巴彥淖爾市中醫(yī)院消化內(nèi)科「英語查房」能力考核標(biāo)準(zhǔn)一、選擇題（共10題，每題2分，合計20分）1.HowwouldyoudescribethetypicalpatientpopulationseenintheDepartmentofGastroenterologyatBayanNurTraditionalChineseMedicineHospital?A)Primarilyelderlypatientswithchronicdigestivediseases.B)Youngadultswithacutegastrointestinalinfections.C)Middle-agedpatientswithhereditarydigestivedisorders.D)ForeignpatientsseekingtraditionalChinesemedicinetreatments.2.WhatisthemostcommonsymptomreportedbypatientswithchronicgastritisinBayanNur?A)Abdominalpain.B)Diarrhea.C)Unexplainedweightloss.D)Nauseawithoutvomiting.3.WhichofthefollowingdiagnostictoolsiscommonlyusedforsuspectedbiliarystonesinBayanNurTraditionalChineseMedicineHospital?A)Uppergastrointestinalendoscopy.B)Abdominalultrasound.C)Bariummealradiography.D)CTenterography.4.Ifapatientpresentswithacutepancreatitis,whatfirst-linetreatmentwouldyourecommend?A)Oralantibiotics.B)Endoscopicretrogradecholangiopancreatography(ERCP).C)ConservativemanagementwithIVfluids.D)Surgicalintervention.5.WhatistheprimarygoalofendoscopicsurveillanceforpatientswithBarrett'sesophagusinBayanNur?A)Earlydetectionofgastriccancer.B)Monitoringfordysplasiaorcancer.C)Treatingesophagealvarices.D)Managingrefluxsymptoms.6.HowwouldyouexplaintheroleofTCMintreatingdigestivedisordersinBayanNur?A)TCMisusedasacomplementarytherapyalongsideWesternmedicine.B)TCMistheprimarytreatmentforalldigestivediseases.C)TCMisonlyeffectiveforchronicconditions.D)TCMisprimarilyusedforpreventivecare.7.Whatisthetypicaldietaryrecommendationforapatientwithirritablebowelsyndrome(IBS)inBayanNur?A)High-fat,low-fiberdiet.B)Low-FODMAPdiet.C)High-protein,low-carbohydratediet.D)Balanceddietwithnorestrictions.8.Howwouldyouassessapatient'scompliancewithagluten-freedietiftheyhaveceliacdisease?A)Regularbloodtestsforantibodies.B)Stooltestingforglutenpeptides.C)Self-reporteddietarylogs.D)Endoscopicbiopsy.9.WhatisthemosteffectivetreatmentforesophagealvaricealbleedinginBayanNur?A)Endoscopicvaricealligation(EVL).B)Transjugularintrahepaticportosystemicshunt(TIPS).C)Medicationsalone(e.g.,beta-blockers).D)Surgicalshunt.10.HowwouldyoudifferentiatebetweenHelicobacterpyloriinfectionandnon-ulcerdyspepsiainapatientfromBayanNur?A)H.pyloriinfectionisalwaysassociatedwithulcers.B)Non-ulcerdyspepsiahashigherratesofH.pylori.C)H.pyloritesting(e.g.,ureabreathtest)isnecessary.D)Symptomsalonearesufficientfordiagnosis.二、簡答題（共5題，每題4分，合計20分）1.DescribethetypicalpresentationofpepticulcerdiseaseinpatientsfromBayanNur.Whatarethemostcommonriskfactors?2.Howwouldyoumanageapatientwithchronicliverdisease(e.g.,cirrhosis)inBayanNur?Includedietaryandpharmacologicalrecommendations.3.Explaintheimportanceofendoscopicultrasonography(EUS)inthediagnosisofpancreaticdiseases.GiveoneclinicalscenariowhereEUSisparticularlyuseful.4.Discusstheroleofprobioticsinthetreatmentofirritablebowelsyndrome(IBS)inthecontextofBayanNur'spopulation.5.HowwouldyouapproachapatientwithsuspectedpancreaticcancerinBayanNur?Listkeydiagnosticsteps.三、案例分析題（共3題，每題10分，合計30分）1.CaseStudy:A65-year-oldmalepatientfromBayanNurpresentswithworseningabdominalpain,nausea,andunintentionalweightlossfor3months.Hispastmedicalhistoryincludeshypertensionandtype2diabetes.Physicalexaminationrevealsmildabdominaltendernessandapalpablemassintheepigastricregion.Laboratorytestsshowelevatedalanineaminotransferase(ALT)andaspartateaminotransferase(AST).Questions:-Whatarethedifferentialdiagnoses?