E0ET;s*'*

OCCUPAIIONAL
ENGLISH
TEST
ADDITIONAL
PRACTICE
MATERIALS

Medicine
 ReadtngTest
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Apeakhg T€ar
- Role-plt! Cords r to 6
- Rot4plt! tuepototiar 64

Addluonal tnformatto!
- Inryuoged Lledutr|e.

_Readtue tzst a$uer keg

wftirw tzst sampleansuers
Lisbnhg test dEuer keg
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Feadingiea - VerctonI

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E I,IINQOACEAUSTR'LIA

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a a nD!6, acb rft! tou su€€6t€d slfu or @ys of Odsblig. you m6r.h@s
a orc lBw6 wrnci t@ tbr& ls b€t. For a.b qu6don, hdr€tc on you sl1ssE
a .be€r th. Lttd A B. c, o! D eg.lrEr lh. n@!d of thc qucadon,
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Reoctingfest - Ve6ion I

Reading PassaseA

Dmployment rccords reveal the detsil of asbestos &rger

hn Ande60!, ltelbo@e

Alo a qMaer of rh€r€olle Bbo qolked in e aibe$osmile i! WsteD Anshalia

be$eeo 1943dd defclosu.e,bfthepitlD I966 ue ateadysufleringfron disasesElated
ro fien exloNre to thebliitlal, or iiat do i! tle tunr. Thisis the6t!n te of tsedcheN
wbo saydat the ode\ dploynelt r@ordsbavee$bled th@ b carry oul otreof tbe
nosr tho@en $udiesev€.oftle Iong-temteallb eileclsof exposuEto asbestos fibre.

Ile ree, basedat the Udivesrty of Westemaustralia ud tle Sii Cldles Gairdner
groupo'psplc ha
fiosrirsliD Peab,s5r lbd i is theonl/ stud)r! whicha welldefiDed
b@ erpced ro a sidglefomof Abslos o!s a tpeotcd D€dod

Oftle 6502neo ud 410wotu! wbo wo*ed !t the nine, slbost 2000bavedwdoped

or wiu develo! @!cei dd oder dhqses lelated b asbestos.The Arb*los Diseares
Societyoi AustFlir, a groupfomed lo telp p@!l€ exlosed-lodbeslos,claim tlat 300
totur eork€rshavellrsdy diedof dis46 thst .re Nbest6-relaled.

rheDeorle,bon y b,srdl labouEFftoF tuope. wa*ed io anasbesos dibe &d mill

ia Wirietr;o& a rowoi! lbe Hamersle] R3!se,abour1600ktlooPt4 oon! ol Pen-b
Wirl€loom, orce the hone for 4000 people,is row virtully desened Tbe lbre
gove@eDt cui 4sdlial sflices lo tle ioM lsl ysr. Blue sbestos,d crocidolie, wd

Ite res.dhes v€E ableto deftmine how muchatbestostbevolken wereexposedto

by mhog calcJlalio!.baedod re€didB. o drsrlha $ere uleo d vdiou liFes dring
lhemjF\ oDerar.o!rheDoq elteosveexpoluFlodb$to"o.crnedro$e mllwb{e
orerd sroud dow! aodthefibre eItacted.

Tte Alstralian study\rasputlisbedlst dotrt i! the MedicalJoumalofAshalia other

radds of exDosuelo llue dbeslos- suchaslhoselid SoulhAftio - lave Dot!e@ as
nsetulto es;cte$ s lhe drta ftom \vittelooB. saysWilli@ Musk,ftoE the UoiYelsiry

Blue slbesiosfibEs aje verythin, straidt ald snall - about0 1 micronetrs in dieeter'
As a resllt, tbeyalemorelik€ly lo.nier the lungsthe ofler twes ofasbestosfibEs Thev
are alsorie leastlitely to sdbere10 and be inlerceptedby tbe prol@dvemucusin lle

haveassocialed
Scienlists tbe fib.esrdrdedat Wit&loom witb t!re. D?esoi dise4e:
maljelMl DesoihelioM,luDgc@€r aDdasbestosk. a samng oftbe LNg Mosl ofthe
vorkec aere !i the niDe for only sbo( p*iods - oodlhs, Btlet th& vem Tle dheaes
mayrale u! lo 40Y@sto develo!.
 Raodingtest- Vetstonl

Tbe iecordsuntil 1986show94 casesofnesolhcliona.l4t lung canceAmd 356cases

of asbestosisanong the wnGnoom worke6. ln rhegeneralpopularion, resotbeliona,a
cancerofthe ourercoverin8oflhe lung,is rde, mcudine at the rareof tessrhanonc pcr
njllion p€ople eachyed. The scie.lisrs say thal exposur€lo 6benos cm accouortor about
40 per cenl ofrhe casesol lung cancerat Wnienoon:tbe renaind€rq€re causcdby lhe

over lbe .exl 30 yeds, lher€*ill be a s€v€nfoldincr€asein rbe nunber of casesof

nesorheliona,accordinEto thercs€eched'esrimares. Tnerewill be asnany as 25 cases
of lhe dne6e a yed by the yed 2010, The rem predicrsthatberween198?dd 2020,a
roraloa 692 .ew casesoi ncsorhelionawilt €cur. Most will be in lhe luns tDlerral
m- oheliomz . bur rcn" sill be in rheabdotr.' , rrironerl ne,orhe.ioma'. .a;. ;r tu"c
cancermd asbedosdong theworkeGwill Eacha peat by abou12000, vid a lotd of r83
$d 482respeclively by theyed 2020.

The AsbestosDiseasesSGiety claimstharlhe D.oblemvill .ol be contned io iomer

sork€rs. About 6000 of the 14 000 wives ed cbildrcn oi work€rs ai witlenoon pill dso
slifer frcn asbestos{elat€d disease, accordhgto rhes@iety. "Foriy onep€oplein rheir
lat€30sor40s wbo p€rc childrenatwitle.mn havediedot oesorh€lioma.. accordi"! io
R o o . r rv o t " ^ o v r . r h e P r e l o p n o r r h e . c . e r t H . o b r a . r e dI n e ! d r b r . ( s l r o m d ; r h
cedificat€s. The universnr nudy only ermined rherords of porkeis.

Last year, after a legal baute lasiing 13 years,csR. rhe ninins conpa.y whosc
subsidiary,Au$ralian Blu€ Asbenos, operaFd fie plant, aereedin an our ofcoun
seluened lo !q .omp€nsalion to fome. min€n fld residentsof wirerood.

By 5 D€enb€r,350 peopleMd their familieshadreceiled.ompensation totaui.e $42

millioD. Th€ SEte Govedtoent hsumce Co@i$ion will shde the costsof conpcnsarion
basedon eiposure to asbe$osar wiu€noon affer 1959. The paynems, pan of tbe l[ses
industizl setl€menl i. Ausralia hislory, will rose in siz berwcen,4$30,000and
A$600.oco.
Ho*ever, we$em Aushlia ha anorherprobl€n. The rcd gorgeswitbin tbe Hanersley
RuEe, inclu{iinsth€ Wnrehooh Corse, bare beome a rourist affaclion. Th€ millions of
asbestosiaillngsrbatstil hler the dea aE Ea&dedas a h€althhaad, especiallyio
childrenwto mishr be topted lo play on thc pilcs. Canping is forbidd€nin the

ThestaleCoremmrt n consid€rinsburyingrhe|ailidesor pnrtingthen underthe *arer.

Borhsolutionswill be elPensivc.Theabestosseiery is qing ro o6taintundsfromLaog
Hanco.k,themjnihgmranatewho openedrheminein 1belate 1930s,fld CSR.ro hclp
r€norewirlen@n Corye,pbi.h ir sayscouidbe nade into a majortourisrafua.rion ,r
alsowanrslherownro berelmared wnbjnthego.ge.
 4
4
Peodinglest - Vedon I 4
4
Dnptna@nL tmds rcpol t)e detdt oJ Bbes6 d.'qd
4
4
e
em Ausr.Jh tue, 25% 4
la) have died snlm 1966 ot tue Elared dlsa*! 4
ftl nav€ alrddy gol stmptoms ofdn€ rehred dj$ses. e
lc) oay suffer frcn dn. Elated di*a*s l! tn. fure. E
(d) hav€ dwelop€d nine rebr€d dtseasesor my do so. 4
4
4
2. rl'rch of rhe ronoung b rd 6rqc to rhe west Asrralja study"
e
4
la)
lbl
Thctuek pt reftrdsof alrMrk rs.
Thd dfl{ts oforry one fom ofasbcatds w€re stu.iled.
e,
14,
Dala wE colected duihg a cra p..rod of ume.
{cl el
rc) Trecroup 5turted wsskLdrtucd
4
4
4
3. Thepopuratsonofw'ttoen rs row 4
{r) dound 4.oo0 peopte. 4
(b) €rttndy shax. 4,
{c) @ud 1.600p€opL. 4
ld) non endol 4
4,
6,
\l]ich or r}'. fonosirg rs not tl,!r.at of blue asbedos fibEs? 4,
{al T}e fibEs tre so sn ! that they enrcr rhe tungs easrly. 4
{b)
'rrie
AbEs easry adnere ro !rcred]E mucus h the att*]s. 4
lc) Tb€ nbcs tr€ Dsualy Do1hlffi€lted by mlcus h tnc ahays.
4
(dl The nbEs ft r.ss thd a dcroncirr ta dramerer,
4
4
4
4
thft tlTes or drs.asesas@rated vrtb asb€sbs nbres ar the wrr€nmn 4
4
mesorherom rs the E6t r€quendy ccurdru qTe. d
asbestosrsIs th€ mGt rrequentiy occurriqg 9T€ 4
asbeslosisrs txe lest fiequduy occftg t,?€. 4
ibg 6cer Is the reasltcquenuy ecuElnE ge.
4
 Reodlnglecl - VerstonI

EatpbgMt t@ftls rewtL\e dztaa aJ 6b4Los drtgi

Thc !6ardr t@ pEdict Uut by the y€r 2O2Orbft ll Dea robr ot ta3 esG of

Ibl pledr, n6omeno@,

ld) pedtonal ndtteuoD.

7. Statlsue quotedrn lhc dtclc @ bsd on

{a) deth €mete.
(b) Etnc dplorndt Eord!.
tc) carch cdrdud.d ar a wrv6rt'.
(d) 3ll of th€ .bove.

a. A 13-yar legsl batUefo. mpc@son of dts*e dccm6 Eult€d h

(a) d ouFof-couns.tu@dt hwrilgla}tdt !y tm !ard6.
lbl cmp.@don pa,:n6t! ro fomd w6@oom , n6,
tc, ontEEd@ F rar! to 35o \{tteom rEtd€lt3.
(d) d out-of-@un 3.|d4.ni rnvo]llng paymot only by csR

9. $,brdrof thc fonowtE stat@dt. i6 &ost accEt ?

Ial rhe }lllh @lM. oltouist tE6c ls .bdlng th. rd gorg€ot rl]c l{mNlqa

Ib) fod,sts h tbc Hd6tq Fangesulld tq!6uy ftrn !Ile.

(cl Culr'rg r. forbtdd.n tbeuEhour the g0tg6 of dE Hamdlitey Ranle.
ldl T.unsE tu a h€lri nsk ,n 6rs .rs of lne Hamdsjey R3n€re.

