintenance of the cells, tissues, and organs that make up a multicellular organism; they also enable
a multicellular life form to efficiently use chemical energy provided by food eaten, and to help process
the proteins, carbohydrates, and fats required _________(10) respiration.
Exclusively breast fed infants: Infants who are exclusively breast fed and do not receive vitamin D
supplementation are at high risk of vitamin D deficiency, particularly if they have dark skin and/or
receive little sun exposure. Human milk generally provides 25 IU of vitamin D per liter, which is not
enough for an infant if it is the sole source of vitamin D. Older infants and toddlers exclusively fed
with milk substitutes and weaning foods that are not vitamin D fortified are also at risk of vitamin D
deficiency. The American Academy of Pediatrics recommends that all infants that are not consuming
at least 500 ml (16 ounces) of vitamin D fortified formula or milk be given a vitamin D supplement of
200 IU/day.
Dark skin: People with dark skin synthesize less vitamin D on exposure to sunlight than those with
light skin. The risk of vitamin D deficiency is particularly high in dark-skinned people who live far from
the equator. In the U.S., 42% of African American women between 15 and 49 years of age were
vitamin D deficient compared to 4% of white women.
Aging: The elderly have reduced capacity to synthesize vitamin D in the
skin when exposed to UVB radiation, and are more likely to stay indoors
or use sunscreen. Institutionalized adults are at extremely high risk of
vitamin D deficiency without supplementation.
Covering all exposed skin or using sunscreen whenever outside:
Osteomalacia has been documented in women who cover all of their
skin whenever they are outside for religious or cultural reasons. The
application of sunscreen with an SPF factor of 8 reduces production of
vitamin D by 95%.
Fat malabsorption syndromes: Cystic fibrosis and cholestatic liver disease impair the absorption of
dietary vitamin D.
Inflammatory bowel disease: People with inflammatory bowel disease like Crohn’s disease appear
to be at increased risk of vitamin D deficiency, especially those who have had small bowel
resections.
Obesity: Obesity increases the risk of vitamin D deficiency. Once vitamin D is synthesized in the skin
or ingested, it is deposited in body fat stores, making it less bioavailable to people with large stores of
body fat.
bioavailable sinh khả dụng institutionalized ở hoài trong nhà
bowel ruột malabsorption hấp thu kém
cholestatic ứ mật obesity chứng béo phì
cystic fibrosis xơ nang osteomalacia nhuyễn xương
deposit(v,n) lắng đọng resection cắt bỏ
equator xích đạo substitute (n,v) thay thế
exclusively chỉ riêng mỗi sunscreen chất chống nắng
fortify tăng cường toddler trẻ mới biết đi
infant trẻ em wean cai, dứt, kiêng
Questions
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 5
1. People with _________ skin are at high risk of vitamin D deficiency.
A. fair B. white C. dark D. bright
2. Which of the following is NOT true?
A. Infants cannot get enough Vitamin D from breastfeeding.
B. Older infants exclusively fed with milk substitutes are at risk of vitamin D deficiency.
C. All infants should be given a vitamin D supplement of 200 IU/day.
D. Infants receiving little sun exposure are at risk of vitamin D deficiency.
3. It is better for dark-skinned people to live in _________ areas to get sufficient vitamin D.
A. tropical B. temperate C. polar D. coastal
4. The percentage of African American women suffering from vitamin D deficiency is _________
times as high as that of American white women aged 15-49
A. 3 B. 4 C. 5 D. 10
5. Which of the following does NOT facilitate a vitamin D deficiency? -_________.
A. frequently staying indoors B. using sunscreen outdoors
C. overdressing D. reducing obesity
Questions
1. Although most Americans consume a wide variety of food additives daily, only a small number have
been associated _________ reactions.
A. by B. to C. with D. of
2. In vitamin deficiency, normal body functions can break down and make a person susceptible
_________ disease.
A. to B. with C. of D. for
3. The combination of vitamin A and iron seems to reduce anemia more effectively than either iron or
vitamin A alone.
A. decrease B. increase C. shorten D. minimize
4. People with diabetes have problems converting food to energy.
A. digesting …to B. changing …into C. exchanging … for D. introducing… into
5. The ancient Egyptians knew that feeding a patient with liver would help cure night blindness, now
_________ to be caused by a vitamin A deficiency.
A. knowing B. to know C. known D. is known
6. Women of all ages should be _________ about heart disease. All women should take steps to
prevent heart disease.
A. related B. concerned C. associated D. linked
7. In infants, rickets may result in delayed closure of the fontanels (soft spots) in the skull.
A. cause B. led to C. be due to D. be associated with
8. Your plasma glucose is measured immediately before and 2 hours after you drink a liquid containing
75 grams of glucose _________ in water.
A. solved B. soluble C. dissolved D. unsolved
9. Antibiotics are essential tools in improving and maintaining the quality of life by helping to prevent
infectious diseases
A. initial B. final C. principle D. extremely necessary
10 People with substance abuse problems, e.g. drinking alcohol excessively, find it very difficult to take
. medicines reliably every day.
A. immoderately B. frequently C. irregularly D. continuously
1. The currently available antibiotics are known to inhibit or kill some of these microorganisms
People _______
2. This hormone that is believed to control how the beta cells make and release insulin
They believed _______
3. Daily multivitamin supplements have been found to reduce HIV disease progression among men
and women.
It has _______
4. The disease has been reported to be reduced significantly with 4000 IU of Vitamin D3 daily over
6 months.
It has _______
5. The pain results from a narrowing of the blood vessels feeding the muscle.
The pain is caused _______
I. CLOZE TESTS
1.1. Fill each of the gaps with one word from the box.
Allergy
An allergy can _________(1) to several kinds of
immune reactions including Type I hypersensitivity
in _________(2) the person's body is
hypersensitised and develops immunoglobulin E
(IgE), a certain class of _________(3) to typical
proteins. When a person is hypersensitised, these
substances are known as allergens. The word
allergy derives from the Greek words allos meaning
"other" and ergon meaning "work". Type I
hypersensitivity is _________(4) by excessive
activation of mast cells and basophils by
immunoglobulin E, resulting in a systemic
inflammatory response that can result in symptoms
as benign as a runny nose, to _________(5)
anaphylactic shock and death.
Allergy is a very common disorder and more than 50 million Americans _________(6) from allergic
diseases. Allergies are the sixth _________(7) cause of chronic disease in the United States,
costing the health care system $18 billion annually.
The term and concept of "allergy" was coined by a Viennese pediatrician _________(8) Clemens von
Pirquet in 1906. He observed that the symptoms of some of his patients might have been a
_________(9) to outside allergens such as dust, pollen, or certain foods. For a long time all
hypersensitivities were thought to _________(10) from the improper action of inflammatory
immunoglobulin class IgE, however it soon became clear that several different mechanisms utilizing
different effector molecules were responsible for the myriad of disorders previously classified as
"allergies". A new four-class (now five) classification scheme was designed by H. Gell and A.
Coombs. Allergy has since been kept as the name for Type I Hypersensitivity, characterised by
classical IgE mediation of effects.
1.2. Fill each of the gaps with one word of your own.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 9
Signs and symptoms of Allergy
Allergy is characterised _________(1) a local or systemic inflammatory response to allergens. Local
symptoms are:
Nose: swelling of the nasal mucosa (allergic rhinitis)
Eyes: redness and itching of the conjunctiva (allergic conjunctivitis)
Airways: bronchoconstriction, wheezing and dyspnoea, sometimes attacks of asthma
Ears: feeling of fullness, possibly pain, and impaired hearing due _________(2) the lack of eustachian
tube drainage.
Skin: various rashes, such _________(3) eczema, hives (urticaria) and
contact dermatitis.
Head: while not as common, headaches are seen in some with
environmental or chemical allergies.
Systemic allergic response is also called anaphylaxis. Depending
_________(4) the rate of severity, it can cause cutaneous reactions,
bronchoconstriction, edema, hypotension, coma _________(5) even death.
Hay fever is one example of an exceedingly common minor allergy - large
percentages of the population suffer _________(6) hay fever symptoms
_________(7) response to airborne pollen. Asthmatics are often allergic _________(8) dust mites.
Apart _________(9) ambient allergens, allergic reactions can be caused _________(10) medications.
1. 3. Fill each of the gaps with one word from the box.
Diagnosis of Allergy
There are several methods for the diagnosis and assessment of allergies.
Skin test
The typical and most simple method of diagnosis and monitoring of Type I Hypersensitivity is by skin
testing, also _________(1) as prick testing due to the series of pricks made into the patient's skin.
Small amounts of _________(2) allergens and/or their extracts (pollen, grass, mite proteins, peanut
extract, etc.) are introduced to sites on the skin _________(3) with pen or dye (the ink/dye should be
carefully selected, lest it cause an allergic response itself). The allergens are either _________(4)
intradermally or into small scratchings made into the patient's skin, often with a lancet. Common areas
for _________(5) include the inside forearm and back. If the patient is _________(6) to the substance,
then a visible inflammatory reaction will usually occur _________(7) 30 minutes. This response will
range from slight reddening of the skin to full-blown hives in extremely _________(8) patients.
After _________(9) the skin test and receiving results, the doctor may apply a steroid cream to the
test area to _________(10) discomfort (such as itching and inflammation).
Some recent research has also begun to show that some kinds of common parasites, such as
intestinal worms (e.g. hookworms), secrete immunosuppressant chemicals
into the gut wall and hence the bloodstream which prevent the body from
attacking the parasite. This gives rise to a new slant on the "hygiene
hypothesis" — that co-evolution of man and parasites has in the past led to
an immune system that only functions correctly in the presence of the
parasites. Without them, the immune system becomes unbalanced and
oversensitive. Gut worms and similar parasites are present in untreated
drinking water in undeveloped countries, and in developed countries until
the routine chlorination and purification of drinking water supplies. This also
coincides with the time period in which a significant rise in allergies has been observed. So far, there is
only sporadic evidence to support this hypothesis — one scientist who suffered from seasonal allergic
rhinitis (hay fever) infected himself with gut worms and was immediately 'cured' of his allergy with no
other ill effects. Full clinical trials have yet to be performed however. It may be that the term 'parasite'
could turn out to be inappropriate, and in fact a hitherto unsuspected symbiosis is at work.
chlorination xử lý bằng clo hygiene vệ sinh
clinical trial thử nghiệm lâm sàng hypothesis giả thuyết, lí thuyết
co-evolution đồng tiến hoá immunosuppressant ức chhé miễn dịch
coincide with trùng với purification làm tinh khiết
evidence bằng chứng significant đáng kể
gut wall thành ruột slant thiên kiến
hence sau đó sporadic đơn lẻ
hitherto từ nay trở đi symbiosis cộng, đồng sinh
hookworm giun móc unsuspected không nghi ngờ
TRUE/FALSE QUESTIONS
1. _________ Intestinal worms harm the human body by secreting immunosuppressant chemicals.
2. _________ According to the text the human immune system cannot function correctly without the
parasites.
3. _________ It can be inferred that a significant rise in allergies in developed countries is related to
2.2. PASSAGE 2: Read the passage and answer the questions below
Medical scientists are becoming more and more interested in allergies. An allergy is a condition
caused by an excessive reaction in some people to a substance or substances which would not normally
cause a disease. In fact, some researchers do not classify allergies as diseases, although they can be
just as troublesome. Severe reactions can even result in death.
Substances that cause allergies are called allergens. The most common
natural allergens are dust and pollen. Some plants and flowers give out pollen to
the atmosphere during spring and early summer. Many people develop
symptoms like those of the common cold such as watery eyes and nose,
sneezing and a slight rise in temperature. This is commonly called the hay fever.
Allergic reactions can also be caused by food. Milk and eggs are known to be
allergenic for some people. However, almost anything eaten, drunk, inhaled or
touched can cause a reaction.
Drugs, even the common ones like aspirin, can result in distressing
symptoms. Some are dangerous. When penicillin was first manufactured on a large scale, it proved to
be effective against many pathogens. But it had a tendency to cause reactions so strong that patients
sometimes died. The sulpha drugs were also quite dangerous, although they did not kill as many people
as penicillin did. We now have better antibiotics, but they must be taken with great care.
There is no sure remedy for allergies. Sometimes the body cures itself. Treatment might consist of
giving drugs either to reduce the symptoms or to suppress the reaction. Drugs of the second type are
called antihistamines. They are not always effective, and they tend to make the patient sleepy. Some
doctors think it is better to identify and avoid the allergen, but this in not always possible.
1. The value of eating certain foods to maintain health was recognized long before vitamins were
identified.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 12
A. invented B. recognized C. produced D. consumed
2. The manufacturer should be responsible for ensuring that its dietary supplement products are safe
before they are marketed.
A. seller B. physician C. consumers D. producer
3. Consequently, PTH (pancreatropic hormone) production by the parathyroid glands is increased
and calcium is mobilized from the skeleton to maintain normal serum calcium levels
A. In fact B. Moreover C. As a result D. Finally
4. A healthcare provider diagnoses sinusitis after obtaining a complete medical history and physical
examination.
A. checking B. getting C. making D. reporting
5. This can occur as a cold, which may clear rapidly or continue with symptoms longer than a week.
A. last B. end C. happen D. serve
6. The symptoms of contact dermatitis need to be brought under control; otherwise the results will be
unreliable.
A. or else B. unless C. likewise D. other than
7. Patients should take medications as prescribed by your doctor.
A. demanded B. commented C. remarked D. recommended
8. Waste is released in water from factories and processing plants.
A. dissolved B. disposed of C. transported D. treated
9. Most of the physiological effects attributed to vitamin A appear to result from its role in cellular
differentiation.
A. ascribed B. contributed C. described D. mentioned
10 A deficiency may result in changes in the conjunctiva (corner of the eye) _________ Bitot's spots.
. A. known as B. called as C. told as D. spoken as
V. REWRITING
Rewrite the following sentences, beginning with the given
initials.
VI. LISTENING 2
Listen and fill in the gaps the words you hear.
