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Questions 178-180

The Medical Minute: Reducing the risk of stroke (sudden stoppage of blood flow to the brain)

Patients who have a family history of stroke, who have medical risk factors for atherosclerotic / arthritis / atheroma  disease, who have had a transient ischemic attack (TIA) or a previous stroke are at increased risk of suffering a stroke. However, there are ways to considerably reduce the likelihood of this potentially devastating occurrence. According to the latest edition of The Medical Minute, a service of the Penn / Pennsylvania State Hershey Medical Center, these include the control of risk factors, surgical treatment of atherosclerotic disease, anti thrombotic血栓形成, 栓塞 treatments for cardiac embolism (clots) and the use of anti platelet agents for non-cardiac embolic stroke.

(    ) 178. What is the main purpose of this announcement?

(A) To inform people of the importance of a good diet and exercise

(B)  To show that immediate treatment after a stroke can reverse the effects of a stroke

(C)  To inform readers of preventative treatment/care for strokes

(D) To inform readers that young and old people can have a stroke

(    ) 179. Which person is not at a higher risk of having a stroke?

(A) Patients that have already had a stroke

(B) Patients that have severe headaches and dizziness

(C) Patients who have a family history of strokes

(D) Patients who have had TIA

■  abbreviation Medicine transient ischaemic attack (a slight and temporary stroke).

(   ) 180. Who sponsored this announcement?

(A) Hershey Medical Center

(B)  The Medical Minute

(C)  The National Stroke Prevention Society

(D) The American Heart Association

Questions 181-185: Dear Ms. Hill:

As the owner and operator of Daisy Hill Veterinary / veterinarian / veteran Hospital, I am writing to you to complain about a member of your veterinary team. Dr. Holiday. Recently I took my dog, Dakota, for his annual checkup, shots and a few minor procedures and the entire time I tried to engage Dr. Holiday in conversation or explain things that I was observing about Dakota he ignored me or at the very least wouldn't even make eye contact or respond to what I was saying. I found his behavior and manners highly unprofessional and rude. At one point he even told me that if am to keep talking he's going to have to ask me to leave the room. I cannot believe he was this rude to a paying customer.

at the least (or very least)

    not less than; at the minimum.

As you can imagine, I do not plan on using your hospital for my pets as long as Dr. Holiday is still employed there. I refuse to be spoken to like this and find it hard to imagine your business stays open with this sort of customer care.

Formally, Charlie Brown

Dear Mr. Brown:

We recently received your letter of complaint regarding the personality and conduct of one of our veterinarians. Dr. Holiday. On behalf of / representative the Daisy Hill Veterinary Hospital Corporation, I would like to formally apologize to you for any negative impressions Dr. Holiday may have left on you. As president of the Daisy Hill Corporation I personally select and interview each doctor working in all of my clinics, and I know Dr. Holiday quite well. Dr. Holiday is not the warmest person you will encounter; however, I did not hire him for his ability to relate to people, but for his relationships with animals and medical abilities. Dr. Holiday is more of an animal person than a people person, and I too have found him to be quite distant at times, but there is no other veterinarian I would rather have working on my dog or cat than Dr. Holiday. You may rest assured, as cool as he might treat you, he treats your pet with extra love and warmth.

I appreciate your wanting to change veterinarians and 1 can do nothing to stop you from doing so, but I do ask you to think what is best for your pet. I have already spoken to Dr. Holiday regarding his conduct and he cannot even remember the situation, but when I mentioned your dog, he knew all about Dakota. That's the kind of doctor I want taking care of my pet and other animals.

Please accept my apologies again for Dr. Holiday's conduct and I hope you will continue using Daisy Hill as your veterinarian service. I have enclosed a refund for your past visit as a way to make amends to you. If there are any future problems please do not hesitate to contact me.

Sincerely,

Daisy Hill President of Daisy Hill Veterinary Hospital, Inc.

(    ) 181. Why was Charlie Brown so upset?

(A)  His dog received poor treatment at the veterinary hospital

(B)  He had to wait a long time to see the doctor

(C)  The doctor was rude to him

(D)  The doctor was mean to his dog

(    ) 182. What has Charlie Brown promised to do?

(A)  Not return to Daisy Hill Veterinary Hospital

(B)  Sue the doctor for malpractice

(C)  Tell his friends about his poor service

(D)  Get a refund for Dakota's treatment

(    ) 183. What is the reason Daisy Hill employed Dr. Holiday?

(A)  He had a good review from his previous peers

(B)  He is an excellent veterinarian

(C)  He was the only person who applied for the job

(D)  He is usually friendly and warm

(    ) 184. What did Daisy Hill do to make Charlie Brown feel better?

(A)  Have Dr. Holiday write a letter of apology

(B)  Give him a gift certificate for his next visit

(C)   Fire Dr. Holiday

(D)  Give him a refund

(    ) 185. What did Dr. Holiday say about this experience?

(A)  He said he was sorry

(B)   He said he didn't remember what he said to Charlie Brown

(C)   He said he was dealing with some personal problems

(D)  He said Charlie Brown was rude to him