Angina Diagnosis and Lifestyle Guidance
Cardiologist (speaking English) and Patient (speaking Japanese) talk through “Angina Diagnosis and Lifestyle Guidance”. You interpret both ways — English into Japanese, and Japanese into English — one segment at a time, exactly as in the CCL test.
Practise this dialogue with AI marking →Read it first if you like, then practise it cold: the recording plays one segment, you interpret, the next segment plays. Marking shows, segment by segment, what you kept, left out or changed.
Full transcript with model answers
Under each segment: a model interpretation, the information points an examiner checks, and the easiest thing to miss. Try the segment yourself first, then open it. The model is one good way to say it; other wordings that keep every point score just as well.
Mr Tanaka, your angiogram from Prince of Wales Hospital shows one artery narrowed by about seventy percent, which explains the chest tightness you've been feeling.
Model answer and marking points
田中さん、プリンス・オブ・ウェールズ病院で受けた血管造影検査の結果、動脈の一本が約七十パーセント狭くなっていることが分かりました。これが、最近感じていらっしゃる胸の締めつけ感の原因です。
What an examiner checks here:
- angiogram from Prince of Wales Hospital
- one artery narrowed
- about seventy percent
- explains the chest tightness he has been feeling
Easy to miss: Keep 'about seventy percent' and 'one artery' exact; don't drop the hospital name or turn tightness into pain.
そうですか…七十パーセントも狭くなっているとは知りませんでした。それは手術が必要ということでしょうか。
Model answer and marking points
I see… I didn't know it had narrowed by as much as seventy percent. Does that mean I'll need surgery?
What an examiner checks here:
- didn't know it was narrowed that much
- seventy percent (echoed, with emphasis 'as much as')
- question: does this mean surgery is needed?
Easy to miss: The 'も' carries surprise ('as much as'); keep it as a question about surgery, not a statement.
Not necessarily surgery yet. We'll start you on a medication called isosorbide mononitrate, plus low-dose aspirin daily, and monitor how your symptoms respond over the next month.
Model answer and marking points
今すぐ手術が必要というわけではありません。まずは一硝酸イソソルビドという薬と、低用量のアスピリンを毎日服用していただき、今後一か月、症状がどう変わるかを見ていきます。
What an examiner checks here:
- not necessarily surgery yet
- start medication: isosorbide mononitrate
- plus low-dose aspirin daily
- monitor symptom response over the next month
Easy to miss: 'Not necessarily surgery yet' is a hedge, not a flat 'no surgery'; and 'low-dose' and 'daily' both apply to aspirin.
分かりました。狭心症の発作は、どんな時に起こりやすいのでしょうか。階段を上る時でしょうか。
Model answer and marking points
I understand. When is an angina attack most likely to happen? Is it when I climb stairs?
What an examiner checks here:
- question: when do angina attacks tend to occur?
- question: is climbing stairs a trigger?
Easy to miss: Two separate questions; don't merge them into 'attacks happen when I climb stairs'.
Often triggered by exertion, cold weather, or stress. If the pain doesn't ease within ten minutes of resting, call triple zero immediately — don't wait it out.
Model answer and marking points
多くの場合、体を動かした時や寒い時、ストレスがかかった時に起こります。安静にして十分以内に痛みが治まらない場合は、すぐにトリプルゼロ、000に電話してください。様子を見て待ってはいけません。
What an examiner checks here:
- triggers: exertion, cold weather, stress
- if pain doesn't ease within ten minutes of resting
- call triple zero (000) immediately
- don't wait it out
Easy to miss: Keep the negative condition 'doesn't ease within ten minutes of resting' and render triple zero as 000, not 911 or 119.
分かりました。実は倉庫で重い荷物を運ぶ仕事をしているのですが、続けてもいいのでしょうか。それとも運動量を減らすべきですか。
Model answer and marking points
I understand. Actually, I work in a warehouse carrying heavy loads. Is it all right for me to keep doing that? Or should I cut back on how much physical activity I do?
