吉林快3首页

2019年中西醫助理醫師實踐技能考試真題及解析(網友回憶版)

來源:新陽光教育執業醫師網   更新日期:2019年06月17日

2019年中西醫助理醫師實踐技能考試真題及解析(網友回憶版),中西醫結合助理醫師實踐技能考試真題說明:所有題目來自網絡上考生回憶,僅供參考。

第一站 病案(例)分析

試題編號  008

病例摘要 1

ZHOUMOU,NAN,73 SUI,YIHUN,2018 NIAN 10 YUE 13 RICHUZHEN。

HUANZHE 2 ZHOUQIANCHUXIANFARE,EFENG,BISAI,KESOU,KESOUSHENGDI,GANKESHAOTAN,QIDUANSHENPI,BINGBANYOUSHENWEIRE,SHOUZUXINRE,ZIHAN,KOUKEYUYINDENG,ZAIDANGDIYIYUANXINGXIONGBU X XIAN:YOUXIAFEIPIANZHUANGYINYING,XUECHANGGUI:BAIXIBAO 12.0×10^9/L,ZHONGXINGLIXIBAO 80%,JINGZHILIAOZHENGZHUANGLVEYOUHUANJIE,WEIQIUJINYIBUZHILIAO,SUILAIJIUZHEN。

吉林快3首页 CHATI:T:37.8℃,P:88 CI/FEN,R:20 CI/FEN,BP:120/75mmHg,YOUXIAFEIKOUZHENQINGDUZHUOYIN,TINGZHENWENJIXISHILUOYIN,SHEHONG,TAIBOHUANG,MOXISHU。

吉林快3首页 FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 11.0×10^9/L,ZHONGXINGLIXIBAO 80%,XIONGBU X XIAN:YOUXIAFEIPIANZHUANGYINYING。

答案及解析:

病例 1

ZHONGYIZHENDUAN:KESOU(2 FEN)

ZHONGYIZHENGXING:ZHENGXUXIELIANZHENG(2 FEN)

XIYIZHENDUAN:FEIYAN(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

吉林快3首页 1.LAONIANNANXINGHUANZHE,73 SUI;

2.KESOUKETANBANFARE 2 ZHOU;

吉林快3首页 3.CHATI:T:37.8℃,P:88 CI/FEN,R:20 CI/FEN,BP:120/75mmHg,YOUXIAFEIKOUZHENQINGDUZHUOYIN,TINGZHENWENJIXISHILUOYIN;

4.FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 11.0×10^9/L,ZHONGXINGLIXIBAO 80%,XIONGBU X XIAN:YOU

XIAFEIPIANZHUANGYINYING。

ZHONGYIZHIFA:YIQIYANGYIN,RUNFEIHUATAN(2 FEN)

吉林快3首页 FANGJIMINGCHENG:ZHUXIESHIGAOTANGJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

DANZHUXIE 10g SHENGSHIGAO 30g(XIANJIAN) MAIDONG 10g DANGCAN 10g

吉林快3首页 FABANXIA 9g SHENGDIHUANG 10g XUANCAN 10g DIGUPI 10g

SHENGGANCAO 10g

吉林快3首页 3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

吉林快3首页 1 .ZHUYIXIUXI ,BAONUAN ,DUOYINSHUI ;

2.BINGYINZHILIAO:ZHENDUIBUTONGBINGYUANTIKANGGANRANZHILIAO;

3.DUIZHENGZHICHIZHILIAO

 

病例摘要2:

吉林快3首页 ZHOUMOU,NAN,28 SUI,WEIHUN,GONGREN。2019 NIAN 1 YUE 15 RICHUZHEN。

HUANZHE 6 TIANQIANYINGUOSHIXINLAHAIXIANCHUXIANQUANSHENFANFAXINGPISUN,ZHUORESAOYANGWUXIU,ZHUAPOYOUSHENYE,

吉林快3首页 BANXINFANKOUKE,SHENREBUYANG,DABIANGAN,XIAOBIANDUANCHI。

CHATI:QUANSHENFANFAXINGPISUN,DUICHENGFENBU,PISUNWEIMIJIDESULIDAXIAOQIUZHEN、QIUPAOZHEN,JIDICHAOHONG,

吉林快3首页 SAOHOULIUZI、MILAN、JIECHI,WUMINGXIANBIANJIE。SHEHONG,TAIHUANGNI,MOHUA。

YAOQIU:GENJUSHANGSHUZHAIYAO,ZAIDATIKASHANGWANCHENGSHUMIANFENXI。

SHIJIAN:60 FENZHONG

答案及解析:

病例 2

ZHONGYIZHENDUAN:SHICHUANG(2 FEN)

ZHONGYIZHENGXING:SHIREJINYINZHENGZHENG(2 FEN)

XIYIZHENDUAN:SHIZHEN(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

吉林快3首页 1.NANXINGHUANZHE,28 SUI,YINSHIBUJIESHI;

吉林快3首页 2.QUANSHENPIFUZHUORE,SAOYANGJULIE,ZHUAPOSHENYE 6 TIAN;

吉林快3首页 3.CHATI:QUANSHENFANFAXINGPISUN,DUICHENGFENBU,PISUNWEIMIJIDESULIDAXIAOQIUZHEN、QIUPAOZHEN,JIDICHAOHONG,SAOHOULIUZI、MILAN、JIECHI,WUMINGXIANBIANJIE;