10. thc f!t@ oI touns ln \{4$mom c..g. d@dds on

14 solvrrletrrc trobld ofhow to relo€te th. rom.
(bl $l!j,g the p:lbta of hw to rdo€re th€ lolBe.
l() dls!.6ui€ ot Mpoladon cj,ms by tM6.
(d) dl6pctn€ oftrsnhgs tenby a€!6tosnl, ng
 Pedcling len - Ve6ion I

Reading P.Aage B

The senses of the newborn

Tests fot lvdltlg otd Dilifr. harE tr,ptored

sL"Lcae{e\ dsriptim or rle infdr, "M.wliis atrdFrt itre i! 6e Dur* s @,"1 sas ehoed in UE
atridds ordotuN dlie !ft.dury ne nerb.m baby*6 &oustl ro be.ir!c drossy, slee!. or
.ryile, od ro erpeid@ De vond e a ssr. blooning,buitrA @ntusion. ,1 tu. pe b.ve lsr ov6 rie
Dad 30 y* rhd rbe h4khy nevb.E baby.d disrjdid& b.dd djtrercd *rsridns ftor ine
eDvnomenrdd spond Fl6riv.ly. ryi |nin hou.sor birdr rneb6bypix ldok d lne morheas face.and
ti!6 tlE choie ldbom b.bbs prererrolooka! a c&d shNing |nefsrw or oorhd huh b.ing ftdEr
$d fte 6e fedE jmbred npo $e rdruc cotrd@s€d jnb . leSeblr.k parrlr
'Irre
ft*bon b3bt s,.idr ooly I l% ofd€ iine aprte andatd itr rh. ftrn kk of ufe,a FoDonior ib!!
ris ro 2t% i. rhc four$ rel .1ti! saitn"ctior or wrreftlrG hirdd.d rb0edtv d.vel0Dmar ot
meuodro'refus sns rr1rd djug!6poe 1ir inp.@' h rddo debab.suc d;rcr-
br'9@ drp sie? ar oo. etup ed .]ns ar rh. ol}4 - ed ftahd I gi
b€havioElst6. Bozlorene ei iiis wrl b irdn ir@ orbish{ &uologicd n6cdd, ilcludibg
risal andodirory FrpoNs ro r ex ardm!te, &d hi5n@rrl bdraviouraiffidr sl. is a ntu or
$odDEh@c!iv. b.n!viour.7

$nr do re oed rord rhesrs ol rie n€vbon?we wr ro .mre 0Errhebabvis ablero iDEer wirh
' d d' 'nqP s no mpdmetr 'o si" .;odoo"r. "ogr Live,Do
lh3{tu6c dry€ropn tr! n i! on.n dirfi.uh ro Drcverbar dlr irr.s. ioo is.fieriv. rn FiniEjsinE
hndicap, hi lise Gaidae - rd ilfu. $d d.rf cnndEtrnh.d wirhhaiu lids j! rh. fid sji holds
o|rp ilE b. r. sFs h ds 60* ,'i.d ud r4nd .[ !sm6 ud nN @;* "s* m, w] *ou.d
li*e rolrow of6y hddjep 6 @ly s pcsibh.

r.a"s "1."u.-a m.,i-i..,bod! or di,s be$s ed vsods

dirFtur, rhe) id dLqif t i4o* b s@o. t irus t d w r,s b i $6d cr,pdd r r.b3- b
inreGsihs nois, vnn ,rr@d@ i, thenbr.rinins p.dd. E€r Do$d @snis rb* rspoEs, bur
rhey@or bc usadro d.r€r dorb3bi6 Elhbly becauseof lne w'l!n 06 rudon rovdmts babics
nate ed posdblebiaso! Ue pd of rhcobs!e*. nre u* or! sihpl. r,rit. ro p@due b4d and.ye
Mhs h6 bea denbed.' bd de n
day b€ ffiorded by devi.e iftdrponths oic.oprdsr scb 6 lne aud orr spoB dsdte (whicb
snourd.libinat ob*ner biat ne sirivity sndst cificiry of llis ddl. h.v. rrild ud! riats,1o1r
Dd rb. rud sid'ns ba b bevay toud(30,35.rB)ro rdl in a b.t vioral nsdr by l!€ b€by,so lhd
Dod@t hdins l]s 0e nised.

Ihe dehphJrldlosi.ll ESoe 1! sud my b. derd.d ry .udiob.ry brd m sked 6p.M in

rhebBi! sh. ad rhisis colsid.Ebly ntr sftfu.. Sinpt5@d n@ poiable hzin s6 F@6 blve
now b.@ daelop.n.u Mosr Meouy iabom bati6 haing b's betr enen by nsins oramsic
.oi$i@q a ph.do@or f6. r@d.! by (@o i! 1973.! A.li.l3imut6 deliydrd rd a notut 6
rdlb ii !r '€ho" $und 3ad€d bt de ce a, rbich c@ b{ derere! by d niniabne miftoph@q Ihc
nerhodis quid6 6d ld5 ilvaive lbd hain s6 rudimll-y sd cd deler *en nnd hdiol tos.
Sr@ andhis oxe8u6 re@d346hrac atis* dd sho*.d rnar20of &e 2r w ifinrd-b *no *Ne
ne8ari*rNlr & bratu3da i@erly5kofril.dondrcol@ounicBLrthisqo.kdsohiCnUSnEda
mjo! Foblm - rhd or vllid!.iq rel}dds or File Flg i, fie ne*boln brby. Tln ta b he by rollo*
up, ctetjDg rhe oul@nr ri6 drerdiry ftarbddsitat b@@c posibt. in $e otC{ iDtb! Srdok gloup
rdud a tod cor€laioo belweb difr.rion 6in3 ot rhebabiet tariDg ar 3 norhi or ,se dd bEin srn
eparct .onfimed by orha! 'rw. Eu5i los b. mor aurious in
inre'ldin8 lhe n$us or.ldrophysiolo8iel ress in rbendbom Babiesiho Bivenegrive 6uts will
ne.d E@sritrgedar rin* durirs rh. fd ts Thoushlns sly tirhs or hains aidsis d6icbr., 6e
deSr@ofh.ding iepaioenr reeds rd & de y .sblishdl. pdiculrty rs tutudidi oflne andiiory
parhmystuy bebrhs plae, axroud del.yed.
 Reodingrest- Ve6lon l

lirr rtrmingro souid)lnis re$ mry norb. nli,6l., *p..iauy ir I'dcm i a

h,thp.dkF0druTn-Nd
'.,*.-,i.bl[.|d'R00"'.
it;:ft; rnd 'Gi"" i" p**N.

PitMs mv 3r. i fasun or

vissJ fuidior b only lnd rh. as. ot 2 moi'$ Tn. besrndhod oI n.aurins Ynud scunvis to us the
p€terenri,r lmrjns @hniqu nu 30 ves rso $i parened obla6

Mkh ra$iidins md djoyzble resdh is b.ins done inb $. lbilirv or

f&llhdEwbonbabi.sdodpEienc.re'lpain,idit€dpG'oFIatrEs3lg3'a

*dieb/4qgft,iodsdrd'%]qJ36n

cM4 oJi'!tut t'qtuNtrah Pd@l

@F@dl,i6disPddh@d@i.

fud4ii6dlLidso&lq.J,'}.
Paodlng tesl - Ve6lon I

rt@ se66 oJtt@ @tnar

(a) that lt rs Dtu.lr fo. a n Nbom baby 10 a?enend tn. m.ld as a creat
blomlig b@lng conluslon',
tb) tlEt babr€s d€ nuch mor€ rcsponsrvc to usual md audltory cu.s h iet
sumundhgs thr w6 p.€lrously lhought.
Ic) i]1e nd,bom trabtcs n slw to dd€lop . ftspon* to !1sual ad audno.y
sumutus, sce th€y e€ aw:Ie ody
(o thar babtds e ld$ abld to ds.ndnate betwecn drtr€rnt fatms of tne
envlftnoe.t tho us b€lded b &e arst half d t}l]s ceniuif,.

Accordhg to re.4h r.feftd to li lhe ar{cl., a baby given a chole abour vhal to

lal a rd showl4 hind fadar felures.

{b) a €rd shMgjunbled
lc) a carn sho*lng a large black patcn.
(d) a black fld v}!re photocrap

the sn*s oftnc 4-we.k-old

(b) who trbc'tus.

(dl none ortn. abo!..

whlch of tlle rono6g sblemnb ts tue?

(a) There rs $ne evrdc.ce tlEt 6ly t tffnuon la
9r€vent bmdjdps
lbl Therc rs Duch.vtdence that.dly liteNention ff mlt fu hddl€ps
{.) TheE 's $me e'1ddnc. t}al dly l'1eflentlo! (n njlnmtze h4dsps
(d) Therc t3 !o cvrdencethat @ly bteruen on lfu mldtfu ihdreps.

bedg l,a Dcwbom bablcs ls d ncult for sI ol tc loUotug tusons.

Newbom bables sbow behallouJal respon$s to somd such 5 bunl(h8 dd

D€aJbabres som.uDes rEk€ Do€menrs by chde *bd rnt€rcsthg nol*s
obseFe6 @y be b,ased tr thet hierpretatlon ofbabres rcs9oFeg
The eudtlory r.sFotue frdle do* rot masu€ nodenle b€:rtrg ros*s G
4
 Reoctngf€3t- version I

7tE sM o_lo\etuhnm

16. Otoaoustic i:dsrons e

solnds deltured ro the cocht.a.
'e.bo sounds€D$d by clrck sttndl
cltck sumult delvertd to a nro.ld.
souds gm.Et€d by a tr)lrnale dcmphonc.

CompaEdwnh rhc u* of otoaco$ac entsdoft. brah std audrom€try

cd detet @n hld heinrg b*.

14, ot th€ hcanrg t6dnE methodsdedb.d rn the t xt

Ia) btu sten audlom.iry 6n.latcd w. nth9Ee!99enctqE.-
Col bd stm audlom.try @n€lat d v.u rntn dstnctro tesla€r.
{cl otoaoustic t€sts corlated poorly *lth b.ah srm audlonety.
ldl otoacoustr.t€sts co@rat€dwlr dth dstracirotr 16thg.

r9. wrrrch retnod of tBllng llsron tn ner$om babrcsrs not lst€d ,r trie amcle?

{sl bln* h Espose to a b.rgh! !ght. .

lbl folld the ntre'@t or a r€d senm b.[
Ic) chce b€twem lookr.g at enbe. a sHled tape or stdped drum.
(d) ch@sebetRe! l@Hng a! .rt}le. tl.i. or pattded cads.

