问题 问答题 案例分析题

简要病史:女性,45岁,消瘦、多饮、多尿半个月。

答案

参考答案:

本例患者最可能是糖尿病。病史采集要点:(共15分)

1.问诊内容(13分)(1)现病史(共10分)①发病诱因。(1分)②体重下降多少,饮食每日多少,比平时增加多少,体重与饮食的关系。(3分)③每日尿量多少,(多尿指每日尿量多于2500ml),多尿与饮水的关系如何。(2分)④伴随症状,有无心悸、怕热、性情改变等伴随症状。(2分)⑤发病以来的一般情况:大便情况等。(1分)⑥诊疗经过:是否就诊过,相应的辅助检查及结果,应用过何种治疗及效果。(2分)(2)相关病史(共3分)①药物过敏史及外伤手术史。(1分)②与该病有关的其他病史及家族史。(2分)

2.问诊技巧(2分)(1)条理性差、不能抓住重点。(-0.5分)(2)没有围绕病情询问。(-0.5分)(3)问诊语言不恰当。(-0.5分)(4)暗示性问诊。(-0.5分)

阅读理解

阅读理解。

     When you want to go shopping, you should decide first how much money you can pay for new

clothes. Think about the kind of clothes you really need.Then look for those clothes on sale, that is tosay,

you can buy some new clothes at a lower price.

     There are labels (标签) inside all new clothes.The labels tell you how to take care of your clothcs.

The label for a shirt may tell you to wash it in warm water. A sweater label may tell you to wash it in

cold water.The label on a coat may say"Dry-cleaning Only".Washing may ruin this coat,If you do as the

directions say on the label,you can keep your clothcslooking their best.

    Many clothes today must be dry-cleaned. Drycleaning is expensive. When you buy new clothes, you

should look at them carefully to makc sure if they need to be dry-cleaned. You will save money if you

buy clothes that can wash easily.

    If you buy some well-made clothes,you can save money because they can last longer. They look

good even after they have been washed many times. Sometimes some clothes cost more money, but it

does not mean that they are always better made,or they always fit (合身) better. In other words, some

less expensive clothes look and fit better than more expensive clothes.

l. When you buy some ncw clothcs,you should think _____ first.

A. how to read the labels

B. how to save money

C. what colour to choose

D. how to wash the clothes

2. The labels inside the clothes tell you _____.

A. how to keep thcm looking their best

B. how to save moncy

C. whether they fit you or not

D. where to wash the clothes

3. From this passage we can learn that "dircctions" means "_____".

A. 方向  

B. 说明  

C. 生产商  

D. 专家

4. If you want to save money, you can buy clothes that _____.

A. don't fit you          

B. don't last long

C. need to be dry-cleaned

D. can wash easily

5.We learn from the passage that cheaper clothes _____.

A. are always worse made

B. must be dry-cleaned

C. can sometimes fit you better

D. cannot be washed

单项选择题