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rapid development of the market economy environment to explore public servants ' duty consumption monetization reform has provided a good foundation. The socialization of rear service work has been launched, and rapid progress in some places and departments, duty consumption monetization of carrier and approach to management has been resolved. Third, in recent years, exploring the monetization of duty consumption has made some progress, have gained some experience and can provide reference to the comprehensive reform of the system of public servants ' duty consumption further. Implementing an \nteen\ndardize official entertaining management; enhancing the telecommunication expense management; elimination of County travel and countryside subsidies; research \s\on management of corporate spending, and so on. Finally, group ... 18 session to be held in Beijing from November 9, 2013 to 12th. 35 years ago blew the third plenary session of the reform and opening up in the spring breeze, changed, affect the world; today, 35 years later, in the eyes of the nation and the world expect, again to reform mark China, ushered in the 18 session. XI General Secretary pointed out that China's reform has entered a crucial period and the Sham Shui Po District, must be based on greater political courage and wisdom, lose no time in deepening reform in important fields. Dares to crack a hard nut, dares to question theRapids, which dares to break the barrier of ideas, and dare to benefit cure barriers. Deepening reform and opening up is on schedule to achieve institutional safeguards of the moderately well-off. Under the \out of socialist modernization requirements, 18 session of the decision was a \one\provement of overall scheme of reform, will promote an integrated and coordinated economic, political, cultural, social and ecological civilization construction of the five reforms and the party's construction in the area of institutional reform. The \programme is to achieve a comprehensive reform of institutional guarantees for objectives of build a well-off society, the smooth progress of the construction of a well-off society and reform the objectives of the programme. One, holding time and place importance on November 9, 2013 to the 18 session of the 12th Beijing since 1978, 35, have been 7 plenary session, each time on major issues of political and economic life of the country has made important deployment. In accordance with PRC political practice, often at every session of the CPC Central Committee in a plenary session was held immediately after the party's Congress, on the theme \scussing election Central's top leaders, such as the election of the Standing Committee of the political Bureau, through the CentralCommittee members, decisions, such as members of the Central Military Commission. The second plenary session, is held in two sessions before the general election, mainly to discuss a new State personnel issues. But by the third 全科医师岗位培训试卷（四）

一、选择题（1～70题）

A1∕A2型题(1～55题，每题1分)