Tobacco smoke contains many harmful chemicals including nicotine which is a _______(1), addictive
drug. It also damages the heart, blood vessels and _______(2). Smokers become addicted to nicotine
and so find it hard to give up smoking. Tar causes lung cancer and other types of cancers. This has
been _______(3) by comparing the numbers of smokers and non-smokers who _______(4) cancer.
Carbon monoxide is a poisonous gas. It reduces the amount of oxygen that can be _______(5) in the
blood by irreversibly combining with the haemoglobin in red blood cells. In pregnant women, this can
deprive the developing foetus of oxygen resulting in a low birth mass or a _______(6) birth.
Tiny particles in the smoke get trapped in the _______(7) of
the trachea and bronchial tubes and extra mucus is
produced. Chemicals in the smoke paralyse the tiny
_______(8) which normally clear the mucus out of the air
passages. The only way to clear this is by _______(9).
Because the lungs cannot be kept clean, smokers often
develop bronchitis and chest infections. Repeated coughing
causes the delicate walls of the alveoli to be _______(10),
which reduces the surface area for gas exchange. This is
one of the reasons why smokers are often short of breath. The lungs can develop large holes which
blow up like balloons. This condition is called emphysema (khí phế thủng).
I. CLOZE TESTS
1.1. Fill each of the gaps with one word from the box.
1.2. Fill each of the gaps with one word of your own.
account for giải thích cho, chiếm tỷ lệ NHS National Health Service
allot phân cho, giao cho, cấp prostate tiền liệt tuyến
approximately xấp xỉ represent đại diện cho, thể hiện
colorectal thuộc kết-trực tràng respectively theo thứ tự đó
diagnosis chẩn đoán survive sống qua, sống sót
1. 3. Fill each of the gaps with one word from the box.
A. circulatory, B. death, C. developing, D. factors,
E. gap, F. intake, G. lifestyle, H. pressure, I. reductions, J. target
benefit (n,v) lơị ích, làm lợi, hưởng lợi physique cơ thể
best off nhà giàu, người giàu reduce giảm
campaign chiến dịch screening khám, tét sàng lọc
consumption tiêu thụ society xã hội
disadvantaged bất lợi, yếu thế stroke đột quỵ
effort nỗ lực substantially về thực chất, căn bản
extent mức độ, tầm support ủng hộ, hỗ trợ
improve cải thiện target mục tiêu
occupational thuộc nghề nghiệp toll, take toll on tử vong, gây tử vong
on a regular basis đều đặn worst off người nghèo, nhà nghèo
2.1. PASSAGE 1:
Non-communicable Diseases are not disease of Affluence
Non-industrialized regions often have lower life expectancies, even for non-communicable causes of
death. Although these diseases, including heart disease and stroke, are the largest proportional killers
of people in the industrialized world, they often kill a large population in non-industrialized world, and
at a younger age. For example in
1990, of the 6.3 million people that
died of heart disease, 57% were in the
non-industrialized regions; among the
4.4 million people that died of stroke,
68% were in non-industrialized
countries. When one looks at the
probability of dying between the ages
of 15 and 60, the industrialized and
non-industrialized worlds have similar
rates for non-communicable diseases.
For people between the ages of 60 and
70, some non-industrialized regions
have a higher rate of death from non-
communicable diseases than the
industrialized regions. This shows that
unequal access to treatment and other
factors causes premature mortality rates in non-industrialized countries.
This refutes the myth that non-communicable diseases, such as stroke and heart disease, mainly
impact the affluent. Instead, it highlights that communicable diseases kill children in non-industrialized
countries most often, and these deaths have a significant impact on overall world mortality rates.
Controlling these diseases, through immunization and other means, can be one large step toward
achieving health equality.
1. The number of people dying of heart disease in the non-industrialized regions in 1990 was
_________.
A. 6.3 million B. 3.6 million C. 5.7 million D. 4.4 million
2. The mortality from non-communicable diseases between the ages of 15 and 60 in the non-
industrialized world is _________ that of the industrialized world.
A. higher than B. lower than C. different from D. similar to
3. The mortality from non-communicable diseases between the ages of 60 and 70 in the non-
industrialized world is _________ that of the industrialized world.
A. higher than B. lower than C. different from D. similar to
4. The word refute in the last paragraph is similar in meaning to _________.
A. improve B. disprove C. prove D. discover
5. Which of the following statements is not true?
A. Non-communicable diseases kill a large population in industrialized countries.
B. Non-communicable diseases are found only in aged people.
C. Non-communicable diseases increase overall world mortality rates.
D. Non-communicable diseases impact both the rich and the poor.
It would be much easier to detect and treat cancer if it were a single disease, as many people think.
There are actually some 200 different diseases that can be called cancers. They all have different
causes; originate in various tissues; develop for various reasons and in different ways; and demand
very different types of treatment.
Cancers can be categorized into three major groups: those arising in epithelial (covering) tissue are
called carcinomas; those originating in connective tissue, such as bones and muscle, are sarcomas;
and the third group called leukemias and lymphomas are cancerous diseases of blood tissue and
lymphatic system respectively. The last group is very different from the previous two in that it does not
produce solid tumors.
Carcinomas are the most
common type of cancer that
people suffer from. They develop
on the surface of an organ such
as the skin, the lining of the
uterus, mouth, nose, throat, air
tubes in the lungs, inside a duct in
the breast or any other site. Most
of these cancers can be treated
successfully as long as the
cancerous (malignant) cells
remain as a separate mass—
without invading the nearby
tissues.
Sarcomas include tumors of
the kidney, pancreas, liver and
brain, and bone tissue like the
spine, pelvis, ribs and femur.
Cancers of muscle, tendons and
ligaments are very rare. The bone cancers, named separately as myelomas, usually cause the bone
to break easily or collapse under pressure. Again, as in many forms of cancer, early detection can lead
to treatment by excision or destruction (using radiation) of the affected part or area of an organ.
The third category is that of cancers of blood tissue and the lymphatic system known as leukemias
and lymphomas. Leukemias (usually referred to in the plural) are different forms of cancer affecting
various white blood cells. Children under 12 outnumber adults of all ages in developing leukemias.
Lymphosarcomas and lymphomas are cancers of lymph nodes and reticular cells respectively. Cancer
of the thyroid glands is the most common example in this group.
Whatever the type, cancer remains one of the fatal diseases of modern times. It is the second
biggest killer in the developed world and may soon become the number one killer. After detection, only
one out of five survives—only for a period of five years.
CANCER
Leukemia
1. Accidental drug _______ may be the result of misuse of prescription medicines or commonly used
medications like pain relievers and cold tablets.
2. In biochemistry, a _______ is a molecule upon which an enzyme acts.
3. _______ is the silent disease that makes bones prone to fracture and is a major public health
threat for more than 28 million Americans.
4. _______ hormone is the most important endocrine regulator of calcium and phosphorus
concentration in extracellular fluid.
5. Persons with a history of intravenous drug abuse also are more likely to have _______ of the
lungs.
6. _______ is a disease of rodents that can be spread to humans another animals by infected fleas.
7. _______ is a disorder primarily caused by lack of vitamin D, calcium, or phosphate, which leads to
softening and weakening of the bones.
8. _______ was a serious problem in the past, when fresh fruitsand vegetables were not available
during the winter in many parts of the world.
9. _______ can be applied to the bridge of the nose, ear tips, skin surrounding the lips, and any area
where pigmentation is low.
10 The _______ of vitamin A (retinol) are the carotenoids (most commonly beta-carotene).
.
V. REWRITING Rewrite the following sentences, beginning with the given initials.
1. Organisms causing an infectious disease in a host with depressed resistance are classified as
opportunistic pathogens.
Organisms that _______
2. Malaria is caused by Plasmodial parasites.
Plasmodial parasites are _______
3. You should take care of yourself so that a disease has less of an effect on your body.
You should take care of yourself in _______
4. An area near the center of the retina of the eye is responsible for fine or reading vision.
An area near the center of the retina of the eye is involved _______
5. Although there are many claims of nutritional cures, there is no reliable proof of their
effectiveness.
Despite _______
VI. LISTENING 3
6.1. Listen and complete the text with what you hear
UNIT 4
DIABETES
I. CLOZE TESTS
1.1. Fill each of the gaps with one word from the box.
Diabetes mellitus is a metabolic disorder characterized by _________(1) (high glucose blood sugar),
among other signs. The World Health Organization recognizes three main forms of diabetes: type 1,
type 2 and gestational diabetes (or type 3, occurring during _________(2)). Although these share
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 21
signs and symptoms, they have different causes and population distributions. They are not a
_________(3) disease or condition. Type 1 is generally due to autoimmune destruction of the insulin-
producing cells — pancreatic beta cells — while type 2 is characterized by tissue wide insulin
resistance and varies widely. Gestational diabetes is due to a poorly understood _________(4)
between fetal needs and maternal metabolic controls. Type 2 sometimes progresses to loss of beta
cell function as well.
Since the first use of insulin (1921) Types 1 and 2 have been _________(5), but treatable chronic
conditions; gestational diabetes typically resolves with delivery. Aside from acute _________(6) levels
abnormalities, the main risks to health are the characteristic long-term complications. These include
cardiovascular disease, chronic _________(7) failure (the main cause of dialysis in developed world
adults), retinal damage (which can lead to _________(8) and is the most significant cause of adult
blindness in the non-elderly in the _________(9) world), nerve damage, microvascular damage, the
_________(10) cause of non-traumatic amputation in developed world adults.
1.2. Fill each of the gaps with one word from the box.
1. 3. Fill each of the gaps with one word from the box.
A. accumulated, B. addition, C. associated, D. consumption, E. elevated,
F. levels, G. prevented, H. preventive, I. protective, J. reliable
Diabetes - Prevention
As little is known on the exact mechanism by which type 1 diabetes develops, there are no
_________(1) measures available for that form of diabetes. Some studies have attributed a
_________(2) effect of breastfeeding on the development of type 1 diabetes.
Type 2 diabetes can be _________(3) in many cases by making changes in diet and increasing
physical activity. Some studies have shown delayed progression to diabetes through the use of
metformin or valsartan. Breastfeeding might also be correlated with the prevention of type 2 of the
disease in mothers.
As of late 2006, although there are many claims of nutritional cures, there is no _________(4) proof of
their effectiveness. In _________(5), despite claims by some that vaccinations may cause diabetes,
there are no studies proving any such connection.
Individuals with _________(6) levels of persistent organic pollutants (DDT, dioxins, Chlordane…) in
their body are 38 times more likely to have diabetes than individuals with low _________(7) of these
pollutants, according to a Korean study. Among study participants, obesity was _________(8) with
diabetes only in people who was tested high for these pollutants. These pollutants are _________(9)
in animal fats, so minimizing _________(10) of animal fats may reduce the risk of diabetes.
accumulate tích lũy minimize giảm tới mức tối thiểu
attribute cho là, quy cho participant người tham gia
claim sự cáo buộc , cho rằng persistent lâu dài, bền bĩ
correlate tương quan pollutant chất gây ô nhiễm
delay chậm, trì hoãn reduce làm giảm
elevate gia tăng reliable đáng tin vậy
1. Because the microbes and their hosts have co-evolved together, the hosts have gradually become
resistant _________ the microorganisms.
A. to B. with C. by D. for
2. In people with allergies, the immune system becomes sensitive to normally _________ substances
known as allergens.
A. harmful B. harmless C. harm D. unharmed
3. Central air conditioning also has the benefit of lowering the humidity within the home.
A. fresh air B. ventilation C. temperature D. moisture
4. This test is less convenient to administer.
A. effective B. appropriate C. harmful D. complicated
5. Sometimes disability is caused by abnormal genes inherited from parents
A. separated B. received C. resulted D. suffered
6. Unless the HIV lifecycle is interrupted by treatment, the virus infection spreads throughout the body
and results in the destruction of the body's immune system.
A. stopped B. intensified C. increased D. relieved
7. A possible source for the misconception holds that AIDS infects only homosexual men
A. misuse B. incorrect use C. incorrect view D. abuse
8. In early childhood mild disability (IQ 60–70) may not be obvious, and may not be diagnosed until
they begin school.
A. clean B. clear C. bright D. light
9. Symptoms are not localized to one particular site.
A. sensitive B. insensitive C. specific D. unspecific
10 The misconceptions prevent many people _________ HIV testing.
. A. to seek B. seeking C. in seeking D. from seeking
V. REWRITING
Rewrite the following sentences, beginning with the given initials.
1. Despite the fact that over three hundred years have passed since the discovery of microbes, the
field of microbiology is clearly in its infancy relative to other biological disciplines
Although _______
2. Bacteria were first observed by Leeuwenhoek in 1676 using a single-lens microscope
Leeuwenhoek _______
3. The first microbiological observation was made by Robert Hooke.
Robert hook was the _______
4. Louis Pasteur (1822-1895) and Robert Koch (1843-1910) are often considered to be the
founders of medical microbiology.
Louis Pasteur (1822-1895) and Robert Koch (1843-1910) are regarded _______
5. Robert Koch is famous for his contributions to the germ theory of disease.
Robert Koch is best-_______
VI. LISTENING 4
Listen and complete the text with what you hear.
UNIT 5
MENTAL
RETARDATION
I. CLOZE TESTS
1.1. Fill each of the gaps with one word of your own.
To understand mental retardation, it helps to know what intelligence is. Intelligence is a way of
describing someone's ability to think, learn, and solve
problems. Mental retardation means that someone has
_______(1) than average intelligence.
The person may have _______(2) learning and might
need longer to learn social skills, such as how to be
friends or how to communicate _______(3) others.
People with mental retardation also might be less able to
care for themselves or unable to live _______(4) their
own as adults.
During school, a kid _______(5) mental retardation will
probably need help. Some kids have aides that stay with
them during the school day. Special education and other
services are available to help with learning and behavior.
They can also receive help in learning "life skills” to take _______(6) of themselves as they get older,
such as how to ride a public bus to get to work. More and more people with mental retardation are
_______(7) to have jobs and to live independently.
Mental retardation is not a disease itself. It occurs when something injures the brain or a problem
prevents the brain _______(8) developing normally. These problems can happen while the baby is
growing inside his or her mother, during the baby's birth, or after the baby is born.
