Questões de Inglês

TEXT FOR QUESTION

 

Empathy is related to clinical competence in medical care

ABSTRACT

Objectives
Most medical schools focus upon aspects of interpersonal
functioning such as empathy in the doctor–patient
relationship with the aim of training clinically competent
doctors. This study investigated the relationship between
empathy and clinical competence among medical students.

Methods
Fifty-seven medical students participated in the study.
Clinical competence was assessed in an objective
structured clinical examination (OSCE). Empathy was
rated by an independent observer of the clinical interaction
in OSCE stations. In addition, empathy was self-rated using

the Jefferson Scale of Physician Empathy–Student Version.

Results
Observed behaviour indicative of empathy, as rated
objectively by an independent observer, was strongly
associated with clinical competence. The strong association
between the behavioural manifestation of empathy and
clinical competence was evident across a range of medical
conditions and types of consultation. In addition, observable
empathy was strongly associated with patients’ ratings of
the students’ performances. Self-rated empathy, however,
was not associated with clinical competence. Significant
differences in mean total competence scores were noted
between students low in observed empathy (mean ±
standard deviation [SD]: 165.86 ± 12.92) and students
high in observed empathy (mean ± SD: 190.35 ± 14.00)
(t[55] = 6.28, p = 0.000, a ≤ 0.01).

Conclusions
In medical education, strategies that enhance the
behavioural expression of empathy (or at least retard its
decay) could help to make medical students appear to be
more clinically competent to both examiners and patients.
However, if medical students’ internal emotions are found
to be discrepant with their behaviour, these findings will
raise difficult questions regarding the fundamental nature of
genuine empathy and alert us to the possibility that medical
students may learn that it pays to subscribe to the view that
if a person does not feel empathy, he or she can fake it.

(Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/ medu.12232. Acesso em: 06 fev. de 2022)

De acordo com o texto, conclui-se que:

Leia o poema abaixo e escolha a alternativa correta sobre ele:

 

Because I could not stop for Death

Emily Dickinson

 

Because I could not stop for Death –
He kindly stopped for me –
The Carriage held but just Ourselves –
And Immortality.

We slowly drove – He knew no haste
And I had put away
My labor and my leisure too,
For His Civility –

We passed the School, where Children strove
At Recess – in the Ring –
We passed the Fields of Gazing Grain –
We passed the Setting Sun –

Or rather – He passed Us –
The Dews drew quivering and Chill –
For only Gossamer, my Gown –
My Tippet – only Tulle –

We paused before a House that seemed
A Swelling of the Ground –
The Roof was scarcely visible –
The Cornice – in the Ground –

Since then – ‘tis Centuries – and yet
Feels shorter than the Day
I first surmised the Horses’ Heads
Were toward Eternity –

Disponível em: https://www.poetryfoundation.org/poems/47652/ because-i-could-not-stop-for-death-479. Acesso em: 05 fev. de 2022.

Instrução: A questão referem-se ao texto abaixo.

 

This couple’s jungle honeymoon became a total nightmare

by Jane Ridley

 

[1]    It was the going to be a weeklong romantic adventure for Holly Fitzgerald, now 71, and her husband,
Fitz, 70, rafting like Huck Finn down a fast-flowing tributary of the Amazon. Instead, it wound up becoming
a nearly month long ordeal, stranding two honeymooners on a parasite-ridden lake in the Bolivian jungle
– with nothing to eat but slugs, snails and frogs.
[5]    The epic tale began in February 1973, five months into the couple’s yearlong honeymoon backpacking
around South America. There was a general plan to reach Rio de Janeiro and then board a ship bound
for Africa, but the newlyweds were frequently sidetracked while meeting interesting people en route. One
such encounter, with some anthropologists, aroused their curiosity about the Amazon basin. So they
booked seats on a small plane to the Peruvian frontier town of Puerto Maldonado. It would be their first
[10] mistake. “The wobbly plane began to descend very fast, pushing me sideways, causing me to grasp the
seat,” Holly writes in her book. “We were thrown back and forth, held by our wide seat belts . . . I caught
sight of the plane’s right wing and engine out of the window. They’d been snapped entirely.”
    The DC-3 – with 13 people onboard – crash-landed in the jungle. Incredibly, no one was badly hurt
in the accident, which was likely a result of pilot error. The survivors were escorted across a river to the
[15] nearest shelter: an open penal colony full of convicted murderers and rapists. Although the passengers
slept in separate barracks from the inmates, there was a sense of menace in the air. Despite daily promises
from prison guards that help was on the way, it was four long days before a plane appeared on the muddy
pasture that served as a runway. When they finally reached Puerto Maldonado, the Fitzgeralds discovered

