11. Časová souslednost cd2/21 Úroveň D 19. Budoucnost v minulosti. Vložte slovesa ve správném tvaru. a) He went to see what time he_(get) home if he_(take) the later train. b) They informed me they_(not advertise) the job while I_ (still work) there. c) I was assured that as long as I_(keep) my promise they_(kelp) theirs. d) They were unable to guarantee I_(find) you here if I_(get here) later than two o'clock. e) We talked about how we_(react) if they_(not deliver) tin- goods on time. f) She made sure there_(be) something for us to eat if we_ (arrive) early. g) The experiment proved that unless we_(reduce) prices we_ (have) no hope of attracting more customers. h) He felt sure that even if someone_(see) him they_(not recognize) him. i) He promised that if I_(lend) him my laptop he_(not install) any new software on it. j) I could see that whatever we_(do) we_(not be able to) change what they_(think) of us. 20. Převeďte do nepřímé řeči. Vždy začínejte slovy v závorkách. a) "I'll phone you whenever I can." (he said) b) "I'll remind him every time I see him." (she promised) c) "I'll be very surprised if they achieve it that soon." (I said) d) "I'll write them a letter while I'm babysitting this evening." (she assured me) e) "The moment they recognize me they'll phone the police." (he was convinced) f) "But I know I'll feel strange, even though everyone's telling me it's going to be alright." (I knew) g) "They'll have to keep playing until one of the teams scores." (he explained) h) "As soon as you learn to relax you'll start to enjoy it." (he assured me) i) "You can take the car as long as you pick me up from work later." (she agreed) j) "I'll have to compare everything carefully before I decide which one to get." (I realized) k) "I'm going to book a hotel in case they don't provide accommodation." (she decided) 1) "But they won't get to the summit by sunrise unless they set off before midnight." (he claimed) 21. Poslouchejte a převádějte do nepřímé řeči. Vzor: (nahrávka: I'll see if I can help you) > He said be'd see if he could help me. a) I'll write whenever 1 have a spare moment. b) I'll let you know once it's all clear. c) I'll turn the music off if it annoys you. d) I'll keep writing until I run out of ideas. e) I won't look much better even if I comb my hair. f) I'm going swimming as soon as I get rid of my cold. g) When the next chance comes along I'll be better prepared. h) As long as you're able to prove that they'll believe everything. i) They won't understand the text unless we simplify it first. j) I want to have a reserve plan in case diey reject my first one. 176 složitější' případy rosové souslednosti í 19-21 > 11. Časová souslednost 5. Poslouchejte a převádějte otázky do nepřímé řeči. Vzor: (nahrávka: What is ití) > She asked me what it was. (nahrávka: Areyou busy?) > He asked me if I was busy. (# a) How are you? cd/17 b) Arc you religious? c) What's the matter? d) How much time have you got? e) Why can't you answer? 0 Have you got a handkerchief? g) What are you doing? h) What time is it? i) Why don't you want to rell me? j) Does the shirt suit mc? k) Do you want my advice? 1) How are they getting there? 6. Přítomnost v minulosti. Přeložte. a) Řekla, že to je ta původní nahrávka. b) Řekl, že je na výlet moc velká zima. c) Zeptala se, čeho se bojím, d) Řekli, že nejsou spokojeni s naším chováním. e) Řekl jsem, že nejsem moc dobrý muzikant. f) Zeptal jsem se ho, proč si nemůžu půjčit jeho lyže. g) Ale ty jsi řekl, že máš hodně zavazadel. h) Řekla, že má recept od svého lékaře. i) Zeptala se, jestli mám zrcátko. j) Ale ty ses nezeptal, jestli je potrebujú. k) Řekl, že nemá žádný důvod mi věřit. 1) Zeptal se mě, jestli opravdu znám osobně prezidenta. m) Řekli, že mě už nechtějí vidět. n) Řekl, že to nemá vliv na nikoho jiného. o) Řekl jsem, že pochybuji o pravdivosti těch informací. p) Řekla, že neočekává, že ho znovu uvidí. q) Řekla, že mohu počkat vevnitř. r) Zeptal se, proč musím kouřit na zastávce autobusu. s) Řekl jsem, že musím jít k doktorovi. t) Zeptal se mě, jesdi poznávám kohokoliv z těch lidí na fotce. u) Řekla, že se připravuje na večerní představení. v) Zeptal se, jesdi stopujú často. w) Řekla, že všechny příklady překládat nemusím. x) Řekl, že se to nestává více než dvakrát za měsíc. y) Zeptala se, kolik mám dětí. z) Zeptali se, jestli mě baví učit se anglicky. 