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1Part I Single Choices1. Which of the following is WRONG according to the principle of collecting specimen ? BA. Specimen should be collected timely and during the “window period”B. Specimen should be collected after antibioticsC. Avoid contaminating the specimenD. Specimen should be kept at appropriate temperature2. Uncontrolled growth, invasion and B are 3 malignant 恶性的 properties of cancer.A. Abnormal B. Metastasis 转移C. Transformation D. Prognosis 预后3.Which one is NOT included in Routine Blood Chemsitry Items? CA. Magnesium 镁 B. LDL cholesterol 低密度胆固醇C. Aldosterone 醛固酮 D. Creatinine 肌酸酐3. Holter monitor is a small portable device with a recording system capable of storing up to 24 hours of B recordings.A. EKG B. Echocardiography 超声心动C. Angiography D. PCI4. Lipid profile does NOT include D A. Total cholesterol (TC) B. Triglyceride (TG)C. LDL-C D. Troponin I 肌钙蛋白5. Which one is NOT the trend of modern surgery D A. Diagnostic Surgery B. Robotic SurgeryC. Transplantation D. Microinvasive Surgery 微创外科6. angio- in(angiitis, angioplasty, angioma)means:A 血管2A. vessel B. bloodC. lymph D. heart7. neuro- in(neurology, neuritis, neurosurgery)means:AA. nerve B. muscleC. brain D. spleen8. ectomy 切除术 in(appendectomy, gastrectomy, hepatectomy)means:BA. inflammation B. removeC. open D. close9. Acute abdomen includes follows EXCEPT C A. Ectopic pregnancy 宫外孕 B. Acute appendicitis 急性阑尾炎C. Chronic cholecystitis D. Rupture of liverPart II Simple Questions1. What is core content of clinical thinking? Make determined diagnosis 2. Why we need clinical thinking? 1) Clinical diagnosis is the basic medical practice of physicians2) Proper diagnosis is the basis and premise of treatment 3) The quality of clinical diagnosis and treatment is influenced by the service philosophy, professional knowledge and technic, clinical experience, ancillary equipment and so on. 4) The results of misdiagnosis and mistreatment are serious: patients life and health is menaced, the doctors morality and justice is sulliedHow to use the methods of clinical thinking?1 diagnostic thinking:(1)history taking;(2)physical examination;(3)hypothesis of diagnosis;(4)developing a differential diagnosis;(5)searching the evidence;(6)select the related lab.tests and other techniques;2therapeutic thinking:3. Whats your opinion about Complete Doctor?First, they must be qualified doctors who have basic capabilities including 3basic story ,basic knowledge and basic skills and basic attitudes as follows:1) lifelong learning: recognizing medical learning is endless, to seriously study.2) Responsibility: sense of justice and responsible for due diligence.3) An inquiring attitude: the patient mentors ,from human4) Open heart open minded5) Respect: respect your exposure to any one person,whatever his origin,status,wealth.6) The uncertainty in the ability to learn7) The accumulated experience and proficiencySecond, they must try their best to be good doctors who possess profound knowledge, exquisite medical skills and humanity.Third,they also need to qialify excellent personal qualities:1) to have modest ,diligent study of the spirit2) must be diligent with the brain,good at summing up 3) observation4) imagination5) logical thinking, organizational skills, to avoid subjective judgementsForth, they must observe medical code of ethics1) as a doctor, they should always be for the interests of the patients, do everything possible to relieve pain for patients: life-saving humanitarian2) respect the patients personality and the right to treat patients equally regardless of nationality ,gender, occupation, status, property status3) polite service. Dignified manners, language, civilization, the affable, sympathetic, caring and considerate of patients;4) integrity. Consciously abide by the law, do not accept patients with a red envelope, dinner, not to patients or their families borrowed money and borrowed material;5) not to disclose patient privacy and confidentiality;6) to correctly handle the relationship between peer colleagues, mutual learning, solidarity and cooperation;7) rigorous and realistic, to forge ahead, to study medicine, and excellence. Constantly update their knowledge and improve skills.1.心肌梗死 MI (myocardial infarction); 2.主治医生 attending 4doctor;Resident physician 住院医师;3.哮喘 asthma4.致癌作用 Carcinogenic effect选择题:1、镭的发现之一是居里夫人,原名叫玛丽斯可罗多夫斯卡2、词根前缀 neutro 什么意思?中性3、词根后缀 tachy 什么意思?急速,加速,快速4、词根后缀 ostomy 什么意思?造瘘术,造口术5、心肌损伤标志物:1.心肌酶谱检测:天门冬氨酸氨基转移酶(AST)肌酸激酶(CK)肌酸激酶同工酶(CK-MB)乳酸脱氢酶(LDH)2心肌蛋白检测:肌红蛋白(MYO)肌钙蛋白(CTn)C 反应蛋白3.心肌血管标记物检测:4. 利钠肽(NP):ANP:心钠素BNP:脑钠素CNP:C 型利钠肽VNP:V-型利钠肽DNP: D-型利钠肽问答题:1、PET 的临床应用答:其在临床主要用于肿瘤的早期定性诊断、分期和疗效评价 ,心肌细胞活性的判断,以及脑代谢与神经功能的研究。2、循证
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