20. of ure p!bt€!o6 nst€d b th€ foohobs on ihe pace follov,hg th€ Eadbg passg€
{a) all e ton loumals of psycholog/ or neuroloAr.
(b) nonc d.al *{tn respotu* or behavloa of jrfdts.
(c) Fost d.d $ttt the rtsponses or b.nadour of rrfsts.
{dl atl deal $'ttn lhe audlory respon* ot |fsls,

th.t k .rE dd o(.!c R..dlrg T€t - Anru o! P4. 75

P6o.llng fesl - Vetslon2

Redaling P.Issdge A

AIDS deaths blan€d on :mmune tberapy

THE DEATHS of rhr€c paticnG during trials of an expennental imnune lherary ior
people *irh AIDS have Eneryed contrcve^y over exp€rine.ts ceied oul by the Fre.ch
s.ien-ri Daniel Zag!ry. The affair bas aho hi8hlighied sbon onings in lhe syslemof
, ha \. rd coauo'. over(lircal re<edh

The French healrnmibisier. Btuno DDneux,recenlly dnou.ad thai e ibquiry4ad

cleded Agury and nn tem al lhe Piere andMdie Cuie Un've6ity in Pais of alleged
itreguleiriesin the way dreycondudedtestsof a potent'aiva.cinead an exP€ndenbl
innune tberapyin patien$al lhe SainlAntoinedospnd (This week, 13 April) But
Durieux tude no nentlo. of thE deatbswhich tbe jnquiry had Epolled-

Follovins EvelatiDns abou rh€ circun$ances in whi.h lh€ Patie.ls died, Dldeux
h6 now d.oDnced a new asessnenl of lhe res6, to b€ undena,k€nby ANRS, rhe nationai
aseDcylor AIDS reemh.

Lat July,Zlguryandhn coll.aguesreporledin a lentd ra TheLancet(aol 336,P

1?9)a trial on patientswnh AIDS or AlDsjelat€d conplex. Th€ patienlsrceived a
Fepaoiion bsed on protelnslromHN 'hd wa. designed robooqthenimutresyJen!.

The prep&ationvas madefiom smples ol tbe patientsown whitc blmd cells,

punfi€d and cultur€d in lhe labohtory The rcsedches had jnfectcd dE while blood ceUs
wnh a genetjcally engin€eredfom of the llccinia virus that had genesfrom Hlv inserted
inro its DNA. The vaccinia, or cowPox, virus, had firsl been inactivaledwnh
fomardehyde, said the rcsedches.

Ld vek, the Chicago Trihune and t? Monde all€Ced that at le6r two or thc
dearhsvee causedbr vacciniadiseNe.a ra.€ conPljcationof inf4tion with vecinir
virus. vaccinia is harnless in h*lrhy people ed t!6 bec. used in ns live foF as rhe
!ac.i.c asainsl 3nallpox porldwid€. But i. people whose iooDte sysr€ns aE
suDpresed,th€ virus a6 @cdionally sPead rapidly in rhe body and kill

A ?dh demalologil, tefl-Claude Guiurune, said that when he wmed ZaEuv s

rean tharhe was collinced ohe ol thcn patien$ had contacied vacciniadisease rhe
Esoonsewas thal lhis was not po$ible becausctb€ vaccinia had been inactivated.
Shonly before hjs death,tbe pati€nt had consultedGDillaune aboDrldge, rubbery lesions

cuillaun€ consulteda colleagu€,Jean-Claude Roujeau,aboul th€'rnc dhease

Roujea! told thc ChicagoTibune rharhi rest on lhe tissuesamPles$,ken froh rwo
Darienls&fore thev died bad derectedvaccinia vins in rh€n skin cells
 Reoclingtesl- Vetsion2

The SainnAnroine kams po.tsonemr.rb d'd no'Evealva.drua Odil€Prard.

cbo n 'n chageoradniDnerng tte trcarment, \ays$eE wereftee po$iblecau!.r o(
death- vaccitia disease,heDesor a loxic reactionto lhe p@edureusedto prcpd€ white
blood c.lls beforeinjectingthen into pari€nts.Zcgury,bovever insist d that oorhing
auowsus ro afim n [was yaccinia]. h could havebcenheQesor Kaposis sscoma .
Thetcstsde @ndnuing,he says.
Luc Montagni€r,co-discov*er of HIV, called lor 6 imediare hah to the
erperimcnts. Ite saysthrl intrarenoDsinjections conld lead to ecneralisedveinia
disease. His t€ab al lhe Pasteu.Itrstitut€ hs alEady snop. in laboraroryrsls rhal
vaccinialirus Dayb. dangerouif lre imun€ sysredis unable10Esistn.

The findings!r rh€ P4r.ur InstitureeeE app@ndyunkroM to Zasury! tem,

vni.h works with Montasniert rival, 1heEs.&cner Rob.rt callo- callo! @llalohtiotr
wi$ Zagury ha ben susp€ndcd by rheNadonalL6titlt s olHealth in theUS becaus of

Zagu.y ondhis lcan hav€ also deniedchdges that lhey covcEd up tne dearhs.
whicbmnotnorionedin th€nteponinThebhcet.'Tbeyw.rcnor.over.d!!, Picdd
said. TheyweE aeept€dlinro rnebia]l on comp4sionaEcrcDn<b.
me lancet t pon .oncems2A padenE. 14wio wererr.aredmd i4 .ontrols eho
wcr€noI ablelo Eciv. lhe trcarmenr.Picdd saysrh five orberpatientswee alsoeat d
vilh rh. prcptradonbut were.ol comparedwirh rhe co.troh. Tten T4 c.ll coDnishad
fallcn loo low to b. compdablewith th€ conrol gronp,so lh€y v€E .xclud.d froD rbc
sludymd nol nerdor.d jn its Epon.
AIDS pati€ntsm laniculely vulnerableb jnfecdon. Furibemor, tbe Frc.ch
ethicscouncil hadsFcified thal yolunle.E shouldbe chose.b€caD$^tileirslarepd so
advancedn .xclded ftstn€nl wilh AzT . Ar least sone of th. la.ienrs were beinE
treat€dwnh AzT at tnesatr lin a imune rhenly.
The councilbadale sLed to b. iofomed of the rcsultsol tlc uials ce by case,
but had.o. ben lold of thc derths. Th€ Een€licistArdr€ Bou€,a n nbd oI Ibe coucil,
eid: "Theethicscouncild@snot havejudicialpo*ers; w€ de not thefdud squad."
Thc diElot otulte.AlDs resedch agen€yANRS. Je&-Paull,ra, js concem.d
rhatax rhecontrov€dymarl!e44!o ! cisis of plblic conlideicebut laid the blm€ frtrrly
at thed@r of theDediivh€rc ".xesive praisejs followedby ex.essivercjstion ,
kvy, who hadsdll h€ardnolhjne, "cv€ninfo@ally" from dle hcalthnjnistry the
day aft€rDuteux lold prlimeor ihal ANRS wolld assessimlne lhedpy trials, said he
wdted to sndy rheprobletu "i. d€plb,but .or in tbe allnosln€reof a trilunal .

ANRS hasa panelof expensin $e6p€utic tnals, whjch, sayskvy, might *€k
imematio.alconracr to obtain a broadcons.nsus on lne issuesinvolved. The.e seech
agencyl rolc is lo carryoul a plrely scienrificevaluarion,norto 6sesswh.therdere wasa
breachofethicrl guidelin€s,accordingro Lvy-
''If lh€govemnent calledon us lo exdi.e rhjscase,we could&l verygli€kly,
saidPhiliD@Luc6 of th€€thicscomcil.
Rectdlnglesl - Vetsi.n 2

AjDS ddl6 btttuti d tue tunPu

r. w'!.h orthe fonMg b FAISE

d zagury s exp€nnenls have been mntrov.rsbl belorc
bl An lrqxiry found obvlous rftgulandes li zagJrlJs Mrk.
c) ^NRs b 10re-€varlat zagurys tests
d) zagury s hrenuon had bem io hcltd panents tmmtrn€ svstens dth

'the prepduon whlcb tl1e paucrts rdeived

2.
a) had be€n accrdenElly bfecled $4th a rom of tbe Ecdna *rus
bl Ms mad€ from whtt. bled ccus vhicb }ad be€n ndufacr'ftd h lhe
laboratory'
c) had been stor€d ur tomald€hYde
d) @nrahed bbontdy_treted whlte blo.d cus wtu.h had bfrn bjr€n lrcm

3. Adordlng to the artrcre,va(fu

a) rs poten!.Iy leftal ror ax humms.
b) has been used b ng botn co*!d dd smarlpu all dound $e wrld
c) @ be ddg€rous ln peoplewho haE abnord rmune svsr€ns
d) lJr.oneollhe above.

es also a neober or zaguy s tem,

esrfted oneof tlre p5lents who lrad been reIened to h]m bv zagurv s

lrrom€d the ctilego Tnbu.e about lh. Esults or th€ tests on he dssue

Ms/drd 'one offteabove.

whch or lhe fouotug peopledoesNOTvork !''llh zgurr4

dl Noneof oe abovew.rks Mih zagurY.

 Reodlnglesl - Vetsion2

rrl)s deatt$ bwed @ tune tututq

FAr-sE rlar llrdhgs at t})c Pasl€lr lnsdt e

Ner ignded bY zaCJnYs tff.
dld nol lcad to ,nr€ftntton by tne Nauotal lftututes ol H"lrn
showcd llEt bta*nors lnlecdotu were no1 g..d fo. padents dth wealrd

led to zaguJy s ted keephg qtner about the pallents vbo n'd dted

Hov rmy peoplewer€ lnjectcd dtn lhe prepdauon ln rhe id'P

wlrrch of tire fonodng starmdts b.st descnb.s the tlual condtilon of the p€ople
who took pan h ft. trlll?
F€w.r $@ haif of them had AIDS

The Frcnch €$rcs 6mctl

4 is aga]Ist &c u* or4zr
bJ wdtcd to rmaln glotut of the d4rhs
.) rs dlttng to daluale th. td.r
d) may pmKule zguys rd

A.(ordhg to Jee Paul L€ly

over-.ecuon h tie med, rEs l€d to a cnsb ln publc snnd€ne
the healtn r dsty told hLimabout tne deatns rhe dav aner pdnoent

cl lhe ANRS ttrd nol eat to .onducl their ass*smmt b a pubxc mta
d) ANRS nay pms{ub zagury s t€d ll tbev 6nd tbere was a brocb of
dthc.l guld.lhes.
 Pedcllng lest - VeEion 2

Reailing P@ogc B

Insultn ts stil s hard act

Rese{ch groupsdound the eorld d€ olrinisric tnar they tue n*jng prcgEss rovards
developingtbe dng insulh in a fom thrt cd be ulen by nourh. Many diabeticsnnsr
inject$enseleeseverydayvirh insulinro belpcontrolrnebvel olsugtr in th€irblmd
For decades,scienrisrshavebeenlookingfor fl effecdveway to giv€ p€oplej.sllin by

Insulin is tu essentialhomonc for genihg glucose fron the bloodstreo i.lo body
celh, a.d nost peopleproduceit narurallyin tbe pancrea. Peopb*nh diabebsneUnus
produce €ither nor enoughinsulin or noneat all. Th€ homo+e .dDor nomally be bl€n
by mouthbecause insulinnoleculesde desrroyed by digestire enzyhesin the glt Tnus
my diaberics nust inj€crrhen{elves*itb insulindaity.

Researchershavethercforebeenaimingro packagerhe homonc in somewat so

md n ca sudive intacrln rhesur dd crosslhe aut wall into theblo.dst€m.

The curenl expcrioents &e all at an €dly nage. Evenif tneydo l€adto an
efi4tive lrcatmc.r,it nay not bc suibbl. for everydiabclic. lnos aosl likely io benefir
de p€oplewho find injecionsdifficult, suchN blind peopledd younSe.children.