ZHONGYIZHIFA:QINGRELISHI(2 FEN)

吉林快3首页 FANGJIMINGCHENG:BEIXIAOSHENSHITANGHESANMIAOWANJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

BEIXIAO 15g DANPI 12g CANGSHU 12g YIYIREN 30g

吉林快3首页 HUANGBO 12g FULING 15g ZEXIE 12g HUASHI 15g(BAOJIAN)

TONGCAO 10g DANZHUXIE 10g MAIDONG 10g SHENGSHIGAO 30g(XIANJIAN)

吉林快3首页 DANGCAN 10g FABANXIA 9g SHENGDIHUANG 10g XUANCAN 10g

DIGUPI 10g SHENGGANCAO 10g

吉林快3首页 3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

1.QUANSHENZHILIAO,RUYINGYONGKANGZUANLEIYAOWU、ZHENJINGJI、PIZHILEIGUCHUNJIDENG;

吉林快3首页 2.JUBUZHILIAOYIWAIYONGYAOWEIZHU

 

試題編號  38

病例摘要 1:

吉林快3首页 WANGMOU,NV,33 SUI,YIHUN,ZHIYUAN。2019 NIAN 2 YUE 5 RICHUZHEN。

HUANZHEJIN 3 TIANCHUXIANNIAOPINNIAOJI,XIAOBIANZHUORECITONG,XIAOBIANBUCHANG,NIAOSEHUNCHI,SHAOFUZHANGMANTENGTONG,KOUKU,DABIANMIJIE。JIWANGWULEISIFAZUO。

CHATI:T:37.5℃,P:70 CI/FEN,R:18 CI/FEN,BP:110/70mmHg,XINFEIWEIJIANYICHANG,FURUAN,WUYATONGJIFANTIAOTONG,SHENQUKOUJITONG(-),WUSHUIZHONG。SHEZHIHONG,TAIBOHUANGNI,MOHUASHU。

吉林快3首页 FUZHUJIANCHA:NIAOCHANGGUI:NIAODANBAI(-),BAIXIBAO 10-20 GE/HP,HONGXIBAO 5~7 GE/HP,XUECHANGGUI:BAIXIBAO 9.8×10^9L,ZHONGXINGLIXIBAO 70%,ZHONGDUANNIAOPEIYANGJIANDACHANGGANJUN≥10^5m。

病例摘要 2

吉林快3首页 KANGMOU,NAN,1 SUI 10 GEYUE。2018 NIAN 12 YUE 16 RICHUZHENHUANER 5 TIANQIANCHUXIANLIUBITI,JIACHANGYUJIANERQINGJIEYEKOUFUZHILIAOWUXIAO,ZUORIQIHUANERCHUXIANKESOU,FARE,ZUIGAOTIWEN 39℃,SUILAIJIUZHEN。XIANZHENG:FAREEFENG,WEIHANCHU,LIUTI,KESOUPINFAN,HUXIQICU,HOUZHONGTANMING,KOUKE,BIANGAN,NIAOCHI。

CHATI:T:38.8℃,P:130 CI/FEN,R:40 CI/FEN。JIXINGBINGRONG,YANBUCHONGXUE,SHUANGFEI

HUXIYINCU,KEWENJISHAOLIANGZHONG、XISHILUOYIN,XINFUWUMINGXIANYICHANG。SHEZHIHONG,TAIBOHUANG,ZHIWENFUZI。

FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 17.5×10^9/L,ZHONGXINGLIXIBAO 72%,LINBAXIBAO 26%。XIONGBUⅩXIANPIANSHI:SHUANGFEIWENLIZENGDUO,WENLUAN,SANZAIDIANPIANZHUANGYINYING。

吉林快3首页 YAOQIU:GENJUSHANGSHUZHAIYAO,ZAIDATIKASHANGWANCHENGSHUMIANFENXI。

SHIJIAN:60 FENZHONG。

答案及解析:

病例 1

ZHONGYIZHENDUAN:LINZHENG(2 FEN)

吉林快3首页 ZHONGYIZHENGXING:BANGGUANGSHIREZHENG(2 FEN)

XIYIZHENDUAN:NIAOLUGANRAN(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

吉林快3首页 1.NVXINGHUANZHE,33 SUI;

2.NIAOJINIAOPINNIAOTONG 3 TIAN;

3.CHATI:T:37.5℃,P:70 CI/FEN,R:18 CI/FEN,BP:110/70mmHg,XINFEIWEIJIANYICHANG,FURUAN,WUYATONGJIFANTIAOTONG,SHENQUKOUJITONG(-),WUSHUIZHONG;

4.FUZHUJIANCHA:NIAOCHANGGUI:NIAODANBAI(-),BAIXIBAO 10-20 GE/HP,HONGXIBAO 5~7 GE/HP,

XUECHANGGUI:BAIXIBAO 9.8×10^9L,ZHONGXINGLIXIBAO 70%,ZHONGDUANNIAOPEIYANGJIANDACHANGGANJUN≥10^5m。

ZHONGYIZHIFA:QINGRELISHITONGLIN(2 FEN)

吉林快3首页 FANGJIMINGCHENG:BAZHENGSANJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