they’d missed their boat to Bolivia. It was flood season, and the next available trip downriver was likely
[20] three months away.
    Encouraged by locals, the young couple decided to build a raft – using four logs and a makeshift tent
fashioned from plastic sheeting lined with mosquito netting – and navigate 500 miles of the Madre de
Dios river to Riberalta, Bolivia, themselves. “At first, it was idyllic,” recalled Holly, who reveled in the jungle
scents of ripe mangoes and gardenia.
[25]    However, on their fourth night, fortunes changed. While the couple was sleeping, a raging thunderstorm
brewed. Torrential rain pelted the tent, threatening its collapse. “Just then, something slammed the bow,
pulling the raft downwards,” Holly writes. She heard the horror-movie rip of the plastic tent as a large tree
trunk crashed through, pinning her to the raft. Her husband struggled to pull the tree off her as the small
watercraft rocked back and forth, threatening to capsize at any second.
[30]    Once the storm quieted, the sun soon came up to reveal a frightening reality: The couple were now
off course, with no idea of their location. “We didn’t know it at the time, but we were stranded in the middle
of a swamp – a seasonal lake formed because of flooding,” said Holly. “Most of our food and supplies had
fallen overboard during the night. Our tent was ripped to shreds, so we had to replace it with spare plastic
sheeting we’d managed to hold onto”.
[35]    As the land around them was submerged, there was no question of getting anywhere on foot. Tying
the raft and their few remaining possessions to a bush above the water line, the duo swam for hours at a
time – only to travel less than half a mile. They gave up after trying for two days.
    For 26 days, they were marooned – knowing no one was looking for them, as they had written to their
family that they’d be exploring for at least a month. The couple were besieged by bees, mosquitoes and
[40] other biting insects. They tried to catch fish but had zero luck. Strange noises from the jungle terrified
them at night, and they felt themselves weaken by the hour. Holly and Fitz became skeletal and frequently
doubled over in pain because of the lack of food. One morning, Holly initially couldn’t wake her husband
and feared he had died in his sleep.
    On their 26th day in the swamp, Holly had a premonition. “We’re going to make it out of here. I just
[45] know it,” she told her ailing husband, who lost 40 pounds during the ordeal. (Holly herself shed 20 pounds.)
Hours later, after nearly a month of not seeing a single soul, they spotted two Indians hunting turtles from
a canoe. Using made-up hand signs and broken Spanish, the honeymooners convinced the men to take
them to their village. They later traveled to their original destination of Riberalta.
    Over the next two weeks, the Fitzgeralds were treated in a hospital for exhaustion, severe malnutrition,
[50] and the bites and stings they’d received. In April 1973, they finally returned home.
    Remarkably, their brush with death didn’t curb the couple’s enthusiasm for travel. They have since
visited far-flung destinations including Bali, Malaysia, Ethiopia, Sudan and the Himalayas. “With hindsight,
it does seem rather bold to have taken the raft on such a big river, but I can’t say I have deep regrets,” said
Holly. “The whole experience brought Fitz and I closer together. 

Disponível em: https://nypost.com/2017/07/22/this-couples-jungle-honeymoon-became-a-total-nightmare/. Acesso em: 10 ago. 2021. (Parcial e
adaptado.)

