TCF Listening Part B has six short extracts from the healthcare workplace, each about a minute long, with one three-option multiple-choice question per extract. The question usually asks why someone is speaking, what they think, or what the main point is. Hearing a word from an option is not enough to choose it.
Part B at a glance
| Detail | What to expect |
|---|---|
| Recordings | 6 short extracts, each about 1 minute |
| Questions | 6, one per extract, three options (A, B, C) |
| Settings | Handovers, team briefings, colleagues discussing a case or procedure |
| Focus | Gist, purpose, opinion or the main point |
| Played | Once |
The three question types to expect
- Purpose: "The nurse manager is briefing staff in order to..."
- Opinion: "What does the physiotherapist think about the new equipment?"
- Gist or detail: "The speakers agree that the change in procedure..."
A method for each extract
- Read the stem, not just the options. Underline who is speaking and what the question wants: purpose, opinion or a conclusion.
- Turn the options into short differences. A, B and C often mention the same topic. Note what makes each one different, such as "cost", "safety" or "training".
- Listen to the end. Speakers often raise a point, then qualify it: "The new pumps are easier to use, but my worry is..." The answer usually follows the "but".
- Remove options that are only mentioned. An option that repeats words from the audio but not their meaning is the classic distractor.
Common mistakes
- Choosing the option with the most words you heard.
- Answering from your own clinical judgement instead of what the speaker says.
- Still thinking about the last extract when the next one starts. Decide and move on.
How to practise Part B
Listen to short professional conversations, and in one sentence say why the speaker is talking and what they want to happen. That summary skill is what Part B marks. Then work through timed Part B sets in the Exam Hero question bank.