7. Minulost a předpřítomnost v minulosti. Převeďte do nepřímé řeči. a) He said, "I was drunk." b) She said, "You weren't careful enough." c) She said, "I had a headache." d) He said, "I didn't have time to write." e) She said, "I replied to all their letters." f) She said, "You spoilt everything." 8. She asked... Převeďte do nepřímé řeči. a) "What did you tell them?" b) "How did you explain it?" c) "When did it become a real problem?" d) "Why didn't you complain?" e) "Wasn't it too complicated?" g) She said, "I didn't recognize him." h) He said, "I didn't manage to persuade her." i) She said, "The weather wasn't very good." j) He said, "I've never stolen anything." k) She said, "I've been saving for two years." 1) He said, "I haven't been living here long." f) "Have you ever forgiven him?" g) "Have you really never got lost?" h) "What have you found?" i) "How long have you had the cough?,: j) "Have you been waiting long?" 1 68 nepřímá řeč: přítomnost v minulosti (5-6), minulost a předpřítomnost v minulosti (7-8j 8. Číslovky a kvantifikátory iJroveň í 21. Datum. Napište slovy, kdy žili. 22. Přepište data slovy. Den vždy vyjádřete řadovou číslovkou. a) 17. 10. 1967 g) 7. 4. 1348 b) 6. 9. 2001 h) 17. 11.1989 c) 21. 8. 1968 i) 25. 2. 1948 d) 31. 3. 1945 j) 28. 5. 1883 e) 27. 12. 1941 k) 6. 7.1415 f) 19. 1. 1969 1) 14. 6. 1798 23. Doplňte few, a few, little, nebo a little. a) I've still got time, so let's have another glass of wine, shall we? b) She says she's got to stay in for the next days. c) I need more minutes to finish this. d) It's warmer today than yesterday, isn't it? e) people know his real name is Joe Smith. f) We invited lots or people, but of them actually came. g) Yes, I agree. ' but often is a much more effective policy. h) Could I ask you questions, please? i) Do you think there might be at least truth in it? j) They asked me to say words ot introduction. k) He insists that verv Czech people cannot ski. 1) I had so time thai I rushed out without having any breakfast. m) of her rriends live in Prague, and so she doesn't socialize much. n) She promised to call me in days. o) After reading the first pages I started to fall asleep. p) He's a clever boy, but he needs more discipline. q) By the end of the week I was feeling more man homesick. r) Yes, I've been feeling much better these last weeks, thank you. s) So much seemed to happen in so time. t) He'll be starting a new job weeks from now. u) I was hoping to find something cheaper. v) You'll see what happens in minutes. w) He looked at his watch every minutes. x) I think I'm going to need days to think about it. y) She's lied so much in the past that very people believe her now. z) Would you like more rice? 184 datum (21 —22); (a) few, id) little (23) 68 ADDITIONAL TEXTS AND MATERIALS n.\ imbalance [im'baelans] n.; isolate [aisaleit] v.; mechanic [mi'ksenik] n. \ migraine [mi:grein] n. vocabulary above all [a'bav o:l] především account [a'kaunt] účet take into a. - brát v úvahu approach [a'prauc] přístup blinding [blaindin] oslepující cause [ko:z] být příčinou, způsobit; příčina, důvod offer [ofa] nabídnout overall [auvarorl] celkový, souhrnný pain killer [pein kila] - lék proti bolesti quote [kwaut] ocitovat, uvést jako příklad remain [ri'mein] zůstat, zbýt, být i nadále remove [ri'murv] odstranit run [ran] řídit, vést, dělat vedoucího sensible [sensabl] rozumný, moudrý series [siarirz] (pl.) řada, série, skupina term [ta:m] termín, lhůta, období in terms of - co se týče čeho, pokud jde o 8 Methods of Physical Examination A physical examination is a systematic procedure for examining the body or a part of the body, which can reveal some signs of the illness and help the physician diagnose the patient correctly. It involves