Академический Документы
Профессиональный Документы
Культура Документы
Республиканский интернет-конкурс
«Лучшая методическая разработка» среди педагогических работников
организаций начального и среднего профессионального образования
Приднестровской Молдавской Республики
по английскому языку
для студентов III курса
специальностей 060101 Лечебное дело, 060301 Фармация
Бендеры, 2017
Аннотация
Чебан В.Д., Чуйкова О.С., Горбачова Н.С «Учебное пособие по английскому языку».
- Бендеры, 2017 – 94 с.
Настоящее учебное пособие по английскому языку включает в себя IV раздела:
история медицины, медицинские учреждения, здоровый образ жизни, болезни.
Данное пособие предназначено для студентов III курса медицинского колледжа
специальностей 060101 Лечебное дело, 060301 Фармация.
Цель пособия – развитие и совершенствование навыков чтения и перевода
медицинских текстов по специальности. Материалом для подготовки данного пособия
послужили аутентичные учебники и научные работы по медицине. В каждом разделе
представлен лексический минимум, включающий наиболее употребительную
медицинскую терминологию. Обращается особое внимание на сочетаемость слов,
употребление предлогов и правила словообразования. Активная лексика закрепляется
системой послетекстовых лексических упражнений, позволяющих обогатить словарный
запас студентов и способствующих закреплению ранее изученной лексики. Вопросно-
ответные упражнения к отдельным фрагментам текста обеспечивает усвоение словаря в
режиме его контекстуального использования с целью формирования относительно
самостоятельных высказываний. Центральным структурным элементом разделов
является текст, который включает основную смысловую информацию, и предназначен
для развития навыков устной речи. Учебное пособие также включает грамматические
правила, и упражнения на закрепление данных правил.
Структура и содержание пособия ориентированы на взаимосвязанное решение
коммуникативных, познавательных, развивающих и воспитательных задач и
формирование у студентов-медиков профессиональной иноязычной коммуникативной
компетенции.
Учебное пособие может быть использовано для работы, как под руководством
преподавателя, так и для самостоятельной работы.
2
Part I. History of Medicine
3
Early Medicine
Early people were nomads – they didn't live in one place and traveled around to look
for food. Early people were healthy, because they lived outdoors most of the time and they
walked and ran a lot. They hunted animals and ate meat and plants when they were still fresh.
Early nomads used mud to heal broken bones. If they broke an arm or a leg, they put wet mud
on it. Then the mud became dry and hard, and it stopped the arm or leg moving so that the bone
inside could heal.
Early people believed that they got ill because evil spirits were inside them. Many
people had amulets – things that can bring luck. They hoped that their amulets could stop them
being ill. People cared for each other when they were ill. A shaman was a man or woman who
sang songs, danced, and did magic spells to make people well. Many people believed that these
magic spells worked. Nowadays some people also visit shamans because they believe that a
shaman can help them.
When early people tasted plants to test which ones were safe to eat, they sometimes
discovered plants that cured illness and fever. These plants were the first medicines. One of the
oldest books about medicines made from plants was written in China more than four thousand
years ago. Most early medicines were made from parts of plants such as flowers. People ate the
plant parts or they made them into drinks. Sometimes they made the plant parts into lotions to
put on their body. Nowadays many people also use medicines made from plants. For example,
we use lotions made from aloe vera plants to make sore skin feel better.
4
7. What are the lotions made from aloe vera plants used for?
II. Find in the text English equivalents for the following words and phrases.
Кочевники, здоровые люди, свежий, растения, накладывать влажную грязь, сломанные
кости, заживать, злые духи, приносящий удачу, больной, совершать магические обряды,
пробовать (на вкус), проверять, безопасный, обнаруживать, болезнь, лихорадка,
лекарство, лосьон, раздраженная кожа.
IV. Fill in the blanks with the correct form of the verb to be.
1. Early people …. nomads. They …. healthy people.
2. Hippocrates … the most famous of all the Greek doctors.
3. Amulets ... things that people think are lucky.
4. Lotion from aloe vera plant … a cream that people use to make sore skin feel better.
5. My brother … a doctor when he graduates from the university next year.
6. She … at home last night.
7. This medicine … safe and effective.
8. My friend … ill last week, but now he feels better.
9. This amulet … lucky.
10. Nowadays there … many medicines made from plants.
5
Medicine in Ancient Times
Ancient Egiptians. We know about medicine in Ancient Egypt because Ancient
Egiptians wrote about their world. They cut words into walls and wrote on a type of paper. We
know that Ancient Egyptians used magic spells to cure people, but they also had the first
doctors. These doctors made medicines from plants, and they were good at putting bandages on
wounds. They also used honey to help wounds to heal. This was a good idea. Even today,
doctors put honey on wounds because it helps wounds to heal quickly.
Ancient Greeks. About 2 500 years ago in Ancient Greece many people believed that
evil spirits or angry gods made them ill. Hippocrates was a Greek doctor and a teacher. He is
the most famous of all the Greek doctors. And he is often called “the father of medicine”.
Hippocrates believed that people bacame ill because there was something wrong with there
body. He told doctors to watch patients and to think about their illnesses. Doctors wrote down
what they learnt. They made medicines from plants and they wrote about which medicines
worked. Soon doctors started to understand different illnesses. To prevent illness they told
people to eat good food, to rest often and to do exercise.
Ancient Romans. Ancient Roman doctors learnt that being dirty and drinking dirty
water could make people ill. To prevent illness Ancient Romans built baths and toilets for lots
of people to use. At the baths there were big pools like swimming pools. Every day Romans
went to the baths to wash and to meet friends. In some places Romans built giant bridges called
aqueducts that brought water to cities from the high hills. This gave people clean water that
they could drink and use. Romans also built pipes to take waste away from the cities to keep
the cities clean.
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II. Find English equivalents for the following words and phrases.
Древние египтяне, высекать слова на стенах, вылечить, накладывать повязку на рану,
мед, быстро зажить, древние греки, Гиппократ, пациент, предотвратить болезнь, часто
отдыхать, древние римляне, бани, огромные мосты, акведук, трубы, мусор.
7
Medicine in the Middle Ages
In the Middle Ages millions of people died from such diseases as diphtheria, typhoid,
fever, influenza and leprosy. But the worst disease at that time was the plague. Plague (the
“Black death”) killed millions of people in Europe and Asia. Nobody knew how to fight with
the disease and people just ran away from the infected areas. Leprosy was also incurable.
Patients with leprosy lived in special colonies away from other people.
The first hospitals appeared in Ceylon in the fifth century b. c. and in India in 260 b. c.
During the Middle Ages hospitals were founded in Italy, France, England and other European
countries. Monks and nuns cared for patients in hospitals. They were not doctors or nurses and
they did not cure patients. They just gave patients food and a bed and said prayers with them.
Monks and nuns cared for many patients who had the plague because the patients had to stay
in hospital until they died.
At the same time in the Middle East there were many hospitals. Many doctors and nurses
cared for patients there. These doctors also made medicines for patients. They treated everyone
who came to them and they taught new doctors and nurses about diseases. There were different
wards for different diseases in these hospitals. There were also pools and fountains because
doctors thought that the sound of moving water helped patients to rest.
Barbers were the first surgeons. People could go to barber shops where the barbers cut
hair. They could also pull out sore teeth. Later barbers started to treat wounds from fights and
cut off arms or legs which were badly wounded.
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I. Find the following words and phrases in the text.
Дифтерия, брюшной тиф, лихорадка, грипп, чума, бороться с заболеванием, зараженные
., неизлечимый, монах, монахиня, заботиться, пациент, медсестра, читать молитвы,
изготовлять лекарства, палата, отдыхать, цирюльник, хирург, выдернуть больной зуб,
тяжело раненый
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образуется путём постановки первой формы глагола ( инфинитив без частицы "to") после
подлежащего. Однако, если подлежащее стоит в форме 3-го лица единственного числа
(т.е. если подлежащее выражено местоимениями "он, она, оно" или его можно заменить
этими местоимениями), то к основе глагола добавляется суффикс "-s(-es)", например:
My friend lives in a hostel. – Мой друг живёт в общежитии.
The school year begins in September. –Учебный год начинается в сентябре.
Правила прибавления суффикса "-s(-es)" к основе глагола полностью совпадают с
правилами прибавления суффикса "-s(-es)" множественного числа к основе
существительного. Существует правило противоположных суффиксов, которое
заключается в том, что наличие у подлежащего суффикса множественного числа "-s(-es)"
исключает суффикс "-s(-es)" глагола сказуемого и наоборот:
My brothers live in Minsk. – Мои братья живут в Минске.
My brother lives in Minsk. – Мой брат живёт в Минске.
Часто именно это правило даёт возможность легко определить в утвердительном
предложении глагол - сказуемое в форме простого настоящего времени.
Для образования вопросительной и отрицательной формы в простом настоящем
времени необходим вспомогательный глагол "do", причём в третьем лице единственного
числа окончание "-s(-es)" добавляется не к смысловому, а к вспомогательному глаголу.
Чтобы задать вопрос, нужно поставить вспомогательный глагол "do (does)" перед
подлежащим за которым следует смысловой глагол (инфинитив без "to"). Например:
Do you play chess? – Вы играете в шахматы?
Does he speak English well? – Он хорошо говорит по-английски?
Do trains stop at this station? – Останавливаются ли поезда на этой станции?
Отрицательная форма глаголов в простом настоящем времени образуется при
помощи вспомогательного глагола "do (does)" и отрицания "not", которые ставятся перед
смысловым глаголом (в форме инфинитива без "to"), например:
We do not play chess. – Мы не играем в шахматы.
He does not smoke. – Он не курит.
В разговорной речи обычно употребляется сокращённая форма от "do not - don't"
и
"does not - doesn't".
I don't play hockey. – Я не играю в хоккей.
The computer doesn't work. – Компьютер не работает.
10
Итак, схематически это время можно изобразить следующим образом:
EXERCISES
I. Put the verbs in the Present Indefinite.
Paul ……(1. work) in a bank. He always …..(2. get) up at seven o’clock in the morning and (3.
have) a cup of coffee. He never …..(4. cook) a big breakfast. At half past seven he ......(5. go)
to work. He usually ….. (6. drive) a car, but sometimes he …...(7. go) by metro. He ……(8. be)
never late for work. At midday he ……(9. eat) lunch. He ……(10. finish) work at six o’clock
and …… (11. go) home. After supper he usually ……(12. watch) TV or ……(13. read) a book.
