DC I HC 2012 HP3 L1

UNIVERSITY OF HEALTH AND SCIENCES HO CHI MINH CITY

SCHOOL OF BASIC SCIENCES
DEPARTMENT OF FOREIGN LANGUAGES
ENGLISH 206 FINAL TEST
For Pharmacy majors
December 14th, 2013
Time: 60 minutes
I. LISTENING COMPREHENSION (20 P)
Part A: GAP-FILLINGS:
Listen to the dialogues two times. Choose ONE WORD that best completes each
sentence in the summary. Then write it on your answer sheet.
Mrs. Vicky, the patient, came to the pharmacy when she had _______ (1) surgery on
2005. She was prescribed Lotemax, which is useful for her eye _______ (2).
Today, she comes to fill her prescription for _________ (3) a kind of brittle bones.
Before seeing her doctor, she felt a little pain in her back and could not walk with her
back _____ (4). The pain may become greater if she has a ______ (5), a break in the
bone. She is also likely to have a ______ (6) posture.
The medicine, Fosamax, will improve her condition if she takes it correctly. It should be
taken ______ (7) a day with water ______ (8) a meal. It is good for her to stand or walk
in _______ (9) minutes. She is also advised not to drink ______ (10) after that.
Part B: MULTIPLE CHOICE QUESTIONS:
Listen to the dialogues two times. Choose the word or phrase that best
completes each sentence. Then mark a cross (X) over the letter of the answer you
have chosen on your answer sheet.
11. The pharmacist is reviewing the patients:
A- chart
B- chart and reviewing her new prescription
C- complaints
D- chart and reviewing her complaints
12. The patients states the new prescription is for her:
A- high blood pressure
B- pregnancy
C- constipation
D- diarrhea
13. According to the chart, the patient was in the clinic:
A- 4 weeks ago for her blood pressure medicine refill
B- 4 weeks ago for a prescription for constipation
C- 4 weeks ago because she was bloated
D- 4 weeks ago because she had diarrhea
14. The patient states she cant take it anymore because:
A- she has diarrhea
B- she has had a bad bowel movement
C- she tore out her hair
D- she has not had a bowel movement

DC I HC 2012 HP3 L1
15. The patient tells the pharmacist that:
A- high blood pressure runs in her family
B- high blood pressure does not run in her family, but that constipation does
C- high blood pressure and constipation run in her family
D- constipation runs in her family
16. The patients doctor:
A- has prescribed Dulcolax pills for her constipation
B- has prescribed Dulcolax capsules for her constipation
C- has prescribed Dulcolax tablets for her constipation
D- has prescribed Dulcolax suppositories for her constipation
17. The pharmacist instructs the patient:
A- not to have a bowel movement 5 to 10 minutes before she inserts the
suppository
B- to have a bowel movement 10 to 15 minutes after she inserts the suppository
C- to have a bowel movement 5 to 10 minutes before she inserts the suppository
D- not to have a bowel movement 10 to 15 minutes before she inserts the
suppository
18. The patient needs to call the doctor:
A- if she is no longer experiencing constipation
B- if she has a bowel movement immediately
C- immediately if she does not have a bowel movement after taking the
suppositories
D- immediately if she has a bowel movement after taking the suppositories
19. The pharmacist explains to the patient that:
A- she cannot continue taking her blood pressure medication
B- she can continue taking her blood pressure medication after she is no longer
constipated
C- she can continue taking her blood pressure medication
D- she cannot continue taking her blood pressure medication because it may
cause some drug interactions.
20. The pharmacist tells the patient she may experience:
A- irritation in her rectal area, cramping and diarrhea
B- irritation in her rectal area and bloody diarrhea
C- irritation in her rectal area and watery diarrhea
D- irritation in her stomach and watery diarrhea
II. VOCABULARY AND STRUCTURES (20 P) Choose the word or phrase that best
completes each sentence. Then mark a cross (X) over the letter of the answer you
have chosen on your answer sheet.
21. Which of the following does pancreas secrete?
A- bile
B- glucagon
C- urine

D- saliva

DC I HC 2012 HP3 L1
22. Which of these verbs goes together with a cold?
A- be
B- become
C- catch

D- feel

23. Which of the following is a small protein molecule that inactivates several enzymes
of the coagulation system?
A- antibody
B- antigen
C- antibiotic
D- antithrombin
24. What does GMO stand for?
A- Genetically modified organs
C- Generally modified organs

B- Genetically modified organism

D- Generally modified organism

25. Which of the following can prevent cancers?

A- Interferon Beta from fibroblasts
B- Interferon Alpha from peripheral leukocytes
C- Somatropin from pituitary gland
D- Erythropoietin from specialised cells in the kidneys
26. The product inserts for many drug products contain cautionary statements. Which
one of the following sequences lists the three types of cautions in the order of least
serious to most serious?
A- contraindication, precaution, warning
B- precaution, warning, contraindication
C- warning, contraindication, precaution
D- warning, precaution, contraindication
27. Studying the information in the inserts will help avoid errors and increase patient
awareness of potential problems. What does the sentence mean?
A- They help the patient get rid of diseases
B- When people understand this, theyll know what to shy away from and enhance
their recognition
C- Its the problem they need to solve
D- Patient awareness is necessary
28. Which of the following may increase drowsiness when using with antihistamines?
A- Alcohol, anagesics and antipyretics
B- Sedatives, analgesics and antipyretics
C- Tranquillizers analgesics and antipyretics
D- Alcohol, sedatives and tranquillizers
29. Moisture might damage the substance
A- The substance should be put under the sunlight
B- If its wet, itll spoil the substance
C- It should be stored at 00 C
D- The substance is cleaner if it is stored in a wet place

