Prática de Shadowing: Obstetric History | Headache in Pregnancy | OSCE Guide | UKMLA | CPSA | PLAB 2 - Aprenda a falar inglês com vídeo

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hi my name is grace i'm one of the medical students in a

and e and could i just confirm your name

and date of birth please yeah it's karis morgan it's a 14 to the 3rd 96.

nice to meet you karis how can i help you today um

i don't want to be a nuisance it's just i've had these headaches

they just won't go away so the midwife said

that I should come into A &E

because I am getting a little bit worried if I'm honest

because nothing seems to be making it go away okay well

that sounds like something

we need to look into then can I just check how many weeks pregnant are you at 31 weeks

now okay and tell me about what happened with midwife um I just called her up really

because I said you know I'm having these headaches

that they're not going away and then she said to come into A &E

so I don't really want to know you know I don't really know why

but yeah yeah I'm here now okay okay well let's find out a bit more then

so tell me about these headaches yeah it started about maybe four

or five days ago now just kind of low level

and then it seems to be getting worse since okay

and can you describe the headache for me yeah I'd say it's like a dull throbbing pain okay

and is that pain there all the time yeah all the time yeah okay

and it's not going anywhere else or no is it all over

or just in one all over my head yeah okay

and have you noticed anything that makes it better

or worse initially I was taking some paracetamol and

that was at first that was working you know the headaches were shifting

but as the days have gone on it's not even touching it now

so it's not doing anything okay I mean

it sounds quite uncomfortable how bad out of 10 would you say the pain is now

if 10 out of 10 is the worst pain?

I'd say at the start of the week maybe about three out of ten, I'd say a low level

and then as the days have gone on now I would give it about a six out of ten.

Okay so it sounds quite uncomfortable.

Yeah.

Have you noticed anything else along with the headaches?

Any other symptoms or changes?

I feel sick with the headaches, yeah.

Okay, have you been sick?

No, I've not been sick.

Okay, any other changes that you've noticed?

Yeah, my ankles are a bit swollen as well.

Okay and is

that just over the last few days as well yeah about the same amount of time yeah okay

so you've had four or five days of headaches

that are all over getting worse they've got you feeling sick

and you've also had a bit of ankle swelling is

that right yeah right let me ask you a few more questions to make sure

we're not missing anything okay okay so I'm sure you would have said

but have you had any head injuries at all

or hit your head no are you someone who normally has headaches

or is this abnormal for you no I don't really get headaches

so yeah it's a bit out of the ordinary okay have you had a fever

or temperature at all no any neck stiffness no any rashes no are you I mean

you look quite comfortable now

but are your eyes sensitive to the light no

it's all fine yeah okay are you moving okay yeah yeah any weakness in your arms

or legs or dropping things no okay

and any change to your speech at all no any change

to your vision yeah actually a little bit on my right eye

it's just kind of a little bit blurry okay and is

that just in the last few days as well yeah is the right painful at all

or no it doesn't feel any different

it's just yeah just a little bit blurry compared to the other one okay

and any areas of your vision where you can't see at all no no

and any flashing lights no okay so just this bit of blurriness

and yeah I that's come on around the same time yeah okay um you mentioned

that you're feeling sick

but you've not been sick have you had any tummy pain at all no any indigestion no okay

and your bowels are they the same as usual yeah it's all fine peeing okay yeah

and just to double check any chest pain

or feeling breathless no okay all right

and thinking about the baby now is the baby still moving oh yeah

that's that's all normal yeah fine just the same as usual not less

or more yeah just the same yeah perfect any bleeding at all no

and any kind of tightenings or cramping no okay all right

so i think i've got a good idea of your symptoms

and in what ways you've been feeling unwell

but i just need to find out a bit more about the pregnancy

if that's okay yeah is this your first pregnancy it is yeah okay

and tell me about how it's been

so far um yeah good everything seems to be going well you know i've had all my checkups

and things and no problems yeah apart from these headaches yeah okay

and are you seeing just the midwife

or are you seeing a doctor as well just a midwife

and have you had all of your appointments

and scans yeah yeah been to everyone yeah fine

and the scans have all been normal yeah all fine

and have you had your screening early on in pregnancy i did yeah

and was that fine as well and

when you've been to your appointments have they always been happy with things like your blood pressure and

yeah i had it checked at my last appointment and

that was all fine yeah okay and

when was your last appointment about three weeks ago now fine

and was that the last time someone checked your blood pressure yeah okay

and when's your next appointment do you have one booked

i think it's coming up in a few days time to be honest yeah

that's why i give me midway for call right

and it sounds like everything's been fine so far

but just to double check have you had any complications

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so far in the pregnancy no thankfully it's all been going great yeah okay