De acordo com o texto, Holly e Fritz

Instrução: A questão referem-se ao texto abaixo.

 

This couple’s jungle honeymoon became a total nightmare

by Jane Ridley

 

[1]    It was the going to be a weeklong romantic adventure for Holly Fitzgerald, now 71, and her husband,
Fitz, 70, rafting like Huck Finn down a fast-flowing tributary of the Amazon. Instead, it wound up becoming
a nearly month long ordeal, stranding two honeymooners on a parasite-ridden lake in the Bolivian jungle
– with nothing to eat but slugs, snails and frogs.
[5]    The epic tale began in February 1973, five months into the couple’s yearlong honeymoon backpacking
around South America. There was a general plan to reach Rio de Janeiro and then board a ship bound
for Africa, but the newlyweds were frequently sidetracked while meeting interesting people en route. One
such encounter, with some anthropologists, aroused their curiosity about the Amazon basin. So they
booked seats on a small plane to the Peruvian frontier town of Puerto Maldonado. It would be their first
[10] mistake. “The wobbly plane began to descend very fast, pushing me sideways, causing me to grasp the
seat,” Holly writes in her book. “We were thrown back and forth, held by our wide seat belts . . . I caught
sight of the plane’s right wing and engine out of the window. They’d been snapped entirely.”
    The DC-3 – with 13 people onboard – crash-landed in the jungle. Incredibly, no one was badly hurt
in the accident, which was likely a result of pilot error. The survivors were escorted across a river to the
[15] nearest shelter: an open penal colony full of convicted murderers and rapists. Although the passengers
slept in separate barracks from the inmates, there was a sense of menace in the air. Despite daily promises
from prison guards that help was on the way, it was four long days before a plane appeared on the muddy
pasture that served as a runway. When they finally reached Puerto Maldonado, the Fitzgeralds discovered

they’d missed their boat to Bolivia. It was flood season, and the next available trip downriver was likely
[20] three months away.
    Encouraged by locals, the young couple decided to build a raft – using four logs and a makeshift tent
fashioned from plastic sheeting lined with mosquito netting – and navigate 500 miles of the Madre de
Dios river to Riberalta, Bolivia, themselves. “At first, it was idyllic,” recalled Holly, who reveled in the jungle
scents of ripe mangoes and gardenia.
[25]    However, on their fourth night, fortunes changed. While the couple was sleeping, a raging thunderstorm
brewed. Torrential rain pelted the tent, threatening its collapse. “Just then, something slammed the bow,
pulling the raft downwards,” Holly writes. She heard the horror-movie rip of the plastic tent as a large tree
trunk crashed through, pinning her to the raft. Her husband struggled to pull the tree off her as the small
watercraft rocked back and forth, threatening to capsize at any second.
[30]    Once the storm quieted, the sun soon came up to reveal a frightening reality: The couple were now
off course, with no idea of their location. “We didn’t know it at the time, but we were stranded in the middle
of a swamp – a seasonal lake formed because of flooding,” said Holly. “Most of our food and supplies had
fallen overboard during the night. Our tent was ripped to shreds, so we had to replace it with spare plastic
sheeting we’d managed to hold onto”.
[35]    As the land around them was submerged, there was no question of getting anywhere on foot. Tying
the raft and their few remaining possessions to a bush above the water line, the duo swam for hours at a
time – only to travel less than half a mile. They gave up after trying for two days.
    For 26 days, they were marooned – knowing no one was looking for them, as they had written to their
family that they’d be exploring for at least a month. The couple were besieged by bees, mosquitoes and
[40] other biting insects. They tried to catch fish but had zero luck. Strange noises from the jungle terrified
them at night, and they felt themselves weaken by the hour. Holly and Fitz became skeletal and frequently
doubled over in pain because of the lack of food. One morning, Holly initially couldn’t wake her husband
and feared he had died in his sleep.
    On their 26th day in the swamp, Holly had a premonition. “We’re going to make it out of here. I just
[45] know it,” she told her ailing husband, who lost 40 pounds during the ordeal. (Holly herself shed 20 pounds.)
Hours later, after nearly a month of not seeing a single soul, they spotted two Indians hunting turtles from
a canoe. Using made-up hand signs and broken Spanish, the honeymooners convinced the men to take
them to their village. They later traveled to their original destination of Riberalta.
    Over the next two weeks, the Fitzgeralds were treated in a hospital for exhaustion, severe malnutrition,
[50] and the bites and stings they’d received. In April 1973, they finally returned home.
    Remarkably, their brush with death didn’t curb the couple’s enthusiasm for travel. They have since
visited far-flung destinations including Bali, Malaysia, Ethiopia, Sudan and the Himalayas. “With hindsight,
it does seem rather bold to have taken the raft on such a big river, but I can’t say I have deep regrets,” said
Holly. “The whole experience brought Fitz and I closer together. 

