Prepared by Ms Nguyen Thi Thanh Hong, PhD

MID-TERM TEST (6th TERM) _ SAMPLE

Time allowed: 30 minutes

PART I: Grammar and Vocabulary: 15câu

1. It’s nearly midnight and you look exhausted. If you ________ less coffee, you ________ better at
night.
A. drink/ will feel B. drink/ would feel
C. drank/ will feel D. drank/ would feel
2. There are ________ people infected with coronavirus that there isn’t enough space in hospital.
A. so B. such C. so many D. so much
3. She had the symptoms of terrible ________ cough and was diagnosed with epiglottis.
A. dry B. tickly C. hollow D. barking
4. The tools that hold organs out of the way to allow access to the surgical site are ________.
A. drapes B. retractors C. forceps D. staples
5. The feeling of faintness, dizziness, or being close to passing out is ________.
A. nausea B. headache C. vomiting D. lighheadedness
6. If my litter boy ________ so many candy and ________ his teeth every night, he ________ tooth
decay.
A. Didn’t eat/ brush - wouldn’t have
B. don’t eat/ brush – will not have
C. doesn’t eat/ brush - wouldn’t have
D. didn’t eat/ brush – won’t have
7. ________ treat constipation by softening hard stools or stimulating your bowels to get moving
so you can poop.
A. Paracetamol B. Laxatives C. Aspirin D. Salbutamol
8. What we do know is that medical care ________, digital and data-driven.
A. will be increasingly personalized
B. will increasingly personalized
C. will increasingly personalize
D. be increasingly personalized
9. A cut made by a surgeon to allow access inside the body is ________.
A. suction B. scalpel C. incision D. scar
10. Unconscious is the symptom of ________.
A. mild TBI B. moderate TBI C. severe TBI D. X
11. Approximately 24% of patients who suffer a TBI will have a seizure that is undetected
unless they are monitored by an/ a ________.
A. EEG B. Licox C. ventilator D. feeding tube
12. The two important features of pulmonary edema are ________ and capillary recruitment.
A. capillary volume B. arterial compliance
C. pulmonary circulation C. compensation
13. It was ________ complicated operation that the surgeons spent eight hours and it made them
felt exhausted.
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

A. so B. such C. such a D. such an

14. If a study carried out over a period of time. It means it was ________.
A. competitive B. longitudinal C. large scale D. significant
15. Cells ________ at the molecular level by future scientists, and this will further tap into
opportunities for a personalized approach to medicine.
A. will likely manipulate
B. will likely manipulated
C. will likely be manipulated
D. will likely been manipulated
PART II: Reading
Read the following clinical case and circle the best answer for each of the following
questions
A 31-year-old woman has a 6-year history of abdominal pain and bloating. She has had an
irregular bowel habit with periods of increased bowel actions up to four times a day and
periods of constipation. Opening her bowels tends to relieve the pain which has been present
in both iliac fossae at different times. She had similar problems around the age of 17 years
which led to time off school. She thinks that her pains are made worse after eating citrus fruits
and after some vegetables and wheat. She has tried to exclude these from her diet with some
temporary relief but overall there has been no change in the symptoms over the 6 years. One
year previously she was seen in a gastroenterology clinic and had a sigmoidoscopy which was
normal. She found the procedure very uncomfortable and developed similar symptoms of
abdominal pain during the procedure. She is anxious about the continuing pain but is not keen
to have a further endoscopy. She has a history of occasional episodes of headache which have
been diagnosed as migraine and has irregular periods with troublesome period pains but no
other relevant medical history. She is a non-smoker who does not drink alcohol. Her paternal
grandmother died of carcinoma of the colon aged 64 years. Her parents are alive and well. She
works as a secretary.
16. How long has the patient had the abdominal pain and bloating?
A. for 31 years
B. for 17 years
C. for 6 months
D. for 6 years
17. Why did she try to exclude some kind of food from her diet?
A. Because they made her pain better
B. Because they made her pain worse
C. Because they made her pain worst
D. Because they made her pain more painful
18. What kind of operation did she have before?
A. endoscopy
B. gastroenteroscopy
C. sigmoidoscopy
D. sigmoidoscope
19. What is her menstruation like?
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

