新余市人民醫(yī)院「英語(yǔ)查房」與「文獻(xiàn)閱讀」考核一、選擇題（共10題，每題2分，共20分）1.WhenconductinganEnglishwardround,whichphraseismostappropriatetointroducethesessiontopatients?A."Goodmorning,pleasefollowmyinstructions."B."Goodmorning,let’sdiscussyourmedicalcondition."C."Goodmorning,youneedtodomoretests."D."Goodmorning,I’mheretotellyouthebadnews."2.Ifapatientasks,"Whatdoesthismedicinedo?"whichresponsebestdemonstratesempathyandclarity?A."It’sanewdrug,andyou’llfeelbetter."B."Thedoctorprescribedit,butIdon’tknow."C."Itreducesinflammation,butsideeffectsmayoccur."D."Youdon’tneedthismedicine;it’suseless."3.Whichtermismostaccuratefordescribingapatient’sbloodpressureof150/95mmHg?A."Normalbloodpressure"B."Slightlyelevated"C."Hypertensivecrisis"D."Mildhypertension"4.Whendocumentingapatient’soxygensaturation(SpO?)of88%,whichphraseshouldbeused?A."Oxygensaturationisfine"B."Patientishypoxic"C."SpO?is88%"D."Patientneedsimmediateoxygen"5.Whichphraseismostprofessionalwhenexplainingadischargeplantoapatient?A."Youcangohomenow,butcallifyoufeelsick."B."You’llstayinthehospitaluntilyou’refullyrecovered."C."Followtheseinstructionscarefully,oryou’llgetworse."D."I’llcallsomeonetopickyouuptomorrow."6.Ifapatientexpressesanxietyaboutaupcomingsurgery,whichresponseismostsupportive?A."Don’tworry,it’saminorprocedure."B."You’reoverthinking;thesurgeryissafe."C."Let’sdiscussyourconcernsandplantogether."D."Thesurgeonwillhandleeverything;youdon’tneedtoworry."7.Whichabbreviationiscommonlyusedfor"electrocardiogram"?A."ECG"B."EKG"C."EKG"and"ECG"arebothacceptableD."EKGonlyintheUS,ECGinEurope"8.Whenapatientasks,"WhenwillIgetbetter?"whichresponseismostrealistic?A."You’llrecoverinafewdays."B."Ican’tpredicthowlongitwilltake."C."Withtreatment,improvementshouldbenoticeablesoon."D."You’llnevergetbetterfromthisillness."9.Whichtermdescribesapatient’sconditionofsudden,severeshortnessofbreath?A."Dyspnea"B."Bradypnea"C."Tachypnea"D."Hypopnea"10.Whenreviewingapatient’smedicationlist,whichphraseindicatesapotentialdruginteraction?A."Thiscombinationissafe."B."Thedoctorknowswhatthey’redoing."C."Weshouldcheckforinteractions."D."Thepatientcantakethesetogetherwithoutissue."二、填空題（共10題，每題2分，共20分）1.Whendiscussingapatient’s_______,it’simportanttouseclear,simplelanguagetoavoidconfusion.Answer:medicalhistory2.A_______isadetailedrecordofapatient’ssymptoms,diagnosis,andtreatment.Answer:medicalchart/record3.Toassessapatient’s_______,askabouttheirabilitytocoughorcleartheirairway.Answer:airwaypatency4._______isthemedicaltermforswellinginthelegsduetofluidretention.Answer:Edema5.A_______isasudden,severeallergicreactionthatrequiresimmediatetreatment.Answer:Anaphylaxis6.Whenapatient’sbloodpressuredropssuddenly,it’scalled_______.Answer:Hypotension7._______istheprocessofmeasuringapatient’sheartrateandrhythm.Answer:ECG/EKG(Electrocardiogram)8.A_______isaplanforhowapatientwillrecoverafterdischargefromthehospital.Answer:Dischargeplan9._______isthemedicaltermfordifficultybreathingduetolungdisease.Answer:Chronicobstructivepulmonarydisease(COPD)10._______isamedicationthatreducesinflammationandpain.Answer:Anti-inflammatorydrug三、簡(jiǎn)答題（共5題，每題4分，共20分）1.Explainthedifferencebetween"hypertension"and"hypotension."Answer:Hypertension(highbloodpressure)occurswhenbloodpressureconsistentlyexceeds130/80mmHg,whilehypotension(lowbloodpressure)iswhenbloodpressuredropsbelow90/60mmHg.Bothconditionsrequiremedicalattentionifsevere.2.Whyisitimportanttouseclearmedicalterminologywhencommunicatingwithpatients?Answer:Clearterminologyensurespatientsunderstandtheirconditionandtreatment,reducesanxiety,andpreventsmiscommunicationthatcouldleadtoerrors.Simplelanguagehelpspatientsparticipateintheircare.3.Whatarethekeycomponentsofadischargeplan?Answer:Medicationinstructions,follow-upappointments,homecareneeds,dietaryrestrictions,andemergencycontactinformation.4.Howcanyouassessapatient’spainleveleffectively?Answer:Useapainscale(e.g.,0-10)andaskopen-endedquestions(e.g.,"Howwouldyoudescribethepain?").Observenon-verbalcueslikefacialexpressionsorbodylanguage.5.Whatstepsshouldyoutakeifapatientexperiencesanaphylaxis?Answer:Administerepinephrineimmediately,callemergencyservices,andmonitorthepatient’sbreathingandvitalsigns.