シャドーイング練習: Abdominal Examination - OSCE Guide (Latest) | UKMLA | CPSA | PLAB 2 - 動画で英語スピーキングを学ぶ
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1
Hi there, my name is Andrew, I'm one of the family of medical students.
2
Could I just check your name and date of birth please?
3
Yeah, James Alexander, 13th of December 1989.
4
Nice to meet you James.
5
Today I've been asked to examine your abdomen.
6
This will involve looking from the end of the bed, feeling various areas of the abdomen and then listening at the end.
7
Would that be okay?
8
That sounds fine.
9
Brilliant.
10
Have you any pain anywhere at all?
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No. And have you got any questions about the exam?
12
No, not that I can think of.
13
Okay.
14
Okay, James, we can start the exam now.
15
I'm just going to start by having a look from the end of the bed.
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James, I'd like to start by looking at your hands.
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If you could just bring them up in front of you, please.
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And if you could turn them over.
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Fantastic.
20
And if you could bring two fingernails together like this for me.
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Brilliant.
22
You can relax.
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James, if you could now bring your hands out in front of you and cock your wrist back.
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And keep it there. and relax.
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If you could just lift your right arm up for me. And your left arm.
26
That's fine.
27
James, I'm now going to have a look at your face and eyes.
28
If you could just look straight ahead for me.
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And I'm now going to pull down on your lower eyelid.
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and just look down for me.
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If you could just open your mouth for me, lift your tongue to the roof of the mouth.
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That's great.
33
James, if you could now sit forward for me, and I'd like to examine for any glands in the neck.
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I'd now like to more closely inspect the chest.
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James, we're going to move on to more closely examining your tummy now.
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For this I'll need you in a flat position, so I'm just going to lower the bed.
37
If you could just sit up for me.
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And you can lie back.
39
Now if you could just put your hands down by your side, I'm just going to more closely inspect your tummy.
40
I'd now like to move on to feel different areas of the tummy.
41
Can I just check before I do that you don't have any pain at all?
42
No, I don't.
43
James, I now need to press a little harder.
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James, could you now take some deep breaths in and out for me?
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Thank you.
46
Thank you.
47
James, I'm now going to tap on you, Tommy.
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I'm going
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to go ahead and get it.
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If you could roll onto your right hand side for me, James. And roll back.
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I'm now just going to listen to your tummy.
52
Okay.
53
James, that completes the examination.
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Thank you very much, you can now get dressed.
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In summary, I performed an abdominal exam on James, a 27 year old male.
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James had no peripheral stigmata of gastrointestinal disease.
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His abdomen was soft and non-tender with no masses or organomegaly.
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On auscultation he had normal bowel sounds.
59
This was a normal abdominal exam.
60
To complete the exam, I would like to examine the herniol orifices
61
and also do a digital rectal exam and examination of the external genitalia if indicated.
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このレッスンの語彙とスピーキングのポイント
このC1レベルのスピーキングレッスンは、動画「Abdominal Examination - OSCE Guide」を教材にしています。 繰り返し出てくる語は次のとおりです:James, exam, tummy, abdomen, examine。 この動画には、シャドーイング用の文が61文、単語が547語あります。 音声の長さは7:47です。 話す速さはゆっくりで、1分あたり約70語です。一つ一つの音をまねる余裕があります。 単語の85%は英語の頻出3,000語に含まれます。残りは練習の前に確認しておきましょう。
この動画の重要語彙
動画の中で特に難しい単語10語を、発音と意味つきで紹介します。
| 単語 | 発音 | 意味 |
|---|---|---|
| tummy 名詞 | /ˈtʌ.mi/ | ぽんぽん |
| abdomen 名詞 | /ˈæb.də.mən/ | 腹, 腹部 |
| auscultation 名詞 | /ˌɔːskəlˈteɪʃən/ | 聴診 |
| eyelid 名詞 | /ˈaɪ.lɪd/ | 瞼 |
| fingernail 名詞 | /ˈfɪŋɡɚˌneɪl/ | 爪, ツメ |
| genitalia 名詞 | /ˌd͡ʒɛn.ɪˈteɪ̯.liː.ə/ | 性器, 生殖器 |
| bowel 名詞 | /ˈbaʊ.əl/ | 大腸 |
| stigma 名詞 | /ˈstɪɡmə/ | 恥辱, 汚点 |
| wrist 名詞 | /ɹɪst/ | 手首 |
| tender 形容詞 | /ˈtɛn.dɚ/ | 過敏 |
動画に出てくる句動詞
| 単語 | 発音 | 意味 |
|---|---|---|
| go ahead 動詞 | /ˌɡoʊ əˈhɛd/ | どうぞお先に |
繰り返し練習したい文
動画に出てくる短く完結した文です。日常会話でそのまま使えます。
- Could I just check your name and date of birth please?
- Today I've been asked to examine your abdomen.
- Have you any pain anywhere at all?
- I'd now like to more closely inspect the chest.
- I'm now just going to listen to your tummy.
注意したい発音
話し手はI'm, I'd, don'tなど、短縮形や弱形を18回使っています。聞こえたとおりの短い形で発音しましょう。
- 長い単語(アクセントの位置に注意): auscultation /ˌɔːskəlˈteɪʃən/, gastrointestinal /ˌɡæstɹoʊɪnˈtɛstɪnəl/, genitalia /ˌd͡ʒɛn.ɪˈteɪ̯.liː.ə/, peripheral /pəˈɹɪf(ə)ɹ(ə)l/
日本語話者が苦手な音:
- /r/ と /l/ の区別 — /l/ は舌先を歯茎につけ、/r/ はどこにもつけない: gastrointestinal /ˌɡæstɹoʊɪnˈtɛstɪnəl/, rectal /ˈrɛk.təl/, peripheral /pəˈɹɪf(ə)ɹ(ə)l/
- /f/ — 「フ」ではなく、上の歯と下唇で出す: fingernail /ˈfɪŋɡɚˌneɪl/, peripheral /pəˈɹɪf(ə)ɹ(ə)l/
- 子音の連続 — 間に母音を入れない: inspect /ɪnˈspɛkt/, gastrointestinal /ˌɡæstɹoʊɪnˈtɛstɪnəl/, stigma /ˈstɪɡmə/, wrist /ɹɪst/
この動画での練習方法
- まず声を出さずに動画を最後まで聞き、知らない単語をメモします。
- 通常の速度で一文ずつシャドーイングし、話し手のリズムに合うまで繰り返します。
- 自分の声を録音して元の音声と比べます。tummy, abdomen, auscultationなどの単語に特に注意しましょう。
シャドーイングとは?英語上達に効果的な理由
シャドーイング(Shadowing)は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的:ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影(shadow)」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。












