ICT-5_Key

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ICT-5_Key Review of Verb Tenses ??? ??

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• What is the problem here?

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• 1. The patient has the skin rash on his legs
  for 5-6 years.

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• 1. The patient has the skin rash on his legs
  for 5-6 years.
• ? The patient has had the skin rash on his
  legs for 5-6 years. ( The patient is still
  suffering from the problem.)
• ? The patient had the skin rash on his legs
  for 5-6 years. ( The patient no longer suffers
  from the problem.)

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• 2. He had first noticed a small patch of itchy
  red skin on his left shin when he was taking off
  his soaking wet socks after a flood.

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• He had first noticed a small patch of itchy red
  skin on his left shin when he was taking off his
  soaking wet socks after a flood.
• ? He first noticed a small patch of itchy red
  skin on his left shin when he was taking off his
  soaking wet socks after a flood.

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• 3. Sometimes the patient scratched the itchy skin
  until it bleeds.

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• 3. Sometimes the patient scratched the itchy skin
  until it bleeds.
• ? Sometimes the patient scratches the itchy skin
  until it bleeds.
• ? Sometimes the patient scratched the itchy skin
  until it bled.(The patient does not scratch his
  skin any more.)

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4. The patient has had no contact with
people infected with skin disease prior to the
onset of his skin rash.


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4. The patient has had no contact with people
infected with skin disease prior to the onset
of his skin rash. ? The patient had / had
had no contact with people infected with skin
disease prior to the onset of his skin rash.


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5. The patient had a fall after the stroke
and his mobility is further impaired since
then.


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5. The patient had a fall after the stroke
and his mobility is further impaired since
then. ? The patient had a fall after the
stroke and his mobility has been further
impaired since then. ? The patient had a fall
after the stroke and his mobility was further
impaired. (More concise)


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• 6. He has hypertension and is on medication for
  it in the past four years.

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• 6. He has hypertension and is on medication for
  it in the past four years.
• ? He has hypertension and has been on medication
  for it in the past four years.

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7. The patient has had repeated episodes of
vomiting blood before he was brought to the A E
Department.
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• 7. The patient has had repeated episodes of
  vomiting blood before he was brought to the A E
  Department.
• ? The patient had repeated episodes of vomiting
  blood before he was brought to the A E
  Department.

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8. The patient had had two more episodes of
abdominal cramps since being admitted to hospital
last night.
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• 8. The patient had had two more episodes of
  abdominal cramps since being admitted to hospital
  last night.
• ? The patient has had two more episodes of
  abdominal cramps since being admitted to hospital
  last night.

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• 9. His chief complaint is chest tightness, which
  he is recently experiencing.

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• 9. His chief complaint is chest tightness, which
  he is recently experiencing.
• ? His chief complaint is chest tightness, which
  he has recently experienced.

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• 10. He has hypertension since two years ago.

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• 10. He has hypertension since two years ago.
• ? He has had hypertension since two years ago.
  
• ? He has had hypertension for two years.
  Better more concise

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• 11. The patient smokes one pack of
  cigarettes a day for nine years.

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• 11. The patient smokes one pack of cigarettes a
  day for nine years.
• ? The patient has been smoking one pack of
  cigarettes a day for nine years.

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12. He had experienced a similar episode of
pain when he was jogging this morning.
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12. He had experienced a similar episode of
pain when he was jogging this morning. ? He
experienced a similar episode of pain when he
was jogging this morning.
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13. He has begun jogging every day since six
months ago.


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13. He has begun jogging every day since six
months ago. ? He has been jogging every day
for six months. More concise ? He began
jogging every day six months ago.


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14. The patient has started a low salt and low
fat diet half a year ago.


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14. The patient has started a low salt and low
fat diet half a year ago. ? The patient
started a low salt and low fat diet half a year
ago. ? The patient has been on a low salt and
low fat diet since half a year ago. ? The
patient has been on a low salt and low fat diet
for half a year.


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15. He is a heavy drinker since he was 18
years old.


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15. He is a heavy drinker since he was 18
years old. ? He has been a heavy drinker
since he was 18 years old.