Anh văn sau đại học chuyên ngành Dược Đại học Y Dược TP HCM Buổi học 1 Đề bài mẫu + Đáp án UNIT 1 Exercise 1 page 2 1/T; 2/T; 3/T; 4/T; 5/T;6/F; 7/T; 8/F; 9/T; 10/T. Exercise 2 page 3 1. designed, research 2. health, trial 3. concerned, determine, drug 4. involves 5. disease, treat 6. develop 7. effective, risks 8. effectiveness, side 9. researchers, long term, tolerance 10. treatment, participants, randomization Exercise 3 page 4 1. designed, research 2. laboratory animals 3. involves, participants 4. receive, randomization 5. more, periods, safety and tolerance 6. randomization, bias Exercise 4 page 5 (suggested) 1. to look exactly like a real drug 2. called “the placebo effect” 3. a positive opinion of drugs/ are more likely/ people who have a negative opinion 4. to increase the dose and they develop / when they are deprived of the placebo Exercise 5 page 6 1. starch 2. compulsive 3. withdrawal symptoms 4. blamed 5. sugar 6. symptoms
Trang 1‹ MIDTERM TEST (60 mỉnutes)
ve chosen on your answer Sheet (31 -4(0))
C or D for the answer you ha
» PART B Choose the word, phrase or sentence in parentheses that means the same as
the underlined word, phrase or sentence Then mark A, B, C or D for the answer you have
chosen on your answer sheet (41-45)
ã “ >
e °
PART C Choose the underlined word or phrase that ts incorrect Then mark A, B, C or ` *
* The end
Trang 2ear the recording T WICE
notes below Write NO MORE THAN THREE WORDS
for each answer (1-10) logical condition, affecting a significant portion of the population
It is more common in Wonch,
both genetic and environmental factors -.
and choose the best answer for each question below Then
mark a cross
« You willh Listen and complete the
Migraine isa (I) neuro
_and is influenced by likely due to (2)
R Listen to a lecture about the muscular system answer sheet, (10 points) (11-20)
(X) over the letter of the answer you have chosen on your
11 Which muscle group Is particularly yulncrable to strains and often
tears during heavy exercise?
uadriceps muscles B Calf muscles C, Biceps muscles
on your answer Sheet (21-30) s that poison
bacteria also secrete molecule bacteria
D
Invadingí hannful
© | t Choose the word, phrase or sentence in parentheses that means the sane as the underlined ward, phrase
or sentence,
Then mark A, B, C or D for the answer you have chosen on your answer sheet (5 pts) (31-35)
+ 31 The upper seven pairs, known as true ribs, are connected to the sternum by flexible cartilage
F hoose the underlined word or phrase that is incorrect Then mark A, B, C or D for a “ the answer you have chosen on your answer sheet (5 pts) (36-40)
* 36 The integumentary system comprises the skin and its appendages act to protect the
Trang 3tee (41-50)
+ Read the following passage and mark the letter A, B, ©, oF D on your answer
sheet to indicate the correct
word or phrase that best fits each blank
Dysphagia is defined as difficulty in swallowing It may coexist with heartburn or vomiting
but should be Jistinguished from both globus sensation (in which anxious people feel a lump in the throat without
organic
i use) and (41.) (pain during swallowing, usually from gastro-oesophageal
reflux or
candidiasis) The condition can occur duc to problems in the oropharynx or oesophagus Oropharyngeal
disorders affect the initiation of swallowing at the pharynx and upper oesophageal sphincter
The patient has
difficulty (42.) swallowing and complains of choking, nasal regurgitation or tracheal aspiration
¢ 41 A dysphagia B odynophagia C adenodynia D dyspepsia
* 42 A initiati B initiate C initiated D to initiate
False or Not Given
+ Passage 1 Read the following article and identify whether cach statement is True,
(10 points) (51-60)
* 51 Synthetic biology iolos within molecular biology involves the design and construction of artificial biological
systems, often inspired by natural biological processes, for applications ranging from medicine to
environmental remediation
K a t oe B False C Not Given
assage 2 Read the following passage and choose th ¢ best answer to cach que ; i ints
* 61 When is perimenopause likely to start? Re CS Oe aaa
A Around 30s B Around 40s C Around 50s D, Around 60s
Trang 4the following passage and complete the note below Write NO MORE
THAN THREE
| : Passage 3 Read
answer, (10 points)
from the passage for cach
WORDS from the passage for cach a
+ Complete the sentences below Choose NO wo
* Brittle bone disease, _ scientifically known as osteogenesis —_ imperfecta
(OD "m4 characterized by fragile bones and a propensity for fractures, making it the leading cause of (72.)