This monrha leam in Ohio is applyingfor pemission lo tesl its oml insulinon
p6ple. The rable! js a geladn capsulewhich contains insulh od a drug sinile ro aspnin
and sodiun bicdbonate. Tbe gelatinha a coning of wal€rproofplasticlhat becomes

Muday saffrs, Nho is lexdingrhd rcsearcbar rh. Medical Collegeor ohio in

Toledo,saysthe plast'. ba*d on a polyner phose structtr.€co.lainscenain nrlrose.
t.ogen bonds l6own as u o bonds. In rhe gut, bacrena bpsL dowt the do bonds, ed
the pl4tic becones pemeable to warer wat€r eniers th€ capsule ed causesa reaclion
belw€entbeaspirinlike drg a.d rhesodiun bicrbohde. eivirg off cdbon dioide ad
ruptuongthecapsul€.

Tbe E sedchersbciieve the dpinn.]itc drug nay also h€tp the in sulin to be absorbed. Th e
idsulin is absorbeddnecrly frcn the sut inlo tbe veh carrying llood lo tbe liv€r.

Saffianandbn colleagues hav. so fd caried our tials oi tbe.apsnlcin ratsand

-
nost recenlly diabeticdogs The resetrchersfound that lh. level of glucosein lhe
blnab bl@d rell, on averaSe, iron nore than400 to 120 nillisrans ler decililreaier
rcceilirg rhc capsule.Al the sme rinc, thc insulin lereh in lh.n bbod rose,showing
they bad absorb€dlhe homone.
 Peodinglest - Vetslon2

A.othergrouphasalready stded Gninga differentinsutincatsutein humabs,

havingtrsr perrod€d animalriais. Hanch Bd-O. andbis colleagles artheHad4sab
Hospiralin Jerusalenhavepalenred rheircapsule,
whi.n is coaredso rhatn is nor
desrroyedby rhe sronachacjd. BaFOnsaysrhecaDsute contains j.sulin and oth€r
in8redienrs which helpro e.nan.erhehomones absor?rionin rhegrr andto inhibn tbe

SoId, thetrialin Jeosalenhas6€n snall,involvingontyeigblheatlh votunree*.

ln futuE, Br-on wantsro exrendlhe rriak to diaberi.s.bur he stresses
the n&d for moE
Eseach b€forehe cd do so.

Th€success of rhetestssoId ha be€nlinited,burencouraSing, saysBr-On: in

rhrceot$e.igh! thelevelolsugtr in thei. bloodfell afie. lhey rooktbecapsutefroD loo
njllieraosPerd4ilite to berveen 80 and85. Ar in. sametine, theinsulintevclin then
bloodwasscn 10rise to a FaI rhenlail oft For 1heEroining five F€opte,lher€wd .o
significar .ff€ct from |hecspsule.

A lhird proj€d n led by Youeh Cho at MurdochUnive6iry in Penrr,Aunralia,

tosetberwnh Conecs,a conpabyjn Isle wonh nearLo.dor. Cbo hasdeviseda
conbinaron ol insDlin&d faq nobcules, encapsularedi, Belarin.The fafiy nolecul€s.
ahichoccu!naturallyin rbegurass producroiihe digestion of fal, de esily absorbed
frcm lhe gut andcdied ro rheliver. Insulinarrached
ro rhesenolecutes canenlerthe
bloodstrem.

Cho gaverhE diabeiicn n lhis prepdalion,in liqdd lom, In eachof lbe men
th€r pas a subsrdtialreducrionin rhelevelofbl@d sugd. Tnei insutinlevelswere
aho seento p€ak a.d tail ofi The tean naspnblishedrhis {o.k in The Lancet(vol ii
1989,p l5l8), ahdclinicaltlailsof rhecapsule
&e dueto stansoonar CuysHospiraj, in

Ther€ft. however,severalproblenssirh oral insulir. Firs! n h reldively

inefiicient: eledl timesasmucbinsulinis.eededlo a.hievethesanedioDin bloodsu!tr
r h a r a . p e ' r ." m o u n r c o ual d
. t u . v c' r , n , e ce d T h i i \ u s € e r sr h u" , i g n' i , - r o o u n i o t
insulinis still b€ined.sgoyedin rhegut. Also,lbe amoDntof insltin that witl b€ absorbed
is unpr€dictabledd €d bc distupred,for exmplq by illnes.
Rea.tngfesl - ve'slon 2

I6utn G .dn o rd.r d1 b s@utu

-ai drab"ucas''ourd mred ' h'm!'lve\ vn'

,;'- ';;" "" '""e.' "."*"'"

6r ro fled th€nselvs frs

bl a lsrge number of dlaberics nd longer

d a uab)e oral lom of he'nh hs be'n de!'loptd

a*t t"ulf rovsd be dev'lop?d
o, " *on.-

of hsulln MsHn
T1!em:ror probl€n k$ o oral rom
p'odu.Lna tr ln sufi'rentq6dur' ou'5d' th_ pan ds
at
br deltetue tr ddmgcd
u o* '*"*g dr€*uvr "/tTca l'' t''' 4u|
", .--r"e
'"'m$o'eeut qarr bF Lhesroodsen
;' ;* "*";..,"'o

casurcvhlchls tobe testcd b ol{o r

p'ople dd voungft chld'r
v,tl also b? t.\cd on blnd
a codbhatlon or lnsult' 6pttt dd sodrum htdbonatc
;dns
"*""". to otrcme the pr€r4ous ercbros
;;-.""-."""

d
d
r€ctron bet'rtn tne €Psde @d d
,s rkelY to desEdyrh€ tnstu d
dd 1}r. sptu_llke dng ro bc raken hto u'
@uscs lhe hslrh d
nroducescdbon dioide asa bv prcduct
C
;n.ws oe hsdrn od the sodrumbicdbonare
io pass hto ue d
d
E
q
15. Rcseeh at tlE M€dical college of Oblo h Toledo
q
has shom srgnsol bebg successtut
does
tq
has beenorded out on diabeijc rars dd
his>nod m dc ers. hblmd F\rl
'n rhFddcrs resre'
t
!a
 Peoctingl€st- Vetslon2

rn resrs(rdcd our a1rlE Hadas$l1 Hospft2rh Jerusar€o

aJ saflre s upsutc has had sht' r€suuswtth humdb
b) Satr@ s eraute nas nol had sinid resdts srh hurms
cl tne l*dhe6 haw useda capsulewl1lchls ardosr rderucat ro saitrd s
d) the epsule bebg used ont hs subsr2ncesto protccl rhe ituutjn f.om
anacKrg r. fte sto@ch

wlrrch ol the follo*1ng sbtemnts ts TRUE

a) Bd-On lE used he.ilhy drab.{c lolunreec errlusrvcly ln hls trials
bl Bd-On rs ready ro e\t.nd hls dats
c) Bd-On has not tfrn d,*ouEg.d by rtsulrs b dat€
dl Less lhd s0% or Bd On 3 sublds erTeFiencedmlijmar clhge or hsutr!

rn rh. ^ustraxd pm&d

a) ratty noleal€, jnnu to those fomd natuaxy{ccu.r'rrg ,n tn. body, de
uscd to .osr th€ rnsulti,g€tat1n.ombbitjon
tlE artxicraily'xrtioduced fatty mole.ules soldtt rn t}je gut
fatty mlecures 6iy $e tisuib
lhe gcla n.nlm tn€ bbodsrr.

a) the s ofchos resl subj4ts

b, ln what fom tie pr@ddon ws adnjrl]stcred
d wndl1s tne r4l ol t srln tn the subjsb hcrcased ornot

wtuch of tn€ folo*.tng rs NOTgtvcn as a probtd v,lth d oEt fom oflrtn i?

al lt ls dlnrcul to *ur( out how much InsuIn needsro be addrsieEd
bi trrm *.Eiy p.ople who ffi unabre10swallow capsuressucftsstuny
cl the Et. of rftuxn abe.puon may be atr*red b', the generajbearthof rhe diabedc
d) patjents wodd nftd to be grvm srbstanualy moE hsulh uE they .wen y

Tb.r r3 .i. .nd of r!. rrcldirc Tdr - r'.F.B oD pr3. 7s

Wnnnglesl - Ve6too I

OCCI'PATIONTL ENCLIAH TBSA

R.rd ih. cB. trot6 h.I@ &d @npr.t. tL. sdrtll ter rhlc! to,l@.

He ls a s'}(a-old bdy aeompar .d t'y his noths.

5 yo boy, erc tllbat md busky vorce,

-ldge, t ectedtonsnssth @date.

-tdnde' mlrged rMGr 'odes -

Penlcltln v 25omg qrd ror 7 daYs

Mum rol.l.ed tnat .tarnl€ had brM trtue 4 days a€o. she sys he
G dftd dd 'etn4b No I'rstory ofii.quercr. dysuna d tEUm.
ENT tonstld h4ertrophy

UdnarYsk - nacoscopid lt@tuna.

? Posi siEpr@c€l nephtus

R/v rn 2 days; drjnt plenty or nulds

- In€suaauons.-FaE + difi
Urea + cr€atirnne
-Etectror)tes
Ascrr flde
-MSU M/C/S + ceUborphology
?
p Wiling lesl - VetslonI
?
-
7
-
-
- 30.Or.9O Patlentsdl] asl.mplotuUc
{ 9/E BP r 10/90Notc^ BP, -)
r''_tl'rulvS"
- - -"*".opr" nu*ut'ru
- Rslnts -tBE'nomal
{ -Ure + c@tL1nc - sl. d@ldl
{ -rsoT - dealcd *++
{ -MSU- 4 x r0 | RBColtual odglr'
1a Postslrepto@c@ln€dn$s s4th @rlv re&l failft
.a Rda to pa.dlatrlde Di F. Goldmn.
{
.a
2a
7a
.a
-a lletlgrn. blor lo! l! th€ @e !ot€e, rdt€ a l€ficr of refcmlitolDr. F. Gltdne,

- r7r !'tctod! Prnds E !r Merbo@a

-
- Do NOT @e not. fod tn th€ l€tt€t; .rpmd ate rel.vut caB€
- &nt€.ceE, ane letter 3toutd t. 1n-2o lln€r lo!4r onry the fst 26 ll.$ {tll be
It sB€$ed.
-
aa
.a
aa
2
,o
7
?
?
p
7
p
?
?
p
?
7 Supre @Per on Pag. 77

7
7
Wt ittg lesl - VeEi''n 2

OCCUPATONAI, EI{GI,IAII TEST

wRnmc TEsr. DoqroRs

ltd. rrb@d: no rnawe6

tle Ydttlg tBk ttlch fo|lo$'

L4rt the cce note. belot dd co4l.t€

Bemai Smlt! ls a pad€nt ln vou C€nelal?Ectta

?7y.o-rcdftdfamd. 2mthldstoryof sddpaln'trRltr'and

"toublc wlthRblp wdght b€E notntlv pin
ls*. 5y€of
,furffi ovdth. day No tEli.Js'tth Paifad'n

walls slth Urnp, T@! 3? dr4r€6 C.I BP 15o/a5 D€cMsd

tlnod Dtatron andnod.n o! R b&-

ostdibnstrs Rh1P.

x-ny Rbl! - deg4@tlve cb,r3€.mslstdt *1lb ostdainBtls'

c.se of Indomedlacii t bs 50 mg l.d s.