Some medicines can cause serious problems if a woman takes them when she is going to have a
baby. A woman also can put her baby _______(9) risk of mental retardation if she drinks alcohol or
takes certain drugs _______(10) her pregnancy.
1.2. Fill each of the gaps with one word from the box.
Children with developmental disabilities may learn to sit up, to crawl, or to walk later than other
children, or they may learn to talk later. Both _________(1) and children with intellectual disabilities
may also have trouble _________(2), find it hard to remember things, have trouble understanding
social rules, have trouble discerning cause and effect, have trouble _________(3) problems and
thinking logically.
In early childhood mild disability (IQ 60–70) may not be obvious, and may not be _________(4) until
they begin school. Even when poor academic performance is recognized, it may take expert
assessment to _________(5) mild mental disability from learning disability or behavior problems. As
they become adults, many people can live independently and may be _________(6) by others in their
community as "slow" rather than "retarded".
Moderate disability (IQ 50–60) is nearly always obvious within the first years of _________(7). These
people will _________(8) difficulty in school, at home, and in the community. In many cases they will
need to _________(9) special classes in school, but they can still progress to become functioning
members of society. As adults they may live with their parents, in a supportive group home, or even
semi-independently with significant supportive _________(10) to help them, for example, manage their
finances.
Among people with intellectual disabilities, only about one in eight will score below 50 on IQ tests. A
person with a more severe disability will need more intensive support and supervision his or her entire
life.
academic thành tích học tập intensive support hỗ trợ tích cực
performance
behavior hành vi manage finance quản lý tài chính
community cộng đồng mental disability thiểu năng tâm thần
crawl bò, trườn mild nhẹ
discern phân biệt obvious rõ ràng, hiển nhiên
encounter gặp phải score điểm số
expert assessment đánh giá chuyên môn supervision giám sát
intellectual trí tuệ, trí thức supportive group nhóm hỗ trợ
1.3. Fill each of the gaps with one word of your own.
Causes of mental retardation
Genetic conditions: Sometimes disability is caused _________(1) abnormal genes inherited
_________(2) parents, errors when genes combine, or other reasons. Examples of genetic conditions
include Down syndrome, Fragile X syndrome, and phenylketonuria (PKU).
Problems during pregnancy: Mental disability can result when the fetus does not develop inside the
mother properly. _________(3) example, there may be a problem with the way the fetus's cells divide
as it grows. A woman who drinks alcohol (fetal alcohol syndrome) or gets an infection like rubella
during pregnancy may also have a baby _________(4) mental disability.
Problems at birth: If a baby has problems during labor and birth, _________(5) as not getting enough
oxygen, he or she may have developmental disability _________(6) to brain damage. The use of
forceps during birth can lead _________(7) mental retardation in an otherwise normal child. They can
fracture the skull and cause brain damage.
Health problems: Diseases like whooping cough, measles, or meningitis can cause mental disability.
It can also be caused by extreme malnutrition, not getting enough medical care, or by being exposed
_________(8) poisons like lead or mercury.
Iodine deficiency, affecting approximately 2 billion people worldwide, is the leading preventable
cause of mental disability in areas of the developing world where iodine deficiency is endemic. Iodine
deficiency also causes goiter, an enlargement of the thyroid gland. Among the nations affected
_________ (9) iodine deficiency, China and Vietnam have begun taking action.
B. Match the following causes to their effects. Put the letter in the blanks.
1. CAUSE EFFECT
2. ____ removal of toxins from the patient A. confinement to bed and complete helplessness
3. ____ memory loss B. deterioration of thought and memory process
4. ____ physical weakness C. making wrong judgements
5. ____ inability to think clearly D. inability to remember recent events
6. ____ infection, injury, toxins, tumors etc. E. arrest of dementia due to poisoning
1. The _______ also secretes oils and mucous that moisten and lubricate the eye.
2. A _______ tumor is basically a tumor that doesn't come back and doesn't spread to other parts of the
body.
3. _______ and disinfectants are extensively used in hospitals and other health care settings for a
variety of topical and hard-surface applications.
4. _______ is used to pass on passive immunity to many diseases.
5. _______ diseases, such as heart disease, stroke, cancer, respiratory diseases and diabetes, are by
far the leading cause of mortality in the world.
6. _______ can be caused by an underlying illness, or it can result from head trauma.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 31
7. his narrowing of the airways is known as _______ . Along with inflammation of the airways, it leads to
symptoms such as coughing, wheezing…
8. If you have an _______ disease, your immune system attacks itself by mistake, and you can get sick.
9. If you have _______, you are two to three times more likely to be allergic to a pet than someone who
doesn't have it.
10 Mast cells and _______ play a central role in inflammatory and immediate allergic reactions.
.
V. REWRITING
Rewrite the following sentences, beginning with the given initials.
1. Koch was one of the first scientists who focused on the isolation of bacteria.
Koch was one of the first scientists _______
2. Pollens of insect-pollinated plants are too large to remain airborne and pose no risk.
Pollens of insect-pollinated plants are so _______
3. It is important that people use new or properly sterilized needles for each injection.
It is important that new or properly sterilized needles _______
4. IgG is present in the body, known to respond to foods.
IgG is present in the body and _______
5. Allergies are caused by an oversensitive immune system, leading to a misdirected immune
response.
Allergies are caused by an oversensitive immune system and _______
VI. LÍSTENING
LISTENING 5
6.1. Listen and complete the text with what you hear.
Body Scan
Sometimes it takes many _______(1) for diseases to be found. Now there is a way to look for them
before someone is feeling sick. Some illnesses can be found and _______(2) very early by having a
body scan.
Body scans allow doctors to look into a person’s body. They can see bones, _______(3), and blood
vessels. By looking into a person’s body like this doctors can sometimes see how _______(4) a
person is.
People that have a family _______(5) of illness might want to have a body scan. Others that are young
and healthy would _______(6) not need one. Some people have body scans because it makes them
feel more secure.
Many doctors do not think everyone should have body scans. Body scans are _______(7). They are
often not necessary. Sometimes body scans can be _______(8). When this happens it can cause a lot
of unnecessary worry.
Body scans can be very _______(9) to doctors and patients. They can help find diseases at early
stages. If diseases are found early they can be treated more _______(10). It would be a good idea to
talk to a doctor before spending money on one.
LISTENING 6
6.2. Listen and answer the questions.
unit 6
heart
diseases
I. CLOZE TESTS
1.1. Fill each of the gaps with one word from the box.
Heart disease is an umbrella term for a number of different diseases which _________(1) the heart.
The most common heart diseases are:
Coronary heart disease, a disease of the heart itself _________(2) by the accumulation of
atheromatous plaques within the walls of the arteries that _________(3) the myocardium
Ischaemic heart disease, another disease of the heart itself, characterized by reduced blood supply to
the organ.
Cardiovascular disease, a sub-umbrella term for a number of diseases that affect the heart itself
and/or the blood vessel system, especially the veins and arteries _________(4) to and from the heart.
Research on disease dimorphism _________(5) that women who suffer with cardiovascular disease
usually suffer from forms that affect the blood vessels while men usually suffer from forms that affect
the heart muscle itself. Well- _________(6) causes of cardiovascular disease _________(7)
diabetes mellitus, hypertension and hypercholesterolemia.
- Pulmonary heart disease, a failure of the right side of the heart.
- _________(8) heart disease, heart disease caused by unavoidable genetic factors
- _________(9) heart disease, heart disease caused by high blood pressure, especially localised high
blood pressure
- Inflammatory heart disease, heart disease that involves inflammation of the heart muscle and/or the
tissue _________(10) it.
- Valvular heart disease, heart disease that affects the valves of the heart.
1. 2. Fill each of the gaps with one word from the box.
Coronary heart disease (CHD), also called coronary _________(1) disease (CAD) and
atherosclerotic heart disease, is the end result of the accumulation of atheromatous plaques within the
walls of the arteries that supply the _________(2) (the muscle of the heart). While the _________(3)
and signs of coronary heart disease are noted in the advanced state of disease, most individuals with
coronary heart disease show no evidence of disease for _________(4) as the disease progresses
before the first onset of symptoms, often a "sudden" heart attack, finally arise. After decades of
progression, some of these atheromatous plaques may rupture and (along with the activation of the
blood clotting system) start limiting blood _________(5) to the heart muscle. The disease is the most
common cause of sudden _________(6), and is also the most common _________(7) for death of
men and women over 65 years of age.
Atherosclerotic heart disease can be thought of as a
wide spectrum of disease of the heart. At one end of
the spectrum is the asymptomatic individual with
atheromatous streaks within the walls of the coronary
arteries (the arteries of the heart). These streaks
represent the early stage of atherosclerotic heart
disease and do not obstruct the flow of blood. A
coronary angiogram performed during this stage of
disease may not show any _________(8) of coronary
artery disease, because the lumen of the coronary
artery has not decreased in calibre.
Over a _________(9) of many years, these streaks
increase in thickness. While the atheromatous plaques
initially expand into the walls of the arteries, eventually they will expand into the lumen of the vessel,
affecting the flow of blood through the arteries. While it was originally believed that the growth of
atheromatous plaques was a slow, gradual process, some recent evidence suggests that the gradual
_________(10) of plaque may be complemented by small plaque ruptures which cause the sudden
increase in the plaque burden due to accumulation of thrombus material.
1.3. Fill each of the gaps with one word from the box.
Angina
The pain associated with very advanced CHD is known as angina, and _________(1) presents as a
sensation of pressure in the chest, arm pain, jaw pain, and other forms of discomfort. The word
discomfort is preferred over the word pain for describing the sensation of angina, because it varies
_________(2) among individuals in
character and intensity and most
people do not perceive angina as
painful, unless it is _________(3).
There is evidence that angina and
CHD present _________(4) in
women and men.
Angina that occurs _________(5)
with activity, upon awakening, or at
other predictable times is termed
_________(6) angina and is
associated with high grade
narrowings of the heart arteries. The
symptoms of angina are often
treated with nitrate preparations such
as nitroglycerin, which come in short-
acting and _________(7) forms, and
may be administered transdermally,
sublingually or _________(8). Many
other more effective treatments,
_________(9) of the underlying
atheromatous disease, have been
developed.
Angina that changes in intensity, character or frequency is termed unstable. Unstable angina may
precede myocardial infarction, and requires _________(10) medical attention. It is treated with
morphine, oxygen, intravenous nitroglycerin, and aspirin. Interventional procedures such as
angioplasty may be done.
As heart disease continues to be the number-one killer in the United States, researchers have become
increasingly interested in identifying the potential risk factors that trigger heart attacks. High-fat diets
and "life in the fast lane" have long been known to contribute to the high incidence of heart failure. But
according to new studies, the list of risk factors may be significantly longer and quite surprising.
Heart failure, for example, appears to have seasonal and temporal patterns. A higher percentage of
heart attacks occur in cold weather, and more people experience heart failure on Monday than on any
other day of the week.
In addition, people are
more susceptible to
heart attacks in the
first few hours after
waking. Cardiologists
first observed this
morning
phenomenon in the
mid-1980, and have
since discovered a
number of possible
causes. An early-
morning rise in blood
pressure, heart rate,
and concentration of
heart stimulating
hormones, plus a
reduction of blood flow
to the heart, may all
contribute to the higher
incidence of heart attacks between the hours of 8:00 a.m. and 10:00 a.m.
In other studies, both birthdays and bachelorhood have been implicated as risk factors. Statistics
reveal that heart attack rates increase significantly for both females and males in the few days
immediately preceding and following their birthdays. And unmarried men are more at risk for heart
attacks than their married counterparts. Though stress is thought to be linked in some way to all of the
aforementioned risk factors, intense research continues in the hope of further comprehending why and
how heart failure is triggered.
Questions
1. Which word is used to describe something not being done to the extreme?
A. unconscious B. natural C. embarrassed D. moderate
2. Which word is used in place of advise or insist?
A. urge B. spread C. call for D. waste
3. Which word is used in place of life-threatening?
A. warning B. short of breath C. fatal D. resuscitation
4. Which word means not absorbing food properly?
A. discomfort B. indigestion C. embarrassment D. sweating
5. When the pancreases of dogs were removed, the dogs developed all the signs and symptoms of
diabetes
A. treated B. operated on C. taken away D. transplanted
6. Waste is released in water from factories and processing plants.
A. dissolved B. disposed of C. transported D. treated
7. Type 2 diabetes is caused by a lack of insulin.
A. shortage B. lot C. part D. great deal
8. Tuberculosis sometimes causes mild fever in the afternoon.
A. high B. slight C. light D. wild
9. This results in the previously described symptoms of dyspnea.
A. early B. earlier C. after D. prior
10 The disease also causes decreased blood circulation in the limbs.
. A. hand B. foot C. hands and foots D. legs and arms
V. REWRITING
Rewrite the following sentences, beginning with the given initials.
VI. LISTENING
LISTENING 7
1 The number of American people dying from smoking every year is _______.
A. 90,000 B. 300,000 C. 930,000 D. 390,000
2 1 out of _______ deaths is caused by smoking tobacco.
A. 4 B. 5. C. 6. D. 7
3 Which of the following is true?
A. More women die from lung cancer than breast cancer.
B. More women die from breast cancer than lung cancer.
C. Breast cancer and lung cancer cause the same deaths of women.
4 Children usually begin smoking _______.
A. When they go to primary school.
B. Before they go to high school.
C. When they go to college.
5 The most common diseases in both smoking men and women is _______.
A. breast cancer B. lung cancer C. heart attack D. pneumonia
I. CLOZE TESTS
1.1. Fill each gap with one of the words given in the box.
aberrant protein bất thường, sai lạc infectivity khả năng gây nhiễm khuẩn
clinically trên lâm sàng pathway con đường, quá trình
contagious = communicable lây, truyền nhiễm species loài
contaminate làm nhiễm survive sống qua, sống sót
evident rõ rệt vector-borne spread lây truyền qua véc-tơ
impair gây suy yếu
prion /’pri:ən/ a protein particle that is believed to be the cause of brain diseases such as bovine
spongiform encephalophathy (bệnh bò điên), scrapie (bệnh thần kinh của dê cừu). Prions are not
visible microscopically, contain no nucleic acid, and are highly resistant to destruction.