He usually …….(14. go) to bed at eleven o’clock. He ……(15. like) his life and work.
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1. Her eldest sister is a programmer. She works in a big factory. 2. “Does your younger sister
go to school?” “Yes, she does. She’s in the second form”. 3. My mother usually gets up at a
quarter to six. 4. My eldest sister usually wakes me up at half past six. 5. “How is he going to
get there?” “He’s going to get there by underground.” 6. He always leaves for work at a quarter
to eight. 7. Whose translation is this? 8. I usually have roastbeef or steak and a cup of coffee
for lunch. 9. Does he usually come home from school at half past one? 10. Do you often borrow
books from the school library? 11. He is going to stay at university till eight o’clock today. 12.
Do you listen to the latest news on the radio every morning? 13. My younger sister is a secretary
in the Ministry of Foreign Affairs. 14. How many foreign languages do you know?
12
Unit 3. Medical Scientists and their Contribution in Medicine.
VOCABULARY:
to inject [ɪnˈdʒɛkt] – ввести инъекцию antibiotic [ˈæntɪbaɪˈɔtɪk]- антибиотик
blood - кровь cause - причина
to develop - развить dangerous - опасный
to invent - изобрести tissue - ткань
pain - pain pure - чистый
surgery – хирургия investigation - исследование
discover – делать открытия scientist - ученый
X-rays - рентген recover - поправляться
vaccine - вакцина to save - спасать
smallpox – оспа
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modern microbiology. He discovered that infection was caused by germs that were spread
through the air. He proved that germs could be killed in liquids by heat and developed the
process of pasteurization.
About one thousand years ago doctors in the Middle East started to make anesthetics
(drugs which help patients not to feel pain). The first anesthetics were made from plants.
Doctors made some plants into medicines for patients to put into their mouth. Later new
anesthetics were invented. One of them was cocain which was discovered in the 19th century.
Cocain was very effective as a local anesthetic. Surgeons could inject cocain into a certain part
of the body and stop the patient feeling pain during the surgery. When the problem of pain was
solved surgeons could perform long and complicated operations.
In 1895 Wilhelm Roentgen discovered X-rays. He placed his hand in front of the
apparatus and saw that the rays passed through the hand and cast a shadow of bones on the
screen. These rays were unknown to him and he called them X-rays.
During the first part of the 20th century a lot of important advances were made. In 1922
Frederik Banting discovered that insulin was very effective against diabetes. In 1928 Alexander
Fleming discovered penicillin. It was used in hospitals to reduce infections in wounds during
the Second World War. After penicillin a series of other anti-infectious drugs were discovered.
All these drugs are known as antibiotics.
I. Find the following words and phrases in the text.
Оспа, вакцинация, коровья оспа, ввести вакцину, кровь, развивать, изобретение, вакцина
от бешенства, анестезия, лекарство, чувствовать боль, хирургическая операция,
открывать (обнаруживать), жидкость, местное обезболивающее, хирург, длинные и
сложные операции, рентгеновские лучи, диабет
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III. Put the verbs in brackets into correct form.
1. This new method (invent) by our teacher.
2. This vaccine (save) thousands of patients from the infection every year.
3. This drug is safe because it (make) of plants.
4. Doctors (use) this anesthetic during long and complicated operations.
5. In the 19th century cocain (use) as a local anesthetic.
6. X-rays (discover) by Wilhelm Roentgen in 1895.
7. Alexander Fleming (discover) penicillin.
8. Louis Pasteur (found) modern microbiology.
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bacteria made the wound become infected. Alexander Fleming discovered penicillin in 1928.
This is how it happened.
One day Fleming's assistant brought him a plate on which a colony of dangerous bacteria
were being grown. “This plate can not be used for the experiment” said the assistant. “Some
mould (плесень) has formed on it and I'll have to take another plate”. Fleming was ready to
allow his assistant to do so. Then he looked at the plate and saw that the bacteria around the
mould had disappeared. Fleming understood the importance of what had happened and
immediately began to study the phenomenon. He placed some mould on other plates and grew
more colonies. After numerous experiments on animals he found out that this new substance
was not toxic to the tissues and stopped the growth of the most common pathogenic bacteria.
Fleming called this substance penicillin. It was of the same family of moulds that often appear
on dry bread.
But a method of extracting pure penicillin was found only after many investigations.
Two other scientists, Howard Florey and Ernst Chain, tested penicillin to find out if it was safe
to use. They also made penicillin that they could inject. In 1942 Fleming carried out his own
first experiment. His friend was nearly dying from an infectious disease. After several injections
of penicillin the man recovered completely.
A. Fleming received the Nobel Prize for his great discovery. But he said: “Everywhere
I go people thank me for saving their lives. I do not know why they do it. I didn't do anything.
Nature makes penicillin. I only found it.”
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III. Fill in the blanks with pronouns.
1. One day Fleming's assistant brought …. a plate on which a colony of dangerous bacteria were
grown.
2. In 1942 Fleming carried out …. own first experiment.
3. A. Fleming received the Nobel Prize for …. great discovery.
4. “Everywhere I go people thank …. for saving …. lives. I don't know why …. do it.”
5. “This plate can not be used for the experiment. Some mould has formed on it.”
17
2. Действие, охватывающее некоторый период времени в настоящем.
She is working too hard this term.
No ice-cream for me. I am slimming.
3. Эмоционально окрашенную характеристику лица. Как правило, это отрицательная
оценка.
He is always chewing.
She is constantly talking about money.
Примечание 1. Глаголы be, look, feel могут употребляться в длительной форме для
выражения действия в какой-то конкретный момент. В современном английском языке
это практически стало нормой.
I am feeling better today.
You’re looking rather strange. Are you feeling all right?
4. Заранее запланированное действие, которое произойдёт в ближайшем будущем.
Употребляется с глаголами движения: move, come, go, leave, return, start.
We are leaving tomorrow.
The show is starting soon.
5. Действие в процессе, которое происходит одновременно с другим действием (в Present
Simple). Это время употребляется в придаточных предложениях времени и условия после
союзов: when, while, as long as, if, in case, unless.
David always talks when he is eating.
Try not to make noise when you are drinking your tea.
Это время употребляется со следующими наречиями: always, now, at the moment,
constantly, right now, still.
Примечание 2. Глаголы see, hear, understand могут употребляться в длительной форме
для выражения сильных эмоций, обычно в языке художественных произведений.
I can’t believe what I’m hearing and seeing.
And I knew it was my father’s face I was seeing in my mind.
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Итак, схематически это время можно изобразить следующим образом:
EXERCISES
I. Complete the sentences.
1. I __ (watch) a reality show on TV. 2. My favourite team __ (win)! 3. Someone __ (swim) in
the sea.4. Two people __ (cook) dinner on the beach. 5. We __ (not watch) a soap opera. 6. I
__ (not do) my homework. 7. Mum __ (read) a magazine.8. My brother __ (not listen) to the
radio. 9. Dad __ (not cook) dinner. 10. Tara __ (talk) by phone. 11. Joe __ (play) on the
computer. 12. Who __(watch) TV? 13. Tina __ (do) grammar exercises. 14. I __ (eat) a pizza.
15. We __ (sit) in the classroom. 16. I __ (not write) an email. 17. Amy __ (not go) to school
today. 18. We __ (not have) fun today. 19. My team __ (not win) the match. 20. My parents __
(drive) to work now. 21. __ they __ (read) magazines? Yes, they are. 22. __ you __ (learn)
English? Yes I am. 23. __ Helen __ (write) a letter? No, she isn´t. 24. __ Sarah __ (play) the
guitar? Yes, she is. 25. We __ (not play) basketball.
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always (forget) my name. 13. Listen! Somebody (come). 14. She never (go) shopping in the
afternoon. 15. Listen! The birds (sing) in the garden. 16. They (finish) work at four o’clock. 17.
The boys (play) in the yard at the moment. 18. At the lessons we (read) interesting texts. 19. He
usually (buy) milk for breakfast.
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Part II. Medical Institutions
Unit 5. Polyclinics
VOCABULARY:
institution – учреждение consulting hours – приемные часы
ring up (rang up, rung up) – звонить, consulting room – кабинет врача
вызвать по телефону reception – прием; получение; принятие
call – вызов; call in – вызывать (врача) serious – серьезный; вызывающий
physician [fɪˈzɪʃən] – врач опасение (о болезни)
complain – жаловаться (на) (of) sick – больной
complaint – жалоба sick–leave – больничный лист
correct – a правильный; v исправлять, definite – определенный, точный
поправлять chart – таблица, график, диаграмма;
administer – v назначать; давать temperature chart – температурный лист
(лекарство) patient’s card – карточка больного
consult – v обращаться (к врачу) fill in – заполнять; вписать, вносить
Polyclinics
There are many medical institutions in our country. One of such medical institutions is the
polyclinic. If a person falls ill, he will ring up his local polyclinic and call in a doctor. When his
condition isn’t very poor and he has no high temperature he will go to the local polyclinic and a
physician will examine him there.
21
Many specialists including therapeutists, neurologists, surgeons and others work at the
polyclinic. During the medical examination a physician usually asks the patient what he complains
of and according to the complaints carries on the medical examination. T
he physician listens to the patient’s heart and lungs and measures his blood pressure and if
necessary asks the patient to take the temperature. The laboratory findings which include blood
analysis, the analysis of urine (urinalysis) and other tests help the physician to make a correct
diagnosis and administer a proper treatment.
In addition to their consulting hours at the polyclinic local physicians go out to the calls to
examine those patients who are seriously ill and whose condition is bad. Such sick persons receive
a sick-leave. They usually follow a bed regimen.
Any physician of the polyclinic knows his patients very well because he treats only a
definite number of patients. At the local polyclinic every patient has a personal patient’s card
which is filled in by his physician. Everything about the patient – the diagnosis of the disease, the
administrations made by the doctor, the course of the disease, the changes in the patient’s condition
after the treatment are written down in the card.
If it is necessary, a nurse will come to the patient’s house to give him the administered
injections or carry out any of the doctor’s administrations. Our doctors treat patients not only with
the help of different mixtures, powders, injections, but they always use a good bedside manner and
deal with patients very carefully. The duty of the doctor is to treat a patient not only with different
remedies but with a kind word and hearty attitude.