四、翻譯題（共5題，每題4分，共20分）1.TranslateintoEnglish:"患者血壓升高，需要調(diào)整藥物劑量。"Answer:"Thepatient’sbloodpressureiselevated,andmedicationdosageneedsadjustment."2.TranslateintoEnglish:"請(qǐng)記錄患者的主訴和最新癥狀。"Answer:"Pleasedocumentthepatient’schiefcomplaintandlatestsymptoms."3.TranslateintoEnglish:"患者呼吸困難，可能需要吸氧。"Answer:"Thepatientisexperiencingshortnessofbreathandmayrequireoxygen."4.TranslateintoEnglish:"術(shù)后請(qǐng)按時(shí)服藥，不要漏服。"Answer:"Takemedicationonscheduleaftersurgery;donotmissdoses."5.TranslateintoEnglish:"患者對(duì)治療方案有疑問(wèn)，需要進(jìn)一步解釋。"Answer:"Thepatienthasquestionsaboutthetreatmentplanandrequiresfurtherclarification."五、情景題（共5題，每題4分，共20分）1.Scenario:ApatientwithCOPDasks,"WhydoIstillfeelshortofbreathevenaftertreatment?"Answer:"YourCOPDischronic,andwhiletreatmentcanimprovesymptoms,completerecoveryisn’talwayspossible.We’lladjustyourmedicationandlifestyletohelpyoumanageitbetter."2.Scenario:Apatientwithhypertensionisconcernedaboutstartinganewmedication.Answer:"Iunderstandyourconcerns.Thismedicationwillhelpcontrolyourbloodpressure,reducingtheriskofheartproblems.We’llmonitorsideeffectsclosely."3.Scenario:Apatientreportssuddenlegswellingaftersurgery.Answer:"Legswellingcanbenormalaftersurgery,butifit’ssevereoraccompaniedbypain,weshouldcheckforbloodclots.Let’snotifythesurgeon."4.Scenario:Apatientasks,"WhencanIreturntoworkafterthisprocedure?"Answer:"Thatdependsonyourrecovery.Thesurgeonwillprovidespecificguidance,butmostpatientsreturnwithin1-2weeks.We’llfollowupatyourdischarge."5.Scenario:Apatientwithdiabetesasks,"HowcanIpreventlowbloodsugar?"Answer:"Monitoryourbloodsugarregularly,eatmealsontime,andavoidskippinginsulindoses.Alwayscarryaglucosesourceifyou’reatrisk."答案與解析一、選擇題1.B("Let’sdiscussyourmedicalcondition"ispoliteandprofessional.)2.C("Itreducesinflammation,butsideeffectsmayoccur"isclearandhonest.)3.D("Mildhypertension"isthecorrectclassificationfor150/95mmHg.)4.B("Patientishypoxic"isthemedicaltermforlowSpO?.)5.A("Youcangohomenow,butcallifyoufeelsick"isreassuringandpractical.)6.C("Let’sdiscussyourconcernsandplantogether"showscollaboration.)7.C("BothEKGandECGareacceptable"reflectsregionaldifferences.)8.C("Withtreatment,improvementshouldbenoticeablesoon"isoptimisticyetrealistic.)9.A("Dyspnea"isthecorrecttermforshortnessofbreath.)10.C("Weshouldcheckforinteractions"isproactiveandcautious.)二、填空題1.Medicalhistory2.Medicalchart/record3.Airwaypatency4.Edema5.Anaphylaxis6.Hypotension7.ECG/EKG(Electrocardiogram)8.Dischargeplan9.Chronicobstructivepulmonarydisease(COPD)10.Anti-inflammatorydrug三、簡(jiǎn)答題1.Hypertension(highbloodpressure)iswhenBPconsistentlyexceeds130/80mmHg,whilehypotension(lowbloodpressure)iswhenBPdropsbelow90/60mmHg.Bothrequiremedicalattention.2.Clearterminologyreducespatientanxiety,ensuresunderstanding,andpreventserrors.Simplelanguageencouragespatientparticipationincare.3.Adischargeplanincludesmedicationinstructions,follow-upappointments,homecareneeds,dietaryrestrictions,andemergencycontactinfo.4.Useapainscale(0-10)andaskopen-endedquestions(e.g.,"Howwouldyoudescribethepain?").Observenon-verbalcueslikefacialexpressionsorbodylanguage.5.Administerepinephrineimmediately,callemergencyservices,andmonitorbreathing/vitals.四、翻譯題1."Thepatient’sbloodpressureiselevated,andmedicationdosageneedsadjustment."2."Pleasedocumentthepatient’schiefcomplaintandlatestsymptoms."3."Thepatientisexperiencingshortnessofbreathandmayrequireoxygen."4."Takemedicationonsch