1.2. Fill each gap with one of the words given in the box.
Bacterial pathogens
Among the almost infinite varieties of microorganisms, relatively few cause disease in healthy
individuals. Infectious disease results from the interplay between those few pathogens and the
_________(1) of the hosts they infect. The appearance and severity of disease resulting from any
pathogen depends upon the ability of that pathogen to damage the host as well as the ability of the
host to _________(2) the pathogen. Infectious _________(3), or microbes, are therefore classified as
either primary pathogens or as opportunistic pathogens according to the status of host defenses.
Primary pathogens _________(4) disease as a result of their presence or activity within the normal,
healthy host, and their intrinsic virulence (the severity of the disease they cause) is, in part, a
necessary consequence of their need to reproduce and spread. Many of the most common primary
pathogens of humans only _________(5) humans, however many serious diseases are caused by
organisms acquired from the environment or which infect non-human hosts.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 40
Organisms which cause an infectious _________(6) in a host with
depressed resistance are classified as opportunistic pathogens.
Opportunistic disease may be caused by microbes that are
ordinarily in _________(7) with the host, such as bacteria or fungi
in the gastrointestinal or the upper respiratory _________(8), and
they may also result from microbes acquired from other hosts or
from the environment as a result of traumatic introduction (as in
surgical wound infections). An opportunistic disease requires
impairment of host defenses, which may _________(9) as a result
of genetic defects, exposure to antimicrobial drugs or
immunosuppressive chemicals (as might occur following
poisoning or cancer chemotherapy), _________(10) to ionizing
radiation, or as a result of an infectious disease with immunosuppressive activity (such as with
measles, malaria or HIV disease). Primary pathogens may also cause more severe disease in a host
with depressed resistance than would normally occur in an immunosufficient host.
A. cause, B. contact, C. defenses, D. disease, E. exposure,
F. infect, G. microorganisms, H. occur, I. resist, J. tract
acquire mắc phải, tập nhiễm interplay tác động lẫn nhau
chemotherapy hoá trị liệu intrinsic nội tại
defense phòng thủ, bảo vệ opportunistic cơ hội
depressed suy nhược, chán nản pathogen tác nhân gây bệnh
immunosufficient đủ khả năng miễn dịch radiation bức xạ
immunosuppressive ức chế miễn dịch resist, resistance đề kháng, chống lại
impairment suy yếu status tình trạng, trạng thái
infect gây nhiễm trùng virulence độc lực
1.3. Fill each gap with one of the words given in the box.
A. encounters, B. introduce, C. manifested, D. mechanisms, E. parasitized,
F. pathogens, G. symptoms, H. transmitted, I. vaccination, J. vector
Agents and vectors
Infectious disease requires an agent and a mode of transmission (or vector). A good example is
malaria, which is caused by Plasmodial parasites, chiefly Plasmodium falciparum but does not affect
humans unless the _________(1), the Anopheles mosquito, is around to _________(2) the parasite
into the human bloodstream.
The vector does not have to be biological. Many infectious diseases are _________(3) by droplets
which enter the airway (e.g. common cold and tuberculosis).
Infection with most _________(4) does not result in death of the host and the offending organism is
ultimately cleared after the symptoms of the disease have waned. This process requires immune
_________(5) to kill or inactivate the inoculum of the pathogen. Specific acquired immunity against
infectious diseases may be mediated by antibodies and/or T lymphocytes. Immunity mediated by
these two factors may be _________(6) by:
- a direct effect upon a pathogen, such as antibody-initiated complement-dependent bacteriolysis,
phagocytosis and killing, as occurs for some bacteria,
- neutralization of viruses so that these organisms cannot enter cells,
- or by T lymphocytes which will kill a cell _________(7) by a microorganism.
The immune response to a microorganism often causes _________(8) such as a high fever and
inflammation, and has the potential to be more devastating than direct damage caused by a microbe.
Resistance to infection (immunity) may be acquired following a disease, by asymptomatic carriage of
the pathogen, by harboring an organism with a similar structure (crossreacting), or by _________(9).
Knowledge of the protective antigens and specific acquired host immune factors is more complete for
primary pathogens than for opportunistic pathogens.
Immune resistance to an infectious disease requires a critical level of either antigen-specific antibodies
and/or T cells when the host _________(10) the pathogen. Some individuals develop natural serum
antibodies to the surface polysaccharides of some agents although they have had little or no contact
with the agent, these natural antibodies confer specific protection to adults and are passively
transmitted to newborns.
antibody-initiated do kháng thể khởi đầu inoculum chất tiêm truyền, cấy
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 41
antigen-specific đặc hiệukháng nguyên manifest biểu hiện
bacteriolysis tiêu vi khuẩn mediate gián tiếp, trung gian
complement- phụ thuộc bổ sung neutralization trung hoà
dependent
critical level mức độ tới hạn offending gây hại
crossreact phản ứng chéo phagocytosis sự thực bào
devastating tàn phá, tiêu huỷ tuberculosis lao
droplet giọt nhỏ ultimately cuối cùng
harbor cư trú vector trung gian truyền bệnh
immunity miễn dịch wane lui, bớt, thuyên giảm
1.4. Fill each gap with one of the words given in the box.
Questions
1. _______ milk alone is the only food and drink an infant needs until the age of six months
A. Cow B. Breast C. Chest D. Bottle
2. _______ can protect children against six common infectious diseases during childhood.
A. vaccination B. radiology C. surgery D. dehydration
3. _______ diseases spread easily from one person to another directly or indirectly.
A. Chronic B. Acute C. Serious D. Contagious
4. _______ is a condition in which the body loses more liquid than it takes in.
A. Dehydration B. Rehydration C. Hydration D. Malaria
5. _______ is the inflammation of the lungs caused primarily by bacteria, viruses, dusts and allergy.
A. Hepatitis B. Cancer C. Pneumonia D. Meningitis
6. _______ is when the blood pressure is above 120/80.
A. Tension B. Hypertension C. Hypotension D. Tense
7. Before you buy any medicine, read the _______ to see what's in it.
A. box B. tablet C. label D. drug
8. But when too much histamine is released from the cells, it affects the blood vessels and causes the
tissues around them to swell.
A. become larger in size B. become odorless C. become smaller D. become transparent
9. Diabetes may cause _______ problems such as Diabetic Retinopathy, Cataracts, and Glaucoma.
A. eye B. heart C. sugar D. blood
10 Do not stop _______ the medicines just because you feel better.
. A. to take B. taking C. taken D. took
V. REWRITING
Rewrite the following sentences, beginning with the given initials.
VI. LISTENING
LISTENING 9
1 The epidemic in September 2006 in the United States was caused by _______.
A. stomach flu B. E. Coli C. milk D. meat
2 _______ people in 25 states got sick from the bacteria in fresh spinach.
A. 600 B. 660 C. 166 D. 160
3 How many patients died?
A. 1 B. 2 C. 3 D. 4
4 What kinds of spinach were safe to eat?
A. bagged B. canned C. frozen D. B&C
LISTENING 10
6.2. Listen and complete the text with what you hear.
Wound handling
Even _______(1) cuts can become infected if they are left _______(2) . Any break in the skin can
let bacteria enter the body. An increasing number of bacterial skin infections are resistant to
_______(3) medicines.
These infections can spread
throughout the body. But
taking good care of any
_______(4) that breaks the
skin can help prevent an
infection.
Medical experts say the first
step in treating a wound is to
use clean water. Lake or
_______(5) water should not
be used. To clean the area
around the wound, experts
suggest using a clean cloth
and _______(6) . They say
there is no need to use
products like hydrogen
peroxide or _______(7) .
It is important to _______(8)
all dirt and other material from
the wound. After the wound is
clean, use a small amount of
antibiotic _______(9) or
cream. Studies have shown
that these medicated
products can aid in healing.
They also help to keep the surface of the wound from becoming dry. Finally, cover the cut with a
clean bandage while it heals. Change the bandage _______(10) and keep the wound clean.
UNIT 8
ANTIMICROBIAL
RESISTANCE
I. CLOZE TESTS
1.1. Fill each of the gaps with one word from the box.
1. 2. Fill each of the gaps with one word from the box.
1. 3. Fill each of the gaps with one word from the box.
A. avoiding, B. induced, C. limited, D. produced, E. separately,
F. spreading, G. testing, H. theoretically, I. undercooked, J. washing
Alternatives to antibiotics
_________(1) hands properly reduces the chance of getting infected or _________(2) infection.
Thoroughly washing or _________(3) of raw foods such as fruits, vegetables, raw eggs, and
_________(4) meat can also reduce the chance of an infection.
Vaccines do not suffer the problem of resistance
because a vaccine enhances the body's natural
defenses, while an antibiotic operates _________(5)
from the body's normal defenses. Nevertheless, new
strains may evolve that escape immunity
_________(6) by vaccines.
While _________(7) promising, anti-staphylococcal
vaccines have shown _________(8) efficacy,
because of immunological variation between
Staphylococcus species, and the limited duration of
effectiveness of the antibodies _________(9).
Development and _________(10) of more effective
vaccines is under way.
Phage therapy is a more recent alternative that can
cope with the problem of resistance.
cope with đối phó với properly đúng cách, thích đáng
duration thời gian raw food thực phẩm tươi sống
enhance tăng cường separate tách ra
escape thoát khỏi staphylococcus tụ cầu
evolve tiến hoá strain chủng, giòng
immunological variation biến thể miễn dịch theoretical về lý thuyết
induce gây ra, kích thích thoroughly thận trọng, cẩn thận
nevertheless tuy nhiên under way được tiến hành, áp dụng
operate hoạt động undercook nấu không chín
phage therapy trị liệu bằng thể thực khuẩn
1. BCG (Bacille Calmette-Guerin), the _______ used tuberculosis vaccine, has been used all
aroud the world for more than 40 years.
2. _______ is moist tissue that lines some organs and body cavities throughout the body,
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including your nose, mouth, lungs, and digestive tract.
3. _______ antibodies are widely used as diagnostic and research reagents.
4. _______ therapy or IV therapy is the giving of liquid substances directly into a vein.
5. _______ is a process by which the body’s white blood cells and chemicals protect us from
infection and foreign substances such as bacteria and viruses.
6. _______ refers to types of treatment that stimulate, enhance or suppress the body's own
defence system. It is used to treat certain types of cancer and inflammatory diseases, such as
rheumatoid arthritis…
7. _______ are drugs that inhibit or prevent activity of the immune system.
8. _______ is the branch of medicine that deals with the medical care of infants and children.
9. _______ is an asthma symptom that results from narrowing of the airways. A _______ sounds
like a high-pitched whistle as you breathe through your mouth or nose.
V. REWRITING
Rewrite the following sentences, beginning with the given initials.
1. Opportunistic disease may be caused by microbes that are ordinarily in contact with the host.
Opportunistic disease may _______
2. Infection with most pathogens does not result in death of the host.
Infection with most pathogens does not cause _______
3. The immune response to a microorganism often causes symptoms such as a high fever and
inflammation
The immune response to a microorganism often lead _______
4. Certain agents cannot be cultured, for example Treponema pallidum and most viruses.
It is _______
5. Between 1518 and 1568 pandemics diseases are said to have caused the population of Mexico
to fall from 20 million to 3 million.
It is _______
VI. LÍSTENING 11
Listen and complete the text with what you hear.
In order to have a healthy baby, it is _______(1) not to do certain things while
pregnant. The most common _______(2) that babies have problems when they are
born is because the mother took _______(3) or drank alcohol while pregnant.
Any food she eats, any liquid she drinks, and any drug she takes passes through the
mother's body and into the _______(4) baby. There is nothing that stops the baby
from getting whatever the mother has in her body.
There is no _______(5) amount of alcohol or drugs a pregnant woman can take. Doctors do not know
how any baby will _______(6) to the alcohol or drugs in the mother's body. The best advice it is to not
use any alcohol or drugs while pregnant.
There is no safe time to take any drugs or alcohol during pregnancy. If a woman _______(7) she is
pregnant, she should stop smoking or using drugs and alcohol immediately. The sooner the woman
stops taking them, the better _______(8) the baby has to be born healthy.
After the baby is born, it is important for the mother to not take drugs or alcohol if she is _______(9)
feeding her child. Any drug or alcohol can be _______(10) on to the baby through the mother's milk.
It is best if you eat healthy foods, get plenty of sleep, and see a doctor regularly if you are pregnant.
UNIT 9
HIV INFECTION
This is a symbol for solidarity with HIV-positive people and those living
with AIDS.
1.2. Fill each of the gaps with one word from the box.
1.3. Fill each of the gaps with one word of your own
HIV test
Many people are unaware that they are infected _________(1) HIV. Less _________(2) 1% of the
sexually active urban population in Africa has been tested, and this proportion is even lower
_________(3) rural populations. Furthermore, only 0.5% of pregnant women attending urban health
facilities are counseled, tested or receive their test results. Again, this proportion is even lower in
rural health facilities. Therefore, donor blood and blood products used in medicine and medical
research are screened _________(4) HIV. Typical HIV tests, including the HIV enzyme
immunoassay, detect HIV antibodies in serum, plasma, oral fluid, dried blood spot or urine of
patients. However, the window period (the time _________(5) initial infection and the development
of detectable antibodies _________(6) the infection) can vary. This is why it can take 3-6 months to
seroconvert and test positive. Commercially available tests to detect other HIV antigens, HIV-RNA,
and HIV-DNA _________(7) order to detect HIV infection prior _________(8) the development of
detectable antibodies are available. For the diagnosis _________(9) HIV infection these assays are
not specifically approved, but are nonetheless routinely used _________(10) developed countries.
A hundred years ago a doctor had to recall all his experience and use his judgment to diagnose
what was wrong with a patient. Quite often he would be right, but sometimes he would make
mistakes. A doctor’s mistake can be dangerous, even fatal, for a patient.