A. It is irregular
B. It is normal
C. It is regular
D. It is painlessly
20. What is the cause of her paternal grandmother death?
A. cancer arising in the epithelial tissue of the skin
B. cancer in the stomach
C. cancer in one of the organ of the respiratory system
D. Colon cancer
PART III: Writing
Rewrite the following sentences without changing the meaning (5 câ u)
21. The nurses will transfer him to ICU as soon as possible because he needs constant
observation and specialized care.
→ ________________________________________________________________________
__________________________________________________________________________

He will be transferred to ICU as soon as possible because he needs constant observation and
specialized care.
22. He has problems with digestion due to his unbalanced diet with low fiber and vegetables.
→ ________________________________________________________________________
__________________________________________________________________________
If his diet wasn’t unbalanced, he wouldn’t have problems with digestion.
23. Medical science will hold DNA sequencing data for tens of millions of patients, and this will
better our understanding of disease.

→ ________________________________________________________________________
__________________________________________________________________________
DNA sequencing data for tens of millions of patients will be held by medical science , and this
will better our understanding of disease.
24. His condition was so severe that his family called 911 to take him to the hospital
immediately.
→ ________________________________________________________________________
__________________________________________________________________________
He had such severe condition that his family called 911 to take him to the hospital
immediately.
25. The new medical equipment is very expensive. The board of hospital director cannot
purchase all equipment at once.
→ ________________________________________________________________________
__________________________________________________________________________
The new medical equipment is so expensive that the board of hospital director cannot
purchase all equipment at once.
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

26. If she / not have/ sore throat/ she/ have/ better presentation/ National Conference about
diabetes.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

27. In/ coming years/ some procedures/ undertake/ surgeons/ remote location.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

In the coming years some procedures will be taken by surgeons from a remote location.

28. In/ term/ his medical history, he/ suffer/ severe headache/ for which/ he/ take/
paracetamol/ twice a day.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

In term of his medical history, he suffers from a severe headache for which he has taken/ has
been taking paracetamol twice a day.

29. Her post operative recovery/ be/ uncomplicated, and she/ will/ discharged today.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Her post operative recovery was uncomplicated, and she will be discharged today.

30. Physical examination, she/ be/ overweight/ normal vital signs (P80, BP 120/70, T36).

____________________________________________________________________________________________________

____________________________________________________________________________________________________

On physical examination, she was overweight with normal vital signs (P80, BP 120/70, T36).

__ __ __ __ __ __ __ __ The end __ __ __ __ __ __ __ __
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

UNIT 1- REVISION 1
Circle the best answer for the following sentences
1. Oily fish with omega-3 fatty acids is protective against _________ and heart disease.
A. hypertensive B. high blood pressure C. coronary artery D. diabetes
2. A lot of people don't know they have __________, because there are usually no warning
signs.
A. hypertensive B. hypertension C. high blood D. blood
pressure
3. _________ and resistance exercises are the best for your bones and force you to work
against gravity.
A. weight-bearing B. worth noting C. longitudinal D. large-scale
4. He was a trim ___________ figure with a narrow, youthful face.
A. athlete B. athletic C. athletics D. athletes
5. __________ is the process of empowering people to increase control over their health and
its determinants through health literacy efforts and multisectoral action to
increase__________.
A. Healthy behaviors/health promotion B. Health promotion/ healthy
behaviors
C. Health perception/healthy behaviors D. Health perception/ health
promotion
6. The word meaning “covered many people” is ___________.
A. longitudinal B. weight-bearing C. large scale D. significant
7. He had a car acccident last week and had __________ neck fracture.
A. femur B. femoral C. femora D. femoris
8. Mr Thomson has laryngeal nerve palsy. The cough sounds really ________.
A. barking B. hoarse C. hollow D. tickly
9. _______ is a condition in which the body or a region of the body is deprived of adequate
oxygen supply at the tissue level.
A. pulmonary edema B. pulmonary hypertension C. hypoxia D. oncotic
pressure
10. The fluid increases _______ and therefore slows the rate of diffusion of oxygen from the
alveoli into the capillaries.
A. diffusible surface B. diffusion distances C. diffusing substance D.
diffusion of oxygen
11. A patient has a sudden, accute attack of coughing. This means he ___________.
A. is horse B. whoops C. has a coughing fit D. wheezes
12. The patient has tracheitis. He has got a dry cough and it‘s __________.
A. slightly painful B. painless C. really painful D. wheezy
13. Mr Thomson, do you have any special ____________ requirements?
A. diet B. dietary C. dietetics D. dietitian
14. Sometimes, parents with _____ problems need support from family members, friends,
neighbours and/or professionals, to help them care for their children.
A. mental illness B. mental healthy C. mental health D. mental health illness
15. The root “eti-/o” in the medical term “etiology” means __________.
A. disease D. cause C. illness D. cause of disease
16. In cardiogenic pulmonary edema, there is an increase in the _________.
A. oncotic pressure B. plasma oncotic pressure
C. hydrostatic pressure D. pulmonary capillary hydrostatic pressure.
17. Pulmonary hypertension can be addressed with diuretics which decrease ____ and or
treatments.
A. plasma volume B. hypertension C. hypoxia D. capillary volume
18. Jane’s chest really hurts when she coughs. She got this sharp pain right here in the chest
when she coughs. She was diagnosed with __________.
A. pleurisy B. laryngitis C. asthma D. epiglottis
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

