7月1号真题(国外英文资料).docVIP

7月1号真题 In the year of 013, Chinese and western medicine combined the practice skills examination of practicing physicians The first stop is a dialectic 1, July 1: Chinese traditional Chinese medicine: stomach pain (stomach) : stomach ulcer: stomach cancer : on July 1, no. 3 topic 】 【 collected medical history | education confusion: male, 60, double leg edema in January, shortness of breath day 2 cases analysis: acute hepatitis a physical examination: axillary lymph nodes palpation liver palpation (single and double hand) into the discussion voice tremor Explain the results of the physical examination. Operation: wear an isolation coat Q: what happens to the face when you take off the clothes? How positive is the examination of liver cirrhosis abdominal water? Physical examination: an enlarged tonsil Heart valve auscultation The mobility of the voiced sounds Operate: wear gloves, wear surgical clothes Next to me, the inscription is not clear: Physical examination: sclera, conjunctival Operation: oxygen inhalation is a simple respirator [13] July 1: differential diagnosis of chronic heart failure: identification with bronchial asthma. Diagnosis: heart palpitation, edema, and asthma to discuss The first stop, 013, is retired on March 11, 2011 The patient was suffering from heart palpitations and shortness of breath after being tired from work five years ago, and the patient was unable to lie flat, with abdominal distension, poor appetite, and low urine. Has the above symptom is aggravating, cannot lay down at night, see XianZheng, palpitation and shortness of breath, cough spit bubbles is phlegmy, floating face limb swelling, less urine abdominal distension, abdominal distention, poor appetite, cold and cold limbs, lip a blue (probably is that really cant remember), a dim tongue, pulse fine promotion. Behind is the vital signs and physical examination, I judge this topic should be chronic heart failure (if more specific point should be the right heart failure), bec