金華市人民醫(yī)院「英語查房」與「文獻(xiàn)閱讀」考核一、單選題（每題2分，共10題，20分）1.DuringtheEnglishwardround,thedoctorshouldusewhichofthefollowingphrasestoaskaboutthepatient'spainlevel?A."Howareyoufeelingnow?"B."Canyoudescribeyourpain?"C."Isthepainworsewhenyoumove?"D.Alloftheabove2.Whenapatientsays"Ihaveaheadache,"whichtermshouldthedoctorusetorecorditinthemedicalchart?A."Headache"B."Cephalgia"C."Headache,severe"D.BothAandB3.Theabbreviation"BP"inEnglishmedicalcontextstandsfor:A.BloodPressureB.BodyTemperatureC.BloodVolumeD.BiochemicalProfile4.Whichphraseismostappropriateforadoctortosaywhenapatientisimproving?A."Yourconditionisgettingworse."B."Thereisnochangeinyourcondition."C."Yourconditionisimproving."D."Youneedtostayinthehospitallonger."5.Whenexplainingatreatmentplan,adoctorshouldusewhichtypeoflanguage?A.TechnicalmedicaltermsonlyB.Simple,clear,andconciselanguageC.Jargon-heavyexplanationsD.Verbosedescriptions6.Theterm"admissionnote"isequivalentto:A.HistoryofPresentIllnessB.EmergencyReportC.HospitalAdmissionDocumentationD.PhysicalExaminationRecord7.Whichphraseisusedtoaskapatientiftheyhaveanyallergies?A."Doyouhaveanymedicalproblems?"B."Areyouallergictoanymedications?"C."Doyoutakeanysupplements?"D."Haveyouhadsurgerybefore?"8.Theabbreviation"PO"inmedicalordersmeans:A.PerOralB.ParenteralC.PostOperativeD.PreOperative9.Whenadoctorsays"Thepatient'sconditionisstable,"itmeans:A.ThepatientisimprovingrapidlyB.Thepatient'sconditionisunchangedC.ThepatientneedsimmediateinterventionD.Thepatientisincriticalcondition10.Thephrase"follow-upappointment"isequivalentto:A.ReturnVisitB.SecondOpinionC.EmergencyConsultationD.InitialAssessment二、多選題（每題3分，共5題，15分）1.Whichofthefollowingphrasesarecommonlyusedtointroduceawardround?A."Goodmorning,everyone.Let'sstartthewardround."B."Todaywewillreviewthepatientsinthisward."C."Pleasebringthemedicalchartsforthepatients."D."Whohasanynewcasestodiscuss?"2.Whendocumentingapatient'svitals,whichabbreviationsshouldbeused?A.HRforHeartRateB.BPforBloodPressureC.RRforRespiratoryRateD.TforTemperature3.Whichphrasesareappropriatetousewhenexplainingapatient'sdischargeinstructions?A."Youshouldtakethismedicationthreetimesaday."B."Pleasefollowupwithyourprimarycarephysician."C."Avoiddrivingforatleastoneweek."D."Ifyouexperienceanysideeffects,callthehospitalimmediately."4.Whendiscussingapatient'sprognosis,adoctorshouldusewhichphrases?A."Withpropertreatment,yourconditionwillimprove."B."Thereisahighchanceofrecovery."C."Yourconditionmayworsenwithoutintervention."D."Itisdifficulttopredicttheoutcomeatthistime."5.Whichphrasesareusedtorequestadditionaltestsorconsultations?A."IwouldliketoorderanX-rayforthispatient."B."Pleaseconsulttheradiologistforfurtherevaluation."C."Weneedtorepeatthebloodtests."D."Thepathologistshouldreviewthissample."三、填空題（每題2分，共5題，10分）1.Whenadoctorsays,"Thepatient's________iselevated,"theyarereferringtothepatient'sbloodpressure.2.Thephrase"_______"isusedtoaskapatientiftheyhaveanysymptomsofnausea.3.Whendocumentingapatient'smedication,theabbreviation"_______"means"bymouth."4.Theterm"_______"isusedtodescribeapatient'sconditionthatisnotimproving.5.Thephrase"_______"isusedtoaskapatientiftheyhaveanyhistoryofdiabetes.