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READING SUB-TEST
Part A - Text Booklet
Practice test
Candidate number
Family name
Other name(s)
City
Date of test
Candidates signature
YOU MUST NOT REMOVE OET MATERIAL FROM THE TEST ROOM.
Complete the summary on pages 2 and 3 of Part A Answer Booklet using the information in
the four texts (A1-4) below.
You do not need to read each text from beginning to end to complete the task. You should scan
the texts to find the information you need.
Gaps may require 1, 2 or 3 words. Answer ALL questions. Marks are NOT deducted for incorrect
answers.
You should write your answers next to the appropriate number in the right-hand column.
Please use correct spelling in your responses. Do not use abbreviations unless they appear in
the texts.
Tuberculosis, AIDS, and Death among Substance Abusers on Welfare in New York City
Text 1:
Background
In New York City, the incidence of tuberculosis has more than doubled during the past decade. We
examined the incidence of tuberculosis and the acquired immunodeficiency syndrome (AIDS) and the
rate of death from all causes in a very-high-risk group indigent subjects who abuse drugs, alcohol, or
both.
Methods
In 1984 we began to study prospectively a cohort of welfare applicants and recipients 18 to 64 years of
age who abused drugs or alcohol. The incidence rates of tuberculosis, AIDS, and death for this group
were ascertained through vital records and New York City's tuberculosis and AIDS registries.
Text 2: Results
The cohort was followed for eight years. Of In this group of welfare clients,
the 858 subjects, the rate of newly diagnosed tuberculosis
tuberculosis developed in 47 (5.5 was 14.8 times that of the agematched
percent), general population of New York City;
84 (9.8 percent) were given a diagnosis of the rate of AIDS was 10.0 times as high;
AIDS, and the death rate was 5.2 times as high.
183 (21.3 percent) died. no significant difference in the rate of new
The rates of incidence per 100,000 person- cases of tuberculosis between
years were subjects with positive skin tests and those
744 for tuberculosis, with negative skin tests at
1323 for AIDS, and examination in 1984.
2842 for death.
Text 3:
Text 4:
Conclusions
Of the 47 subjects with tuberculosis, 21 (44.7 percent) died before the end of 1992;
12 (57.1 percent) of those who died also had AIDS.
Of 15 persons with both tuberculosis and AIDS, 12 (80.0 percent) died before the end of 1992
and 8 died before completing anti-TB therapy.
Of the 84 study subjects with AIDS, 68 (81.0 percent) died before the end of 1992.
SUMMARISING EXERCISE
This study looked at the incidence of TB, AIDS and 1