Had cesed merttedon of (m a@ord sf

.T
Dmsed rdlge ol mo@nctt tn R I!p. Eabl€ to welEhtlr@

ln R p
Exacdtratlonol osteoanrmsus
Itlittr tJ) /
Reomen . lndoocthacrn tabs 50 nrg t d'5'
 Wrilhg fest - VeGion2

aomplen€ oldy"pepsbrJ|6 rRo]m{.Dg lndom4nlq

Mnd tuEs|n. tendemes. /t!F d.hdged

Dyspepsla semndary to hdometnadl

A.d MJ$B: ('Mgc o TdrcUl25 n8 M kbs frd. i

utue ,nptuvddt tn R hlp, lnd€srnsy nxncdt to geraroad

-**--]" *"0.

osrsartMsus not rtspondhg to antl'hrla@rdry m.dlcation.

lrefs to oruDpa.rtc sug@n for asssdent and ad}tce _lossflrlv

udln! the into@tloa |! tte d* aot B, rrlte ! r.tht of rcleffil to Mr. B. Door.v.
o.tnopaealtc 6urgeod, s4 volte! st, Fe*ud€n.

DO NOt G€ aote fo.m tn the re$€i €rpand the r€tevut cse !ote. tnto f!,1
sestenc.r, Tle letter.nodd D€ r5-2o ltne. loag; olrt the trrsi 25 riner Bill b€

sMlle Gwei ob P8ge ?a

 Witing lesl - Vetslon3

OCCI'PATIOI{rI, ENGLISII AF-ST

WRTTINGTgS?: DOCTORS

tnne 6ilosed: 4{) Etllt€r

Re.d th€ .a* nor€s b€tow dd @mpt€t. tne nitrng t 5t ,hich foUm,

sdde oGd ol L row€rabdoftrral paln '

paln.llll pBot sharp & constant

wo6e dturg up, %rllJne 01bddne
No urhary or bos€l srnl1dns ; ro hrlrlr€ or Eusa.
No loss ofrt+h! i no charg€ or borel hahr,

vaern r bl..d & 6$odat€d rmpy abdonrEl p.ls.

hospibr o/padars tdrauE dracnosrsI spontseoE

r *tk n€for )G@ | eptsodeof L lMr abdontrat pa!r.

ovd& q6tetomy & appmdtcetomy

Very tod6 on tlghr palpadonoI L l@a quadEt of aldomd.

 Wdlhglen - vetsion3

Bhcc to dclud€ pE€]uncy,fuMood derr.!uo4, F,sR

Noboed modonsnce 26/1/89 : Fa8s.dbardsto.l i{rh bd&r bloodo! thc outstd..

Ha@globh 9.3eld. Mnd l€lt sI ll

Prh qrE aid @nngtoniEht.
Moddt€ly dtsE*.d. Abdomo tGe.

Su|l no bo*€r a.tton or llatus.

6lt !o@r obstncEon du. to

u.r4 tbe irlomattor in the d. rota, rdL r leiter ol af.rnl to th. .utled.
DO NOT s.€ loie tor |! i!. letleE .:!.nd the rerevet cse !ot.3 ,nto lotl
6dt nce.. f!. l€tter 6!odd be l5-2o rine6longl olrt dre itt 26ltn.6 sfll t€
Listeningfesl - vetslon I

gXrlIFlCArlO\S
couNc[. oN or?RsEAs PRoFESSTONA!

OCCU?ATIONTLENO'I$T TEST

DEMONSTRATION SAENINCTEST

har pan of a pog6me .bont snorhg You t01 har the

rl1sddo6. Yo! must a'ls@ th. quesuoG ln lh. spac€lrodd€d
Thel:€'in !€ tl'n. b.tv€d 6c queuons for you to r€d €ch
your sns6. us. not€ tomi dont vastc tln. Etlutlg .omple!.

Tn 6ct quedon ls doneforto!

1r,h!t rs the ffie oI the condtuonassodat d attb snodngm;uoned h tls sddon?

obshrctbE sleepopn ea (o.s.A)

Durirg lhc apnot c stlie, vhat 13thc efect on bldod !Exr.?

 lesl- Ve/'/onI
Uslen,ng

ou.rog tr" "poo"r" "ut ,Gr,; tn. efecron o*yemld€ls h tnebbod?

q) How lone doe rhe sholc cyclcIGP

I l '

b) h w@ es4. h@r16y @lBod6 olosAtuy octr pd nght? 1 T

a'. '

gd.rtid 6
\thy e '@y sult.6 of OsA rnstrk€Dly sdt to psyctllatnst3?

€!6rid 6
Nm€ tm lactoG Flnch gredlspo* a pGm to s!trcrhB osA, es sduon d ln fis
 Lislenlnglert- Vetsbn I

N@e de of th. o&er lrcdlsposln€factoE n6tloned L lhls secUon.

Is lt esy for a C.P, to make a de6dte dragnost oI OSA:

t,

wlEt cosequace of OSAis eduon.d h thls s(fldn?

clve on ol &e rqh conclnstotuof tne Datlsh study.

 Uslanlnglest- Ve6lon I

lvtEt turths po$tble conscqude of osa Is !@uon.d h tbrs sed.n?

rvha! tro tttngs drd the grouls mattoned ln &. study haw h comon?
ar --......... .. i I
.::I -...-.,..-.........,,

A nmber oI @16 fo. snorrr4 ar. mmuored h tlrs sfttlon. Ar€ rh.t ]@m6ded

Nde ole of th€ suggested cours* ot acflon for sullerss of OSA mentlon.d ln trns
Lidenkg fen - Veglon I

How etretlve L drlg irahdt for sr,llelft of OSq?

\that ns.ondluon ls mentlonedL1lils secuon?

\raEt slndlm. rs poslbly assclat d r,lth ttus @nduon ln babls?

crve d€ cdet ol sleephg pnb and t-dqutlxs6 on oSA sufi@6.

a
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 Uslenlngfesl - VerclonI

,\litEt
ls @ dldt oI al€ohottr rdauon to OSA?

wbat sstoE cotu.qu6c6 of Fpai.d .lmhol hta!. ln OSA sull46 i! mctdon.d ln

at.! 13r-hc .nd of ldr A

Llsteningfest - veEion I

PARTE - rtltening tD i condbtion

In thrs part of trlc t61. you u4n nclr a doctor ln Sencralpractlc. cotducdng a
consultauon wifi a ns patlent, Ma€aret Budd. a 32 y4r old
come10seet}le do.tor be€Ee oI pa]n 1nhd hMds.

Yo! edl lar the lnieFlil once orny. Your las! ls to mar{endtes about the cdnsdlauon
und- dle l-edrrg" gvrn on di. nqL M pag6 of b. Ms* 5 5F"a Tuflove and €d
rbroleh n16e hedrtls !oP. Yonfin ha* onenlnlte to do ftrs

You nlsr glve as fluch r- omatlon as you 6 under e.h ol the had1ngs pror'lded
there Mx be pa!s6 durhg the corerllbdon f.r tou to strte vou d$e6 Thde stl
also be a tw nxnutes dta ai the 6d for you to cof,llet vou o$6

G1veydu dse^ h nor. fom. Dont Msle tr,n€*rtdng ful sentdcB

R@mbs, Youe,Il har the h

 Lbleningfesl - Ve.slon I

Maketut6 aboutdE cons'nbdon uder .ach oI tre h€dhgs b.lo*.

Tine of on*t ol std!lo@:

Deb ! ol Ddtoit colnddlng tiih odet ofrtDDt @:

r&r TSREEmy.ln rblch tt€ p ta '. ue hcbcenafi.ct€dhv th' Dat!

ActtF t6L.n b rmprcre pd!:

Lbteningfesl - VetslonI

Timc vrE! lrln 13 soFt:

D€t'trl of fdxt b*t36@d ts@ltl bl.iorvl:

Dlr€!@ts gt@a by the doctor:

 Lhlenkg lest - Ve6lon 1

qn.t do.s rhedocrorpoDr dtto Fssu. thr piri.nr?

Possibreshod{em '@agro.nt de6m6r

the docto. for hfornatton or

That I! i.t€ €!d of the list.ning r.rt.

 lisleninglesl - Verslon2

hlgrage Au6Edia

occlPAToNArEncu$l Tast

In tbis patt. you pin her a talk on Hw End AlD6 glv.n by lrr Dorcta Gddc of tb.
MacfarlaneBmctt Cetr. for M.dI

You nll hE lh. t k onc. only, ln s.cuore. You tuu6t 9lNd thc quefom tn th.
spac* pmvtd€d, T!@ dn be ttne durtng the ta!{ foryou ro rad ach queuon, and to

Th oq dd look qulckly rbft!€h the lapd now. Yourtl lar d. olftte to do thi5,

You @t wite as )ou !!ten. ed you cu completeyonr dws li the paus6 betsd

Rddbq, ,ru rtlt hd lhe tap. ole ody.

 Lislenkgfesl - veBion 2

hok rt guation r !ov. gudtion 1 b6 teen done for yor

Amongstsbtch gmup of psple in lhe USAms ADS lst idc.tiled?

H orr!2S?..XjtpJ.ne..
n

EFdmrobo/ t! the stxdy of the txstory md detomrmts of rllsasc rn poldauos-

H@ has eplddxolog n€Fed to conrrolthe ADs E,donrc?

There ar. three vays h vhlch the rll@n hmuno-deftrtency Vlrus (tllv) €n b€

,l (j) whlt tl th€ E$t qoal€ of lnndlsto! adtio!.d?

!! wtut tnlofl.tlo! ts gtven l!o!t tLe €lEciency of tmbtEton?

 Urlenlng lej' - Ve6lon 2

wblt is the 6.cond dod. of te.blsston m.nttdeil?

(,n ci€ t'F. tupl6 metrtt@€d orttls mode ortmnanbdlo!?

(l)

t2l

cl u) Wh.r ts lh. t rd mo.t of (@sDhsrotr mendomd?

The spek r m.ntrons sar.ar Mys tnat tlds modc of t4rsErsston 6

what de tvo ofther€ mt!?

(tt

Al {rhat bJoftadon ls proided about th€ nedla! tine t!.hen for AIDS to dw.lo!
fmtu Ihe ume ofHlvlntudon?
Listenlngfesl - vetgon 2

ot aiDs?
Bl iixa! l,Idmudor ls givenon rne usual slfl]va1 tln€ 2fter the oreet

xw
tlEt ona AID.StEs ddelop.d h wm@ they do no!

