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Speaking






1. Compare the known heart diseases. Focus on the following areas:

- symptoms

- objective data

- cause

- treatment

- prevention

You are an emergency department specialist working with the patients. What questions will you ask the patients with the following complaints (possibly evidencing about cardiovascular disorders)? What is your possible diagnosis?

 

Ø a 27-year-old man, severe substernal pain, nausea, vomiting, the abdomen produces sounds, regurgitation, increased blood pressure, some hours ago he ate fresh vegetable salad.

Ø a 54-year-old woman, pain in the left side of the thorax, nausea, headache, dizziness, nervousness, the pain irradiated into the armpit, pulsating.

Ø a 47-year-old woman, slight substernal pain, experiencing flushes of the face, sweating, nervous and hysterical, insists on being observed by all possible specialists.

Ø a 14-year-old boy, left thoracic pain, muscular pains, weakness, headaches, dizziness, bad memory, cyanotic skin.

3. Make doctor's questions for the answers and act out the dialogue:

Doctor:

Patient: Hello. I feel an extensive pain in the left side.

Doctor:

Patient: No, I don't mean the whole left side, I mean the area around the heart. And these headaches trouble me too much.

Doctor:

Patient: Of course there are many other troubles with my health: I feel nausea and I feel like vomiting right now. The room is moving in my eyes, and your image is vague.

Doctor:

Patient: I haven't had any food for a few days, so I haven't had stools too. By the way, my urine is pink.

Doctor:

Patient: Actually, I didn't mean to go to hospital for a long time, but could you give me some tablets to manage it somehow?

3. Speak on the topics:

a. You are a teacher at a medical university. Tell your students about the following:

b. You are a lecturer invited to tell the people about some cardiovascular problems. Speak on the following topics, but mind that the people you are addressing to don't know medicine at all:

 

Ø Atherosclerosis: dangers, prevention.

Ø Ischaemia of the heart vessels.

Ø Angina pectoris and heart attack: development, treatment, first aid.

Ø The importance of a healthy lifestyle for prevention of heart diseases.

Завдання для самостійної роботи студентів (СРС)

I. Перекладіть наступні словосполучення: 1. стабільна ішемічна хвороба серця 2. зменшене кровопостачання 3. екстрена госпіталізація 4. знижена переносимість 5. різке погіршення стану 6. шунтування коронарних судин 7. оцінювання ризику 8. рівень, який можливо передбачати 9. нерегулярність ритму серця 10. відділення невідкладної допомоги   II. Дайте відповідь на наступні питання: 1. What is ischaemic heart disease? 2. What factors may cause cardiac ischemia? 3. What are the symptoms of ischemia? 4. What diseases may develop in case of cardiac ischemia? 5. What analyses are necessary to establish the diagnosis of ischemia? 6. What is the treatment of ischemic heart disease?   III. Розкрийте поняття: ішемічна хвороба серця

 

Test

1. Ischemic heart disease is a disease characterized by ischemia of the heart muscle, usually due to ………. disease.

A) evoking-power B) gallbladder siphon C) blood coagulation

D) coronary artery E) infected insect

2. Ischemic heart disease is more common ……….. and those who have close relatives with ischemic heart disease.

A) in women B) in men C) in infants

D) in children E) in adolescents

3. …………. presents itself as chest pain or other symptoms at rest or rapidly worsening angina.

A) Stable IHD B) Reverse IHD C) Unstable IHD

D) Irreversible HID E) Persistent HID

4. Depending …………. the symptoms and risk, treatment may be with medication, percutaneous coronary intervention (angioplasty) or coronary artery bypass surgery (CABS).

A) on B) in C) from D) out E) over

5. Ischemic heart disease may be …………. with any of the following problems: angina pectoris; acute chest pain and heart failure.

A) absent B) easy C) important D) difficult E) present

6. If part of the heart …………. an insufficient blood supply, coronary angiography may be used to identify stenosis of the coronary arteries.

A) seem to receive B) seems to receive C) seemed to receive

D) seems receive E) seem receive

7. Acute coronary syndrome usually necessitates admission to …………., and close observation on a coronary care unit for possible complications such as cardiac arrhythmias - irregularities in the heart rate.