DC I HC 2012 HP3 L1
30. Which of the following are stiffer preparations which contain more powdered
solids?
A- Creams
B- Ointments
C- Pastes
D- Lotions
31. Which of the following are designed to melt at body temperature?
A- Tablets
B- Pills
C- Capsules
D- Suppositories
32. Cocaine was one of the first effective local anesthetics in ophthalmic surgery in
1884 at the suggestion of Sigmund Freud.
A- Sigmund Freud was the first to suggest Cocaine as local anesthetics in eye surgery
in 1884
B- Cocaine was used in a surgery by Sigmund Freud
C- Cocaine was very effective as local anesthetics
D- Sigmund Freud started his job as a surgeon in 1844
33. Which one of the following is used to treat flare-ups of atopic eczema?
A- Aminoglycosides
B- Phenylephrine
C- Benzodiazepines
D- Corticosteroids
34. In contrast to aspirins, morphine is used to treat serious pains
A- Unlike morphine, aspirins are used to treat minor pains
B- Aspirins as well as morphine are used to reduce pains
C- Morphine is more effective than aspirins
D- Aspirins are different from morphine
35. Which is a practical discipline in biotechnology?
A- Cell biology
B- Robotics
C- Molecular biology

D- Genetics

36. Over time, strains of Staphylococcus aureus developed an enzyme able to break down
penicillin
A- The bacterium became ineffective
B- The bacterium adapted and made the drug ineffective
C- Penicillin breaks down Staphylococcus
D- Staphylococcus whose susceptibility to penicillin is unpredictable developed an
enzyme
37. Where in a refrigerator we can store pharmaceuticals according to USP standards?
A- a freezer only
B- a cold place only
C- a freezer place and a cool place only D- a cool place and cold place only
38. After the discovery of Ether, many other effective anesthetics were developed.
A- Ether was discovered after many other effective anesthetics
B- Many other effective anesthetics were discovered after Ether
C- Many other effective anesthetics were derivatives of Ether
D- Many other effective anesthetics were developed after the discovery of Ether

DC I HC 2012 HP3 L1
39. Which of these is an inactive ingredient?
A- Doxylamine
C- Magnesium stearate

B- Brompheniramine
D- Chlorpheniramine

40. Children from 6 years to under 12 years can take not more than 6 tablets per day.
A- The medicine is taken orally
B- Six tablets a day is not enough for them
C- Children from 6 to 12 years take 1 tablet every 4 to 6 hours
D- Children from 6 to 12 years can take more than six tablets a day
III. READING COMPREHENSION (20 P)
Part A: Read the following passage and choose the best answer to each question.
Then mark a cross (X) over the letter of the answer you have chosen on your
answer sheet
ANTIBIOTICS
Antibiotics are also known as antibacterials, and they are drugs used to treat
infections caused by bacteria. Bacteria are tiny organisms that can sometimes cause
illness to humans and animals. Such illnesses as tuberculosis, salmonella, syphilis and
some forms of meningitis are caused by bacteria. Some bacteria are not harmful, while
others are good for us.
Before bacteria can multiply and cause symptoms, our immune system can usually
destroy them. We have special white blood cells that attack harmful bacteria. Even if
symptoms do occur, our immune system can usually cope and fight off the infection.
There are occasions, however, when it is all too much and our bodies need some help from antibiotics.
The first antibiotic was penicillin. Such penicillin-related antibiotics as ampicillin,
amoxicillin and benzylpenicilllin are widely used today to treat a variety of infections these antibiotics have been around for a long time. There are several different types of
modern antibiotics and they are only available with a doctor's prescription in
industrialized countries.
How do antibiotics work?
Although there are a number of different types of antibiotic they all work in one of two
ways:

A bactericidal antibiotic kills the bacteria. Penicillin is a bactericidal. A bactericidal

usually either interferes with the formation of the bacterium's cell wall or its cell
contents.

A bacteriostatic stops bacteria from multiplying.

