Doctor Hello, Mrs. Black, isn’t it? I believe it’s your first time to this clinic.
Mrs
Yes, we’ve just moved to the area so we’re looking for a new GP.
Black
Doctor Right then. So how can I help you today?
Mrs Oh, well, I’m actually a bit worried about our daughter, Mia. She’s fifteen now. She’s always been
Black very healthy, but recently she’s gotten very thin and I’m worried that it might be anorexia.
Doctor Okay, I see. Can you tell me a little bit more about Mia?
Well, she always used to eat with the family, but lately she says she hasn’t got time to eat with us
Mrs because she’s too busy, or she takes her plate into her room and eats in there. She skips breakfast a
Black lot as well, or just has a glass of juice, a couple of bites of toast, before she’s out the door and off to
school. It all started late last year, but I’m really not sure what triggered the change.
Doctor And what about school. How’s that going?
She’s a good student, gets high marks in most exams. Her teachers have always said she’s a quiet
girl but she works hard. Now that I think of it, her Maths teacher told us at a recent parent-teacher
Mrs
interview that lately she seems to be having trouble concentrating in class. He said that she was
Black
never like that before, and he wondered if we could think of any reason why it might be happening
now.
Doctor I see.
She doesn’t have many friends, just one or two girls she’s close with. She’s always been a bit shy &
Mrs reserved. She doesn’t have a boyfriend, and we wouldn’t allow it at her age anyway. After school
Black she does ballet, which she loves, but apart from that she tends to spend a lot of her time lying
around the house, usually in her room.
Doctor Hmm, and what about her weight? You said she’d become quite thin.
Yes, she really has. I’ve tried talking to her about it, but of course she won’t tell me how much. Her
clothes don’t seem to fit her properly anymore, though. They just hang off her like sacks. She seems
Mrs
obsessed about her appearance lately too. I always catch her standing in front of the mirror. I don’t
Black
think she’s sleeping very well either. She stays up very late at night, reading or playing around on
her phone, and then of course she’ll be tired and moody in the morning.
Doctor Hmm, and what about her weight? You said she’d become quite thin.
Oh, yes, she seems to have been getting a lot of headaches lately. I can’t remember her really
Mrs having them before. And I found a box of laxatives – in her room. I even think she’s been throwing
Black up, but she denies it of course, so that’s a big concern for her father and me too. So what do you
think doctor? From what I’ve told you, do you think Mia has anorexia?
Well, without meeting Mia and assessing her, which I think I will need to do, it’s hard to make that
Doctor judgement. However, I can give you some information about anorexia, and then I think we need to
arrange for me to see your daughter sooner rather than later.
Okay, I understand. Anything you can tell me, any advice you might have, would be very helpful.
Mrs
We’ve tried talking to her, to see if she’s all right, but she’s very sensitive about it all. The moment
Black
we mention anything she gets very upset.
I know it’s difficult, but there are some options available. If we think it’s necessary, we may even
Doctor
have to consider referral to a psychiatrist.
END OF TRANSCRIPT
,Physiotherapis Ryan Henderson? Please come in and take a seat. My name’s Cathy. I understand from
t your GP that you’ve got a problem with your knee.
Hi. Yes, that’s right. It’s the left knee, just below the kneecap. I first noticed it about four
weeks ago when I’d go for a run. I’d get this sort of niggling pain which would get
Ryan
increasingly worse. It’s gotten to the point now where sometimes I even have to cut my run
short.
Physiotherapis
Hmm, I see
t
Going from a sitting to a standing position, or when I’m sitting at a desk with my knee bent,
that’s when it’s the worst. I really feel it then. It isn’t very sore at the moment, but it seems
Ryan
to get worse as the day goes on. It doesn’t wake me up when I’m sleeping or anything. It
seems to go away during the night, and I suppose that’s why it feels better in the morning.
Physiotherapis
And what about any accidents that may have contributed to the issue?
t
Well, I cut my left knee pretty badly climbing over a concrete wall when I was younger, but
Ryan that was 15 years ago or more, so I don’t think that’d have anything to do with this. Gave
me this pretty crazy scar though.
Physiotherapis
Right, okay.
t
Other than that, I’ve just had your typical sorts of injuries. I broke the little toe on my left
foot playing football when I was about 10. Ever since then I’ve had to wear shoes a size
larger. Then when I was about 25 I twisted my right ankle playing squash and actually
Ryan broke the small bone, the ah, what’s it called…ah, the fibula, but it’s been fine, haven’t had
any problems with it since. Then just last year I broke the little finger on my right hand
playing touch football. Totally unexpected that was. And, I ah, I almost forget – I got this
bursitis in my left hip.
Physiotherapis
When was that?
t
Last year, I saw one of your colleagues actually, for some physio treatment, and they said
to take a break from running, which I did for 6 months. I started doing yoga a couple of
Ryan
times a week and I did a lot of stretching. It seemed to help, so I was able to start running
again after Christmas.
