At a Glance

Consultations
2 × 4-5 min
Questions
24 total
Format
Gap-fill notes
Plays
Once only

Pre-Listening 30 seconds

  • Identify context & speakers. Check instructions to know the specialty and who's speaking (e.g., "cardiologist talking to patient").
  • Scan headings & structure. Note subheadings like "Reason for referral," "Background," "Symptoms" — these guide the consultation flow.
  • Examine blanks & adjacent words. Look at words before/after each blank to predict word type (noun, time, adjective, number).
  • Make smart predictions. Anticipate possible answers based on context and medical knowledge.
  • Mark keywords. Underline important terms and headings to help you track your position during listening.

🎧 During Listening

  • Listen for signals near blanks. Tune in for keywords that align with your predicted answers.
  • Follow sequential order. Blanks follow conversation flow — if you've filled blank 3, blank 4 comes next. Don't jump backward.
  • Watch for paraphrasing. Speakers often use different words than the notes. Example: Notes say "pain in ___" but audio says "sharp ache over my lower back."
  • Write exactly what you hear. Use the correct form — don't change tense or translate unless clearly appropriate.
  • Don't dwell on missed blanks. Skip it, move forward, and rejoin the flow to catch remaining answers.
  • Use quick shorthand. If unsure, jot phonetic hints or fragments to review immediately after.
  • Listen for signpost words. "First," "then," "after that," "in addition," "finally" signal transitions to new topics or blanks.

⚠️ Critical Rule

Your answers must be the exact words or short phrases heard in the recording. Generally, you cannot change forms or use synonyms. Typically 1-3 words per blank.

After Listening

  • Quick review window. Check spelling, grammar, and ensure answers fit logically in context.
  • Fill every blank. No penalties for guessing — always write something.
  • Sense-check your answers. If an answer seems clearly wrong, reconsider if time permits.
💡 Pro Tip: The notes and audio often use different language. Train yourself to recognize paraphrasing by practicing with sample tests regularly.

📋 What is Part B?

You will hear a series of short workplace extracts (announcements, instructions, professional messages). Each extract is followed by a question, usually multiple-choice. Part B tests your ability to identify the main point, specific details, speaker intention, or factual information — often expressed through paraphrase rather than exact wording.

Key Features

Format
Short extracts
Question Type
Multiple choice
Focus
Workplace topics
Plays
Once only

📖 Pre-Listening 15 seconds

  • Scan question & options quickly. Read everything before audio starts.
  • Underline keywords. Mark names, numbers, times, actions, and negatives (e.g., "not", "delay", "cancel").
  • Identify question type. Is it asking for main idea, reason, detail, time/place, or who/what/why?
  • Predict likely answers. Think of one or two possible answers in your own words — this helps you catch paraphrases.
  • Spot trap words. Watch for absolutes like "always/never" and specific numbers that might be distractors.
  • Prepare note symbols. Mark question number and answer slot in your notes (e.g., Q3 → ?A).

🎧 During Listening

  • Focus on gist first. What is the speaker trying to do? Then listen for specific details matching options.
  • Listen for signpost language. Reason words (because, since), contrast (but, however), time/order (first, then), emphasizers (especially, mainly).
  • Map options using paraphrase. The test rarely repeats exact wording — listen for synonyms and reworded ideas.
  • Use elimination actively. Cross out contradictory options immediately as you hear them.
  • Mark matches but stay alert. If you hear a detail matching an option, note it — but keep listening for negation or correction.
  • Take minimal notes. Use symbols and 1-2 words, not full sentences.
  • Beware of distractors. Speaker may mention an option briefly then reject it — don't pick the first matching word.
Example note-taking:
• "appt → resch Mon, Dr S"
• "cost? = covered?"
• "ward 3 ✗ → ward 5 ✓"

⚠️ Common Traps

  • First mention trap: Option mentioned early but later contradicted
  • Similar words: Numbers or names that sound alike
  • Partial truth: Option partially correct but missing key detail
  • Negation: "Not Tuesday" when you hear "Tuesday" mentioned

Post-Listening

  • Quick recheck between extracts. If time permits, verify your chosen option against underlined keywords.
  • Use elimination logic. If unsure, drop clearly wrong options and choose the best remaining.
  • Transfer answers carefully. Ensure correct question numbers on answer sheet.
  • Final review window. Use any end-of-section time to recheck flagged items.
💡 Pro Tip: Practice recognizing paraphrasing by reading sample questions and brainstorming synonyms for key words before listening. This trains your ear to catch reworded information quickly.

🎤 What is Part C?

You will hear two longer recordings (presentations, interviews, case reviews) of about 4-5 minutes each.

For each recording, there are 6 multiple-choice questions (3 options each) — total 12 questions in Part C.

Questions test your ability to follow extended discourse, identify main ideas, details, opinions, attitudes, reasoning, and understand the logical flow of the talk.

These recordings are similar to professional development talks or interviews you might hear in clinical settings.

Key Features

Recordings
2 × 4-5 min
Total Questions
12 (6 each)
Options
3 per question
Plays
Once only

📖 Pre-Listening 90 seconds

Use this strategic reading time wisely:

  • Read all questions & options. Get a sense of the scope — you'll know roughly when to expect each question's answer.
  • Underline keywords. Circle names, dates, phrases, contrast words (but, however), or negatives (not, never).
  • Notice differences between options. Some are very close; simplify each in your own words to see their distinct meaning (e.g., A = "X", B = "Y + nuance", C = "Z viewpoint").
  • Predict the talk's content. Based on context and question focus (e.g., "risk factors," "patient reactions"), prime your brain for expected content.
  • Map question order mentally. The recording is continuous — know when you're moving from one question to the next using signposts.

🎧 During Listening

  • Listen for gist first. Understand the overall structure and how the speaker organizes ideas.
  • Track signposting & discourse markers. These help you follow progression and transition between question topics.
  • Match audio to predictions. When you hear something similar to your underlined keywords (even if paraphrased), check which option fits best.
  • Watch for distractors & corrections. Speaker might mention something that sounds like an option but then qualify, contradict, or correct it. Don't commit immediately.
  • Take brief notes. Just keywords, symbols, arrows, or short phrases — not full sentences.
  • Keep listening after finding an answer. The speaker may offer new info that changes the meaning since the talk is continuous.

🧭 Critical Signposts to Listen For

Sequence

First • Secondly • Next • Finally • Then • After that

Transition

Let me move on to... • Turning now to... • In terms of...

Contrast

However • On the other hand • But • Although • Despite

Cause/Effect

Because • Therefore • As a result • Consequently • So

After Recording Last 2 minutes

  • Check answers against notes. Compare selected answers with your notes and underlined keywords.
  • Compare close options contextually. If two options are still close, consider which aligns with speaker's tone, reasoning, or overall context — not just word matching.
  • Never leave blanks. Educated guesses are better than unanswered questions.
  • Review flagged items only. Use final review time for uncertain questions, not the entire section.
💡 Pro Tip: During practice, pause recordings after each question topic and predict what the speaker might say next. This trains you to follow the logical flow and anticipate content in real time.

⚠️ Common Traps & Pitfalls

Distractor Words

All options often contain words from the audio, but only one fits the meaning in context. Don't match words alone — match meaning.

Negatives & Contrast

Words like "but," "however," "although" can reverse meaning. Always pay close attention to these.

Paraphrase Mismatch

The correct answer may use completely different wording from the audio. Don't exclude an option just because words don't match exactly.

Losing Track

Long talks make it easy to lose which question you're on. Use signposts to reorient yourself.

Accent & Speed Variability

Practice listening to various accents and normal speaking speed to build comfort and confidence.