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Exercise 2. Find terms of Latin or Greek origin, explain their meaning. Write them down in your copy-book.
Exercise 3. Ask questions based on the text.
UNIT SEVEN

I

Speaking

Joints

II

Grammar

Objective Infinitive Complex (§97)

III

Independent Work

Anti-Inflammatory Drugs


I. Speaking: Joints

After careful study of this unit you should be able to:

  • describe three types of joints;

  • describe the structure of a synovial joint and list the types of synovial joints;

  • define six types of synovial joints movements;

  • describe disorders of joints (four types of arthritis).

Exercise 1. Learn the following words.

amphiarthrosis [,asmfia:'9rausis] напіврухомий суглоб; амфіартроз arthritis [a:'9raitis] артрит

diarthrosis [,daia:'9reusis] (справжній) суглоб; діартроз

synarthrosis [,sina:'9r9usis] синартроз

synovial [sai'nsuvisl] синовіальний

articulation [a:,tikju'leijn] суглоб

cartilaginous [kaiti'bdjinss] хрящовий

bursa ['b3:sa] сумка

bursitis [b3:'saitis] бурсит (запалення синовіальної сумки) ellipsoid [i'lipsoid] еліпсоїд hinge [Ьіпаз] завіса; шарнір trochoid ['trsukoid] трохоїдний

condyloid ['knndi.bid] виростковий (bicondylar) saddle ['sa;dl] сідловидний, сідлоподібний spheroidal [sfiaraidsl] кулястий (суглоб) flexion ['flekfn] згинання extension [iks'tenfn] розгинання abduction [Eeb'dAkJh] відведення, абдукція adduction [е'сІлкГп] приведення, аддукція sprains [sprein] розтягнення зв'язок dislocation [rdislo'keiJh] вивих gout [gaot] подагра angle ['aerjgl] кут

Exercise 2. Read the text and try to understand it without a dictionary (your vocabulary will help you).
Joints
An articulation, or a joint unites two or more bones together. Joints are divided into three main groups according to the material between the bones. Also they are classified according to the degree of movement permitted:

  • fibrous joints are found in the skull, they connect the bones of the skull, they are immovable and called synarthrosis,

  • cartilaginous joints are found between the pubic bones of the pelvis, between the vertebrae; they connect the bones by cartilages, they are slightly movable and are called amphiarthrosis;

- synovial joints are placed between the bones, where there is a space betv/een them, called the joint cavity; the cavity is filled with a synovial fluid and the joints can freely move. These joints are called diarthrosis (Table 7-1).
Table 7-І. Types of Joints

Name

Movement

Material Between the Bones

Examples

Fibrous

Immovable (Synarthrosis)

No joint cavity; usually fibrous connective tissue between bones

Sutures between bones of skull

Cartilaginous

Slightly movable (Amphiarthrosis)

No joint cavity; usually cartilaginous connective tissue between bones

Pubic symphysis; joints between bodies of vertebrae

Synovial

Freely movable (Diarthrosis)

Joint cavity filled with synovial fluid

Gliding, hinge, pivot, condyloid, saddle, ball-and-socket joints

Most joints are synovial. The bones connected by these joints are held together by ligaments. Near some joints there are small sacks called bursae, which are also filled with synovial fluid. Inflammation of a bursa is called bursitis.

Synovial joints may be classified according to the types of movement: spheroidal, trochoid, ellipsoid, bicondylar, hinge and sellar.

The chief function of the freely movable joints is to allow for changes of position and so provide for motion. Here are some examples of movement that changes the angles between bones; for example, flexion is bending the fingers to close the hand, extension is straightening the fingers to open the hand, abduction is moving the arms straight out to the sides, adduction is bringing the arms back to their original position beside the body. There are some other movements of bones: to turn the head, to turn the palm down or backward, to turn the sole inward or outward, etc.

