OETリスニング「パートA」練習問題① – 関節リウマチの症例

今回の記事ではOETリスニング「パートA」の練習問題をサンプルとして掲載します。

Doctor Overseas.com の運営母体である SOLO IELTS TOEFL ではOET対策を提供しています。

これまでに数多くの受講生をサポートしてきましたが、やはりリスニングの対策がOETにおいて最重要ファクター。

今回紹介する問題では、模試以外にもリスニング力をUPさせることを目的としたエクササイズを用意しています。OET対策の参考になれば幸いです。

OETリスニング「パートA」練習問題 – 関節リウマチの症例

今回の練習問題は「関節リウマチ（Rheumatoid Arthritis）」の症状を持っている患者との問診がテーマです。

“Rheumatoid Arthritis” は頻出のトピックです。スペルがややこしいので、再現できるようにしっかり覚えていきましょう。

「パートA」練習問題 – 音源

音声を再生する為には以下の動画を再生してください：

（動画内の医師と患者は生成AIによって擬似的に作成したものです。内容とは関係がないのでご了承ください。）

「字幕」を設定するとトランスクリプトが追加されています。

復習の際に活用してください。

「パートA」練習問題 – 問題

You hear an orthopedic surgeon talking to a patient suffering from chronic pain.

For questions 1-12, complete the notes with a word or short phrase. You now have 30 seconds to look at the notes.

Patient:Mrs. Davis
Age: 42
Main Issue:continuous discomfort and rigidity in (1)__________, particularly on awakening.
Symptomsbegan around (2)__________ priorintensifying and becoming more frequent in (3)__________
Physical Signs:significant puffiness and (4)__________, especially in the fingers.challenges in clenching her hand due to swelling in (5)__________.
Family history:maternal grandmother had a history of rheumatoid arthritis.
Trigger of Discomfortmainly after being (6)__________.discomfort also felt post certain tasks like planting or lifting (7)__________.
Physical activity:regular strolls, currently reduced due to (8)__________.
Food intake:generally balanced, but pain seems aggravated after eating certain items, such as (9)__________ or sweets.
Current pain control:uses (10)__________ occasionally when pain is too much to bear.
Tentative Diagnosis:suspected (11)__________, based on symptoms and family medical past.
Future action:detailed (12)__________, relevant tests, and exploration of therapeutic approaches and potential drug treatments.

練習用に上記のPDFファイルが必要な場合は、お手数ですがお問い合わせフォームからご連絡ください。

「パートA」練習問題 – 回答

以下が回答です：

  1. hand and knees
  2. three months ago
  3. the last few weeks
  4. redness
  5. (the) morning
  6. inactive
  7. grocery bags
  8. (the) pain
  9. red meat
  10. ibuprofen
  11. rheumatoid arthritis
  12. physical exam

「パートA」追加演習

模試に取り組んだら追加演習として、

  1. ディクテーション
  2. 発音矯正

の2点に取り組んでいきます。

ディクテーションは細かい音を聞き取りつつ、前後の文脈から内容を推測する力を伸ばす為に行います。

ポイントは、

  • 同じ音声は1日最大7回までとする
  • 1回目は音声を止めずに書き取れるか試してみる
  • 2回目以降は音声を止めて繰り返し音を聞き取る
  • 学習時間は1時間以内とする

ことです。

発音矯正は音声に対する感度（知覚）を高める為に行います。発音記号を元に、できるだけ丁寧に英語を発話してみましょう。

「パートA」追加演習 – ディクテーション

以下はトランスクリプトに一部空欄を設けたものです：

DoctorWelcome, Mrs.  Davis. It’s good to see you today. How can I assist you? 
Mrs. DavisThank you doctor. I’ve been having (1)__________, especially when (2)__________. I’m concerned (3)__________. 
DoctorI’m sorry to hear that. How long have you been experiencing these symptoms?
Mrs. Davis(4)__________But the pain and stiffness have become (5)__________. 
DoctorHave you noticed (6)__________?
Mrs. DavisYes, particularly (7)__________ – some mornings they’re so swollen, (8)__________. 
DoctorArthritis can manifest in various forms. Have you or anyone in your family had a history of arthritis or other autoimmune diseases?
Mrs. DavisMy (9)__________ and I remember she used to (10)__________ a lot.
DoctorThank you for that information. Do you experience the pain and stiffness after periods of inactivity or even after some activities?
Mrs. Davis(11)__________ – like when I get up in the morning. But I have also felt (12)__________.
DoctorHow about your lifestyle and diet? Are you active? And do you follow any specific type of diet?
Mrs. DavisI try to (13)__________ but lately (14)__________. Diet wise, I eat a (15)__________, but have noticed that after consuming certain foods like (16)__________. 
DoctorThat’s insightful. Some patients have noted that certain foods can exacerbate arthritis symptoms. Have you tried any (17)__________?
Mrs. DavisI’ve been taking (18)__________ and it helps for a short time, but (19)__________. 
DoctorUnderstandable. Chronic use of certain pain relievers can have side effects. Based on your description and family history, it could be a form of arthritis, possibly rheumatoid arthritis. But we’ll need to conduct a physical exam and some tests to be sure.
Mrs. DavisThat’s what I was afraid of. But (20)__________. I wanna manage it and understand what’s happening with my body. 
DoctorIt’s always best to address these concerns early. Besides the tests, we’ll discuss management strategies, therapies and possibly medications that can help alleviate the symptoms and prevent progression.
Mrs. DavisI appreciate that doctor.I wanna be proactive about this and ensure (21)__________. 

