English for nursing docx

English for nursing
1
CONTENTS
No NAME OF THE LESSON PAGE
INTRODUCTION 2
UNIT 1 STRESS 4
UNIT 2 DRUG INSTRUCTIONS 13
REVISION UNIT 1 & UNIT 2 21
UNIT 3 CANCER 24
STOP AND CHECK 1 32
UNIT 4 HEALTH PROBLEMS 38
UNIT 5 MEDICINES 46
UNIT 6 STAYING HEALTHY 53
STOP AND CHECK 2 62
GLOSSARY 66
REFERENCES 82
INTRODUCTION
Contrary to popular belief, pharmacy is not limited to counting and dispensing pills. Pharmacy is a
rewarding profession in the health care system that involves working closely with doctors and patients. No
matter what health field you step into, there will always be a need for pharmacists. They provide their
expertise on the composition, use, and manufacturing of a drug, as well as its physiological and chemical
interactions. Pharmacy offers flexible work schedules, a broad spectrum of opportunities, direct patient
contact, and top salaries right out of college!
Pharmacists not only educate consumers on medication use, but also monitor their patient's health
to ensure that the patient is getting the full benefits of the drug. Pharmacists also advise doctors and other
health care professionals on making wise medication decisions. In fact, pharmacists are consistently
ranked as one of the most trusted professions for the services they render.
Due to the rapid growth of the health care system, the increasing elderly population, and the
burgeoning pharmaceutical and biotech industry, there is unprecedented demand for pharmacists today.
Although most of us are familiar with our neighborhood retail pharmacy chains such as Walgreens,
Long's, or RiteAid, many are unaware of the other exciting opportunities in the pharmacy field such as:

• Hospital Pharmacy - Staff Pharmacist, Clinical Pharmacist, Pharmacy Adminstrator
• Pharmacy Consultant - Home Health Care, Long-Term Care Facilities, Internet Consultant
• Pharmaceutical Industry - Research and Development, Manufacturing, Pharmacogenomics
• Government Agencies - Hospice and Home Care, Public Health Services, FDA inspector
• College and Universities - Professor/Lecturer
• Medical and Scientific Publishing - Editor-in-Chief, Science Writer
• Nuclear Pharmacy - Chemotherapy pharmacist
• Law - Retail Pharmacy/Pharmaceutical Company Attorney
As you can see, the pharmacy profession is not as dull or limited as most think. It is this latitude that
makes pharmacy so appealing; when you're bored with one field, you can enter a different aspect of
pharmacy with ease! In fact, most pharmacy students go on to earn an MBA degree, a RPH degree, and
even a JD to become a pharmacy attorney! For more information on what you can do with a Pharm.D.
degree, check out this site at Pfizer.
The degree you receive from pharmacy school is a doctors degree (Pharm.D.), which requires four
years of schooling like other professional schools. However, the pharmacy program can be a 2+4 year
program! You can apply to pharmacy school as soon as you finish all the prerequisities, meaning that you
do not need a college degree to enter.
In addition to wide variety of pharmacy professions you can choose from, there are some other perks
in pharmacy. Due to the high demand for pharmacists, the starting salary for a retail pharmacist is $86,000
a year, with benefits! For those of you who are concerned about raising a family, the pharmacy profession
is quite flexible with time. Most pharmacy professions allow the pharmacist to set their own schedules and
vacation dates, giving them time to spend with their family and friends.
Thus, pharmacy is more than just counting pills. Its an important and trustworthy occupation that
reaches into almost all aspects of medicine and healthcare. From direct patient care and guidance to the
2
forefront of pharmaceutical research, pharmacy caters to many fields. Most importantly, the pharmacist's
role in society is to promote the well-being of their patients.
UNIT 1: STRESS
SECTION 1: READING COMPREHENSION
Maria is a single mother who often feels stressed. She is a computer programmer with a

thirteen-year-old son. At work, she sits in front of a computer for most of the day. While sitting at
work, her lower back often hurts and her eyes get tired from looking at the computer for long
periods.
During her lunch break, she enjoys taking a walk with a couple of friends. She enjoys the
fresh air and talking with her friends. For lunch, she usually eats something light like a salad and
fruit. At work, she drinks water instead of coffee or soda.
She worries about her son since she cannot be there when he arrives home from school.
She also worries about not having enough money to pay the bills.
Maria suffers from migraine headaches. When this happens, she feels severe pain on both
sides of her head, loses her appetite, feels nauseous, and sometimes even vomits. She can feel this
way of three or four days.
Maria has high blood pressure. High blood pressure is when the heart works harder to
pump blood through the arteries. Maria watches her weight and takes medicine for this disease.
She realizes she must be concerned about her high blood pressure otherwise, she could have a
heart attack, stroke, or suffer from kidney disorders.
Maria realizes that she needs to manage her stress. Therefore, she walks with her friends
during the week. On weekends, she often goes riding with her son. She knows she needs to eat a
sensible diet to maintain the energy needed to cope with her stress.
She sets her priorities to avoid unnecessary time pressures. In the evenings, she does stretching
exercises. Then she relaxes in a warm bath before going to bed. Maria tries to get eight hours of
sleep a night.
Questions and Answers:
Use the story on Stress to answer the following questions:
1. What does Maria drink at work?
………………………………………………………………………………
2. Name two reasons why Maria feels stressed.
………………………………………………………………………………
3. How does Maria feel when she has a migraine headache?
………………………………………………………………………………
4. What is high blood pressure?

………………………………………………………………………………
5. List three health problems that high blood pressure can cause
………………………………………………………………………………
6. List three things that Maria does to manage her stress
………………………………………………………………………………
7. What are couple of things you do to manage your stress?
………………………………………………………………………………
SECTION 2: GRAMMAR: Review:
+ Demonstrative adjectives.
+ Possessive adjectives.
+ Present simple tense.
SECTION 3: SPEAKING
A. Work in pairs: Discuss what we should do and shouldn’t do to avoid stress in everyday
life:
Things we should do Things we shouldn’t do
3
B. Polite requests:
Positive: Verb, please!
Will/Would + S + V
0
, please?
Would you mind + V-ing, please?
Ex: Command: Come in
Polite request: Come in, please!
Will you come in, please?
Would you come in, please?
Would you mind standing up, please?
Negative: Don’t + V
0
Ex: Don’t sit down!