1. In order not to spread the disease, the patient should stay in a _______ room.
A. separate B. small C. big D. bright
2. In vitro fertilization (test-tube babies) is a widely used technique to aid infertile couples.
A. treat B. make C. help D. allow
3. Insulin is the natural ______ hormone.
A. antidiuretic B. antibiotic C. antidiabetic D. antidiarrheal
4. It is comparatively easy to avoid a particular kind of vegetable or fish.
A. relatively B. intensively C. constantly D. certainly
5. It is important for patients to consult their doctor to know the severity of their illness
A. cause B. seriousness C. sign D. symptom
6. It is necessary to assess the effectiveness of new drugs.
A. interfere with B. define C. evaluate D. attack
7. Modern vaccines are among our most effective strategies to _______ disease.
A. protect B. protest C. treat D. prevent
8. Most people are convinced that it is a good practice.
A. are firmly persuaded B. do not believe C. suspect D. are separated
9. Mumps also usually causes fever and headache.
A. high pressure B. high temperature C. sugar levels D. diarrhea
10 Overweight people have an increased risk of high blood pressure, heart disease, and other illnesses.
. A. Too thin B. Too fat C. Too tall D. Too short
1. This medication is an excellent and wonderful _______ to get rid of acne scars.
2. There are three major pairs of _______ glands in the mouth. The largest pair are called the parotid
glands.
3. _______ drugs are administered by placing the medication under the tongue.
4. She stressed the hospital's main goal is _______ patients and moving them back into the
community.
5. _______ is the watery and usually frothy substance produced in the mouths of humans and most
other animals.
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6. _______, commonly known as a runny nose, is the medical term describing irritation and
inflammation of some internal areas of the nose.
7. _______ is a general term that refers to inflammation of lung tissue.
8. In biochemistry, a _______ is a protein molecule, embedded in either the plasma membrane or
cytoplasm of a cell, to which a mobile signaling molecule may attach.
9. Human intestinal _______, worms, infection, food, water cause constipation, stomach bloating, and
other health problems.
10 Blood _______ is blood plasma without fibrinogen or the other clotting factors.
.
11 As Chennai gets cleaner and as cattle are shifted out of the city, its residents might be getting more
. _______ to asthma attacks.
V. REWRITING
Rewrite the following sentences, beginning with the given initials.
1. People infected with a new disease can carry the disease to the far side of the world before their
first symptoms appear.
People who _______
2. The relationship between virulence and transmission is complex, and has important
consequences for the long term evolution of a pathogen.
The relationship between virulence and transmission is complex,
3. Edward Jenner, Jonas Salk and Albert Sabin were successful in developing vaccines for
Smallpox and polio, reducing the threat of these debilitating diseases.
Edward Jenner, Jonas Salk and Albert Sabin succeeded _______
4. They successfully developed vaccines for Smallpox and polio, reducing the threat of these
debilitating diseases.
They successfully developed vaccines for Smallpox and polio, and _______
5. Organisms which are normally non-pathogenic can become pathogenic under the right
conditions.
Normally non-pathogenic _______
VI. LÍSTENING
6.1. Listen and complete the text with what you hear.
UNIT 10
URINARY TRACT INFECTION
I. CLOZE TESTS
1.1. Fill each of the gaps with one word from the box.
A urinary tract infection (UTI) is a _________(1) infection that effects any part of the urinary tract.
Although _________(2) urine contains a variety of fluids, salts, and waste products, it usually does
not have bacteria in it. When bacteria gets into the bladder or kidney and _________(3) in the urine,
it causes a UTI. The most common type of UTI is a bladder infection which is also often
_________(4) cystitis. Another kind of UTI is a kidney infection, _________(5) as pyelonephritis,
and is much more serious. Although they cause discomfort, urinary track infections are usually
quickly and easily treated by seeing a doctor _________(6).
Symptoms and signs
1.2. Fill each of the gaps with one word from the box.
In the future, scientists may develop a vaccine that can prevent UTIs _________(1) coming back.
Researchers _________(2) different studies have found that children and women who
_________(3) to get UTIs repeatedly are _________(4) to lack proteins called immunoglobulins,
which fight infection. Children and women who do not get UTIs are more likely to have normal
_________(5) of immunoglobulins in their genital and urinary tracts.
Early tests _________(6) that a vaccine helps patients _________(7) up their own natural infection-
fighting powers. The dead bacteria in the vaccine do not spread like an infection; instead, they
prompt the body to produce _________(8) that can later fight against live organisms. Researchers
are testing injected and _________(9) vaccines to see which works best. Another method being
considered for women is to apply the vaccine directly as a suppository in the _________(10).
1.3. Fill each of the gaps with one word from the box.
Joseph Lister
Joseph Lister (1827-1912), British surgeon, whose discovery of antiseptics in 1865 greatly reduced
the number of deaths due to operating-room infections. Born in Upton, Essex, and educated at the
universities of London and Edinburgh, Lister began to study the
coagulation of blood and the inflammation that resulted from
injuries and surgical wounds. In 1861 he was appointed surgeon of
the Glasgow Royal Infirmary in a new surgery unit designed to
reduce gangrene and other infections, then thought to be caused
by bad air. Despite his efforts to keep surgical instruments and
rooms clean, the death rate remained close to 50 percent.
Believing infections to be caused by airborne dust particles, Lister
sprayed the air with carbolic acid, a chemical that was then being
used to treat foul-smelling sewers. In 1865 he came upon the germ
theory of the French bacteriologist Louis Pasteur, whose
experiments revealed that fermentation and putrefaction were
caused by micro-organisms brought in contact with organic
material. By applying carbolic acid to instruments and directly to
wounds and dressings, Lister reduced surgical mortality to 15 percent by 1869.
Lister's discoveries in antisepsis met initial resistance, but by the 1880s they had become widely
accepted. In 1897 he was made baron by Queen Victoria, who had been his patient for sometime.
A. Number the following events in the correct time order. Write numbers from 1 to 8 in the
blanks.
_____ The death rate was reduced to about 15 percent with the use of carbolic acid.
_____ By the 1880’s Lister’s discoveries in antisepsis had become widely accepted.
_____ In 1861, Lister was made the surgeon of the Glasgow Royal Infirmary.
_____ Lister was made baron by the Queen, who had been his patient for some years.
_____ Lister came to know about Louis Pasteur’s theory of micro-organisms.
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_____ Lister was born in Upton, Essex in the year 1827.
_____ Lister died in the year 1912, at the age of 85.
_____ Lister began to study the coagulation of blood and the infections in the operating room.
B. Say whether the following statements are true or false.
1. _______ Initially, Lister believed that infections were caused by airborne dust particles.
2. _______ Lister discovered antiseptics in the year 1861.
3. _______ By 1869, the surgical mortality was brought down to around 15%.
4. _______ Carbolic acid was the first antiseptic used by Lister to kill micro-organisms.
5. _______ Lister studied Pasteur after he was made baron by Queen Victoria.
C. Write the opposites of the following words from the passage. Keep the same part of
speech.
1. rejected (v) _______ 2. final (adj) _______
3. birth rate (n) _______ 4. narrowly (adv) _______
5. increased (v) _______
IV. REWRITING
Rewrite the following sentences, beginning with the given initials.
V. LÍSTENING
Listen and complete the text with what you hear.
AIDS
AIDS is a disease that kills people. It is caused by a germ. It is spread by sharing drug _______(1)
or having sex. All people are at _______(2) . A person with AIDS can get sick in different ways. Half
of the people who have gotten AIDS have died. There is no _______(3), but you can protect
yourself from getting the disease.
You can _______(4) AIDS by knowing your sex partner well. Talk to them about it and ask them
_______(5) questions about themselves. Do not have sex with a person who has had the virus or
used needles for drugs. Sex is safest if you and your partner are AIDS-_______(6) and only have
sex with each other. Always use _______(7) protection during sex.
Another _______(8) to avoid AIDS is to never share needles. If you must share, always clean the
needle and the _______(9) to kill the AIDS virus. Doing without drugs will lower your risk of getting
AIDS.
AIDS is not spread by everyday contact. You do not get AIDS from food, sneezing, telephones,
social kissing, toilets, hugging, swimming pools or giving _______(10) .
V. TERMINOLOGY
CROSSWORD 1: Find the vertical word by doing the crossword, using the
definitions given below it and given letters as prompts.
HORIZONTAL WORDS
1 each of the two upper cavities of the heart from which blood is passed to the ventricles.
2 substances that prevent the growth of disease-causing micro-organisms
3 a blood serum containing antibodies against specific antigens, injected to treat or protect
against specific diseases
4 any of the major air passages of the lungs which arise from the windpipe
5 a parasitic animal which inhabits the intestines of humans and other animals.
6 a tube-shaped sac attached to and opening into the lower end of the large intestine
7 the long thread-like part of a nerve cell along which impulses are conducted from the cell
body to other cells
8 a respiratory condition marked by attacks of spasm in the bronchi of the lungs
9 the synthesis of complex molecules in living organisms from simpler ones together with the
storage of energy; constructive metabolism
10 any tube by which blood is conveyed from the heart to all parts of the body.
11 a disease of children caused by vitamin D deficiency
CROSSWORD 2: Find the vertical word by doing the crossword, using the
definitions given below it and given letters as prompts.
THE VERTICAL WORD The name of the German neurologist who first identified a progressive
mental deterioration caused by degeneration of the brain.
1 R S
2
3 Y E
4 T E
5
6 A A
7 A M
8 S C
9
HORIZONTAL WORDS
CROSSWORD 3: Find the vertical word by doing the crossword, using the
definitions given below it and given letters as prompts.
THE VERTICAL WORD A disease in young children with an unknown cause, giving rise to a rash,
glandular swelling and sometimes damage to the heart.
HORIZONTAL WORDS
1 German bacteriologist who identified the organisms causing anthrax, tuberculosis, and cholera.
2 a rod-shaped bacterium.
3 involuntary urination during the night
4 a white blood cell readily stained with basic dyes
5 the science of the application of the laws of physics to biological phenomena.
6 any of the fine branching blood vessels that form a network between the arterioles and venules.
7 the joint between the thigh and the lower leg in humans
8 not harmful in effect, not malignant
SECTION I: VOCABULARY
A. Choose one word or phrase that best defines the underlined words.
1. A smoker with high blood pressure can increase her incidence of heart disease.
A. birth rate B. mortality C. number of cases D. obesity
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2. AIDS stands for acquired immunodeficiency syndrome.
A. a number of tests B. a set of disease conditions
C. chronic disease D. prevention
3. An individual will often have different forms of allergy at different stages in his life.
A. germs B. troubles C. periods of time D. types
4. Any side effects on the patients must be noticed.
A. desirable effects B. undesirable effects C. beneficial effects D. lateral effects
5. Desensitization should be recommended in this case.
A. making less sensitive to an allergen. B. malnutrition
C. multiplication D. weight control
6. Diabetes also causes its own unique complications.
A. happening very often B. lasting for a long time
C. belonging and connected with a particular disease. D. being rich
7. Diabetes insipidus results from injury of the posterior lobe of the pituitary gland.
A. serious B. behind C. beneath D. main
8. Different viruses are attracted to different types of cells
A. caused to come near B. altered C. immune D. enough
9. Drinking lots of water helps the bladder flush itself.
A. clean with water B. enlarge C. infect D. invade
10. Good anti-microbial stewardship is required to limit the impact of drug resistance.
A. risk B. result C. managing D. increase
11. He should avoid such allergens when possible.
A. poisons B. substances that can combat allergy
C. fish D. substances that can cause allergy.
12. His illness resulted from an improper diet.
A. came from B. was responsible for C. led to D. equired
13. Hormone replacement therapy is sometimes given to combat the effects of menopause.
A. continue B. fight against C. increase D. raise
14. It is necessary to assess the effectiveness of new drugs.
A. interfere with B. define C. evaluate D. attack
15. Mortality for some non-communicable diseases (NCDs) in many developing countries are
particularly high.
A. infectious B. contagious
C. not contagious D. most noticeable
16. A blood serum analysis can help the ID specialist detect antibodies that indicate what type of
infection you have.
A. express B. show C. administer D. manifest
17. Most urinary tract infections are caused by bacteria from the bowel that invade the urinary tract.
A. stomach B. esophagus C. kidney D. intestine
18. Most babies are born with their brains and bodies intact.
A. complete and not damaged B. malnourished
C. impaired D. free from germs
19. Scientists have uncovered several causes of mental retardation.
A. discovered B. altered C. developed D. advised
20. She has elevated cholesterol.
A. high B. low C. quick D. slow
21. The best way to obtain vitamins is to eat fruit.
A. avoid B. discover C. make up D. receive
22. The infected person will become more susceptible to infections.
A. dangerous B. vulnerable C. normal D. protected
23. The outcome of any infection depends on the number and virulence of infectious agents.
A. ingestion B. sites
C. weakness D. ability to harm or to kill
24. The practice of infection control has been inadequate.
A. enough B. not enough C. important D. achieved
25. They are now considered predominant health problems in several countries in Asia.
A. contagious B. most noticeable C. chronic D. preventable
26. This drug interfered with the development of the embryo.
A. increased B. hindered C. aided in D. killed
27. Vitamin A also helps the eyes to function normally in light that varies in intensity.
A. causes B. assists C. differentiates D. differs
28. We are convinced that chemotherapy will help in this case.
A. worry B. believe C. suggest D. don't
believe
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29. It is very important to stop the spread of the disease immediately.
A. transmission B. outbreak C. consequence D. outcome
30. The new findings help explain why HIV – infected people with active TB have a poorer prognosis
than HIV – infected people without TB.
A. tuberculosis B. thoracic bleeding C. thoracic bacilli D. treated bronchitis
B. TERMINOLOGY – Match each medical term on the left with its meaning listed on the right
B. CLOZE TEST Fill each gap with ONE word from those given in the box
condition / tuberculosis / bent / suspect /
serious / signs / possible / upward / complication / too
Meningitis is a very (51)_________ infection of the brain which is more common in children than in
adults. It may begin as a (52)_________ of another illness such as measles, mumps, whooping
cough or an ear infection. Children of mothers who have (53)_________sometimes get tubercular
meningitis in the first few months of life. Fever, severe headaches and stiff neck are
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(54)_________ of meningitis. The child is very sick and lies with his head (55)_________ back.
