医療英語　リスニング

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• I'm doing alright.
  a:That's not good.
  b: Okay. Now, I'll check your vital signs.
  c: Your blood pressure is high.

  b
  まあまあ
• Same as usual.
  a: Sure. Then, I'll take your temperature and blood pressure.
  b: I think you need to see a doctor.
  c: That's not good.

  a
  変わりない
• I have a bit of a sore throat, and I'm also coughing.
  a: Have you taken your temperature?
  b: Is this your usual blood pressure?
  c: Good to hear that.

  a
  少し喉が痛い
  咳もある
• I have a runny nose and a sore throat.
  a: Okay. Let me check your blood sugar.
  b: Have you ever had surgery?
  c: Since when have you had those symptoms?

  c
  鼻水と喉の痛み
• I had a fever of 37.8℃ this morning.
  a: Got it. Did you check your temperature today?
  b: Got it. Please wait here.
  c: I apologize for that.

  b
  今朝の熱が37.８℃
• I've had a headache and a fever since last night. It was 37.8°C yesterday, and it went up to 38°C this morning.
  a: Since when have you had those symptoms?
  b: So, you haven't had a fever?
  c: I understand. Have you taken any medicine?

  c
  昨夜から頭痛と発熱
  昨日は37.８℃
  今朝は３８℃に上がっていた
• I get a rash from alcohol.
  a: Got it. I won't use the alcohol swab.
  b: I'm sorry about that.
  c: Have you ever undergone surgery?

  a
  アルコールでかぶれる
• I have a reaction to rubbing alcohol.
  a: Good to hear that.
  b: Got it. When did you start expressing those symptoms?
  c: Understood. I'll use a non-alcoholic disinfectant.

  c
  アルコールでかぶれる
• I usually feel sick when I get my blood test.
  a: Let's skip the blood draw for today.
  b: Okay. I'll use a non-alcoholic swab.
  c: Understood. Let's do the blood draw while you're lying down.

  c
  採血で気分が悪くなる
• I tend to feel faint during blood test.
  a: It seems like you haven't had a fever.
  b: Okay. You can lie down for the procedure.
  c: Understood. Have you taken any medicine?

  b
  採血で気分が悪くなる feel faint: 気が遠くなる
• I often get dizzy when having my blood test.
  a: Understood. We can do it while you're lying down.
  b: We'll postpone the blood drew for today.
  c: Got it. I won't use the alcohol swab.

  a
  採血で目眩になる dizzy:めまい
• I'm feeling a bit unwell.
  a: Oh, you can lie down here.
  b: Please use that exit.
  c: You haven't had a fever?

  a
  気分が悪くなった
• I've had asthma since I was a child, and I take inhaler every day.
  a: The patient has a prior history of steroid-induced anaphylaxis.
  b: This patient has a history of asthma and is currently undergoing medication treatment.
  c: This patient is undergoing treatment for diabetes.

  b
  喘息持ち
  吸入薬使用中 吸入薬：inhaler, inhaled medication
• I'm allergic to eggs. And And I've had an allergic reaction to over-the-counter cold medicine before, but I don't remember the name.
  【Drへの報告】
  a: She has allergies to eggs and wheat.Caution is needed when prescribing medication.
  b: She has an egg allergy. She also said she’s had an allergic reaction to over-the-counter cold medicine before.
  c: She has an egg allergy, but she says she hasn't had any drug allergies.

  b
  卵アレルギー
  市販の風邪薬でのアレルギー経験あり 鶏卵を原料とした「リゾチーム塩酸塩」が炎症を抑える酵素として薬で使用されていることがある。
  病院で処方されることはなくなったが、薬局で買える市販薬（風邪薬、咳止め、トローチ、点眼薬、歯痛の薬など）にはまだ含まれていることがある。
• I think this medicine makes me feel nauseous.
  a: Understood. I'll let your doctor know.
  b: It's unlikely to cause side effects.
  c: Okay. Let's start the IV now.