Patients in hospital are usually anxious and fearful. It is important that staff put them at
their ease, by being polite and pleasant. The following drills teach you polite forms in English.
Drill : Change these commands to polite requests. Be careful to make your voice rise and fall
correctly:
Command: Sit down/Turn over/Bend down/Turn round/Lie down.
Move your head/Lift your leg/Put out your tongue
Arch your back/ Bend your knees/Wriggle your fingers
Take your shirt off /Keep your mouth open/Keep your eyes shut
C. Our bodies give us signs to show us that we are sick.
These signs are called symptoms. Here are some common symptoms
Class discussion:
I have got
I get + a/an + noun
I can’t + verb
I feel + adjective
Ex: I get chest pains after running.
I’ve got a sore throat.
I feel nauseous.
I can’t breathe properly.
Practice: How can you say when you get sick?
allergy backache sneeze red eyes
cough dizzy sore throat runny nose
earache flu stiff neck diarrhea
headache indigestion stomachache toothache
laryngitis nauseous cold fever
SECTION 4: PRACTICE
I/ Choose “my, your, his, her, its, our, or their” to complete the sentences:
1. Ann has three children. ………….children like to read books.
2. I have a sister. ………….sister is younger than I am.
3. The children have new toys. ………… toys are nearby.

4. You have five fish………….fish is pretty.
5. We have a dog………… dog is big.
6. Dick has five cousins…………….cousins live in Mexico.
7. Tell Miss Smith to raise……………right arm.
8. I have had a new blouse. ……… color is white.
9. I have a new telephone. number is (055) 677078.
4
10. You have long hair is pretty.
II/ Choose am, is, are to complete the sentences:
1. Susan…………….infected with the virus.
2. There…………… no cure for AIDS.
3. A hospice………….a special home.
4. There………….several doctors in the clinic.
5. I…………….very tired.
6. Mary and Brown………………… dentists.
7. My brother ……………………walking to the store.
8. They …………….eating a healthy snack.
9. My parents……… riding their bicycles.
10. Henry and I …………….going to the movies.
III/ Complete the sentences using one of the words in the parentheses:
1. (That/ Those)……………………………… children are happy.
2. (This/ These) …………………………………fence is tall.
3. (This/ These)……………………………………gate is locked.
4. (That/ Those)…………………………………… boy runs fast.
5. (This/ These)……………………………………accidents need to stop!
IV/ A. Sylvia has a cold. What symptoms could she have? Tick them
1. She has got a sore throat 
2. She has got a toothache 
3. She has got a runny nose 
4. She’s got a cough 

5. She feels nauseous 
6. She has got a rash 
B. Peter’s doctor says he has food poisoning. What could his symptoms be? Tick them
1. He has got a sore throat 
2. He feels nauseous 
3. He has diarrhea 
4. He cannot breathe properly 
5. He has itchy skin 
6. He has a pain in his stomach 
C. Match the names of the diseases with their symptoms:
1. A fever a. You have a pain in your head.
2. Stomachache b. You sneeze frequently, have a sore throat and cough.
3. Nausea c. The body temperature is higher than normal.
4. Toothache . You feel like vomiting.
5. A cold e. You have a pain in or near your stomach.
6. Headache f. You have a pain in your teeth or one tooth.
V/ Write the plural form for each noun:
1.baby 11.child
2.tomato 12.man
3.dish 13.woman
4.box 14.tooth
5.knife 15.foot
6.body 16. mouse
7.key 17.goose
8.radio 18. fish
9.match 19. sheep
5
10. hobby 20. deer
VI/ Put the verbs in brackets into the simple present tense:
1. She (not/work) in the X – ray department.

2. He usually (study) hard.
3. you (finish) at 12 o’clock?
4. Miss Thanh always (help) the other nurses.
5. The bus (stop) outside the main gate.
6. Your eyes (hurt) ?
7. Your head (hurt) ?
8. I (want) to attend lectures.
9. she (study) hard?
10. The late shift (not/finish) at 10 p.m.
VII/ Write sentences with the following frequency adverbs:
Always 1………………………………………………………………
Usually 2………………………………………………………………
Often 3………………………………………………………………
Sometimes 4.………………………………………………………………
Seldom 5………………………………………………………………
Rarely 6.……………………………………………………………
Never 7………………………………………………………………
VIII/ Use each verb once to fill in the blank:
cries
pushes
kisses
teaches
worries
pays
eats
studies
drinks
watches
1. Maria………………………………………………… a lot of water.
2. Susan………………………………………………………… the bills.

3. Jose……………………………………. his children about fire safety.
4. Jim……………………………about his mother who is in the hospital.
5. She………………………………her math everyday.
6. The baby……………………………… when he is hungry.
7. Silvia …………………………………………fruit for a snack.
8. Armando……………………………………his weight.
9. Marta ………………………… her grandmother in the wheelchair.
10. Jack…………………………his children before they go to school.
IX/ Choose have, has, do, does, go or goes to complete the sentences:
1. Mark…………………………………….high blood pressure.
2. Nancy………………………………… to work at eight o’clock.
3. Tom…………………………………… his homework in the evening.
4. She…………………………………… to the grocery store on Mondays.
5. Jay and Kim……………………………their exercises in the morning.
6. Luis and I…………………………to high school.
7. I……………a pain in my chest.
X/ Choose at, in or on to complete the sentences:
1. I was born…………….1948.
6
2. I live ………….Quang Trung street.
3 ……………… Wednesday I go to the dentist.
4. She was born……………August 7, 1952.
5. The baby sleeps……………night.
6. My class begins………….9.30 a.m.
7. We live ……… 21 Hung Vuong street.
8. They live ………….Quang Ngai city.
XI/ Put in the correct word from this list: off, to, back, in, on, down, by, up, round, from,
with, in, to, of:
1. Ask the patient to come……………… and sit………………
2. Ask the patient to stand……………….and turn……………