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II. Translate the following sentences:
1. Как только будет готов анализ желудочного сока, больному назначат соответствующую
диету. 2. Лечение будет продолжено до тех пор, пока не будут получены положительные
результаты. 3. Больному разрешат сидеть, если частота сердцебиения станет нормальной.
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already, still, yet, ever, just, recently, never, today, this week.
Употребление:
1. Для обозначения действий, (не) закончившихся к моменту речи (часто с "just" - только
что, "yet" - ещё не и др.):
- Have you finished your job? - Yes, I have/ No, I haven't. – Ты закончил работу? - Да/Нет.
The train has just arrived. – Поезд только что прибыл.
She hasn't written the test yet. – Она ещё не закончила контрольную.
2. Для обозначения действий, происходивших в прошлом, но актуальных в настоящем:
-Have you passed your driving test? – Вы уже сдали экзамен на право вождения автомобиля?
-We can't enter the room. I've lost my key. – Мы не можем войти в (эту) комнату. Я потеряла
ключ.
3. Для описания действий, начавшихся в прошлом и продолжающихся до настоящего
момента ( часто с "since" - с или "for" - в течение):
I' ve always liked him. – Он мне всегда нравился (раньше и теперь).
I have known him for years / since my youth / since 1990. – Я знаю его много лет / с юности/
с 1990 года.
He has written about a hundred novels. – Он написал около ста романов.
(He is alive and can write more.) – (Он жив и может написать ещё).
но:
He wrote about a hundred novels. (He is dead). – Он написал около ста романов.(Его нет в
живых).
4. Для обозначения действий, имевших место в неистекший период времени ( с
выражениями типа "this morning" / "afternoon" / "week" - сегодня утром / днём / на этой
недели и т.п.:
Has the postman come this morning? – Почтальон приходил сегодня утром?
He hasn't phoned this afternoon. – Он ещё не звонил сегодня днём.
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Итак, схематически это время можно изобразить следующим образом:
EXERCISES
I. Put the sentences in the Present Perfect.
1. She…..(just break) a vase. 2. We …..(already clean) the room. 3. I …..(just make) the bed. 4.
He ….. (phone) his friend. 5. It ….. (start) raining. 6. A little girl ….. (cut) her finger. 7. He …..
(eat) all the cakes. 8. Sally ….. (wash) the dishes. 9. The plane ….. (fly) away. 10. He ….. (leave)
the house. 11. He ….. (work) hard for the exam. 12. Jenny ….. (answer) all the questions. 13. We
….. (see) this film. 14. They ….. (never meet) before. 15. I …… (never be) to New York. 16. She
…... (already finish) school. 17. Thank you very much. You ….. (help) me a lot. 18. Barbara …..
(come) to see us. 19. Jack is not at home. He ….. (go) to the theatre. 20. Oliver ….. (cook) a tasty
dinner for us.
II. Put the verbs in the Present Perfect and choose the correct word (since or for).
1. She ….. (live) here (since/for) many years. 2. Miss Hill ….. (teach) in this school (since/for)
1998. 3. He ….. (work) in the factory (for/since) he left school. 4. I ….. (play) tennis (for/since)
morning. 5. We ….. (study) English (for/since) five years. 6. I ….. (not see) you (for/since) ages.
7. We ….. (not hear) about him (since/for) January.8. I ….. (know) him (since/for) childhood. 9.
Tom ….. (be) in America (for/since) 2001. 10. Our teacher ….. (work) at school (for/since) 1987.
11. They ….. (have) this house (for/since) they moved to our town. 12. I ….. (not see) him
(for/since) a long time. 13. They ….. (not speak) to each other (for/since) summer. 14. Jack …..
(play) tennis (since/for) two hours.
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III. Complete Jane's letter to her American friend. Use the Present Perfect Tense.
Dear Amy
I _____ (1 not have) a letter from you for a long time. _____ (2 you lose) my address? I bought
the new Steps CD at the weekend. I _____ (3 already listen) to it. _____ (4 you hear) it yet? It’s
brilliant. There’s a new video too, but I _____ (5 not see) it yet.
School is going OK. I _____ (6 just finish) some exams, but the holidays _____ (7 not start) yet.
We’re going to Ireland. I _____ (8 never be) there.
Write soon with your news.
Love
Jane
IV. Correct the mistakes in these sentences.
1. We lived here since 1997.
2. I've been ill since two days.
3. How long do you know him?
4. Susie has seen a good film last night.
5. We've finished our homework just.
6. I've already wrote three letters.
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VI. Translate the following sentences into English.
1. Я не видела Мэри уже 3 месяца.
2. Мои родители уже продали свой старый автомобиль.
3. Моя сестра уже была в Париже.
4. Я только что закончил читать эту книгу.
5. Ты хорошо выглядишь. Ты был в отпуске?
VOCABULARY:
identical – одинаковый pressure – давление
to try - стараться hypertension – повышенное кровяное
to react – реагировать давление
own – собственный heartache – боль в сердце
to be under special care – быть под hypotensive – гипотензивный
специальным наблюдением to frighten – пугать
observation – наблюдение hypertensive - гипертонический
research – исследовательский hypotension – пониженное кровяное
to take the pulse – прощупывать пульс давление
radial – лучевой anaemia – анемия, малокровие
nervous – нервный to check the BP – измерять кровяное
fast – быстрый давление
beating – биение (сердца), пульсация
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student nurse – учащийся медицинского to be proud – гордиться
училища spotless – чистый
sick – больной surgery – операция
to learn – изучать wheel-chair – кресло-каталка
care – уход nursery – ясли
to wear – носить to be afraid – бояться
A Student nurse
A nurse takes care of people who are sick. This is her work (Men can be nurses, too). She
goes to a medical school to learn what she must know to give good care to sick people. The nurse
must be a good student in school. She must be healthy herself, eat in time, get plenty pf rest and
exercises, use good personal hygiene. She must be a happy person and must like people. When she
is a student nurse, she wears a uniform. She is proud of her uniform and keeps it spotless, so she
always looks professional. During her practice she gives patients medicine, brings them meal.
Sometimes she works in the operating room, helping the doctor who does surgery on a patient.
She helps people to walk and takes them in a wheel-chair. She loves to work in the nursery, where
she helps to take good care of babies. Sometimes she reads or plays with small children, so they
won’t be afraid of the hospital. She studies hard. She tries to make a better person of herself.
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If the nurse sees any changes in the beating of the pulse she must immediately tell the doctor.
Changes in the pulse are very important.
REMEMBER: When you take the pulse you must note:
1. Ir it is deep or shallow
2. the rate
3. the strength of beating
4. the rhythm
Blood pressure
The blood pressure (BP) is the pressure of the blood in the arterial wall. The blood pressure
can be normal, high and low. The normal BP is between 110-140 (the systolic pressure) over 70-
90 (the diastolic pressure). When you check the patient’s BP you must think of his (or her) age. If
a person of 20 has a blood pressure of 140-150 it is dangerous. And the nurse must immediately
take care of such patient. But if the same BP has a person of 50 it is not dangerous. If a patient has
hypertension, he may often complain of headaches, nose bleedings, heartaches. The doctor
prescribes him hypotensive drugs. High blood pressure often frightens the patient. The nurse must
calm him. Hypertensive patients must not work hard. Hypotension or low BP is caused by different
conditions. Anaemia may be a cause of hypotension. Great fatigue may also cause hypotension. In
all cases it is a very serious disease and the nurse must be very attentive to the patient.
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II. Say in English:
1. У этого больного слабое сердце. 2. Прополощите горло. 3. Вы должны быстро остановить
кровотечение. 4. У мальчика открытый перелом ноги. 5. Примите таблетку от головной
боли. 6. Наложите шину на руку. 7. Пополощите рот после еды. 8. Вы должны
придерживаться диеты. 8. У девочки сильная боль в животе. Положите теплый компресс на
ухо.
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V.: Most of the time.
D.: We’ll take X-rays of your stomach and make some more tests: blood test, urine test. I’ll tell
you the diagnosis after I have all your tests and I’ll prescribe you some treatment.
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В вопросительных предложениях вспомогательный глагол выносится на первое место:
Have you been trying to contact him? — Ты пытаешься с ним связаться?
В отрицательных предложениях мы добавляем частицу not к вспомогательному глаголу:
I have not been trying to contact him. — Я не пытаюсь с ним связаться.
Употребление Present Perfect Continuous
1. Для выражения действия, которое началось в прошлом и продолжается до сих пор:
I have been working for the company since 1995. — Я работаю на фирме с 1995 года.
2. Для выражения действия, которое длилось в прошлом и только что завершилось:
Your eyes are red. Have you been crying? — У тебя красные глаза. Ты что плакала?
3. С «how long»:
How long have you been waiting for me? — Давно ты меня ждешь?
Так же, как и в случае с Present Perfect, действие смыслового глагола в Present Perfect
Continuous обычно уточняется в отношении либо начала (since), либо продолжительности
(for). Также, возможно использование и более общих обстоятельств времени, таких как
недавно (recently) или в последнее время (lately). Итак, схематически это время можно
изобразить следующим образом:
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EXERCISES
I. Open the brackets using Present Perfect Continuous
1. All these days he _________ (talk) about his new plan.
2. Here is Mrs. Brown who we ____________ (speak) about for a long time.
3. You ___________ (watch) TV too long.
4. He ___________ (sit) here all the time.
5. Will that music never stop? It (play) for two hours.
6. Turn the TV set off. The children (watch) it since morning.
7. Mary is learning to play the piano. She (practice) since breakfast time.
8. He (live) in the USA for many years but he still can’t speak English properly.
9. I need a holiday. I (work) too hard for a long time.
10. Please, wake up Peter. He (sleep) for ten hours.
11. We (travel) for three days but we are still only halfway to London.
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IV. Put the verbs in brackets in Present Perfect Continuous or Present Perfect
1. He (to be) very busy lately. 2. I (to wait) for you since one o’clock in the afternoon. 3. How long
you (to know) Jane? 4. I (not to meet) the Marchands since last year. 5. It (to snow) since early
morning. 6. We (to work) hard for two hours. 7. “How long your mother (to teach) at college?”-
“For fifteen years”. 8. The north wind (to blow) since early morning.
