Thanks to the increased accessibility of multimedia technology, video texts have been widely used in teaching English in Chinese foreign language classrooms. This trend provides great impetus for changes in the means of assessing listening in both achievement and proficiency tests, and suggests the potential possibility of supplanting the audio-only with a video-mediated listening test. This paper aims to explore such a possibility in the Foreign Language Admission Test for Medical Doctoral Students (FATMD) administered by the National Medical Examination Center in China. A total of 148 MD and PhD students who had just passed the equivalent of a language admissions test voluntarily enrolled. Participants were divided into an experiment group for a video-mediated listening test and a control group for an audio-only test. The results indicated no significant differences on average scores between the video-mediated and audio-only group. However, they did suggest the potential of supplanting the audio-only listening test with a video-mediated equivalent in FATMD without upsetting its well-established credibility and reliability, in light of the increasing use of computer-assisted English proficiency testing in China.