'_- llv2
fne spale.lr!.s ab01$o qT
"O" *auo@ thlt difierddr!' 'In'2 ftom BIv12
*a * *o *t*"

($rHOlliguc
fhe speaks dGcuse World Health Organj?'don
!In/ dd AIDS dound th. sodd
IlMd€'tton3 ovet the llBt tit
wlat tlfodttlo! i. !tle! dout !e*
7
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Lisleninglest- Verclon2
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B] whrt !4dictto! ,! Elde fd th€ yeu 2ooo?
7
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.- Al The spsk r dlsdsd th. lattan of s!@d ot Hw,
.- .t tou.t"- i*t";
which flctoE d€ ldenttfied e trctlttr.g the dpsll:t
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to t!. $rso, rh.t lr th. do.t .06o0! Dod. of 6.ru.l
.. C@o&8toa of aDs lrohtly?
aa
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.a c) wLrt t. ti. 6D.ailelo pEdrctt@ rbdt th. 6pr€.d of AIDS nr Ada dd Afrlo?
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7
7
.- nre Fp@l<erdl,scussesthe dmstug efiets ol AIDS on Afrle. wherc r lrt 40 adults de
7
7 m gly€n for the npid .pr€ad of AIDS in Atrt@?
7
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 Listeningfest - version2

'It€ .peake. discu*6 th€ gror9s of p@pleatrectedby HnlADS rn dlfierenlcountrlF,

conplete the foll@irg t!}le to li$ tne D.in goqs of peotL aff..t€d

COT]NTRY MAIN CROIJPSAFFECTED

U,X.

&bort th. rat4 0l IIIV tnfecrton foi the

(t)

(xl
 LHenkg fetl - Velsion2

vhit !e4o6 il@s tte 6letrcr gtt. fd t$5 .ntrtion?

(1)

R€cdtly, arsttilra bls scn no hd@. h thc ndbd ol nq dragnose of AIDS !€r

w!!t eo@3 der rh. .!..lcr gr4 loi tht ?

Th.r Ir the etrd of

lrJt A
Lislenkgfest - ve$ion 2

La.4luageAustraua

OCCI]PATIONIL DNGIISE TEST

p€cuce sulgerv IttdleFlng

h d s pan of ure t*l vou vIl h€r a doclor tn Ed't"t
dct D3ke nots about
G@ll Bm. a !au6t vnh a rcc.nt p@b14. aq vou lGta vo!
the c.reLnt ton !nde. tbe hadrngs Elvo on th' ds'J sh
do thls
tltroug! lne. hadrigs now Youwgl haft o@ mlnqte to

tbe hedhgs prodded

Yon nusl gv€ a3 mrch trfomatloa s vou can ddd ach ol
note undet the
fndc arl be !aus6 dltltg the .otsuliadon ior tou to compbt' vou
rel@n! !€{!ng, There sll alsd te a !s txnutd sta at thc €nd for vo! to nrn5b

Giv. yrlr alNN ri lote lom. Don t Mst€ lhe ntidng tull stdc6
;
RdeEbef. you wt! ha! tne hldr1w @lt onrv' d
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 lest- Ve6ion2
Listening

.ach Dr the hedt4s below. C$e as much

Resotr ror prtiedr8 vGrt

. ............ p4Jr-rs-.qlter.Lh.e-]gat
.Chesj 2.]/]ceks

Patrertt de.criprton of conrution olcludtng 6ymptom. Ed prcctpttattng

LisleningTesl- ve$ion 2

(al c.r.ral @.ncd tjstory

lalR.3urBorlr.vloB medr@r
r€sr€
D
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p Lldenlngted - Ve|slon2
il
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Far .Iy tudior ti.tory

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F
udenlng fest- velsion2

P@6lbl€ Edds for coniUdon

lrDpo.ed M@!g€E.ar otcondtlrd

Mqncltbn dd t4tecfio4
 Uslenlnglett - Velsion2

ReEon for..€Llng sgeat beitj.ar art .dm

sEp8 lr t@td..t ro be uden!}.. tod.t

erd of the llst€lhg te6t,

bin!1.3 to cleclr you usrem,
 Speoklngbn - Role-ployCotd I

candt rdE c4rd No I D@6s

""*,*-l"J)
.
\---' '/
Tb.ls42-yd-old has bad Mll]@t bllary couc ovd
tv€rve monrhs. ,t!93!9s4! shows a srrgttuv
tEcdonhg ganuadd.r slth thtd cal-94l0tdleilng
ahol€cftctomvl-

Tst Er?bh lb€ ultrasou4d 6tdltgs. R'ls€rthc

cboleystatonv slth thc lattat E*pLrn tEt
tuuth.. btrt that the gd@l as6thcsla fo.
errl€ a sma! nsk s4get mlllng lor lala
aftigc slrgay sben .ofld'rdr

Rtlepldtl€B ca'd No t Dxtts

Yoa d. 42 ya6 old. Oad tbe bst yer you haE had 6dtlar
ad.cks or ga'rbLddd p6h. vou d hoasl'lely rcnsed lbot
!b. tequdcy of $. atracLe and the nrcd for lnjedo6 to releve

You $l6h to tod tb€ redts of an ulLa3ound t6t ldlomed

ruotly on thc adltctofyor d@tor, You woads about bav[rg
7 y9!a!ax-4d4s rdo"cd sfgrc.lty. nnd out about PtEt tlis
a, ftdd hvolvc, and dy attdddt nsks,
h6ltancy abolt $rg€ry tut ey you telly ent
Ex!G3 corsldcEbl.
sme&hg don€
7,
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Speokkg lest- Role-PloyCatd2

CuJtdidate Cnrd, No 2 DEbrc

Sxblrnd Cd@l P.acu€

Thrs lJty y@ old psudt nas hrlatenl @tancb and ls wodtcd

that he/she rs go1"€lllind-

E*platn td lhe pad{t tlat he/she lDs bllaidal callects.

Ressu'. rhar tb4 Is an opaadon o cofe(t rl-r Probl;
Grv4 thc pauofs agel. ca]n !.nnlsslon to anang€ the

Rot4'raUd ctrd No 2 D@16

Slbubar Cm.€l PFcue

Yon e 6Jty y€4 old. Y@ bav. nouced lnrest'glt loor Mdon

d€r the past fd oonth!-

Fiid out nlh Jhe&do@tyiLs5@@tfleetqry:q,oqqi

You arc vdy s6!.C t.b3tyou a. gohs bund dd aE indauto
knoe rJ t!bF B @ trebdt you @ havc You l€t @dif
pcoplc luvhg opd?tsore on fi@ .rG bur k soMd3 hd]ly ds!t,
b
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7E Speaklng l€st - Fole-ploy Cold 3

7
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fl suburbr cener, Pr?crice
7)
?) Thi.r hjrty year old pftnt ts concemed abou! hts/he. ch d\
rf foream, whrch appears brck
aboul t}re tratrncnt ed lflhe fracture * afieci tut!re Crdtu.
fl
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a rbd oul how rt happencd. Eenhaton shows that rhe chxd
bas suffered a g]€as[ck frsdure vhlch l'lll requft a ptaster
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- ,urureSro{nnsho'irdnorb€impaired
-
a approx. 6 weel* ro beaii
xdbio.s of wearlig ptasler
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t' uE.. ^ J,Z .ryyf
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7
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7 You de 1netlirq/ yed old penr of a lour yed old chud. (Mellssa)
? You were carled ro her kjnderganen as shd had r2rren rrom rhe
7 praygrcund .qurpment You nouce that your cblld h5 a swolcn
a
?
? Find out rf your .bld s m is broken. F ld out whal rrahent
necesszry. FInd our lJ lr.. am sn grow propffly l. rhe tuture.
rs

? I}is as she rs h a tol ofpdn, sd

1 has never bad any aeldent llke thts before. what can be done
I
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Speoklng lest - Role-play Cot.l I

cdndlddk card N. 4 D*bE

Thls nlieteed year old pad€nt h hlT€Fenllalng

a
This i3 thc
ttrst ume lt has ocard.

;J)""6;"",",.*6;)"
g
p-nr6 *,m-"d... rryod sF**1
3ruatron atuae apDrcpnatefoll&;

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Rolet'la!6 cdrd No 4 Iteto€
a
You de nhet*n yrN old. on your way home 6:otu work you r€el
very desp.ete od Dodm a lot of dfncdty br€&1n9.

You ftrl that you ac Eohc to pas out o. dte. You feel vcry
frlghtcn€d. You continuaxy ask t}l. doctor lor rcassurdce md
wsl to knov shat rs eohc rmre.

If asked. you ce re,uctantly dd graduany glvc the fouoMne

- you m lanappy Mt}j you lob 0dtch€nnddli

d
- you re u$appy about your appeamcei d
' you havevery low self esr€em; 6
you nnd ll hard to male rri€nds;
you I'kh you had a gdrnend/boyfrtend d
d
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Answers
 - PeodingIesl AnswetKeys
Answens

ANSWER dY . PART A

ll,

4,

10.

KE.l' ' PARTA

.ANSWEiR A\SWER I@f . PART B

t2_
3.

6.

3.
9. 19.
 Answe6- wtilinglesl - vetslonI - SompleAnswel

OCCr]PATIO lt' ENCLISH TDST

aItrTrNc Al{s1frERi DOCTORS

DOB:l015/45

.BFq lr{tLIly lrsdt qtu/

d qnrhbnstuu3 on Lhe2ol12/sdd

Four wc.k! latd Jrnl pr.fit d Pllh Pa,..d€s @doscoplc na@tuda. H!-or v oth6
syhptoo appar.d to be Ltldg, Exaj4!:!!E-ES9.,tEIg3SE9C€ halptondna
h'leJtropny hrs BF 90/60 ud dalFs lco

on rcvlw rlodsJ,-],n4bga bons showrd a n dly elRsrcd ure and cr€bilne. t

ss n6uy\t!6-i;Got-nF6d lE@r@ or dDl onar.

Pau@r'sblmd p$s@ hE tnc.d to rro/90.

ey I berwe Jsd. b.s p6t s|J.!tmo(al 'elbntB Md lhat hc t! at nsl ot ddclopltg Rr'.]
fard. I roLnd appredar. you s*nql snd d,na€m.nl '.-";-" 7\.
 Answers- Wtitinglest - Ve$ton2 - SotnpleAnswel

OCCI'PATIONA! ENCLISII IEST

a€iks for s€e,ng Mr. smrth. a 77 yar old redr€d fame., He 8Er pr6ar€d to m€
tn
Novdbd rsgr $4th a nvc l€r bstory of rlght ht! paln. 4t rlls dne he brd a tso
norrh htsiory of sade pali h rb. dght lrlp whlcb Ms ,ro! repond,ng ro s,rnple
endg6ia. He foud rt dfic'rtr to ber edghr dd hrd a drrased Fnge of novd€nt on
hrs lrghl dde. othds4sc, qznd@uon qs nomrt. x.Ey !t tlljs the shwcd modeate
d.€6.Euon oI r}l. rgbr hlpjornrcomror vu,os*oanrms

I colme.€d }lllr or rrdom.thadn s0 ng t.d.s. . I'ntlany trs r€sponse,as

Eoodbrt
niJortundteiy hc 6dt*d a furlhd ltsn !p llr Jdury 1992. hdoE.rbad, G
recomeft€d ar t s trn. brr eased sjEinn@t dysp€lda. I thcr€foE co@aced
Mylmta ad cl@ged nrm on to T cout 25 m8 reo rrbs dary. unfortl&1ely, tls hlp
larl
has coneud to 'o6en and the .br,gc h lh@py n:! nor h€lpcd.

