202 1 Tianjin Medical and Health Examination: Occupational Test Questions and Analysis (2021.1.4)

1. Patient Li is a movie star. He was hospitalized in your ward because of an accidental fracture during filming. If you happen to like the movie works of stars, what should you do as an attending doctor?

A. Express your love for the star, communicate with him sincerely, and say that you will make every effort to help him recover soon, so don't worry.

B. Apply for various medical services of the star? Green channel? , provide them with all convenient measures to help them recover as soon as possible, and take photos or videos as a souvenir.

C. inform the hospital leaders in time? Someone special? Check in and ask the hospital if there are any corresponding countermeasures. If a large number of fans come and affect normal medical activities, they can be transferred immediately.

D. respect stars? Patient? Identity, arrange for him to live in a single room, and inform the relevant medical staff that this matter is highly confidential, so as not to disturb the people and reduce unnecessary interference.

2. Late one night, the family members of the patient in the ward reported to the nurse's desk that the patient had been unable to sleep and was in pain. Nurse Zhang saw that the doctor on duty had rested and didn't want to wake him up, so she took a valium and injected the patient, and the patient soon fell asleep. If you were the doctor on duty, Wang Dafu, what would you do if you knew?

A. Thanks to Nurse Xiao Zhang, who can immediately observe the patient's pain and understand the doctor's difficulties.

B severely criticized Xiao Zhang for prescribing drugs without authorization and informed the relevant departments of the hospital of his behavior.

C. Observe whether the patient's condition has changed, and if not, routinely give hypnotics to help him sleep every day.

D check the causes of insomnia and the situation after taking the medicine, and communicate with the head nurse during the shift change.

As an emergency doctor, when visiting a patient, a patient in charge of other doctors said that the infusion was gone and asked you to call a nurse to change the fluid. At this time, your most appropriate answer is:

A.？ Of course. But what about your family? Need family company?

B.？ Sorry, I'm dealing with a patient. Can't I be free?

C.？ I want to find it. Where is the nurse?

D. If you are not your own patient, pretend not to hear you and leave quickly.

Many people lined up at the hospital registration office. When it was the turn of an old lady with white hair to register, the registrar asked: which subject did you hang up? The old lady said blankly, I don't know which subject I failed. ? The registrar asked again:? What's the matter with you? The old lady said: It's just that my stomach is upset here. I don't know exactly where it is. ? How to deal with the registrar at this time is more appropriate?

A.？ You don't know what's wrong. How can I register you? Why don't you think about it and come to me when you are ready?

B.？ Your stomach is upset, why don't I give you the number of the digestive department first?

C.？ Why don't you go to the information desk over there and talk to them carefully about any problems, and you don't have to wait in line to find me directly?

D.？ What's the matter with you? Does it hurt badly? How long has it hurt?

In the scorching sun in July, Xiao Zhang went to the hospital wearing short-sleeved T-shirt shorts. The doctor asked Xiao Zhang to have an MRI. When the door of the examination room was opened, a chill came to my face, and Xiao Zhang standing at the door could not help shivering. Xiao Zhang asked? Can you turn up the temperature of the air conditioner? I am sweating outside. It was so cold when I came in. I'm going to catch a cold. Besides, driving at such a low temperature consumes more electricity! ? What is the appropriate answer for radiologists at this time?

A.？ I'm sorry, but we have prepared sheets. Will it be warmer if you wrap them up?

B.？ These devices have strict requirements on temperature. If the temperature is high, it will decompose. This is a sheet. Can you cover them?

C.？ Why don't you lie down quickly and we'll finish it as soon as possible. Why don't you go quickly, so it won't be cold?

D.？ Are there no sheets here? Hold on, don't tremble, trembling will cause artifacts and prolong the scanning time?

6. When Dr. Zhang was explaining the patient's condition and medication in the outpatient department, he suddenly noticed that the patient was fiddling with his mobile phone, as if recording. Dr. Zhang asked? Are you recording? The patient was a little embarrassed and said, er, I'm sorry, doctor. I was afraid I wouldn't remember, so I recorded a sound. ? How should Dr. Zhang handle it at this time?

A. Ignore it and continue the diagnosis and treatment, but pay attention to careful expression, only talk about objective facts, not subjective judgment, and avoid any expression that may be caught.