Joints are subject to certain disorders of mechanical nature: dislocations and sprains. But the most common joint disease is arthritis or inflammation of the joints. There are different kinds of arthritis:

-osteoarthritis, which occurs mostly in joints of the hips, knees, and spinal column; degenerative changes include the formation of spurs, thickening of the synovial membrane, atrophy of the cartilage, and calcification of the ligaments;

-rheumatoid arthritis is characterized by swelling of joints of the hands, feet and other parts of the body;

-infectious arthritis can be brought on by such infection as rheumatic fever and gonorrhea;

-gout is a kind of arthritis caused by a disturbance of metabolism. Any joint can be involved, but the one most commonly affected is the big toe.

Exercise 3. a) Give definitions of the terms:

  • synarthrosis;

  • diarthrosis;

  • amphiarthrosis.

b) List three types of joints.
Exercise 4. Give English equivalents of the Latin words.

Articulatio, ligamentum, cartilago, dislocatio, arthritis, articulationes synoviales. articulatio ellipsoidea. articulatio sellaris. bursa, bursitis. (Find them in the text.)

Exercise 5. Look at Table 7-1. Make up a dialog with your fellow student about types of joints, their movement, material between the bones and examples where such joints are found.

Exercise 6. Differentiate between the terms in each of the following pairs:

  • flexion and extension;

  • abduction and adduction.

Exercise 7. Speak about joint disorders according to the plan.

  1. Disclocations and sprains.

  2. Arthritis:




  • osteoarthritis;

  • rheumatoid arthritis;

  • infectious arthritis;

  • gout.

Exercise 8. Answer the following questions.

  1. How are joints classified?

  2. What is the main function of joints?

  3. What types of synovial joints do you know? Can you give examples of each?

  4. What kinds of movement can you name?

  5. Will you describe such joint disorders as osteoarthritis? rheumatoid arthritis? infectious arthritis? gout?


II. Grammar Exercises

Exercise 1. Form and translate new words using the given suffixes. -ion/-ation, -sion, -tion: fix, prepare, decide, add, inform, infect, protect -ment: require, achieve, treat, appoint, excite -(i)ty: responsible, human, special, possible -(i)ly: day, successful, necessary, clear, deep, main -y: word, sleep, health, air, ease

Exercise 2. Turn the following sentences into negative.

  1. My friend left the town for his summer holidays.

  2. They are resting now.

3.1 returned to the hostel at 2 p.m. 4. He feels tired after his classes.

Exercise 3. Complete the sentences using the Objective Infinitive Complex.

як ви розмовляєте англійською. 1.1 have як він робить ін'єкції, never як цей хворий кашляє, heard щоб цей хворий скаржився.

щоб хворий переніс операцію добре.

2. I'd like щоб вони підтвердили наш діагноз.

щоб медсестра зміряла температуру, щоб хірург допоміг зробити перев'язку.

Exercise 4. Put special questions to the following sentences using the given interrogative words.

  1. My fellow student got a good mark in English. (What)

  2. Modern methods of treatment help doctors to treat people successfully. (How)

  3. The surgeon was working at the clinic from 9 a.m. till 2 p.m. (Where)

  4. My sister looks unwell. (Who)

  5. He is tired because he works hard. (Why)

Exercise 5. Change these complex sentences into simple ones using the Objective Infinitive Complex as in the example.

We didn't expect that the patient would become alert so soon. - We didn't expect the patient to become alert so soon.

1.1 haven't seen how surgeons close wounds in layers.

  1. The doctors didn't expect that the patient would recover his consciousness so soon.

  2. We know that this surgeon treats perforated ulcers skillfully.

  3. They did not notice how I entered the room.

  4. The surgeons expect that the patient will be ready for the operation in time.

  5. The doctor considers that my eyesight is good.

  6. The professor thinks that the postoperative course of the patient will be uneventful.

  7. Everybody knows that rapture of the spleen is dangerous to life.

Exercise 6. Translate the following sentences into English, use the Objective Infinitive Complex.

