问题 多项选择题

患者用药咨询中,药师应主动向患者提供咨询的几种情况有()。

A.患者同时使用2种或2种以上含同一成分的药品时;或合并用药较多时

B.使用麻醉药品、精神药品的患者;或应用特殊药物(抗生素、抗真菌药、双磷酸盐、镇静催眠药、抗精神病药等)者

C.病情需要,处方中配药剂量超过规定剂量时(需医师双签字);处方中用法用量与说明书不一致时

D.患者正在使用的药物中有配伍禁忌或配伍不当时(如有明显配伍禁忌时应第一时间联系该医师以避免纠纷的发生)

E.当患者依从性不好时;或患者认为疗效不理想时或剂量不足以有效时

答案

参考答案:A, B, C, D, E

解析:本题考查要点是“药师应主动向患者提供咨询的几种情况”。患者用药咨询中,药师应主动向患者提供咨询的几种情况有:①患者同时使用2种或2种以上含同一成分的药品时;或合并用药较多时。②当患者用药后出现不良反应时;或既往有曾发生过不良反应史。③当患者依从性不好时;或患者认为疗效不理想时或剂量不足以有效时。④病情需要,处方中药品超适应证、剂量超过规定剂量时(需医师双签字确认);处方中用法用量与说明书不一致时。⑤患者正在使用的药物中有配伍禁忌或配伍不当时(如有明显配伍禁忌时应第一时间联系该医师以避免纠纷的发生)。⑥需要进行血浆浓度监测(TDM)的患者。⑦近期药品说明书有修改(如商品名、适应证、禁忌证、剂量、有效期、储存条件、药品不良反应)。⑧患者所用的药品近期发现严重或罕见的不良反应。⑨使用麻醉药品、精神药品的患者;或应用特殊药物(抗生素、抗真菌药、抗凝血药、抗肿瘤药、双膦酸盐、镇静催眠药、抗精神病药等)、特殊剂型(缓控释制剂、透皮制剂、吸入剂)者。⑩当同一种药品有多种适应证或用法用量复杂时。11.药品被重新分装,而包装的标识物不清晰时。12.使用需特殊贮存条件的药品时,或使用临近有效期药品时。因此,本题的正确答案为ABCDE。

阅读理解

Li Hua has just come back from the US and intends to give some of his relatives mentioned in 1-5 some books

as gifts. He brings back six books (A-F). After the description of each person, decide which book is the most

suitable one for the people and then mark the correct letter (A-F) on your answer sheet. There is one extra book,

which you do not need to use.

_______ 1.Li Hua's uncle is fond of reading story books. He reads all kinds of stories such as love stories,

historical stories, detective stories, etc. However, there is no doubt that science fiction stories are his favorites.

_______ 2.Li Hua's mother works for a local newspaper. She used to write a column (专栏) about love but

now she is making a survey about how much foreigners know about Chinese people and culture.She has been

collecting materials in China and from abroad.

_______ 3.Li Hua's father is a history teacher who is very interested in the history of China, especially China's

modern history. What's more, he pays special attention to the development of China's minority areas.

_______4.Li Hua's cousin is a senior middle school student who is going to take the College Entrance

Examination next year. But she is not good at English, especially English grammar. So she is looking for some

books which are helpful.

_______5.Li Hua's little brother is studying in a Middle School. He as well as some other students is going to

pay a visit to an American middle school and stay there for three week He is a little worried because he knows

nothing about American school life.

A. Into Tibet: The CIA's First Spy and His Secret Expedition to Lhasa (by Thomas Laird) This book introduces

the identity and specific spy activities of Douglas Mackiernan, the first CIA agent (中情局探员) who was killed

on duty by armed Tibetans. The author of the book based his description on detailed research based on the

memories of former CIA agents and interviews with related eyewitnesses in Tibet and India.

B. Practical English Usage (by Michael Swan) This book is a practical reference guide to language points. It

deals with over 600 points which regularly cause problems for foreign students of English. Most of the points

treated are grammatical, but there are also explanations of a certain number of common vocabulary problems.

Being a reference book, it contains information at various levels, ranging from relatively simple points to quite

advanced problems.

C. Battlefield Earth (by L. Ron Hubbard) An intelligent and creative masterwork of adventure in the far future,

L. Ron Hubbard's Battlefield Earth describes an Earth controlled for a thousand years by an alien invader-and

man is an endangered species. New York Times best-selling author L. Ron Hubbard has created a vast,

unforgettable and exciting world in Battlefield Earth.

D. Xu Ling's American Adventure ( by Mary Williams) Xu Ling is an excellent Chinese student from Hangzhou.

As his father goes to America for a one-year training, Xu Ling, as well as his mother goes with his father and

begins his new life in Eisenhower High School. The book consists of 21 chapters, each reflecting Xu Ling's

life in America in a different aspects. The book is written in the most fundamental words and is intended for

Chinese middle school students.

E. Chicken Soup for the Couple's Soul (by Jack Canfield and Mark Victor Hansen) This is a book for husbands

and wives and lovers and anyone who dreams of finding their soul's true mate (配偶). Each story in this book

was written by someone who has been transformed by love. Some stories will make you laugh. Some will make

you cry. But above all, the stories in this book sing high praise for love's ability to endure, beyond years, beyond

difficulty, beyond distance, beyond even death.

F. Where's the Duck in Peking? (by Cliff Schimmels) Whether you are a China expert or a novice, this book will

give you insight into the hearts and minds of the Chinese people. Cliff brings the reader to tears on one page and

belly laughter on the next. This profound look into China's everyday life is a must-read for anyone interested in

working in China or working with the Chinese people.

单项选择题