If antibiotics are overused or used incorrectly there is a chance that the bacteria will
become resistant - the antibiotic becomes less effective against that type of bacterium.
A broad-spectrum antibiotic can be used to treat a wide range of infections. A
narrow-spectrum antibiotic is only effective against a few types of bacteria. There are

DC I HC 2012 HP3 L1
antibiotics that attack aerobic bacteria, while others work against anaerobic bacteria.
Aerobic bacteria need oxygen, while anaerobic bacteria don't.
41. What are bacteria?
A- They are living organisms
C- They may be useful or harmful

B- They are very small

D- All are correct

42. What is salmonella?

A- It is a kind of illness caused by bacteria
B- It is a kind of bacteria causing infection
C- A and B are correct
D- A and B are not correct
43. What in our body can automatically kill harmful bacteria?
A- Antibiotics
B- Leukocytes (white blood cells)
C- Erythrocytes (red blood cells)
D- Immunosuppressants
44. Which antibiotic was first used in treating infection?
A- Penicillin
B- Cephalosporin
C- Amoxicillin

D- Fluoroquinolone

45. In which condition does antibiotic resistance occur?

A- Use of antibiotic combination
B- Antibiotic use
C- Misuse of antibiotics
D- All are not correct
46. How do people limit the antibiotic resistance of bacteria?
A- Take antibiotics for any infection
B- Take antibiotics as prescribed
C- Take broad-spectrum antibiotics only
D- Take narrow-spectrum antibiotics only
47. In which condition is a broad-spectrum antibiotic used?
A- It is used when patients are infected
B- It is used to treat a few types of bacteria
C- It is used to treat various types of bacteria
D- It is only used to treat some limited infections
48. What are anaerobic bacteria?
A- They cant live without oxygen
B- They cant be killed by antibiotics
C- They are good bacteria
D- They can live in places with no oxygen
49. How can antibiotics help to treat infection?
A- Directly kill bacteria
B- Prevent bacteria from multiplying
C- A and B are correct
D- A and B are not correct
50. Based on the way of working, how many groups are antibiotics classified?
A- 5
B- 4
C- 3
D- 2

DC I HC 2012 HP3 L1
Part B: Read the following text and give complete answers to the questions
below on your answer sheet.
INSULINS
Insulin plays a key role in the regulation of carbohydrate, fat and protein
metabolism. It is a polypeptide hormone of a complex structure.
There are differences in the amino acid sequence of animal insulins, human
insulins and the human insulin analogues. Insulin may be extracted from pork pancreas
and purified by crystallization; it may also be extracted from beef pancreas, but beef
insulins are now rarely used. Human sequence insulin may be produced semisynthetically by enzymatic modification of porcine insulin or biosynthetically by
recombinant DNA technology using bacteria or yeast.
Insulin is inactivated by gastro-intestinal enzymes, and must therefore be given by
injections; the subcutaneous route is ideal in most circumstances. It is usually injected
into the upper arms, thighs, buttocks, or abdomen; there may be increased absorption
from limb site if the limb is used in strenuous exercise following the injection. Generally
subcutaneous insulin injections cause few problems; fat hypertrophy does however
occur but can be minimized by rotating the injection sites. Local allergic reactions are
now rare.
51.
52.
53.
54.
55.

What is the function of insulin?

Where and how can insulin be extracted?
How may human sequence insulin be made?
Why must insulin be given by injection?
What problems do insulin injections bring to?

IV. WRITING (10P)

Put the given words in each of the items below in the correct order.
56. since they led to / a non-addictive form of morphine/ to create / were not / the
creation of Heroin /Efforts / completely successful
57. World Anti-Doping Agencys banned drug list / as a masking agent / is used illegally
/ on the / Furosemide / for other drugs / so it is included
58. pharmaceutical expenditure / of the total / biosimilar medicines / Nearly 10%/ is
covered by
59. and nursing mothers/ such as children/ specifically adapted for them / Special
groups of people / may also have information / pregnant women
60. that works with your body / is the chemical compound / to bring relief / An active

ingredient / in the medicine /to your symptoms

PART V: TRANSLATION (20P) Please translate only first two paragraphs from the
reading text (III Part B) above into Vietnamese ( from the beginning to by enzymatic
modification of porcine insulin or biosynthetically by recombinant DNA technology using
bacteria or yeast.
THE END

DC I HC 2012 HP3 L1
KEY
1-50: 1p 50 = 50p
1

cataract

11

21

31

41

inflammation

12

22

32

42

osteoporosis

13

23

33

43

straight

14

24

34

44

fracture

15

25

35

45

stooped

16

26

36

46

once

17

27

37

47

before

18

28

38

48

thirty/ 30

19

29

39

49

10

water

20

30

40

50

51-60: 2p 10 = 20p
51

Regulation of carbohydrate, fat and protein metabolism

52. Insulin may be extracted from pork pancreas and purified by crystallization; it may
also be extracted from beef pancreas
53. Human sequence insulin may be produced semi-synthetically by enzymatic
modification of porcine insulin or biosynthetically by recombinant DNA technology
using bacteria or yeast
54. Because insulin is inactivated by gastro-intestinal enzymes.
55. Fat hypertrophy
56. Efforts to create a non-addictive form of morphine were not completely successful
since they led to the creation of Heroin.
57. Furosemide is used illegally as a masking agent for other drugs so it is included on
the World Anti-Doping Agencys banned drug list.
58. Nearly 10% of the total pharmaceutical expenditure is covered by biosimilar
medicines.
59. Special groups of people, such as children, pregnant women and nursing mothers,
may also have information specifically adapted for them.
60. An active ingredient is the chemical compound in the medicine that works with your
body to bring relief to your symptoms.

PART IV: TRANSLATION (10P)