1、單選題1、According to Kuhn, which field has become a major clinical discipline without ever having resolved some fundamental issues?A、GynaecologyB、CardiologyC、PsychiatryD、Pediatrics2、Family physicians are usually committed toA、The personB、body of knowledgeC、Group of diseasesD、Special techniques3、How man

2、y times does a family physician see a patient each year?A、3B、4C、5D、64、Which of the following statements is NOT CORRECT?A、Family medicine can be described as a body of knowledge about the problems encountered by family physiciansB、The body of knowledge encompassed by family medicine includes not only

3、 factual knowledge but also skills and techniquesC、Members of a clinical discipline are identifiable not so much by what they know as by what they doD、Clinical disciplines such as surgery is a prime example of family medicine5、Life expectancy at birth for Chinese is around which of the following?A、6

4、0B、65C、70D、75E、806、For most of the patients with chronic diseases, the role of GPs is mainly toA、Recover in a short period of timeB、Adopt changed environmentC、Help patients to achieve a new equilibrium with their environmentD、Provide the effective measures to stop disability7、Talking about the physi

5、cians before the 19th century, which was incorrect?A、They were small and elite group of learned menB、They practiced in towns among the rich and influentialC、Most of them were healersD、They were trained by apprenticeshipE、They were graduated from medical school8、The term general practitioner was firs

6、t used in which of the following journals?A、British journal of general practiceB、New EnglandC、LancetD、Family medicineE、Medical teacher9、Which was the landmark in the development of medicine?A、Harvard UniversityB、Johns Hopkins UniversityC、University of LondonD、University of CambridgeE、University of O

7、xford1、Of a thousand people in the general population over the age of sixteen, how many in the course of a month will be admitted to a UMC?A、Seven hundred fiftyB、Two hundred fiftyC、FiveD、NineE、One2、Which symptom is recognized as the most one needing medical attention?A、Blood in stoolB、Blood in urine

8、C、Chronic fatigueD、Pain in chestE、Persistent backache3、For Women, the most likelihood of symptom episode leading to consultation with a physician is the following:A、Changes in energyB、Disturbance of gastric functionC、Pain in chestD、Abdominal painE、Disturbance of menstruation4、Many studies have revea

9、led that physicians see only a small fraction of the health problems experienced by the population at large, except the following.A、Retrospective surveysB、Interview surveyC、Regression analysisD、Prospective studyE、Experimental study5、How many patients does the university medical center see every one

10、thousand patients at risk?A、75%B、25%C、5%D、1 %E、1 6、The structure of ICPC is biaxial withA、17 chapters on the horizontal axis and 7 components on the vertical axisB、18 chapters on the horizontal axis and 18 components on the vertical axisC、19 chapters on the horizontal axis and 15 components on the v

11、ertical axisD、20 chapters on the horizontal axis and 19 components on the vertical axis1、Give one example for Low-Context Communication.A、The Language of DiplomacyB、Much of the Communication takes place implicitlyC、The language of Science and TechnologyD、Long term Human relationships2、If somatizatio

12、n is persistent, it is known as:A、Somatic fixationB、Exit problemC、Moral lonlinessD、Hypothesis3、f the patient is also misreading the context, as is sometimes the case, the possibilities of misdiagnosis are evenA、LessB、Not presentC、Present but very lessD、Greater4、Many of the errors in medical practice

13、 have their origins in aA、SomatizationB、Failure of communicationC、Sucsess of communicationD、None of the above5、Problems that arouse shame or guilt-like family and sexual problemsare often communicated :A、IndirectlyB、DirectlyC、IntentionallD、Alternatively1、What is possible percent for patient visits t

14、o GPs has no disease-specific diagnosis?A、20B、40C、60D、802、What is possible percent for patient visits to GPs has no discernible pathological process?A、20B、40C、60D、803、Which is the important to distinguish between the process by which physicians learn a clinical method and the process by which they p