abnormalities affecting collagen production, the The fragility of bones in OF is attributed to collagen issues
(71.)
fractures The condition is primarily caused by genetic
Fractures may occur even with minimal trauma,
essential protein responsible for bone (73.)
rather than calcium levels, as observed on (74.)
making predictions challenging, particularly in very young children
« SECTION 5 TRANSLATION (20 points): Translate the following two passages into Vietnamese on your
Trang 5"+ L Choose the word or phrase that best completes each sentence
“+ [ Clinical trials, also known as clinical studies, test potential treatments in human volunteers
“+ 2 Atreatment could be a drug, medical device, or biologic, such as a
product, or gene therapy
° A medicine B vaccine C trial D prescription
¢ 3 Potential treatments studied in laboratory animals first to determine toxicity
* 4, Treatments having acceptable safety profiles promise are moved into clinical
blood
trials
* 5 Although "new" may imply "better," it
medical treatment offers benefit
C butshows D which show not known whether the potential
Trang 6an integral part of new product discovery and
* 6 Clinical trials
_ development
* 7 Every clinical trial is carefully designed research questions
` A answering B answers C to answer D and answer
* 8 Products are tested to see they compare to standard treatments or to
no treatment,
* 9 A protocol maps out study procedures, _ will be done, by whom, and
D includes
Trang 7further safety data and evidence of the drug’s
B when C since D during
in Phase 2 and Phase 3 trials
Trang 8Ệ + | `« peie ss eatments that trial participants receive ithe; s42 \N 2 441, i decided by
“ “ae p iP Oe + _=
eee A which B that
* 19 A double-blinded trial] means
participants nor the research
team knows who receives the drug,
— available only at the en
* 20 The keys for treatme
Trang 9_*®H, Choose the bolded word or phrase that is incorrect
* 1 Clinical trials, also known as clinical studies, test potential treatments
in human volunteers to sec whether they should approve
for wider use in the general popu lation
a vaccine, blood product, or gene therapy
° 3 Potential treatments must be studied in laboratory animals first to
determine toxicity before they could be tried on people
s4, Treatments having acceptable
safety profiles and Show the most
*5 A trial plan Called a protocol ma S Out what st
Trang 10
6 Phase 1 trials, primarily concerned with safety, try to determine dosing,
| Eecuneting bow : drug metabolized ized and excreted, and identifying acute side
‘effets 2 hae
“+ Giai doan 1 của thử nghiệm, chủ yếu tập trung vào an toàn, có găng xác định
'liều lượng, ghỉ nhận cách thuốc được chuyên hóa và bài tiết, và xác định các tác
dung phu cap tinh
» 7 Phase 2 trials include more participants (usually 100-300) who has the
disease or condition that the product potentially could treat
° 8 Phase 3 trials further test the product’s effectiveness, monitor side effects,
and, on some cases, compare new treatments with existing ones to demonstrate
long-term safety
* 9 Phase 4 trials are generally performed after a product has already approve
on the market to find out more about long-term risks, benefits, and optimal uses
10 Single-blinding means participants do not know whether they are receiving
the experiment drug or a placebo
Trang 11
;ši
or sentence that means the same as the underlined word, |
+ III, Choose the word, phrase
¢ 4 Clinical trials are conducted to determine the efficacy of a potential treatment
2 A Applicability B Safety C Effectiveness D Accuracy
¢ 5 Phase | trials, primarily concerned with safety, try to determine dosing and document
acute side effects
Trang 12° A Threats B Harms C Dangers D Hazards
* 8 Randomization ensures that the treatment selection will be free of any bias
C Assumption D Error
° A Mistake B Prejudice
* 9 A placebo is an inactive substance that has no treatment value
D Substance
* 10 Phase 2 trials help researchers refine their research methods for future studies
° A Procedures B Approaches C Techniques i D Systems
Trang 13(1) to evaluate potential treatments for approva
medical devices, or (2) , such as vaccines or gene
undergo laboratory studies in animals to assess (3) :
* Clinical trials are crucial in medical product development, progressing through carefully designed phases to address specific research questions A (4) outlines the study procedures, responsibilities, and objectives Trials often (5) new products to standard treatments or placebos to evaluate effectiveness and safety