Usually, the back is (56)_________ stiff to put the head between the knees. In babies under one
year old, the fontanel, the soft spot on the head, bulges (57)___________. The child is very sleepy
and his (58)__________ gets worse and worse until he loses consciousness.
If you (59)_________that a child has meningitis , get medical help fast. If it is (60) ____________,
take the person to hospital.
C. TRUE – FALSE TEST. Read the passage and answer the True/False questions below.
Hysteroscopy has recently been performed either for diagnostic or operative purposes.
Many reports confirm that operative hysteroscopy is safe and effective, but as more gynecologists
perform an increasing number of procedures, we must be aware of potential complications and do
our best to minimize the risk for our patients.
When the AAGL surveyed its members in 1993, it found a complication rate of 2% for operative
hysteroscopy. The rate of major complications such as perforation, hemorrhage, and bowel or
urinary tract injury was less than 1%.
Complications of operative hysteroscopy cannot be completely avoided, and may occur even when
a procedure is done correctly by experienced doctors. They are far more likely if techniques or
equipment are used improperly.
One of the most common complications of operative hysteroscopy is uterine perforation, which is
illustrated by this case. It could have been avoided if the obstetrician had stopped the procedure
when bleeding first occurred, removed the instrument and allowed the uterus to contract.
This is just one of the strategies that can reduce the risks of hysteroscopic surgery. We can reduce
the risk of complications if attention is paid to contradictions, equipment is thoroughly checked and
the surgeon goes through a mental checklist and plans each procedures.
Hysteroscopy: soi tử cung
Uterus: tư cung
Perforation: thủng, khoan thủng
1. Hysteroscopy is always done to diagnose, not for any other purposes of treatment.
2. Operative hysteroscopy is not always safe and effective as many reports confirm.
3. It is essential for surgeons to be aware of the possibility of complications and try to reduce the
risk.
4. It is possible to avoid uterine perforation, one of the major complications of operative
hysteroscopy.
5. There are several ways to reduce the risks of hysteroscopic surgery.
PART 2: Fill the gaps with appropriate words given in the box
attack, care, cardiovascular, chest, contains,
disease, rest, signs, specific, swelling
Heart _______ (31) is a commonly used term for any disease that affects the heart. A more
appropriate term is _______ (32) disease, which include both heart and blood vessel disorders.
Different heart diseases may require different _______ (33) medicines, which must be used with
great _______(34). If you think a person has heart trouble, seek medical help. It is important that he
has the right medicine when he needs it. People with heart diseases should not work so hard that
they get _______(35) pain or have trouble breathing.
However, regular exercise helps prevent a heart _______(36). If an old person begins having
attacks or difficult breathing or _______(37) of the feet, he should not use salt or eat food that
_______(38) salt. For the rest of his life he should eat little or no salt. If a person has angina
pectoris or a heart attack, he should _______(39) quietly in a cool place until the pain goes away. If
the chest pain is very strong and does not show _______(40) of shock, the heart has probably been
damaged.
PART 3: Read the passage and answer the TRUE/FALSE questions below
Some infections, such as measles, malaria, typhus and yellow fever, affect the entire body. Other
infections, however, affect only one organ or system of the body. The most frequent local infections,
including the common cold, occur in the upper respiratory tract. Other common sites of infection
include the digestive tract, the lungs, the reproductive and urinary tracts, and the eyes and ears.
Local infections can cause serious illnesses if they affect vital organs such as the heart, brain or
liver. They also can spread through the blood stream to cause widespread symptoms. The outcome
(kết thúc bệnh) of any infection depends on the number and virulence of infectious agents, and the
response of the immune system. A compromised (thỏa hiệp) immune system, which can result from
diseases such as AIDS or treatment of diseases such as cancer, may allow organisms that are
ordinarily harmless to proliferate (sinh sản) and cause life-threatening illness.
PART 4:
Rewrite the following sentences, beginning with the given words so that the meaning keeps
unchanged.
46 They didn’t take the boy to hospital and his life was not saved.
. - If ……………………………………………………………
47 New equipment enables us to detect more diseases.
. - New equipment makes it ……………………………………………………………
48 You need to have your blood pressure checked regularly.
. - It is ……………………………………………………………
49 St Louis Hospital, the biggest hospital in the City, has just received a lot of modern
. equipment.
- St Louis Hospital, which …………………………………
50 The child will die if nobody sends for a doctor.
. - Unless ……………………………………………………………………
I. GRAMMAR & GENERAL VOCABULARY Choose the best answer among A, B, C and D.
II. MEDICAL TERMINOLOGY Match a term on the right with its corresponding definition on
the left.
31. rhinitis a a disease causing painful inflammation and stiffness of the joints.
32. precursor b spread from one person or organism to another by direct or indirect
contact
33. hypotension c substance required in trace amounts for the normal growth and
development of living organisms
34. immunity d being grossly fat or overweight
35. intradermally e a substance from which another is formed, especially by metabolic
reaction
36. micronutrient f persisting for a long time or constantly recurring; not acute
37. obesity g abnormally low blood pressure
38. contagious h the ability of an organism to resist a particular infection or toxin by the
action of specific antibodies or sensitized white blood cells
39. chronic i existing or taking place within the skin
40. arthritis j inflammation of the mucous membrane of the nose
The most prevalent cause of heart diseases is high blood pressure, also called hypertension. High
blood pressure cannot be cured. However, it can be brought (41)______, so that it may not cause
(42)______ to the heart and other body system. (43)______ the person who has high blood
pressure often must continue treatment for the disease for the (44)______ of his life.
The usual treatment for cases of high blood pressure is a change of diet to reduce the amount of
sodium (45)______ into the body. Because table salt is the commonest source of sodium in food,
the diet usually calls for eating salt- (46)______ foods. For severe cases of high blood pressure a
doctor usually (47)______ antihypertensile drugs. Although doctors do not know all the cause of
high blood pressure, they (48)______ know that overweight people and cigarette smokers have a
tendency to high blood pressure. Since emotions and worry also can cause blood pressure to rise,
regular (49)______ and adequate sleep and rest are desirable for (50)______ persons.
41 A. out of control B. off control C. under control D. from control
.
42 A. damages B. damage C. infection D. injection
.
43 A. Moreover B. Otherwise C. However D. Therefore
.
44 A. all B. whole C. rest D. some
.
45 A. taken B. take C. taking D. disastrous
.
46 A. free B. freedom C. freely D. freed
.
47 A. describes B. prescribes C. provides D. supplies
.
48 A. do B. will C. must D. would
.
49 A. digestion B. respiration C. relaxation D. contraction
.
50 A. all B. every C. all of D. each
.
3.2. CLOZE TEST 2 Choose the best word or phrase to fill in each gap.
3.3. READING WITH MULTIPLE CHOICE QUESTIONS Read the passage and answer the
question given below it.
People with disabilities comprise a large part of the population. It is estimated that over 35 million
Americans have physical, mental, or other disabilities. About half of these disabilities are
"developmental", i.e., they occur prior to the individual's twenty-second birthday, often from genetic
conditions, and are severe enough to affect three or more areas of development, such as mobility,
communication, employment, etc. Most other disabilities are considered "adventitious", i.e.,
accidental or caused by outside forces.
Prior to the 20th century, only a small percentage of people with disabilities survived for long.
Medical treatment for these disabilities was unavailable. Advancements in medicine and social
services have created a climate in which people with disabilities can expect to have such basic
needs as food, shelter, and medical treatment. Unfortunately, these basics are often not available.
Civil liberties such as the right to vote, marry, get an education, and gain employment have been
denied on the basis of disability.
In recent decades, the disability rights movement has been organized to fight against these
infringements of civil rights. Congress responded by passing laws recognizing people with
disabilities as a protected class under civil rights statutes.
Still today, people with disabilities must fight to live their lives independently. It is estimated that
more than half of Americans with disabilities are unemployed, and a majority of those who do work
are underemployed. About two-thirds live at or below the official poverty level.
Significant barriers, especially in transportation and public awareness, prevent disabled people
from taking part in society. For example, while no longer prohibited by law from marrying, a person
with no access to transportation is excluded from community and social activities which might lead
IV. WRITING. Rewrite the following question so that the new sentence is similar in meaning
to the original one.
66. The pain results from a narrowing of the blood vessels feeding the muscle.
The pain is caused ……………..
67. Organisms causing an infectious disease in a host with depressed resistance are classified as
opportunistic pathogens.
Organisms that ……………….
68. Although there are many claims of nutritional cures, there is no reliable proof of their
effectiveness.
Despite ……………………
69. These chemicals are not yet recognized to cause allergic reactions.
Researchers do not ……………………
70. Many soy-allergic individuals are sensitive to soy protein.
Many individuals ……………….
I. GRAMMAR & GENERAL VOCABULARY Choose the best answer among A, B, C and D.
1. A blood serum analysis can help the ID specialist detect antibodies that indicate what type of
infection you have.
A. express B. show C. administer D. manifest
2. Other symptoms include fatigue, blurred vision, increased hunger, and sores that do not heal.
A. extreme cold B. extreme heat C. excitement D. extreme
tiredness
3. A diet low in fat will reduce your chances of getting certain diseases and help you maintain a
healthy weight.
A. increase B. decrease C. rise D. vary
4. A possible source for the misconception holds that AIDS infects only homosexual men
A. misuse B. incorrect use C. incorrect view D. abuse
5. Antimicrobials must be used responsibly to preserve their utility and value.
A. destroy B. reduce C. maintain D. eliminate
6. Blood test can detect this defect at birth.
A. discover B. destroy C. end up D. contract
7. Chlorampheramine relieves the symptoms of a hay fever.
A. increases B. lessens C. maintains D. expresses
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 73
8. Desensitization should be recommended in this case.
A. making less sensitive to an allergen B. malnutrition
C. multiplication D. weight control
9. Diabetes insipidus results from injury of the posterior lobe of the pituitary gland.
A. serious B. behind C. beneath D. main
10. Drinking lots of water helps the bladder flush itself.
A. clean with water B. enlarge C. infect D. invade
11. Excess sugar accumulates in the blood.
A. presents B. accommodates C. appears D. builds up
12. Good anti-microbial stewardship is required to limit the impact of drug resistance.
A. risk B. result C. management D. increase
13. He is suffering from chronic dysentery.
A. acute B. lasting C. mild D. severe
14. Headache is the most frequent human discomfort.
A. feeling uneasy B. feeling easy C. feeling hot D. feeling cold
15. In early childhood mild disability (IQ 60–70) may not be obvious, and may not be diagnosed until
they begin school.
A. clean B. clear C. bright D. light
16. It is necessary to assess the effectiveness of new drugs.
A. interfere with B. define C. evaluate D. attack
17. Malaria begins suddenly with rising temperature and chills.
A. coldness B. fever C. sweating D. pains
18. Microscopic organisms can penetrate the body’s natural barriers.
A. destroy B. go through C. inhibit D. enlarge
19. Most urinary tract infections are caused by bacteria from the bowel that invade the urinary tract.
A. stomach B. esophagus C. kidney D. intestine
20. NCDS are often referred to as diseases of affluence.
A. being poor B. malnutrition C. sudden onset D. being rich
21. You should have your lungs _______ if your cough lasts for over a month.
A. X-rayed B. X-ray C. X-raying D. to X-ray
22. Women of all ages should be _______ about heart disease. All women should take steps to
prevent heart disease.
A. related B. concerned C. associated D. linked
23. When food is _______ it passes down the esophagus.
A. produced B. swallowed C. digested D. cooked
24. When a person is _______ with HIV, there is an initial period when the virus multiplies rapidly.
A. contaminated B. infected C. reproduced D. replicated
25. We say a disease is ________ when it does not last for a long time.
A. chronic B. acute C. severe D. preventable
26. Vitamins have such _______uses that one cannot replace or act for the other.
A. dangerous B. general C. allergic D. specific
27. Urinary tract infection is an _______ treated disease.
A. ease B. easily C. easy D. eased
28. Type 2 diabetes is caused by a lack of insulin.
A. shortage B. lot C. part D. great deal
29. This layer is _______ as the subcutaneous.
A. known B. called C. knew D. calling
30. These bacteria may be associated with symptoms and thus require treatment with _______.
A. antibiotics B. antibodies C. antigens D. antihistamine
II. MEDICAL TERMINOLOGY Match a term on the right with its corresponding definition on
the left.
31 antiseptics A. a group of symptoms which consistently occur together or a condition
. characterized by a set of associated symptoms.
32 anus B. a headache that typically affects one side of the head and is often
. accompanied by nausea and disturbed vision
33 gastritis C. the opening at the end of the alimentary canal through which solid
. waste matter leaves the body
34 hyperalimentation D. inflammation of the lining of the stomach
.
numbness: tê; tingling: cảm giác kiến bò, kim châm; alternative: thay thế; amputation: cắt
cụt chi
3.2. READING WITH MULTIPLE CHOICE QUESTIONS Read the passage and answer the
question given below it.
Hepatitis is an inflammation of the liver due to five hepatitis viruses - A, B, C, D or E. In its early
stages, the disease may be mistaken for flu, with fever, fatigue, nausea, diarrhoea, loss of appetite,
muscle and joint aches. These are followed by the characteristic jaundice or yellowing of the eyes
and skin due to a build-up of bile in the blood. Excessive bile can also cause severe itchiness and a
darkening of urine.
Hepatitis A is transmitted through contaminated food. Hepatitis B is transmitted through blood,
semen, saliva and other body fluids. It is spread by blood transfusion, sharing of needles, sexual
contact and other exposure to bodily fluids. Hepatitis C is mostly transmitted through blood
transfusion. For unknown reasons, people with alcoholic liver disease often have hepatitis C as
well. Hepatitis D & E occur only in people who already have infection with hepatitis B virus and it
makes the hepatitis B infection more severe.
Follow a diet that is low in animal fats, oily fried foods and carbohydrates but high in dietary fibre
like fruits and vegetables. All water should be boiled before drinking, and if you are traveling use
bottled water.