15、ractice it.A、Learning the patient-centered methodB、ValidationC、Grammar of clinical solving problemD、Conventional method4、The sentences given below are all true for cues, except_A、Cue may help the physician to identify and solve the patients problemB、Cue may help physician to understand the context o

16、f the problemC、Cue may help physician to understand the patientD、The physician responds only to individual cues, not patternsE、certain cue enables the physician to say with certainty what is wrong with the patient5、The main purpose in the last part of the search is to reduceA、CertaintyB、DiseasesC、Un

17、certaintyD、None of the above6、Which section deals with the physicians conventional task of clinical problem solving and decision making, with particular reference to family medicine:A、Clinical diagnosis in family practiceB、The family practice contextC、Evaluation of the patient-centered methodD、Learn

18、ing the patient-centered method1、Who are in a best position for helping patients to improve their health?A、PhysiciansB、SurgeonsC、PaediatriciansD、GynecologistsE、GPs2、Preventive Methods in Family Practice include:A、Food inspectionB、SanitationC、PHED、Pollution controlE、Accident prevention3、Family physic

19、ians and other primary care workers can make a major impact on gastroenteritis in infants problem by:A、Promoting breast feedingB、TreatmentC、Giving good medicineD、Through healthy food4、For men if the cholesterol level is below 160, the extra deaths are the result of what of the following?A、T.BB、Influ

20、enzaC、CancerD、HIV5、In coronary heart disease for family physicians are prevent to:A、Sudden death from ventricular arryhythmiasB、OperationsC、RisksD、Chest pains6、How many categories can the preventive practice be divided into?A、2B、3C、4D、5E、6F、71、What is the strongest predictor of poor health in childr

21、en as indicated by mortality rates and utilization of health care?A、Emotional distressB、AbuseC、PovertyD、Parental violence2、Which statement is correct?A、Respiratory infections are strongly related to adverse family factorsB、Intestinal infections are associated with a low social classC、Nonfebrile conv

22、ulsions were strongly related to inadequate housing and overcrowdingD、Bedwetting is seen as a behavioural disability3、Which statement is incorrect?A、family physician should always “think family” in his practiceB、When the physician has a personal knowledge of all family members then can he form hypot

23、heses based on this knowledgeC、family physician should accept without confirming the version given by one family memberD、Caring for a whole family increases management options available to the family physician4、Which stage is the shortest in family life?A、Married coupleB、ChildbearingC、School-ageD、Te

24、enageE、Aging family members1、The most significant factors associated with the development of diabetes were the followings exceptA、OverweightB、AgeC、Blood pressureD、Uric acidE、Total calories in the diet2、Garcia et al. followed 5,209 men and women in the Framingham Study, aged thirty to sixty-two at en

25、try to the study. In the course of sixteen years, 239 people developed diabetes. What was the annual incidence rate.A、4.6%B、73.42%C、0.29%D、0.16%E、0.08%1、The common defects in practice management do not include which of the following?A、Too many incoming calls for the number of telephone linesB、Inadeq

26、uate telephone answering services for out-of-hours callsC、Patients having to wait twenty minutes for appointments for sore throatD、Patients unable to get through the barrier of the receptionist to speak to the doctor2、The greatest cost for running a medical clinic is on which of the followingsA、Rent

27、 for the buildingB、Purchasing the lab & x-ray equipmentC、Software for billing & EMRD、Staff salaryE、Inspection fees3、The main strategy of managed care is on which of the followings?A、Designed some special organizationsB、Control the practices of physiciansC、Limit the options of patientsD、Control the e

28、ntry to the system only through “gatekeepers”E、Mandatory second opinion before elective surgery4、Which of the following is not correct for evaluation of performance?A、Evaluation of performance can be of three types: evaluation of structure, process and outcomeB、Outcome evaluation is determined by fa