答题说明 每一道题下面有A、B、C、D、E五个备选答案，请从中选择一个最佳答案。并在答题 卡上将相应的题号的相应字母所属方框涂黑。

1．理想的医疗保健体系意味着

A．所有病人都可以自由选择医院和医生

B．大医院的规模与科室设置能够满足全体民众的卫生需求 C．由基层医疗提供首诊服务，基层医疗与大医院各司其职

D．医院的门向任何就医者开放，所有的病人都能在水平高的大医院就诊 E．政府负责向公众提供高福利的医疗保健服务

2.以人为中心处理现患问题时，不需要 A．清楚地解释病情

B．鼓励病人承担治疗和康复的责任 C．针对所患健康问题为病人开治疗处方 D．与病人一起制定干预计划 E．把病历交给病人保管

3．哪项不是家庭的基本功能 A．抚养或赡养功能 B．满足情感需要 C．社会化 D．经济功能 E．预防疾病

4．家系图是

A．对家庭结构、遗传史及重要事件的描述 B．对家庭功能进行描述 C．描述家庭生活周期 D．描述家庭资源

E．对家庭人际关系情感的描述

5．实施COPC的目的主要在于 A．社区诊断 B．社区动员 C．社区干预 D．社区参与

E．明确社区及人群的特征

lenary session, each session of the Central Committee of national institutions and personnel problems have been arranged, you can concentrate on national development and reforms. Previous plenary session is often branded with a central leading collective, often by looking at the third plenum of the initiative to found the current central leadership collective governance characteristics. From the analysis of the process of economic reform in China, plenary session, 12 session, 14, 16 plenary session have programmatic meaning, respectively, marking the four stages of China's economic reform, and that the start-up phase of reform, reform, construction phase and perfecting the Socialist market economy framework stage of socialist market economy. Previous plenary session topics proposed to the third plenary session of \struggle as the key link,\nization; 12 session marked the change from rural to urban, established with public ownership as the Foundation of a planned commodity economy; 13 session at a time when both the old and the new system change, governance and rectify the economic order; 14 ... Fair and efficient and authoritative Socialist judicial system, safeguard the people's interests. Legal authority to uphold the Constitution, deepening the reform of administrative law enforcement, ensure that the right to exercise judicial power independently and impartially according to law the prosecution, perfecting the running mechanism of judicial power, improve the system of judicial protection of human rights. Plenary session, Affairs the right to adhere to the system, and let the people authority to let the power run in the Sun, is shut up in a cage of the system power policy. Decision Science, implementation should be constructed strong, supervise the running of powerful system, improve the system of punishing and preventing corruption, promoting political integrity, and strive to achievecadres ' honest and Government integrity, clean politics. To form a scientific and effective coordination of power restriction and mechanisms to strengthen anti-corruption institutional innovation and institutional protection, sound improvement style normal system. Plenary session, building a socialist culture in China, enhancing national cultural soft power, must adhere to the orientation of advanced Socialist culture, adhere to the development of Socialist culture with Chinese characteristics, adhere to the people-centred work-oriented, further deepening reform of culture. o improve the cultural management system, establish and improve the modern market system and building modern public cultural service system, improve the level of culture opening. Plenary session, achieving development results more equitable benefit of all people, we must speed up reform of social programs and solve the issues of concern to the people the most direct and real interest, and better meet the needs of the people. To deepen education reform, improve institutional mechanisms for therapid development of the market economy environment to explore public servants ' duty consumption monetization reform has provided a good foundation. The socialization of rear service work has been launched, and rapid progress in some places and departments, duty consumption monetization of carrier and approach to management has been resolved. Third, in recent years, exploring the monetization of duty consumption has made some progress, have gained some experience and can provide reference to the comprehensive reform of the system of public servants ' duty consumption further. Implementing an \nteen\ndardize official entertaining management; enhancing the telecommunication expense management; elimination of County travel and countryside subsidies; research \s\on management of corporate spending, and so on. Finally, group ...18 session to be held in Beijing from November 9, 2013 to 12th. 35 years ago blew the third plenary session of the reform and opening up in the spring breeze, changed, affect the world; today, 35 years later, in the eyes of the nation and the world expect, again to reform mark China, ushered in the 18 session. XI General Secretary pointed out that China's reform has entered a crucial period and the Sham Shui Po District, must be based on greater political courage and wisdom, lose no time in deepening reform in important fields. Dares to crack a hard nut, dares to question theRapids, which dares to break the barrier of ideas, and dare to benefit cure barriers. Deepening reform and opening up is on schedule to achieve institutional safeguards of the moderately well-off. Under the \out of socialist modernization requirements, 18 session of the decision was a \e in one\provement of overall scheme of reform, will promote an integrated and coordinated economic, political, cultural, social and ecological civilization construction of the five reforms and the party's construction in the area of institutional reform. The \programme is to achieve a comprehensive reform of institutional guarantees for objectives of build well-off society, the smooth progress of the construction of a well-off society and reform the objectives of the programme. One, holding time and place importance on November 9, 2013 to the 18 session of the 12th Beijing since 1978, 35, have been 7 plenary session, each time on major issues of political and economic life of the country has made important deployment. In accordance with PRC political practice, often at every session of the CPC Central Committee in a plenary session was held immediately after the party's Congress, on the theme \scussing election Central's top leaders, such as the election of the Standing Committee of the political Bureau, through the CentralCommittee members, decisions, such as members of the Central Military Commission. The second plenary session, is held in two sessions before the general election, mainly to discuss a new State personnel issues. But by the third

6．不属于人际关系原则的是 A．合理 B．自由 C．公平 D．永恒 E．平等

7．诊断思维的类型不包括： A．模型辨认 B．穷尽推理 C．批判性思维

D．流程图临床推理法 E．假设-演绎方法

8．POMR记录方式的优点不包括 A．对问题描述简洁明了、重点突出 B．有利于医疗质量管理和评价 C．利于节约诊疗成本

D．所记录资料适于医生自我学习 E．利于电子化信息管理

9．心电图最有价值的用途是诊断 A．心绞痛 B．肺栓塞 C．心律失常 D．急性心包炎 E．心力衰竭

10．大咯血的临床判断标准为

A．咯血后患者迅速出现心悸、气短、心率增快等临床表现 B．一次性咯血50ml以上 C．6小时内咯血300ml以上 D．24小时内咯血800ml以上 E．以上答案均不正确