Disponível em: https://nypost.com/2017/07/22/this-couples-jungle-honeymoon-became-a-total-nightmare/. Acesso em: 10 ago. 2021. (Parcial e
adaptado.)

De acordo com o texto, assinale a alternativa que melhor substitui o termo sublinhado no segmento abaixo.

   “With hindsight, it does seem rather bold to have taken the raft on such a big river (linhas 52 e 53)

Instrução: A questão referem-se ao texto abaixo.

 

This couple’s jungle honeymoon became a total nightmare

by Jane Ridley

 

[1]    It was the going to be a weeklong romantic adventure for Holly Fitzgerald, now 71, and her husband,
Fitz, 70, rafting like Huck Finn down a fast-flowing tributary of the Amazon. Instead, it wound up becoming
a nearly month long ordeal, stranding two honeymooners on a parasite-ridden lake in the Bolivian jungle
– with nothing to eat but slugs, snails and frogs.
[5]    The epic tale began in February 1973, five months into the couple’s yearlong honeymoon backpacking
around South America. There was a general plan to reach Rio de Janeiro and then board a ship bound
for Africa, but the newlyweds were frequently sidetracked while meeting interesting people en route. One
such encounter, with some anthropologists, aroused their curiosity about the Amazon basin. So they
booked seats on a small plane to the Peruvian frontier town of Puerto Maldonado. It would be their first
[10] mistake. “The wobbly plane began to descend very fast, pushing me sideways, causing me to grasp the
seat,” Holly writes in her book. “We were thrown back and forth, held by our wide seat belts . . . I caught
sight of the plane’s right wing and engine out of the window. They’d been snapped entirely.”
    The DC-3 – with 13 people onboard – crash-landed in the jungle. Incredibly, no one was badly hurt
in the accident, which was likely a result of pilot error. The survivors were escorted across a river to the
[15] nearest shelter: an open penal colony full of convicted murderers and rapists. Although the passengers
slept in separate barracks from the inmates, there was a sense of menace in the air. Despite daily promises
from prison guards that help was on the way, it was four long days before a plane appeared on the muddy
pasture that served as a runway. When they finally reached Puerto Maldonado, the Fitzgeralds discovered

