쉐도잉 연습: Vaginal Swabs | STI Screening | OSCE Guide | UKMLA | CPSA | PLAB 2 - 영상으로 영어 말하기 배우기
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80 문장
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Hi my name is Grace, one of the doctors at the clinic.
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Could I confirm your name and date of birth please?
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Yes it's Charlotte Borum and my date of birth is the 15th of May 1994.
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Nice to meet you Charlotte and the plan today is to take some genital swabs is that right?
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Yes.
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Okay so I'll explain the procedure.
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So first I'm going to examine the external genitals so your vulva to check for any abnormalities.
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I'll take a swab from the lower vagina at this point.
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Next I'll insert a speculum which is a small plastic tube into the vagina
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so that I can examine the cervix which is the neck of the womb.
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I'll take some more swabs from the vagina at this point.
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This may be a little uncomfortable but it shouldn't be painful you can ask me to stop at any point.
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I would usually have a female member of staff present as a chaperone if that's all right with you.
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Yeah that's fine.
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Okay do you have any questions about the examination or the procedure?
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No. No and are you happy for the examination to go ahead?
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Yes.
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I just have a few questions to ask before we start.
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Do you have any pain anywhere?
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No. And is there any chance that you could be pregnant?
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No. Would you like to empty your bladder before we begin?
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No I'm okay.
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Okay in that case I'll ask you to step behind the curtain and undress from the waist down including your underwear.
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Have a lie down on the examination couch and there's a sheet there to cover yourself with.
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I'll gather my equipment and when you're ready just let me know and I'll come around with the chaperone.
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Okay.
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Okay.
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I'm ready now.
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Okay, I'm going to come through with the chaperone now.
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I'm going to examine your genitals now.
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So for that, please draw your ankles up to your buttocks and let your legs fall open.
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I'm going to sit at the foot of the bed
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and I'm going to use a light so that I can see better.
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And when you're ready, I'm going to pull the blanket back to start the examination.
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Okay.
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Are you happy for me to go ahead?
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Yes.
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Okay.
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First I'm going to examine the outside.
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I'm going to start by pressing on your groin creases to check your lymph nodes.
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And the same on the other side.
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I'm going to examine your vulva now looking for any lumps or bumps or skin changes.
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I'm going to take a swab from this ulcer on your vulva, this may be slightly uncomfortable.
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Next I'm going to take a swab from the lower vagina so you'll feel the cotton wool bud being inserted.
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Next is the internal examination with the speculum.
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The speculum has some lubricating jelly on it which may feel a little cold.
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Are you okay for me to go ahead with this examination?
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Yes.
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Remember you can ask me to stop at any point.
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Okay I'm inserting the speculum now.
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I'm going to open the speculum a little now so that I can see your cervix.
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You will feel a bit of pressure.
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I'm going to take some more swabs now, one from the top of your vagina.
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Okay, now for your cervical swab.
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To get a more accurate sample I'm going to wipe down the surface of your cervix first.
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I'm going to take the swab from your cervix now.
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I'll take the speculum out now.
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And that's all the swabs taken and that's the end of the examination.
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I'll cover you back up.
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If you'd like to get dressed and I'll meet you on the other side of the curtain when you're ready.
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There's some wipes here if you'd like to use them.
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Okay Charlotte, so the examination today was normal and your cervix looked healthy.
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I have taken some swabs for infection
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so I'll send these off to the lab and you'll get your results directly from them by text.
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If you haven't heard back within seven days then please get in touch with us.
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There's a leaflet here for you to take on your way out
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which explains a bit more about the test that we've done today.
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Do you have any questions?
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No. In that case that's the end of the consultation today.
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Great, thank you.
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Thank you.
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Today I examined Charlotte, a 28 year old woman.
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Abdominal examination was unremarkable as was vulval inspection.
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On speculum examination the cervix appeared healthy with a closed os and there was normal vaginal discharge.
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As part of my assessment today I took a vulvo vaginal swab for gnat testing for STI screening
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and I took a high vaginal swab for culture and sensitivities.
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In order to complete my assessment I would do the following further investigations.
78
Check out the GeekyMillix collection of over 1000 OSCE stations.
79
You can practice with friends using our group study mode or chat with our amazing AI -powered virtual patients.
80
Let's go.
