OET OnlineOET Preparation Material Task 4 Deep Vein Thrombosis Part A Summary Gap Fill Time Limit: 15 minutes Instructions • Complete the following summary using the information in the texts for this task. • Skim and scan the texts to find the information required. • Gaps may require 1, 2 or 3 words. • Write your answers in the appropriate space in the column on the right hand side. • Make sure your spelling is correct. Summary 1. There are various risks associated with flying, one of them being deep vein thrombosis. Research first linked the condition to air travel in (1)____. Since then many case reports and series have been (2)____. An English study published in the well known medical journal the (3)____ found that a person’s risk increased directly as a result of (4)____ and that more people died in the (5) ____area than the (6)_____area. New Zealand and German studies found similar associations between flying and deep vein thrombosis. This was (7)____ to a Dutch study which did found no association between flying and deep vein thrombosis. Despite conflicting results, some airlines take a proactive approach and (8) ____ to passengers on how to (9)____ of deep vein thrombosis. Their recommendations include the wearing of loose clothes, avoidance of (10)____and regular movements around the plane. Sitting with your legs crossed is not (11)____ while regular stretching and (12)____may be beneficial. Finally before travelling, a (13)____with your doctor is suggested. 12. 13. 11. 7. 8. 9. 10. 6. 3. 4. 5. 2. Answers This resource was developed by OET Online 1 Website: http://oetonline.com.au Email: [email protected] Bus or train travellers with factor V Leiden who had a (22)_____of more than 30. 17. Based on a study of (17) ____ patients. Answers This resource was developed by OET Online 2 Website: http://oetonline. 16. published in (14)____. 23. 19. were taller than (23)____ or who took (24)____ had a relatively high risk.com . 22. A recent study by Cannegieter et al. often associated with swelling. 24. For those still prepared to take the risk of travelling. redness. 25. common symptoms of deep vein thrombosis include (19) ____ in the leg. 20. investigated the risk factors associated with various (15)____ and (16) ____. 15. 26.OET Online OET Preparation Material Part A Answer Sheet continued Summary 14. 21.au Email: oetonline@gmail. increased warmth and bluish (20)____. the researchers found that travelling by (18)____ had a comparable risk to that of flying. the most significant symptom linked to deep vein thrombosis is (21)____. 18. Whereas air travel led to an (25)____thrombosis TOTAL SCORE risk for travellers with a height of less than (26) ____.com. According to Cannegieter et al (2006) there are several risk factors among the general population which may increase the risk of deep vein thrombosis. However. In terms of absolute risk.au Email: oetonline@gmail. • Skim and scan the texts to find the information required.8% of 964 individuals who had traveled for more than 8 hours in an airplane. Several clinical studies have shown an association between air travel and the risk of venous thrombosis. many case reports and case series have been published since. Some airlines prefer to err on the side of caution and offer suggestions to passengers on how to reduce the risk of DVT.com. although the research evidence is currently divided.com . a Dutch study found no link between DVT and long distance travel of any kind. death occurred far more often in the arrival than in the departure area. Suggestions include: • Wear loose clothes • Avoid cigarettes and alcohol • Move about the cabin whenever possible • Don’t sit with your legs crossed • Perform leg and foot stretches and exercises while seated • Consult with your doctor before travelling Text 2 Previous research Venous thrombosis was first linked to air travel in 1954. and as air travel has become more and more common. • Write your answers in the appropriate space in the column on the right hand side. The other was a German study which found venous thrombotic events in 2. Text 1 Economy Class Syndrome International flights are suspected of contributing to the formation of DVT in susceptible people. In contrast. Two similar studies reported that the risk of pulmonary embolism in air travelers increased with the distance traveled. This resource was developed by OET Online 3 Website: http://oetonline. • Make sure your spelling is correct.OET Online Part A OET Preparation Material Time Limit: 15 minutes Instructions • Complete the summary on the answer page using the information in the four texts below. English researchers proposed. in a paper published in the Lancet. that flying directly increases a person's risk. two studies found similar results: one performed in New Zealand found a frequency of 1% of venous thrombosis in 878 individuals who had traveled by air for at least 10 hours. The report found that in a series of individuals who died suddenly at Heathrow Airport. Conclusions The risk of venous thrombosis after travel is moderately increased for all modes of travel. and modifying factors remain unanswered. Rosendaal Study Background Recent studies have indicated an increased risk of venous thrombosis after air travel. Frits R. consecutive patients younger than 70 years of age with a first venous thrombosis have been invited to participate in the study. Carine J. This resource was developed by OET Online 4 Website: http://oetonline. Doggen1. ankle and foot • Redness in the leg • Bluish skin discoloration • Increased warmth in the leg Text 4 Title: Travel-Related Venous Thrombosis: Results from a Large Population-Based Case Control (2006) Authors: Suzanne C. questions on the magnitude of risk. Results: Of 1.au Email: oetonline@gmail. Information has been collected on acquired and genetic risk factors for venous thrombosis. Since March 1999. Hans C. those who were more than 190 cm tall . and in those who used oral contraceptives. Traveling in general was found to increase the risk of venous thrombosis. or train led to a high relative risk of thrombosis in individuals with factor V Leiden. For air travel these people shorter than 160 cm had an increased risk of thrombosis after air travel as well. Travel by bus. Subgroups exist in which the risk is highly increased. Methods We studied the effect of various modes of transport and duration of travel on the risk of venous thrombosis in a large ongoing case-control study on risk factors for venous thrombosis in an unselected population. M.com. van Houwelingen2.com .OET Online OET Preparation Material Text 3 Symptoms • Pain and tenderness in the leg • Pain on extending the foot • Tenderness in calf (the most important sign) • Swelling of the lower leg. Cannegieter1. 