11．女性患者，47岁，反复发作喘息20年，自诉呼吸困难加重2天来就诊。查体：端坐位，喘息貌，双肺满布哮鸣音。针对可能的引起呼吸困难的病因，采取的主要治疗方案是 A．吸氧、强心、利尿

B．吸氧、镇静、硝酸甘油静点

C．吸氧、支气管扩张剂吸入、全身性激素应用 D．吸氧、抗生素使用 E．机械通气治疗

lenary session, each session of the Central Committee of national institutions and personnel problems have been arranged, you can concentrate on national development and reforms. Previous plenary session is often branded with a central leading collective, often by looking at the third plenum of the initiative to found the current central leadership collective governance characteristics. From the analysis of the process of economic reform in China, plenary session, 12 session, 14, 16 plenary session have programmatic meaning, respectively, marking the four stages of China's economic reform, and that the start-up phase of reform, reform, construction phase and perfecting the Socialist market economy framework stage of socialist market economy. Previous plenary session topics proposed to the third plenary session of \struggle as the key link,\socialist modernization; 12 session marked the change from rural to urban, established with public ownership as the Foundation of a planned commodity economy; 13 session at a time when both the old and the new system change, governance and rectify the economic order; 14 ... Fair and efficient and authoritative Socialist judicial system, safeguard the people's interests. Legal authority to uphold the Constitution, deepening the reform of administrative law enforcement, ensure that the right to exercise judicial power independently and impartially according to law the prosecution, perfecting the running mechanism of judicial power, improve the system of judicial protection of human rights. Plenary session, Affairs the right to adhere to the system, and let the people authority to let the power run in the Sun, is shut up in a cage of the system power policy. Decision Science, implementation should be constructed strong, supervise the running of powerful system, improve the system of punishing and preventing corruption, promoting political integrity, and strive to achievecadres ' honest and Government integrity, clean politics. To form a scientific and effective coordination of power restriction and mechanisms to strengthen anti-corruption institutional innovation and institutional protection, sound improvement style normal system. Plenary session, building a socialist culture in China, enhancing national cultural soft power, must adhere to the orientation of advanced Socialist culture, adhere to the development of Socialist culture with Chinese characteristics, adhere to the people-centred work-oriented, further deepening reform of culture. o improve the cultural management system, establish and improve the modern market system and building modern public cultural service system, improve the level of culture opening. Plenary session, achieving development results more equitable benefit of all people, we must speed up reform of social programs and solve the issues of concern to the people the most direct and real interest, and better meet the needs of the people. To deepen education reform, improve institutional mechanisms for therapid development of the market economy environment to explore public servants ' duty consumption monetization reform has provided a good foundation. The socialization of rear service work has been launched, and rapid progress in some places and departments, duty consumption monetization of carrier and approach to management has been resolved. Third, in recent years, exploring the monetization of duty consumption has made some progress, have gained some experience and can provide reference to the comprehensive reform of the system of public servants ' duty consumption further. Implementing an \nteen\ndardize official entertaining management; enhancing the telecommunication expense management; elimination of County travel and countryside subsidies; research \s\on management of corporate spending, and so on. Finally, group ... 18 session to be held in Beijing from November 9, 2013 to 12th. 35 years ago blew the third plenary session of the reform and opening up in the spring breeze, changed, affect the world; today, 35 years later, in the eyes of the nation and the world expect, again to reform mark China, ushered in the 18 session. XI General Secretary pointed out that China's reform has entered a crucial period and the Sham Shui Po District, must be based on greater political courage and wisdom, lose no time in deepening reform in important fields. Dares to crack a hard nut, dares to question theRapids, which dares to break the barrier of ideas, and dare to benefit cure barriers. Deepening reform and opening up is on schedule to achieve institutional safeguards of the moderately well-off. Under the \out of socialist modernization requirements, 18 session of the decision was a \one\provement of overall scheme of reform, will promote an integrated and coordinated economic, political, cultural, social and ecological civilization construction of the five reforms and the party's construction in the area of institutional reform. The \programme is to achieve a comprehensive reform of institutional guarantees for objectives of build a well-off society, the smooth progress of the construction of a well-off society and reform the objectives of the programme. One, holding time and place importance on November 9, 2013 to the 18 session of the 12th Beijing since 1978, 35, have been 7 plenary session, each time on major issues of political and economic life of the country has made important deployment. In accordance with PRC political practice, often at every session of the CPC Central Committee in a plenary session was held immediately after the party's Congress, on the theme \scussing election Central's top leaders, such as the election of the Standing Committee of the political Bureau, through the CentralCommittee members, decisions, such as members of the Central Military Commission. The second plenary session, is held in two sessions before the general election, mainly to discuss a new State personnel issues. But by the third 12．发热、惊厥多见于 A．脑转移瘤 B．脑外伤