吉林快3首页 TONGCAO 10g CHEQIANCAO 10g PIANXU 10g SHENGDAHUANG 6g(HOUXIA)

CHAOZHIZI 6g JUMAI 10g ZHISHI 10g HUASHI 10g(BAOJIAN)

吉林快3首页 3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

吉林快3首页 1 .ZHUYIXIUXI,BAONUAN,DUOYINSHUI;

2.JIANHUANIAOYE;

3.KANGJUNZHILIAO

病例 2

吉林快3首页 ZHONGYIZHENDUAN:FEIYANCHUANSOU(2 FEN)

吉林快3首页 ZHONGYIZHENGXING:FENGREBIFEIZHENG(2 FEN)

XIYIZHENDUAN:XIAOERFEIYAN(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

吉林快3首页 1.NANXINGHUANER,1 SUI 10 GEYUE,FARE,KESOU 5 TIAN;

吉林快3首页 2.XIANZHENGJIAN:GAORE,KESOU,QICU;

3.CHATI:T:38.8℃,P:130 CI/FEN,R:40 CI/FEN。JIXINGBINGRONG,YANBUCHONGXUE,SHUANGFEIHUXIYINCU,KEWENJISHAOLIANGZHONG、XISHILUOYIN,XINFUWUMINGXIANYICHANG;

4.FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 17.5×10^9/L,ZHONGXINGLIXIBAO 72%,LINBAXIBAO 26%。

吉林快3首页 XIONGBUⅩXIANPIANSHI:SHUANGFEIWENLIZENGDUO,WENLUAN,SANZAIDIANPIANZHUANGYINYING。

吉林快3首页 ZHONGYIZHIFA:XINLIANGKAIBI,QINGFEIZHIKE(2 FEN)

FANGJIMINGCHENG:YINQIAOSANHEMAXINGSHIGANTANGJIAJIAN(2 FEN)

吉林快3首页 YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

吉林快3首页 ZHIMAHUANG 1g CHAOXINGREN 3g SHENGSHIGAO 5g(XIANJIAN) SHENGGANCAO 3g

JINYINHUA 3g LIANQIAO 3g DANZHUXIE 3g JINGJIESUI 3g

NIUBANGZI 3g DANDOUCHI 3g BOHE 2g(HOUXIA) JIEGENG 3g

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

吉林快3首页 XIYIZHILIAO:(4 FEN)

1.DUIZHENGZHILIAO;;

2.DUIYINZHILIAO:GENJUBUTONGBINGYUANXUANZEKANGGANRANYAOWU;

3.FANGZHIBINGFAZHENG

 

試題編號  39

病例摘要 1:

ZHOUMOU,NAN,56 SUI,YIHUN,TUIXIU。2019 NIAN 2 YUE 7 RICHUZHEN。

HUANZHEJIN 1 NIANLAICHANGZIJUESHENPIFALI,ZUIJIN 3 TIANJUEXIAOBIANLIANGSHAO,MEIRIYUE 300ml,SHENPIFALI,EXINPINPIN,KOUGANKOUKU,SHIYOUKOUCHOU,ZIJUEZHENGZHUANGJIAZHONGGULAIJIUZHEN,JIWANGYOUMANXINGSHENYANBINGSHI 12 NIAN。XIANZHENGXIAOBIANLIANGSHAO,MEIRIYUE 300ml,BANSHENPIFALI,EXINPINPIN,KOUGANKOUKU,SHIYOUKOUCHOU。JIWANGMANXINGSHENYANBINGSHI 12 NIAN。

CHATI:T:36.5℃,P:97 CI/FEN,R:18 CI/FEN,BP:165/95mmHg。MIANSEWUHUA,SHEHONG,TAIHUANGNI,MOCHENSHU。

FUZHUJIANCHA:XUECHANGGUI:XUEHONGDANBAI 94g/L,BAIXIBAO 4.7×10^9/L。NIAOCHANGGUI:NIAODANBAI(+),HONGXIBAO 8~10 GE/HP,KELIGUANXING 1~3 GE/HP。SHENGONGNENG:NIAOSUDAN 29.6mmol/L,JIGAN 564mol/L。

病例摘要 2  :

吉林快3首页 WANGMOU,NV,5 SUI。2018 NIAN 12 YUE 2 RICHUZHEN。

吉林快3首页 HUANER 2 RIQIANWAICHUYOUWANYINSHIBUJIE,DANGRIYELICHUXIANFARE,ZUIGAOTIWEN 39℃,JINRILINGCHENCHUXIANOUTU 1 CI,WEIWEINEIRONGWU,JIZHIFUXIEDA,BIANCHENGXISHUIYANG,XIEXIAJIPO,RIXING 10 YUCI,LIANGDUO,QIWEIHUICHOU,WUNONGXUE,XIAOBIANSEHUANGLIANGSHAO。

CHATI:T:38.3℃,P:132 CI/FEN,R:30 CI/FEN。SHENZHIQING,JINGSHENKEPI,FUDANXINGKE,XINMENYIBI,XINFEITINGZHENWEIJIANYICHANG。FURUAN,CHANGMINGYINHUOYUE,FUBUWUYATONG。SHEZHIHONG,TAIHUANGNI,MOHUASHU。

FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 7.9×10^9/L,ZHONGXINGLIXIBAO 31%,LINBAXIBAO 67%。DABIANCHANGGUISHI:ZHIFANGQIU(++)。

