쉐도잉 연습: Pelvic & Abdominal Pain History | OSCE Guide | UKMLA | CPSA | PLAB 2 - 영상으로 영어 말하기 배우기

연습 모드 선택

각 모드는 전체 화면 연습실로 열립니다.

178 문장
문장이 너무 짧거나 길면 Edit를 눌러 조정하세요.
1
Hi, my name is Grace.
2
I'm one of the doctors working in A &E today.
3
Do you mind just confirming your name and date of birth?
4
It's Amy Brooks, 14th of the 10th of 96th.
5
Okay, nice to meet you, Amy.
6
And how can I help you today?
7
I've just been having
8
this really bad stomach pain the last few days okay sorry to hear it um before
9
we begin can i just check are you comfortable enough to answer some questions yeah
10
i was given some codeine i feel a bit better okay fine
11
if that changes just let me know
12
because i want you to be comfortable okay and
13
so amy do you want to start by telling me a bit more about the pain
14
that you've been experiencing as it started two days ago
15
and kind of went away after a little bit and then it came back and it's just been getting worse since then.
16
Okay and where abouts is the pain?
17
Like sort of lower abdomen like a little bit to the left as well.
18
Is it going anywhere else?
19
No. And what does it feel like?
20
Like a really sharp like stabbing pain.
21
Okay and I mean that sounds really uncomfortable and
22
if you were to grade on a severity out of ten
23
with ten out of ten being the worst pain how bad was it when it was at its worst?
24
About a nine out of ten this morning.
25
Okay and what's it like now?
26
It's probably about a sixth okay um
27
and the pain is it there all the time
28
or is it kind of coming in waves or coming
29
and going since this morning it's been there constantly
30
and has anything made it better or worse uh
31
so yesterday i had some paracetamol and i had like a hot water bottle
32
and that helped a little bit um
33
but it didn't really help at all this morning okay okay
34
and other than the pain have you been feeling unwell in any other ways
35
i've felt quite like dizzy since this morning as well okay tell me a bit more about
36
that just if I kind of stand up from sitting I feel quite faint
37
okay and how long does
38
that feeling last for not very long it goes away after a few seconds
39
and is that only happening when you're standing up
40
or is it happening when you're sitting down as well just
41
when I stand okay and have you fainted at all okay
42
and have you noticed any in any other ways
43
that you've been feeling unwell I've just been feeling quite sick as well okay
44
and have you been sick yeah i was sick
45
this morning okay okay well amy it sounds like you're feeling quite unwell um you've described to me pain
46
that started the day before yesterday
47
but it's gotten much worse today low down your tummy
48
and stabbing um i think what i'm going to do is
49
just ask you a few more questions about it generally okay
50
so you mentioned feeling quite sick
51
and being sick this morning can i check was there any blood in
52
that vomit no and have you had anything to eat today
53
and not this morning no no okay you've been kind of off your food i just since this morning okay
54
and when did you last have something to eat i had some dinner last night
55
and are you drinking okay
56
and any change to your bowels at all no that's been fine okay
57
and when did you last open your bowels uh just this morning any blood
58
or mucus no okay
59
and what about going for a wee any changes there no that's been normal no um burning
60
or stinging you're not going more often than usual no blood
61
when you're going for a wee okay have you had a fever or sweats at all no
62
and you mentioned that you've been feeling quite lightheaded
63
when you're standing up
64
so can i check any chest pain at all no any palpitations what about your breathing is
65
that all right that's all fine
66
and have you been unwell with any other illnesses recently uh no okay
67
and the pain is quite low down in your tummy
68
so can i check i'm thinking about vaginal discharge have been any changes
69
there any vaginal bleeding just a little bit of spotting this morning okay
70
and tell me a bit more about
71
that i mean are you someone who has regular periods what's normal for you uh they're quite irregular
72
and quite light okay
73
and have they always been a regular uh no i had the coil fitted about a year ago um
74
so they were regular before that they were just really heavy is
75
that the Mirena coil okay and when's the last time you had a bleed with
76
that apart from today about seven weeks ago I think okay and is
77
that sort of the normal amount of time between your bleeds with the Mirena not really
78
it's longer than normal yeah okay and you mentioned
79
that before you had the coil put in you had quite
80
heavy periods did you have a diagnosis of anything like fibroids
81
or cysts at all that you're aware of have you had any ultrasounds
82
or scans before okay any previous pregnancies no have you had anything like this before this kind of
83
pain with bleeding um not apart from periods okay can i check are your smears up to date yeah
84
and have they all been normal yeah they've all been fine okay
85
and i'm just going to check as well because it could be relevant are you sexually active at the moment
86
okay and is that with a regular partner
87
or casual partners uh with my boyfriend okay
88
and um when's the last time that you had a partner
89
that was different to your current boyfriend uh about three years ago okay
90
and how long have you been with your boyfriend for my current boyfriend two years two years okay
91
and have you ever had a sexual health screening before yes i have okay
92
and when was the most recent time that you had
93
that about two years ago when we got together lovely
94
and was that normal yeah that was fine fine
