题目内容
（请给出正确答案）
A．TPN
B．PPN
C．NG feeding
D．Oral liquid supplements
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更多“Your patient has a GI tract th…”相关的问题
A．Treating hypovolemiA
B．Treating hypervolemiA
C．Controlling thebleedingsource
D．Treating shock and diagnosing thebleedingsourc
E．
A、The patient has a mutated form of apoprotein B-100.
B、The inability to selectively remove cholesterol from the LDL complex.
C、The absence of the enzyme lipoprotein lipase.
D、Decreased levels of acyl-CoA: cholesterol acyltransferase
E、Altered phosphorylation of the LDL receptor.
A、A.Stimulates phosphorylation of the β-hydroxyl-β-methylglutaryl-CoA reductase enzyme
B、Decrease the stability of theβ-hydroxyl-β-methylglutaryl-CoA reductase protein
C、Binds cholesterol preventing it from being absorbed by the intestine
D、Directly prevents the deposition of cholesterol on artery walls
E、Inhibits the enzymeβ-hydroxyl-β-methylglutaryl-CoA reductase
A、Adjust your resume according to the particular requirements of a job offer.
B、State your career objective clearly in your resume.
C、Make a balance of your interests and competence.
D、Accumulate more working experience as well as socializing techniques.
E、Conduct an informational interview with the insiders about the job you are interested.
F、Be patient and never stop learning from small things.
G、Pay more attention to basics.
H、Consider which is your first priority: accumulating more working experience or extending academic competence？
Roles affect us as sets of norms that define our duties the actions others can legitimately insist that we perform, and our fight the actions we can legitimately insist that others perform. Every role has at least one reciprocal role attached to it; the fights of one role are the duties of the other role. As we have noted, we have a social niche for the sick. Sick people have fights our society says they do not have to function in usual ways until they get well. But sick people also have the duty to get well and "not enjoy themselves too much." The sick role also entails an appeal to another party the physician. The physician must perceive the patient as trying to get well this is the physician’s right and the patient’s duty. And the patient must see the doctor as sincere the patient’s fight and the physician’s duty. It should come as no surprise that the quality of medical care falters when patient and physician role expectations break down.
One way that people are linked in groups is through networks of reciprocal roles. Role relationships tie us to one another because the rights of one end of the relationship are the duties of the other. People experience these stable relationships as social structure a hospital, a college, a family, a gang, an army, and so on.
If your are a patient, you take on all the following roles EXCEPT the role as______.
A．a friend of your fellow patients
B．a staff member of the hospital
C．the receiver of the treatment
D．a buyer of medicines
Section B
Directions: There are 2 passages in this section. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked A, B, C and D. You should decide on the best choice.
The field of medicine has always attracted its share of quacks (庸医；江湖医生). The masons why quackery thrives even in modern times are not hard to find. To begin with, pain seems to be a chronic human condition. A person who suffers from some illness for a long time will pay any amount of money for the promise of relief. Second, even the best medical treatment can not cure all the ills. Third, many people lack the training necessary to evaluate medical claims. However, most remedies sold by quacks are not only useless, but often can be harmful to the user as well. By far the most potent reason that quack medicines still are sold around the world has to do with the power of "mind over matter". Your brain is the master organ of your body: It regulates all the chemical processes that keep you alive and well. When you become depressed and lose hope, your autonomic nervous system (植物神经系统) slows down these bodily processes and retards your chances of getting well. When you have hope and faith, these processes are speeded up. You are thus likely to recover even from the most dreadful diseases.
The doctor who can convince the patients of their recovery cures more patients than the one whose behavior. causes patients to lose faith in themselves. If a patient mistakenly believes that his condition can be cured by taking a drug of some kind, most physicians are happy to give him a placebo. The placebo does no harm at all, but it may so help the patient psychologically that the person's pain diminishes and the patient may actually recover much faster than without taking the pill. Indeed, placebos may even have a physiological effect.
All of the following are masons why quacks continue to do business Except that ______.
A．people who are in pain will often pay any amount of money for the promise of relief
B．the average person is not trained to evaluate medical claims and diagnoses
C．although their remedies may not cure a disease, quacks nevertheless do not harm their patients
D．quacks convince patients that they can help them
Task 1
Directions: After reading the following passage, you will find 5 questions or unfinished statements, numbered 36 through 40. For each question or statement there are 4 choices marked A, B, C, and D. You should make the correct choice.
Broken Bones: Do not move the patient. Send for ambulance at once. Treat for shock if necessary.
Bleeding: A little bleeding does not harm. It washes the dirt from the wound. But if the bleeding continues, try to stop it by placing a clean cloth (the inside of a folded handkerchief, for example) firmly over the wound until the bleeding stops or until help arrives.
If the wound is a small one and made by something clean, wash it carefully with soap and water. Then bend it firmly but not too tightly. A large wound, or a dirty one, should be treated by a doctor.
Poison: A person who has swallowed poison should be taken to a hospital at once. With some poisons and sleeping pills, for example, it is a good thing to make a patient sick by pushing your finger down to his throat. But if he swallowed some kind of acid, anything that burns, it would be a bad thing to make him sick. The poison would burn his throat as it came up. It is therefore, the best to take the patient to hospital at once. But try to find out what the patient has taken so that you can tell the doctor.
