大学MOOC Doctor- Patient Communication Skills(Central South University)1458238165 最新慕课完整章节测试答案
Chapter 2 Medical History Inquiry
文章目录
Section 1 Definition and Content of Inquiry
1、单选题：
As the Song of 10 Inquiries says, “First chills and fever second sweat, third head and limbs fourth defecation; Fifth diet sixth chest and stomach, seventh hearing eighth thirst; Ninth old illness tenth causes.” What skill used in ancient medical activity do you think the song reflects?
选项：
A: Look
B: Listen
C: Question
D: Feel the pulse
答案: 【 Question 】
2、单选题：
Which of the statements about inquiry below is true?
选项：
A: Inquiry is a diagnostic method that a doctor takes medical history of a patient by inquiring the patient of relevant people systematically, conducts analysis and make clinical judgment.
B: Inquiry is the road sign and clue for disease diagnosis as some diseases can be diagnosed through inquiry.
C: Inquiry is the key moment to establish a harmonious doctor-patient relations. Successful inquiry makes patients feel that a doctor is amicable, facilitates the doctor-patient cooperation and leads to better diagnosis and treatment.
D: All of the above
答案: 【 All of the above】
3、单选题：
Which of the following choices is not included content of inquiry?
选项：
A: General data
B: Physical checkup
C: Review of systems
D: Chief complaint and history of present illness
答案: 【 Physical checkup】
4、判断题：
With the advent of emerging examination technologies, some people think that understanding a patient’s conditions through inquiry and physical checkup isn’t as important.
选项：
A: 正确
B: 错误
答案: 【 错误】
5、判断题：
Inquiry is a diagnostic method that a doctor takes medical history of a patient by inquiring the patient or relevant people systematically, conducts analysis and make clinical judgment.
选项：
A: 正确
B: 错误
答案: 【 正确】
Section 2 General Data and Chief Complaint
1、单选题：
Which of the following items are not included in chief complaint?
选项：
A: Treatment process
B: Time span from this onset to seeing a doctor
C: Pains the patient feels most
D: The most apparent symptoms or physical signs.
答案: 【 Treatment process】
2、单选题：
Which one of the following doesn’t match chief complaint?
选项：
A: Repetitious pains of upper abdomen last for 3 years and spitting blood about 200ml before two hours;
B: Urgent, frequent and painful urination last for two days;
C: Palpitation and shortness of breath last for two years, accompanied by edema of lower limbs for about half a month.
D: Recurrent right-side headache
答案: 【 Recurrent right-side headache 】
3、多选题：
Multiple choices: General data of inquiry includes
选项：
A: Name
B: Gender
C: Chief complaint
D: Nationality
答案: 【 Name;
Gender;
Nationality】
4、判断题：
Chief complaint is the symptoms and/or physical signs that a patient feels most when seeing a doctor, as well as the duration.
选项：
A: 正确
B: 错误
答案: 【 正确】
5、判断题：
Description of diabetes in chief complaint should be “Polydipsia, polyphagia, polyuria, weight loss for 1 year”, instead of “diabetes for one year”.
选项：
A: 正确
B: 错误
答案: 【 正确】
Section 3 History of Present Illness
1、单选题：
Which part of inquiry reflect clinical thought most?
选项：
A: History of present illness
B: Past history
C: C． Personal history
D: Family history
答案: 【 History of present illness】
2、单选题：
Which of the following isn’t part of history of present illness?
选项：
A: Disease onset
B: Condition development and evolution
C: Operation history
D: Diagnosis and treatment process
答案: 【 Operation history】
3、单选题：
Main characteristics of symptoms in terms of history of present illness include
选项：
A: Nature of lesion
B: Duration and severity
C: Factors to mitigate or aggravate
D: All of the above
答案: 【 All of the above】
4、判断题：
When inquiring about history of present illness,in addition to characteristics of main symptoms, doctors also need to inquire about meaningful negative symptoms as some of negative symptoms may have important effect on identification.
选项：
A: 正确
B: 错误
答案: 【 正确】
5、判断题：
Such information about a patient as mental state, dietary and sleep since he or she develops a disease should be included in General data.
选项：
A: 正确
B: 错误
答案: 【 正确】
Section 4 Inquiry of Past History, Review of Systems, and Personal History
1、单选题：
Which of the following is not included in the inquiry about past history?
选项：
A: Previous diseases
B: Vaccination history
C: History of surgery and blood transfusion
D: History of smoking, alcohol-drinking and hobbies
答案: 【 History of smoking, alcohol-drinking and hobbies 】
2、单选题：
For patients who suffer from recurrent stomachache, review of systems should focus on
选项：
A: Respiratory system
B: Digestive system
C: Urinary system
D: Circulation system
答案: 【 Digestive system】
3、判断题：
Compared with history of present illness, past history, personal history and family history are relatively less important. Therefore, some students think that inquiry about “past history”and “personal history”are just perfunctory and not important.
选项：
A: 正确
B: 错误
答案: 【 错误】
4、判断题：
Review of systems is not intended to make a list of symptoms for medical record but to gain an overall understanding of the patients’ conditions and prevent neglect of previous diseases.