吉林快3首页 YAOQIU:GENJUSHANGSHUZHAIYAO,ZAIDATIKASHANGWANCHENGSHUMIANFENXI。

SHIJIAN:60 FENZHONG。

答案及解析:

病例 1

ZHONGYIZHENDUAN:LONGBI(2 FEN)

吉林快3首页 ZHONGYIZHENGXING:BIAOSHIZHENG-SHIREZHENG(ZHONGJIAOSHIRE)(2 FEN)

XIYIZHENDUAN:MANXINGSHENSHUAIJIE(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

1.NANXINGHUANZHE,56 SUI,JIWANGMANXINGSHENYANBINGSHI 12 NIAN;

吉林快3首页 2.FALI 1 NIAN,JIAZHONGBANNIAOSHAO 3 TIAN;

吉林快3首页 3.CHATI:T:36.5℃,P:97 CI/FEN,R:18 CI/FEN,BP:165/95mmHg。MIANSEWUHUA;

4.FUZHUJIANCHA:XUECHANGGUI:XUEHONGDANBAI 94g/L,BAIXIBAO 4.7×10^9/L。NIAOCHANGGUI:NIAODANBAI(+),HONGXIBAO 8~10 GE/HP,KELIGUANXING 1~3 GE/HP。SHENGONGNENG:NIAOSUDAN 29.6mmol/L,JIGAN 564mol/L。

ZHONGYIZHIFA:QINGHUAHEZHONG(2 FEN)

FANGJIMINGCHENG:HUANGLIANWENDANTANGJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

HUANGLIAN 6g QINGBANXIA 9g ZHURU 10g CHENPI 10g

吉林快3首页 FULING 15g SHENGGANCAO 10g SHENGJIANG 10g DAZAO 10g

ZHISHI 10g

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

1.KONGZHIYINSHI;

2.YIHUANJIESHENSHUAIJIEZHENGZHUANG,YANHUANSHENSHUAIJIEBINGCHENG,FANGZHIBINGFAZHENGWEIMUDEJINXINGYAOWUZHILIAO。(4FEN)

病例 2

吉林快3首页 ZHONGYIZHENDUAN:XIEXIE(2 FEN)

ZHONGYIZHENGXING:SHIREXIE(2 FEN)

XIYIZHENDUAN:XIAOERFUXIE(2 FEN)

吉林快3首页 XIYIZHENDUANYIJU:(4 FEN)

1.NVXINGHUANER,5 SUI,YINSHIBUJIESHI;

2.XIANZHENGJIAN:GAORE,OUTU,FUXIE;

吉林快3首页 3.CHATI:T:38.3℃,P:132 CI/FEN,R:30 CI/FEN。SHENZHIQING,JINGSHENKEPI,FUDANXINGKE,XINMENYIBI,XINFEITINGZHENWEIJIANYICHANG。FURUAN,CHANGMINGYINHUOYUE,FUBUWUYATONG;

吉林快3首页 4.FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 7.9×10^9/L,ZHONGXINGLIXIBAO 31%,LINBAXIBAO 67%。DABIANCHANGGUISHI:ZHIFANGQIU(++)。

ZHONGYIZHIFA:QINGCHANGJIERE,HUASHIZHIXIE(2 FEN)

FANGJIMINGCHENG:GEGENHUANGQINHUANGLIANTANGJIAJIAN(2 FEN)

吉林快3首页 YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

GEGEN 5g HUANGQIN 5g HUANGLIAN 3g HOUPU 5g

LUGEN 3g SHAREN 1g(HOUXIA) MAIYA 5g

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

吉林快3首页 XIYIZHILIAO:(4 FEN)

1.HELIYINSHI;

2.BUCHONGTIYE;

3.KONGZHIGANRAN;

4.WEICHICHANGDAOJUNQUNJIANKANG;

吉林快3首页 5.BAOHUCHANGNIANMO,BUXIN

 

試題編號  40

病例摘要 1 :

ZHOUMOU,NAN,51 SUI,YIHUN,GONGREN。2019 NIAN 5 YUE 7 RICHUZHEN。

吉林快3首页 HUANZHEJIN 2 NIANLAIJUEZHOUSHENFALI,ZUIJIN 1 ZHOUYILAIZIJUEZHENGZHUANGJIAZHONG,ZHOUSHENFALI,WEIHANZHILENG,KOUGANYUYIN,

YAOXISUANRUAN,DABIANXIYOU,XIAOBIANHUANGCHI,SUILAIJIUZHEN。JIWANGMANXINGSHENYANBINGSHI 9 NIAN。

吉林快3首页 CHATI:T:36.5℃,P:96 CI/FEN,R:18 CI/FEN,BP:160/95mmHg。MIANSESHAOHUA,SHUANGXIAZHIAOXIANXINGSHUIZHONG。SHEPANGRUNYOUCHIHEN,TAIBAI,MOCHENXI。

FUZHUJIANCHA:XUECHANGGUI:XUEHONGDANBAI 96g/L。NIAOCHANGGUI:NIAODANBAI(++),HONGXIBAO 8~10 GE/HP。

SHENGONGNENG:NIAOSUDAN 23.6mmol/L,JIGAN 420umol/L。

病案(例) 摘要2:

PENGMOU,NV,10 SUI。2018 NIAN 8 YUE 3 RICHUZHEN。

吉林快3首页 HUANER 4 TIANQIANCHUXIANFARE,2 TIANHOUPIFUCHUXIANPIZHEN。XIANZHENGJIANGAOREBUTUI,FANZAOBUAN,KOUKEXIYINLENGSHUI,MIANCHICHUNHONG,KOUSHESHENGCHUANG,QUANSHENPIFUKEJIANQIUZHEN、PAOZHEN、JIEJIADENGDUOZHONGZHENXINGTONGSHICUNZAI,QIZHENSEZIAN,PAOJIANGHUNZHUO,DABIANGANJIE,3 RI 1 XING,XIAOBIANHUANGCHI。

CHATI:T:38.6℃,P:118 CI/FEN,R:28 CI/FEN。QUANSHENPIFUKEJIANQIUZHEN、PAOZHEN,JIEJIADENGDUOZHONGZHEN

XING,CHENGXIANGXINXINGFENBU,XINFEITINGZHEN(-),FURUAN,GANPIWEICHUJI。SHEZHIHONGJIANG,SHETAIHUANGCAOERGAN,MOHONGSHU。

吉林快3首页 FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 9.0×10^9/,ZHONGXINGLIXIBAO 28%,LINBAXIBAO 69%。

YAOQIU:GENJUSHANGSHUZHAIYAO,ZAIDATIKASHANGWANCHENGSHUMIANFENXI。

SHIJIAN:60 FENZHONG

答案及解析:

病例 1

ZHONGYIZHENDUAN:SHENLAO(2 FEN)

ZHONGYIZHENGXING:BENXUZHENG-YINYANGLIANGXU(2 FEN)

吉林快3首页 XIYIZHENDUAN:MANXINGSHENSHUAIJIE(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

1.NANXINGHUANZHE,51 SUI,JIWANGMANXINGSHENYANBINGSHI 9 NIAN;

2.FALI 2 NIAN,JIAZHONG 1 ZHOU;

3.CHATI:T:36.5℃,P:96 CI/FEN,R:18 CI/FEN,BP:160/95mmHg。MIANSESHAOHUA,SHUANGXIAZHIAOXIANXINGSHUIZHONG;

4.FUZHUJIANCHA:XUECHANGGUI:XUEHONGDANBAI 96g/L。NIAOCHANGGUI:NIAODANBAI(++),HONGXIBAO 8~10 GE/HP。SHENGONGNENG:NIAOSUDAN 23.6mmol/L,JIGAN 420umol/L。

ZHONGYIZHIFA:WENFUYUANYANG,BUYIZHENYIN(2 FEN)

吉林快3首页 FANGJIMINGCHENG:JINKUISHENQIWANJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

吉林快3首页 FUZI 10g(XIANJIAN) ROUGUI 6g SHUDIHUANG 20g HUAISHANYAO 15g

SHANYUROU 10g DANPI 10g FULING 10g ZEXIE 10g

ROUCONGRONG 10g

吉林快3首页 3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

1.KONGZHIYINSHI;

2.YIHUANJIESHENSHUAIJIEZHENGZHUANG,YANHUANSHENSHUAIJIEBINGCHENG,FANGZHIBINGFAZHENGWEIMUDEJINXINGYAOWUZHILIAO。(4FEN)

病例 2

ZHONGYIZHENDUAN:SHUIDOU(2 FEN)

ZHONGYIZHENGXING:DUCHIQIYINGZHENG(2 FEN)

吉林快3首页 XIYIZHENDUAN:SHUIDOU(2 FEN)

吉林快3首页 XIYIZHENDUANYIJU:(4 FEN)

吉林快3首页 1.NVXINGHUANER,10 SUI,FARE 4 TIAN,PIFUPIZHEN 2 TIAN;

2.XIANZHENGJIAN:GAOREBUTUI,FANZAOBUAN,QUANSHENPIFUKEJIANQIUZHEN、PAOZHEN、JIEJIADENGDUOZHONGZHENXINGTONGSHICUNZAI,QIZHENSEZIAN,PAOJIANGHUNZHUO;

3.CHATI:T:38.6℃,P:118 CI/FEN,R:28 CI/FEN。QUANSHENPIFUKEJIANQIUZHEN、PAOZHEN,JIEJIADENGDUOZHONGZHENXING,CHENGXIANGXINXINGFENBU,XINFEITINGZHEN(-),FURUAN,GANPIWEICHUJI。

吉林快3首页 4.FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 9.0×10^9/,ZHONGXINGLIXIBAO 28%,LINBAXIBAO 69%。

ZHONGYIZHIFA:QINGQILIANGYING,HUASHIJIEDU(2 FEN)

FANGJIMINGCHENG:QINGWEIJIEDUTANGJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

吉林快3首页 DANGGUI 3g HUANGLIAN 3g SHENGDIHUANG 3g TIANHUAFEN 3g

LIANQIAO 4g SHENGMA 2g MUDANPI 3g CHISHAO 3g

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

吉林快3首页 XIYIZHILIAO:(4 FEN)

1.DUIZHENGZHICHIZHILIAO;

2.KANGBINGDUZHILIAO:SHOUXUANAXILUOWEI。

 

試題編號  48

病例 1 :

