2010年执医实践技能操必考题(考官手持本)（2010 medical practice skills must test questions (examiner handheld)）.doc

2010年执医实践技能操必考题(考官手持本)（2010 medical practice skills must test questions (examiner handheld)） Universal history answer formula A history - 10 points. 1. according to the complaint related identification asked 8 points (1) pathogeny and inducement (cold, diet, drugs, trauma, emotional fatigue, etc.) - 2 points (2) the main symptoms (symptom, type, degree, frequency, urgency, color, position, quantity, time) - 3 points (3) with symptoms (23 other symptoms) - 2 points (4) after the onset of symptoms, the general condition of diet, sleep, weight, mental state, two - 1 2. - 2 minutes after treatment (1) whether to other hospital, what did check - 1 points (2) how to treatment medication? - 1 Two. A history of - 3 (1) the history of drug allergy, surgery, communicable disease - 1 (2) the related history (the system related diseases and complications) - 2 points Another: the examiner impression - 2 points The answer matters needing attention in history: The 1. answer time, a reasonable allocation of time: 2. in strict accordance with the format of the answer: the title, number, vertical 3. neat 4. diagnosis is not included in the score, but not out of line (such as respiratory symptoms for the diagnosis of urinary system diseases), whether the examiner will buckle impression Case analysis of diagnostic formula The diagnosis of digestive system diseases. Common symptoms: abdominal pain, diarrhea, nausea, vomiting, mass 1. chronic gastritis = eating unclean or stimulant + upper abdominal pain, abdominal distension, nausea and vomiting 2. GERD = acid + retrosternal burning sensation + gastroscopy esophageal erosions with red strip (heartburn, acid reflux, meals) 3. patients with peptic ulcer (1) = chronic gastric ulcer regularity of upper abdominal pain (pain after a meal) + melena (2) hunger pain (= duodenal ulcer after meal 4 hours) or night pain and melena (3) sudden severe abdominal pain = perforation of peptic ulcer (peritonitis) + X-ray subphrenic free gas 4. esophageal