I had a Russian-speaking patient who did not speak English at all, so the only way I could communicate was with this book! It was wonderful because the patient could read the page and he would answer yes or no as I pointed to the question I wanted to ask. The sections are broken up into subjects, ie. neuro, pulmonary, etc. so that questions are more easily found. I gave a 4 star rating only because with the limited time we have, sometimes it took a while to find the question I was looking for. Perhaps an good index might help. Otherwise, a wonderful book and I am going to buy the Spanish version! I wish there was a version in every language!