吉林快3首页 ZHOUMOU,NAN,55 SUI,ZIYOUZHIYE,2019 NIAN 3 YUE 17 RICHUZHEN。

HUANZHEPINGSUSHIYANJIU,FEIGANHOUWEI,JINBANNIANLAI,KOUGANDUOYIN,DUOSHIYIJI,FALI,JIROUSUANZHANG,SIZHICHENZHONG,XIONGMENFUZHANG,KUNJUAN,SUILAIJIUZHEN。

吉林快3首页 CHATI:T36.8℃,P78 CI/FEN,R16 CI/FEN,BP130/70mmHg。XINGTIFEIPANG,SHEZHIAN,TAIHOUNI,MOHUA。

吉林快3首页 FUZHUJIANCHA:KONGFUXUETANG 9.1mmol/L,CANHOU 2h XUETANG 12.1mmol/L。

解析:

ZHONGYIZHENDUAN:XIAOKE(2 FEN)

ZHONGYIZHENGXING:TANYUHUJIEZHENG(2 FEN)

XIYIZHENDUAN:2 XINGTANGNIAOBING(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

1.NANXINGHUANZHE,55 SUI,PINGSUSHIYANJIU;

吉林快3首页 2.KOUGANDUOYIN,DUOSHIYIJIBANNIAN;

3.CHATI:T36.8℃,P78 CI/FEN,R16 CI/FEN,BP130/70mmHg,XINGTIFEIPANG;

4.FUZHUJIANCHA:KONGFUXUETANG 9.1mmol/L,CANHOU 2h XUETANG 12.1mmol/L。

ZHONGYIZHIFA:HUOXUEHUAYUQUTAN(2 FEN)

FANGJIMINGCHENG:PINGWEISANHETAOHONGSIWUTANGJIAJIAN(2 FEN)

吉林快3首页 YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

CHAOCANGSHU 10g HOUPU 10g CHENPI 10g SHENGGANCAO 10g

SHENGJIANG 10g DAZAO 10g TAOREN 10g HONGHUA 6g

DANGGUI 10g CHUANXIONG 6g SHENGDIHUANG 10g BAISHAO 10g

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

1.YIBANZHILIAO:JIANKANGJIAOYU,YINSHIZHILIAO,HELISHANSHI,TIYUDUANLIAN;

2.KOUFUYAOZHILIAO:GENJUBINGQINGXUANZESHIDANGDEJIANGTANGYAOWU,RUHUANGNIAOLEI、SHUANGGUALEI、αTANGGANMEIYIZHIJI、SAI***WANERTONGLEIDENG;

3.YIDAOSUZHILIAO;

4.FANGZHIBINGFAZHENG

病例 2 :

吉林快3首页 FENGMOU,NV,33 SUI,YIHUN,ZHIYUAN,2018 NIAN 12 YUE 21 RICHUZHEN

HUANZHEJIN 1 NIANLAIYUEJINGQIANRUFANGZHANGTONG,YUEJINGHOUHAOZHUAN,JIN 5 RIGONGZUOJINZHANG,JINGSHENJIAOLV,JINGQIANRUFANGZHANGTONGMINGXIANJIAZHONG,XIANGYEXIAFANGSHE,XIANZHENGJIAN:RUFANGZHANGTONG,XINFANYINU,SHIMIANDUOMENG,XIONGXIEZHANGMAN,NAKE,ERBIANDIAO。

CHATI:T36.7℃,P72 CI/FEN,R18 CI/FEN,BP120/80mmHg。SHUANGRUFANGWAIGUANZHENGCHANG,SHUANGRUFANGKECHUJISANZAIDUOFAKELIZHUANGJIEJIE,ZHIDIRUANERYOURENDU,YUZHOUWEIZUZHIFENJIEBUQING,YATONG,YEWOLINBAJIEWEICHUJIZHONGDA,SHEZHIDANHONG,TAIBOBAI,MOXISE。

FUZHUJIANCHA:B CHAO:SHUANGCERUXIANZHIDIBUJUN,YOUDUOFABUJUNYUNSANZAIHUISHENGQU。

解析:

吉林快3首页 ZHONGYIZHENDUAN:RUPI(2 FEN)

ZHONGYIZHENGXING:GANYUQIZHIZHENG(2 FEN)

XIYIZHENDUAN:RUXIANZENGSHENGBING(2 FEN)

吉林快3首页 XIYIZHENDUANYIJU:(4 FEN)

1.NVXINGHUANZHE,33,SHUANGCERUFANGZHANGTONG 1 NIAN,JIAZHONG 5 TIAN;RUFANGZHANGTONGYUJINGQIXIANGGUAN;

2.HUANZHERUFANGZHANGTONG,JINGQIANJIAZHONG,XIANGYEXIAFANGSHE;

3.CHATI:T36.7℃,P72 CI/FEN,R18 CI/FEN,BP120/80mmHg。SHUANGRUFANGWAIGUANZHENGCHANG,SHUANGRUFANGKECHUJISANZAIDUOFAKELIZHUANGJIEJIE,ZHIDIRUANERYOURENDU,YUZHOUWEIZUZHIFENJIEBUQING,YATONG,YEWOLINBAJIEWEICHUJIZHONGDA;