Unit 9. Pharmacy
VOCABULARY:
pharmaceutical [fɑːməˈsjuːtɪkl] - partition - перегородка
фармацевтический to appoint - назначать
to choose - выбирать prescription - рецепт
stall - прилавок, стойка sedative - успокоительное средство
shelving - полка, стеллаж (лекарство)
bandage - перевязочный материал, бинт powder - порошок
implement - принадлежность, утварь ointment - мазь
perfumery - парфюмерия
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Description of a Pharmacy
The pharmaceutical service in our country is an unseparable part of the health protection.
You can’t successfully treat people without highly effective medical aids.
The pharmacy has a hall, the single place people may come in; a special room for keeping
drugs; an assistants’ room where medicines are prepared and a room for the first medical aid.
In the hall you can see special glass stalls and shelvings with different drugs. People may
choose here any drug they need. On the stalls and shelvings you can find all kinds of sedatives,
vitamins and bandages. Here there are pills, powders, bottles of drops and mixtures, tablets,
ointments, syringes, needles, thermometers, hot water bottles, medicine droppers and other things
necessary for medical care. In this department you can buy some implements for personal
hygiene and even perfumery. The department where chemists will give you anything you need
without prescription is the Chemist’s department.
In the hall, there is a special department – Prescription – where a patient can order his
prescription and have his medicine made up. A glass partition separates you from the pharmacist.
Through a small window in this partition, you hand in your prescription to the pharmacist and
she/he gives you a medicine immediately if they have this medicine prepared or she appoints a
special time to come for the drug.
There are two drug cabinets in this department. In the drug cabinet, marked with a big letter
A, poisonous drugs are kept. In the drug cabinet, marked with a big letter B, all strong-effective
drugs are kept.
I. Replace the Russian words in the brackets with their English equivalents.
1. The (фармацевтический ) service in our country is an unseparable part of the health
protection.
2. In the hall you can see special glass (прилавки).
3. On the stalls and shelvings you can find all kinds of (успокоительных средств),
vitamins and (перевязочный материал).
4. In the chemist’s department you can buy (принадлежность) for personal hygiene and
even (парфюмерия).
5. Through a small window in this partition you hand in your (рецепт) to a pharmacist.
6. A pharmacist (назначать) a special time to come for the drug.
II. Complete the sentences using the appropriate words given below.
1. … has various treating methods for people suffering from a disease.
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2. Some medicines and drugs are used …chronic conditions which have no cure such as
diseases of the central nervous system.
3. I have ordered the medication on my… .
4. …. are administered in case of neurological disorders.
5. In any pharmacy you can … any drug you need.
6. … heal wounds.
To treat, prescription, medicine, to choose, sedatives, ointments.
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We went to the park , walked down to the fountain and sat down on a stone seat. – Мы
отправились в парк, дошли до фонтана и сели на каменную скамью.
По способу образования прошедшего времени глаголы делятся на правильные и
неправильные. Правильные глаголы образуют утвердительную форму прошедшего
неопределённого времени путём прибавления к основе инфинитива суффикса "-ed". На
схеме они обозначены как "V ed".
При прибавлении суффикса "-ed" соблюдаются следующие орфографические
правила:
- если глагол оканчивается на "согласную букву + y", то буква "-y" меняется на "-i";
- мы удваиваем конечную согласную, чтобы сохранить закрытый слог.
to open - opened открывать - открыл
to ask - asked спрашивать - спросил
to stop - stopped останавливать - остановил
to fry - fried жарить - жарил.
Суффикс "-ed" является признаком формы простого прошедшего времени только в
том случае, если глагол с этим суффиксом занимает в предложении второе место, т.е. стоит
после подлежащего.
He informed us of his plans at breakfast. – Он сообщил нам о своих планах за завтраком.
Неправильные глаголы образуют простое прошедшее время по-разному и их следует
заучивать списком. Таблицы неправильных глаголов приводятся в конце любого словаря
(и в конце данного пособия). Обычно они составляются следующим образом: основа
инфинитива неправильного глагола, основа инфинитива неправильного глагола, простое
прошедшее время.
Вопросительная форма глаголов в простом прошедшем времени ( и правильных и
неправильных) образуется при помощи вспомогательного глагола "did" , который ставится
перед подлежащим, а за подлежащим следует смысловой глагол ( в форме основы
инфинитива без "to").
- Did you see him yesterday? - Yes, I did. – Вы его видели вчера? - Да.
- Did you hear the news? - No, I did not. – Вы слышали новость? - Нет.
Отрицательная форма глаголов в простом прошедшем времени образуется при
помощи вспомогательного глагола "did" и отрицания "not", которые ставятся перед
смысловым глаголом в форме инфинитива без "to".
I did not see him yesterday. – Я не видел его вчера.
В разговорной речи обычно используется сокращение did not - didn't.
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I didn't see him yesterday. – Я не видел его вчера.
Итак, схематически это время можно изобразить следующим образом:
EXERCISES
I. Choose the correct answer.
1. I wrote a letter to my aunt.
a) every day b) now c) yesterday
2. What …..your brother doing?
a) is b) do c) does
3. Sophie sometimes …… TV in the evening.
a) watch b) is watching c) watches
4. I …….my Granny last week.
a) visited b) am visiting c) visit
5. He …….History at the university 2 years ago.
a) studied b) studied c) studed
6. Mark sometimes …… long hours.
a) works b) worked c) is working
7. They ….. in the park when I came to them.
a) are b) was c) were
8. When ......your work yesterday?
a) did you finish b) do you finish c) finished
9. Did you …… a dog when you were a child?
a) has b) had c) have
10. When ……. you born?
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a) had b) was c) were
IV. Put the verbs in brackets into the correct form of the Past Simple.
1. He … (continue) his studies in Chemistry.
2. I looked for the keys but I … (not / find) them.
3. … (you / enjoy) the film?
Yes, I did. It was fantastic.
4. My husband and I … (do) the shopping last week.
5. Don’t worry. I … (not / forget) to send your letter.
6. When … (you / see) Peter last time?
7. How much cheese … (Sarah / buy) this morning?
8. My family … (make) a delicious cake for Paul’s birthday.
9. Ben … (become) a vet three years ago.
10. My father … (return) late from work yesterday.
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I eat a sandwich and drink a cup of tea. I do not drink milk. After school I do not go home at once.
I go to the library and take a book. Then I go home.
Drugs
Any chemical substance which affects the functioning of the body is called a drug.
Aspirin, penicillin and insulin are all common examples.
A drug is the active ingredient of a medicine, and all medicines contain drugs. For
instance, aspirin contains acetylsalicylic acid. However, not all drugs are medicines. For
example, alcohol and nicotine (in tobacco) are drugs but not medicines.
Drugs which have made a great impact on people's lives include insulin for diabetics;
heart drugs like digitalis and vaccines against infectious diseases like poliomyelitis (polio) and
smallpox.
Antibiotics form another group of drugs. Their job is to kill bacteria, for example, penicillin
was first used to fight infection during the Second World War. Since then antibiotics have saved
the lives of millions of people. Since Sir Alexander Fleming first discovered penicillin, other
research workers have developed different antibiotics, such as streptomycin which conquered the
terrible lung disease tuberculosis.
Many women now take contraceptive pills as a method of birth control. This allows people
to have children only if they want them or to plan the number they have.
If you look in your bathroom cabinet, you will probably find an assortment of antiseptics,
creams, ointments, indigestion tablets or cough and cold remedies. There is no harm in keeping
these (out of reach of young children) because most people are responsible and use them only if
they need them. However, if you find antibiotics or pills left over from a previous prescription,
you should not keep them or give them to anyone else. You should return them to a chemist.
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Drug development and research have advanced rapidly since the early discoveries. By 1984
over £1,500 million (at manufacturers' prices) was spent in the UK on the purchase of NHS
prescription medicines, and about 3,000 medicines are in use. Incidentally, the pharmaceutical
industry is now one of the most successful in the UK, with exports amounting to over £1.2 billion
by the mid-1980s, and a positive trade 'surplus' of about £700 million. It can cost the industry up
to £60 million to research and develop just one new medicine.
But the search for newer and better drugs and medicines goes on. There are many diseases,
such as some cancers and arthritis, still to be overcome.
I. Are these statements true (T) or false (F)? If the statement is false, correct the statement.
1. A drug is the active ingredient of a medicine.
2. All drugs are medicines.
3. Antibiotics have not saved the lives of millions of people.
4. Contraceptive pills are used as a method of birth control.
5. Drug development and research have not advanced rapidly since the early discoveries.
6. The search for newer and better drugs and medicines goes on.
VOCABULARY:
source - источник infusion - настой
leaf - лист tincture [ˈtɪŋktʃə] - настойка
stem - стебель decoction - отвар
root - корень vapour - пар
rhizome [ˈraɪzəʊm] - корневище jar - баночка
mold - плесень label - этикетка
digitalis (fox-glove) - наперстянка to indicate - указывать, обозначать
to confuse - перепутать direction - указание к применению
to obtain - получать, добывать
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administration - назначение по untoward - неблагоприятный, побочный
применению the dose to be taken - доза, которую надо
poisonous - ядовитый принять
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4. Every small bottle or a box has (этикетку) with the name of medicine stuck on it.
5. White ones are stuck to (указывать) drugs for internal use.
6. Nurses, doctors and patients themselves must not (путать) different medicines because
some of them are poisonous and their (передозировка) may cause an untoward reaction
and sometimes even death.
II. Complete the sentences using the appropriate words given below.
1. Drugs are stored at ….
2. Yellow … indicate drugs for external use.
3. Vitamins … from food substances.
4. … and directions for the administration are also written on the label.
5. Some of drugs are …
6. Gases, … and aerosols are also used in medicine.
The dose to be taken, labels, vapours, are obtained, room temperature, poisonous.
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Unit 12. The Past Continuous Tense
1. Past Continuous - это длительное действие, происходившее в определённый
промежуток времени в прошлом и не имеющее отношение к настоящему. Временной
промежуток может быть определен:
а. Обстоятельством времени.
What was going on at eight o'clock in yesterday's evening? – Что происходило вчера в
восемь часов вечера?
Необходимые определители времени:
at that time в то время
at three o'clock in the morning в три часа утра
at that moment в тот момент
at midnight в полночь и др.
б. Контекстом или ситуацией. Часто используется в художественных текстах и
имеет повествовательный характер.
It was early morning. Denis was talking on the phone. - Было раннее утро. Денис
разговаривал по телефону.
в. Другим действием в Past Simple, которое происходило в то же время. Тогда
Past Continuous является главным предложением.