トランスクリプトは人為的に書き起こしているので、細かいエラーがあることがあります。見つかりましたらコメントいただけますと幸いです。

「パートA」追加演習 – 発音矯正

次に指定する表現を実際に発話して、再現性を高めていきます。音声は録音して、自分自身で振り返りを行うようにしましょう。

  1. /aɪ(v)bɪn ˈhævɪ(ŋ) pərˈsɪstən(t) peɪnæn(d) ˈstɪfnəs ɪ(n) ma(ɪ) hændzæniz, əˈspɛʃəli wɛnaɪ weɪkʌpɪn ðə ˈmɔrnɪŋ/
  2. /(j)əs, pərˈtɪkjələrli ɪ(m) ma(ɪ) ˈfɪŋɡərz – səm(ˈ)mɔrnɪŋz ð(ə)r soʊ ˈswoʊlən, aɪ ˈstrʌɡəl tə meɪk ə fɪst/
  3. /bʌ(t) aɪ(v) ˈɔlsoʊ fɛl(t) dɪsˈkʌmfər(t) æf(t)ər ˈɡɑrd(ə)nɪŋ ər ˈkærɪŋ ˈɡroʊs(ə)ri bæɡz/
  4. /bʌ(t) hə(v) ˈnoʊtɪs(t) ðæ(t) æftər kənˈsumɪŋ ˈsɜr(t)n fudz laɪk rɛ(d) mi(t) ər ˈʃʊɡ(ə)ri trits, ðə peɪn sim(z) tə ˈwɜrsən/
  5. /aɪ(v) bɪn ˈteɪkɪ(n) aɪbjʊˈproʊfən wɛn ɪ(t) bɪˈkʌmz ʌnˈbɛrəbəl ən(d) ɪ(t) hɛlps frə ʃɔrt taɪm, bʌ(t) aɪ doʊn(t) wɑn(t) tə rɪˈlaɪ ɑn(ɪ)t/

上記は以下のセンテンスを発音記号に変換したものです：

  1. I’ve been having persistent pain and stiffness in my hands and knees, especially when I wake up in the morning.
  2. Yes, particularly in my fingers – some mornings they’re so swollen, I struggle to make a fist.
  3. But I have also felt discomfort after gardening or carrying grocery bags.
  4. but have noticed that after consuming certain foods like red meat or sugary treats, the pain seems to worsen.
  5. I’ve been taking ibuprofen when it becomes unbearable and it helps for a short time, but I don’t want to rely on it.

トランスクリプト

DoctorWelcome, Mrs.  Davis. It’s good to see you today. How can I assist you? 
Mrs. DavisThank you doctor. I’ve been having persistent pain and stiffness in my hands and knees, especially when I wake up in the morning. I’m concerned it might be arthritis. 
DoctorI’m sorry to hear that. How long have you been experiencing these symptoms?
Mrs. DavisIt started about three months ago.But the pain and stiffness have become more intense and frequent in the last few weeks. 
DoctorHave you noticed any swelling or redness in the affected areas?
Mrs. DavisYes, particularly in my fingers – some mornings they’re so swollen, I struggle to make a fist. 
DoctorArthritis can manifest in various forms. Have you or anyone in your family had a history of arthritis or other autoimmune diseases?
Mrs. DavisMy grandmother had rheumatoid arthritis and I remember she used to complain about her hands and knees a lot.
DoctorThank you for that information. Do you experience the pain and stiffness after periods of inactivity or even after some activities?
Mrs. DavisMostly after inactivity – like when I get up in the morning. But I have also felt discomfort after gardening or carrying grocery bags.
DoctorHow about your lifestyle and diet? Are you active? And do you follow any specific type of diet?
Mrs. DavisI try to walk every day but lately the pain has been limiting me. Diet wise, I eat a balanced meal, but have noticed that after consuming certain foods like red meat or sugary treats, the pain seems to worsen. 
DoctorThat’s insightful. Some patients have noted that certain foods can exacerbate arthritis symptoms. Have you tried any over the counter pain relief or treatments?
Mrs. DavisI’ve been taking ibuprofen when it becomes unbearable and it helps for a short time, but I don’t want to rely on it. 
DoctorUnderstandable. Chronic use of certain pain relievers can have side effects. Based on your description and family history, it could be a form of arthritis, possibly rheumatoid arthritis. But we’ll need to conduct a physical exam and some tests to be sure.
Mrs. DavisThat’s what I was afraid of. But I’m glad I came in. I wanna manage it and understand what’s happening with my body. 
DoctorIt’s always best to address these concerns early. Besides the tests, we’ll discuss management strategies, therapies and possibly medications that can help alleviate the symptoms and prevent progression.
Mrs. DavisI appreciate that doctor.I wanna be proactive about this and ensure I can still enjoy my daily activities without too much pain. 
DoctorThat’s the spirit. Let’s get started with the examination and move forward from there.

まとめ

Doctor Oversea.comでは、OET合格の再現性を高める為に定期的に練習問題を作成しアップロードしていきます。

PDFファイル等で問題が必要な場合は、お手数ですがお問い合わせフォームからご連絡ください。

この記事が皆さんの助けになれば幸いです。

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