3. Will you lie……………… on the couch, please?
4. Would you roll………………your sleeve?
5. Ask Mr. Smith to take……………… his coat.
6. Bend…………… and touch your toes, please?
7. Take………………… your trousers, please?
8. Will you put………….your clothes, please?
9. Come………… next week, please.
10. She was taken…………….hospital.
11. He suffered…………………bad headaches.
12. I have a pain……….my back.
13. What’s wrong……………you?
14. He died……………….cancer.
XII/ Choose a, an, some to complete the sentences:
1. Here are……………… oranges.
2. They left…………….hour ago.
3 ………………….of her friends have high blood pressure.
4. During her lunch break she takes………… walk with her friends.
5. There are……………children still at school.
7
UNIT 2: DRUG INSTRUCTIONS
SECTION 1: READING COMPREHENSION
Read the passage about Jane and answer the questions:
Jane works as a nurse in a surgical ward in a London hospital. She does shift work, so she
does not go to work at the same time every day. But now she is a student nurse at Saint Peter’s
Hospital. She is still training. She is learning to nurse patients suffering from diseases such as
cardiac infraction, cerebral hemorrhage, cerebral thrombosis and pneumonia. Now, she is helping
a staff nurse to give injections. The staff nurse is explaining to her the doses, action and side
effects of the drugs they are administering.
The other nurses in the ward are carrying out various nursing duties. Some are doing bed-
baths, one is helping a patient to get out of bed, and another is taking a patient’s temperature. A

doctor is doing a ward round and a physiotherapist is helping a pneumonia-patient to do deep-
breathing exercises.
Questions:
1. What does Jane do?

2. Where does she work?

3. Does she go to work at the same time every day?

4. Where is she training?

5. Whom is she learning to nurse?

6. What is she doing at the moment?

7. What are the other nurses doing?

8. Is there a doctor in the ward?

9. What is a pneumonia-patient doing?

SECTION 2: GRAMMAR: Review: + Genitive cases.
+ The present continuous tense.
A. Find examples of the present simple and present continuous tenses in the passage.
B. Which tense describes:
. something that happens regularly or every day?
. something that is happening now or at the moment?
C. Can you make -ING forms of verbs?
Column A Column B
THI ITING

WA TTING
CLE ATING
TAL NKING
SI ANING
E SHING
CO KING
WA OKING
8
DRY ING
SIN GING
D. Choose the correct form:
1. I go/ am going to work now. Goodbye!
2. I read/ am reading a book about astrology.
3. I read/ am reading many books every year.
4. We go/ are going to a party every Saturday.
5. Nurses look/ are looking after people in hospital.
6. Annie comes/ is coming from Ireland.
7. She comes/ is coming for dinner this evening.
8. I speak/ am speaking four languages.
9. Do you want / Are you wanting to go out tonight?
10. It often rains/ is raining a lot in winter.
E. Complete this conversation with the sentences given below:
Yes, he is. He loves it 
No, I’m not. I am living in Honolulu now 
Yes, we are. We really love San Francisco 
Yes, I do. I like it a lot. 
No, they aren’t. They’re living in New York these days. 
Chris: Are you still living in San Francisco, Philip?
Philip: (1)……………………………………………………………………
Chris: Wow! Do you like it?

Philip: (2)………………………………………………………………………
Chris: And is your brother still working in Hong Kong?
Philip: (3)……………………………………………………………………
Chris: And how about your parents? Are they still living in Florida?
Philip: (4)…………………………………………………………………
How about you and your family, Chris? Are you still living here?
Chris: (5)…………………………………………………………………
SECTION 3: SPEAKING:
1. Number the instructions in order from 1 to 5:
A. Follow the instructions.
B. Check that you’re taking the right dosage.
C. Take three times daily.
D. Keep out of reach of children.
E. Remember to shake the bottle first.
2. Read the leaflet on taking medicine and circle the instruction words:
IMPORTANT THINGS TO REMEMBER WHEN TAKING MEDICINE
Medicine improves the lives of thousands of Australians every day, but they can be harmful if
not used as intended. To avoid this, talk to your doctor and pharmacist about your health and
about your medicine will work.
A. Make sure you understand how to take your medicine.
B. Ask your doctor or pharmacist about possible – effects.
C. Check, whether there are any precautions, you should take when using medicine, such as
not drinking alcohol.
D. Tell your doctor or pharmacist about any problems you have had with taking the
medicine, and any adverse effects it has caused.
SECTION 4: PRACTICE:
I/ Write the correct possessive word in the blank:
9
Article Possessor +‘s Thing possessed
The doctor’s room

The thing possessed may be omitted if it refers to a house, shop, church,…
Ex: I am going to the doctor’s
1. (Sue’s, Mark’s )…………………………dress is in the suitcase.
2. My (mother’s, father’s)………………name is Bill.
3. The students have books. The (student’s, students’)……books are new.
4. (Silvia’s, Alan’s)………….stroke left her paralyzed on one side.
5. My friend has an apartment. My (friend’s, friends’) apartment is big.
6. My ( parent’s, parents’) ………… name are Maria and Tim.
II/ Make changes to produce correct sentences in Present Continuous:
1. She / write / letter / her / friend / now
……………………………………………………………………………
2. We / find / key / open / the / door.
………………………………………………………………………………
3. What / they/ do / my / garden?
……………………………………………………………………………….
4. Please / keep silent / president / talk.
…………………………………………………………………………………
5. The boys / play / football / stadium
……………………………………………………………………………
6. My mother / cook / dinner / while / father / cut / grass.
…………………………………………………………………………………
7. John / wait / for / bus / go / to / school
…………………………………………………………………………………
8. You / talk / about / my sister?
…………………………………………………………………………………
9. The children / sleep / well / upstairs.
…………………………………………………………………………………
10. They / prepare / for / the party.
…………………………………………………………………………………
III/ Put the verb in the brackets into Simple Present or Present Continuous:

1. Mr. Green always (go) to work by bus.
………………………………………………………………………
2. It (not/ rain) in the dry season.
…………………………………………………………………………
3. They (have) lunch in the cafeteria now.
……………………………………………………………………….
4. My little sister (drink) milk every day.
………………………………………………………………………….
5. The doctor sometimes (return) home late.
………………………………………………………………………….
6. He (write) a long novel at present?
…………………………………………………………………………….
7. Look! The bus (come)
…………………………………………………………………………………
8. The earth (move) around the sun.
………………………………………………………………………………….
9. I (feel) hungry now.
………………………………………………………………………………….
10. They often (thank) me for what I do for them.
10
………………………………………………………………………………
IV/ Choose the best answer:
1. Pharmacists are………………………….at a college of pharmacy.
A. studied B. trained C. learned D. done
2. We should have a ………………………examination every 6 months.
A. medicine B. medicate C. medical D. medicinal
3. I want to buy some aspirins. Let’s go to the pharmacy.
A. department store B. drugstore C. clothing store D. bookstore
4. You have…………… sore throat. Take……… three tablets……… day.
A. - / - / a B. a / - / a C. a / the / a D. a /a / -

5. Blood………and X – ray are ways to discover the cause of some illnesses.
A. checks B. tests C. exams D. diagnosis
6. ……………………are used for curing diseases.
A. Vaccines B. Vitamins C. Drugs D. Machines
7. You have a toothache. Why don’t you go to see a………………….?
A. pharmacist B. physician C. chemist D. dentist
8. People try to avoid getting sick by…… properly, exercising and relaxing.
A. eat B. eating C. eaten D. ate
9. Women ………….keep a healthy lifestyle to avoid cardiovascular disease.
A. have to B. has to C. must D. A & C
10. Vegetables should be carefully washed whether eaten fresh………cooked.
A. but also B. or C. not only D. if
SECTION 5: FURTHER PRACTICE:
Read the following drug instructions and check whether the statements are True (T) or
False (F):
Purity Mouthwash
Directions for use
Put a teaspoonful of Purity Mouthwash into a
small cup and wash out your mouth for one
minute twice daily. This mouthwash is
especially useful for a sore throat or for a bad
breath.
Note: If you use this mouthwash, your tongue
and teeth may become slightly yellow.
However, you can usually prevent this if you
brush your teeth firstly.
Warning: Do not swallow the mouthwash. Do
not let children play with it

Diotum

For stomachache
Take the tablets every 4 hours. They can cure
your stomachache in a few hours.
Adults: two tablets each time
Children from 6 to 12 years old: one tablet each
time.
Chew the tablets and swallow them with water.
Do this for 12 hours after your stomachache
has disappeared. This prevents your
stomachache from returning. If your
stomachache does not improve, see your
doctor.
Warning:
Do not take more than the dose stated above.
Anti – Sting
For insect bites and stings. Help to prevent pain
and itching
Important: Used on the skin only. Rub gently
on the skin two or three times daily for up to
three days. Keep out of the reach of the
children.
If there is no improvement within three days,
see your doctor
Paratecil tablets
For headaches, colds and influenza
Dose:
Adults and children over 12 years: one to two
tablets, three or four times daily. Don’t
continue to take the tablets for more than three
days. If you do not get better after this time, see

your doctor.
Do not take more than the dose. Keep the
11
tablets in a safe place because they can be
dangerous to young children.
1. Take two Paratecil tablets every four hours for up to three days.
2. Wash your mouth out with Purityl Mouthwash once in two days
3. Use Anti – Sting for mosquito bites.
4. If you have bad breath, take two Diotum tablets.
5. Put two Diotum tablets in water and swallow them.
6. Don’t take Paracetil tablets longer than three days.
7. You can swallow Anti – Sting to help to prevent pain.
8. If you use Purityl, your teeth may change color a little.
9. All the labels advise us to put the medicines where children can reach them
10. See a doctor for help if Paratecil tablets do not cure your symptoms.
REVISION UNIT 1 & UNIT 2
I/Choose “my, your, his, her, its, our, or their” to complete the following sentences:
1. Ask me to lower……… arm.
2. You have a rash on ………… shoulders.
3. He’s got a scar on…………… left forearm.
4. Would you straighten……….left leg, please?
5. The baby has a pain in……………….stomach.
6. John has a cut on ……… thigh.
7. She has a pain in head.
8. Ask him to raise hand.
9. Peter and Mary are students. parents are dentists.
10. Would you lift right foot, please?
II/Complete the sentences using one of the words in the parentheses:
1. (that/ those) What is……………………… over there?
2. (That/ Those) ………………………………… computer is broken.

3. (that/ those) Where are…………………………keys?
4. (This/ These) ………………………………shoes are too tight.
5. (That/ Those) ……………………………….house is big.
III/Choose have, has, do, does, go or goes to complete the sentences:
1. She…………………………… a new dress.
2. What………………………the doctor say?
3. I……………………………… a cold.
4. When……………….we eat?
5. Doris and Jim…………………………… a new baby.
6. My mother……………………………….to school at night.
7. You shift work.
8. He usually a late shift.
9. They on duty at 2 p.m.
10. The nurse her best to help the sick.
IV/Choose at, in or on to complete the sentences:
1. I have an appointment…………one o’clock.
2. My sister takes a nap…………….the afternoon.
3. School starts………………… September 7
th
.
4. Steven does his homework……………………… the evening.
12
5. I was born ………………… 1948.
V/Choose a, an, some to complete the sentences:
1. The girls are eating……………………………bananas for a snack.
2. She has ………….twelve year old son.
3. Sandra eats………………….apple for lunch.
4. The children found………….matches on the table.
5. Maria is…………single mother.
VI/ Use each verb once to fill in the blank:

flies runs sleeps buys fixes hospital
1. Jose……………………………….the smoke detector.
2. Nancy…………………………………a helicopter.
3. Maria………………………… eight hours every night.
4. Alex…………………………………….vegetables to make a salad.
5. Susan…………………………………one mile three times a week.
6. Tom needs to go to the……………………………
VII/ Use the Simple present or the Present Continuous of the verbs in brackets and put the
adverbs in the correct position:
Hanh and Ngoc (be)… in the doctor’s waiting room. The doctor (have).… a patient in
his consulting room and there (be)……. two or three people before Hanh and Ngoc.
Ngoc: I (be)……. tired of waiting. I (have)……… so many things to do.
Hanh: You (have to)………… patient. The doctor (examine)……… another patient. He
( not /be able to) ……………….do everything at once.
Ngoc: How you (feel)…… ……. now?
Hanh: Not at all well. I (think) …… … my temperature (rise)…………
Ngoc: (always / you / cough)…………………. so much in the morning?
Hanh: I (suffer)……………. from bronchitis every winter and this year it (give) me
more trouble than usual.
Ngoc: What (usually / the doctor / prescribe) ……………… for the cough?
Hanh: He (generally / give)…………… me antibiotics.
Ngoc: It (be) ……… your turn. The doctor (call)…………. your name.
VIII/ Read the text and answer the following questions:
Delcolgen
R
Syrup
Indications: Delcolgen
R
Syrup is specifically designed for the oral therapy of cold syndrome.
It relieves headache, muscle and joint pains and general malaise as well as checks fever and

chills which usually accompany upper respiratory infections. It is most useful in controlling
allergic manifestations such as sneezing, and runny nose, and nasopharyngeal inflammation.
Recommended dosage (3 – 4 times a day)
Infants: 2, 5 – 5ml (1/2 – 1 teaspoonful)
2 – 6 years: 5 – 10ml (1 – 2 teaspoonful)
7 to 12 years: 15ml (1 tablespoonful)
Adults: 30ml (2 tablespoonfuls)
Or as prescribed by the physician.
1. What is Delcolgen used for?
2. Can it be useful to release sneezing, runny nose and nasopharyngeal inflammation?
3. How many times should we use Delcolgen a day?
4. How much of Delcolgen should we give to a 2 – 6 child?
5. 10ml is equivalent to:………………………….teaspoonfuls
13
UNIT 3: CANCER
SECTION 1: READING COMPREHENSION
Kathy is on her way to the hospital. She had a mammogram last week and the film
showed some lumps in her breast that had not been there before. A mammogram is not painful. A
machine takes a picture of your breast. Kathy’s doctor recommends that she have a mammogram
every two years.
Kathy is 48 years old. Her mother at the age of 56 died of breast cancer. As with all
cancers, early diagnosis and prompt treatment are very important. Her mother never went to
doctor. Finally, when she was feeling so poorly she went to the hospital and they told her she had
breast cancer. By then it had spread to her bones and several months later, she died. Today, they
are going to take more pictures of Kathy’s breast. If the lumps are malignant (or cancerous), they
will need to be removed before the cancer spreads to other parts of her body.
Kathy knows she is at high risk for breast cancer since her mother died of it. Kathy
watches her weight, eats a low fat diet, and exercises. She does a monthly breast self –
examination and knows that most lumps found in the breast are not cancerous but women need to
see their physicians to find out for sure.

Cancer is caused by uncontrolled growth and spread of abnormal cells. A cancerous cell
grows and divides endlessly, crowding out nearby healthy cells and eventually spreading to other
parts of the body. A mass, or collection, of cancer cells is called a malignant tumor.
More than 500,000 Americans die of cancer each year. Of these deaths, almost 180,000
could have been prevented with early diagnosis and prompt treatment. It is estimated about 30
percent of the population in the United States will eventually develop some types of cancer.
QUESTIONS AND ANSWERS
Use the story on Cancer to answer the following question. Answer in complete sentences:
1. What type of cancer did Kathy’s mother die of ?
………………………………………………………………………………
2. What is a mammogram?
………………………………………………………………………………
3. How often does Kathy get a mammogram?
………………………………………………………………………………
4. What does the word “malignant” mean?
………………………………………………………………………………
5. Why is Kathy at high risk for breast cancer?
………………………………………………………………………………
6. What is cancer caused by?
………………………………………………………………………………
7. What two things are important in the treatment of cancer?
………………………………………………………………………………
8. What are four things Kathy does to stay healthy?
………………………………………………………………………………
SECTION 2: GRAMMAR: Revision of the simple past tense.
SECTION 3: SPEAKING:
1. Man: Anna, you look terrible. What’s the matter?
Woman: I’ve got a splitting headache.
Man: Oh, you poor thing! Why don’t you go and lie down for a while?
Woman: Yes, I think I will.

2. Woman: What’s the matter, Lee? Are you OK?
Man: No, not really. I‘ve got this awful toothache.
14
Woman: Oh, that’s terrible! You know you really should go to the dentist if it’s that bad.
Man: Yeah, I suppose I should.
3. Woman: You look a bit pale. Are you all right?
Man: No, not really. I’ve got such a sore throat I can hardly talk.
Woman: Well, that’s no good. Maybe you shouldn’t be at work. Why don’t you go home?
Man: I’d love to but I can’t. I’ve got too much to do.
4. Woman: That cough doesn’t sound very good, Carl.
Man: Yeah, I know. I’ve had it for ages. I just can’t get rid of it.
Woman:Well, I think you should stop smoking.
Man: Oh, I don’t think it’s that.
5. Woman: Silvia, hi. Are you OK?
Silvia: No, I’ve still got this cold.
Woman:Oh, you poor thing. You’ve had it for weeks now. You should take some Vitamin C.
Silvia: Yes, lots of people have told me vitamin C is good.
Practice 1: Work in pairs
What sympathy do these people get from their friends? What advice do they get?
1. She has got a headache. 4. He has got a cold
2. He has got a toothache. 5. He has a sore throat.
3. He has got a cough.
Sympathy: Advice:
A. That cough doesn’t sound very good.  F. Lie down for a while 
B. Oh, that’s terrible.  G: Go to the dentist 
C. Oh, you poor thing.  H: Take Vitamin C 
D. Well, that’s no good.  I: stop smoking 
E. Oh, you poor thing.  J: Go home 
Practice 2: Match the cause “flu; passive smoking; allergy; stress; diabetes” to the following
symptoms:

Symptoms:
• swelling in the face
• skin rash
• watering eyes
• breathing problems
Cause:
Symptoms:
• thirsty
• frequent urinating
• tired
• problems with eyesight
Cause:
Symptoms:
• sore throat
• high temperature
• aches and pains
• headache
• runny nose
• no energy
Cause:
Symptoms:
• sore throat
• bloodshot
• headache
• asthma
Cause:

Symptoms:
• irritable
• tired

15
• poor concentration
Cause:

SECTION 4: PRACTICE:
I/ Write the sentences in the past tense. The first one has been done for you.
Marta is at school today.
Marta was at school yesterday.
1. Today I am tired. ………………………………………………
2. He is busy today. ………………………………………………
3. They are ill today. ………………………………………………
4. You are sick today. ………………………………………………
5. It is hot today. ………………………………………………
II/ Complete the conversation using the correct form of the verbs in brackets (simple
present or simple past):
A: Where you (live)………… ?
B: In Dublin.
A: …………you….… (like) Dublin?
B: Yes, we do. We………(like) the Irish people, too. My wife……… (not/ like) the rain
very much. She…………. (prefer) sunny weather.
A: When…………you ………… (move) here?
B: We……………… (move) here about four years ago.
III/ Match the words with similar meanings:
1……………………. ccasionally understand
2……………… … start occurs
3…………………… couple begin
4……………………. everal some
5……………………… realize dash
6……………………… accept sometimes
7……………………… attends hefty

8……………………… heavy visits
9……………………… happens believe
10…………………… rush two
IV/ Fill in the blanks: Use each word once from the box to fill in the blank:
surgery
risk
bones
treatment
malignant
breast
diagnosis
lump
painful
spread
recommends
mammogram
1. Maria is at high………………………… for the breast cancer.
2. The cancer has spread to the…………………………………………
3. The lump was removed by………………………………………………
4. Early diagnosis and prompt……………………… are important.
5. Grace has a……………………every two years.
6. Silvia has………………………………cancer.
7. The cancer had………………………to her bones.
8. A mammogram is not……………………………………
16
9. Early ………………and prompt treatment are important with all cancers.
10. ………………………… means cancerous.
11. Ruth’s doctor……………… she have a mammogram every two years.
12. Kathy found a …………………….in her breast.
V/ Put these words in the correct order to make sentences:

1. when / in / 84 / died / he /he / 1980 / was
…………………………………………………………………
2. to / she / ago / moved / years / Spain / three.
………………………………………………………………………….
3. of / didn’t / out / he / the / but / he / slipped / fall / tree.
…………………………………………………………………………………
4. feet / begin / swell / when / your / did / to?
…………………………………………………………………………………
5. stood / rain / two / for / hours / she / the / in
…………………………………………………………………………………
VI/ Choose the best answer:
1. Your tonsils can get swollen when you have a sore……………………
A. eye B. throat C. toe D. lips
2. The……………….is located in the middle of the arm.
A. elbow B. ankle C. shoulder D. knee
3. You shouldn’t drive because this medicine might make you feel…………
A. swollen B. pain C. sleepy D. insomnia
4. She may never walk again because her…………was so badly injured.
A. spine B. finger C. eye D. ear
5. Discontinue using this cream immediately if it makes you feel…………
A. sleepy B. itchy C. sprain D. bandage
SECTION 5: FURTHER PRACTICE:
I/ Rearrange the sentences to make a dialogue between a doctor and a patient:
Turn up your trousers so that I can have a look at it.
I’m worried as I am catching a plane this evening.
How did you manage to do that?
You should have it X – rayed immediately.
You can go to the X – ray Department this afternoon at 2.30 p.m.
-I fell and sprained my ankle.
It seems to be swollen, compared to my other ankle.

Will you fix an appointment for me?
Does it hurt to walk on?
I jumped off a ledge in the garden and twisted my ankle.
II/ Translate the following passage into Vietnamese:
1/Cancer is the second leading cause of death in America. It remains one of the least
understood diseases and, partly for that reason, one of the most feared. In cancer, cells of the
body become altered and then multiply rapidly, creating clusters of cells whose growth is
uncontrollable. These cell clusters, or malignant tumors, can proceed to invade bodily tissue and
cause damage to the body’s organs. In many cases, the eventual outcome is death.
2/Read the directions carefully before use.
Consult the physician for more information.
This drug is only used with the physician’s prescription
17
STOP AND CHECK 1
A/ VOCABULARY:
1/ Exercise on Body Parts – Whole Body:
Can you name the parts of the human body?
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10
11
12
13

14
15
16
17
18
19
20
21
2/ Match the words with similar meanings:
1……………………dangerous remedy
2……………………defect combine
3……………………twice two
4……………………cure blemish
5……………………mix risky
B/ GRAMMAR FOCUS:
I/Choose the best answer:
18
1. The patient lost so much weight that his …………….were sunken in.
A. toes B. mouth C. nose D. cheeks
2. We’ll put a cool cloth on your ………………to get your fever down.
A. teeth B. tongue C. forehead D. knees
3. The doctor wrote me a……………….for a new type of pain reliever.
A. prescription B. examination C. description D. radiation
4. ……………….from this medication include nausea and depression.
A. stress B. symptoms C. side effects D. signs
5. Your grandfather will be able to walk better after his ……………surgery.
A. chin B. hip C. waist D. arm
II/Put these words in the correct order to make sentences:
1. fell / stairs / broke / neck / he / down / the / and / his
…………………………………………………………………………………

