问题 问答题 案例分析题

男性,26岁,急性腹痛、呕吐、无排便排气3天。请针对该案例,说明问诊内容与技巧。

答案

参考答案:

1.问诊内容(13分)

(1)现病史(10分)①根据主诉及相关鉴别询问(7分)疼痛部位、程度及性质。(2分)是否伴有腹胀、肠鸣恶心。(2分)有少尿、发热等症状。(2分)有无类似发作,有无腹部手术史。(1分)②诊疗经过(3分)是否到医院就诊过,做过哪些检查,腹部影像学诊断情况。(2分)治疗用药情况及其效果。(1分)

(2)相关病史(3分)有无胃肠道病史。(2分)有无药物过敏史。(1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)

选择题
问答题

Background information

B-Star is a theme park based on a popular series of children*s books. Customers pay a fixed fee to enter the park, where they can participate in a variety of activities such as riding roller-coasters, playing on slides and purchasing themed souvenirs from gift shops.

The park is open all year and has been in operation for the last seven years. It is located in a country which has very little rainfall- the park is open-air so poor weather such as rain results in a significant fall in the number of customers for that day (normally by 50%)。 During the last seven years there have been on average 30 days each year with rain.

B-Star is now very successful; customer numbers are increasing at approximately 15% each year.

Ticket sales

Customers purchase tickets to enter the theme park from ticket offices located outside the park. Tickets are only valid on the day of purchase. Adults and children are charged the same price for admission to the park. Tickets are preprinted and stored in each ticket office.

Tickets are purchased using either cash or credit cards.

Each ticket has a number comprising of two elements 每 two digits relating to the ticket office followed by six digits to identify the ticket. The last six digits are in ascending sequential order.

Cash sales

1. All ticket sales are recorded on a computer showing the amount of each sale and the number of tickets issued. This information is transferred electronically to the accounts office.

2. Cash is collected regularly from each ticket office by two security guards. The cash is then counted by two accounts clerks and banked on a daily basis.

3. The total cash from each ticket office is agreed to the sales information that has been transferred from each office.

4. Total cash received is then recorded in the cash book, and then the general ledger.

Credit card sales

1. Payments by credit cards are authorised online as the customers purchase their tickets.

2. Computers in each ticket office record the sales information which is transferred electronically to the accounts office.

3. Credit card sales are recorded for each credit card company in a receivables ledger.

4. When payment is received from the credit card companies, the accounts clerks agree the total sales values to the amounts received from the credit card companies, less the commission payable to those companies. The receivables ledger is updated with the payments received.

You are now commencing the planning of the annual audit of B-Star. The date is 3 June 2009 and B-Star*s year end is 30 June 2009.

 

(i) For the cash sales system of B-Star, identify the risks that could affect the assertion of completeness of sales and cash receipts; (4 marks)

(ii) Discuss the extent to which tests of controls and substantive procedures could be used to confirm the assertion of completeness of income in B-Star. (6 marks)