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1. The condition of patient V. is worse than that of patient C.
2. The number of the vertebrae in the coccyx is less than the number of those in the beck.
3. The bones of the lower extremities are longer than those of the upper ones.
4. This lecture is more interesting than the one I attended last week.
5. The walls of the left atrium are thicker than those of the right.
6. Some muscles are more elastic than the other ones.
7. I will examine your patient and that of Dr. Ivanov.
8. The wards in the new hospital are better equipped than those in our old one.
Exercise 9. Read and translate the text:
TETANUS
Tetanus is an acute infectious disease characterized by painful spasms of the muscles and caused by the Bacillus tetani which gains entrance into the body through a wound or break in the skin. The tetanus bacillus produces a toxin which is one of the most powerful poisons.
The incubation period varies on an average from 5 to 15 days. In general, the shorter the incubation period the more serious is the disease. The earliest symptoms are vague. The patient is restless, irritable, he suffers from nightmare, and may become delirious. Severe headache, difficulty in urination, and sweating may be noted. In the majority of cases following a short period when there is pain in the back of the neck and in the muscles of the jaw, a tonic spasm of the masticating muscles occurs so that the patient is unable to open his mouth, producing the characteristic picture known as lockjaw (trismus). Gradually all muscles of the body become affected except those of the forearm and of the hand. At the height of the disease there occurs the typical facial expression known as risus sardonicus, where the patient appears to be laughing, due to the drawing up of the angles of the mouth. The brows are contracted, the eyes are partly closed, the teeth are clenched tightly and the lips are slightly protruded. The body is arched in the position known as opisthotonus. Upon the slightest stimulus the entire body may go into a convulsive seizure of the utmost severity, accompanied by severe pain.
There is no characteristic temperature; the patient may be afebrile or ran a fever as high as 104°F during the attacks.
Death may ensue within the first 48 hours or at any time up to one week after onset. If the patient survives the first week, his chances of recovery are greatly improved, the spasms gradually lessening in frequency and severity.
Exercise 10. Answer the following questions.
1. What is tetanus caused by?
2. What is toxin?
3. What is the incubation period of tetanus?
4. What are the symptoms of tetanus?
5. When does a tonic spasm of masticating muscles occur?
6. How can you describe such typical facial expression known Risus Sardonicus?
7. When are the changes of recovery greatly improved?
8. How does Bacillus tetani gain entrance into the body?
Exercise 11. Complete the following sentences using the text.
1. Tetanus is an acute infectious disease characterized by ….
2. Severe headache, difficulty in urination, and sweating ….
3. The patient is unable to open his mouth, producing the ….
4. Gradually all muscles of the body become … of the forearm and of the hand.
5. … there occurs the typical facial expression known as risus sardonicus.
6. The body … known as opisthotonus.
7. The patient may be …during the attacks.
8. Death may ensue within … after onset.
Exercise 12. Read the sentences and say whether the following ones are true to the text:
1. Tetanus is an acute inherited disease characterized by painful spasms of the muscles.
2. Tetanus is caused by the Bacillus tetani which gains entrance into the body through the blood.
3. The tetanus bacillus produces a toxin.
4. The incubation period varies on an average from 15 to 25 days.
5. Gradually all muscles of the body become affected inclusive those of the forearm and of the hand.
6. The typical facial expression known as risus sardonicus, where the patient appears to be crying, due to the drawing up of the angles of the mouth.
7. The body is arched in the position known as opisthotonus.
8. There is no characteristic temperature; the patient may be afebrile or ran a fever as high as 40,00°C during the attacks.
Exercise 13. Translate the following word combinations.
Cупроводжуватися сильним болю, спазма жувальних м`язів, проникати крізь розрив шкіри, характерна картина хвороби, поступово зменшуватися по частоті та тяжкісті, інкубаційний період хвороби, міцно стиснуті зуби, пік хвороби, сардонічний сміх, сильнодіюча отрута, випадок.
Exercise 14. Translate Russian sentences into English using Complex Subject Construction.
1. Известно, что столбняк является острым хроническим заболеванием, которое характеризуется болезненными спазмами мышц.
2. Оказывается, что при столбняке Bacillus tetani проникает в организм через рану или через разрыв кожи.
3.Известно, что инкубационный период болезни меняется в среднем от 5 до 15 дней.
4. Первичными симптомами столбняка, вероятно, будут возбужденное состояние, раздражительность, кошмарные сновидения, и делирий.
5.Говорят, что в разгар болезни, у пациента часто случалось типичное выражение лица, известное как risus sardonicus.