If a boy falls off a bike and gets his leg broken, you should______first.
A．move him onto bed
B．tell him to move carefully
C．send for a doctor
D．send for an ambulance at once
听力原文：W: What's the trouble with you？
M: When I came home after stopping for supper on my way home, I had a headache and fever and a pain in the chest. In fact I was in aches and pains all over, so I took some aspirin and went straight to bed. During the night my stomach began to ache and I felt like vomiting. I could get no sleep at all. Has the pain in the chest anything to do with the upset stomach？
W: No, it has nothing to do with it. Let me feel your pulse... Open your mouth and let me see your tongue, please. Do you still have a stomachache？
M: It's a little better than this morning, but it still aches.
W: Undress and lie down here. Your coat is quite swollen. You have a touch of flu. I'll give you a penicillin shot. There's nothing seriously the matter with your stomach. So you don't need to worry about that. I'll give you a proscription. Take the liquid medicine three times a day thirty minutes before meals and the capsules a haft hour after meals. Now then, I must warn you against greasy food for a while. After that you may eat what you like, but don't overeat for a while even if you have an appetite.
M: All right, Doctor. Thanks.
Which is NOT the symptom of the patient？
A．A headache.
B．A chest-ache.
C．A stomach-ache.
D．A throat-ache.
SECTION B INTERVIEW
Directions: In this section you will hear everything ONCE ONLY. Listen carefully and then answer the questions that follow. Questions 1 to 5 are based on an interview. At the end of the interview you will be given 10 seconds to answer each of the following five questions.
Now listen to the interview.
听力原文： (I -- Interviewer; S -- Dr. Anthony Smith)
I: Today, we have Dr. Anthony Smith on our morning talk show. We're going to discuss how to give doctors better skills to communicate bad news. Dr. Smith is a medical oncologist at the University of Washington and the Fred Hutchinson Cancer Research Center in Seattle. He and four colleagues are in the fifth year leading a program funded with one and one-half million dollars from the National Cancer Institute. Good morning Dr. Smith.
S: Good morning.
I: Dr. Smith says specially trained actors play cancer patients to help oncologists learn how to avoid sounding insensitive when the prognosis is grim.
S: Probably the biggest misconception I face is that you're either born with this or you're not. In fact, what the research shows is that people learn to do this over time. And the way they learn to do it is they see good role models, they practice, they get specific feedback on what they're doing, they try out new things, they innovate and develop new conversational practices for themselves.
I: Can you give us some examples of those conversational practices？ What are some ways to impart bad news？
S: Here's an example: the patient has had cancer in the past, has been doing well and is coming in for some routine follow-up tests. The routine follow-up tests unexpectedly show the cancer has started to come back. The doctor will typically go in and say to the patient, "Guess what？ Your cancer's back." And the patient will be just blown away, right？ There are a couple of practices that doctors can do that can help. One is to start with -- especially if you don't know the patient -- asking what the patient expected, what they understood about their cancer, what they were expecting with this test. Because if the patient says to you "You know, they didn't tell me anything. I'm just here because I got this appointment in the mail," that's one whole kind of comprehension level. Whereas if the patient says "I had at-one-n-one-m-zero lung cancer and they told me I had a fifty-five percent chance of disease recurrence in the next two years," that's a whole different story, right？ The second thing is that after you give this difficult news, then I think it's really important to address both the cognitive reaction and also the kind of the emotional side of it.
I: What are some of the phrases or the ways in which you can tell this news？
S: You know, the way to make it easier is to make sure that you are going from the context the patient drew for you. So you go from what the patient understands and you try to use their words as much as possible. And then, when you get to the really bad part of the news, I think it's actually important to be direct and concrete and not to tell the news. It's better to say "The cancer has come back" than to say "There are hypo-densities in your liver on the CT" or "You have a malignancy." All those euphemisms force patients to struggle to understand what's happening to them, and it adds to their confusion and distress.
I: Well, should they say things like "I wish things were different" or "I hope for the best", or should a doctor kind of maintain a distance？
S: You know, my thought about that actually is that the more skilled the physician, the less they have to distance themselves. There are some phrases that we use, and the most important ones are really the ones that are about empathy for the patient. You know," "I see this is a difficult situation," "I see this is not what you expected," "I'm hoping for the best." And I think it's fine for doctors to talk about hope, and I think it's important actual
A．They try to help cancer patients overcome fright.
B．They help doctors become sensitive to patients' feelings.
C．They have been doing the research for five years.
D．There are totally five of them in the research program.
W: Well, no, I'm afraid not, doctor. I feel drowsy and my throat is still sore.
M: Let me take your temperature... Hmm, you still have a high temperature. Have you been resting, as I told you the day before yesterday？
W: It's so difficult to have a rest, doctor, you know, with a house to run on and six children to look after.
M: Well, I've given you my advice. I'm sorry, but rest is necessary for your recovery, otherwise I wouldn't have insisted on it. You must rest as much as possible, or your cold might get severer, do you understand？
W: Yes, I understand. I'll try to do as you say.
M: Very well then. I'll repeat that prescription for tablets, but the only effective treatment is rest. Ask the next patient to come in please.
What's wrong with the woman？
A．She hasn't recovered from her illness.
B．She can't have a good sleep.
C．She has a headache.
D．She can't understand the doctor.
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