问题 问答题

简要病史:男性,咳嗽,咳痰1周,发热2天门诊入院。请针对该案例,说明问诊内容与技巧。

答案

参考答案:

评分要点:(总分15分)

一、问诊内容

(一)现病史1.根据主诉及相关鉴别询问①发病诱因:有无受凉、劳累、上呼吸道感染。(1分)②咳嗽的性质:音色、程度及昼夜变化。(1.5分)③咳痰的性状,痰量及气味。(1.5分)④发热的程度、热型、有无畏寒、寒战。(1.5分)⑤伴随症状有无咳血、胸痛、呼吸困难、有无乏力、盗汗。(15分)⑥发病以来饮食、睡眠、大小便及体重变化情况。(1分)2.诊疗经过①是否到医院就诊做过检查:血常规胸部X线片,痰病原学检查。(1分)②治疗情况:有无使用抗生素及止咳,祛痰治疗,疗效如何?(1分)

(二)其他相关病史1.有无药物过敏史。(0.5分)2.与该病有关的其他病史:有无肺结核等慢性肺部疾病病史,有无心脏病,肝病,肾病及血液系统病病史,工作性质及环境,有无烟酒嗜好。(2.5分)

二、问诊技巧

(一)条理性强,能抓住重点。(1分)

(二)能围绕病情询问。(1分)

填空题
阅读理解

Maybe you know some well-known buildings, such as the Great Wall, the Great Hall of the People, the Leaning Tower of Pisa. But do you know the Royal Academy of Arts ?

Lying in the heart of London, the Royal Academy of Arts is an independent fine arts institution (机构) which supports modern artists and promotes interest in the arts through all kinds of exhibition programs. The Academy is completely independent. It is a self-funded (自筹资金的), organization which is governed by the Royal Academicians—eminent painters, printmakers, sculptors and architects who are elected to the position. The Academy has a long history and was founded in 1768 with Sir Joshua Reynolds as its first President. The Academy lies in Burlington House which itself has a long colorful history with parts of the original structure dating back to 1664. Today, the Academy attracts over one million visitors each year, making it one of London's top 10 attractions for paying visitors.

Air: London's City Airport. Gatwick Airport, Heathrow Airport, Luton Airport and Stansted Airport.

Rail: Underground: Piccadilly and Green Park or a short walk from Oxford Circus and Bond Street.

Road: Bus: Public services.

Contact Addresses:

Royal Academy of Arts, Burlington House, Piccadilly, London WIJ OBD

Telephone: 020 7300 8000

Website: www.royalacademy.org.uk

小题1:Which of the following is TRUE about the Academy of Arts?

A.It dates back to 1664.

B.You can't get there by underground.

C.It is much older than Burlington House.

D.It is one of London’s top 10 attractions.小题2:You can contact the Academy of Arts by all the following EXCEPT________________.

A.sending an e-mail

B.writing a letter

C.visiting the website

D.making a call小题3:The main purpose of this passage is to_______________________.

A.introduce the arts of England

B.introduce the well-known building of England

C.show the long history of England

D.attract more visitors to the Royal Academy of Arts