6.Было отмечено, что при столбняке повышение температуры обычно не наблюдается.
7.Говорят, что смерть может наступить в течение 48 часов или же в любое время после начала приступа.
8. Несомненно, шансы у пациента на выздоровление увеличатся, если он выживет в первую неделю.
Exercise 15. Put questions to the underlined words.
1. Tetanus is an acute infectious disease characterized by painful spasms of the muscles.
2. The Bacillus tetani gains entrance into the body through a wound or break in the skin.
3. The tetanus bacillus produces a toxin.
4. The patient is restless, irritable and suffers from nightmare, and may become delirious.
5. Gradually all muscles of the body become affected except those of the forearm and of the hand.
6. At the height of the disease there occurs the typical facial expression known as risus sardonicus.
7. The patient appears to be laughing, due to the drawing up of the angles of the mouth.
8. The patient may be afebrile.
Exercise 16. Use the verbs in brackets in the appropriate tense. Translate them into Russian.
1.The incubation period is likely (to vary) on an average from 5 to 15 days in future.
2.The patient (to suffer) from nightmare, and (to become) delirious.
3.At the height of the disease there (to occur) the typical facial expression known as risus sardonicus.
4. The brows (to contract), the teeth (to clench) tightly and the lips (to protrude) slightly.
5.Now the patient’s body is reported (to arch) in the position known as opisthotonus.
6. Upon the slightest stimulus the entire body just (to go) into a convulsive seizure of the utmost severity, accompanied by severe pain.
7. It was said that the patient (to ran) a fever as high as 104°F during the attacks for a weak.
8. Death (to ensue) within the first 48 hours or at any time up to one week after onset.
Exercise 17. Give the summary of the text.
Exercise 18. Topic vocabulary.
| Nouns | Verbs | Adjectives |
| Recovery Severity Onset Seizure height of the disease lockjaw break in the skin nightmare urination angles of the mouth sweating expression the muscles of the jaw headache wound | Lessen Improve Survive Ensue Accompany Gain Appear Occur To be due to To be characterized | Infectious Painful Powerful average restless irritable delirious Severe masticating characteristic afebrile |
TEST
1. Tetanus is caused by the … which gains entrance into the body through a wound or break in the skin.
a. Bacillus anthrax
b. Bacillus tetani
c. Bacillus drumstick
d. Bacillus gas-producing
e. Bacillus Koch’s
2. The incubation period varies on an average ….
a. from 5 to 10 days
b. from 15 to 25 days
c. from 5 to 25 days
d. from 1 to 5 days
e. from 5 to 15 days
3. The patient is restless, irritable; … nightmare, and may become delirious.
a. he suffer from
b. he suffers from
c. he suffering from
d. he is suffering from
e. he suffered from
4. In the majority of cases following a short period when there is pain…, a tonic spasm of the masticating muscles occurs so that the patient is unable to open his mouth, producing the characteristic picture known as lockjaw (trismus).
a. in the back of the head and in the muscles of the jaw
b. in the back of the neck and in the muscles of the face
c. in the back of the neck and in the joints of the leg
d. in the back of the neck and in the muscles of the jaw
e. in the back of the head and in the muscles of the trunk
5. Gradually all muscles of the body become affected except … the forearm and of the hand.
a. that of
b. these of
c. this of
d. of those
e. those of
6. At the height of the disease there occurs the typical facial expression known as risus sardonicus, where…, due to the drawing up of the angles of the mouth.
a. the patient appears to be laughing
b. the patients appears to be laughing
c. the patient appears be laughing
d. the patient appears to laughing
e. the patient appears to be being laughing
7. …the slightest stimulus the entire body may go into a convulsive seizure of the utmost severity, accompanied by severe pain.
a. On
b. At
c. Before
d. In
e. Upon
8. There is no characteristic temperature; the patient may be afebrile or … during the attacks.
a. rans a fever as high as 104°F
b. ran a fever as high as 104°F
c. ranning a fever as high as 40°C
d. run a fever as high as 104°F
e. ran a fever as low as 104°F
9. Death may ensue … or at any time up to one week after onset.
a. in the first 28 hours
b. within the first 48 hour
c. within first 48 hours
d. within the first 48 hours
e. after the first 48 hours
10. … the first week, his chances of recovery are greatly improved, the spasms gradually lessening in frequency and severity.
a. If the patients survives
b. If the patient survives
c. If the patient survive
d. If the patient survived
e. If the patient to survive
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