1. In what order you might ask these questions; 2. In what form you might ask them:

MENTAL IMPAIRMENT MEASUREMENT Date of test _______ Score 1 for a correct answer, 0 for an error. SCORE What is the name of this place? ________ What day of the week is it today? ________ What month is it? ________ What year is it? ________ What age are you? (allow  1 year error) ________ In what year were you born? ________ In what month is your birthday? ________ What time is it? (allow  1 hour error) ________ How long have you been here? (allow 25% error) ________ Total score _________ Significance of score 8 or 9: No significant impairment 5 to 7: Moderate impairment 1 to 4: Severe impairment 0: Complete failure Signature of examiner ________

Ex. 27. Read the following dialogue and translate it:

Alex: Did the doctor diagnose your case?

John: Yes, he did. He told that I had pneumonia.

Alex: What did he prescribe?

John: He wrote out a prescription for penicillin injections and gave me some pills for headache and some mixture for cough.

Alex: Did you follow the doctor’s instructions?

John: Certainly. The nurse came for injections in due time. The doctor called on me every other day for a week’s time.

Alex: And when did you feel better?

John: In ten days I felt much better.

Alex: Did you go to the polyclinic for a check-up?

John: I went to our district doctor’s consulting-room. He examined me most thoroughly. I was X-rayed.

Alex: So now there is nothing to worry about, I suppose.

John: Yes, I am again fit for study and work.

Ex. 28. Reproduce the similar dialogue.

Ex. 29. Read and translate the following case history:

Patient: M.O. Romashov.

Age:47.

Sex:Male

Occupation:Lawyer.

Family status:Married.

Family history:Wife and two children are living and well; father is living and well; mother died: the result of a street accident.

Past history:Measles, scarlet fever, and pneumonia in childhood; two ribs fractured: the result of a war wound; neither drinks nor smokes.

Present complaints:A severe pain in the abdomen (the right iliac region); nausea and vomiting; temperature 39°C.

Duration:Two days.

Diagnosis:Acute appendicitis.

Ex. 30. Make up a dialogue using the following data:

The patient: (age; sex; occupation).

Present complaint: A stinging (гострий) pain in the pharynx due to the one.

Cause: A bone in the pharynx due to too rapid eating.

Symptoms: A stinging pain, especially when swallowing: Precise location of the foreign body.

Examination: Pressure on the tongue with a spoon reveals the bone sticking in the tonsil.

Diagnosis: A foreign body in the pharynx.

Treatment: An attempt to remove it with the finger. Extraction of the bone with a forceps or other similar instrument.

Ex. 31. Answer the following questions and make up a short case history:

1. Who is your patient? 2. How old is he (she)? 3. What symptoms does he (she) have? 4. What does he (she) complain of? 5. What is his (her) temperature? 6. Does he (she) have any pains? 7. Where are those pains? 8. Does he (she) need an urgent operation? 9. Are there any signs or symptoms of infection? 10. Is there any danger to life? 11. Was the onset of the disease sudden? 12. What is your diagnosis? What are your recommendations?

In two or three days:

1. What is your patient’s temperature now? 2. Is there any change in the course of his (her) disease? 3. Has he (she) any complaints? 4. Does his (her) condition continue to improve? 5. Is there any action of the drug? 6. What are the possible effects of the disease?