4.FUZHUJIANCHA:B CHAO:SHUANGCERUXIANZHIDIBUJUN,YOUDUOFABUJUNYUNSANZAIHUISHENGQU。

吉林快3首页 ZHONGYIZHIFA:SHUGANLIQI,SANJIEZHITONG(2 FEN)

FANGJIMINGCHENG:XIAOYAOSANJIAJIAN(2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

DANGGUI 10g CHISHAO 10g CUCHAIHU 15g FULING 10g

CHAOBAISHU 15g CHAOZHIKE 10g CHUANXIONG 6g SHENGJIANG 10g

CHUANLIANZI 6g YUJIN 10g BOHE 10g(HOUXIA)

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

吉林快3首页 1.YAOWUZHILIAOKEYONGWEISHENGSULEIYAOWU,FUHEZHIZHENGZHEKEXUANJISULEIYAOWU;

2.SHOUSHUZHILIAO。

吉林快3首页 050 HAO:LEIFENGSHIXINGGUANJIEYAN-BIZHENG-SHIREBIZUZHENG-QINGRELISHI,QUFENGTONGLUO-SIMIAOWANJIAJIAN;

吉林快3首页 SHIZHEN-SHICHUANG-PIXUSHIYUNZHENG-JIANPILISHI-CHUSHIWEILINGTANGJIAJIAN(TONGXUESHUOBUQUEDING)

 

試題編號  05 ?

病案摘要 1  :

ZHOUMOU,NAN,48 SUI,YIHUN,GONGWUYUAN,2019 NIAN 3 YUE 16 RICHUZHEN。

吉林快3首页 HUANZHEYINJIU,SHISHIFEIGANHOUWEI,YOUGAOXUEYABINGSHI 10 NIAN,PINGSHIXUEYA 160/100mmHg,FUYAOBUXIANG。SHANGWUHUIYIZHONGQINGXUJIDONG,TURANHUNPU,KOUJINMUZHANG,QICUXIGAO,KOUYAN?XIE,ZHITIBUSUI,YOUTONGSHISONGLAIJIZHEN,CHATI:T :37.0℃,P:98 CI/FEN,R:22 CI/FEN,BP:190/95mg,HUNMI,MIANBUCHAOHONG,TONGKONGSUOXIAO,DUIGUANGFANSHECUNZAI,XINLV 98 CI/FEN,LVQI,GEBANMOQUWEIJIZAYIN,LIANGFEIHUXIYINSHAOCU,WEIWENJILUOYIN,GANPIWEIJI,KOUJIAOYOUPIAN,ZUOSHANG、XIAZHIJILI 1 JI,ZUOCEBABINSIJIZHENG(+),SHEHONG,TAIHUANGNI,MOXIANHUASHU。

FUZHUJIANCHA:TOULU CT SHIYOUCENEINANGGAOMIDUYING。

病案摘要 2 :

吉林快3首页 ZHOUMOU,NAN,29 SUI,YIHUN,ZHIYUAN。2018 NIAN 12 YUE 19 RICHUZHEN。

HUANZHE 3 TIANQIANYINCHUCHA,LVTULAOLEI,YINSHIBUJIE,CHUXIANZHONGSHANGFUZHANGTONGBUSHI,BINGSUIZHIZHUANWEIYOUXIAFUTONG,DANGDIYIYUANGEIZIKANGSHENGSUZHILIAO 3 TIAN,XIAOGUOCHA。HUANZHETENGTONGZHUJIANJIAZHONG,GULAIZHEN。

XIANZHENG:YOUXIAFUTENGTONGJULIE,FUPILUANJI,YOUXIAFUKECHUJIBAOKUAI,ZHUANGRE,EXINNACHA,DABIANMIJIE,XIAOBIANDUANCHI。

吉林快3首页 CHATI:T:39.2℃,P:110 CI/FEN,R:27 CI/FEN,BP:120/80mmHg。SHENQING,XINLV 110 FEN,LVQI,LIANGFEIHUXIYINQING,WEIWENJIGAN、SHIXINGLUOYIN。YOUXIAFUKECHUJIYUE 5cm×5cm BAOKUAI,BIANJIEQING,YATONG、FANTIAOTONGMINGXIAN,FUJIJINZHANG,ZHICHANGZHIZHEN:ZHICHANGYOUCEQIANSHANGFANGCHUTONG,YOUBODONGGAN,SHEJIANGTAIHUANGNI,MOXIANSHU。

FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 16.3×10^9/L,ZHONGXINGLIXIBAO 85.2%。

吉林快3首页 YAOQIU:GENJUSHANGSHUZHAIYAO,ZAIDATIKASHANGWANCHENGSHUMIANFENXI

SHIJIAN:60 FENZHONG。

 

答案及解析:

病例 1

ZHONGYIZHENDUAN:ZHONGFENG-ZHONGZANGFU(2 FEN)

ZHONGYIZHENGXING:TANRENEIBIQINGQIAO(2 FEN)

XIYIZHENDUAN:NAOCHUXUE(2 FEN)

吉林快3首页 XIYIZHENDUANYIJU:(4 FEN)

吉林快3首页 1.NANXINGHUANZHE,48 SUI,JIWANGGAOXUEYABINGSHI 10 NIAN;

2.HUANZHEYUQINGXUJIDONGHOUTUFAHUNPU,KOUJINMUZHANG,QICUXIGAO,KOUYAN?XIE,ZHITIBUSUI,HUNMI;