When I came into the room my younger brother was watching a cartoon film. – Когда я
зашёл в комнату, мой младший брат смотрел мультфильм.
Примечание: Действие в Past Continuous может употребляться в придаточном
предложении, если будет фоном для главного.
While we were waiting (фон) for the bus the rain began. – Пока мы ждали автобус,
начался дождь.
г. Другим действием в Past Continuous.
While we were preparing for the test my brother was playing the game console. –Пока
мы готовились к контрольной работе, мой брат играл в приставку.
Союзы, которые употребляются по отношению к последним двум подпунктам (в и г):
while пока; в то время, как
when когда
as в то время как; когда
just as в то время как; когда и др.
2. Past Continuous - это длительное действие происходило в определённый период
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времени в прошлом.
Kevin was working the whole morning. Кевин работал всё утро (действие завершилось, на
момент речи уже не утро).
Необходимые определители времени:
the whole morning/afternoon/evening/night всё утро/день/вечер/ночь
all day long/life весь день/всю жизнь
since seven till nine o'clock с семи до девяти часов
during the last week в течение прошлой недели
all winter всю зиму и др.
3. Past Continuous - это запланированное в прошлом будущее действие.
Luke said he was coming back on Thursday. Люк сказал, что вернётся в четверг.
В таких предложениях часто употребляются глаголы движения:
to go идти
to leave уезжать
to start начинать
to come приходить и др.
Примечание: Past Continuous употребляется для акцентирования на продолжительности
действия, просиходившего в прошлом, а Past Simple - на факте совершения этого
действия. Для выражения последовательных действий (действий, которые происходили
друг за другом), даже если они были длительными, употребляется Past Simple.
Последовательность действий - всегда форма Simple.
Итак, схематически это время можно изобразить следующим образом:
45
EXERCISES
I. Put the verbs in brackets in Past Simple or Past Continuous.
1. When my father (to come) home, I (to have) dinner.
2. When Alice (to return), I (to listen) to the radio.
3. When mother (to enter) his room, he (to draw) a picture.
4. When my sister (to come in), I (to do) my lessons.
5. When her aunt (to air) the room, she (to catch) cold.
6. When I (to meet) her, she (to go) to the office.
7. He (to wash) his face when somebody (to knock) at the door.
8. The young people (to dance) when I (to come) to the party.
9. When he (to wash) the dishes, he (to break) a plate.
10. What they (to do) when you (to see) them?
46
3. Я разговаривала с подругой, когда мой телефон зазвонил.
4. Она слышала стук в дверь, но не открыла ее.
5. Что ты делал в 3 часа?
47
I. Read and translate the text.
A hospital is a health care institution
providing patient treatment by specialized
staff and equipment. Hospitals are largely
staffed by professional physicians, surgeons,
and nurses. In accord with the original
meaning of the word, hospitals were
originally «places of hospitality».
The best-known type of hospital is
the general hospital, which is set up to deal with many kinds of disease and injury, and normally
has an emergency department to deal with immediate and urgent threats to health. Some
hospitals have their own ambulance service. A district hospital typically is the major health care
facility in its region, with large numbers of beds for intensive care and long-term care.
Types of specialized hospitals include trauma centers, rehabilitation hospitals,
children`s hospitals, seniors'(geriatric) hospitals, and hospitals for dealing with specific medical
needs such as psychiatric problems (psychiatric hospital, certain disease categories such as
cardiac, oncology, or orthopedic problems, and so on).
Some patients go to a hospital just for diagnosis, treatment, or therapy and then leave
(‘outpatients’) without staying overnight; while others are ‘admitted’ and stay overnight or for
several days or weeks or months (‘inpatients’). Hospitals usually are distinguished from other
types of medical facilities by their ability to admit and care for inpatients while the others often
are described as clinics.
Hospitals vary widely in the services they offer and therefore, in the departments (or
«wards») they have. Each is usually headed by a Chief Physician. They may have acute services
such as emergency department or specialist trauma center, burn unit, surgery, or urgent care.
These may then be backed up by more specialist units such as: emergency department;
cardiology; intensive care unit; pediatric intensive care unit; neonatal intensive care unit;
cardiovascular intensive care unit; neurology; oncology; obstetrics and gynecology.
Some hospitals will have outpatient departments and some will have chronic treatment
units such as behavioral health services, dentistry, dermatology, psychiatric ward, rehabilitation
services, and physical therapy.
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2. What does the word “hospital” originally mean?
3. Which types of specialized hospitals do you know?
4. How do we call patients who go to a hospital without staying overnight?
5. How do we call those who stay overnight?
6. What is a general hospital?
IV. Put the places in a hospital into the gaps in the sentences.
49
ОБРАЗОВАНИЕ
Утвердительные предложения: Отрицательные предложения:
50
house. 6. Liz had bought some flowers. 7. My sister had just cooked breakfast for the family.
8. The cat had already eaten fish. 9. Mrs Gracy had gone to London. 10. I had never been to
India. 11. She had just broken a vase. 12. We had cleaned the room. 13. Cris had phoned his
friend. 14. The trainhad just arrived. 15. It had just started to rain. 16. Kelly had gone to
America. 17. We had left our books to school. 18. The streethad changed a lot. 19. You had
worked here for a long time. 20. Mandy had been to Greece.
IV. Make sentences with the Past Perfect and the words provided. Follow the example below.
For example: I missed my plane. (airport/ plane take off) - By the time I get to the airport, the
plane had already taken off.
1. I missed the show. (theater/ movie/ start)
2. I couldn’t get my prescription. (drugstore/ close)
3. I couldn’t say goodbye to my friends. (call their house/ they/ leave)
4. I didn’t get the job. (I apply/ they/ hire someone else)
5. We couldn’t buy the house. (we see/ someone else/ make an offer)
6. The house was destroyed. (the firemen arrive/ house/ burn down)
7. I didn’t get to taste her chocolate cake (I arrive/ her children/ eat whole thing)
8. I didn’t see her when she was sick. (I go/ hospital/ she/ go home)
9. I didn’t see the game. (I turn on the TV/ game/ finish)
10. I missed my daughter’s performance. (I arrive concert/ my daughter/ finish her song)
V. Make up questions using words below, for example: (you / ever / be / to Italy) - Had you
ever been to Italy?
1. You ever / be / to South America?
2. You / read / any English books?
3. You / live / in this town all your life?
4. How many times / you / be / in love?
5. What's / the most beautiful country / you /ever / visit?
6. You ever / speak / to a famous person?
51
Unit 15. Doctors’ and Nurses’ Activity in Hospitals
VOCABULARY:
department – отделение
poisonous – ядовитый, токсический
in-patient department – стационарное
cause – причинять, вызывать; причина
отделение
death rate – смертность
outpatient department – амбулаторное
round – обход (больных врачом)
отделение
relieve – облегчать (боль)
reception ward – приёмная, приёмный покой
prevent– предотвращать, предупреждать
initial– начальный, предварительный
recovery– выздоровление, восстановление
to apply cups - ставить банки
a nurse (a doctor) on duty – дежурная(ый)
prescribe– прописывать
сестра (врач)
dosage – дозировка
attending doctor – лечащий врач
indicate – указывать, обозначать
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Then a doctor on duty examines the hospitalized patients and gives his instructions what
department and wards the patients are to be admitted to.
At the in-patient departments of a hospital life begins early in the morning. The nurses
on duty take the patient’s temperature, give them intramuscular and intravenous injections, take
stomach juice for analysis, apply cups and give all the prescribed remedies in the doses
indicated by the ward doctors.
The nurses keep all the drugs in special drug cabinets. All the drugs have special labels.
The name of drugs are indicated on them. Patients are not allowed to take the medicines
themselves because some drugs are poisonous, the overdosage of some other drugs may cause
unfavourable reactions and even death.
At about nine o’clock in the morning the doctors begin the daily rounds of the wards
during which they examine the patients. After the medical examination the doctors administer
the patients different procedures: electrocardiograms are taken, laboratory analyses of blood,
urine and gastric juice are made. Some patients are administered a bed regimen, others are
allowed to walk; some are to follow a diet to receive stomach ache or prevent unfavourable
results in case of stomach troubles. All the doctors always treat the patients with great attention
and care. There is no doubt that such a hearty attitude of the doctors to the patients helps them
much in their recovery.
53
1. a) At the in-patient department the nurses give the patients intramuscular and intravenous
injections,
b) At the in-patient department the ward doctors give the patients intramuscular and
intravenous injections.
2. a) Some patients are to follow a diet to decrease weight,
b) Some patients are to follow a diet to relieve stomachache.
3. a) The overdosage of some drugs may cause a considerable change in the white blood cell
count,
b) The overdosage of some drugs may cause unfavourable reactions.
VI. Insert the items in the box below in an appropriate place in the sentence.
diagnosed admitted discharged
suffering hospitalized indicated
54
Время Past Perfect Continuous
указывает на действие, которое началось в
прошлом, продолжалось в течение некоторого
времени и либо закончилось непосредственно
перед неким моментом в прошлом или все еще
не закончилось к некоему моменту в
прошлом.
I had been typing this text for 2 hours and then found it on the Internet. – Я набирал
этот текст два часа, а потом нашел его в Интернете.
I had been waiting for his airplane for 2 hours when it was announced about delay.- Я
ждал его самолет уже два часа, когда объявили об его задержке.
ОБРАЗОВАНИЕ
Утвердительные предложения: Отрицательные предложения:
EXERCISES
I. Complete the sentences below in the Past Perfect Progressive (affirmative form).
1. I (work) all day, so I didn’t want to go out. 2. She (sleep) for ten hours when I woke her. 3.
They (live) in Beijing for three years when he lost his job. 4. When we met, you (work) at that
company for six months. 5. We (eat) all day, so we felt a bit ill. 6. He was red in the face because
he (run). 7. It (rain), and the road was covered in water. 8. I was really tired because I (study).
9. We (go) out for three years when we got married. 10. It (snow) for three days.
II. Complete the sentences below in the Past Perfect Progressive (negative).
1. I (not / work) there long when she quit. 2. She (not / work) but she was tired anyway. 3. It
(not / rain) long when I got home. 4. He was in trouble with the teacher because he (not / go) to
classes. 5. We (not / live) in London for three years when we got married! It was more like five
years. 6. Although it was hot in the kitchen, Julie (not / cook). 7. I (not / sleep) long when there
55
was a knock at the door. 8. He didn’t feel healthy, because he (not / go) to the gym. 9. I caught
a cold because I (not / eat) properly. 10. She looked tired, but she (not / study).
