问题 多项选择题 X型题

按《医院处方点评管理规范(试行)》的规定,下列哪些处方属于不合理处方()

A.西药、中成药与中药饮片未分别开具处方的

B.处方的前记、正文、后记内容缺项

C.单张门急诊处方超过5种药品的

D.注明为慢性病、老年病,医生注明并签字因患者家庭住址较远而开具1个月用量的超量处方

E.首选国家基本药物的处方,7日用量

答案

参考答案:A, B, C

解析:《医院处方点评管理规范(试行)》第十六条:不合理处方包括不规范处方、用药不适宜处方及超常处方。第十七条:有下列情况之一的,应当判定为不规范处方:处方的前记、正文、后记内容缺项,书写不规范或者字迹难以辨认的;医师签名、签章不规范或者与签名、签章的留样不一致的;药师未对处方进行适宜性审核的(处方后记的审核、调配、核对、发药栏目无审核调配药师及核对发药药师签名,或者单人值班调剂未执行双签名规定);新生儿、婴幼儿处方未写明日、月龄的;西药、中成药与中药饮片未分别开具处方的;未使用药品规范名称开具处方的;药品的剂量、规格、数量、单位等书写不规范或不清楚的;用法、用量使用“遵医嘱矽、“自用”等含糊不清字句的;处方修改未签名并注明修改日期,或药品超剂量使用未注明原因和再次签名的;开具处方未写临床诊断或临床诊断书写不全的;单张门急诊处方超过5种药品的;无特殊情况下,门诊处方超过7日用量,急诊处方超过3日用量,慢性病、老年病或特殊情况下需要适当延长处方用量未注明理由的;开具麻醉药品、精神药品、医疗用毒性药品、放剩性药品等特殊管理药品处方未执行国家有关规定的;医师未按照抗菌药物临床应用管理规定开具抗菌药物处方的;中药饮片处方药物未按照“君、臣、佐、使”的顺序排列,或未按要求标注药物调剂、煎煮等特殊要求的。第十八条:有下列情况之一的,应当判定为用药不适宜处方:适应证不适宜的;遴选的药品不适宜的;药品剂型或给药途径不适宜的;无正当理由不首选国家基本药物的;用法、用量不适宜的;联合用药不适宜的;重复给药的;有配伍禁忌或者不良相互作用的;其他用药不适宜情况的。第十九条:有下列情况之一的,应当判定为超常处方:无适应证用药;无正当理由开具高价药的;无正当理由超说明书用药的;无正当理由为同一患者同时开具2种以上药理作用相同药物的。

阅读理解

Remembering names is an important social skill. Here are some ways to master it.

Recite and repeat in conversation.

When you hear a person’s name, repeat it. Immediately say it to yourself several times without moving your lips. You could also repeat the name in a way that does not sound forced or artificial.

Ask the other person to recite and repeat.

You can let other people help you remember their names. After you’ve been introduced to someone, ask that person to spell the name mad pronounce it correctly for you. Most people will be pleased by the effort you’re making to learn their names.

Admit you don’t know.

Admitting that you can’t remember someone’s name can actually make people relaxed. Most of them will feel sympathy if you say. “I’m working to remember names better. Yours is right on the tip of my tongue. What is it again?”

Use connections.

Link each person yon meet with one thing you find interesting or unusual. For example, you could make a mental note: "Vicki Cheng -- tall, black hair." To reinforce your associations, write them on a small card as soon as possible.

Limit the number of new names you learn at one time.

When meeting a group of people, concentrate on remembering just two or three names. Free yourself from remembering every one. Few of the people in mass introductions expect you to remember their names. Another way is to limit yourself to learning just first names. Last names can come later.

Go early.

Consider going early to conferences, parties and classes. Sometimes just a few people show up on time. There’re fewer names for you to remember. And as more people arrive, you can hear them being introduced to others --- an automatic review for you.

小题1:How will most people feel when you try hard to remember their names?

A.They will be moved.

B.They will be upset.

C.They will be delighted.

D.They will be discouraged.小题2:If you can't remember someone's name, you may                  

A.tell him the truth

B.tell him a white lie

C.ask him for pity

D.ask others to help you小题3:When you meet a group of people, it is better to remember             

A.all their names

B.a couple of names first

C.just their last names

D.as many names as possible小题4:What does the text mainly tell us?

A.Tips on an important social skill.

B.Importance of attending parties.

C.How to make use of social skills.

D.How to recite and repeat names.

单项选择题