STIKES INDRAMAYU

MULTILINGUA COURSE CENTER

Jl. Wirapati Sindang - Indramayu, Sindang, Kabupaten Indramayu, Jawa Barat 45222
Jl Sabrang Indah Kalikoa, Kedawung – Kabupaten Cirebon, Jawa Barat 45153

MID TEST
English for Nursing (Pre Intermediate)

I. LISTENING (Max 10 Points)

Complete this paragraph according to the recording!

POST-TRAUMATIC STRESS DISORDER

Posttraumatic stress disorder (PTSD) is a psychiatric (1)__________ that can occur in
(2)__________ who have experienced or witnessed a traumatic event such as a natural
(3)__________, a serious accident, a terrorist act, war/combat, rape or other violent personal
assault. PTSD could occur in an individual (4)___________learning about the violent death of
a (5)__________ family. It (6)__________ also occur as a result of repeated exposure to
horrible details of (7)__________ such as police officers exposed to details of child abuse
cases.
Symptoms of PTSD fall into four categories.
1. Intrusive thoughts such as repeated, involuntary memories; distressing dreams; or
(8)____________ of the traumatic event.
2. Avoiding reminders of the traumatic event
3. (9)__________ thoughts and feelings may (10)__________ ongoing and distorted
beliefs about oneself or others.
4. Arousal and reactive symptoms may include being irritable and having angry
outbursts

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II. READING (Passage 1 – Pneumonia) (Max 30 points)
PASSAGE 1
PNEUMONIA

Pneumonia is an infection in one or both lungs. Bacteria, viruses, and fungi cause it. The infection
causes inflammation in the air sacs in your lungs, which are called alveoli. The alveoli fill with fluid or
pus, making it difficult to breathe.

The germs that cause pneumonia are contagious. This means they can spread from person to person.
Both viral and bacterial pneumonia can spread to others through inhalation of airborne droplets from
a sneeze or cough. You can also get these types of pneumonia by coming into contact with surfaces
or objects that are contaminated with pneumonia-causing bacteria or viruses.
You can contract fungal pneumonia from the environment. However, it doesn’t spread from person
to person.

Pneumonia symptoms can be mild to life-threatening. They can include: coughing that may produce
phlegm (mucus), fever, sweating or chills, shortness of breath that happens while doing normal
activities or even while resting, chest pain that’s worse when you breathe or cough, feelings of
tiredness or fatigue, loss of appetite, nausea or vomiting, and headaches.

Other symptoms can vary according to sufferers’ age and general health. Children under 5 years old
may have fast breathing or wheezing. Infants may appear to have no symptoms, but sometimes they
may vomit, lack energy, or have trouble drinking or eating. Older people may have milder symptoms.
They can also exhibit confusion or a lower than normal body temperature.

Questions:
Answer these questions according to the passage above!
1. What is pneumonia?
2. What are causes of pneumonia?
3. What vital organ is infected from pneumonia?
4. How does it's infection works in the lungs?
5. How many types of pneumonia? Please mention them!
6. How does bacterial pneumonia spread from one person to others?
7. How does fungal pneumonia contact to a person?

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 8. What are pneumonia symptoms?
9. Who will probably have no symptoms though is infected from pneumonia?
10. How are the symptoms that happen to older people?

III. READING (Passage 2 – Schizophrenia) (Max 30 points)

PASSAGE 2
SCHIZOPHRENIA
Schizophrenia is a chronic brain disorder that affects less than one percent of the U.S. population.
When schizophrenia is active, symptoms can include delusions, hallucinations, trouble with thinking
and concentration, and lack of motivation. However, with treatment, most symptoms of schizophrenia
will greatly improve.

Research has shown that schizophrenia affects men and women about equally but may have an earlier
onset in males. Rates are similar around the world. People with schizophrenia are more likely to die
younger than the general population, in part because of high rates of co-occurring medical conditions,
such as heart disease and diabetes.

When the disease is active, it can be characterized by episodes in which the patient is unable to
distinguish between real and unreal experiences. As with any illness, the severity, duration and
frequency of symptoms can vary; however, in persons with schizophrenia, the incidence of severe
psychotic symptoms often decreases during a patient’s lifetime. Not taking medications as prescribed,
use of alcohol or illicit drugs, and stressful situations tend to increase symptoms.

Symptoms fall into several categories:

 Positive psychotic symptoms: Hallucinations, such as hearing voices, paranoid delusions and
exaggerated or distorted perceptions, beliefs and behaviors.
 Negative symptoms: A loss or a decrease in the ability to initiate plans, speak, express emotion
or find pleasure.
 Disorganization symptoms: Confused and disordered thinking and speech, trouble with logical
thinking and sometimes bizarre behavior or abnormal movements.
 Impaired cognition: Problems with attention, concentration, memory and declining
educational performance.

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Symptoms usually first appear in early adulthood. Men often experience symptoms in their late teens
or early 20s and women often first show signs in their 20s and early 30s. More subtle signs may be
present earlier, including troubled relationships, poor school performance and reduced motivation.

Questions:
Answer these questions based on the passage above!
1. What is schizophrenia?
2. What are the symptoms of schizophrenia?
3. How does a research show about schizophrenia for both men and women?
4. Why does people with schizophrenia tend to die younger?
5. How can schizophrenia be characterized in patients?
6. What does make schizophrenia symptoms tend to increase?
7. How many categories that schizophrenia symptoms are divided? Please mention them!
8. When does the early symptoms appear?
9. How does those symptoms differ from both men and women?
10. What subtle signs might appear prior to adulthood symptoms?

IV. Giving Suggestion (Max 30 points)

Please give some advice and suggestion based on the problem below!

1. Problem: I got a headache. Could you give me some suggestion?

Suggestion: ______________________________________________
2. Problem : I am fat. I want to reduce my weight. Can you give me some suggestion?
Suggestion : ______________________________________________
3. Problem : I got a sleeping problem. Can you give me some advice?
Suggestion : ______________________________________________
4. Problem : My doctor just told me that I got dehydration. Can you give me some suggestion?
Suggestion : ______________________________________________
5. Problem : I got a toothache. Can you give me some advice?
Suggestion : ______________________________________________