19. Most __________ patients need tablets to lower their blood pressure.
A. hypertensive B. high blood pressure C. coronary thrombosis D. diabetes
20. At normal operating pressures, the lungs contain a little more than a third of their
maximum ___________.
A. plasma volume B. hypertension C. hypoxia D. capillary volume

REVISION
Circle the best answer for the following sentences
Câu 1 A tube attached to a pump for removing blood or other fluid from surgical site is
_________.
A. an implant B. a retractor C. a suction D. a staple
Câu 2 Occasionally some patients __________ an injury to the mouth or have something
break during treatment
A. will experience B. will be experienced
C. will experienced D. experiences
Câu 3: The tools that use heat to close the ends of blood vessels to prevent bleeding are
_______.
A. implants B. retractors C. diathermy plates D. staples
Câu 4: . In ___________, your surgeon uses small tools, cameras, and lights that fit through
several tiny cuts in your skin.
A. open surgery B. minimally invasive surgery
C. plastic surgery D. laparoscopic surgery
Câu 5: A clot that forms between the skull and the dura lining of the brain is called
____________.
A. a subdural hematoma B. an epidural hematoma
C. an intracerebral hematoma D. hematoma
Câu 6: A type of head injury occuring on the opposite side of the brain from where the head
is struck is ________.
A. assault B. contrecoup injury
C. coup injury D. concussion
Câu 7 A mild head injury that can cause a brief loss of consciousness and usually does not
cause permanent brain injury is ___________.
A. assault B. contrecoup injury
C. coup injury D. concussion
Câu 8: The brain damage that occurs directly under the point of impact is __________.
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

A. assault B. contrecoup injury C. coup injury D. concussion

Câu 9: This 42-year old patient ________ home from the hospital today following a brief
admission for abdominal pain.
A. discharge B. will discharge C. will be discharged D. will discharged
Câu 10: The medical term expressing a blood clot that forms when a blood vessel ruptures
and may grow large and compress the brain is ___________.
A. a subdural hematoma B. an epidural hematoma
C. an intracerebral hematoma D. hematoma
Câu 11: The tools that hold organs out of the way to allow access to the surgical site are
___________.
A. implants B. retractors C. suctions D. staples
Câu 12 Symptoms of mild TBI include _____________.
A. eyes open to stimulation B. ringing in the ears
C. eyes do not open D. eyes open to stimulation
Câu 13 A catheter is placed through a small hole in the skull and positioned inside the
ventricle (fluid-filled area deep within the brain) to measure pressure inside the head is
___________.
A. TBI B. ICP C. EEG D. Licox
Câu 14: A ______________ refers to the surgical repair of a hernia,
with suture of the abdominal wall.
A. laparorrhaphy B. herniorrhaphy C. laparoplasty D. herniotomy
Câu 15: Covid patients with mild symptoms ___________ to treat the illness at home.
A. instruct B. is instructed C. will instruct D. will be instructed