III. Put the verbs into the correct form (Past Perfect Progressive or Past Simple).
1. I (wait) for hours, so I was really glad when the bus finally (arrive). 2. Why (be) the baby’s
face so dirty? He (eat) chocolate. 3. I (see) John yesterday, but he (run) so he was too tired to
chat. 4. It (rain) and the pavement (be) covered with puddles. 5. When I (arrive), it was clear
that she (work). There were papers all over the floor and books everywhere. 6. They (study) all
day so, when we (meet), they were exhausted. 7. The boss (talk) to clients on Skype for hours,
so she (want) a break. 8. I (drink) coffee all morning. By lunchtime, I (feel) really strange. 9.
Lucy (hope) for a new car, so she was delighted when she (get) one. 10. I (dream) about a
holiday in Greece! I couldn’t believe it when my husband (book) one as a surprise!
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7. James … at this school for more than a year before he … the job.
a. had been teaching, changed b. had teaching , had changing c. were teaching, changed
8. … for days so when they finally left?
a. had it been rain b. had the rain been raining c. had it been raining
9. We … for ten minutes when the light went off.
a. had been only watching b. had only been watching c. only had been watching
10. He said he … for some time.
a. had been practicing b. had been practice c. was practicing
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about any traumas he had. These findings compose the past history. The patient’s blood group
and his sensitivity to antibiotics must be determined and the obtained information is written
down in the case history.
The attending doctor must know what the patient’s complaints and symptoms are. He
must know how long and how often the patient has had these complaints.
The information on the physical examination of the patient on his admission to the
hospital, the results of all the laboratory tests and X-ray examinations, the course of the disease
with any changes in the symptoms and the condition of the patient, the administered medicines
in their exact doses and the produced effect of the treatment - all these findings which compose
the history of the present illness must always be written down in the case history.
The case history must always be written very accurately and consist of exact and
complete information.
II. Tell what information composes the family history/the past history/ the history of the
present illness?
III. Translate the following sentences into English using modal verb ‘must’.
1) Лечащий врач должен знать жалобы пациента.
2) Доктор должен знать болел ли кто-то из членов семьи туберкулёзом.
3) История болезни пациента должна быть написана безошибочно.
4) Врач должен знать были ли у членов семьи ухудшения психического состояния.
5) История болезни пациента должна включать информацию о его болезнях, операциях,
травмах.
58
Doctor: Did you ever break any bones?
Patient: I broke my leg in childhood.
Doctor: Are your parents alive?
Patient: Yes, they are quite well.
Doctor: Do you have brothers and sisters? Are they in good health?
Patient: I have a sister and a brother. My brother is in good health and sister has
diabetes.
Doctor: Are you married? Do you have any children?
Patient: Oh, yes. I’m married. I have a son and a daughter and they seem to be all right.
V. Do the crossword.
Across:
1. The number of movements
9
that you can feel in a minute.
2
2. A person who gives us
medical help.
4. The front of the neck.
5. A person who needs
3 medical help.
1 6. You take it to treat an
7 illness.
5 8. … is what one usually
4 eats and drinks
Down:
6
1. A sheet of paper with the
help of which we take
8
medicine at the chemist’s.
3. A state of being well.
7. A feeling of being hurt.
9. A place where we get
medical help.
59
reveal [ri’vi:l] – обнаруживать, открывать immediate relative – ближайший родственник
observation– наблюдение assessment – определение, оценка
external– внешний valuable – ценный
sign [sain] – признак, знак sputum [‘spju:təm] – мокрота
requirement [ri’kwaiəmənt] – требование specimen [‘spesəmin] – образец
to record [ri’kɔ:d] – записывать specify [‘spesifai] – определять, устанавливать
onset [‘ɔnset] – начало (болезни) tumour [‘tju:mə] – опухоль
duration – продолжительность malignant [mə’lignənt] – злокачественный
hereditary [hi’redətəri] – наследственный benign [bi’nain] – доброкачественный
disorder – нарушение obtain – получать, добывать
I. Read and translate the text.
Before the treatment of a disease it
is necessary to make diagnosis, to
determine the cause of the disease, and all
symptoms by which it can be revealed.
As soon as the patient enters the
consulting, or when we enter his room,
observation should begin immediately. We
look for external signs and symptoms as
long as professional visit lasts. A first requirement is to develop a feeling of sympathy with the
patient by your questions, your actions, your interest in him and his troubles. Select and choose
your questions well to be adequate for the situation. When questioning the patient, your aim
should be to make the patient feel free, so that he tells you everything. Never hurry him, that is
the worst thing you can do. When you record his symptoms, be sure to have the exact
expressions used.
By questioning the patient the doctor learns about his complaints, the onset and duration
of present illness. It is important to take a careful past history, family history, to reveal
hereditary disorders and causes of death of immediate relatives. Assessment of mental and
emotional state of a patient may also give valuable information to the doctor.
Correct diagnosis must be based on a complete clinical examination of the patient. The
usual methods of physical examination which doctors use in daily practice are: inquiry,
inspection, palpation, taking the temperature, counting the pulse rate, taking the blood pressure,
making X-ray examinations and various laboratory studies. The laboratory investigations such
60
as various blood and urine tests, stool studies and sputum, bile examinations may be very
informative.
Biopsy specimens are taken to specify the character of tumour. Sometimes without a
physical examination you cannot say if something is malignant or benign. Valuable information
may be obtained using modern roentgenologic, endoscopic and ultrasound methods of
investigation. With the help of these investigations it is possible to determine position, shape,
size, structure and pathology of the internal organs.
The results of physical examination, laborаtоry and instrumental investigations аre
recorded into the patient’s case history.
V. Use the correct description of the instrument. Make up sentences according to the
model.
For example: Bronchoscope – to inspect the interior of the bronchi.
61
A bronchoscope is an instrument used for inspecting the interior of the
bronchi.
1 reflex hammer ___ to perform auscultation
2 gastroscope ___ to take the patient’s temperature
3 thermometer ___ to inspect the ear
4 ophthalmoscope ___ to inspect the interior of the stomach
5 phonendoscope ___ to check the patient’s reflexes
6 otoscope ___ to visualize the eyeground
62
4) Immunity D. Body’s ability to resist infections.
5) Cure E. Invasion of the body by disease-producing microorganisms.
6) Prescription F. Protective protein which is produced in response to foreign material.
7) Hemorrhage G. Restore health through medical treatment.
63
III. Find English equivalents to the following word combinations.
Легко узнаваемый симптом, организм борется с болезнью, снижение числа эритроцитов,
кожные проявления, серьёзное заболевание, медицинская консультация, необходимо
проконсультироваться с врачом, медицинская помощь, общепринятое мнение, может
понизить сопротивляемость (организма).
VI. Look at the pictures below. Describe the symptoms which each person has.
For example: Picture #1: The man has a headache.
64
VII. Describe the most recent disease you have had. What were the symptoms? What
treatment did your doctor prescribe?
65
Part III. Healthy Way of Life
Unit 20. Immune System
VOCABULARY:
growth [grəuθ] – рост, увеличение tissue [‘tisju:] – ткань
capacity – способность to protect - защищать
natural [‘næʧərəl] – естественный virulent – опасный, смертельный
artificial [,a:ti’fiʃəl] – искусственный poison – яд, отрава
(to) lack – недоставать; нехватка, to injure – повреждать, травмировать
отсутствие to suffer – страдать
relative – относительный to inject – делать инъекцию
relative to smth – относительно чего-л. subcutaneous [,sʌbkju:'teiniəs] –
previous – предшествующие, предыдущий подкожный
cell [sel] – клетка to employ – применять, использовать
66
In the course of their growth in the body many pathogenic microorganisms produce
virulent poisons or toxins, they causing the characteristic symptoms of a particular disease. To
meet the infection, the cells of the body produce a chemical antidote which is specific for this
particular infection and is known as an antitoxin. If the patient can produce a sufficient amount
of this antidote to neutralize the toxins before the vital organs are injured, recovery occurs. If
the human body had not this capacity, we should suffer from all infectious diseases.
If the toxin can be isolated from bacterial cultures and injected into men, an artificial
immunity can be produced which results from the formation of antitoxin.
The cellular elements of the tissues also take an active part in the protection of the
organism against the infection. The presence of any infection usually produces leukocytosis
and bacteria in the tissue are surrounded by white cells or phagocytes which prevent the spread
of bacteria destroying them.
If the reaction against invading bacteria is insufficient, vaccines may be injected
subcutaneously to produce a more active resistance of the protective mechanisms of the body.
Vaccines are employed not only to contribute to the treatment of a disease, but to establish an
active artificial immunity.
67
2. If a previous attack of a certain infectious disease did not produce a more or less permanent
immunity …
(a) all of us would be immune (невосприимчивые) to any subsequent attack of this particular
infection;
(b) people would lack resistance to subsequent infection.
3. If all of us had absolute immunity …
(a) antitoxins would not be able to neutralize toxins;
(b) no infectious disease would ever develop in the human organism.
68
Утвердительные предложения: Отрицательные предложения:
EXERCISES
I. Complete the sentences in the Future Simple.
1. I want to get a medical checkup. I (to go) to my doctor tomorrow. 2. He (to give) me a
complete examination. 3. The nurse (to lead) me into one of the examination rooms. 4. I (to
take) off my clothes and (to put) on a hospital gown. 5. Dr. Setton (to come) in, (to shake) my
hand, and (to say) "hello". 6. I (to stand) on his scale so he can measure my height and my
weight. 7. He (to take) my pulse. 8. Then he (to take) my blood pressure. 9. After he takes my
blood pressure, he (to take) some blood for a blood analysis. 10. He (to examine) my eyes, ears,
nose and throat. 11. He (to listen) to my heart with a stethoscope. 12. Then he (to take) a chest
X-ray and (to do) a cardiogram (ECG or EKG). 13. After the checkup I (to go) home and (to
wait) for Dr. Setton’s call. 14. Dr. Setton (to call) me tomorrow afternoon and (to say) to me:
“Stop worrying! Your blood analysis is excellent.” He is a very good doctor.
II. Make up sentences in the Future Simple with the verbs below.
Read, sing, take, write, run, bring, eat, drink, speak, go, be, teach, sleep, know, buy, get, come.
69
IV. Complete the sentences in affirmative and negative form, for example: I won't go to New
York. I will go to Chicago.