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이 레슨의 어휘와 말하기 포인트
이 말하기 레슨은 영상 “Vaginal Swabs”을(를) 바탕으로 합니다. 가장 자주 반복되는 단어는 다음과 같습니다: swab, examination, speculum, cervix, vagina. 이 영상에는 섀도잉할 문장 80개와 단어 842개가 있습니다. 말하는 구간의 길이는 7:37입니다. 화자는 분당 약 111단어의 일정한 속도로 말해서 섀도잉하기에 편한 속도입니다. 영어에서 가장 많이 쓰이는 3,000단어에 속하는 단어가 77%뿐이라 어휘가 어려운 편입니다.
이 영상의 핵심 어휘
영상에 나오는 익혀 둘 만한 단어 15개를 발음, 뜻과 함께 정리했습니다.
| 단어 | 발음 | 뜻 |
|---|---|---|
| examination 명사 | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | 진찰, 검사 |
| examine 동사 | /ɪɡˈzæmɪn/ | 검사하다, 조사하다 |
| vagina 명사 | /vəˈdʒaɪ.nə/ | 보지, 질 |
| insert 동사 | /ɪnˈsɝt/ | 삽입하다, 넣다 |
| assessment 명사 | /əˈsɛsmənt/ | 평가 |
| procedure 명사 | /pɹəˈsiː.d͡ʒə/ | 절차, 수단 |
| uncomfortable 형용사 | /ʌnˈkʌm.fɚ.tə.bl̩/ | 불편하다 |
| wipe 동사 | /waɪp/ | 닦다 |
| curtain 명사 | /ˈkɜɹt(ə)n/ | 커튼 |
| confirm 동사 | /kənˈfɝm/ | 확인하다 |
| sheet 명사 | /ʃit/ | 장, 시트 |
| tube 명사 | /tuːb/ | 튜브 |
| cotton 명사 | /ˈkɑt.n̩/ | 면화, 목화 |
| infection 명사 | /ɪnˈfɛkʃən/ | 감염, 전염 |
| painful 형용사 | /ˈpeɪn.fl̩/ | 아프다 |
따라 말해 볼 만한 문장
영상에 나오는 짧고 완결된 문장으로, 일상 대화에서 그대로 쓸 수 있습니다:
- Could I confirm your name and date of birth please?
- No and are you happy for the examination to go ahead?
- Do you have any pain anywhere?
- Are you happy for me to go ahead?
- Do you have any questions?
이 영상의 문법
화자가 가장 많이 쓰는 문형을 영상 속 실제 표현과 함께 정리했습니다.
| 문형 | 영상 속 표현 |
|---|---|
| 현재완료 have/has + 과거분사 — 과거의 일이 지금도 관련이 있을 때 | have taken · haven't heard · we've done |
| 관계절 who / which + 절 — 사람이나 사물에 대한 추가 정보 | speculum which is · cervix which is |
주의할 발음
화자는 I'm, I'll, you're 같은 축약형과 약화된 형태를 39번 사용합니다. 들리는 대로 짧게 발음하세요.
- “sh”와 “zh” 소리: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, sheet /ʃit/, infection /ɪnˈfɛkʃən/, inspection /ɪnˈspɛkʃən/, consultation /ˌkɑnsəlˈteɪʃən/
- 긴 단어 — 강세 위치에 주의: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, consultation /ˌkɑnsəlˈteɪʃən/, sensitivity /ˌsɛn.səˈtɪv.ə.ti/, abnormality /ˌæbˌnɔɹˈmæl.ət.i/
한국어 화자가 어려워하는 소리:
- /f/ — ㅍ(/p/)으로 바꾸지 말고 윗니를 아랫입술에 대기: uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, confirm /kənˈfɝm/, infection /ɪnˈfɛkʃən/, painful /ˈpeɪn.fl̩/, leaflet /ˈliːflɪt/
- /v/ — ㅂ(/b/)과 구별하기: vagina /vəˈdʒaɪ.nə/, virtual /ˈvɜɹt͡ʃuəl/, sensitivity /ˌsɛn.səˈtɪv.ə.ti/, cervix /ˈsɝ.vɪks/, vaginal /ˈvæd͡ʒ.ən.əl/
- /z/ — ㅈ이 아니라 성대를 울리는 /s/: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, examine /ɪɡˈzæmɪn/
이 영상으로 연습하는 방법
- 먼저 말하지 않고 영상을 끝까지 듣고 모르는 단어를 적어 둡니다.
- 보통 속도로 한 문장씩 섀도잉하고, 화자의 리듬과 맞을 때까지 반복합니다.
- 자신의 목소리를 녹음해 원본과 비교하고, examination, examine, vagina 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.