Shadowing Practice: Vaginal Swabs | STI Screening | OSCE Guide | UKMLA | CPSA | PLAB 2 - Learn English Speaking with Video
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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.
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Check out the GeekyMillix collection of over 1000 OSCE stations.
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You can practice with friends using our group study mode or chat with our amazing AI -powered virtual patients.
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Vocabulary and speaking notes for this lesson
This speaking lesson is built on the video “Vaginal Swabs”. The speaker keeps coming back to these words: swab, examination, speculum, cervix, vagina. This video has 80 sentences and 842 words to shadow. The speech runs for 7:37. The speaker talks at a steady 111 words per minute, a comfortable pace for shadowing. Only 77% of the words are among the 3,000 most common in English, so the vocabulary is demanding.
Key vocabulary in this video
15 words from the video worth learning, with pronunciation and meaning:
| Word | Pronunciation | Meaning |
|---|---|---|
| examination noun | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | The act of examining. |
| examine verb | /ɪɡˈzæmɪn/ | To observe carefully or critically to learn about someone or something. |
| vagina noun | /vəˈdʒaɪ.nə/ | A similar organ in some invertebrates and non-mammalian amniotes. |
| insert verb | /ɪnˈsɝt/ | To put in between or into. |
| assessment noun | /əˈsɛsmənt/ | The act of assessing or an amount (of tax, levy or duty etc) assessed. |
| procedure noun | /pɹəˈsiː.d͡ʒə/ | A particular method for performing a task. |
| uncomfortable adjective | /ʌnˈkʌm.fɚ.tə.bl̩/ | Not comfortable; causing discomfort. |
| wipe verb | /waɪp/ | To move an object over, maintaining contact, with the intention of removing some substance from the surface. (Compare rub.) |
| curtain noun | /ˈkɜɹt(ə)n/ | A piece of cloth covering a window, bed, etc. to offer privacy and keep out light. |
| confirm verb | /kənˈfɝm/ | To strengthen; to make firm or resolute. |
| sheet noun | /ʃit/ | A thin bed cloth used as a covering for a mattress or as a layer over the sleeper. |
| tube noun | /tuːb/ | Anything that is hollow and cylindrical in shape. |
| cotton noun | /ˈkɑt.n̩/ | A soft, fibrous, usually white substance consisting of fine hairs, especially the substance around the seeds of a plant of genus Gossypium. |
| infection noun | /ɪnˈfɛkʃən/ | The act or process of infecting. |
| painful adjective | /ˈpeɪn.fl̩/ | Causing pain or distress, either physical or mental. |
Phrasal verbs you will hear
| Word | Pronunciation | Meaning |
|---|---|---|
| go ahead verb | /ˌɡoʊ əˈhɛd/ | To proceed with; to begin. |
| back up verb | To move backwards, especially for a vehicle to do so. | |
| check out verb | To record the departure or withdrawal of someone or something (such as guests, employees, books, etc.). | |
| go ahead with verb | To resume something previously cancelled or delayed; to continue something despite known concerns. | |
| wipe down verb | To clean the exterior surface of an object, from top to bottom, typically by hand using a damp dishcloth or other cleaning cloth. |
Sentences worth repeating
Short, complete lines from the video that you can reuse in everyday conversation:
- 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?
Grammar in this video
The structures the speaker uses most, with the exact words from the video:
| Structure | In the video |
|---|---|
| Present perfect have/has + past participle — a past action that still matters now | have taken · haven't heard · we've done |
| Relative clauses who / which + clause — extra information about a person or thing | speculum which is · cervix which is |
Pronunciation to watch
The speaker uses 39 contractions and reduced forms, such as I'm, I'll, you're. Say them the short way, as you hear them.
- The “sh” and “zh” sounds: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, sheet /ʃit/, infection /ɪnˈfɛkʃən/, inspection /ɪnˈspɛkʃən/, consultation /ˌkɑnsəlˈteɪʃən/
- Long words — get the stress right: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, consultation /ˌkɑnsəlˈteɪʃən/, sensitivity /ˌsɛn.səˈtɪv.ə.ti/, abnormality /ˌæbˌnɔɹˈmæl.ət.i/
How to practise with this video
- Listen to the whole video once without speaking and note the words you do not know.
- Shadow it sentence by sentence at normal speed, repeating each one until your rhythm matches the speaker.
- Record yourself and compare with the original, paying attention to words like examination, examine, vagina.
What is the Shadowing Technique?
Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.