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and have you ever needed to see a gynaecologist before for anything

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or had any gynaecology problems in the past no okay

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so you've come in today you've been sent in by the midwife

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you've been having these headaches

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you've not really been feeling well a bit of ankle swelling change of vision um in

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that eye do you have any thoughts

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or any ideas yourself about what could be going on i'm not sure really

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i i just didn't want to be wasting your time you know the fact

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that the midwife sent me here

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so yeah I don't really know okay I mean

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you're not wasting our time at all you know always welcome you in for a check especially

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if someone else has sent you in

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and was there anything about what the midwife said

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or anything about your symptoms that's worrying you at all I mean the fact

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that it isn't going away is just you know a little bit worrying

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but as I say I just think it's a headache really

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and that's why I was thinking I don't want to be wasting your time

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so yeah but I'm here to get checked up I guess yeah definitely

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and I mean did the midwife explain about what might happen in A &E

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or did you have any thoughts yourself about what we would do today

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or I was just hoping to get some kind of painkillers really

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that will be you know be safe to take with the baby

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and then and then I can just get myself home and

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so your main concern is just getting rid of this headache getting yourself feeling better yeah okay

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I've not met you before and I don't have your records here

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so I'm just going to ask a few questions about your background

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if that's all right okay do you have any other medical conditions that I should know about?

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No. Okay are you taking any medications?

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No. Are you allergic to anything?

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No. Are there any medical conditions that run in the family that I should know about?

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I've got a twin sister and she suffers from migraines.

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She has done quite a few years now.

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Okay and has anyone in the family had any problems in pregnancy?

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Yeah my mum said when she was pregnant with me

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and my sister she had something called preeclampsia I think it was

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but I don't really know anything more about it okay

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and what's your living situation Karis I live with my partner okay

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and is that the father of the child yes yeah okay

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and is he supportive very much so yeah fine

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and we ask everybody this because we just want to make sure we're not missing anything

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but you feel safe with your partner at home oh yeah definitely yeah okay

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and Karis do you drink at all any alcohol oh no

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I haven't haven't drank since before we started trying for a baby

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so a long time ago yeah okay

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and do you smoke at all no any drugs at all

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oh not since I was like a teenager no no okay

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and are you in work um yeah I work from home

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and make my own jewelry at sell online

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so that's quite nice to work around things oh yeah lovely yeah okay fine

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so Karis I'm just going to summarize what you've talked about today

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so we can make sure we're not missing anything

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so you've been sent in by the midwife with these headaches

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that have been going on four or five days they're getting worse

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and you're feeling sick you're you've had some change to your vision in your right eye

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and that it's blurry

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and you've had some ankle swelling as well yeah

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you're 31 weeks pregnant today all your appointments have been absolutely

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fine your blood pressure throughout all the scans have been completely normal

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and today baby's moving as normal as well yeah

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and your main worry is just this headache

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and that's quite uncomfortable of course yeah is there anything you feel

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that I've missed that no I think that's everything yeah okay

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and do you have any questions for me no I don't think

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so thank you okay in

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that case I think that's all the questions

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I wanted to ask okay thank you thank you today

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I spoke with Karis Morgan a 28 year old woman who

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was advised to attend A &E by her midwife Karis is 31 weeks pregnant

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and is Gravada 1 para 0 Karis describes a five -day history of a worsening generalized headache

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which is associated with nausea she also describes new ankle oedema and blurred vision to her right eye.

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Karis's pregnancy has been uncomplicated so far and she has attended all of her appointments and she is under midwife -led care.

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Her blood pressure was normal at her most recent appointment three weeks ago.

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She has no other medical conditions and takes no regular medications.

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Her mother had preeclampsia.

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There are no social concerns at home.

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The most important diagnosis to exclude here is preeclampsia given the history of headache, nausea, peripheral oedema and change to vision.

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In order to complete my initial assessment I would urgently check blood pressure

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and do a urine dip to check for protein urea.

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I would refer urgently to the obstetric team if appropriate.

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In order to complete my wider assessments, I would check vital signs, perform a pregnant abdomen examination,

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a neurological examination, and I would send blood tests, including full blood count, eusenies, LFTs, and coag.

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I would also send a urine sample to quantify the protein urea.

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Check out the GeekyMedics collection of over 1 ,000 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.

185

Let's get started.

186

Let's get started.

187

Let's get started.

188

I'll see you next time.