吉林快3首页 3.CHATI:T :37.0℃,P:98 CI/FEN,R:22 CI/FEN,BP:190/95mg,HUNMI,MIANBUCHAOHONG,TONGKONGSUOXIAO,DUIGUANGFANSHECUNZAI,XINLV 98 CI/FEN,LVQI,GEBANMOQUWEIJIZAYIN,LIANGFEIHUXIYINSHAOCU,WEIWENJILUOYIN,GANPIWEIJI,KOUJIAOYOUPIAN,ZUOSHANG、XIAZHIJILI 1 JI,ZUOCEBABINSIJIZHENG(+);

4.FUZHUJIANCHA:TOULU CT SHIYOUCENEINANGGAOMIDUYING。

ZHONGYIZHIFA:QINGREHUATAN,XINGSHENKAIQIAO(2 FEN)

FANGJIMINGCHENG:SHOUXIANGUANFU(HUOBISI)ZHIBAODANHUOANGONGNIUHUANGWANYIXINLIANGKAIQIAO,JIYILINGYANGJIAOTANGJIAJIAN (2 FEN)

YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

GUIBAN 10g(XIANJIAN) SHENGDIHUANG 15g DANPI 10g BOHE 10g(HOUXIA)

吉林快3首页 CHANYI 10g SHENGSHIJUEMING 30g JUHUA 10g HUANGQIN 10g

XIAKUCAO 15g ZHIMU 10g XUANCAN 10g LINGYANGJIAOFEN 0.6g(CHONGFU)

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

吉林快3首页 1.NEIKEZHILIAO:WEICHISHENGMINGHUODONG,JIANGDILUYA,KONGZHIXUEYA,FANGZHIBINGFAZHENG;

2.SHOUSHUZHILIAO

病例 2

吉林快3首页 ZHONGYIZHENDUAN:CHANGYONG(2 FEN)

吉林快3首页 ZHONGYIZHENGXING:SHIREZHENG(2 FEN)

吉林快3首页 XIYIZHENDUAN:JIXINGLANWEIYAN(2 FEN)

XIYIZHENDUANYIJU:(4 FEN)

1.NANXINGHUANZHE,29 SUI,FABINGQIANYOULAOLEISHI;

吉林快3首页 2.ZHONGSHANGFUZHANGTONGBUSHI,ZHUANYIXINGYOUXIAFUTONG 3 TIAN,XIANYOUXIAFUTENGTONGJULIE;

3.CHATI:T:39.2℃,P:110 CI/FEN,R:27 CI/FEN,BP:120/80mmHg。SHENQING,XINLV 110 FEN,LVQI,LIANGFEIHUXIYINQING,WEIWENJIGAN、SHIXINGLUOYIN。YOUXIAFUKECHUJIYUE 5cm×5cm BAOKUAI,BIANJIEQING,YATONG、FANTIAOTONGMINGXIAN,FUJIJINZHANG,ZHICHANGZHIZHEN:ZHICHANGYOUCEQIANSHANGFANGCHUTONG,YOUBODONGGAN;

吉林快3首页 4.FUZHUJIANCHA:XUECHANGGUI:BAIXIBAO 16.3×10^9/L,ZHONGXINGLIXIBAO 85.2%。

ZHONGYIZHIFA:TONGFUXIERE,LISHIJIEDU(2 FEN)

吉林快3首页 FANGJIMINGCHENG:DAHUANGMUDANTANGHEHONGTENGJIANJIJIABAIJIANGCAO、BAI HUA SHE SHE CAO、PUGONGYING(2 FEN)

吉林快3首页 YAOWUZUCHENG,JILIANG,JIANFUFA:(2 FEN)

吉林快3首页 DAHUANG 6g(HOUXIA) DANPI 12g TAOREN 12g PUGONGYING 20g

吉林快3首页 MANGXIAO 6g(CHONGFU) DONGGUAREN 8g YIYIREN 10g PEILAN 5g

HUOXIANG 10g SHENGSHIGAO 20g HUANGLIAN 10g HUANGQIN 8g

吉林快3首页 BAIHUASHESHECAO 10g BAI JIANG CAO 8g HONG TENG 8g

3 JI,SHUIJIANFU,RIYIJI,ZAOWANFENFU

XIYIZHILIAO:(4 FEN)

ZHENDUANMINGQUEDEJIXINGLANWEIYAN,YIBANZHUZHANGJIZAOSHOUSHUZHILIAO

 

第二站  技能操作

001  HAO :BAIHUIDEDINGWEIZHUZHI,ZAIJIARENSHENSHANGCAOZUOJINZHENFAJIZHENZHANFA;CEXUEYA;LASAIGEZHENG

 

第三站  臨床答辯

吉林快3首页 060  HAO:BANSHENBUSUI 3 XIAOSHIWENZHEN;YAONIUSHANGZHIHOULAIYUANJIANCHA,ZHITUITAIGAOSHIYANYANGXING,KAOLVWEISHENMEBING,WEILEQUEZHENHUANXUYAOZUOSHENMEJIANCHA;HUANZHENVXING,NIAOPINNIAOJINIAOTONG,GEIGEHUAYANDAN,BAIXIBAO+++,YANSEHUNZHUO,ZHENDUANWEISHENMEBING。

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