选项：
A: 正确
B: 错误
答案: 【 正确】
5、判断题：
Since inquiry about history of unclean sexual intercourse and sexually transmitted diseases tend to touch patients’ privacy, the doctors should take care to protect patients’ privacy.
选项：
A: 正确
B: 错误
答案: 【 正确】
Section 5 Inquiry of Marital History, Menstrual History and Childbearing History, and Family History
1、单选题：
To inquire married patients about their marital history, doctors need to ask
选项：
A: Marriage age
B: Physical health of their spouse
C: Sexual life and conjugal relation
D: All of the above
答案: 【 All of the above】
2、单选题：
The childbearing history of a married lady doesn’t include:
选项：
A: Number of pregnancies and childbirths, and childbearing age
B: History of induced or spontaneous abortion
C: If she suffers from dysmenorrhea and leukorrhea
D: If she had still birth, cesarean delivery and puerperal fever
答案: 【 If she suffers from dysmenorrhea and leukorrhea 】
3、判断题：
In the form of recording menstrual history, the first item represents menarche age.
选项：
A: 正确
B: 错误
答案: 【 正确】
4、判断题：
For a male patient, doctors don’t need inquire about his childbearing history.
选项：
A: 正确
B: 错误
答案: 【 错误】
5、判断题：
For rare hereditary diseases such as hemophilia, albinism and psychosis, doctors need to ask about history of present illness as well as family history.
选项：
A: 正确
B: 错误
答案: 【 正确】
Section 6 Inquiry Technique I
1、单选题：
Which of the following statements about inquiry is false
选项：
A: Use simple and easy-to-understand language
B: Gain overall knowledge but highlight the key points
C: For pediatric or comatose patients, doctors may ask their custodians or persons knowing about them.
D: Use medical terms
答案: 【 Use medical terms】
2、单选题：
In the process of inquiry, doctors should avoid
选项：
A: Ask open questions
B: Asking in a systematic and purposeful manner
C: Leading inquiry and/or calling patients to account
D: Encouraging patients to ask questions
答案: 【 Leading inquiry and/or calling patients to account】
3、判断题：
Allow patients fully state and emphasize the circumstances and feelings that he thinks are important as much as possible. Only when their statement is too far away from the disease, it is necessary to flexibly turn the topic back according to the main clues of the statement, and do not interrupt them bluntly
选项：
A: 正确
B: 错误
答案: 【 正确】
4、判断题：
“How long have you suffered from stomachache?” is an open question.
选项：
A: 正确
B: 错误
答案: 【 错误】
5、判断题：
As to whom to inquire, doctors should directly ask patients’ family members when possible
选项：
A: 正确
B: 错误
答案: 【 错误】
Section 7 Inquiry Techniques II
1、单选题：
Doctors need to pay attention to language skills during inquiry. Which of the following is inappropriate?
选项：
A: No need to use transitional language
B: Keep language simple and easy to understand
C: Language of encouragement and praise
D: Appropriate body language
答案: 【 No need to use transitional language】
2、单选题：
Which of the following is a wrong way to inquire?
选项：
A: “Did you ever wake up because of urination during sleep?”
B: “Have you ever suffered from paroxysmal nocturnal dyspnea?”
C: “Your blood glucose monitoring record is done very well!”
D: “It is great that you have quit smoking!”
答案: 【 “Have you ever suffered from paroxysmal nocturnal dyspnea?”】
3、多选题：
Which of the terms below should be avoided using?
选项：
A: Occult blood
B: Delirium
C: Epistaxis
D: Tenesmus
答案: 【 Occult blood ;
Delirium;
Epistaxis ;
Tenesmus】
4、判断题：
Avoid using medical terms during inquiry.
选项：
A: 正确
B: 错误
答案: 【 正确】
Chapter 3 Doctor-Patient Communication Skills
Section 1 Oral Language Skills
1、单选题：
Which one of the following statements is the best for doctor-patient communication?
选项：
A: You are so unreasonable.
B: You talk too much.
C: Easy, speak slowly.
D: Are you the patient of bed 3? come for examination!
答案: 【 Easy, speak slowly. 】
2、单选题：
Which one of the following is improper for addressing a patient?
选项：
A: Li Wei of Bed 5.
B: Li Wei , No.10.
C: Mr./Mrs. Li.
D: Bed 5
答案: 【 Bed 5】
3、单选题：
which oral expression is improper in doctor-patient communication?
选项：
A: Complimentary expressions
B: Commanding expressions
C: Polite expressions
D: Cmforting expressions
答案: 【 Commanding expressions】
4、单选题：
which one of the following is acceptable?
选项：
A: Do you have occult blood in stool?
B: What’s the color of your stool?
C: Your diagnosis from the previous hospital is completely wrong. If you came to me earlier, the situation wouldn’t be so bad!
D: How could it be that the doctor prescribed these doctorines for you, it was totally wrong.
答案: 【 What’s the color of your stool?】
5、判断题：
when talking with a patient with terminal tumor about his or her disease, the doctor must be honest and tell him or her that the tumor is incurable.
选项：
A: 正确
B: 错误
答案: 【 错误】
Section 2 Body Language Skills
1、单选题：
During doctor-patient communication, which one of the following body la