* Phases of Clinical Trials:
* Phase I: Focuses on (6) , dosing, and acute side effects, involving 20-80 healthy voluntecrs
trials, also known as clinical studies, are research investigations conducted in
| and broader use These treatments can include drugs,
therapies Before being tested on humans, treatments
* Phase 2: Includes 100-300 participants with the target condition, assessing safety and (7) efficacy
* Phase 3: Involves 1,000-—3,000 (or more) participants to confirm effectiveness, monitor (8) side
effects, and compare with existing treatments,
* Phase 4; Conducted after market approval to examine long-term risks, benefits, and usage in different (9)
Trang 14
rk the letter A, B, C, or D on your answer sheet to
+ V Read the following passage and ma
indicate the correct word or phrase that best fits each blank
¢ Placebos are substances (1) resemble drugs but do not contain an active
compound A placebo is made to look exactly like a real drug but (2) of an inactive
substance such as starch or sugar Placebos are often used in research studies to assess the
in both
effects of treatments This phenomenon, called the "placebo effect," can (3)
desirable and undesirable changes The placebo effect is thought to have two components:
optimistic, and spontancous change Sometimes, people
treatment, and the placebo may be credited or
anticipation of results, (4)
improve spontaneously, even (5)
blamed for the result
¢ 3 A resulting B result C results D resulted
° 5.A of
Trang 15+ VI Translate into Vietnamese ss
* Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietary choices, dietary supplements, and medical devices) and known interventions that warrant further study and comparison Clinical trials generate data on
received health authority/ethics
dosage, safety and efficacy, They are conducted only after they have
here approval of the therapy is sought These authorities are committee approval in the country w
responsible for vetting the risk/benefit ratio of the trial—their approval does not mean the therapy ts 'safe' or effective, only that the trial may be conducted
* Depending on product type and development stage, investigators initially enroll volunteers or patients
into small pilot studies, and subsequently conduct progressively larger scale comparative studies
Clinical trials can vary in size and cost, and they can involve a single research center or multiple centers, in one country or in multiple countries Clinical study design aims to ensure the scientific validity and reproducibility of the results
Costs for clinical trials can range into the billions of dollars per approved drug, and the complete trial
pits ee may require 7 ID years The sponsor may be a governmental organization or a
Bre i i Bae 1/02 aFbecVRp eae company Certain functions necessary to the trial
g and lab work, may be manage y anaged by an outsourced partner, such as a contract research Tung, : ` organization or a centr rg roved drugs ral laboratory Only 10 percent of all drugs started in human clinical trials become “atory , `
Trang 169 researchers, long term, tolerance
10.treatment, participants, randomization
Trang 17ma 4
és aboratory | y al nim nal IS, „ LŨ
3 dpvolves erect a
4u a ceive, ar anc Jomization
5.more, periods, safety and tolerance
6.randomization, bias
or
Trang 18
*Exercise 4 page 5 (suggested) 1.to look exactly like a real drug 2.called “the placebo effect”
3.a positive opinion of drugs/ are more likely/
people who have a negative opinion 4.to increase the dose and they develop / when
they are deprived of the placebo
Trang 19* Exercise 5: Here are sIX definitions Match them with words (nouns,
verbs, or others) in the passage
* | A white tasteless substance forming an important part of foods such as grain,
rice, potatoes, and beans: starch
+ 2 Very difficult to stop or control: compulsive
» 3, The complex of physical and psychological disturbance observed in addicts
when they stop taking the addicting agent: withdrawal symptoms
: 4 To consider someone or something responsible for something bad: blamed
« 5 Asweet white or brown substance which is obtained from plants and used in
food and drinks: sugar
* 6 An outward or noticeable sign of disease: symptoms
Trang 21* Exercise 6
+ 1 Aspire Higher is a landmark concerning clinical trials carried out by Novartis
+ 2, The two drugs called Rasilez and Tekturna have slightly different components
+ 3 There are predictions for a rise in cardiovascular diseases in elderly patients in the
future years,
+ 4 Rasilez treatments can assure blood pressure reductions
