问题 问答题 案例分析题

简要病史:男性,64岁,咳嗽、痰中带血1个月。

答案

参考答案:

初步诊断(仅供考官参考,不计分):支气管肺癌。评分标准:(总分15分)

1.问诊内容(共13分)(1)现病史(10分)①根据主诉及相关鉴别询问(8分)发病诱因,有无劳累、受凉、上感史。(1分)咳嗽的性质和程度(刺激性干咳或是湿性咳嗽),咳嗽发生时间,有无咳痰。(2分)咯血的颜色、量。(2分)伴随症状,有无发热、乏力、盗汗,有无呼吸困难、胸痛,有无其他部位的出血。(2分)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(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。(1分)与该疾病有关的其他病史,有无慢性支气管炎、支气管扩张、肺结核、全身出血性疾病等病史,个人职业情况和有无吸烟嗜好。(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。

     When the earthquake hit Japan on March 11, 2011, workers in a supermarket in Japan didn't run away

  when they felt the shaking. Instead, they held on to the shelves and tried to stop the goods from falling

 down.

     Reporters from NHK, the country's largest TV station, stayed calm in front of cameras during the earth

 quake, even though some were facing real danger.

     The earthquake was the most powerful one to hit Japan in the country's history. But Japan's reaction to

  the earthquake has shown that it is the most earthquake-prepared (有准备的) country in the world. The

  calm that Japanese showed during and after the quake has impressed the world.

     This is because Japan has an earthquake culture. Japanese people are taught how to prepare for and

  react to an earthquake from a young age.

     One way kids learn about earthquake safety is from the cartoon character Maruko, a 9-year-old

 student. In Chibi Maruko-Chan (《樱桃小丸子》), Maruko has to wear a protective (防护的) hat in

 an earthquake practice. Schools in Japan organize earthquake practices every month. They make students

  become familiar (熟悉的) with being in an earthquake.

     Japan also has a good earthquake warning (警报) system. Warnings were broadcast on TV, the radio

  and cell phones eight seconds after experts first knew about the quake on March 11. The warning system

  is unable to predict an earthquake, but it can usually alert (提醒) people about 15 seconds before they

 feel the effects. Even 15 or 20 seconds can be enough to save people's lives.

1. When the big earthquake happened in Japan on March 11, ______.

    A. people stayed calm

    B. people were too scared to move

    C. people ran outdoors in a hurry  

    D. people escaped from the country at once

2. From this passage, we know that NHK is a _____ in Japan. 

    A. bus stop    

    B. TV station  

    C. famous movie  

    D. five-star restaurant  

3. What does the underlined word "reaction" mean in Chinese?

    A. 影像      

    B. 动作      

    C. 反应        

    D. 保护

4. What can we learn from the passage?

    A. Earthquake practices in Japan are very common.

    B. Japan has a warning system that can predict earthquakes.

    C. Few people were hurt during the Japan earthquake on March 11, 2011.

    D. Japanese kids learn about earthquake safety only from school earthquake practices.

5. Which is the BEST title for the passage?

    A. How terrible the earthquake is

    B. Japan's earthquake culture

    C. Japanese people are very brave

    D. The earthquakes can be predicted

选择题