they’d missed their boat to Bolivia. It was flood season, and the next available trip downriver was likely
[20] three months away.
    Encouraged by locals, the young couple decided to build a raft – using four logs and a makeshift tent
fashioned from plastic sheeting lined with mosquito netting – and navigate 500 miles of the Madre de
Dios river to Riberalta, Bolivia, themselves. “At first, it was idyllic,” recalled Holly, who reveled in the jungle
scents of ripe mangoes and gardenia.
[25]    However, on their fourth night, fortunes changed. While the couple was sleeping, a raging thunderstorm
brewed. Torrential rain pelted the tent, threatening its collapse. “Just then, something slammed the bow,
pulling the raft downwards,” Holly writes. She heard the horror-movie rip of the plastic tent as a large tree
trunk crashed through, pinning her to the raft. Her husband struggled to pull the tree off her as the small
watercraft rocked back and forth, threatening to capsize at any second.
[30]    Once the storm quieted, the sun soon came up to reveal a frightening reality: The couple were now
off course, with no idea of their location. “We didn’t know it at the time, but we were stranded in the middle
of a swamp – a seasonal lake formed because of flooding,” said Holly. “Most of our food and supplies had
fallen overboard during the night. Our tent was ripped to shreds, so we had to replace it with spare plastic
sheeting we’d managed to hold onto”.
[35]    As the land around them was submerged, there was no question of getting anywhere on foot. Tying
the raft and their few remaining possessions to a bush above the water line, the duo swam for hours at a
time – only to travel less than half a mile. They gave up after trying for two days.
    For 26 days, they were marooned – knowing no one was looking for them, as they had written to their
family that they’d be exploring for at least a month. The couple were besieged by bees, mosquitoes and
[40] other biting insects. They tried to catch fish but had zero luck. Strange noises from the jungle terrified
them at night, and they felt themselves weaken by the hour. Holly and Fitz became skeletal and frequently
doubled over in pain because of the lack of food. One morning, Holly initially couldn’t wake her husband
and feared he had died in his sleep.
    On their 26th day in the swamp, Holly had a premonition. “We’re going to make it out of here. I just
[45] know it,” she told her ailing husband, who lost 40 pounds during the ordeal. (Holly herself shed 20 pounds.)
Hours later, after nearly a month of not seeing a single soul, they spotted two Indians hunting turtles from
a canoe. Using made-up hand signs and broken Spanish, the honeymooners convinced the men to take
them to their village. They later traveled to their original destination of Riberalta.
    Over the next two weeks, the Fitzgeralds were treated in a hospital for exhaustion, severe malnutrition,
[50] and the bites and stings they’d received. In April 1973, they finally returned home.
    Remarkably, their brush with death didn’t curb the couple’s enthusiasm for travel. They have since
visited far-flung destinations including Bali, Malaysia, Ethiopia, Sudan and the Himalayas. “With hindsight,
it does seem rather bold to have taken the raft on such a big river, but I can’t say I have deep regrets,” said
Holly. “The whole experience brought Fitz and I closer together. 

Disponível em: https://nypost.com/2017/07/22/this-couples-jungle-honeymoon-became-a-total-nightmare/. Acesso em: 10 ago. 2021. (Parcial e
adaptado.)

Assinale a alternativa cujos elementos melhor substituem os termos sublinhados nos segmentos a seguir.

 

   They’d been snapped entirely (linha 12)
   Remarkably, their brush with death (linha 51)

Instrução: A questão referem-se ao texto abaixo.

 

This couple’s jungle honeymoon became a total nightmare

by Jane Ridley

 

[1]    It was the going to be a weeklong romantic adventure for Holly Fitzgerald, now 71, and her husband,
Fitz, 70, rafting like Huck Finn down a fast-flowing tributary of the Amazon. Instead, it wound up becoming
a nearly month long ordeal, stranding two honeymooners on a parasite-ridden lake in the Bolivian jungle
– with nothing to eat but slugs, snails and frogs.
[5]    The epic tale began in February 1973, five months into the couple’s yearlong honeymoon backpacking
around South America. There was a general plan to reach Rio de Janeiro and then board a ship bound
for Africa, but the newlyweds were frequently sidetracked while meeting interesting people en route. One
such encounter, with some anthropologists, aroused their curiosity about the Amazon basin. So they
booked seats on a small plane to the Peruvian frontier town of Puerto Maldonado. It would be their first
[10] mistake. “The wobbly plane began to descend very fast, pushing me sideways, causing me to grasp the
seat,” Holly writes in her book. “We were thrown back and forth, held by our wide seat belts . . . I caught
sight of the plane’s right wing and engine out of the window. They’d been snapped entirely.”
    The DC-3 – with 13 people onboard – crash-landed in the jungle. Incredibly, no one was badly hurt
in the accident, which was likely a result of pilot error. The survivors were escorted across a river to the
[15] nearest shelter: an open penal colony full of convicted murderers and rapists. Although the passengers
slept in separate barracks from the inmates, there was a sense of menace in the air. Despite daily promises
from prison guards that help was on the way, it was four long days before a plane appeared on the muddy
pasture that served as a runway. When they finally reached Puerto Maldonado, the Fitzgeralds discovered

