Words you know: complete the sentences

benchmark · silent heart attack · appraisal · atypical presentation · troponin

• The patient in London had a ____ with no chest pain, which made the diagnosis extremely challenging.
• Because it was a ____ , the elderly man from Boston did not realize he was in cardiac arrest.
• The laboratory in Chicago reported a significant rise in serum ____ , confirming myocardial injury.
• Our clinic in Houston uses the average discharge time as a key ____ for quality care.
• During his annual ____ in Manchester, the senior consultant reflected on his clinical teaching performance.

Remember: Contrast and concession: although, even though, whereas, while, despite / in spite of, nevertheless, much as

• [Although / Despite] the patient in Boston was asymptomatic, her troponin levels were extremely elevated.
• The London team decided to operate [despite / although] the high risk of complications.
• The resident preferred immediate surgery, [whereas / despite] the consultant in Chicago favored conservative management.
• The treatment was successful; [nevertheless / even though] , the patient remained in the Leeds ICU for observation.

Remember: Unreal past: it's (high) time, would rather, as if / as though, suppose / what if + past

• It is high time the clinical team in Boston [submitted / submits] the draft to the editor.
• Dr. Miller would rather the resident [anonymized / anonymizes] the patient's identity in the London draft.
• The patient behaved as though he [were / is] in severe pain, yet the Chicago tests were normal.
• Suppose we [submitted / submit] the manuscript to a different journal in Philadelphia, what would they say?

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