95
and have you ever had a sexually transmitted infection before yeah about three years ago
96
and which infection was that I had chlamydia
97
and did you get antibiotics in that I did okay perfect
98
and and can I just check just to make sure
99
when was the last time
100
that you had sex with your partner about three days ago now okay
101
and I know you have the my arena room
102
which would protect you against pregnancy can I to use condoms as well
103
or just some irena no just coil okay okay thanks for answering those questions
104
so i think what i'm going to do is just summarize back to you to make sure
105
that we've not missed anything here so you've described a pain
106
that started a couple of days ago kind of low down in your tummy
107
and on the left hand side it went away
108
but then it's come back today
109
and it's stabbing it's been up to a nine out of ten severity it's very uncomfortable you vomited with it
110
and you felt quite lightheaded when you're standing up
111
and you've also noticed some sort of vaginal spotting as well
112
which is a bit out of sync with what's normal for you um
113
and you have a regular partner
114
that you've been with for a couple of years is
115
that right yeah okay
116
and can i just check amy you said you've not had something particularly like this before
117
but did you have any thoughts of what this could be um at first
118
i thought maybe just a period pain um i'm not sure
119
if it's maybe something worse like a cyst or something like
120
that okay yeah i mean that's a reasonable thought with the pain being done there
121
and on one side and sometimes people have something they're particularly worried about
122
when they come in is there anything that you want to tell me
123
or ask me about any worries you might have I've just had two days off work already
124
and I can't really afford to take any more time off
125
so I just really want to kind of get to the bottom of it
126
and find out what's what's wrong yeah of course
127
and obviously coming into A &E we're here to help you to figure out what's going on
128
and to make sure you're comfortable was there anything else you had in mind
129
that you wanted us to help you with today uh just to find out what it is okay
130
fine so amy i've not met you before
131
so you've given me a really good idea about what's been happening in the last few days um
132
but i just want to check things before that
133
and a bit about your background
134
so can i ask do you have any other medical conditions
135
at all no do you take any regular medications no
136
i don't are you allergic to anything are there any conditions
137
that run in your family at all i don't think so no and specifically any kind of gynecological conditions
138
uh no okay and your living situation
139
so who do you live with at the moment i just live with my boyfriend okay
140
and you mentioned you're a bit worried about having time off work what is it
141
that you do for work i'm an accountant okay
142
and can i ask um do you smoke at all uh yeah
143
i do yeah how many a day probably about 10 a day okay
144
and how old were you when you started smoking uh 19.
145
okay
146
and do you take any drugs at all any recreational drugs
147
do you drink alcohol a little bit not a lot usually just
148
if i go out with friends or something like that okay
149
and how much would you have if you went out with friends maybe like two
150
or three drinks like vodka tonics or something like that okay
151
so perfect do you give me a good idea there about what's going on amy
152
so what i'm going to do i'm just going to summarize back to you to make sure
153
that we've not missed anything
154
so you've described quite severe lower abdominal pain on the left -hand side
155
that started a couple of days ago
156
and got worse today you vomited you're feeling lightheaded
157
and you've also had some spotting bleeding otherwise you're generally in good health you don't take any regular medications is
158
that right yes is there anything else
159
that you'd like to add I don't think so okay
160
and do you have any questions for me no okay and that case
161
Amy that's all for today okay thank you your time thank you today
162
i spoke with amy brooks a 27 year old woman who's presented to the accident
163
and emergency department with a two -day history of progressive left lower quadrant pain this pain is sharp severe
164
and stabbing she's also been feeling nauseous and has vomited
165
and has been feeling lightheaded understanding amy has also experienced some vaginal bleeding for the last couple of days
166
which she describes as light spotting.
167
She has a Mirena IUD in situ and hasn't had a bleed for the last seven weeks which is unusual for her.
168
She has a regular male partner and last had a sexual health screen two years ago which was negative.
169
Amy has no other medical conditions and takes no regular medications.
170
She lives with her partner.
171
Her main concern is getting back to work and she worries that this could be something like an ovarian cyst.
172
The most important differentials to consider today would be an ectopic pregnancy
173
or ovarian pathology such as ovarian cyst rupture or ovarian torsion.
174
In order to complete my assessment today, I would perform an abdominal examination, check vital signs and perform a urinary pregnancy test.
175
For this patient I would consider referring them urgently to the gynaecology team for their assessment
176
and management and their consideration of further imaging.
177
Check out the GeekyMedics collection of over 1 ,000 OSCE stations.
178
You can practice with friends using our group study mode or chat with our amazing AI -powered virtual patients.