they’d missed their boat to Bolivia. It was flood season, and the next available trip downriver was likely
[20] three months away.
    Encouraged by locals, the young couple decided to build a raft – using four logs and a makeshift tent
fashioned from plastic sheeting lined with mosquito netting – and navigate 500 miles of the Madre de
Dios river to Riberalta, Bolivia, themselves. “At first, it was idyllic,” recalled Holly, who reveled in the jungle
scents of ripe mangoes and gardenia.
[25]    However, on their fourth night, fortunes changed. While the couple was sleeping, a raging thunderstorm
brewed. Torrential rain pelted the tent, threatening its collapse. “Just then, something slammed the bow,
pulling the raft downwards,” Holly writes. She heard the horror-movie rip of the plastic tent as a large tree
trunk crashed through, pinning her to the raft. Her husband struggled to pull the tree off her as the small
watercraft rocked back and forth, threatening to capsize at any second.
[30]    Once the storm quieted, the sun soon came up to reveal a frightening reality: The couple were now
off course, with no idea of their location. “We didn’t know it at the time, but we were stranded in the middle
of a swamp – a seasonal lake formed because of flooding,” said Holly. “Most of our food and supplies had
fallen overboard during the night. Our tent was ripped to shreds, so we had to replace it with spare plastic
sheeting we’d managed to hold onto”.
[35]    As the land around them was submerged, there was no question of getting anywhere on foot. Tying
the raft and their few remaining possessions to a bush above the water line, the duo swam for hours at a
time – only to travel less than half a mile. They gave up after trying for two days.
    For 26 days, they were marooned – knowing no one was looking for them, as they had written to their
family that they’d be exploring for at least a month. The couple were besieged by bees, mosquitoes and
[40] other biting insects. They tried to catch fish but had zero luck. Strange noises from the jungle terrified
them at night, and they felt themselves weaken by the hour. Holly and Fitz became skeletal and frequently
doubled over in pain because of the lack of food. One morning, Holly initially couldn’t wake her husband
and feared he had died in his sleep.
    On their 26th day in the swamp, Holly had a premonition. “We’re going to make it out of here. I just
[45] know it,” she told her ailing husband, who lost 40 pounds during the ordeal. (Holly herself shed 20 pounds.)
Hours later, after nearly a month of not seeing a single soul, they spotted two Indians hunting turtles from
a canoe. Using made-up hand signs and broken Spanish, the honeymooners convinced the men to take
them to their village. They later traveled to their original destination of Riberalta.
    Over the next two weeks, the Fitzgeralds were treated in a hospital for exhaustion, severe malnutrition,
[50] and the bites and stings they’d received. In April 1973, they finally returned home.
    Remarkably, their brush with death didn’t curb the couple’s enthusiasm for travel. They have since
visited far-flung destinations including Bali, Malaysia, Ethiopia, Sudan and the Himalayas. “With hindsight,
it does seem rather bold to have taken the raft on such a big river, but I can’t say I have deep regrets,” said
Holly. “The whole experience brought Fitz and I closer together. 

Disponível em: https://nypost.com/2017/07/22/this-couples-jungle-honeymoon-became-a-total-nightmare/. Acesso em: 10 ago. 2021. (Parcial e
adaptado.)

Segundo o texto, é correto afirmar que a forma verbal