Physiotherapis
But it's better now?
t
Ryan Yep, no pain in the hip. Now it’s the darn knee that’s giving me grief.
Physiotherapis Yes, well, I’ll get you to stand for me and put your full weight on your left leg. Tell me, how
t does that feel? Any pain or discomfort?
Ryan Yes, I can feel it is a bit niggly just at the front of the knee cap, and I do feel a bit of pain.
Physiotherapis
And if you do a little half squat, bend your knees and come back up, what's that like?
t
Ooh. Ow. I can feel a bit of pain in both knees actually. More in my left knee, like a sharp
Ryan pain, but there’s definitely a little ache in that right knee now as well. I’ll just try standing
on my left leg again and see what that’s like. Ow! That really hurts.
, Physiotherapis
It’s a lot worse then.
t
Ryan Definitely.
Physiotherapis Okay. I’m just going to test out the muscle strength. I want you to push your right leg out
t against me as hard as you can go.
Yep okay. It’s hard to do with my left leg, though. Like it’s weaker or something. Like I
Ryan can’t get enough power through it. That’s really strange. I hadn’t realised it was that weak
before.
Physiotherapis Well Ryan, I think I know what’s going on in your knee. It appears your kneecap is a little
t bit out of alignment.
Ryan Wow, okay. And how does that happen?
It can occur because the ligament, which we call the iliotibial band, it’s gotten a bit too
Physiotherapis tight on the outside of your thigh. And in your case I can also see that there is some minor
t swelling on the outside of your left knee, which means there’s some underlying
inflammation there.
END OF TRANSCRIPT
Finish review
ou hear a doctor talking to a patient who has been having trouble with his water.
The doctor wants to confirm if the patient
Select one:
A. has had burning when passing water.
B. has a blockage in their kidneys.
C. has high blood pressure.
Feedback
Your answer is correct.
Transcript
You can get dressed now…Well, Mr. Hartley, I think your problem is due to the fact that the
Doctor kidneys are not working as well as they should be. Have you ever had trouble with your water
before?
Yes. A couple of years ago I had burning when I passed water. The GP said I had high blood
Patient
pressure and he put me on tablets and it cleared up for a while. So what now?
Well, I want you to have some blood tests, X-rays and kidney function tests. I want you to collect
your urine for twenty-four hours. Nurse will tell you exactly how to do it. Then we’ll ask you to
Doctor
come in for an ultrasound examination of the kidneys. This is a very simple procedure to make
sure there is no obstruction.
The correct answer is: has a blockage in their kidneys.
Information
Mrs
Yes, we’ve just moved to the area so we’re looking for a new GP.
Black
Doctor Right then. So how can I help you today?
Mrs Oh, well, I’m actually a bit worried about our daughter, Mia. She’s fifteen now. She’s always been
Black very healthy, but recently she’s gotten very thin and I’m worried that it might be anorexia.
Doctor Okay, I see. Can you tell me a little bit more about Mia?
Well, she always used to eat with the family, but lately she says she hasn’t got time to eat with us
Mrs because she’s too busy, or she takes her plate into her room and eats in there. She skips breakfast a
Black lot as well, or just has a glass of juice, a couple of bites of toast, before she’s out the door and off to
school. It all started late last year, but I’m really not sure what triggered the change.
Doctor And what about school. How’s that going?
She’s a good student, gets high marks in most exams. Her teachers have always said she’s a quiet
girl but she works hard. Now that I think of it, her Maths teacher told us at a recent parent-teacher
Mrs
interview that lately she seems to be having trouble concentrating in class. He said that she was
Black
never like that before, and he wondered if we could think of any reason why it might be happening
now.
Doctor I see.
She doesn’t have many friends, just one or two girls she’s close with. She’s always been a bit shy &
Mrs reserved. She doesn’t have a boyfriend, and we wouldn’t allow it at her age anyway. After school
Black she does ballet, which she loves, but apart from that she tends to spend a lot of her time lying
around the house, usually in her room.
Doctor Hmm, and what about her weight? You said she’d become quite thin.
Yes, she really has. I’ve tried talking to her about it, but of course she won’t tell me how much. Her
clothes don’t seem to fit her properly anymore, though. They just hang off her like sacks. She seems
Mrs
obsessed about her appearance lately too. I always catch her standing in front of the mirror. I don’t
Black
think she’s sleeping very well either. She stays up very late at night, reading or playing around on
her phone, and then of course she’ll be tired and moody in the morning.
Doctor Hmm, and what about her weight? You said she’d become quite thin.
Oh, yes, she seems to have been getting a lot of headaches lately. I can’t remember her really
Mrs having them before. And I found a box of laxatives – in her room. I even think she’s been throwing
Black up, but she denies it of course, so that’s a big concern for her father and me too. So what do you
think doctor? From what I’ve told you, do you think Mia has anorexia?
Well, without meeting Mia and assessing her, which I think I will need to do, it’s hard to make that
Doctor judgement. However, I can give you some information about anorexia, and then I think we need to
arrange for me to see your daughter sooner rather than later.
