问题 问答题 案例分析题

简要病史:男性,30岁,间断性咯血1周。

答案

参考答案:

初步诊断(仅供考官参考,不计分):支气管扩张。评分标准:(总分15分)

1.问诊内容(共13分)(1)现病史①根据主诉及相关鉴别询问(8分)发病诱因及加重因素。(2分)咯血情况,是咯出还是呕出,咯出血的性状、量及颜色,血中混杂物情况。(3分)有无发热、盗汗、咳嗽、咳痰及呼吸困难,有无恶心、呕吐及腹痛,有无黑便,皮肤有无出血点。(2分)二便、睡眠、食欲、体重变化情况。(1分)②诊疗经过(2分)是否到医院就诊过,做过哪些检查。(1分)治疗用药情况。(1分)(2)相关病史(3分)是否有药物过敏史、吸烟嗜好,有无到过疫区。(1分)有无心脏病、慢性支气管炎、结核病、全身出血性疾病、上消化道疾病史。(2分)

2.问诊技巧(2分)条理性强、能抓住重点。(1分)能够围绕病情询问。(1分)

阅读理解

阅读理解。

     People from other countries will find many different surprising things in Britain.

     Greek: A man from Greece sees a special way of driving in Britain. People drive on the left in the British

street, but the British people never feel surprised. The Greek man said,"I've been in Britain for nearly a month

now. But at first, I couldn't always remember to drive on the left. Every time, my friend reminded me."

     Japanese: Japanese people can't understand why British people keep their shoes on at home. In Japan,

people walk in the room without shoes. If visitor keeps his shoes on at home in Japan, the Japanese people

think he is very impolite.

     Spanish: The Spanish people mind the way that the British people greet each other. They themselves seem

to be afraid of touching (接触).When they meet, they just smile or nod but never kiss or hug (拥抱) in Spain.

But the British people think kissing is a very usual greeting when they meet!

     There is an old saying, "When in Rome, do as Romans do."When we go to a foreign country, we should

follow the etiquette of country.

1. The Greek visitor _______.

A. always drives on the left

B. used to drive on the left

C. drove correctly in Britain with his friend's help

2. _______ think it's impolite to wear shoes at home.

A. The Japanese

B. The Greek

C. The English

3. When greeting, the Spanish _______.

A. kiss each other

B. hug each other

C. smile at each other

4. _______ seem not to be afraid of touching each other.

A. The Spanish

B. The British

C. The Japanese

5. Etiquette in the world _______.

A. is the same

B. is important

C. is sometimes different and interesting

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