Câu 16: Sterile covers for the parts of the patient’s body not involved in the operation are
______.
A. implants B. retractors C. drapes D. staples
Câu 17: Dr Klein and his colleague are going to do a procedure which will involve a
______________, where we remove several ribs.
A. thoracoplasty B. herniorrhaphy C. costectomy D. costoplasty
Câu 18: COVID-19 vaccination ________ protect you from getting COVID-19.
A. help B. is helped C. will help D. will be helped.
Câu 19: If your body contains _______ bacteria, they will make you ill.
A. such a B. so C. so many D. so much
Câu 20: . The nurse asks the client to ___________ before undergoing surgery.
A. have a meal B. choose a type of operation
C. sign a consent form D. give a regional anaesthetic
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

Câu 21: Patients have some severely damaged teeth, so he has to eat soft, pureed foods
If …………………………………………………………………………………………..
Câu 22: You have symptoms of uncontrolled blood sugar, so you feel fatigue and extreme
tiredness and frequent urination.
If
…………………………………………………………………………………………………
…
Câu 23 He smokes and drinks a lot, so his blood pressure remains high.
If
he………………………………………………………………………………………………
…
Câu 24: The patient was so weak that he couldn't get up.
He ……………………………………………………………………………………………
Câu 25: For many operations, a nurse will put a needle connected to a drip into your hand.
For many operations, a needle ……………………………………………………………
Câu 26. They will carry out the inoculation basing on the vaccine supply and the pandemic
situation in each locality.
……………………………………………………………………………………
Câu 27. The patient was so weak that he couldn’t get up.
Heis……………………………………………………………………………………………
Câu 28. You should eat a heart-healthy diet with less salt to prevent high blood pressure.
If …
I………………………………………………………………………………………………
Câu 29: you/allergic/any medication?
………………………………………………………………………………………………
Câu 30: you/have/any problems/your heart/before?
………………………………………………………………………………………………
Câu 31: How/you/feel/have/operation?
………………………………………………………………………………………………
Câu 32: We/need/you/sign/consent form/if/you/happy/everything.
………………………………………………………………………………………………
Câu 33: I/write/refer/48-year-old patient/presented/tonsillitis.
………………………………………………………………………………………………
Câu 34: He/given/oxygen/ followed/hospital admission.
………………………………………………………………………………………………
Câu 35: He /admit/hospital/25th May/signs for renal failure.
………………………………………………………………………………………………
Câu 36: Mr Bublin/present/me/signs/pulmonary infection.
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

……………………………………………………………………………………………..
Câu 37: My father/admit/hospital/signs/renal failure.
………………………………………………………………………………………………
Câu 38. His condition/so/serious /the doctors/had to/carry out/operation/immediately.
………………………………………………………………………………………………
Câu 39. Mpox vaccine/will/administer/ intradermally.
……………………………………………………………………………………………….

Unit 2 SURGERY
1. A mild TBI would score the following on the Glasgow Comma Scale ________.
A. 13 – 15 B. 0-3 C. 9-12 D. 3-8
2. The Glasgow Comma Scale assesses eye opening, ________.
A. spasticity and speech B. motor and verbal response
C. cognition, motor and verbal response D. ability to follow instructions
3. Patient had trauma, GCS score of the patient was 10. What is the severity of injury?
A. Mild B. Moderate C. Severe D. None of the above
4. What does TBI stand for?
A. Trauma Brain Injury
B. Trouble Balancing Injury
C. Traumatic Brain Injury
5. What is Traumatic Brain Injury (TBI)?
A. Jolt or Blow to the head
B. When objects penetrate the skull
C. Brain cells damaged or affected by an accident
D. All of the Above
6. Epilepsy is included in TBI Awareness.
A. True B. False
7. What is causes head injury?
A. hitting yourself in the head
B. falls, sports, injuries, gunshot wounds, physical aggression, and road traffic
accidents
C. running into a wall
D. hitting your head on concrete
8. A _______ occurs when the contusions on the brain are directly below the point of trauma
A. coup injury B. contrecoup injury
C. coup-contrecoup injury D. concussion
9. A _______ is when the contusions on the brain are directly opposite the point of trauma.
A. coup injury B. contrecoup injury
C. coup-contrecoup injury D. concussion
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