2. night / patient / took / last / the /pill / a / sleeping.
…………………………………………………………………………………
3. a / drugstore / opened / yesterday / she.
…………………………………………………………………………………
4. eye / when / you / lose / did / your / right / sight / the / of?
…………………………………………………………………………………
5. didn’t / forty / day / she / cigarettes / a / smoke.
…………………………………………………………………………………
III/Put the verb in the brackets into Simple Present, Present Continuous or Past tense:
1. She often (walk) past the waiting room.
……………………………………………………………
2. At the moment she (help) the staff nurse.
……………………………………………………………
3. your brother (walk) to the store now?
……………………………………………………………
4. Maria (bath) her children every day?
……………………………………………………………
5. Yesterday I (be) sick.
……………………………………………………………
6. He (not/be) busy today.
……………………………………………………………
7. You (not/take) three tablets per day.
……………………………………………………………
8. he (go) to work at the same time every day?
……………………………………………………………
9. Marta’s two year old son (drink) a half bottle of medicine yesterday morning.
……………………………………………………………
10. you (attend) lectures on physiology last month?
……………………………………………………………
IV/ Use the following words to finish the gaps in the paragraph below:

cheeks nose tongue neck mouth ears
brain hair face upper body throat teeth
jaw forehead eyes lips chin scalp
Inside the head is the (1)……………, which is responsible for thinking. The top of a person’s
(2)………………is covered with (3)…………… Beneath the hairline at the front of the (4)
…………….is the (5)………… Underneath the forehead are the (6)…………….for seeing,
the (7)………… for smelling, and the (8) ……………for eating. On the outside of the mouth
19
are the (9)… ……., and on the inside of the mouth are the (10)………… for biting and the
(11)………….for tasting. Food is swallowed down the (12)…………At the sides of the face
are the (13)………… and at the sides of the head are the (14)………… for hearing. At the
bottom of a person’s face is the (15)……………….The (16)……………… is located on the
inside of the cheeks and chin. The (17)……………is what attaches the head to the (18)
……………
V/ Read the following passage and answer the following questions:
Teeth do lots of things. They help you eat by chewing food. It’s the first step in the
process of digestion. Teeth also help you talk. Say the word thirsty and the little. Did you feel
your tongue touch your upper front teeth? You should have felt it on the th- and the –tle. You
need your teeth to create certain sounds in speech. Teeth help determine how you look. They
support muscles in your face. If you didn’t have teeth, your lips would go inward.
Teeth are the hardest parts of the human body. They often survive long after the bones
have decayed. Although they are hard, teeth can decay. Have you ever had a hole in a tooth? It
develops when tiny bacteria eat away at the enamel. Luckily, a dentist can fill the holes that
bacteria make. Once a tooth decays, it can more easily break. That’s why it’s so important to
keep clean. Brushing your teeth helps get rid of bacteria and the bits of food that bacteria feed on.
1/ Human teeth are
A. an important part of the digestive system.
B. beautiful when you smile and talk.
C. to make your lips full.
D. what lucky dentists look after.

2/ In order to pronounce the word thing, you need to
A. let your lips go inward.
B. use your teeth together with your tongue.
C. learn how to make a speech.
D. support your face with your teeth.
3/ How many main things teeth do to humans according to the 1
st
paragraph?
A. Two B. Three C. Four D. Five
4/ Teeth are
A. the hardest parts of the human body which survive forever.
B. hard but they can also decay.
C. too hard to break.
D. filled by dentists when they decay.
5/ We can avoid tooth decay by
A. living next to the dentist’s.
B. feeding bacteria with food.
C. keeping teeth clean.
D. filling the hole ourselves.
VI/Translate the passage into Vietnamese:
HEADACHES
A headache is one popular kind. When we have a headache, we feel as if some little man
is pounding our brain with a hammer.
There are three kinds of headaches: migraine headaches, cluster headaches and muscle
headaches. When we have migraine headaches, the pain occurs on only one side of the head and
starts in the arteries. The patients feel a change in vision and may vomit. These headaches are
more frequent in women than in men and sleep is the best cure for them.
About 90 percent of all headaches start in the head and neck muscles. The patients usually
feel sore in the morning; aspirin doesn’t help a headache very much.
20

There are many ways to treat them. We can use medicine but sometimes the doctor must
analyze patient’s daily living patterns. The doctor can advise us to change in diet, in the way of
working and to decrease the tension when we are working.
Everyone has headaches from time to time. In Vietnam, there are over 50 percent students
in hostels have headaches. We must know how to cure for headaches.
UNIT 4: HEALTH PROBLEMS
SECTION 1: Read and practice three dialogues between Craig and his co – workers:
A: Joan: Hi, Craig! How are you?
Craig: Not so good. I have a terrible cold.
Joan: Really? That’s too bad! You should be at home in bed. It’s really important
to get a lot of rest.
Craig: Yeah, you’re right.
Joan: And have you taken anything for it?
Craig: No, I haven’t.
Joan: Well, it’s helpful to chop up some garlic and cook it in chicken stock.
Craig: Ugh!
B: Dan: That cold sounds pretty bad, Craig!
Craig: Yeah, it is. Don’t get too close.
Dan: Well, you know, it’s important to drink a lot of liquids. I’ve got some
herbal tea. Let me make you a cup.
Craig: Gee, that’s nice of you! What kind of herbal tea is it?
Dan: I think it’s ginseng.
Craig: Oh, Ok. That sounds good.
C: Kim: How’s that cold, Craig.
Craig: Not so good. I’ve still got it.
Kim: Oh, too bad. Well, listen, it’s a good idea to take some cold medicine. And
you should go home and take a long, warm bath.
Craig: You’re right. Maybe I should. Thanks for the advice.
In what dialogues are these pieces of advice given:
1. drink a lot of liquids 4. take a long, warm bath

2. take some cold medicine 5. get a lot of rest
3. be at home in bed 6. drink some herbal tea
7. drink a cup of chopped garlic in chicken stock
SECTION 2: GRAMMAR: Giving advice:
What should you do for a cold? It’s important to get a lot of rest.
It’s a good idea to take some vitamin C.
It’s useful to get some cold medicine.
It’s helpful to chop up some garlic and cook it.
What shouldn’t you do for the flu? It’s important not to exercise a lot.
t’s a good idea not to be close to young children.
It’s useful not to go on smoking.
It’s helpful not to work too hard .
It’s + adj/noun + (not) to + Vo
1/ Match the patients’ problems in Column A with the doctor’s advice in Column B:
Column A Column B
21
1. I’m having a headache. A. You should be on a diet.
2. I’m stressed out. B. You shouldn’t move your leg if not necessary.
3. I’m having a broken leg. C. You should take some aspirins.
4. I can’t sleep. D. You should be careful with what you eat.
5. I think I’m overweight. E. You should have some days off and go somewhere for a change.
6. I often have stomachache. F. You should take some tranquilizers.
2/ Rewrite the sentences by using another way to give advice:
1. For a bad cough, don’t smoke.
…………………………………………………………………………………
2. For a toothache, see the dentist.
…………………………………………………………………………………
3. For a burn, don’t put ice on it.
…………………………………………………………………………………
4. For a cough, take some cough drops.