Eat home-cooked food, where you can be assured of hygiene. Alcohol and medications that are
potentially toxic to the liver must be avoided. You may check with your doctor before taking any
medications. Lecithin, being exceptionally rich in a compound called phosphatidylcholine, is
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 75
excellent for optimum liver function. Regular intake of high phosphatidylcholine (35 per cent) has
been shown to accelerate liver regeneration in the treatment of chronic liver disease resulting from
viral infection, drug poisoning or excessive alcohol consumption.
Nutritional anti-free radicals such as beta-carotene, vitamins C and E, and minerals zinc are
essential in protecting the liver from free radical damage.
Jaundice: vàng da; itchiness: ngứa; accelerate: gia tăng; optimum: tối ưu; free radical: gốc
tự do
IV. WRITING. Rewrite the following question so that the new sentence is similar in meaning
to the original one.
56. Certain agents cannot be cultured, for example Treponema palladium and most viruses.
It is _______
57. Infection with most pathogens does not result in death of the host.
Infection with most pathogens does not cause _______
58. Transmission of an infectious disease may occur through several pathways
An infectious disease may be _______
59. You should check on her feet everyday for cuts and break of the skin, injury, blisters and toenail
infection.
Her feet _______
60. Regular intake of high phosphatidylcholine has been shown to accelerate liver regeneration.
They _______
GLOSSARY
1. a wide variety of (det)
2. aberrant protein
3. abnormal (adj)
4. abnormality
5. abruptly (adv)
6. abundance (n)
7. abundant (adj)
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 76
8. academic
performance
9. access (vt), (n)
10. accessory
11. accompanied by
12. accompany (vt)
13. account for
14. accumulate (vt)
15. accumulation
16. achieve (vt)
17. acquire
18. Acquired Immune
eficiency Syndrome
(AIDS)
19. activation (n)
20. active TB (n)
21. activity (n)
22. acute (adj)
23. additional (adj)
24. address (vt)
25. adolescent
26. adopt (vt)
27. adult (n)
28. advanced (adj)
29. adversely (adv)
30. affect (vt)
31. affluence (n)
32. affordable
33. age (vi)
34. agent (n)
35. age-specific (adj)
36. aggressive (adj)
37. aid (vi), (n)
38. ailment (n)
39. aim to do st (v)
40. airborne (adj)
41. alcohol (n)
42. alert for (v)
43. allergen (n)
44. allergic (adj)
45. allergist (n)
46. allergy (n)
47. allot (vt)
48. allow (vt)
49. alter (vi), (vt)
50. ambient
51. amount (n)
52. amputation
53. anaemic (adj)
54. anaphylactic shock
55. ancient times
56. anesthesia (n)
57. angina
58. angioplasty
59. annually
60. antibacterial (n), (adj)
61. antibiogram
62. antibiotic-resistant
(adj)
63. antibody (n)
64. antibody-initiated
65. antidiuretic (adj), (n)
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 77
66. antifungal (n), (adj)
67. antigen-specific
68. antihistamine (n)
69. antimicrobial (n),
(adj)
70. antineoplastic (adj)
71. antiparasitic (n), (adj)
72. antiretroviral drugs
73. antiseptic (n), (adj)
74. antiserum (n)
75. antivirals (n), (adj)
76. anxiety (n)
77. apart from prep
78. appear (v)
79. appetite (n)
80. application (n)
81. apply (v)
82. approach to (n)
83. appropriate(adj)
84. approve (v)
85. approximately
(adv)
86. aquarium (n)
87. array (n)
88. arthritis (n)
89. artificially (adv)
90. as a result of (prep)
91. as long as (conj)
92. ascertain (vt)
93. aside from (prep)
94. aspect (n)
95. assess = value (vt)
96. assessment (n)
97. assist (vt)
98. associated with (adj)
99. assure (vt)
10 asthma (n)
0.
10 asymptomatic (adj)
1.
10 at birth
2.
10 at present
3.
10 at random
4.
10 atheromatous plaque
5.
10 atheromatous streak
6.
10 atherosclerosis (n)
7.
10 atherosclerotic
8.
109 attack (n), (vt)
.
11 attention to (n)
0.
11 attract (vt)
1.
11 attribute (vt)
2.
11 atypical (adj)
3.
11 autoimmune (adj)
4.
11 available (adj)
5.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 78
11 average (n), (adj)
6.
11 avoid (vt)
7.
11 avoidance (n)
8.
11 awaken (v)
9.
12 award (n)
0.
12 aware of (adj)
1.
12 awareness (n)
2.
12 bacteriolysis
3.
12 balance (n)
4.
12 barrier (n)
5.
12 basis (n)
6.
12 basophils
7.
12 bear a child (vt)
8.
12 behavior (n)
9.
13 benefit (n), (v)
0.
13 benign (adj)
1.
13 best off (adj)
2.
13 beverage
3.
13 biliary tract (n)
4.
13 bioactivity (n)
5.
13 bioavailable (adj)
6.
13 biomedical (adj)
7.
13 biomolecule (n)
8.
13 blindness
9.
14 block (vt)
0.
14 blockage (n)
1.
14 blood clotting system
2.
14 blood serum analysis
3.
14 blood work (n)
4.
14 blueprint (n)
5.
14 boil (n)
6.
14 boost (vt)
7.
14 botanist (n)
8.
14 bowel (n)
9.
15 break sth down (vt)
0.
15 breast (n)
1.
15 breathlessness (n)
2.
15 broader array of
3.
The following answers are suggested by the author in order to make the teaching
somewhat uniform. However, in many cases they are not considered to be the unique
ones. The teachers who use the book are expected to add any possible answers that
they think appropriate to certain questions.
UNIT 1:
I. CLOZE TESTS
1 2 3 4 5 6 7 8 9 10
1 amoun catal call involved clotti acid intak ingeste store deca
. ts ysts ed ng e d d des
2 eating feedi kno healing using accept practi maintai plag cause
. ng wn ed cing ning ued d
3 classifi occur limit consumpt interfe deficie result avoid liver coupl
. ed s s ion re ncy e
4 as into for from at in by with from for
.
II. READING PASSAGES
1.CDADC 2. BDCCD
III. STRUCTURES & VOCABULARY 1. C 2. A 3. A 4. B 5. C 6. B 7. A 8. C 9. D
10. A
IV. TERMINOLOGY
1. Hypercalciuria 2. Hypercalcemia 3. Hyperalimentation 4. homeostasis 5.
gut flora
6. fermentation 7. Contagious 8. Coenzymes 9. catalyst 10. Arthritis
V REWRITING
1.The currently available antibiotics are known to inhibit or kill some of these microorganisms
People know that the currently available antibiotics inhibit or kill some of these microorganisms.
2.This hormone that is believed to control how the beta cells make and release insulin
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 108
They believed this hormone controls how the beta cells make and release insulin
3. Daily multivitamin supplements have been found to reduce HIV disease progression among men
and women.
It has been found that daily multivitamin supplements reduce HIV disease progression among men
and women.
4.The disease has been reported to be reduced significantly with 4000 IU of Vitamin D3 daily over 6
months.
It has been reported that the disease is reduced significantly with 4000 IU of Vitamin D3 daily over
6 months.
The pain results from a narrowing of the blood vessels feeding the muscle.
5. The pain is caused by a narrowing of the blood vessels feeding the muscle.
VI. LISTENING 1: CDBA
SCRIPT1:In recent years, research has suggested more health value from vitamin D than had once
been thought.
Vitamin D is produced naturally in the blood. Sunlight is a major source. It is also found in some
foods. These include eggs, liver and some fish. Vitamin D is also found in pills. Vitamin D helps to
increase levels of calcium in the blood. It helps build strong bones and teeth. It also helps in muscle
development.
It also appears to do more than just protect against rickets. That serious bone disease was the
reason vitamin D was added to milk. Rickets is now rare in the western world. But it is still a
common childhood disease in developing countries. Rickets can cause bone pain and weakness,
teeth problems and muscle loss.
UNIT 2:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1. refer which antibo charac life- suffer leadin name respo stem
dies terize threat g d nse
d ening
2. by to as on or/and from in to from by
3. known suspe marke injecte testin allergi within sensiti perfor reduce
cted d d g c ve ming
4. while withou which to additi sensiti if react throug by
t onally ze h
II. READING PASSAGES
1. 1. F 2. T 3. T 4. T 5. F
2. A: 1. D 2. A 3. B 4. D 5. C 6. B
2. B: 1. F 2. T 3. T 4. F 5. T
III. STRUCTURES & VOCABULARY 1. B 2. D 3. C 4. B 5. C 6. A 7. D 8. B 9. A 10.
A
IV. TERMINOLOGY
1. micronutrient, 2. irradiation 3. Hyperparathyroidism 4. night blindness 5. Nausea 6.
Nutrients 7. Obesity 8. Osteomalacia 9. metabolism 10. metabolites
V. REWRITING
6. Thickening of the skin of the palm results in loss of ability to hold hand straight.
Loss of ability to hold hand straight results from thickening of the skin of the palm.
7. Long-term chemical exposure is capable of causing many systemic disturbances.
Long-term chemical exposure can cause many systemic disturbances.
8. It is thought that the use of purified insulin helps avoid or reduce some of the problems of
people with diabetes such as allergic reactions.
The use of purified insulin is though to help avoid or reduce some of the problems of
people with diabetes such as allergic reactions.
9. Patients find that it is hard to remember things Patients find it hard to remember things
10. You may find it useful to breathe through a wet towel or tissue when you feel the symptoms
are acute.
You may find that it is useful to breathe through a wet towel or tissue when you feel the
symptoms are acute.
VI. LISTENING 2: Poisonous, nerves, proved, develop, carried, premature, lining, cilia,
coughing, damaged
UNIT 3:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1 accou diabet consid urban develo factors estima vulner level preven
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 109
. nting es ered ped ted able table
2 of which for to in on from for to 10. of
. 11,
with
12
with
3 circula death gap factors develo lifestyl pressu intake target reducti
. tory ping e re ons
II. READING PASSAGE
1 1. B 2. D 3. A 4. B 5. B
2.A. 1. C 2. B 3. A 4. C 5. D 6. B 7. B
2.B. 1.carcinomas, 2. sarcomas, 3. leukemias 4. prostate gland 5. pancreas 6. blood cells 7.
lung cancer 8. myelomas
2.C. 1.originate 2. categorized 3. epithelial 4. respectively 5. invading 6. fatal
III. STRUCTURES & VOCABULARY 1. A 2. B 3. B 4. B 5. B 6. A 7. B 8.
C 9. D 10. B
IV. TERMINOLOGY 1 overdose 2. substrate 3. Osteoporosis 4. Parathyroid 5.
tuberculosis 6. Plague7. Rickets8. Scurvy 9. Sunscreen10 precursors
V. REWRITING
1. Organisms causing an infectious disease in a host with depressed resistance are classified
as opportunistic pathogens.
Organisms that cause an infectious disease in a host with depressed resistance are
classified as opportunistic pathogens.
2. Malaria is caused by Plasmodial parasites. Plasmodial parasites are the cause of
malaria.
3. You should take care of yourself so that a disease has less of an effect on your body.
You should take care of yourself in order that a disease has less of an effect on your
body.
4. An area near the center of the retina of the eye is responsible for fine or reading vision.
An area near the center of the retina of the eye is involved in fine or reading vision.
5. Although there are many claims of nutritional cures, there is no reliable proof of their
effectiveness.
Despite the fact that there are many claims of nutritional cures, there is no reliable proof
of their effectiveness.
VI. LISTENING 3&4
6.1. 1) thinking 2) 3) 1907. 4) rare 5) common. 6) brain. 7) memory. 8) talk. 9) family. 10)
special
6.2. CBACC- Script
In California about 9,000 people will die this year because of skin cancer.
There are two types of skin cancer. One type is caused by the sun. The second type of skin cancer
happens when the skin cells are turned into cancer cells. Your risk for getting skin cancer depends
on a number of things. Your chances are higher if you have light-colored skin, have blue eyes, are
getting older, or are in the sun a lot. The survival rate for skin cancer is 80% when found and
treated early. Depending on how deep the skin tumors are, different therapies can be tried. They
are surgery, chemotherapy, and radiation. Skin cancer can be prevented by staying out of the sun
during the hottest part of the day. Using sun block with a protective factor of at least 15 will also
help. Other ways of protecting yourself would be to wear hats and long-sleeve shirts. It is also good
to look at your skin each month to find any skin cancers early. Watching for any changes in your
skin and staying out of the sun during peak hours are the two best ways to prevent skin cancer.
UNIT 4:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1. hypergl pregna single interact incurab glucos renal blindne develo leading
ycemia ncy ion le e ss ped
2. excessi sweet urine attracte mean tasting named kidney related depend
ve d ent
3. prevent protecti prevent reliable additio elevate levels associ accum consu
ive ve ed n d ated ulated mption
II. READING PASSAGE
1. 1. C 2. C 3. A 4. D 5. A 6. C 7. C 8. D 9. D
2. 1. D 2. A 3. A 4. A 5. A
UNIT 5:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1 low trouble/diffic with on with/havi care abl from at durin
. er ulty ng e g
2 adult speaking solvi diagnos distinguis consider life encount joi servic
. s ng ed h ed er n es
3 by from for with such due to to by in
.
II. READING PASSAGE
1.A 1. C 2. D 3. B 4. D 5. D 6. B
1.B. 1E 2D 3A 4C 5B
2. 1. C 2. B 3. A 4. B 5. A
III. STRUCTURES & VOCABULARY
1. B 2. A 3. D 4. C 5. B 6. C 7. B 8. C 9. B 10. C
IV. TERMINOLOGY
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
conjun benign Antise Antiser Chroni Coma bronch autoim asthma basoph
ctiva ptics um c oconst mune ils
riction
V. REWRITING
1. Koch was one of the first scientists who focused on the isolation of bacteria. Koch was
one of the first scientists to focus on the isolation of bacteria.
2. Pollens of insect-pollinated plants are too large to remain airborne and pose no risk.
Pollens of insect-pollinated plants are so large that they cannot to remain airborne to pose
any risk.