1. We ... Jim, we ... Max (meet). 2. He ... next Tuesday, he ... next Thursday. (leave) 3. We ...
Jack, we ... David. (see) 4. They ... a Volvo, they ... a Fiat. (buy) 5. You ... the answer, Tom ...
the answer. (know)
VOCABULARY:
essential – необходимый, основной obesity – ожирение
pastry – выпечка harm – вред, ущерб
shorten – укорачивать, сокращать drug addict – наркоман
jogging – пробежка rest – покой, отдых
cycling – езда на велосипеде successful – успешный
70
stroke – инсульт, паралич worth – стоящий
II. Think over the proverb ‘Health is better than wealth’. How do you understand this
proverb?
71
moderate physical activity is necessary for our body because it protects us from strokes and
heart diseases and obesity.
We must understand the harm of bad habits for our health. Smoking, drinking or taking
drugs mean serious illnesses and even death from lung cancer or liver diseases, for instance.
Cigarettes kill about 3 million heavy-smokers every year. Drug addicts die very young. So I
think there is no place for bad habits in a healthy way of life.
Taking a proper rest and getting enough sleep, from 8 to 10 hours daily, are also great
healthy habits. Sleep is the food for our brain and the rest for our muscles. Moreover we should
avoid getting nervous or worried for no reason.
Healthy way of life concerns our body, mind and soul. Healthy people live longer, they
are more successful and they enjoy their life. It’s not difficult at all to follow these simple rules,
and they are worth it.
VI. Discuss with your groupmates what every person should and shouldn’t do to be healthy,
for example:
WE SHOULD WE SHOULDN’T
go in for sports smoke
… …
72
Unit 23. The Future Progressive (Continuous) Tense
Время Future Continuous указывает на процесс, который будет длиться в
определенный момент в будущем. В отличие от времени Future Simple, этот момент в
будущем должен быть назван прямо (tomorrow at 4 o’clock, when we meet) или быть
очевидным из контекста.
Don’t disturb me in the evening, I’ll be preparing for exam. – Не мешайте мне
вечером, я буду готовиться к экзамену.
ОБРАЗОВАНИЕ
Утвердительные предложения: Отрицательные предложения:
EXERCISES
I. Complete the sentences in the Future Continuous (affirmative form).
1. This time next Monday, I (work) in a huge office in New York. 2. This time on Tuesday,
Mary (sunbathe) on a beach in Italy. 3. Don’t make noise after midnight – I (sleep) soundly, I
hope. 4. Students (make) copies while he (finish) the report. 5. I (work) in my study library at
6pm tomorrow. 6. This time next year we (cross) the Pacific Ocean. 7. I (lay) the dinner table
while my mother (prepare) the meat. 8. You’ll recognize Molly! She (wear) a pink hat. 9.
From 7 till 12 I (have) classes. 10. My auntie and uncle (stay) with us this weekend. 11. I
(watch) television from ten pm to midnight. 12. This time on Friday I (lie) on the beach. 13.
Don’t ring Greg up at 10am. He (have) his music lesson. 14. The boys of our team (play)
football tomorrow morning. 15. It is mid-autumn, the leaves (fall) soon .
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II. Complete the sentences in the Future Continuous (negative).
1. I (not/ read). 2. You (not/ sleep), will you? 3. We (not/ work). 4. Julie (not/ watch) a film. 5.
It (not/ snow). 6. Ann and Tom (not/ cook). 7. He (not/ play) computer games. 8. I (not/ study).
9. You (not/ cry). 10. David (not/ us) the internet.
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Part IV.Illness
Unit 24. Influenza
75
catastrophic worldwide epidemic, called a pandemic, such as those that occurred in 1918, 1957
and 1968.
Influenza viruses spread through
the air, mostly when an infected person
sneezes, coughs, and speaks. Typical
symptoms are abrupt fever, muscle and
bone aches, tiredness, cough, sore throat,
running nose, and headache. It lasts longer
than most other common respiratory
infections, often for a week or more.
Symptoms typically appear 1-5 days after
the infection.
Anyone can get influenza, but the risk of complications is the highest among persons
who are older 65, adults and children with disorders of the lungs or heart, including asthma,
diabetes, kidney diseases or immune system problems. Pregnant women and health-care
workers are also at risk.
Most people usually recover in 1 to 2 weeks. However, some people develop serious
complications such as pneumonia.
Unfortunately, there is no cure for influenza. Rest and a lot of liquids are the main
treatment. If necessary, the patient may be advised to take paracetamol to relieve fever and
muscle aches. Since influenza is caused by virus, antibiotics have no effect against the infection.
The antiviral drugs may prevent or reduce the severity of influenza.
It is thought that one of the ways to prevent influenza is to get a yearly flu vaccination.
It is recommended for children, chronically ill persons, and the elderly. The best time to get a
flu shot is between October and mid – November.
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7. What is the treatment for influenza?
8. How can influenza be prevented?
II. Are these statements true (T) or false (F)? If the statement is false, correct the statement.
1. There are several subtypes of the influenza virus.
2. The influenza virus spreads through water and direct contact.
3. Elderly patients are at lower risk for influenza.
4. There is some treatment but no cure against influenza.
5. Vaccination is obligatory for all people.
III. Ask your partner about any medical terms relating to the topic and answer his/her
questions.
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Как и все будущие времена, Future Perfect образуется с помощью
вспомогательного глагола will. Далее идет глагол have и основной глагол с окончанием –
ed (если он правильный) или в 3-ей форме (если он неправильный).
They will have read the book by noon.
They will have read the book before their mom returns.
Обратите внимание, что в последнем примере после союза времени
(before) will не ставится. Мы уже много раз говорили о том, что в придаточных
предложениях времени и условия будущее время меняется на настоящее.
Слова-маркеры для Future Perfect совпадают с предлогами, характерными
для Past Perfect.
BY – к
BEFORE – до
Таблица. Образование Будущего Совершённого времени
I
You We
Future Perfect He will have done You will have done
She They
It
Finished action in the future BEFORE a certain moment in the future or another action in
the future
EXERCISES
I.. Вставьте глагол во времени Future Perfect.
1. I ________ a Londoner for five and a half years by next September. (be)
2. By Tuesday Jill ________ these novels by O’Henry. (finish)
3. Next year is Fred and Kate’s 10th wedding anniversary. They _________ happily
married for ten years. (be)
4. Molly thinks the film _________ by the time she gets to Fred’s. (to start)
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5. They _________ the plans by then. (to finish)
6. Before his holiday Tom _______ all his money. (to spend)
7. The train _________ by the time the couple get to the station. (to leave)
8. I __________ dinner by then. (cook)
9. I _______my chemistry homework before Jillian comes home. (finish)
10. Fernando __________ his operation by August and should be much fitter. (have)
11. Before Lisa arrives, I _________ dinner. (finish)
12. Johnny ___________ this document by 7pm o’clock this afternoon. (translate)
13. Helen _______ this awesome doll by her daughter’s birthday. (make)
14. Steven ________ his lesson by tomorrow. (not/learn)
15. This test is so arduous, that I _________ it in a day’s time. (not/complete)
16. You __________ over half a thousand words when you finish this English book
(learn).
17. The commission _________ to a definite decision in a month. (come)
18. I won’t see Molly on the 1st of August since I _________ to the South by that time.
(go)
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5. finishes / have / By the time / twenty / taken / Jillian’s father / that course / he / will /
online tests.
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II. Read the text and answer the questions.
Pneumonia is an infection of the pulmonary tissue. It
affects one or both lungs and is usually caused by bacteria,
viruses, or fungi. Prior to discovery of antibiotics, one-third
of the people who developed pneumonia subsequently died
from the infection.
Pneumonia can be community acquired or hospital
acquired. Some cases of pneumonia are contracted by
breathing in small droplets that contain the organisms
causing pneumonia. These droplets get into the air when an
infected person coughs and sneezes. In other cases, pneumonia
is caused when bacteria or viruses that are normally present in the mouth, throat, or nose
accidentally enter the lungs.
During sleep it is quite common for people to aspirate secretions from the mouth, throat,
or nose. The body’s reflex response (coughing back up the secretions) and immune system will
normally prevent the aspirated organisms from causing pneumonia. However, if a person is in
a weakened condition from another illness, a severe pneumonia can develop. People with recent
viral infections, lung disease, heart disease, and swallowing problems, as well as alcoholics,
drug users, and those who have suffered from stroke or seizure are at higher risk for developing
pneumonia than the general population.
Once organisms enter the lungs, they usually settle in the air sacs of the lung where they
rapidly grow in number. This area of the lung then becomes filled with fluid and pus as the
body attempts to fight off infection.
Most people with pneumonia initially have symptoms of a cold, which are then followed
by high fever, chills, and cough with sputum production. The sputum is usually discoloured and
sometimes bloody. Patients may become short of breath. Chest pain may develop if the outer
aspects of the lung are involved. The pain is usually sharp and worsens when taking a deep
breath, known as a pleuritic pain.
Children and babies who develop pneumonia often don’t have any specific signs of a
chest infection, but develop a fever, appear quite ill, and can become lethargic. Elderly people
may also have few symptoms of pneumonia.
The compulsory method of making a diagnosis is chest X-ray. The chest X-ray presents
diffuse patches throughout the lungs or consolidation in the lobe. A sputum culture helps to
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identify a causative organism. A complete blood cell count should be done. It reveals that white
blood cells and erythrocyte sedimentation rate are elevated.
The patient should keep high-calorie, high-protein diet with small frequent meals. The
treatment includes antibiotics, bronchodilators, and mucolitic agents.
III. Are these statements true (T) or false (F)? If the statement is false, correct the statement.
1. Pneumonia is an infection of the upper respiratory tract.
2. Its causative agents are usually viruses and bacteria.
3. Pneumonia is always a hospital acquired infection.
4. Elderly people may have insignificant symptoms of infection.
5. Chest X-ray is necessary to make a diagnosis of pneumonia
IV. Ask your partner about any medical terms relating to the topic and answer his/her
questions.
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9. The treatment of pneumonia is aimed at …
10. Preventive measures are the following …
I will have been playing. – Я буду играть. We will have been waiting. – Мы будем ждать.
He will have been reading. – Он будет You will have been translating. – Вы будете
читать. переводить.
She will have been solving. – Она будет They will have been calculating. – Они будут
решать. считать.