A) hospital B) university C) chemist’s

D) institution E) polyclinics

8. An ischemic stroke is occasionally treated at hospital with drugs ……………… thrombolytic action (also known as a " clot buster"), and some hemorrhagic strokes benefit from neurosurgery.

A) exhibit B) exhibiting C) having exhibit

D) being exhibit E) exhibits

9. At the beginning the coronary arteries or even their branches are becoming ………….. or they are closed because of the debris flowed into the blood, which is referred to as an angina.

A) thick B) narrow C) thin D) round E) wide

10. …………… a surgical technique for restoring normal blood flow through an artery narrowed or blocked by atherosclerosis, either by inserting a balloon into the narrowed section and inflating it or by using a laser beam.

A) angiogram B) angiograph C) angiomatosis

D) angioplasty E) angiolysis

 

GASTRITIS

 

Exercise 1. Topic vocabulary:

antacid n [ˌ æ nt'æ sɪ d] антацид, нейтралізатор кислотності
anti-inflammatory drug n [‘æ ntiɪ nˈ flæ m ə ˌ tɔ ri ‘drʌ g] протизапальний засіб
belching n [belʧ iŋ ] відрижка
bile adj. [baɪ l] жовчний
bloating n [blo͟ ʊ tɪ ŋ ] здуття
consumption n [kə n'sempʃ (ə)n] вживання
cytoprotective agent n ['saitə (u) prə 'tektiv 'eɪ dʒ (ə)nt] цитопротекторний засіб
gastroscopy n [gæ 'strɔ skə pi] гастроскопія
heartburn n [ˈ hɑ ː tbɜ ː n] печія
heal n, v [hi: l] загоювання, загоюватися
ibuprofen n [ˌ aɪ bjuː ˈ profə n] ібупрофен
helicobacter pylori n [‘helikə u’bæ ktə pai’lɔ: rai] хелiкобактер пiлори
indigestion n [indi'dʒ esʧ (ə)n] розлад травлення
inhibitor n [in'hibitə ] інгібітор
lining n ['lainiŋ ] вистелення
loss of appetite n [lɔ s ɔ v 'æ pɪ taɪ t] втрата апетиту
pernicious aneamia n [pə 'niʃ ə s ə 'ni: mɪ ə ] злоякісна анемія
pertain v [pə ˈ teɪ n] належати, підходити
proton pump inhibitor n ['prə ʊ tɔ n pʌ ̱ mp in'hibitə ] інгібітор протонової помпи
reflux n [ˈ riː flʌ ks] зворотній відтік
stomach biopsy n ['stʌ mə k 'baɪ ɔ psɪ ]] біопсія шлунка

 

Exercise 2. Using adjective ending – ic or – al write a word for each of the following definitions:

E.g. Pertaining to the caecum - caec al

1. Pertaining to the stomach –

2. Pertaining to the intestines –

3. Pertaining to the duodenum –

4. Pertaining to the epigastrium –

5. Pertaining to the rectum –

6. Pertaining to the anus –

7. Pertaining to the liver –

8. Pertaining to the pancreas -

 

Exercise 3. Choose the word or phrase that doesn’t go with the topic “gastritis”:

1. gastritis vomiting abdominal disease stomatitis
2. AIDS loss of appetite jaundice urticaria
3. tuberculosis bile ducts feeling of fullness convulsive
4. peptic ulcer stool samples pernicious aneamia hepatic insufficiency
5. nausea bronchitis stomach cells renal impairment

 

Exercise 4. Read the following word-combinations and translate them into your native language:

The lining of the stomach, extensive alcohol consumption, non-steroidal anti-inflammatory drugs, chronic bile reflux, dull, vague, burning, sharp or gnawing pain, blood-streaked vomiting, bloating and belching, pernicious aneamia and heartburn, complete blood count test, to trigger the inflammation, over-the-counter antacids, life-threatening consequences of the disease.

 

Exercise 5. Read and translate the text:






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