卫生类测验(国外英文资料).docVIP

卫生类考试 Question 1 【 】 the first stop Taken the history of collecting A man is 45 years old and the pain in the front of the heart is in the hospital for an hour. Requirement: you as a resident, in accordance with requirements of the standard in hospital medical records, around more than the chief complaint, please inquire dictating how should the patient is the content of the history and the related history time: 3 minutes to prepare, oral answer 7 minutes Diagnosis: acute myocardial infarction Points: (score 15) The contents of the consultation (13 points) (1) medical history (10 points) In the case of the main complaint and the relevant discrimination inquiry (8 points) The range, nature, degree and duration of the pain in the front area of the heart, radiating area, inducing and mitigating factor 3 Is there any difficulty in breathing, coughing, asthmatic or pink foamy? Two points Is there a cause of disease, fever and shock? Two minutes of diet, sleep, and two are one The diagnosis was passed (2) Did the essay go to the hospital? What tests have been done? What about the treatment? 1 minute, (2) other relevant medical history (3 points) 1, the drug allergy history 1 Other medical history related to the disease: high blood pressure, high blood fat, diabetes, history of coronary heart disease, smoking and alcohol consumption Second, interrogation technique (2) (1) it is not possible to make a point of 0.5 point (2) and not to ask for 0.5 points (3) the diagnostic language is not appropriate 0.5 (4), and suggestive examination 0.5 Taken the case analysis Case summary female, 49 years old, the number of defecate increases, take blood 3 months. There was no obvious cause before march, and the number of defecation increased, 3-6 times/day, not formed, and the gap was red blood. There are middle, lower abdominal pain, no apparent abdominal distention and nausea and vomiting. No fever, no feeding. Recently, the weight has dropped by about 4kg. To further diagnose the in