2A PART A CONSULTATION WITH JOHN SCOTT

1. Reason for patient visit

 _________________________________________________

2. Patient’s symptoms (including reasons for parent’s concern) (5)

 _________________________________________________

 _________________________________________________

 _________________________________________________

 _________________________________________________

 _________________________________________________

3. Medical History
a) General medical history (4)
 _________________________________________________
 _________________________________________________
 __________________________________________________
 __________________________________________________

b) Family history (3)

 _________________________________________________
 _________________________________________________
 __________________________________________________

4. Additional relevant information (including child’s social development) (2)

 _________________________________________________
 _________________________________________________

5. Observations. Diagnosis. Management

a) Observations (4)
 _________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________

b) Diagnosis (Including likely mode of transmission) (2)

 _________________________________________________
 _________________________________________________

c) Management of Condition (4)

 _________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
6. Further advice on treatment and management of condition (5)
 _________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________

7. Future arrangement (3)

 _________________________________________________
 _________________________________________________
 _________________________________________________

THIS IS THE END OF PART A

 2B PART B TALK ON ALZHEIMER’S DISEASE
Question 1 has been done for you
1. What community needs are met by the Alzheimer’s association?
Need to understand dementia and Alzheimer’s affect on the community
2. The speaker outlines the aims of the Alzheimer’s Assoication
a) List three of these aims (3)
 _________________________________________________
 _________________________________________________
 _________________________________________________

b) Is Alzheimer’s disease curable? What can be done for Alzheimer’s

sufferers? (2)
 _________________________________________________
 _________________________________________________
3. The speaker now talks about the establishment and activities of the
Alzheimer’s Association
a) when was the association formed? Supply the missing details below:
US and England __________________________________________
Australia ________________________________________________

b) Who were the original members of the Alzheimer’s Association? (1)

 _________________________________________________

c) what was the role of the early support groups? (1)

 _________________________________________________

d) Why do the Associations in each state differ from one another? (1)
 _________________________________________________

e) What is one of the roles of the national organization, Alzheimer’s

Association Australia? (1)
 _________________________________________________

f) What was the main problem identified by the Australian government’s

investigation into aged care reform in 1988? (1)

 _________________________________________________

g) Hoe is the Alzheimer’s association involved in the Government’s national

action plan for dementia care? (1)

 _________________________________________________

4. The speaker now discusses Alzheimer’s disease and dementia.

a) Complete the following statement to explain the difference between them:

Alzheimer’s is
 _________________________________________________
while dementia is
 _________________________________________________
b) When was Alzheimer’s first documented? (1)
 _________________________________________________

c) What three clinical indications of Alzheimer’s disease in the brain of

a sufferer are mentioned by the speaker?

 _________________________________________________
 _________________________________________________
 _________________________________________________

5. The speaker now discusses dementia and its effects in disturbing cortical
function (conscious mind).
a) How is dementia described by the speaker?
 _________________________________________________

b) the speaker mentions a number of the symptoms of dementia

caused by the disturbance of cortical function. List four of them
 _________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________

6. The main causes of dementia in Australia and the risk factors are not
discussed.
a) What proportion of dementia in Australia is caused by
Alzheimer’s ?___________________________________________
Multiple Infarct? ________________________________________

b) What proportion of dementia cases is affected by both?

 _________________________________________________

c) what is the common risk factor for multiple infarct dementia and
Alzheimer’s?
 _________________________________________________

d) List the two other risk factors for Alzheimer’s

 _________________________________________________
 _________________________________________________

e) List the two other risk factors for multiple infarct dementia
 _________________________________________________
 _________________________________________________

7. The incidence of dementia in Australia is now considered.

a) What is the present incidence of dementia in Australia in the
following age groups?
65 years and below
 _________________________________________________

80 years and over

 _________________________________________________
 b) what is the main problem in the care of dementia sufferers
identified by the speaker?
 _________________________________________________

c) List three of the behavioural signs and symptoms mentioned:

 _________________________________________________
 _________________________________________________
 _________________________________________________

8. The speaker now considers the management of dementia.

a) What is the aim of managing the disease process, according
to the speaker? (1)
 _________________________________________________

b) The Alzheimer Association’s approach to dementia care is

described as Holistic. What particular aspects of the sufferer’s
situation are considered in care management under each of
the following headings? (3)
 _________________________________________________
 _________________________________________________
 _________________________________________________

8. The speaker now discusses the Assocation’s educational work

a) What information is given on programs for the following
groups of people?
Family carers (2)
 _________________________________________________
 _________________________________________________

Professionals (2)
 _________________________________________________
 _________________________________________________

a) What are the functions of the small groups? (2)

 _________________________________________________
 _________________________________________________

10. The speaker continues to talk about the services provided by the Association
a) what information is provided about the following services?
Telephone information service: (1)
 _________________________________________________

Counselling service: (1)

 _________________________________________________

b) List three other services provided by the Association. (3)

 _________________________________________________
 _________________________________________________
 _________________________________________________

THIS IS THE END OF THE LISTENING TEST