29、ctors outside the practices control: social and economic conditions.C、Most types of evaluation useful to the family physician are assessments of structureD、Different types of evaluation are needed for different objectives5、Which is the central management question of family practice ？A、The allocation

30、 of limited resources to meet needs and demands for careB、Improve patient satisfactionC、Reduce health care costsD、Cure the established diseaseE、Prolong the patients life6、Among the following practice objectives, which is correctA、Patients requesting appointments for acute problems will be seen on th

31、e same weekB、Patients requesting appointments for nonurgent problems will be seen within two monthsC、Average time spent by patients in the waiting room will be no longer than ten minutesD、All adult patients will have their blood pressure taken every two yearsE、Patients under treatment for hypertensi

32、on or diabetes will be seen at least once every three months多選題1、Which factors made general practice unpopular as a career?A、 Modern medical educationB、 Prestige of specialistsC、 Valuation of technical over personal careD、 Valuation of research skill over personal care2、Which centuries were mainly c

33、overed by the age of specialization?A、 17B、 18C、 19D、 20 E、 213、The age of specialization brought about which of the following negative consequences?A、 The fragmentation of the professionB、 Overemphasis of technologyC、 Deterioration of the doctor-patient relationshipD、 Valuation of the personal cari

34、ngE、 Increasing of the malpractice suits4、The doctor who treats the health problems of all family members are:A、 Family PhysicianB、 Family DoctorC、 General PractitionerD、 Social workerE、 Family therapist5、Medicine changes in response to such influences as following:A、Scientific progressB、 Technical

35、renovationC、 Progress of social spiritual civilizationD、 Progress of social material civilizationE、 Development of social economyF、Change of human disease spectrum6、The development of family medicine is influenced under the followings:A、 Ancient craft skills B、 New technologyC、 Change of human disea

36、se spectrumD、 Progress of social spiritual civilizationE、 Progress of social material civilizationF、Development of social economy7、Family medicine developed under the following factorsA、 SurgeryB、 ObstetricsC、 OtolaryngologyD、 AnesthesiologyE、 Child health8、Family medicine has evolved mainly from wh

37、ich of the following?A、 SurgeryB、 GynecologyC、 ObstetricsD、 PediatricsE、 Traditional Chinese Medicine9、The reduced mortality increased which of the followings? A、 Patients with the chronic diseasesB、 Patients with the development disordersC、 Patients with the behavioral disordersD、 Patients with the

38、 accidentsE、 Different range of infectious diseasesF、Population of elderly people in society10、Which are the top three diseases? A、 Heart diseasesB、 DiarrheaC、 StrokeD、 PneumoniaE、 TuberculosisF、Cancer1、In what context a disease should be addressed in order to fully understand itA、 PersonalB、 Family

39、C、 PoliticalD、 SocialE、 Legal2、Clinical disciplines in medicine are based on a number of factors such asA、EpistemologicalB、 LegalC、 PracticalD、 AdministrativeE、 Political1、Which factors were associated with a high prevalence of symptoms?A、Increasing ageB、 Male sexC、 Unemployment due to illnessD、 Mar

40、ital separation or divorceE、 Passive as opposed to active religious affiliationF、High mobility2、Self care includes the followings:A、Self-medicationB、 Other remedial actionsC、 Consultation with othersD、 Consultation with GPsE、 Use folk alternative medicine3、Which of the following were the results of

41、the retrospective surveys?A、 90 percent of adults report a symptom during the previous two weeks. B、 Only one in every four or five of these have consulted a physician in that period.C、 51% adults had mental symptomsD、 24% of the children reported to have behavioral problems.E、 quarter of the adults

42、 had at least one social problem4、Which of the following were associated with the high prevalence of symptoms?A、 Increasing ageB、 Female sexC、 EmploymentD、 DivorceE、 high number of moves of domicile5、The reasons for the failure to consult for serious symptoms are the followings: A、 Unemployment due