-Whatdiagnostictestswouldyouorder?-Howwouldyoumanagethispatientifpancreaticcancerisconfirmed?2.CaseStudy:A30-year-oldfemalepatientfromBayanNurreportsfrequentepisodesofheartburn,regurgitation,anddysphagiaforthepastyear.Sheworksinanofficejobwithprolongedsittingandreportsnofamilyhistoryofgastrointestinaldiseases.Shehastriedover-the-counterantacidsbutsymptomspersist.Questions:-Whatisthemostlikelydiagnosis?-Howwouldyouconfirmthediagnosis?-Whattreatmentoptionswouldyourecommend?3.CaseStudy:A55-year-oldmalepatientfromBayanNurpresentswithacute-on-chronicliverfailure,includingascites,jaundice,andencephalopathy.HismedicalhistoryincludeschronichepatitisB.Hereportsnorecentalcoholintakebuthasafamilyhistoryofliverdisease.Questions:-Whataretheimmediatemanagementpriorities?-Howwouldyoupreventvaricealbleedinginthispatient?-Whatlong-termtreatmentswouldyourecommend?四、翻譯題（共2題，每題5分，合計10分）1.TranslatethefollowingintoEnglish:“患者因反復(fù)發(fā)作的腹部脹氣、早飽感及排便習(xí)慣改變就診，病程2年，加重1月。患者為本地牧民，飲食以牛羊肉為主，蔬菜攝入不足。查體：腹部膨隆，無壓痛，肝脾肋下未及。實驗室檢查：血常規(guī)示輕度貧血，肝功能ALT、AST升高。建議進(jìn)一步檢查胃鏡及腹部超聲明確診斷?！?.TranslatethefollowingintoChinese:“A50-year-oldmalepatientwithahistoryofnon-alcoholicfattyliverdisease(NAFLD)presentswithabdominaldiscomfortandmildfatigue.Hisbodymassindex(BMI)is32kg/m2.Laboratorytestsshowelevatedtriglyceridesandtransaminases.Whatarethenextstepsinmanagingthispatient?”五、論述題（共1題，15分）DiscussthechallengesandstrategiesforimprovinggastrointestinalhealthoutcomesinruralareasofBayanNur.Includecomparisonsbetweenurbanandruralhealthcaredeliveryfordigestivediseases.答案與解析一、選擇題答案1.A2.A3.B4.C5.B6.A7.B8.A9.A10.C解析:1.BayanNurhasahigherelderlypopulation,makingchronicdigestivediseasesmoreprevalent.2.Abdominalpainisthemostcommonsymptomofchronicgastritis.3.Abdominalultrasoundisthefirst-lineimagingtestforbiliarystones.4.AcutepancreatitisismanagedwithIVfluidsandconservativecareinitially.5.EndoscopicsurveillanceiscriticalforearlydetectionofdysplasiainBarrett'sesophagus.6.TCMisoftenusedalongsideWesternmedicineinBayanNur.7.Thelow-FODMAPdietiseffectiveforIBSpatients.8.BloodtestsforantibodiesarereliableforH.pyloridetection.9.Endoscopicvaricealligationistheprimarytreatmentforvaricealbleeding.10.H.pyloritestingisnecessarytodifferentiatefromnon-ulcerdyspepsia.二、簡答題答案1.PepticUlcerDiseasePresentation&RiskFactors:-Presentation:Epigastricpain,nausea,bloating,andoccasionalvomiting.RiskfactorsincludeH.pyloriinfection,NSAIDuse,andsmoking.-RiskFactors:H.pylori,NSAIDs,smoking,stress,andfamilyhistory.2.ChronicLiverDiseaseManagement:-Dietary:Low-sodium,high-proteindietwithlimitedalcohol.-Pharmacological:Beta-blockersforvaricealprevention;antiviralsforhepatitisB/C.3.RoleofEUSinPancreaticDiseases:-ClinicalUse:Detectspancreaticcancerorpseudocysts.-Scenario:Apatientwithunexplainedweightlossandpain.4.ProbioticsinIBS:-Relevance:BayanNur'sdietmayleadtodysbiosis;probioticsimprovegutfunction.5.PancreaticCancerDiagnosis:-Steps:CT,MRI,CA19-9,andbiopsy.三、案例分析題答案1.PancreaticCancerCase:-Differentials:Pancreatitis,pancreaticpseudocyst,malignancy.-Tests:CT,MRI,biopsy.-Management:Chemotherapy,radiation,orsurgery.2.GERDCase:-Diagnosis:GERD.-Confirmation:pHmonitoringorendoscopy.-Treatment:Protonpumpinhibitors(PPIs),lifestylechanges.3.LiverFailureCase:-Priorities:Diureticsforascites,TIPSforvarices.-Long-term:Antiviraltherapy,livertransplantation.