I {ourd ap!.eclatc you opblon re€lrdrng bls ilrure mdag.n.nr lnd {odd b€
htftsied to know lf he @uld be a slttabt. 6dt.lalc lor a t p repla@mt.

thanks fo!youol'lJ on.

p
)
Answet - Llslenlngfecl- VersionI
3
3
3 Esda rrolll pdsslblemdks tor t s s.cuon: 22 nsrrGl
3
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1A Durtn€ tne apnoeic d.dte, wblt ls tle cfi€.t on hlood !E3sde?

a
7
.c
During the .ploetc 6r!t . shlt Is th€ ef.ct o! orvg€n t4veb in iie tlood?
7
7
7
7
? Eow torg do4 tae Fhole cYcb r6t?
?
7'
et r{ara rDl4te 130seond6) ll ddk)
b) ln se\e €ses, how mdy @lsod6 oI OSAmay ocdr pei nlght?
? Sd€ral lundr€d (I !ulk)
7
?
? flny s l@y slnen6 of osA qllt Lnlv 9q1!o P.t ttulst!?
? 'ir.y donr rc5lar lhry lEv€ bes warM8 dunng tn' rJehl TF4r dodors Uru* lcrr
? s1eepL16shas E psycbologrcal€se (r mr[i
7
7 gqFEln O
7 Nm. t@ factoE ftntch pEdr.po.e I pc6on to.!tter,n€ osa a b€ltroned tn tbtE
7
7
7 o{ote ansN 6 be glvo h uy ord( I trk for ach ffi61

7 a)Agc
7
7 (Not€:arsoe!.w S*, ddo th. stllld6 d€ sdq 50 )
7
7 qlrfll&r-z
7 Nde d€ of th€ oth€r Ptedbposhg flctoG !e!tt6ed tn tl13 s.cuon'
? , ru'k 'or anyoneot sm6llld.rjaw {ehld lfuDs h€ longua i.g*-r otrontxt
? pmblms assoctatedq,lth,tonsljand palak:6;aad1v
rittng dentue
_')

7 ..- \-* . ,---./

7
7 Il tt easy ior€ c.P. to malle a d€fi.it. iuagnGt. ot osa?
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AnsweE- Lhlenlng lesl - veEion I

ryblt con.eqrcnce or oSA ls oenrbned rn tlls 6ection?

H]gh broodlressu€ o1r.pedenslonlo neru

Gire one of $€ mai' co4lErorc oftl. D.ntd}.tu.ly,

Any one ot snor€F tEve hlgher bloodpraslr€i morea!gi!a: dd moreaderlal dtsa€e
1ntle lcgs ind non-snoEF O nru

what rurtn€r po$lble coGequde of osA b mddo!€d t! tb& 6ecdon?

rrnparrmdr of lt6rn irncuon o narkl

wtlt tro thrn€! drd 6e gol'3 mentioled tn tle .tudy hlv. i! .omon?
0{o1€rds6 @ rre gvd 1ndy ord;: r l6k ror ech ew6)

b) borh s!fiq€d qce$ivc dattjne d€@n6s

A n@b€r of c@5 tor .noilng 4 m€ntion d ln tlls secttoa Ar. th€y

rccolo€ld€d lor .off€rcF of oSA?

Nme ole of th. 6r€ge.ted coa$ of &cd@ for .u6€EF of OSIAm€ndded tn ttt!

r mrk for dy one ot lostlg I0% o! noE welebt 0I the sutrd ,s ob*)i .oftcdv€
surge.yisuJEl€l blPass of lhe obsbacsofl.

lta .fi€ctte t3 dflg tr€ate€lt fo. suttered or osa?

Not voy efecdvc {t marr<l

rYhrt fte coadidon is mentloned ln thi 8..tio!?

Cent$l aPnoca(1 mark)\
 AnsweE- Ustenhgtest- Vedon I

rz
9rrlsrran
rfh"r .y"d':i ,qirTtj!:.ocbt4d vttt tnir c@t&rd rn a.brdt
, Srddenhfant dath slndDmc\oi d€tn) O @kl

Cte one e6ect of.l.epi.g ptue ed tEqdtlb4 o! OSA5rfieE6,

Any one oi de!!s replEtory ddver,nt€riE€ euh Epom t! bodys o.rgd.y dg.all
ptutong apnoelc eplsodeiturth.r rd!.. oxt€6 ldab rn lh€ tlood. lr @dd

whlt ll o!. .flsct or.lcoLol tn rehdon to OSA?

Any one ot tncr*d dMdon tn otuDlDryngar msilei d.prse tBphiory rldvei
sl@ up €r<hg epms.i cd Indlce cdt6l apnoqi prcmot* snodrg (1 D.r:kl

q!e&!-2o
whli ..d@ mnequelce of re!€rt€d qlcohor l!t6!e t! OSAaufeB t! E@ttd.d

llot l lGsltne adks tor tlrs 6€cuon:25 l

I
:doe-d-orr!!al-!rer!!a8r
''!ast f@ dal€'/ dd of b5r weak
/^Ir 16 bcn occurtng orcr th. wa\" 11narri

xEbtr3 ol ftiddminddlng vrtl dr.r .f rm.tGi:

Unusualy busy pdlod at wort, l,th dadrng (1 trEru

EriblttjaDr
trDU opetor/k yb@d op€dtor/wod prcGtor op@ior O lru

@
Note: ansc6 en be gv6 tl any o.ddi 1 mrk prssws)
a) Tllrd^tn€ doh a loi
blPd prwdt he dotnguugs dr home,6ped:xy ho dfg urrr€s
cl t{as rrxm srne otrwork
t 4
Answe6- Listeninglesl - VetsionI 4
4
et
adra! t!le! iqlallaie.'erL
c
Putshdds urdo coldQro o mdkl
c1r
Lybg dow ai ddht (h b.d) o nfkl cl
c
ct
No olha oajor s'tptoG (1 mar4 6
ErLhuot "ose sboJdo/ne<kpcrn:los or appeua(, rukt 6
6
;, 1i per.n! or..drv h,cldmmd r.odd n'iroFr: d
2 goud ohld.m lt nark) d
Husb3frl r. a 1ach6 (l ndk) d
d
4
No s8dnqt n6s6 (l mr}] 4
Dl'dndh6Erhyth.nfttd:
e,
Rsl (r@ed!rc st6]n irjlry) O ndk)
c,
I,
vh.r dos .h. d.dd
No le'l:hat
mhr d4 r!:4e$!,.
lnjury or lncapacrt/"{r .s,rt
tn€ o!&{ri
o -*u
c,
)
4
(Note a@€ 6 be glvd tn dny orddi I Ifuk rE uswd)
a) (I'medrat ) retln to work '' 4
cJ RelMdon |}teEly / d
/ dJ Modniadoc to wrk svtrcmenl/tuFniure/rc!3ne/as
q
,q
q
(Notei @sc 6 be gven tn dy ord€ri I mdr pd d$d
dnn r€ ofretm toE.k
bl 9de-,lr.cts of anargescsor othe.o€drquons
{
.l kr€tn oI duauon of srrnptons
4 Jwntten)adtce onviar @/@ r be doncar vork. at hom€l
4
4
,4,
e
.1
4
 Answers- Uslenhag
led - vetshon2

Ln A - T.lt o! EV/^!DA. It Do6t! C€rdc

l mdl rrrtd.d for €tcn.oftct d*r

1O!61&L! doneror .ddldat6)

o@tton 2 {wty. rn Fhtch ettdetliorog b helpt g to cdir.r Ard!)

- :-sedl+ .d!6uon
- cladne)nod6 or L€n@l$16
a-.=irsdrfrpffidon
ptuEds
:Ge;6r.-nd 3Ded (ordsas.)

glBtton 3 (a metno& oftntrElslo! ofAIDsl

AI G) {66ld.ndoftd Eod€ ot tdn.bnlton of EIv)

- u!rctec|d q/dptutet d s@sl I'rtdcos./ usst sq/s6al

contact/s4uar ntdolF

(ttl (.dcr.n.y ol !rd.nr..ld or IrIU

- more €liclat mare b fdmle t}l3n fdEL to malc / M to F !.ttd oh F

toM / 4peda[yMt F, oi
- 1%dlk of t rsrrsron / l% 6r€ of dndmcy

D) 0) Gecond@ndded md. oi tld@letotl

N / hocgatron le/th Uood oi btoodpod&r5l rtfeted Uood d t1..d

!rcductr/1rf*ted blood/@nlact s{h tnood, or:
- t€nersslon ua brood(or u@d Fodrctsl

(o) (2 et@lrE of t!j! doir. oltt@E sionl

2 m.}s for arly tee ol th€ fdndr.p€ 3 pohls 0! dy ordrl:

- E$stuslon ofrrlood/trdGtuslon olttood or t'lood prtducts,'blood

tr&sluson/ttrsfus,on. dd or
- sbann€ r6dl6/sbanrg hjddlg dtug .qulpddt/Glng Ldeted

/ n;a;u&,n,w in hedlb ff s.Lu,4slinlurv ,rom ned6

ct tl ltlird h.de of ttu3rd$ld !.ndomd)

Answets- Lislenlngled - Ve$lon2

u) ('lvo sF tn {nbh tlh Doit. of tMl$lon @ oc.E,

2 m.ks fdr any t*€ oatne lonodig 3 pol,aLs0n dv ordd):

- (dlnng PreEMncY,and/or
(durinelbith Proc63. {d/o.:
- {lhrongt brast nlnk

g!€Etior 4 (Pbgteslon fton lrw t o r{D51

A) @edru tr4. for.t elolm.nt ofllw t4to dDs)

Bl (Gu.l s@i*t tlme ft@ th€.reveropmert olAIDs)

cl (n@oG for ron.! rfth Ar,s not nd!€ s rong u E n)

2 drrks ror uy M of the fouorttS 3 po,r16lu dv orddl

' ddascd acc6s to helur @/pdor h..lth l8/41luc acc6s !o halth @.

- lard draetus.d t!:n E6/1ale dlatnosls dd/or

ddve t€Endt lals tnd nd/not L€led dlvllatt EaEnat
(NOTE:7x = ftatndtl

guesdon 6 (tm l6t|@ drfi.rentilttld lllvz non Evrl

2 t@Ls lor sv tlo of Ih€ follostng 4 poltrts iln ev otdfJ

- lodd ln w6tAfde/'$/6rnfd€, dd/or

' ld l6s Nmon lhd Hnrr/f,r l6s comon dd/ot
procr€e.lontd ds ron€d4o.gd to dderop alAs/pFg6ston ta!6 ldngd.

' l6s €1!d6tly ba.s!tded,46 dndst tst@l$ton

glesrton 6 Erobar .ptd€&roroA. or Ev/AIDs)

Al {llfodrtioa on ne Ev bJectl@ @d tn€ lBi 6 mont&)

- 30 ro 40r Dlot..r:
. I rtllon nd lnfecsos, or:
' 1 pson l.Idted ddy 15 20 seconds/l litelcd sery 15 20 s<

B) lprc<licted 6gEt lor trre ted 2ooo)

- r0 nl]lron uitdet€d orpnds
 Ancwe$- ldanlng fe^n- Ve'Jon 2

g@tim 7 (pdt n of .pud of Ev grotilt)

rrl {frctoF facutat!'g tne 6poad or ArI)s !t loBi rr*!