四、簡答題（每題5分，共5題，25分）1.Explainthedifferencebetween"HistoryofPresentIllness"(HPI)and"PastMedicalHistory"(PMH).2.Whatarethekeyphrasesadoctorshouldusewhenexplainingapatient'streatmentplantothem?3.Howshouldadoctorphraseaquestiontoapatienttoensuretheyunderstandtheirdischargeinstructions?4.WhatarethecommonabbreviationsusedinEnglishmedicalcharts,andwhatdotheystandfor?5.Howshouldadoctorphrasearequestforadditionaltestsorconsultationstoensureclarity?五、翻譯題（每題10分，共2題，20分）1.TranslatethefollowingmedicalphraseintoEnglish:"患者主訴咳嗽，伴發(fā)熱3天。"2.TranslatethefollowingmedicalphraseintoEnglish:"請對患者進(jìn)行胸部X光檢查，并評估其肺部情況。"答案與解析一、單選題答案與解析1.D.Alloftheabove-Explanation:Duringawardround,doctorsshouldusemultiplephrasestoassessapatient'spainlevel,includinggeneralquestionslike"Howareyoufeelingnow?"andspecificquestionslike"Canyoudescribeyourpain?"and"Isthepainworsewhenyoumove?"2.D.BothAandB-Explanation:"Headache"isthecommonterm,while"Cephalgia"isthemedicalterm.Bothcanbeusedinthemedicalchart.3.A.BloodPressure-Explanation:"BP"isthestandardabbreviationforBloodPressureinmedicalcontexts.4.C."Yourconditionisimproving."-Explanation:Positivereinforcementhelpspatientsfeeloptimisticabouttheirrecovery.5.B.Simple,clear,andconciselanguage-Explanation:Patientsshouldunderstandtheirtreatmentplanswithoutunnecessarymedicaljargon.6.C.HospitalAdmissionDocumentation-Explanation:"Admissionnote"referstothedocumentationfilledoutwhenapatientisadmittedtothehospital.7.B."Areyouallergictoanymedications?"-Explanation:Thisisthemostdirectwaytoaskaboutallergies.8.A.PerOral-Explanation:"PO"isthestandardabbreviationformedicationtakenorally.9.B.Thepatient'sconditionisunchanged-Explanation:"Stable"meansthepatient'sconditionhasnotworsenedorimprovedsignificantly.10.A.ReturnVisit-Explanation:"Follow-upappointment"isanothertermforareturnvisittothehospital.二、多選題答案與解析1.A,B,C,D-Explanation:Allthegivenphrasesarecommonlyusedtointroduceawardround.2.A,B,C,D-Explanation:HR,BP,RR,andTarestandardabbreviationsforHeartRate,BloodPressure,RespiratoryRate,andTemperature,respectively.3.A,B,C,D-Explanation:Allthegivenphrasesareessentialforcleardischargeinstructions.4.A,B,D-Explanation:Positiveoutcomes(A),highchancesofrecovery(B),anduncertainty(D)arecommonwhendiscussingprognosis.StatementCisincorrectasitsuggestsworseningwithoutintervention.5.A,B,C,D-Explanation:Allthegivenphrasesareusedtorequestadditionaltestsorconsultations.三、填空題答案與解析1.Bloodpressure-Explanation:Thecontextimpliesameasurementofbloodpressure.2.Doyouhaveanynausea?-Explanation:Thisisacommonphrasetoaskaboutnauseasymptoms.3.PO-Explanation:"Peroral"isthestandardabbreviationformedicationtakenorally.4.Non-improving-Explanation:Thistermdescribesapatient'sconditionthatisnotimproving.5.Doyouhaveanyhistoryofdiabetes?-Explanation:Thisisadirectwaytoaskaboutahistoryofdiabetes.四、簡答題答案與解析1.DifferencebetweenHPIandPMH:-HPI(HistoryofPresentIllness)focusesonthecurrentillness,includingonset,duration,severity,andsymptoms.PMH(PastMedicalHistory)includespastillnesses,surgeries,andchronicconditions.2.Keyphrasesfortreatmentplanexplanation:-"Thismedicationwillhelp[symptom]."-"Youshouldtakeit[dosage]at[tim