…………………………………………………………………………………
5. For a fever, don’t get out of bed.
…………………………………………………………………………………
6. For stress, go to bed.
…………………………………………………………………………………
7. For a sore throat, don’t talk too much.
…………………………………………………………………………………
8. For a pain in your arm, use a heating pad.
…………………………………………………………………………………
9. For insomnia, don’t drink coffee at night.
…………………………………………………………………………………
10. For a sunburn, use some lotion.
…………………………………………………………………………………
SECTION 3: PRACTICE
1/ Any suggestions?
A. Check the best advice for each health problem:
1. a backache  use a heating pad
 get some exercise
 take some vitamin C
2. a headache  take some vitamin C
 take some aspirins
 take some good advice
3. a bad cold  see a dentist
 go to bed and rest
 take some good advice
 put anti-itch cream on it
4. an insect bite  take some aspirins
 drink lots of liquids
5. the hiccups  drink lots of hot water
 take some cold medicine

 chop up some garlic
22
B. Write a question about each problem in part A. Then write answer using your own
suggestions in your answers:
Example: A: What should you do for a backache?
B: It’s helpful to use a heating pad.
1. a headache/ A: …………………………………………………………….
B: …………………………………………………………….
2. a bad cold/ A: …………………………………………………………….
B: …………………………………………………………….
3. an insect bite/ A: ………………………………………………………….
B: …………………………………………………………….
4. the hiccups/ A: …………………………………………………………….
B: …………………………………………………………….
2/ Check the health problems you have had this year. Write what you did for each one. Use
the remedies below or your own remedies:
Health problems  a backache  a sore throat
 a headache  the hiccups
 a toothache  a sunburn
 a cold  stress
Some remedies  take some aspirins
 use some lotion
 take some cough drops
 go to bed
 get some medicine from the drugstore
 put some ointment on it
 see my doctor/ dentist
 do nothing
Example: Yesterday, I had a bad headache so I took some aspirins.
……………………………………………………………………………………

……………………………………………………………………………………
……………………………………………………………………………………
………………………………………………………………………………………………………
…………………………………………………………………
3/ Read the four conversations:
1. A: Were you here last week, Maria?
B: No, I wasn’t. I didn’t feel very well.
A: Oh, I’m sorry to hear that. What was wrong?
B: I had a sore throat and a headache.
A: Did you go to the doctor’s?
B: No, I didn’t. I just stayed in bed.
A: Do you feel better now?
B: Yes, I’m fine now, thanks.
2. A: Were you away yesterday, Pedro?
B: Yes, I was at the hospital.
A: Why? What was up?
B: I fell downstairs and hurt my wrist.
A: Oh, dear! Is it all right?
B: Yes, it isn’t broken.
A: That’s good. Does it still hurt?
B: Well, it’s better today, but it hurts when I
move it.
3. A: Where were you yesterday, Anne?
B: I was at the dentist’s. I had terrible toothache.
A: Oh, dear. That doesn’t sound very nice.
4. A: Were you away last week, Sanjit?
B: Yes, I was. I was ill.
A: Oh, what was the matter?
23
B: No, it wasn’t. It really hurt. I couldn’t sleep on

Sunday night.
A: Is it better now?
B: Oh, yes, it’s fine.
B: I had a very bad cold.
A: Did you go to the doctor’s?
B: Yes, I did, and he gave me some medicine.
A: How’s your cold now?
B: Well, I’ve still got a cough, but it was a lot
worse last week.
A. Match the subjects and the sentence endings:
didn’t feel well
Maria had stomachache
Pedro hurt his wrist
Anne had a bad cold
Sanjit broke his leg
had toothache
B. Complete this summary for Maria:
Maria wasn’t at work last week, because she…………….She had a sore throat and
a……………She………… to the doctor’s. She just ………………….She feels………… now.
C. Write summary for the other three people:
Pedro:
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………
……………………………………………………………………………………
Anne:
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………
……………………………………………………………………………………

Sanjit:
…………………………………………………………………………………………………


24
UNIT 5: MEDICINES
SECTION 1:
1. Read and practice the conversations between a pharmacist and a customer:
A: Pharmacist: Hi. Can I help you?
Customer: Yes, please. Could I have something
for a cough?
Pharmacist: Well, I suggest a box of these cough
drops. And you should get a bottle of vitamin C,
too.
Customer: Thank you. And what do you have for
dry skin?
Pharmacist: Try some of this new lotion. It’s very
good.
Customer: Ok. Thanks a lot.
B: Customer: Excuse me.
Pharmacist: Yes? How can I help you?
Customer: Um, What do you suggest for a
backache?
Pharmacist: Well, you should take some
aspirins. And it’s also a good idea to use a heating
pad.
Customer: Thanks. Oh, and where are the
aspirins?
Pharmacist: They are in aisle five. Right over
there.

Customer: Thanks again.
Pharmacist: You’re welcome.
2. In which conversation is it:
- The customer requests something for a backache.
- The customer requests something for a cough.
- The pharmacist suggests a bottle of vitamin C.
- The pharmacist suggests some aspirins and a heating pad.
- The customer asks for something to treat dry skin.
- The pharmacist suggests a new kind of lotion.
3. Find examples of requests and suggestions in the two conversations above:
Requests: …………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
Suggestions: …………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
SECTION 2: GRAMMAR:
Modal verbs: can/could/may for requests; suggestions:
Can/May I help you? What do you have/suggest for dry skin?
25