  a
  薬で吐き気が出る nauseous: 吐き気
  feel nauseous: 吐き気が出る
• I've had a cough since three days ago, and it's getting worse. I'm also having trouble breathing.
  【Drへの報告】
  a:He complained of dyspnea three days ago, but his condition has since improved.
  b: He is complaining of nausea and dizziness.
  c: He has had a persistent cough for the past three days and is now experiencing dyspnea.

  c
  3日前から咳があり増悪している
  呼吸困難あり
• I have high blood pressure and take medication for it.
  a: It's unlikely to cause side effects.
  b: Do you have anything that shows the medication you're currently taking?
  c: Got it. I'll start your IV now.

  c
  高血圧
  薬を飲んでいる
• What’s bad about having hypertension?'m living a normal life right now.
  a: It increases the risk of stroke, heart disease, and other serious condition.
  b: Make sure to take your inhaler every day.
  c. It will be over quickly.

  a
  高血圧のリスク hypertension: 高血圧症（専門用語）
  stroke: 脳卒中
  heart disease: 心疾患
  
  ↔︎低血圧症：hypotension
  
• I've had a stomachache since the day before yesterday, and I have no appetite. I can drink water, though.
  【Drへの報告】
  a: He has had intermittent gastrodynia for the past month and has been experiencing a loss of appetite.
  b: He hasn't been able to take in much fluid since the day before yesterday, so there is a possibility of dehydration.
  c: He developed abdominal pain two days ago, and his anorexia has continued. He is still able to take in fluids.
  

  c
  一昨日（2日前）からの腹痛と食欲不振
  水分摂取できている gastrodynia: 胃痛
  stomachache: 腹痛（一般）
  abdominal pain: 腹痛（医）
  for the past month: ひと月前から
  loss of appetite: 食欲不振（一般）
  anorexia: 食欲不振（医）
  fluid: 水分
  dehydration: 脱水
  
• I just started an IV, but the area where the needle was inserted hurts and has become red and swollen.
  
  a: You're right. I will stop the IV and remove the needle.
  b: You're right. But there is no blood backflow, so it's fine as it is.
  c: You're right. I'll slow down the infusion rate.

  a
  点滴刺入部の疼痛、発赤、腫脹
  点滴を中止し抜針
• A diabetic patient undergoing insulin therapy reports the following.
  I'm sweating cold, feeling anxious, and my hands are trembling.
  What condition is the patient most likely experiencing?
  
  a: hypothermia
  b: convulsion
  c: hypoglycemia

  c
  冷汗、不安感、手指の振え
  →低血糖 be sweating cold: 冷や汗をかく
  cold sweat: 冷汗
  anxious: 不安感
  be trembling: 振える
  tremor: 振戦、ふるえ
• Mr. Martin is a 65-year-old man with a pacemaker implanted due to bradyarrhythmia.
  
  Which of the following is contraindicated for this patient?
  a: CT
  b: MRI
  c: Ultrasound examination
  

  b
  ペースメーカー装着中→MRIは禁忌
• Ms. Carter is a 25-year-old woman, currently 8 weeks pregnant, with an uncomplicated pregnancy. She made the following complaint.
  I feel nauseated and can’t eat much. Just the smell of toast makes me sick.
  
  Which of the following is the most appropriate advice for her?
  a: Try to maintain a balanced diet.
  b: Eat small amounts at a time and increase the number of meals.
  c: Actively consume high-calorie foods.
  第102回 午前112問

  b
  1回量を少なくして食べる回数を増やす。
• Ms. Lee is 27 years old and currently 7 weeks pregnant, with an uncomplicated pregnancy. She made the following complaint
  Recently, I’ve been urinating frequently and going to the bathroom more often. When I’m out or driving, I end up holding it in.
  
  Which of the following is the most appropriate advice for her?
  a: Actively consume calcium and vitamin B1.
  b: Check the location of restrooms in advance when going out.
  c: Actively consume dietary fiber and try to establish a morning bathroom routine.
  第95回 午前132問

  b
  頻尿は、尿意はがまんせず、外陰部の清潔に努め、外出時にはトイレの場所を確認しておくように指導する。

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