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Tesis de licenciatura An adapted Mexican Lotería to learn and practice vocabulary related to the hospital, symptoms, and medications in a Spanish as a Foreign Language class, level A1: game proposal(Benemérita Universidad Autónoma de Puebla, 2020-11) Ortega Rivera, Aida; JUAREZ PACHECO, SANDRA; 543902"Spanish is the mother tongue of more than 500 million people around the world, and the number of students who want to learn it as a foreign language, increases day by day. However, when learning it. It has been difficult to achieve it in an effective and attractive way. The purpose of this study is to develop and implement an adapted Mexican Loteria game, in order to encourage and facilitate the learning and practice of vocabulary related to the hospital, symptoms and some medications in the Spanish as a foreign language class in level A1 within the Common Framework of References for Languages (CEFRL). The qualitative research methodology was implemented in order to develop this study. To obtain the findings of this research, a survey was designed and used as the research instrument. It is important to mention that this research became a case study due to COVID-19."