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2013真题测试(2013 test papers)
2013真题测试(2013 test papers)
In 2013 a test of practical skills:
First test station: medical history collection 1
Abstract: male, 28 years old, 4 years periodic abdominal pain, vomiting 2 days.
Requirement: as a resident, according to the standard inpatient medical record request, please describe the contents of the patients current medical history and related medical history.
Time: prepare 3 minutes, answer 11 minutes.
Initial diagnosis (for reference only, not scored): stomach and duodenal ulcer disease
Scoring points: (total score 15 points)
I. contents of interrogation (13 points)
(a) present medical history (10)
1. according to the chief complaint and the relevant identification inquiries (8 points)
(1) the amount of color and hematemesis hematemesis, excluding nasopharyngeal hemorrhage and 2 hemoptysis
(2) the cause of hematemesis: are there any unclean food, drinking a lot, with hard slag or barbed food or special drug intake history 2
(3) the characteristics of abdominal pain, the relation with eating, the mode of aggravation and relief, whether there is hunger pain or nocturnal pain, 2 points
(4) accompanied by symptoms: whether there is no liver and spleen, jaundice, skin bleeding symptoms such as 1 points
(5) whether or not to lose weight, diet, sleep, two stools (whether there is no black stool) and so on, 1 points
2. diagnosis and treatment: (2 points)
(1) whether to go to the hospital to have seen, what inspection has been done (like gastroscope, upper digestive tract radiography) 1 minutes
(2) medication 1 minutes
(two) related history: (3)
1. is there a history of drug allergy 1?
2. other medical history related to the disease: history of peptic ulcer, recent history of nonsteroidal anti-inflammatory drugs, history of extensive burns, history of craniocerebral surgery and history of liver disease. 2 points
Two, interrogation skills (2 points)
(1) well organized, able to grasp the key points, 1 points
(two) be able to ask 1 points around the illness
Fir
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