233 had traveled for more than 4 hours in the 8 weeks preceding the event.906 patients. We also assessed the combined effect of travel in relation to body mass index. and oral contraceptive use. The risk was highest in the first week after traveling. the underlying mechanism. height. The risk of flying was similar to the risks of traveling by bus or train. with their partners serving as matched control individuals. in those who had a body mass index of more than 30. Nevertheless. published 3. cigarettes and alcohol 11. recommended/advised (necessary to deduce fro the context) 12. offer suggestions 9. increased 26. 1906 18. in contrast 8. 1954 2. arrival 6. duration of travel 17. body mass index 23. pain and tenderness 20. exercising/exercises 13.OET Online OET Preparation Material Task 4 Deep Vein Thrombosis Answer Sheet 1. Lancet 4. 190cm 24. 2006 15. flying 5. tenderness in calf 22. consultation (necessary to change verb to noun) 14. bus or train 19.au Email: oetonline@gmail. reduce the risk 10.com. departure 7. modes of transport 16. oral contraceptives 25.com . 160cm This resource was developed by OET Online 5 Website: http://oetonline. skin discoloration 21. Two similar studies reported that the risk of pulmonary embolism in air travelers increased with the distance traveled.com . many case reports and case series have been (2) published since.e not recommended • Perform leg and foot stretches and (12)exercises while seated • (13)Consult (tation)with your doctor before travelling Text 2 Previous research Venous thrombosis was first linked to air travel in (1)1954. two studies found similar results: one performed in New Zealand found a frequency of 1% of venous thrombosis in 878 individuals who had traveled by air for at least 10 hours.com. death occurred far more often in the (5)arrival than in the (6)departure area. The other was a German study which found venous thrombotic events in 2. (7)In contrast. and as air travel has become more and more common. Some airlines prefer to err on the side of caution and (8)offer suggestions to passengers on how to (9)reduce the risk of DVT. This resource was developed by OET Online 6 Website: http://oetonline. a Dutch study found no link between DVT and long distance travel of any kind. Several clinical studies have shown an association between air travel and the risk of venous thrombosis. The report found that in a series of individuals who died suddenly at Heathrow Airport. In terms of absolute risk. in a paper published in the (3) Lancet.OET Online Answer Key: Deep Vein Thrombosis OET Preparation Material Text 1 Economy Class Syndrome International flights are suspected of contributing to the formation of DVT in susceptible people. English researchers proposed. although the research evidence is currently divided.au Email: oetonline@gmail. Suggestions include: • Wear loose clothes • Avoid (10)cigarettes and alcohol • Move about the cabin whenever possible • Don’t sit with your legs crossed (11) i. that (4) flying directly increases a person's risk.8% of 964 individuals who had traveled for more than 8 hours in an airplane. Rosendaal Study Background Recent studies have indicated an increased risk of venous thrombosis after air travel. Information has been collected on acquired and genetic risk factors for venous thrombosis. For air travel these people shorter than (26)160 cm had an (25)increased risk of thrombosis after air travel as well. consecutive patients younger than 70 years of age with a first venous thrombosis have been invited to participate in the study. and oral contraceptive use.906 patients. the underlying mechanism. and modifying factors remain unanswered. with their partners serving as matched control individuals. Since March 1999. Methods We studied the effect of various (15)modes of transport and (16)duration of travel on the risk of venous thrombosis in a large ongoing case-control study on risk factors for venous thrombosis in an unselected population. Frits R. Travel by bus. and in those who used (24)oral contraceptives. We also assessed the combined effect of travel in relation to body mass index. ankle and foot • Redness in the leg • Bluish (20)skin discoloration • Increased warmth in the leg Text 4 Title: Travel-Related Venous Thrombosis: Results from a Large Population-Based Case Control (14) (2006) Authors: Suzanne C. Traveling in general was found to increase the risk of venous thrombosis. height. Conclusions The risk of venous thrombosis after travel is moderately increased for all modes of travel. The risk of flying was similar to the risks of traveling by (18)bus or train. 233 had traveled for more than 4 hours in the 8 weeks preceding the event. The risk was highest in the first week after traveling. Doggen1. M. This resource was developed by OET Online 7 Website: http://oetonline. Cannegieter1. Subgroups exist in which the risk is highly increased. Carine J.com. Results: Of (17)1.com . van Houwelingen2. questions on the magnitude of risk.OET Online OET Preparation Material Text 3 Symptoms • (19)Pain and tenderness in the leg • Pain on extending the foot • (21)Tenderness in calf (the most important sign) • Swelling of the lower leg. Hans C. those who were more than (23)190 cm tall . Nevertheless. or train led to a high relative risk of thrombosis in individuals with factor V Leiden.au Email: oetonline@gmail. in those who had a (22)body mass index of more than 30.