OET Reading Test 5 - Part A

Occupational English Test

READING SUB-TEST Part A - Text Booklet Practice test

You must record your answers for Part A in the Part A - Answer Booklet using pen or pencil. Please print in BLOCK LETTERS

Candidate number

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Family name



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READING: Part A – Text Booklet Instructions TIME LIMIT: 15 MINUTES     

Complete the summary on pages 2 and 3 of Part A – Answer Booklet using the information in the four texts (A1-4) below. You do not need to read each text from beginning to end to complete the task. You should scan the texts to find the information you need. Gaps may require 1, 2 or 3 words. Answer ALL questions. Marks are NOT deducted for incorrect answers. You should write your answers next to the appropriate number in the right-hand column. Please use correct spelling in your responses. Do not use abbreviations unless they appear in the texts.

Tuberculosis, AIDS, and Death among Substance Abusers on Welfare in New York City Text 1: Background In New York City, the incidence of tuberculosis has more than doubled during the past decade. We examined the incidence of tuberculosis and the acquired immunodeficiency syndrome (AIDS) and the rate of death from all causes in a very-high-risk group —indigent subjects who abuse drugs, alcohol, or both. Methods In 1984 we began to study prospectively a cohort of welfare applicants and recipients 18 to 64 years of age who abused drugs or alcohol. The incidence rates of tuberculosis, AIDS, and death for this group were ascertained through vital records and New York City's tuberculosis and AIDS registries.

Text 2: Results The cohort was followed for eight years. Of the 858 subjects, tuberculosis developed in 47 (5.5 percent), 84 (9.8 percent) were given a diagnosis of AIDS, and 183 (21.3 percent) died. The rates of incidence per 100,000 personyears were 744 for tuberculosis, 1323 for AIDS, and 2842 for death.

In this group of welfare clients, the rate of newly diagnosed tuberculosis was 14.8 times that of the agematched general population of New York City; the rate of AIDS was 10.0 times as high; the death rate was 5.2 times as high. no significant difference in the rate of new cases of tuberculosis between subjects with positive skin tests and those with negative skin tests at examination in 1984.

Text 3: Deaths in the cohort There were 183 deaths in the cohort during follow-up (21.3 percent) of the subjects, a rate of 2842 deaths per 100,000 person-years, 5.2 times that of the age-matched general population. Causes of death - Table 3

Text 4: Conclusions Of the 47 subjects with tuberculosis, 21 (44.7 percent) died before the end of 1992; 12 (57.1 percent) of those who died also had AIDS. Of 15 persons with both tuberculosis and AIDS, 12 (80.0 percent) died before the end of 1992 and 8 died before completing anti-TB therapy. Of the 84 study subjects with AIDS, 68 (81.0 percent) died before the end of 1992.

SUMMARISING EXERCISE

This study looked at the incidence of TB, AIDS and ……………1 amongst substance abusers who were receiving ……………2 in New York City. The welfare recipients were …… to……..3 years of age and abused drugs or alcohol. From Table 3 we can see that there were ……4 deaths, or ………5 per cent – about ………6 times that for the same ages in the general population. The average age of death from AIDS occurred at ……7 years – the youngest average age. This group also accounted for the highest percentage at ……% 8 while infectious diseases killed ……9 subjects or ……% 10 and Cirrhosis of the liver, …… 11 subjects or ……%. 12 Reading 2 tells us that the study lasted for ….. 13 years and involved ..…14 subjects. The results showed that the rate of AIDS amongst this cohort was ..…15 times higher than for the general population and the death rate was ……16 times higher.

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The study found that 12 (that is 57.1%) of the 47 TB subjects who died, also had ………17. 15 persons had both ……18 and …...19 twelve of these 15 (.…%) 20 died before the end of ……21. The study relied on the incidence rates of TB, AIDS and death (……… for TB22 ; …… for AIDS23 ; and ……24 who died – see Reading 2) for this group of welfare recipients from the vital records held in …………… 25 City’s ………26 and ………27 registries.

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ANSWER KEY Tuberculosis, AIDS, and Death among Substance Abusers on Welfare in New York City