What an examiner checks here:
- works in a warehouse
- job involves carrying heavy loads
- question: can he continue the job?
- question: or should he reduce physical activity?
Easy to miss: Keep both alternatives of the question; don't drop 'warehouse' or the fact that it is his job.
Please avoid lifting anything heavier than about fifteen kilograms for now, and skip strenuous exercise until your body adjusts to the new medication in a few weeks.
Model answer and marking points
当面は、十五キロくらいより重い物を持ち上げるのは避けてください。それから、数週間して体が新しい薬に慣れるまでは、激しい運動は控えてください。
What an examiner checks here:
- avoid lifting heavier than about fifteen kilograms
- for now (temporary)
- skip strenuous exercise
- until body adjusts to new medication in a few weeks
Easy to miss: Fifteen kilograms is the limit, not a target; 'a few weeks' refers to adjusting to the medication, not the lifting limit.
ありがとうございます。では、食事の面で気をつけることはありますか。塩分を減らした方がいいですか。
Model answer and marking points
Thank you. Then, is there anything I should be careful about with my diet? Should I cut down on salt?
What an examiner checks here:
- question: any dietary precautions?
- question: should he reduce salt?
Easy to miss: Two questions, the second specifically about salt; don't answer or merge them.
Yes — reduce salt, saturated fat, and processed foods. Aim for vegetables, wholegrains, and oily fish twice a week, and limit alcohol to occasional light drinking only.
Model answer and marking points
はい、塩分と飽和脂肪、加工食品を減らしてください。野菜や全粒穀物を中心にして、脂の多い魚を週に二回食べるようにしてください。お酒は、たまに軽く飲む程度にとどめてください。
What an examiner checks here:
- yes, reduce salt, saturated fat, processed foods
- aim for vegetables and wholegrains
- oily fish twice a week
- limit alcohol to occasional light drinking only
Easy to miss: Three things to cut and three to aim for; 'twice a week' attaches to oily fish, and alcohol is limited, not banned.
分かりました。それと、職場に提出する診断書は必要でしょうか。上司に伝える必要があります。
Model answer and marking points
I understand. Also, will I need a medical certificate to submit to my workplace? I have to let my supervisor know.
What an examiner checks here:
- question: is a medical certificate for the workplace needed?
- needs to inform his supervisor
Easy to miss: 診断書 here is a medical certificate for work, not a 'diagnosis'; 上司 is supervisor/boss, not colleague.
I'll prepare a medical certificate stating restricted duties for four weeks, and book your follow-up appointment for the third of next month to reassess your progress.
Model answer and marking points
四週間の勤務制限が必要と記載した診断書を、私が作成します。それから、経過を再評価するために、来月三日に再診の予約を入れておきます。
What an examiner checks here:
- doctor will prepare a medical certificate
- states restricted duties for four weeks
- follow-up appointment booked
- on the third of next month
- to reassess progress
Easy to miss: Two different numbers: four weeks of restricted duties and the third of next month for follow-up; don't swap or conflate them.
ありがとうございます。証明書と次の予約、よろしくお願いします。無理をしないよう気をつけます。
Model answer and marking points
Thank you. I'd appreciate it if you could arrange the certificate and the next appointment. I'll be careful not to overdo it.
What an examiner checks here:
- thanks
- asks for the certificate and the next appointment to be arranged
- will be careful not to overexert himself
Easy to miss: よろしくお願いします needs a natural English equivalent (a polite request), not a literal rendering; keep 'not overdo it'.
Terms in this dialogue that cost marks
CCL is marked on information transferred. These Australian terms have no direct word in most test languages — get one wrong and the segment's information is gone.
- Triple Zero「トリプル・ゼロ、000番」のように数字を明示して伝える。番号ordinal(000)は西洋数字のまま述べる。
- Medical certificate「診断書」と訳す。文脈により『病気休暇のための診断書』と補足してもよい。
Practise it
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