2013真题测试（2013 real test）.doc

2013真题测试（2013 real test） 2013 practical skills test volume 1 First stop: problem 1 Medical history abstract: male, 28 years old, recurrent abdominal pain 4 years, hematemesis 2 days. Request: you as a resident physician, according to the standard inpatient medical records request, will be surrounded by the above main complaint, please dictate how to ask the patient history and relevant medical history. Time: 3 minutes, 11 minutes. Preliminary diagnosis (only for examiners reference only) : stomach and duodenal ulcer disease Point: (total score of 15) 1. Contents of inquiry (13 points) (1) medical history (10 points) 1. Enquiries (8 points) according to the main complaint and related discrimination (1) hematemesis and hematemesis, excluding haemorrhage and hemoptysis (2) the causes of hematemesis: whether there is a diet impurity, a large amount of alcohol, a hard residue or a stinging food or a special drug intake of 2 points (3) the characteristics of abdominal pain, the relationship between eating and eating, aggravating and alleviating, whether there is hunger or pain or the night pain of 2 points (4) accompanying symptoms: there are 1 points of liver and spleen, jaundice, and the symptoms of mucosal hemorrhage (5) whether there is weight loss, diet, sleep, two (without black) conditions, and so on 2. Diagnosis and treatment: (2 points) (1) if you have seen it in the hospital, you have done some examinations (such as gastroscope and upper digestive tract) (2) 1 point for treatment (2) related medical history: (3 points) You have a history of drug allergies 1 2. Other medical history related to the disease: history of digestive tract ulcer, recent history of non-steroidal anti-inflammatory drugs, extensive burn history, brain surgery history, liver history. Two points 2. Interrogation techniques (2 points) (1) a strong sense of reason and a point of focus (2) be able to ask for 1 point around the illness First test station: history problem 2 Medical history abstra