小白老师说：医博英语考试听力占卷面分数的30分，听力部分是我们考出好成绩并与其他考生拉开差距的重中之重。听力部分，对话又占到20分（短对话15分，长对话5分），而这一部分是完全可以提前准备的——具体做法是把常见的医患对话情景都梳理一遍，扫除单词、习语、固定表达方式的障碍，到考试的时候遇到类似情景就可以做到胸有成竹，不慌不忙。今天医患英文对话的主题是Dyspnea呼吸困难。因为实在没有时间，小白老师没有给大家列生词表，单词请大家自己搞定了。

当然，对于不参加医博英语考试的同学和朋友们来说，下面的对话也是非常好的医学英语口语和听力素材。

请点击下方条形框播放语音

Listen to the dialogues. Dialogue A is in British English, dialogue B is in American English. Pay close attention to the differences in pronunciation and vocabulary.

Script One

D: How long have you had difficulty breathing?

P: Since last week, Doctor.

D: Is it very bad?

P: Yes, I feel as if / like / I can’t get enough air.

D: Which is more difficult / What’s harder /, breathing in or breathing out?

P: It’s harder to breathe in.

D: Are you short of breath when you are resting or only when you are doing something / physical /?

P: / A little / When I’m resting, but it’s worse when I try to do anything / physical /.

D: Can you lie flat in bed?

P: Oh, no.

D: How many pillows do you use?

P: Three.

D: Do you ever wake up at night feeling short of breath?

P: Yes, I do. It frightens / scares / me because I wake up feeling as if I can’t breathe.

D: What do you do when this happens? I mean, do you sit or stand up, does some movement help / you breathe easier /?

P: If I sit up, it helps a little.

D: Let me listen to your chest. … I can hear a few crackles and it sounds a bit wheezy.

Script Two

D: How long have you had difficulty breathing? / How long have you been short of breath?

P: I’ve had difficulty breathing for about two weeks.

D: When is your breathing most difficult?

P: I wheeze int the early hours.

D: Which is more difficult, breathing in or beathing out?

P: Breathing out is harder.

D: Are you short of breath when you are resting or only when you are working?

P: I’m short of breath when I’m working.

D: Can you lie flat in bed? Can you sleep on your back?

P: Yes, I can sleep on my back.

D: Do you ever wake up at night because you are short of breath? / Is your sleep disturbed?

P: Yes. I wake up several times because I’m short of breath.

D: What do you do then?

P: I usually get up and walk around when it happens.