2024年下半年浙江省醫(yī)護(hù)英語(yǔ)水平考試METS聽力考試練習(xí)題練習(xí)及答案METS聽力考試練習(xí)題練習(xí)（2024年下半年·浙江卷）SectionA:ShortConversations（共10題，每題1分。每段對(duì)話僅讀一遍，聽完后選擇最佳答案。）Conversation1W:Goodmorning,Dr.Li.Mysonhasbeenfeelingunwellsinceyesterday.Hesaidhisthroathurtswhenheswallows,andhe’shadalowgradefeverof37.8°C.M:Letmecheckhisthroat.Openwide,please…Yes,thetonsilsareswollenandtherearewhitepatches.Hashehadanyothersymptoms,likearunnynoseorcough?W:No,justthesorethroatandfever.Healsomentionedhisneckfeelsstiff.M:Isee.Let’sdoarapidstreptest.Ifit’spositive,he’llneedantibiotics.Q1:Whatistheprimarysymptomtheboyisexperiencing?A.RunnynoseB.CoughC.SorethroatD.NeckstiffnessConversation2M:NurseWang,thepatientinRoom305iscomplainingofchestpain.HisBPis150/95,andhisheartrateis110bpm.W:Didhetakehismorningmedication?Thechartsayshe’sonmetoprololforhypertension.M:Hesaidheforgottotakeit.ShouldIadministeritnow?W:Wait,chestpainwithelevatedBPandtachycardia—weneedtoruleoutangina.Let’sgetanECGfirstandnotifyDr.Zhangimmediately.Q2:Whatisthenurse’spriorityactionforthepatientinRoom305?A.AdministermetoprololB.PerformanECGC.CheckthemedicationchartD.LowerthebloodpressureConversation3W:Mr.Liu,theresultsofyourcolonoscopyareback.Wefoundasmallpolypintheascendingcolon.M:Isitcancerous?W:Thebiopsyshowsit’sadenomatous,whichisprecancerous.Weremoveditduringtheprocedure,butwe’llneedtomonitoryouwithfollowupcolonoscopiesevery3years.M:Thankyou,doctor.I’llmakesuretokeepalltheappointments.Q3:Whatisthedoctor’srecommendationforMr.Liu?A.ImmediatesurgeryB.ChemotherapyC.RegularcolonoscopiesD.DietarychangesConversation4M:Nurse,mymotherisscheduledforahipreplacementtomorrow.Whatshouldwedotoprepare?W:Sheneedstofastfrommidnight—nofoodordrink.We’llgiveherapreoperativeantibioticanhourbeforethesurgery.Also,makesuresheremovesalljewelryandwearsthehospitalgown.M:Canshetakeherregularbloodpressurepillinthemorning?W:Yes,withasipofwater.Wedon’twantherBPtospikeduringsurgery.Q4:Whatisallowedforthepatientbeforehipreplacementsurgery?A.EatinglightbreakfastB.TakingbloodpressuremedicationwithwaterC.WearingherownclothesD.ApplyinglotiontotheskinConversation5W:Dr.Chen,thebabyinNICUhasjaundice.Hisbilirubinlevelis18mg/dL.M:Isheshowinganysignsofneurologicalinvolvement?Likelethargyorhighpitchedcrying?W:No,he’salertandfeedingwell.M:Thenphototherapyshouldsuffice.Startthelightsnowandrecheckbilirubinin4hours.Q5:Whatisthetreatmentforthejaundicedbaby?A.ExchangetransfusionB.PhototherapyC.IntravenousimmunoglobulinD.OralantibioticsConversation6M:I’vebeenhavingtroublesleepinglately.Ilieinbedforhoursbutcan’tfallasleep.W:Doyouuseyourphonebeforebed?Bluelightcansuppressmelatonin.M:Yes,IscrollthroughsocialmediauntilI’mtired.W:Tryavoidingscreens1hourbeforebedtime.Youcanreadabookorlistentocalmmusicinstead.Ifitpersists,wecanconsiderashortcourseofsleepaids.Q6:Whatdoesthedoctorsuggestforbettersleep?A.UsingaphonewithnightmodeB.AvoidingscreensanhourbeforebedC.TakingsleepaidsimmediatelyD.DrinkingcoffeeintheafternoonConversation7W:ThepatientwithCOPDishavinganexacerbation.HisSpO2is88%onroomair.M:Increaseoxygento3L/minvianasalcannula.CheckABGstoseeifhe’sretainingCO2.Ifhe’shypercapnic,wemightneednoninvasiveventilation.W:HislastABGshowedpH7.32,PaCO255mmHg,PaO260mmHg.M:That’srespiratoryacidosis.StartBiPAPnowandmonitorclosely.Q7:WhatinterventionisneededfortheCOPDpatient?A.LowflowoxygenonlyB.BiPAPventilationC.IntubationandmechanicalventilationD.BronchodilatornebulizationConversation8M:Nurse,whencanmywifestartbreastfeedingafterherCsection?W:Assoonasshe’sawakeandalert,usuallywithin12hours.Skintoskincontacthelpsstimulatemilkproduction.Evencolostrumiscrucialforthebaby’simmunity.M:Whatifhermilkdoesn’tcomeinrightaway?W:Itmighttake23days.Keepbreastfeedingfrequently—demanddrivessupply.Wecanalsoofferformulaasasupplementifneeded.Q8:WhenshouldbreastfeedingstartafteraCsection?A.After24hoursB.Oncethemotherisawake(12hours)C.Whenmilkproductionbegins(23days)D.AfterthefirstformulafeedingConversation9W:Thelabcalled—Mr.Wang’sbloodglucoseis320mg/dL.He’sonmetformintwicedaily.M:Isheshowingsymptomsofhyperglycemia?Polyuria,polydipsia?W:Yes,he’sbeendrinkingalotofwaterandusingtherestroomfrequently.M:Let’saddashortactinginsulinbeforemeals.Monitorhisglucoseevery4hoursandadjustthedoseasneeded.Q9:WhatisthenewtreatmentforMr.Wang’shyperglycemia?A.IncreasingmetformindosageB.AddingshortactinginsulinC.Fastingfor12hoursD.AdministeringIVfluidsConversation10M:Doctor,mydaughterhaseczema.Herskinisredanditchy,especiallyontheelbowsandknees.W:Avoidhotbaths—lukewarmwaterisbetter.Usefragrancefreemoisturizertwicedaily.Iftheitchingissevere,alowpotencysteroidcreamcanbeappliedforafewdays.M:Cansheuseoverthecounterantiitchlotion?W:Somecontainalcohol,whichcanirritate.Sticktotheprescribedmoisturizerandsteroidcream.Q10:Whatdoesthedoctoradviseforthechild’seczema?A.HotbathstosootheitchingB.FragrancedmoisturizerC.Lowpotencysteroidcream(shortterm)D.AlcoholbasedantiitchlotionSectionB:LongConversation（共10題，每題1分。對(duì)話讀一遍，聽完后選擇最佳答案。）Conversation:DoctorPatientDiscussionAboutDiabetesManagementW:Mr.Zhao,yourHbA1cis8.2%,whichishigherthanthetargetof<7%.Let’stalkaboutyourdailyroutine.M:Itrytowatchmydiet,butsometimesIhavenoodlesorriceforlunch.Idon’tlikevegetablesmuch.W:Carbohydratesaffectbloodsugarthemost.Youshouldaimfor4560gramsofcarbspermeal.Choosewholegrainsoverrefinedones,andaddmorenonstarchyvegetableslikebroccoliorspinach.M:Iwalkfor10minutesafterdinner,butthat’sall.I’mtoobusyatwork.W:Exercisehelpslowerbloodsugar.Aimfor150minutesofmoderateactivityperweek—like30minutesaday,5daysaweek.Evenbreakingitinto10minutesessionsworks.M:IsometimesskipmyeveninginsulinbecauseI’mtired.Isthatokay?W:No,consistencyiskey.Missingdosescanleadtohighglucoseandlongtermcomplicationslikekidneydamageorneuropathy.Let’ssetareminderonyourphonetotakeitatthesametimedaily.M:Igetdizzysometimeswhenmysugarislow.WhatshouldIdo?W:Keepfastactingcarbsnearby—likeglucosetablets,juice,orcandy.Checkyourbloodsugarimmediately,andifit’s<70mg/dL,consume15gramsofcarbs,thenrecheckin15minutes.Q11:WhatisMr.Zhao’scurrentHbA1clevel?A.6.5%B.7.0%C.8.2%D.9.0%Q12:Whatdoesthedoctorrecommendaboutcarbohydrates?A.AvoidallcarbsB.4560gramspermealC.EatrefinedgrainsonlyD.SkipcarbsforlunchQ13:Howmuchweeklyexercisedoesthedoctorsuggest?A.30minutestotalB.60minutestotalC.100minutestotalD.150minutestotalQ14:WhyisitimportantforMr.Zhaototakeinsulinconsistently?A.TopreventlowbloodsugarB.ToavoidlongtermcomplicationsC.ToreducevegetableintakeD.ToincreaseexercisetoleranceQ15:WhatshouldMr.Zhaodoifhisbloodsugaris<70mg/dL?A.TakemoreinsulinB.Eat15gramsoffastactingcarbsC.SkipthenextmealD.ExerciseimmediatelyQ16:WhichvegetabledoesthedoctorrecommendforMr.Zhao?A.Potatoes(starchy)B.Broccoli(nonstarchy)C.Carrots(highsugar)D.Corn(highcarb)Q17:HowcanMr.Zhaomakeexercisemoremanageable?A.Do30minutesessionsonceaweekB.Breakexerciseinto10minutesessionsC.OnlyexerciseonweekendsD.ReplacewalkingwithweightliftingQ18:Whatisapotentialconsequenceofskippinginsulindoses?A.ImprovedbloodsugarcontrolB.ReducedriskofneuropathyC.KidneydamageD.IncreasedenergylevelsQ19:WhatisthetargetHbA1cforMr.Zhao?A.<6.0%B.<7.0%C.<8.0%D.<9.0%Q20:WhatshouldMr.Zhaousetotreatlowbloodsugar?A.SugarfreegumB.GlucosetabletsC.HighfiberbreadD.ProteinshakeSectionC:Passages（共10題，每題1分。每篇獨(dú)白讀一遍，聽完后選擇最佳答案。）Passage1:InfluenzaVaccinationInfluenza,or“flu,”isacontagiousrespiratoryillnesscausedbyinfluenzaviruses.Itcancausemildtosevereillness,andattimescanleadtodeath.Thebestwaytopreventthefluisbygettingvaccinatedeachyear.Thefluvaccineworksbystimulatingthebodytoproduceantibodiesagainsttheinfluenzavirusesinthevaccine.Theseantibodiesprovideprotectionagainstinfectionwiththeviruses.Ittakesabout2weeksaftervaccinationforantibodiestodevelopinthebody.Whoshouldgetvaccinated?TheCDCrecommendsannualfluvaccinationforeveryone6monthsofageandolder,withrareexceptions.Highriskgroupsincludeyoungchildren,pregnantwomen,olderadults,andpeoplewithchronichealthconditionslikeasthma,diabetes,orheartdisease.Somepeoplemayexperiencemildsideeffects,suchassorenessattheinjectionsite,lowgradefever,ormuscleaches.Thesesymptomsareusuallyshortlivedandareasignthattheimmunesystemisresponding.Severeallergicreactionsareveryrarebutrequireimmediatemedicalattention.It’simportanttonotethatthefluvaccinedoesnotprotectagainstothervirusesthatcausethecommoncold.However,evenifvaccinated,youmaystillgettheflu,buttheillnessislikelytobemilderwithalowerriskofcomplications.Q21:Whatisthemainpurposeofthefluvaccine?A.TreatthecommoncoldB.StimulateantibodyproductionC.CureinfluenzaD.PreventallrespiratoryillnessesQ22:Howlongdoesittakeforfluvaccineantibodiestodevelop?A.13daysB.2weeksC.1monthD.3monthsQ23:WhichgroupisNOTahighriskgroupforflucomplications?A.YoungchildrenB.Healthyadultsaged2530C.PregnantwomenD.OlderadultsQ24:Whatisacommonmildsideeffectofthefluvaccine?A.SevereallergicreactionB.Highfever(≥39°C)C.SorenessattheinjectionsiteD.PneumoniaQ25:Whatistrueaboutthefluvaccine?A.ItprotectsagainstthecommoncoldB.ItguaranteesnofluinfectionC.ItreducestheseverityoffluifinfectedD.ItisonlyrecommendedforchildrenPassage2:PostOperativeWoundCareProperwoundcareaftersurgeryisessentialtopreventinfectionandpromotehealing.Herearethekeysteps:First,keepthewoundcleananddry.Avoidsoakingthearea(e.g.,swimming,baths)forthefirst48hours—showeringisusuallyallowedifthewoundiscoveredwithawaterproofdressing.Second,monitorforsignsofinfection:rednessspreadingbeyondthewoundedge,increasedpain,pusordrainage,orfever(>38°C).Ifanyoftheseoccur,contactyourhealthcareproviderimmediately.Third,followinstructionsfordressingchanges.Somewoundsareleftopentoair,whileothersrequiresteriledressings.Useonlytheproductsrecommendedbyyourdoctor—avoidapplyingointmentsorcreamsunlessprescribed.Fourth,protectthewoundfromtrauma.Avoidtightclothingthatrubsagainstthearea,anddonotpickatscabs.Letthescabfalloffnaturallytopreventscarring.Lastly,nutritionplaysaroleinhealing.Eatadietrichinprotein(e.g.,chicken,eggs,beans)andvitamins(especiallyvitaminC,foundincitrusfruitsandleafygreens)tosupporttissuerepair.Q26:Whatshouldbeavoidedforthefirst48hourspostsurgery?A.ShoweringB.CoveringthewoundC.Soakingthewound(e.g.,baths)D.ChangingdressingsQ27:Whichisasignofwoundinfection?A.MildrednessatthewoundedgeB.PusordrainageC.ItchingwithoutothersymptomsD.Temperature37.5°CQ28:Whatisadvisedaboutwounddressings?A.UseoverthecounterantibioticointmentB.ChangedressingsdailyregardlessofinstructionsC.Followthedoctor’srecommendationsfordressingtypeD.LeaveallwoundsopentoairQ29:Howtopreventscarring?A.PickatscabstoremovethemB.LetscabsfalloffnaturallyC.ApplyalcoholtothewounddailyD.WeartightclothingoverthewoundQ30:Whichnutrientsupportstissuerepair?A.VitaminA(carrots)B.VitaminC(citrusfruits)C.VitaminD(sunlight)D.VitaminK(spinach)SectionD:MedicalCaseDiscussion（共10題，每題1分。討論讀一遍，聽完后選擇最佳答案。）Case:A55YearOldMalewithChestPainDr.Li:Let’sdiscussMr.Zhang,55,whopresentedtotheERwithchestpain.Thepainstarted2hoursago,retrosternal,pressurelike,radiatingtotheleftarm.Heratedit7/10.NurseWang:Hisvitalsigns:BP160/100,HR95bpm,SpO297%onroomair.ECGshowsSTsegmentelevationinleadsII,III,aVF.Dr.Chen:TroponinIispositive(0.8ng/mL,normal<0.04).Thesefindingssuggestanacuteinferiorwallmyocardialinfarction.Dr.Li:What’sthenextstep?Dr.Chen:Doortoballoontimeshouldbe<90minutes.He’sacandidateforprimaryPCI(percutaneouscoronaryintervention).Weneedtopreparehimforthecathlabimmediately.NurseWang:Hehasahistoryofhypertensionandsmokes1pack/day.Nopriorheartdisease.Dr.Li:Aspirin325mgchewable,clopidogrel600mgloadingdose,andheparinbolus.Also,startnitroglycerinforpainandmonitorforhypotension.Dr.Chen:PostPCI,he’llneeddualantiplatelettherapy(aspirin+clopidogrel)foratleast12months,alongwithastatin,betablocker,andACEinhibitortomanageriskfactors.NurseWang:Whataboutpatienteducation?Dr.Li:Em