several methods, various instruments and changes in position to facilitate examination of some part of the body. Methods for conducting a physical examination include inspection, palpation, percussion and auscultation. Inspection consists in visual observation of the patient: colour and quality of skin, facial expression, eyes, signs of illness, nonverbal behaviour. Inspection includes noting any wounds - location, drainage, odour - and any evidence of deviation from normal body function, such as posture, gait or type of breathing. Palpation involves the sense of touch - feeling an area to determine if there is evidence of abnormality. Sometimes palpation involves a light touch; palpation of the breasts requires a firm touch; palpation of internal organs requires deep pressure. Percussion consists in taping or thumping an area. The resulting sound provides evidence of a normal or abnormal state. Percussion is most often used on the thorax. Hollow sounds when the chest is percussed are normal; dull sounds indicate that there may be fluid, congestion or a tumor mass in the area. Auscultation is listening to sounds within the body, usually with a stethoscope. Auscultation is most useful for determining heart function, pulmonary function and the presence or absence of peristalsis. abnormality [gebno:'maebti] n.; diagnose [daiagnauz] n.\ drainage [dreinidz] n.; peristalsis [peri'staelsis] «.; stethoscope [steBaskaup] n.; tumo(u)r [tju:ma] «.; visual [vizjual/vizual] adj. vocabulary auscultation [o:skal'teišn] poslech, vyšetření sluchem behaviour [bi'heivja] chování, vystupování conduct [kan'dakt] vést, řídit, provádět congestion [kan'dzescn] městnání krve, překrvení consist [kan'sist] in tkvít, spočívat v čem deviation [dkvi'eisn] odchylka, úchylka duli [dal] zde: tupý facial [feišl] lícní f. expression - výraz tváře facilitate [fa'silateit] usnadnit, ulehčit; umožnit firm [farm] pevný, rázný, energický gait [geit] chůze, způsob chůze inspection [in'speksn] zde: prohlídka involve [in'volv] vyžadovat location [lau'keisn] místo, umístění odour [auda] zápach, pach palpation [paeťpeišn] pohmat, palpace percussion [pa'kasn] poklep, vyšetření poklepem posture [posča] držení těla, postoj provide [pra'vaid] poskytnout, doložit p. evidence - prokázat, dokázat, svědčit o require [ri'kwaia] vyžadovat, potřebovat reveal [ri'virl] odhalit, ukázat, vyjevit tap [tasp] klepat, poklepat thump [Gamp] bušit 9 Reflexology. Acupuncture □ Reflexology Reflexology is a type of massage that uses the pressure points on feet and hands. It started thousands of years ago. The Egyptians certainly used it in 2300 B.C. Reflexologists believe that there are points on the feet and hands that are connected to each part of the body. By massaging these points, reflexologists help people to feel less tension in their bodies. Nobody knows exactly how reflexology works, but some believe it helps energy to move in the body and unblocks tension. Touch is very irrtportant in reflexology. The reflexologist uses fingers and thumbs to work on the points. It gives comfort and warmth. vocabulary massage [maesaiž] masáž reflexologist [ri:fle'ksolodžist] reflexolog reflexology [rkfleksolodži] reflexologie pronikání molekul rozpouštědla z méně koncentrovaného roztoku do roztoku koncentrovanějšího outcome /'aut.kAm/ výsledek, výsledek čeho, jak věc dopadne, závěr palliative /'pael.i.s.tiv/ paliativní, utišující, bolest zmírňující peers /piarz/ vrstevníci permissible /pa'mis.a.bl/ přípustný, dovolený permit /ps'mit/ povolit, dovolit pooling /puil.irj/ nahromadění krve nebo jiné tekutiny, nahromadění krve je následkem dilatace a zastavení oběhu v kapilárách a žilách v oblasti possession /pa'ze/.en/ majetek, vlastnictví posttraumatic /.paust.troi.maet.ik/ posttraumatický, poúrázový precede /prťsiid/ předcházet časově preserve /pn'z3iv/ zachovat, uchovat rape /reip/ znásilnit, znásilnění reasonable /'ri:.Z3n.9.bl / přijatelný, rozumný refusal /ri'fjuizal/ odmítnutí regional /'rii.d39n.9l/ regionální, týkající se dané oblasti right /rait/ právo