3. It is important that people use new or properly sterilized needles for each injection. It is
important that new or properly sterilized needles be used.
4. IgG is present in the body, known to respond to foods. IgG is present in the body and is
known to respond to foods.
5. Allergies are caused by an oversensitive immune system, leading to a misdirected immune
response.
Allergies are caused by an oversensitive immune system and lead to a misdirected
immune response.
VI. LISTENING 6&7
6.1. 1) years 2) treated 3) tissue 4) healthy 5) history 6) probably 7) expensive. 8) wrong. 9)
useful 10) easily.
6.2. DDBD script Choking is the fourth leading cause of death in young children.
Children will put anything in their mouths. Small toys, jewelry, tacks, and coins are just a few.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 111
Protect them by keeping small items out of their reach.
Some foods can cause young children to choke. Round, hard foods are especially dangerous to
young children. Ask your doctor if your child is old enough to have foods like hot dogs, nuts, carrots,
and grapes. These foods can lodge in a child's throat and be very hard to get out. There are other
safety tips you should keep in mind. Do not let your child run with anything in his or her mouth. Do
not let your child lie down while eating. Never leave your baby alone with a propped up bottle. Being
aware of what your child puts in his or her mouth may save his or her life.
UNIT 6:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1. affect caused supply leading sugges known include heredi hypert surrou
ts tary ensive nding
2. artery myocar sympto decade flow
death reason eviden period buildup
dium ms s ce
3. usually consid severe differe regular stable long- orally especi urgent
erably ntly ly acting ally
II. READING PASSAGE
1.
1. A 2. D 3. B 4. C 5. C
2.
1. D 2. C 3. B 4. B 5. B
III.TERMINOLOGY
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Differe effector diagno eczema Dyspno Edema desensi conditi dermati dermat
ntiate sis ea tize ons tis ologist
UNIT 7:
I. CLOZE TEST
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 112
1 2 3 4 5 6 7 8 9 10
1 dama result agents fungi occur contact capabl fluids describ synony
. ges s e es mous
2 defen resist microorga cause infect diseas contac tract occur exposur
. ses nisms e t e
3 vector introd transmitte pathog mecha manife parasit sympt vaccin encount
. uce d ens nisms sted ized oms ation ers
4 provin identif contract discov criteria culture used deter occurri number
. g ied ery d mine ng
II. READING PASSAGE
1.
1. A 2. B 3. C 4. D 5. D
2.
1. B 2. D 3. C 4. D 5. A
III. STRUCTURES & VOCABULARY
1. B 2. A 3. D 4. A 5. C 6. B 7. C 8. A 9. A 10. B
IV. TERMINOLOGY
1. 2. hive 3. 4. 5. 6. 7. 8. 9. 10.
homeo excre extract expos Hygien Immun susce fatigue hypote
pathy ment ure e oglobu ptibilit nsion
lin y
V. REWRITING
1. The best thing to do is to avoid what causes your allergic symptoms in the first place.
It is best to avoid what causes your allergic symptoms in the first place.
2. Specific illnesses caused by allergies may require other treatments. Specific illnesses that
are caused by allergies may require other treatments.
3. The proteins causing allergies are found not only in the animals' fur or hair but also in saliva,
urine, mucous, and hair roots.
The proteins which cause allergies are found not only in the animals' fur or hair but also in
saliva, urine, mucous, and hair roots.
4. A company called Allerca has recently announced to be able to produce a so called
hypoallergenic cat.
A company called Allerca has recently announced that they are able to produce a so
called hypoallergenic cat.
5. A human being has cat allergy if he shows an allergic reaction towards proteins produced by
cats.
A human being has cat allergy if he shows an allergic reaction towards proteins which are
produced by cats.
VI. LISTENING 10&11
6.1. BCADB. Scrip In September 2006 many people became sick all around the United States.
Doctors were very puzzled. The doctors thought that the people had all gotten stomach flu. Then
they discovered it was something worse. The doctors and health officials discovered that all of the
people ate fresh spinach around the same time. The spinach that was eaten was not good. It had
bacteria on it or in it called "E. coli".
The E. coli bacteria cause lots of health problems. If a plant is near contaminated water it can
become infected with E. coli. There are other ways E. coli can get on or into fruits and vegetables.
When someone gets E. coli their symptoms are very similar to the flu. Most healthy adults can
recover from it. Some people can get very sick and die from it.
About 166 people in 25 states got sick from the bacteria that was in fresh spinach. Many of them
had to go to the hospital because they were so sick. One person did not recover and died.
The Food and Drug Administration investigated the problem. They wanted to make sure that no
one was tampering with food and making people sick on purpose. They found that there was
probably a problem with the way growers handled the food. They did not think there was any
tampering.
People were told not to eat fresh or bagged spinach while the FDA was investigating. Washing the
produce will not solve the problem. They told grocery stores to throw the spinach away and not sell
it. Many companies who process spinach had to throw what they had away so that no more people
would get sick. Frozen and canned spinach were safe. The bacteria can not live if it is frozen or
cooked at a very high heat in a can.
It is not known where exactly the outbreak started. Other outbreaks were caused by water that was
contaminated by cow waste and other things. The state of California is trying to figure out where the
problem started. Knowing where the spinach came from helps investigators figure out how it
became contaminated.
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 113
The Food and Drug Administration said that it warned California farmers to do more to make
_______(18) sure their spinach and lettuce was safe to eat. Since 1995 there have been 20 cases
of spinach or lettuce contaminated with E. coli.
Food growers in California and other states wanted to _______(19) prevent this from happening
again. They put together new guidelines for produce growers. The guidelines are like rules that
produce growers should follow when planting, _______(20) picking, and packaging food. The plan
is designed to protect food from E. coli so that people do not get sick again.
6.2. 1minor 2 untreated. 3 antibiotic 4injury 5 ocean 6 soap. 7 iodine.8 remove 9ointment 10
daily
UNIT 8:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1 withsta develo artifici conseque survive pass generati greatly expose patie
. nd p ally nce on d nts
2 resista possibl bioacti limitless estimat usefu tradition infecti pathoge distin
. nt e ve ed l al ous nic ct
3 washi spread avoidi undercoo separat induc theoretic limited produce testin
. ng ing ng ked ely ed ally d g
II. READING PASSAGE
1.
1. A 2. D 3. C 4. B 5. A
2.
1. B 2. C 3. A 4. A 5. A
III. STRUCTURES & VOCABULARY
1. A 2. A 3. A 4. D 5. B 6. C 7. C 8. A 9. A 10. C
IV. TERMINOLOGY
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
intrade Mucos Monoc Intrave Inflam Immun Immun Pediatr Wheezi wheez
rmally a lonal nous mation othera osuppr ics ng e
py essant
s
V. REWRITING
6. Opportunistic disease may be caused by microbes that are ordinarily in contact with the host.
Opportunistic disease may result from microbes that are ordinarily in contact with the host.
7. Infection with most pathogens does not result in death of the host.
Infection with most pathogens does not cause death to the host.
8. The immune response to a microorganism often causes symptoms such as a high fever and
inflammation.
The immune response to a microorganism often lead to symptoms such as a high fever and
inflammation.
9. Certain agents cannot be cultured, for example Treponema pallidum and most viruses.
It is impossible to culture certain agents, for example Treponema pallidum and most
viruses.
10 Between 1518 and 1568 pandemics diseases are said to have caused the population of
. Mexico to fall from 20 million to 3 million.
It is said that between 1518 and 1568 pandemics diseases caused the population of Mexico
to fall from 20 million to 3 million.
VI. LISTENING 12 1)best 2) reason 3) drugs 4) unborn 5) safe 6) react 7) discovers 8)
chance 9) breast 10) passed
UNIT 9:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1 immu stage cure contact transf pregn pandemic deaths morbi acces
. ne usion ancy dity s
2 weake preve rema recomme vulner intake malabsor progres benef maint
. ned nts ins nded able ption sion it ain
3 with than in for betwee agains in to of in
. n t
II. READING PASSAGES
1. CDCAD
2. DDCDC
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 114
III. STRUCTURES & VOCABULARY
1. A 2. C 3. C 4. A 5. B 6. C 7. D 8. A 9. B 10. B
IV. TERMINOLOGY
Remedy salivary Sublingual rehabilitating Saliva Rhinitis Pneumonitis receptor parasites
serum susceptible
V. REWRITING
1. People infected with a new disease can carry the disease to the far side of the world before their
first symptoms appear.
People who are infected with a new disease can carry the disease to the far side of the world
before their first symptoms appear.
2. The relationship between virulence and transmission is complex, and has important consequences
for the long term evolution of a pathogen.
The relationship between virulence and transmission is complex, having important
consequences for the long term evolution of a pathogen.
3. Edward Jenner, Jonas Salk and Albert Sabin were successful in developing vaccines for Smallpox
and polio, reducing the threat of these debilitating diseases.
Edward Jenner, Jonas Salk and Albert Sabin succeeded in developing vaccines for Smallpox
and polio, reducing the threat of these debilitating diseases.
4. They successfully developed vaccines for Smallpox and polio, reducing the threat of these
debilitating diseases.
They successfully developed vaccines for Smallpox and polio, and reduced the threat of these
debilitating diseases.
5. Organisms which are normally non-pathogenic can become pathogenic under the right conditions.
Normally non-pathogenic organisms can become pathogenic under the right conditions.
VI. LISTENING 13&14
6.1. 1) share 2) contain 3) sick. 4) infection. 5) spread 6) cause 7) found 8) test 9) rid 10)
avoid.
6.2. 1. B 2. B 3. C 4.C Script
The United Nations Children's Fund, UNICEF, has just released a report on a campaign launched in
October of two thousand five. UNICEF, the U.N. AIDS program and other groups wanted to bring
greater attention to the needs of children affected by AIDS.
The report on the "Unite for Children, Unite Against AIDS" campaign says there are signs of
progress.
One of the biggest problems is the spread of HIV from mothers to children. Mother-to-child
transmission was the main cause of the estimated half-million new infections last year in children
under the age of fifteen.
UNICEF reports that several countries in eastern and southern Africa have made what it calls
breakthroughs. It says they greatly increased the number of mothers who receive antiretroviral
drugs. These medicines can prevent mother-to-child transmission.
For example, the report says Namibia increased coverage from six percent of mothers to twenty-
nine percent. That was between two thousand four and two thousand five. And in South Africa, it
says, the number rose during that same period from twenty-two percent of mothers to thirty percent.
However, the report says there are still far too many pregnant women infected with HIV who do not
get antiretroviral treatment. Only nine percent of them in poor countries were getting the medicines
in two thousand five.
UNIT 10:
I. CLOZE TEST
1 2 3 4 5 6 7 8 9 10
1. bacteri althou multip called known promptly urin lasting sinc accompan
al gh ly e e ied
2. from in tend likely levels indicate buil antibodi oral vagina
d es
3. inflamm chills blood dischar diagno emerge fev period bas treated
ation ge se ncy er ed
II. READING PASSAGE
A. 56374182 B. 1T 2F 3T 4T 5F
C. 1 accepted 2 Initial 3 mortality 4 widely 5 reduced D. 1 after 2 Before 3. While 4.
before 5. During
III. STRUCTURES & VOCABULARY
1. D 2. A 3. A 4. A 5. A 6. B 7. C 8. B 9. C 10. A
IV. REWRITING
1. Cat allergy will usually result in sneezing. Sneezing will usually result from cat allergy.
2. These chemicals are not yet recognized to cause allergic reactions. Researchers do not
MEDICAL ENGLISH 2 – WORKBOOK – tonquyenn@yahoo.com 115
recognize that these chemicals cause allergic reactions.
3. Enclosed, air-conditioned buildings are generally considered particularly bad environments
for the chemically-sensitive people.
Enclosed, air-conditioned buildings are generally considered particularly bad
environments for the people who are chemically-sensitive / sensitive to chemicals
4. Many soy-allergic individuals are sensitive to soy protein.
Many individuals who are allergic to soy are sensitive to soy protein.
5. Transmission of an infectious disease may occur through several pathways.
An infectious disease may be transmitted through several pathways.
V. LISTENING 15&16
1) needles 2) risk. 3) cure4) avoid 5) personal 6) free 7) proper 8) way 9) syringe 10) blood.
6.2. CBBBD Script In 1970, a man was mowing his lawn. He felt a pain in his throat. He saw a
little bit of blood. The man said that he was not too worried, but a few hours later it really started to
hurt.
The next day, the man said that it felt like he had a hot knife cutting him when he coughed. He also
had a high fever. His family rushed him to the hospital. The doctors found a small nail that had
embedded itself in the man’s rib cage.
Doctors gave the man some medicine to help fight an infection. They said that he should be okay.
They thought that the nail would seal itself off in his body. They did not think that he needed surgery
to remove the nail.
More than 35 years after the incident, doctors saw the nail again in the man’s body. The nail was no
longer in his rib cage. It was now in his lung. Doctors decided that the nail needed to be removed.
They made the 84- year old man an appointment to have it taken out.
Before the day of the appointment, the man was brushing his teeth in the bathroom. He said that he
felt a tickle in his throat. He started coughing. The nail popped right out.
Doctors said that the man is doing fine. They do not think that the nail caused any damage to his
health.
VI. TERMINOLOGY
1. KEYS 2. KEYS
1 A U R I C L E 1 A R T H R I T I S
2 A N T I S E P T I C 2 A L L E R G Y
3 A N T I S E R U M
3 Z Y G O T E
4 B R O N C H U S
5 H O O K W O R M 4 A R T H R O S C O P E
6 A P P E N D I X 5 A L V E O L U S
7 A X O N 6 A N E M I A
8 A S T H M A 7 A U T O I M M U N E
9 A N A B O L I S M 8 A N E S T H E T I C
1 A R T E R Y 9 A O R T A
0
1 R I C K E T S
1
3. KEYS
1 R O B E R T K O C H
2 B A C I L L U S
3 B E D W E T T I N G
4 B A S O P H I L
5 B I O P H Y S I C S
6 C A P I L L A R Y
7 K N E E
8 B E N I G N