中医中西医结合第二站考试题及答案(自己整理)（Traditional Chinese medicine traditional Chinese medicine (TCM)）.docVIP

中医中西医结合第二站考试题及答案(自己整理)（Traditional Chinese medicine traditional Chinese medicine (TCM)） Chinese medicine and Western medicine combination of second stations examination questions and answers (organize their own) There are 1 flowers in this post Chinese medicine skill examination second station examination questions I. please demonstrate the palpation of supraclavicular lymph nodes. Answer： 1, check the supraclavicular lymph nodes, to be checked sitting or lying position, head slightly bent forward, palpation with both hands, right hand left hand palpation, palpation of the left, from the shallow to the deep clavicle after gradually touch; 2, when lymph node enlargement, should pay attention to its location, size, number, hardness, tenderness, mobility, whether or not adhesions. Two. Please demonstrate the method of Murphys sign (Murphy) and point out the positive clinical significance. Answer： 1. Method of examination: the doctor puts the left hand palm on the right costal margin of the patient, and puts the thumb on the border of the rectus abdominis muscle and the junction of the costal arch (the gallbladder point). First, with the thumb with moderate pressure compression of the abdominal wall, and then caught the attention of patients with deep breathing, pain caused by inflammation when the swollen gallbladder is touching the pressurized thumb, the patient suddenly stopped because of pain and deep breathing, this is Murphy syndrome (Murphy); 2 、 clinical significance: this sign is positive in acute cholecystitis, etc.. Three please check the examination of tactile language tremor. Answer： 1. Examine the ulnar edge of the left and right palms to the symmetrical part of the chest wall on both sides of the patient; 2 and then ask the patient to repeat the Yi long tone at the same intensity; 3, from top to bottom Four please demonstrate the examination of the light reflex. Answer： 1, there are two kinds of indirect and direct light reflection: 2. Direct reflection o