+ 5, Novartis is carrying out four trials in the field of cardio-renal diseases,
+ 6 High blood pressure affects a large part of the world population but a decrease in the
number of patients is expected in future years,
* 7 One of the trials is supposed to evaluate whether Tekturna can improve life to patients
with type 2 diabetes who are at risk,
* 8 Another trial will assess the effectiveness of Rasilez in elderly population with risk
factors
Trang 22in its landmark
Basel, - : P nounced details of two new long-term
outcome studics
series of trials that comprise ASPIRE HIGHER now form the largest and most
fur-reaching cardio-renal outcom program worldwide
* The newly-launched studics will cvafuate the orean prot
(2F) Rasilez, known as Tekturna® in the US, for the treatmen
discase in the elderly, a patient ee
need ee organs in the body Ti under threat Rasilez/Tekturna works by directly inhibiting
renin, an
enzyme that triggers a process leading to high blood pressure and organ damage By inhibiting renin
at the point of
activation, (4T) Rasilea/Tekturna provides effective blood pressure reductions and may also afford greater protection
against complications such as organ dumage
+ One quarter of the world’s population, or approximately one billion people, are now affected by high blood
pressure (GF) This figure is projected te rise to 1.56 billion by 2025, a 60% increase over the current figure In the
US alone the direct and indirect costs of high blood pressure in 2008 are estimated at USD 69.4 billion
* The ASPIRE HIGHER clinical program includes three major outcome studics:
+ (7T) ALTITUDE will determine whether Rasiles/Tekturna, added to conventional therapy, delays heart and
kidney complications in around 8,600 patients with type 2 diabetes at high risk for cardiovascular and renal events
The study began in late 2007 with completion anticipated by 2012
* ATMOSPHERE will evaluate the effects of Rasilez/Tekturna on cardiovascular morbidity and mortality in
patients with acute and chronic congestive heart failure on top of standard therapy ì
+ (8T) APOLLO will assess the cffectiveness of Rasilez/Tekturna in preventing cardiovascular morbidity and
mortality in elderly patients with or without high blood pressure and other risk factors
ection potential of the first-in-class direct renin inhibitor
t of heart failure and prevention of (3T) cardiovascular
Trang 23* Exercise 7 pàe 7: Open answers
* Exercise 8 page 8
*Diseases/ whether/ drug/ health authorities/ for
sale/ safety/ phases/ patients/ volunteer/ safety/
larger/ efficacy/effectiveness/ potentially/ side effects/
health/ treatment/ testing
Trang 24* Clinical trials are research studies which try to answer scientific questions and find better ways to treat or
men đhesse Aclinical trial is conducted to determine _ whether a new drug or treatment is both
safe and effective in people These rescarch studies rely on patients who voluntecr to participate and try a new
dug — or treatment Some of these drugs have not yet been approved by international _health
authorities Sometimes the drugs are currently available _ for sale , but are being tested for a new
disease or additional information
* Most clinical trials that involve the safety _ of a new drug follow a scrics of steps, called phascs _
This process allows researchers to ask and answer questions in a way that results in reliable information about the
drug and protects the patients _ Clinical trials are usually classified into one of four phases:
_ group of people (20-80) for the
- In Phase I trials, researchers test a new drug or treatment ina _volunteer_
first time to evaluate its safety, determine a safe dosage range, and identify safcty
- In Phase Il tials, the study drug or treatment is given toa larger group of people (100-300) to see if it
is effective and to further evaluate its _cfficacy ;
- In Phase Ill trials, the study drug or treatment is given to large groups of people (1,000—3,000) to confirm its
_effectiveness » Monitor side effects, compare it to commonly used treatments, and collect information
that will allow the drug or treatment to be used potcntally
- In Phase IV TT trials dcÌineate addidonaÍ information including the drug’s side Kiên sddNtoual ¿ : _
` The trials TH ưng trals depends upon the participation of patients who volunteer Participants in clinical
¥ 4 more active role intheirown health care, gain access to new research _ treatment before they are widely available, and help others by contnbuting to medical testing