2013真题测试(国外英文资料).doc

2013真题测试 In 2013, the practice skills test volume one First stop: problem 1 Medical history: male, 28 years old, recurrent abdominal pain 4 years, hematemesis 2 days. Requirement: you as a resident, in accordance with requirements of the standard in hospital medical records, around above the chief complaint, please inquire dictating how should the patient history of hpi and related content. Time: 3 minutes, 11 minutes. Preliminary diagnosis (only for examiners reference only) : stomach, duodenal canker disease Points: (score 15) The contents of the consultation (13 points) (1) the present history (10 points) According to the main complaint and the relevant discrimination inquiry (8 points) (1) the color of the hematemesis and the amount of hematemesis, which excludes the bleeding of the nasopharynx and the hemoptysis of the hemoptysis (2) the causes of hematemesis: whether a diet is unclean, a large amount of alcohol, a hard residue, or a stinging or special drug intake (3) the characteristics of abdominal pain, the relationship between eating and eating, the way of aggravating and alleviating, whether there is a hunger pain or two points in the night (4) the accompanying symptoms: the presence of liver splenic, jaundice, and skin mucosal hemorrhage (5) there is a point of wasting, eating, sleeping, and two (black) conditions The diagnosis: (2) (1) if you have seen it in the hospital, you will have one point (such as a gastroscope and upper digestive tract) (2) the treatment of medication was 1 (2) medical history: (3) You have a history of drug allergies 1 Other medical history associated with the disease: the history of the gastrointestinal ulcer, the recent history of non-steroidal anti-inflammatory drugs, the history of extensive burns, the history of cranial surgery and the history of the liver. Two points Second, interrogation technique (2) (1) a strong sense of reason and a point of focus (2) be able to ask for 1 point around the illness First stop: history p