scope /skaup/ rozsah solvent /'sol.vsnt/ ředidlo, rozpouštědlo spouse /spaus/ choť, manžel/ka standing /staand.irj/ order /'Dida/ trvalý příkaz statute /'staetjuit/ zákon, předpis steady /'sted.i/ stálý survivor /sa'vai.var/ přeživší, pozůstalý take /teik/ time /taim/ trvat, věnovat čas turn out /'t3:n,aut/ zahnout ven, naruby, projevit se upgrade /Ap'greid/ zlepšit, stoupnout, zvýšení valid /Vaelid/ platný, oprávněný vent /vent/ ventilovat, otvor, průduch Volume 2 Unit 1 1 You are called for a 55-year-old man who "suddenly collapsed." He is__________ Initial management of this patient's airway should include. - Insertion of an oropharyngeal airway and ventilation with bag-valve mask. * An apnoeic and pulse less patient is unlikely to have an intact gag reflex, _____________an OPA to help control the ____________. A BVM will need at least 10 Lpm of oxygen flow in order to adequately _________the patient during ventilations. oxygenate, apnoeic and pulse less, upper airway, necessitating 2 You respond to a college fraternity where you encounter a 19-year-old male with a partially obstructed airway. According to witnesses, he was eating pizza and drinking beer when he began to________ ____his throat. The patient is able to speak in a_____________only, and he has been coughing repeatedly for about 20 minutes. What is the best treatment for this patient? - Remove the___________with forceps.* A conscious patient with a partial obstructed airway should be dealt with by _________________and continuous monitoring of patient status. Interventions like Heimlich manoeuvre are considered counterproductive, as they may actually ______the obstruction. To perform a needle cricothyrotomy, you should place the patient: supine with head and neck hyperextended.* *. li1 y anatomical structure. hoarse whisper, hyperextended position, I worsen, identified, obstruction, cough i and grab, encouraging coughing sore neck, nausea, vomiting, and headache. During transport, he begins to have a _______. Which of the following would be your most likely field impression? _____ abscess • cerebral________ * meningitis * sepsis While the other answers are possible, based upon the fever, vomiting, and seizure, neoplasm, meningitis, Brain 5 Your patient is a 24-year-old female who shows signs and symptoms of pelvic What is the goal of_______________ for this patient? - Make the patient as comfortable as possible and transport to the hospital. * The goal of prehospital care for patients with PID is to_______________There is no need to perform a___________or ask any questions regarding sexual contacts. provide comfort, inflammatory disease, vaginal exam, prehospital care 6 You respond to a 22-year-old male who is complaining of__________of chest pain. The patient states that the pain________ and sharp and that it started when he surfaced from a_________from 60 feet (18.2 metres) down. The patient's diving partner states that the patient________too rapidly. What is this patient most likely suffering from? - Pulmonary embolism. * A too rapid ascent from a scuba dive may result in a pulmonary embolism due to lung_____________. What does treatment for this patient consist of? - IV, high-flow oxygen, and rapid transport to a recompression chamber. * An IV, 1 00% oxygen via a nonrebreather mask, and transport to a_____________ _______are essential for this patient. 3 Your patient is a 26-year-old male with a midshaft_____________and no other apparent injuries. The patient is_____and oriented, and all vital signs are normal. The best way to__________this fracture is to use: the PASG/MAST a long spine board a traction splint. * a softly padded board In a stable patient, the PASG is unnecessary. The long board will not adequately immobilize this injury because the muscles of the leg will_____and ^______the leg. A padded board may not provide adequate traction to prevent muscle spasms either, so the_______ ____is the best choice. ■shorten, immobilize, femur fracture, 'spasm, alert 4 A 16-year-old male complains of a fever, — 153 —