问题 问答题 案例分析题

简要病史:女性,28岁。乏力、皮肤巩膜黄染2周门诊入院。要求:你作为住院医师,请围绕以上简要病史,写出应该询问的患者现病史及相关病史的内容。

答案

参考答案:

1.现病史

(1)根据主诉及相关鉴别询问①发病诱因:发病前有无感染、应用某些药物及其与发病时间的关系。②乏力:起病急缓、程度(对活动耐力的影响),是否伴有头晕、心悸。③黄染:起病急缓、程度,是否有头晕、心悸,尿色,大便颜色。④伴随症状:有无发热、口腔溃疡、脱发、光过敏、心悸、恶心、呕吐、厌油腻食物及关节疼痛。

(2)诊疗经过①是否曾到医院就诊,做过哪些检查:血常规、尿常规、肝肾功能和抗人球蛋白试验(Coombs试验)。②治疗情况:是否用过糖皮质激素等治疗,疗效如何。

(3)一般情况发病以来饮食、睡眠和体重变化情况。

2.其他相关病史①有无药物过敏史。②与该病有关的其他病史:有无胆道疾病、肝炎、自身免疫性疾病病史。月经婚育史。

3.问诊技巧①条理性强,能抓住重点;②能围绕病情询问。

阅读理解

                              Welcome to Gold Coast Wax Museum

HIGHLIGHTS

The Gold Wax(蜡像) Museum is one of the Cold Coast's longest running attractions.  It's a collection of famous figures.  It's Australia's largest museum of its kind, featuring more than 110 life-size wax figures copies of British and Australian History.

The Wax Museum is visited by many thousands of people each year who are shocked at the amazing realism of the life-size figures in authentic costumes. This is your invitation to wander through at your leisure and meet many important and famous people's figures on Queensland's Gold Coast.

Come face to face with such celebrities as Michael Jackson, President Obama, past President  John F. Kennedy, King Hussein, members of the Royal Family, and many others whose lives have all  left an indelible(擦不掉的) mark on our world.  Information cards are located alongside each figure.

The Gold Coast Wax Museum contains figures which have been made by leading local and overseas sculptors to international standards, equal in quality to the world's best, as seen in Europe, the United Kingdom, and U. S. A.  The detail in the figures is amazing -and includes hair applied one strand at a time, requiring many working hours for one hand, and the eyes are so real that they seem to follow the viewer around.

Price

Child (1-3yrs) free

Child (4-12yrs) $ 22. 00

Adult  $ 29. 00

Family (2 Adults + I Child) $68.00

Opening hours

Open 7 days a week, 10a. m.  to l0p. m.

Closed at Christmas Day (25 Dec. ) and Anzac Day (25 Apr. )

Location

Ferny Ave, Surfers Paradise ( Gold Coast ) QLD

How to get there

You can choose any of the Gold Coast airport transfers, car rentals, shuttles and private transfers to/from your hotel. Many coach  operators also offer Gold  Coast transfers to surrounding attractions, beaches, and the more distant destinations, throughout the day.

What to bring

Bring your sense of adventure and your camera and  see something exciting and quite unique.

For further information, please click here to see more about the Gold Coast Wax Museum.

小题1: If you visit the Gold Coast Wax Museum, you can

A.see many members of the Royal Family in person in the Museum

B.enjoy some world-class vivid max-works in the Museum

C.meet many leading local and internatioanal sculptors in the Museum

D.e at any time of the year except at Christmas Day小题2: If a couple and their l0-year-old son visit the Gold Coast Wax Museum, they may pay_____.

A.$87

B.$80

C.$68

D.$58小题3: You will most probably find this passage ______.

A.in a guidebook

B.in a magazine

C.in a text book

D.on a webpage

综合