B point out that the patient's private recording without the doctor's permission violates the doctor's privacy right, and ask the patient to stop and delete the recording immediately.

C. explain that you will clearly write down the condition and medication method on the medical record. If the patient doesn't understand, he can say it again, but recording is not allowed without permission.

D. Ask the patient to record, and at the same time record with his own mobile phone, indicating that the recording can be sent to the patient if necessary to ensure the patient? Get a clearer version?

Reference answer and analysis

1. Answer D.

Analysis:? Star? As a public figure, he is very concerned by the public. If the identity of a star is made public, it will inevitably attract many people? Visit? And then affect the recovery of patients' condition and the normal order of the hospital. So item D is correct and item C is wrong. As a doctor in charge, what should we do for patients with different identities? Equal treatment? We can't give patients all kinds of special treatment because of their special status. Therefore, A and B are wrong. Therefore, choose D in this question.

2. answer B.

Analysis: Nurses have no prescription right, and nurse Xiao Zhang's behavior is illegal. Wang Dafu, after knowing this matter, should inform the relevant departments in time and can't hide it.

3. a.

Analysis: When patients need help, it is the embodiment of humanistic care. Asking about the whereabouts of family members and suggesting that they accompany them can avoid delaying treatment when there is no help next time, which is the embodiment of caring for patients. Item a is correct. Item B not only refuses the needs of patients, but also has a tough attitude, which is easy to cause disputes between doctors and patients and can be ruled out. Although item C helps patients solve their needs, it does not mention the matter of accompanying patients' families, and there is no respect for nurses between words, which can be ruled out. It is irresponsible to pretend not to hear item D, which can be ruled out.

4. answer C.

Analysis: Out-patient service should reflect humanistic care, such as separate diagnosis by specialized nurses, accompanying and guiding the elderly, the sick, the incurable and the patients with special needs. Elderly patients are inconvenient to move, and giving them appropriate convenience is the embodiment of humanistic care. Item c is correct. Registration personnel usually do not require medical background, ask about medical history and chief complaints, delay registration time, and may not be able to correctly classify patients. Item d error. Item A can't solve the patient's problem and lacks humanistic care, so it can be ruled out. If the triage in item B is wrong, it will easily lead to repeated queuing, registration and other processes, wasting the time of patients and doctors, and can be ruled out. Therefore, this question chooses C.

5. answer B.

Analysis: the principle of clinical diagnosis and treatment should first pay attention to the principle of patient first. Medical staff always take patients as the center in the process of diagnosis and treatment, and put patients' interests first. The patient pointed out that the temperature in the MRI room was too low. In order to avoid catching a cold, we can provide patients with sheets to keep warm, and at the same time, we should patiently explain the reasons for the low temperature to patients to avoid conflicts between doctors and patients. At the same time, medical staff's deep sympathy and warm care for patients, thinking of patients' thoughts and urgency, giving patients warmth in words and behaviors, and forming a doctor-patient relationship on the basis of emotional interaction can play a positive role in improving patients' psychological state and eliminating patients' bad emotions.

6. answer C.

Analysis: The doctor-patient relationship is a contractual relationship based on equality. The establishment of the socialist system has created a material basis for respecting human dignity and value and created conditions for realizing human rights equality. The relationship between doctors and patients is equal, that is, medical staff respect patients' medical rights and provide medical services without discrimination; Patients respect the work of medical staff and closely cooperate with diagnosis and treatment to complete the task of maintaining health. This inherent tension in the doctor-patient relationship determines that a good doctor-patient relationship can only be based on mutual trust. The distrust of either party to the other party will damage the doctor-patient relationship and reduce the level and quality of medical care. Therefore, patients are not allowed to record without the doctor's consent, so as not to take it out of context and cause medical disputes.

Doctors, as professional technicians who cure diseases and save lives, are also in contact with very complicated people. Many doctors have encountered similar situations, and there are various reasons for patient records. However, doctors need to do this well when they encounter such a situation. When communicating with patients, we should consider the actual situation of patients, such as age, poor hearing and no other family members. Doctors should explain their illness to patients as clearly, rigorously and comprehensively as possible.