앱 다운로드

유창하게 말하는 데 필요한 모든 것

AI 발음 평가문장마다 점수 확인
IPA 발음 연습모든 소리 마스터
단어 학습나만의 단어장 만들기
단어 게임놀면서 외우기

같은 채널

FOR YOU

추천 영상

이 레슨의 어휘와 말하기 포인트

이 말하기 레슨은 영상 “Pelvic & Abdominal Pain History”을(를) 바탕으로 합니다. 가장 자주 반복되는 단어는 다음과 같습니다: pain, amy, feeling, regular. 이 영상에는 섀도잉할 문장 178개와 단어 2087개가 있습니다. 말하는 구간의 길이는 10:25입니다. 화자는 분당 약 200단어로 빠르게 말하므로 연음과 약하게 발음되는 소리가 많습니다. 단어의 85%가 영어에서 가장 많이 쓰이는 3,000단어에 속합니다. 나머지는 연습 전에 미리 확인해 두세요.

이 영상의 핵심 어휘

영상에 나오는 익혀 둘 만한 단어 15개를 발음, 뜻과 함께 정리했습니다.

단어발음뜻
bleed 동사/ˈbliːd/피를 흘리다
pregnancy 명사/ˈpɹɛɡnənsi/임신
vomit 동사/ˈvɑmɪt/게우다, 토하다
sharp 형용사/ʃɑɹp/날카로운
assessment 명사/əˈsɛsmənt/평가
infection 명사/ɪnˈfɛkʃən/감염, 전염
uncomfortable 형용사/ʌnˈkʌm.fɚ.tə.bl̩/불편하다
faint 형용사/feɪnt/가냘프다
severity 명사/səˈvɛɹ.ə.ti/엄격함, 심각함
bowel 명사/ˈbaʊ.əl/대장, 큰창자
refer 동사/ɹɪˈfɜː/언급하다
stomach 명사/ˈstʌmək/위, 위장
illness 명사/ˈɪl.nəs/질병, 병
confirm 동사/kənˈfɝm/확인하다
sixth 형용사/sɪksθ/여섯째

영상에 나오는 구동사

단어뜻
go away 동사떠나다, 떠나가다
stand up 동사일어서다
come back 동사돌아오다
get together 동사만나다
sit down 동사앉다

이 영상의 문법

화자가 가장 많이 쓰는 문형을 영상 속 실제 표현과 함께 정리했습니다.

문형영상 속 표현
현재완료진행 have/has been + -ing — 전에 시작해 지금도 계속되는 동작I've just been having · you've been experiencing · it's just been getting
현재완료 have/has + 과거분사 — 과거의 일이 지금도 관련이 있을 때it's been · i've felt · have you fainted
관계절 who / which + 절 — 사람이나 사물에 대한 추가 정보someone who has · weeks which is · ago which was
수동태 be + 과거분사 — 누가 하는지보다 무슨 일이 일어나는지에 초점was given · being done

주의할 발음

화자는 you're, you've, I'm 같은 축약형과 약화된 형태를 52번 사용합니다. 들리는 대로 짧게 발음하세요.

  • “th” 소리: sixth /sɪksθ/, breathe /bɹiːð/, pathology /pəˈθɒləd͡ʒi/
  • “sh”와 “zh” 소리: medication /mɛdɪˈkeɪʃən/, sharp /ʃɑɹp/, infection /ɪnˈfɛkʃən/, unusual /ʌnˈjuːʒ(u)əl/, consideration /kənˌsɪd.əˈɹeɪ.ʃən/
  • 긴 단어 — 강세 위치에 주의: medication /mɛdɪˈkeɪʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, severity /səˈvɛɹ.ə.ti/, unusual /ʌnˈjuːʒ(u)əl/, consideration /kənˌsɪd.əˈɹeɪ.ʃən/

한국어 화자가 어려워하는 소리:

  • /f/ — ㅍ(/p/)으로 바꾸지 말고 윗니를 아랫입술에 대기: infection /ɪnˈfɛkʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, faint /feɪnt/, refer /ɹɪˈfɜː/, confirm /kənˈfɝm/
  • /v/ — ㅂ(/b/)과 구별하기: vomit /ˈvɑmɪt/, severity /səˈvɛɹ.ə.ti/, vital /ˈvaɪtəl/, progressive /pɹəˈɡɹɛsɪv/, virtual /ˈvɜɹt͡ʃuəl/
  • /z/ — ㅈ이 아니라 성대를 울리는 /s/: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, summarize /ˈsʌməˌɹaɪz/, dizzy /ˈdɪzi/

이 영상으로 연습하는 방법

  1. 먼저 말하지 않고 영상을 끝까지 듣고 모르는 단어를 적어 둡니다.
  2. 0.75배속으로 한 문장씩 섀도잉을 시작하고, 익숙해지면 보통 속도로 돌아갑니다.
  3. 자신의 목소리를 녹음해 원본과 비교하고, bleed, pregnancy, vomit 같은 단어에 특히 주의합니다.

쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법

쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.

섀도잉 방법: 단계별 전체 가이드 읽기 →