  1. Лікар попросив хворого роздягтися до пояса.

  2. Пацієнт попросив медсестру виміряти йому кров'яний тнск.

  3. Я попросив медсестру дати мені направлення на рентген.

  4. Ви коли-небудь бачили, як травматолог вправляє вивих?

  5. Ви коли-небудь бачили, як хірург обробляє руки перед операцією?

  6. Мені хотілося б, щоб цей хворий одужав якнайшвидше.


III. Independent Work: Anti-Inflammatory Drugs

Exercise 1. Read the text, translate it, write down new words into your vocabulary.

Anti-Inflammatory Drugs

There are numerous medicines which are used to relieve pain in bones and joints. Doctors very often administer "Butadionum" in such cases as arthritis, osteoarthritis, rheumatoid arthritis.

The action of "Butadionum" is anti-inflammatory and against local pain. "Reopirinum" has softer action than "Butadionum" and it is used in the same cases as the latter.

There are many new drags which are compatible with "Butadionum" and "Reopirinum". They are used to intensify their action or to substitute them. For example, the ointment "Indometacinum" is more effective than "Butadionum". Its action is more intense. This drug is also characterized as anti-inflammatory, anti-fever and sedative medicine.

A common side effect of all these medicines is rash on the skin. In such a case you must stop using the ointment at once and consult a doctor.

Maybe the doctor will prescribe you other drugs or use the ointment in combination with vitamins or something else.

The newest ointment "Finalgonum" is the best for your muscles, bones and joints. It immediately stops even severe pain and its action continues during three to six hours.
Notes:

anti-inflammatory - протизапальний

tO relieve 'ШСГІ0К0ПИ

local pain місцевий біль to substitute замінити anti-fever - жарознижуючий
Exercise 2. Make up a dialog: you are a traumatologist and you receive a patient with severe pain in his knee.

1. Ask him: a) his name, age; information about his family, etc.;

b) what's happened; what troubles him; when he fell ill.

  1. Comment your examination of the patient; some instructions to him (to place his extremity, to move his joints, to bend and to unbend); your information to your patient; your prescriptions and advice.

  2. Explain the action of drugs that you prescribed for the patient (use information of the text).


UNIT EIGHT

I

Speaking

Musculoskeletal System

II

Grammar

Subjective Infinitive Complex (§98)

III

Independent Work

Muscle Tissues



I. Speaking: Musculoskeletal System
After careful study of this unit you should be able to:

  • name the main functions of the muscular system;

  • differentiate between voluntary and involuntary muscles;

  • describe the structure of skeletal muscles;

  • explain the attachments of muscles to bones;

  • show the blood supply of the muscles;

  • name groups of muscles;

  • list major muscular disorders.

Exercise 1. Read and learn the following words.

English

Latin/Greek

Ukrainian

motor apparatus

apparatus motoris

руховий апарат

myology

myologia

міологія, вчення про м'язи

muscle ['ma:sl]

museums/my (o)-

м'яз

tendon ['tendon]

tendon

сухожилок

fascia [Tasfb]

fascia

фасція

cutaneous muscles

musculi cutanei

м'язи шкіри

muscles of the head

musculi capitis

м'язи голови

muscles of the neck

musculi colli

м'язи шиї

muscles of the back

musculi dorsi

м'язи спини

thoracic muscles

musculi thoracis

м'язи трудної клітки

abdominal muscles

musculi abdominis

м'язи живота

muscles of the upper limb

musculi membri superioris

м'язи верхньої кінцівки

muscles of the lower limb

musculi membri inferioris

м'язи нижньої кінцівки

fiber [Taibo]

fibra

волокно

spasm ['spc£zm]

spasmus

спазм,судома

atrophy ['astrsfi]

atrophia

атрофія

dystrophy ['distrofl]

dystrophia

дистрофія

myasthenia

myasthenia

міастенія

myalgia

myalgia

міалгія

tendinitis

tendinitis

тендиніт

natfoot




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