C．小儿急性感染 D．高血压 E．癫痫

13．关于急性上消化道出血，下列哪项说法是错误的 A．咖啡渣样液是血液经胃酸作用后形成正铁血红素所致 B．出血早期血压血红蛋白可正常 C．出血48小时内可作急诊胃镜检查

D．大量出血者就是食管胃底静脉曲张破裂出血 E．出血量超过5ml，便潜血可阳性

14．下述哪项是社区获得性肺炎的主要病原体 A．肺炎链球菌 B．白色念珠菌 C．金黄色葡萄球菌 D．卡他莫拉菌 E．绿脓杆菌

15．急性肺水肿首选的利尿剂是 A．安体舒通 B．速尿

C．双氢克尿塞 D．甘露醇 E．吲哒帕胺

16．癌性溃疡的临床表现为

A．早期酷似良性溃疡，但治疗后溃疡不可能愈合 B．上腹不适，持续胃痛并向背部放射 C．胃痛，进食后反而加剧

D．制酸药可缓解疼痛，内科治疗效果好 E．时有大便潜血阳性

17．患者男，45岁，乙肝病史10余年，因乏力、低热、腹胀、少尿来院就诊。体检发现巩 膜皮肤黄染，腹部膨隆，有大量腹水存在。超声显像肝硬化结节形成。诊断为肝炎后肝硬化， 肝门静脉高压症，不适当的治疗措施为 A.卧床休息 B.忌盐饮食

C.反复多次抽放腹水 D.禁用损害肝脏的药物

E.合并应用留钾与排钾利尿剂

lenary session, each session of the Central Committee of national institutions and personnel problems have been arranged, you can concentrate on national development and reforms. Previous plenary session is often branded with a central leading collective, often by looking at the third plenum of the initiative to found the current central leadership collective governance characteristics. From the analysis of the process of economic reform in China, plenary session, 12 session, 14, 16 plenary session have programmatic meaning, respectively, marking the four stages of China's economic reform, and that the start-up phase of reform, reform, construction phase and perfecting the Socialist market economy framework stage of socialist market economy. Previous plenary session topics proposed to the third plenary session of \struggle as the key link,\nization; 12 session marked the change from rural to urban, established with public ownership as the Foundation of a planned commodity economy; 13 session at a time when both the old and the new system change, governance and rectify the economic order; 14 ... Fair and efficient and authoritative Socialist judicial system, safeguard the people's interests. Legal authority to uphold the Constitution, deepening the reform of administrative law enforcement, ensure that the right to exercise judicial power independently and impartially according to law the prosecution, perfecting the running mechanism of judicial power, improve the system of judicial protection of human rights. Plenary session, Affairs the right to adhere to the system, and let the people authority to let the power run in the Sun, is shut up in a cage of the system power policy. Decision Science, implementation should be constructed strong, supervise the running of powerful system, improve the system of punishing nd preventing corruption, promoting political integrity, and strive to achievecadres ' honest and Government integrity, clean politics. To form a scientific and effective coordination of power restriction and mechanisms to strengthen anti-corruption institutional innovation and institutional protection, sound improvement style normal system. Plenary session, building a socialist culture in China, enhancing national cultural soft power, must adhere to the orientation of advanced Socialist culture, adhere to the development of Socialist culture with Chinese characteristics, adhere to the people-centred work-oriented, further deepening reform of culture. o improve the cultural management system, establish and improve the modern market system and building modern public cultural service system, improve the level of culture opening. Plenary session, achieving development results more equitable benefit of all people, we must speed up reform of social programs and solve the issues of concern to the people the most direct and real interest, and better meet the needs of the people. To deepen education reform, improve institutional mechanisms for the