43、to illnessB、 Passive religious allegianceC、 Lower social classD、 Living aloneE、 Lower neuroticism scores1、About the patients symptoms， which are correct?A、 Most consultations begin with the patients account of his symptoms. B、 very high proportion of patients have symptoms without physical signs.C、

44、Most patients have symptoms without abnormal investigations.D、 Even when signs and abnormal tests are found, the correct diagnosis is more likely to depend on the history than on the examination and investigation. E、 Understanding the patients symptoms is important.2、Which of the followings have imp

45、act on the Doctors-patients relationship?A、 Health systemB、 Health policyC、 Level of managementD、 Intermediary activitiesE、 Patients consciousness1、For boosting the relationship between doctor and patient, which things are appreciable?A、Never tell the patient something that is not trueB、Do not tell

46、the patient more than he wants to knowC、Say him truth,because it will emerge sooner or laterD、Stand as a good support to the patientE、Always speak rashly with the patient2、What are supposed to be lead to an “affective resonance”?A、PerceptionB、AffectionC、Intuitive imitation of facial expressionD、Intu

47、itive imitation of bodily postureE、Neuro-hormonal state1、Which are illness？A、Patients personal experience of a physical disturbanceB、Patients personal experience of a psychological disturbanceC、Patients personal experience of a social disturbanceD、Patients attitudes toward the physicianE、The effect

48、of the disorder on patients relationships2、Which of the following belong to illness？A、Patients sensations and feelingsB、Disabilities and discomfortsC、Defenses and supportsD、Strengths and weaknessesE、Patients attitudes toward his condition and toward the physicianF、The effect of the disorder on patie

49、nts activities and relationships3、By which of the following means we could gain insight into the no disease-specific diagnosis in clinics?A、Understanding the patientB、The doctor-patient relationshipC、Physical examinationD、Laboratory investigation4、Which are correct about disease?A、It is the patholog

50、ical process physicians use as an explanatory model for illnessB、It belongs to the world of experienceC、It is what you have when youve seen the doctorD、It has high level of abstractionE、It is the meaning in terms of pathology5、Which are correct about consultation?A、It is the context for the patient-

51、centered clinical methodB、It is one episode in a continuing relationshipC、A single consultation is not the beginning or the end of the storyD、Each new consultation carries over memories of previous onesE、Many consultations have some unfinished business to be taken up in due course6、Which questions m

52、ay help the patient to express feelings?A、What is your understanding of your illness? B、What is it like for you to ?C、Are you frightened ?D、How are you?7、Which are included in Patient-Centered Clinical Method?A、Ascertain the patients expectationsB、Understand and respond to the patients feelingsC、Mak

53、e or exclude a clinical diagnosisD、Listen to the patients storyE、Seek common groundF、Monitor your own feelings8、When a patient presents his or her problem, the physician is faced with a plethora of data:A、From what the patient saysB、From the physicians own observationsC、Not from his or her previous

54、knowledge of the patientD、From other physicians who have seen the patientE、From other members of the health-care team9、Classification of disease category for patients by the clinician has which of the important results:A、By using their knowledge of the natural history of the disease category, clinic

55、ians can predict the outcome of the illness, if untreated.B、They cannot make conclusions about the cause or causes of the illness.C、Armed with this knowledge, they can prescribe the specific therapy for the disease.D、They can make inferences that go beyond the evidence of their senses-for example, a

56、bout the state of the internal organs.E、By using the common nomenclature of medicine, they can communicate their findings to other clinicians and provide the patient with a name for his or her disease.1、Measures to maintain populations health include:A、Clean waterB、Food inspectionC、SanitationD、Pollution controlE、Aaccident preventionF、Social services2、Protein and calorie deficiency are associated with A、Slow fetal growthB、High perinatal mortalityC、Impairment of cerebral development.D、High postnatal mortalityE、High fetal growth3、The task of family physicians in helping women to avoid