3 '6ls for dy tE* ol th. fono}{,rgnrc !.nn!e (li my orddl:

, socro-snobrc &cto6/!d.rty, ad/or

- lo,tUer @d cdturar bddF. and/ot
- etot otgMtanv. ,rltdduon, dd/d
- (pr@la.e o0 o6s sdu]ry hlG'llttcd ds.€s/othq Sms. dd/or
gcr{r,r r,rcRtson

B) (wEO l'to!@tr@ on tte d@t @@on dod. ot .4ral tnqDtslo! ol

- het@al {,n ddtlop[ig wdd)

c) (c@!€ri!on tetre! alb url atdd ln th. lealtcicat .!sal otrrDs)

- astq si]l supds AAre ltl nqt 10yq4/Asla dlr s@ slrrqss Afd€/Asla vln

g!€!tr@ a f€Dd. ror ih. $dd ilsil or ^lDs h Afttcal

2 marks for dy t@ 6f drc IolropLg 4 lol'lts 0r ay orddl:

- pderv, ud/c
tac& orm.dcar @€, ed/or
- hrgh pffiaro.e of geilbl lr.ddon/gddt3r ds. drd/or
- utu to ruEil mov@atll'l€rauon

gne.ir@ e g6up. rf.c..it tr Brv/ADs rn dme@t 66ttte)

eohts li dy ofttd rbsutholt ou€don 9)

COUNIRY MAINCROUPSAIIECIED

- hletrr€ dtu€ u€6/Iv drug ss, dd/d

sa MrkG/ pbsdtute, ud/or
- het6sdla1l gaffi I polulatun

- losutut6/sd work6, dd
Answe6- lislenlng lest - veEion2

LaJ€clne
dru€us*/n/ drugus6

' hjccdng dig rs6/rv drug uffi, and/or

homGmal md, and/o.

gu.rtlon 10 (Er,/AIDs tn AEtnr!)

rl trrfoE.tton d tt ivo nddlbrpa orp€olr. tu.t co'MotlyEv-

inf.ct d ltr rtGtnlirl

2 na*s ror !!IIr of rh. folotuC lolrll9 lh ey od€rl I

0j$ low6t lslorfdn h hje.tnr€ drue u6/low€! ir dru€ Gd3/<2% r{

(o hrghGt tn honosdual ncn/flrlr y homGqual o@/3696 honos*ual

b) (Reo.ore4En tor tlll snutror)

3 ldks for sy lbl$ of the lold}{ng 6 pohtsi

- Isuesturl ps4don progIma dd/o!
- .ootengon bed afidt d md ue dd go@dl. dd/or
.du@uon !rccrm ldbet d t@fds rrdn.salzr ns{, ad/or
t hav{ou cbdg., !d/or
' hdtr ml,rnlellon/n .dlc ddiarg. progre/mtl]niedon It lv ddg use6

brghaems of Hn/. ud/or

- hr€htGBnCfo. HIv

guestlon 11 (R.do@ for ptlteau ln au!.r of r€w dtagr@e. of AlDs t! Alsintla

2 rorks to! blb of lhe lono*{ng po,tlts (l,r dy ords):

' use ofdrugs/sydouihe/.{2Tlaru ret ovltal t-€h.6ts/ns

tEhrent/tratmcnt for AIDS.

TSAT IS TllE I^'D OI PART A

 Answe$- Ll'lenlnglegl - vedon 2

M/1RMNG SCHEidE AI{D IGY

gle.tid 1 R@or fd pEd@t 3 vlllt

- ch6t lerc wd rhc llst 2 w€qks {done fo. ddtdatGl

t3tl6t . d.!cdrt!o! of @ndnio! (lncladl,4 clrcllfui,n.B,

syEpt@ ud usckied sy&!to@l

NoTE: lo,rls 0 t. n! @y b. h dy ordd

r ffik tor dy @ ol dE fonoFhE4 po,r !:

- clmtrlg statB/got,g lFstala

r mrk lordt!!cof therollo*,lng3point : .

- sght pdns ,.@ fr@t of ihcl/pah/s€htn* strclo\e aclN r.od oq
clt€t^dd oflain a.N ch.st
- !€inltqbhc do6 not hw./pdn do6 not Edlatc/parn do6 tu: 8o .ladbw
- pafiltl€hurG g06 s@y rnd 3-4 d.s ct/psrn d@ mi last long/pdn
sulslde aftd 3 4 Elnute Evpsln g06 amy by lts€{/pah sulrslde by ltldI

,lll r mrk for the folodtrg poril

- lhon of b@ih/6one shorttres of brerh/a$odrt€d soB

e[esrb! a M€drcd Blstory

a) c€ldl rdedtc.r Ebtort

NorE: poht n ' rv) My b. rr sy oldd

- nnd da!et6/dtabe!6 m€lltus

- (dsgnosrdl l0 y6 agolhld for t r0,€s/5- r0 yeF

- alpddetony at lslFhd a teEgd
- G.d to snok€/$ok€d up to ]s ya6 agolmok€d tion renag€ to 30 tG/q'
snol€r/c€sed soldrg at 30 yF
Nqa snoks/sokB dgarettGl

- .ontroned by dtet/no oedl@don ned.d/dtei @ltrol or y/ci ttx det,rong/or'

- not ov@deht/lomal xd8ht
 Answe6- llslenlng lest- ve$ton2

R4drtr 6fpedou mediclr t .t

- dDlest€rol ovchol NAD/chol6rerot NAD,o!:

bloodIat OK/,tlood lat NAD
ft{oT cnoletdot oR Broodr.!

gEsfid 4 Fldxt medjcli rulbry

- n:d hrgh blood pres@/nad mch Bp/h.d n]Idradon^ad

ll:rN, and
- di€d ot stmk€/dred oIcvA

B)

- rlldftlood pus@/hnd Bp/trJld hrlen.ndon/rlld IIT, am

- on m.d1@tlonfor blood p@ur/rabl.i for btoodpBurc/daty tlhlet Ior llood
lEs@/tablct for Ry forBp

- broih- drd 6rstE 6n./bror!s ed d6td or/brdlhs sd stsrd rdl of nore

guetror 6 DlrgnosL

- artste to hc.Jt Em@d edlor brocked/lor €no4h orrg€n (o2J

Ecrlng to
hd/'blood suppty to hen b nor eood

guestr@ 6 r,o6alnlc Esod to. m.trdoD

' dlabet€s,dd/or
- &rnJy hsrory/fanl]y Hd tr(:ltas nsk3). ed/o.
- elmrcd btoodp@E/h€h bloodpEs@/r1ch Bp,lh}lcltdslon/ rrT

gre6tl@ 7 Dopoe.al !&nrg€eent ot cotrdifi@ (d.rans ofactoF t bc ctrccled and

morntor.d t6rs ro be undenlla m€dre on etc.

. l0orrrorlasss rffilble tactoB/monltor eleuve bur coferabte

NOIE: PolntsX) - Ivl fono*lng nay be I,r uy ordd

- nornto. djabele/c!€ck dtabetG

 Answe6- Usteningfe't - Ve,6ton2

- re do blood t6ts. &{l/or

dek broodfatslrwd ofn@d fak^lood .ail, and/or

- aheri chol€t Fl/Chot, and/or
- ch6k trrttceddG/"rc
-lact to, conrr'otbtood6tE

kc.p d €yeon bloodpr6sw/nor tor bloodpresuE/check blood

pcsuE/@tch BP,and/or
- ihak 'dsht/Fatch ec,€ht. ddlor
- Etih dcvnor ro. dlcr

' reld to helt sp€crrlsi lnd/or

- treadnllll t€vmorttorh€r md@qr bd6 sr!6r, and/or

gerlda orsd61qors ndor/e.r lda or dtot of tuno&rrg or ane.l€,

Medtcltl@ dd tEtftctloE

- hedlo uoDro open up bhod Bsds/h.ddu6 ro LbpB. btood suDpy ro

nedlangtue rrbt.t /l)lht6 (NoT roelrdrn.l, drd/or
- slbnnguel iabrctsforlEh {rn.fugmo!/r!k.onc
dui,g!.h/tak one to
!l@nt p.inlr.L r to rcld. rqln, dd/or
- t lr. one b.foE ddcGe/q.rdon, a,rd/or
- rabler wlll help 6nnm dagnosls

9@3don 3 t{eaon fd eertu! EC.nt Dedtc.t .nentto!

-IIt k r tabl.r. no .dtef aod 10_r5 &r\ take
doth6. no r€uef/tf take 1 tabLt,
R€ti 10-15rnn, tatre dothd, dd6n,t wor!<.nd 5- rO n n, or
, ongoingp.h not Frd€d by nedl€dor o.
- dsk ofaote myoerdlal ldarcdon/rr.k ot,1Ml/d6k
ot Ml/rjsk of nyocarrtiar
rrlaedor/rls.t ot h..Ji e1ta.k

g@do! I at rF b tl€rreelt to lE ud.narE toirly

stmde r6is/btood r€16, dd/o.

- 6dtognpb/EcC/(obrahl basel'rE Lace. md/or
- lpecnbq able1s/medle{on, dd/o.

rdcr to hart spectrtsr/refml to left spc.raltst.

TIIIO Is tIIE ANDOFPARTB

 Answe/s- Llslenlnglesl - Vetslon2

!rl - re-do ttood t6ts. ed/o.

- che.l ttood rats/l*€l ofllodd rdrsAroodfats. and/lr

- .b.ck chol6t.ol/Chol, and/or
- ahek td€tcdid€,-rrc
-(a.t tol @ntrol blmd fats

- kep d ey€on bloodpEsw/nonltor bloodp6s@/th€ck blood

pcsurc/utch BP,@d/or
- che.k edlht/etch werthr, dd/or
- @tih devnoirto. dl€t

vt - refd to hen s!ar.l6t, ddldr

- hEddll tevf,ot'rtd hert nmt bd6 6tr6s, andlor

e.t Id4 ot s*rlty of6ndr6on/gcr Ga ol drdt ol mE v1ng of aridre,

M€attitl6 ual trtftctl@

- medleuon to openup Uood r*d6/nedr6uon to irlldeblood seply to

ltdn/angldne tabr.ts/nr!!t6 (NoT E!dyc.rhe), drd/or
- 8ub!4ual tabLt! tor paln lEtu€dd!/tlkc @e ddnng Fdn/r,ike one to
Pddl Pah/l3ke I lo relrde Pst! ald/ot
- t3l. on bdorc dd.rsc/q.ruon, aid/or
- tauel *{l hdt @nim d1agrosls

g@ltlon 3 R.t$. rd *ethg sl.nr Eedlcd llteltlot

,lt he 1 tltid, no r.lldaltcr 10'15 rlln, t 1| eotha. m rdl.f/Ut lr€ t lablei

Fati l0-r5 rnh, ral@dotlE do6nl wrk aftq 5- lo 61n, or
- onSo'ngp.h n t rdrd€d by m.dr@dm, or
- rlsL ofa@t€ rlyo@didl bfarcuon/.ts! of AMI/dsk ot Ml/rrsk of myocsrdial
Irfandm/rtsL of h@n a[ack

g@su@ I st p! tn ln:ie6t .o te ddenlre! roday

- s,rnpletets/blood t€t , sd/or

- erdioElaph/Ecc/(obtdi) basella. iEce, ed/or
- (pecrtbe) tableis/nedr@don, ddlor

lv) rder ro h€rr speddst/rdqEr ro herr spedalist.

IHAf IS TTIE!trD OF PART B