10. A ________ is when there are contusions on the brain both directly below and directly
opposite the point of trauma.
A. coup injury B. contrecoup injury
C. coup-contrecoup injury D. concussion
11. When someone gets hit in the head, feel disoriented and they blackout. It is a mild
traumatic brain injury. It is _______.
A. a concussion B. a contusion C. coup injury D. contrecoup injury
12. What is NOT a symptom of a concussion?
A. Unable to digest food
B. Headaches
C. Dizziness
D. Sensitivity to light
13. What is NOT a symptom of a concussion?
A. Confusion B. unequal pupils C. vomiting D. excessive energy
14. Concussions may be caused by falls, bumps or blows to the head
A. True B. False
15. A 10-year-old boy is brought to the emergency department via ambulance after he was
involved in a motor vehicle collision. The patient is unconscious on arrival. Glasgow Coma
Scale score is 8. CT scan does not show any specific lesion. The patient remains unconscious
for the next 7 hours. Based on these findings, which of the following is the most likely
diagnosis?
A. Subdural hematoma B. Diffuse axonal injury
C. Epidural hematoma D. Subarachnoid hemorrhage
16. A patient who sustained a traumatic brain injury has impaired consciousness, Glasgow
Coma Scale score of < 15, focal neurologic findings, and suspected fracture. Which of the
following is the most appropriate initial imaging step?
A. CT scan B. Magnetic resonance angiography C. MRI D. X-ray
17. Which of the following are symptoms of traumatic brain injury?
A. Dizziness B. Confusion or losing consciousness
C Nausea or vomiting D. All of these are symptoms
18. A person not wearing their seat belt is in a car crash on the highway. They fly through the
windshield and crash into the pavement. The impact slams their brain into the back of their
skull and both the front and back brain are injured. Which type of traumatic brain injury best
describes this event?
A. Contrecoup B. Concussion
C. Open traumatic brain injury D. Hematoma
19. A CT scan can show all types of head injury.
A. True B. False
20. A head injury can result in clot formation in the brain that can further block the blood
vessels from supplying to parts of the brain. Skull fracture and damage to the nerves can also
occur. It is _______.
 Prepared by Ms Nguyen Thi Thanh Hong, PhD

A. Contrecoup B. Concussion
C. Open traumatic brain injury D. Hematoma
21. Concussion is ________.
A. Skull fracture
B. Tingling sensations in the arms and legs
C. Temporary loss of normal brain function due to a hard blow on head
D. Low back pain
22. A contusion of brain is _______.
A. Bruise of brain tissue B. Lack of blood supply to brain
C. Brain death C. Head injury
23. Concussion does not always result in loss of consciousness immediately after the blow on
the head. But it can be identified with ________.
A. The person's speech is slurred
B. The person vomits
C. The person does not remember the injury
D. All of the above
24. Wearing a helmet is a foolproof method of avoiding a head injury.
A. True B. False
25. Which of the following can help you identify symptoms of head injury?
A. Severe headache with changes in vision
B. Nausea and vomiting
C. Paralysis or weakness on one side of the body
D. All of the above
Ex. 1 Complete the sentences with the correct words: so, such, such a, so many, so much
1. It was expensive that we couldn't afford it.
2. The party was incredible. They have nice house.
3. We didn't get out. It was cold!
4. There was bad weather that we had to stay home all day.
5. I have watches that I can't decide which one to wear.
6. We couldn't believe what had just happened. It was bad luck.
7. He put salt that we couldn't eat it.
8. When we arrived, John was there. It was surprise.
9. She is very glamorous. She always wears nice dresses.
10. We couldn't react. Everything happened quickly.

Ex. 2 Circle the correct answer

 Prepared by Ms Nguyen Thi Thanh Hong, PhD

1. We stayed on the top floor suite. There was ______ lovely view from the terrace.
A. such B.such a C.so
2. It was ______ late ______ we decided to leave.
A.so / that B.such / than C.so much / that
3. We had ______ fun we stayed for an extra night. Choose TWO correct options
A.so many B.such C.so much
4. The music was ______ we called the police
A.so loud B.such loud that C.so much loud that
5. John! I'm ______ happy to see you!
A.such B.so much C.so
6. If you drive ______ we'll never get there.
A.so much slowly B.so slowly C.such a slowly
7. In California we don't usually have so ______.
A.good weather B.rain C.much rain
8. In California we don't normally have such ______.
A.horrible weather B.much weather C.a horrible weather
9. I love Angela. She is ______. Choose TWO correct options
A.so nice B.so nice person C.such a nice person
10. You should be proud to have ______ clever daughters.
A.so B.such a C.such