Okay, I understand. Anything you can tell me, any advice you might have, would be very helpful.
Mrs
We’ve tried talking to her, to see if she’s all right, but she’s very sensitive about it all. The moment
Black
we mention anything she gets very upset.
I know it’s difficult, but there are some options available. If we think it’s necessary, we may even
Doctor
have to consider referral to a psychiatrist.
END OF TRANSCRIPT
,Physiotherapis Ryan Henderson? Please come in and take a seat. My name’s Cathy. I understand from
t your GP that you’ve got a problem with your knee.
Hi. Yes, that’s right. It’s the left knee, just below the kneecap. I first noticed it about four
weeks ago when I’d go for a run. I’d get this sort of niggling pain which would get
Ryan
increasingly worse. It’s gotten to the point now where sometimes I even have to cut my run
short.
Physiotherapis
Hmm, I see
t
Going from a sitting to a standing position, or when I’m sitting at a desk with my knee bent,
that’s when it’s the worst. I really feel it then. It isn’t very sore at the moment, but it seems
Ryan
to get worse as the day goes on. It doesn’t wake me up when I’m sleeping or anything. It
seems to go away during the night, and I suppose that’s why it feels better in the morning.
Physiotherapis
And what about any accidents that may have contributed to the issue?
t
Well, I cut my left knee pretty badly climbing over a concrete wall when I was younger, but
Ryan that was 15 years ago or more, so I don’t think that’d have anything to do with this. Gave
me this pretty crazy scar though.
Physiotherapis
Right, okay.
t
Other than that, I’ve just had your typical sorts of injuries. I broke the little toe on my left
foot playing football when I was about 10. Ever since then I’ve had to wear shoes a size
larger. Then when I was about 25 I twisted my right ankle playing squash and actually
Ryan broke the small bone, the ah, what’s it called…ah, the fibula, but it’s been fine, haven’t had
any problems with it since. Then just last year I broke the little finger on my right hand
playing touch football. Totally unexpected that was. And, I ah, I almost forget – I got this
bursitis in my left hip.
Physiotherapis
When was that?
t
Last year, I saw one of your colleagues actually, for some physio treatment, and they said
to take a break from running, which I did for 6 months. I started doing yoga a couple of
Ryan
times a week and I did a lot of stretching. It seemed to help, so I was able to start running
again after Christmas.
Physiotherapis
But it's better now?
t
Ryan Yep, no pain in the hip. Now it’s the darn knee that’s giving me grief.
Physiotherapis Yes, well, I’ll get you to stand for me and put your full weight on your left leg. Tell me, how
t does that feel? Any pain or discomfort?
Ryan Yes, I can feel it is a bit niggly just at the front of the knee cap, and I do feel a bit of pain.
Physiotherapis
And if you do a little half squat, bend your knees and come back up, what's that like?
t
Ooh. Ow. I can feel a bit of pain in both knees actually. More in my left knee, like a sharp
Ryan pain, but there’s definitely a little ache in that right knee now as well. I’ll just try standing
on my left leg again and see what that’s like. Ow! That really hurts.
, Physiotherapis
It’s a lot worse then.
t
Ryan Definitely.
Physiotherapis Okay. I’m just going to test out the muscle strength. I want you to push your right leg out
t against me as hard as you can go.
Yep okay. It’s hard to do with my left leg, though. Like it’s weaker or something. Like I
Ryan can’t get enough power through it. That’s really strange. I hadn’t realised it was that weak
before.
Physiotherapis Well Ryan, I think I know what’s going on in your knee. It appears your kneecap is a little
t bit out of alignment.
Ryan Wow, okay. And how does that happen?
It can occur because the ligament, which we call the iliotibial band, it’s gotten a bit too
Physiotherapis tight on the outside of your thigh. And in your case I can also see that there is some minor
t swelling on the outside of your left knee, which means there’s some underlying
inflammation there.
END OF TRANSCRIPT
Finish review
ou hear a doctor talking to a patient who has been having trouble with his water.
The doctor wants to confirm if the patient
Select one:
A. has had burning when passing water.
B. has a blockage in their kidneys.
C. has high blood pressure.
Feedback
Your answer is correct.
Transcript
You can get dressed now…Well, Mr. Hartley, I think your problem is due to the fact that the
Doctor kidneys are not working as well as they should be. Have you ever had trouble with your water
before?
Yes. A couple of years ago I had burning when I passed water. The GP said I had high blood
Patient
pressure and he put me on tablets and it cleared up for a while. So what now?
Well, I want you to have some blood tests, X-rays and kidney function tests. I want you to collect
your urine for twenty-four hours. Nurse will tell you exactly how to do it. Then we’ll ask you to
Doctor
come in for an ultrasound examination of the kidneys. This is a very simple procedure to make
sure there is no obstruction.
The correct answer is: has a blockage in their kidneys.
Information
