问题 问答题 简答题

体格检查考试项目:肱二头肌反射(坐位、仰卧位两种检查方法任选一种,须报告正常表现和检查结果)。

答案

参考答案:

1.体格检查

(1)检查方法正确,动作规范①坐位检查:告知被检者取坐位,双上肢自然悬垂于躯干两侧,考生左手托起被检者使其屈肘,前臂稍内旋置于考生前臂上,考生左手拇指置于肱二头肌肌腱上,右手持叩诊锤叩击考生拇指。②卧位检查:考生左手托起被检者肘部并使被检者屈肘,前臂稍内旋置于被检者腹部,考生左手拇指置于肱二头肌肌腱上,右手持叩诊锤叩击考生拇指。(考生须检查双侧反射,若只查一侧扣分)

(2)报告正常表现和检查结果正确肱二头肌反射正常表现为叩击肱二头肌肌腱时引发肱二头肌收缩,前臂屈曲动作。报告检查结果:双侧肱二头肌反射对称引出。

2.提问①简单描述踝阵挛的阳性反应及其临床意义。答:阳性反应为腱反射极度亢进,是锥体束受损的表现。②男性,30岁。1天来频繁呕吐,无排便、排气,既往多次腹部手术史。该患者腹部检查时可能发现的阳性体征是什么?答:肠鸣音亢进。

3.职业素质①体检前能向被检者告知。与被检者沟通时态度和蔼,体检中动作轻柔,能体现爱护被检者的意识。体检结束后能告知,有体现关爱被检者的动作。②着装(工作服)整洁,仪表举止大方,语言文明,体检认真细致,表现出良好的职业素质。

单项选择题 案例分析题
单项选择题

This was one of my experiences (1) . When I was in my 30s, I was working for a large international company which had its head office in London. I was working in the (2) department.

The company had a training centre which was just outside London. Different courses were held there throughout (3) and I (4) go on one training course a year. These usually started (5) a Sunday evening and lasted six days.

Once I was (6) a week’s training course with about forty (7) sales people. I was in the bar on the Friday evening and suddenly a woman who was (8) behind the bar asked mea curious question. "I hope you don’t (9) my asking," she said, "but I’ve been (10) about it all week. Have you got a sister (11) Mary" The woman’s name was June. And she used to do various jobs at the training centre. She worked in the office, she organized all the food and drink for the centre and she worked in the bar at lunchtime and in the evening.

My answer (12) June’s question was "Yes", and June said, "I thought (13) . I met her last September when she was organizing a course here. " At that time, my sister was working for (14) company but in a different part of the country. That was (15) she came to be at the training centre.

(16) surprised me was how June guessed we were brother and sister. Three things made it even more (17) . First, she had met my sister six months before she met me. Second, they have about sixty new people every week at the training centre. So about one thousand five hundred people had (18) the centre in those six months. And (19) , my sister is married, so she doesn’t have the same family name as me.

We’re not (20) , but I guess we must look quite like each other.

4().

A.used to

B.once

C.get used to

D.was used to