236 2021 u5 lab tests LIS

PRONUNCIATION EXERCISESThe laboratory plays a central role in health care.. By one estimate, 70% of all medical decisions are based on laboratory results, although laboratory costs accou

3 SPEAKING ACTIVITIES

1 PRONUNCIATION EXERCISES

2 LISTENING EXERCISES

1 PRONUNCIATION EXERCISES

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endoscope amniocentesis manifestation sputum

1 PRONUNCIATION EXERCISES

The laboratory plays a central role in health care How critical is the

laboratory? By one estimate, 70% of all medical decisions are based

on laboratory results, although laboratory costs account for only 2.3%

of total health care dollars.

The purpose of the laboratory is to provide physicians and other health care professionals with information to detect disease or

predisposition to disease; confirm or reject a diagnosis; establish prognosis; guide patient management; and monitor efficacy of

therapy The laboratory also plays a leading role in education and

research, information technology design and implementation, and

quality improvement.

1 PRONUNCIATION EXERCISES

The clinical laboratory exposes staff, and potentially the public, to

a variety of hazards, including infectious patients, infectious patient specimens, and potentially hazardous chemicals and equipment Exposure occurs from ingestion, inoculation, tactile contamination,

or inhalation of infectious material from patients or their body fluids/tissues, supplies or materials they have been in contact with

or contaminated needles, or by aerosol dispersion The potential also exists for inadvertent exposure to the public through direct

contact with aerosolized infectious materials, improperly processed blood products, and inappropriately disposed of waste products.

This is a complex operation that must smoothly integrate all three phases of the testing process: preanalysis, analysis, and postanalysis.

Preanalysis refers to all the activities that take place before testing,

such as test ordering and sample collection The analysis stage

consists of the laboratory activities that actually produce a result, such as running a sample on an automated analyzer Postanalysis

comprises patient reporting and result interpretation A based diagnostic algorithm can assist with medical decision making

laboratory-and reduce test utilization With this approach, a physician requests the laboratory to perform a diagnostic workup (e.g., liver function evaluation) instead of ordering specific tests.

1 PRONUNCIATION EXERCISES

VIDEO: https://www.youtube.com/watch?v=D8ixnaY5XuQ&t=2638s

Listen to the audio twice and try to fill in the blanks.

2 LISTENING EXERCISES

[1/4] Now I’m going to take some fluid (1) _ to find out what’s giving you (2) A nurse will help me It’s wont take very long Now I want you to move (3) That’s it Right Lie on your left side Right Now can you (4) up as far as they will go? That’s great I will just put a pillow between your knees to (5) There you go Put (6) right down to meet your knees Curl up Now I’m going to (7) _ with some antiseptic You will feel it a bit cold, I’m afraid Now I’m going to give you a local anesthetic so it (8) You will feel just a slight jab, okay? There We will wait for (9) _ for that

to take effect Right now, lie still, that’s very important.

[1/4] Now I’m going to take some fluid (1) off your back to find out what’s giving you (2) these headaches Nurse will help me It’s wont take very long Now I want you to move (3) right to the edge of the bed That’s it Right Lie on your left side Right Now can you (4) bend both your knees up as far as they will go? That’s great I will just put a pillow between your knees to (5) keep you comfortable There you

go Put (6) your head right down to meet your knees Curl up Now I’m going to (7) wipe your back with some antiseptic You will feel it a bit cold, I’m afraid Now I’m going to give you a local anesthetic so it (8) won’t be sore You will feel just a slight Jab, OK? There We will wait for (9) a few minutes for that to take effect Right now, lie still, that’s very important.

2 LISTENING EXERCISES

LUMBAR PUNCTURE

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[2/4] Your pulse is (1) I’m not quite certain why this is but Ithink we will have to get a tracing (2) I want you to stripdown to the waist and also take off (3) _ First of all, this is acompletely (4) _ Are you quite comfortable? It’s better if youare (5) _ possible before I start to take the cardiograph Itonly takes a few minutes to do (6) _ but it takes a bit longer

to get you wired up I’m just putting some cream on your(7) _ That’s everything ready Now just relax as much asyou can

AUDIO AT 37:17

2 LISTENING EXERCISES

[2/4] Your pulse is (1) a bit irregular I’m not quite certain whythis is but I think we will have to get a tracing (2) of yourheartbeat I want you to strip down to the waist and also take off(3) your shoes and socks First of all, this is a completely(4) painless procedure Are you quite comfortable? It’s better ifyou are (5) relaxed as possible before I start to take thecardiograph It only takes a few minutes to do (6) the actual test but it takes a bit longer to get you wired up I’m just putting somecream on your (7) wrists and ankles That’s everything ready.Now just relax as much as you can

ECG (ELECTROCARDIOGRAM)

2 LISTENING EXERCISES

[3/3] I’d like you to (1) _ this table here This gel helps to(2) so that the picture is clear We’ll just rub in the gel alittle bit and now I’ll put on (3) _ Try to keep as still as youpossibly can That’s good Now if you turn your head (4) _,you will be able to see the scan as I’m taking it As you see, it’s justlike a television picture This black part here is (5) _ andthis is the body As you can see, it’s (6) very well Thesedots allow me to (7) _ so we can work out when your baby

is due… That’s everything finished now

AUDIO AT 39:35

2 LISTENING EXERCISES

[3/4] I’d like you to (1) lie down on _ this table here This gelhelps to (2) get a contact so that the picture is clear We’ll justrub in the gel a little bit and now I’ll put on (3) the equipment .Try to keep as still as you possibly can That’s good Now if you turnyour head (4) to the left , you will be able to see the scan as I’mtaking it As you see, it’s just like a television picture This black parthere is (5) the baby‘s head and this is the body As you can see,it’s (6) moving around very well These dots allow me to(7) measure the baby so we can work out when your baby isdue… That’s everything finished now

FETAL ULTRASOUND SCAN

2 LISTENING EXERCISES

DESCRIBE THE PICTURE

3 SPEAKING ACTIVITIES

DESCRIBE THE PICTURE

CONVERSATION WITH A PATIENT

1 Introduce yourself - name & role

2 Confirm patient details - name & DoB

3 Explain the need to take history

Work in pairs to make your own story, start with a common symptom that you’ve learned.

CONVERSATION WITH A PATIENT

& ANSWERS