It will have been showing. – Оно будет
показывать.
ОТРИЦАНИЕ
В отрицательном предложении мы добавим частицу not между will и have been.
I/He/She/It/We/You/They + will not have been + глагол-ing
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I will not have been playing. – Я не буду We will not have been waiting. – Мы не будем
играть. ждать.
He will not have been reading. – Он не You will not have been translating. – Вы не
будет читать. будете переводить.
She will not have been solving. – Она не They will not have been calculating. – Они не
будет решать. будут считать.
It will not have been showing. – Оно не
будет показывать.
ВОПРОС
В вопросительных предложениях мы выносим на первое место will, затем ставим
подлежащее, после него have been и основной глагол.
Will + I/he/she/it/we/you/they + have been + глагол-ing
Will I have been playing? – Я буду играть? Will we have been waiting? – Мы будем ждать?
Will he have been reading? – Он будет Will you have been translating? – Вы будете
читать? переводить?
Will she have been solving? – Она будет Will they have been calculating? – Они будут
решать? считать?
Will it have been showing? – Оно будет
показывать?
EXERCISES
I. Раскройте скобки
1. By 2020 you (not work) long enough to retire.
2. They (live) a year in Toronto by next June.
3. Children (play) in the playground for 3 hours by 6 p.m.
4. I bet, I (wait) for you at the bus stop for 15 minutes by the moment you come.
5. You (watch TV) for a long time by 11 p.m.?
6. We (walk) for 6 hours by the end of the day.
7. He (read) this book for two weeks by the end of the month.
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5. Насколько я знаю, в следующем году вы пойдете на пенсию. Сколько на тот
момент вы проработаете в компании?
6. Марк и Энн проживут там уже полгода к 1 сентября.
7. К новому году они уже будут учиться ездить на автомобиле 1 месяц.
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One of the social diseases nowadays in Russia is tuberculosis. Incidence of tuberculosis
is higher in areas with large population. Men are affected more often than women. The greatest
number of cases occurs in little children. Socially and economically disadvantaged, alcoholics,
malnourished individuals are affected more often.
Scrofula is an old-fashioned name for tuberculosis (TB). It is a bacterial infectious
disease. The disease affects the lymph nodes, especially those in the neck. Symptoms include
swelling of the glands and the development of abscesses. Tuberculosis may also affect other
organs but the most common form is pulmonary tuberculosis, which attacks the lungs.
The causative bacterium is Mycobacterium tuberculosis. It is a droplet infection which
usually passes from person to person. It is spread via airborne droplets when an infected person
coughs or sneezes. Once inhaled, the organisms implant themselves in the lungs and begin to
divide. Overcrowded living conditions provide long-term environment for the infection to
spread.
There is another way of transmission. A strain of tuberculosis affecting cattle can
transfer to their milk and infect people drinking it. In Britain pasteurization of milk kills the
bacterium but worldwide unpasteurized milk is a common source of infection.
Pulmonary tuberculosis occurs in two phases. In the primary phase the infection occurs
in different parts of the body. The victim may develop a dry cough that lasts for 3 to 4 months.
The secondary phase occurs with increasing age and/or worsening of patient’s health. At this
stage the causative bacterium is activated and attacks the lungs. Violent, frequent coughing
brings up phlegm which may be tinged with blood. Other clinical manifestations include
anorexia, weight loss, low-grade fever, chills and night sweats.
To diagnose the disease a chest X-ray is made, sputum cultures are obtained. A sputum
culture identifying Mycobacterium tuberculosis confirms the diagnosis. After the medications
are started, sputum samples are obtained again to determine the effectiveness of the therapy.
Mantoux test is the most reliable determinant of tuberculosis infection. A positive
reaction doesn’t mean that active disease is present but indicates exposure to tuberculosis or the
presence of inactive disease. Once the test result is positive, it will be positive in any future
tests. When Mantoux test is positive, a chest X-ray is necessary to rule out active tuberculosis
or to detect old healed lesions.
The reduction in overcrowding at home, improvement in hygiene and diet, the
development of antibiotics and an effective safe vaccine have reduced mortality dramatically.
However, each year new cases are reported especially in poor developing countries, as well as
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in Russia. The goal of treatment is to prevent transmission, control symptoms, and prevent
progression of the disease.
III. Are these statements true (T) or false (F)? If the statement is false, correct the statement.
1. Tuberculosis is a widespread viral infection.
2. It can affect different organs of the body.
3. Tuberculosis of the lungs is the most common form of the disease.
4. To confirm the diagnosis a sputum culture is obtained.
5. Mantoux test is a diagnostic test for tuberculosis.
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Unit 29. Sequence of Tenses
Согласование времён – это правила, по котором изменяется время глагола в
придатоточном предложении в зависимости от главного. В английском языке чаще
всего оно требуется для выражения косвенной речи, а также в выражениях,
начинающихся со слов «я думал», «ему казалось», «она понимала» и т.д.
EXERCISES
I. Продолжите предложения в косвенной речи, соблюдая правила согласования
времен.
1. She said, “I speak French.” – She said that she …
2. She said, “I am speaking French.”
3. She said, “I have spoken French.”
4. She said, “I spoke French.”
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5. She said, “I am going to speak French.”
6. She said, “I will speak French.”
7. She said, “I can speak French.”
8. She said, “I may speak French.”
9. She said, “I have to speak French.”
10. She said, “I must speak French.”
11. She said, “I should speak French.”
12. She said, “I ought to speak French.”
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5. She asks me if the flight … (has been cancelled/had been cancelled/been cancelled).
6. She asked me if the flight … (has been cancelled/had been cancelled/was cancelled).
7. Nobody knew what … (will happen/would happen/happens) next.
8. Mike said that he … (hasn’t met/didn’t meet/hadn’t met) Helen since they parted.
9. Kelly said that she … (didn’t want/doesn’t want/hadn’t wanted) to wear her hat.
10. We didn’t expect that he … (showed/will show/would show) us the film.
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caused by autoimmune diseases, dietary factors, medications, alcohol, smoking, or reflux.
Symptoms of gastritis can be related to the underlying cause. In acute gastritis, the
patient complains of abdominal discomfort, anorexia, nausea, vomiting, and possibly
hiccupping. Patients with chronic gastritis experience such symptoms as upper abdominal pain
or discomfort, anorexia, nausea, vomiting, heartburn after eating, or sour taste in the mouth.
The doctor should carefully monitor for signs of hemorrhagic gastritis like hematemesis,
tachycardia, and hypotension.
In suspected cases, a doctor usually orders gastroscopy to determine gastritis and related
conditions such as peptic ulcer and gastric cancer. It is always important that the doctor reviews
a patient’s history regarding medications, alcohol intake, smoking, and other factors that can be
associated with gastritis. In some cases, the appearance of the stomach lining seen during
gastroscopy is reliable in determining gastritis and the cause. However, the most reliable
method is doing a biopsy during gastroscopy and checking for histological characteristics of
gastritis and infection (Helicobacter infection).
The treatment usually consists of removing the irritant or the infection. Antibiotics
(Clarithromycin, Amoxicillin), proton pump inhibitors and bismuth salts may be prescribed.
In cases of acute gastritis, foods and fluids should be withheld until symptoms subside,
followed by clear liquids, and then solid food is introduced. The patient should avoid irritating
foods, fluids, and other substances such as spicy and highly seasoned foods, caffeine, alcohol,
and nicotine.
III. Are these statements true (T) or false (F)? If the statement is false, correct the statement.
1. Gastritis is an inflammation of the intestinal mucosa.
2. Symptoms of gastritis are lower abdominal pain and diarrhea.
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3. The doctor should ask the patient about dietary irregularities, medications, alcohol intake,
smoking, stress and other factors.
4. Histological characteristics and determining Helicobacter pylori infection help confirm the
diagnosis.
5. Spicy food is allowed for patients after relieving the symptoms.
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as an indurated mass of feces, a foreign body in the lumen of the appendix, parasitic infection,
fibrous disease of the bowel wall, or adhesions.
Appendicitis is usually seen in teenagers and young adults and found more frequently
in males.
The most common representation of acute appendicitis is constant pain that develops in
the right lower quadrant of the abdomen at McBurney’s point. However, initially it usually
begins as an intermittent pain in the mid abdomen that subsequently localizes in the lower right
quadrant. The patient tends to bend the knees in order to prevent tension of the abdominal
muscles and decrease the pain. The pain of acute appendicitis is aggravated by walking and
coughing.
The patient usually develops a low-grade fever, nausea, vomiting, elevated white blood
count, rebound tenderness, decreased or absent bowel sounds, and rigid abdomen. Besides, the
patient may have board-like rigidity of the abdomen.
The most common complication of appendicitis is peritonitis, inflammation of the peritoneum.
When peritonitis begins, following the rupture of the appendix, the patient may have a sudden
relief of the pain. The patient has increased fever and chills, progressive abdominal distention
and abdominal pain, tachycardia, tachypnea, restlessness.
Another complication is appendiceal abscess. Abscess usually occurs 2-6 days after the
onset of the disease. In this case, a tender mass in the lower right quadrant or pelvis will be
palpated.
In elderly patients, the abdominal findings may be absent or unimpressive, until
perforation of the appendix occurs. It may also be difficult to make a diagnosis in a pregnant
woman or an obese.
Typical findings in acute appendicitis normally occur when the appendix occupies the
iliac fossa. If the appendix extends over the pelvic brim, the abdominal signs may be minimal,
with tenderness being elicited only on rectal examination. Patients with a retrocecal appendix
may have poorly localized abdominal tenderness. If the appendix lies high and lateral, maximal
tenderness may be present in the flank. Treatment of appendicitis is appendectomy, surgical
removal of the appendix.
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4. Describe peritonitis as a complication of appendicitis.
5. When examining a patient with peritonitis, what physical findings is the doctor likely to
see?
6. When does appendiceal abscess usually occur?
7. What are the clinical findings in elderly patients?
8. How can a surgeon treat acute appendicitis?
III. Are these statements true (T) or false (F)? If the statement is false, correct the statement.
1. Appendicitis is a chronic inflammation of the appendix.
2. Constant pain develops in the right upper quadrant of the abdomen at McBurney’s point.
3. Appendicitis can be complicated by an inflammation of the peritoneal cavity.
4. In an elderly patient the symptoms of acute appendicitis are severe.
5. Conservative treatment is possible in some cases of appendicitis.
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Contents
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