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Vocabulário e dicas de fala para esta lição

Esta aula de conversação usa o vídeo “Obstetric History”. As palavras que mais se repetem: headache, fine, midwife, karis, appointment. Este vídeo tem 188 frases e 2096 palavras para praticar shadowing. A fala dura 10:33. O falante fala rápido, cerca de 199 palavras por minuto, então espere sons ligados e reduzidos. 85% das palavras estão entre as 3.000 mais comuns do inglês; vale a pena estudar o restante antes de começar.

Vocabulário principal deste vídeo

15 palavras do vídeo que vale a pena aprender, com pronúncia e significado:

Palavra	Pronúncia	Significado
headache substantivo	/ˈhɛdeɪk/	dor de cabeça, enxaqueca
pregnancy substantivo	/ˈpɹɛɡnənsi/	gravidez, prenhez
ankle substantivo	/ˈæŋ.kəl/	tornozelo
swell verbo	/swɛl/	inchar
uncomfortable adjetivo	/ʌnˈkʌm.fɚ.tə.bl̩/	desconfortável, incómodo
scan verbo	/skæn/	varrer
symptom substantivo	/ˈsɪm(p)təm/	sintoma
assessment substantivo	/əˈsɛsmənt/	contabilização
examination substantivo	/ɪɡˌzæm.ɪˈneɪ.ʃən/	exame
medication substantivo	/mɛdɪˈkeɪʃən/	medicamento, medicação
urine substantivo	/ˈjʊɹɪn/	urina
nausea substantivo	/ˈnɔzi.ə/	náusea, enjoo
sensitive adjetivo	/ˈsɛn.sɪt.ɪv/	sensitivo
compare verbo	/kəmˈpɛɚ/	comparar
flash verbo	/flæʃ/	lampejar

Phrasal verbs que você vai ouvir

Palavra	Significado
go away verbo	sair, partir
find out verbo	descobrir
check out verbo	verificar, sacar só

Frases que vale a pena repetir

Frases curtas e completas do vídeo que você pode usar na conversa do dia a dia:

Have you noticed anything else along with the headaches?
No, I've not been sick.
Okay, any other changes that you've noticed?
Are you allergic to anything?
I'll see you next time.

Gramática neste vídeo

As estruturas que o falante mais usa, com as palavras exatas do vídeo:

Estrutura	No vídeo
Present perfect continuous have/has been + -ing — uma ação que começou antes e continua	you've been having · have been going
Present perfect have/has + particípio passado — uma ação passada que ainda importa agora	i've had · have you noticed · have gone
Voz passiva be + particípio passado — o foco está no que acontece, não em quem faz	you've been sent · was advised · is associated

Pronúncia para ficar de olho

O falante usa 61 contrações e formas reduzidas, como you've, don't, I'm. Diga-as na forma curta, do jeito que você ouve.

Os sons de “th”: breathless /ˈbɹɛθləs/, throb /θɹɒb/
Os sons de “sh” e “zh”: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, medication /mɛdɪˈkeɪʃən/, flash /flæʃ/, associate /əˈsoʊʃi.ət/, rash /ɹæʃ/
Palavras longas — acerte a sílaba tônica: uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, medication /mɛdɪˈkeɪʃən/, ordinary /ˈɔɹdɪnɛɹi/, associate /əˈsoʊʃi.ət/

Sons difíceis para falantes de português:

Consoante final — sem acrescentar um “i” depois: headache /ˈhɛdeɪk/, assessment /əˈsɛsmənt/, associate /əˈsoʊʃi.ət/, allergic /əˈlɝ.d͡ʒɪk/, exclude /ɪksˈkluːd/
/l/ final — a língua toca o céu da boca, não vira “u”: ankle /ˈæŋ.kəl/, swell /swɛl/, vital /ˈvaɪtəl/, virtual /ˈvɜɹt͡ʃuəl/, dull /dʌl/
s + consoante no início — sem um “i” antes: swell /swɛl/, scan /skæn/

Como praticar com este vídeo

Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
Comece na velocidade 0,75×, faça shadowing frase por frase e volte à velocidade normal quando ficar fácil.
Grave a sua voz e compare com o original, prestando atenção a palavras como headache, pregnancy, ankle.

O que é a Técnica de Shadowing?

Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.

Técnica de shadowing: leia o guia completo passo a passo →

Prática de Shadowing: Obstetric History | Headache in Pregnancy | OSCE Guide | UKMLA | CPSA | PLAB 2 - Aprenda a falar inglês com vídeo

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Vocabulário e dicas de fala para esta lição

Vocabulário principal deste vídeo

Phrasal verbs que você vai ouvir

Frases que vale a pena repetir

Gramática neste vídeo

Pronúncia para ficar de olho

Como praticar com este vídeo

O que é a Técnica de Shadowing?