2023年全国医学英语水平考试（METS二级）练习题及答案一,更多相关资讯请继续查看易考吧全国医护英语水平考试
1). Salt Caves■Little can penetrate the solitude and soothing effects created from the roaring of the waves or the smell and feel of saltwater.But exactly how is a Midwesterner in the United States supposed to temporarily escape the everyday pressures of work，family，finances，and other worries？The answer isn’t in the Bahamas，but rather next door to a Polish buffet on the north side of Chicago.■There，Barrington resident Ew-a Chwala has successfully recreated the experience of a seaside getaway，complete with comfy beach chairs.One 45-minute session at Chwala’s Galos Caves is like three days at the sea.The artificial cave，containing 16 tons of Black Sea salt，transports visitors to another world.Chwala decided to bring the salt therapy concept to Chicago three years ago after experiencing salt caves in Poland during a vacation with her husband，Stanislaw.■Salt caves are common in Eastern Europe，said Chwala，who is originally from Poland.Europeans looking to improve their health often visit the caves as part of rehabilitation，she said.■Sparkling，white stalactites (钟乳石) hang down from the ceiling of the cave，which also features a pillar of sea horses hand-carved from the salt.A mermaid statue sits peacefully in the corner as soft light iluminates seashells and coloured stones on the walls.Strategically placed black lights provide an exotic ambiance and a feeling that you’ve not only left Chicago，but Earth itself.■“1 read about how good salt therapy is supposed to be，”Debie Gajewski，53，of Niles said before trying out the salt cave for the first time.With her was Lorraine Stukenberg，75，of Chicago，who also had never been to a salt cave.■Gajewski said she was hoping the visit would provide some relief from her fibromyalgia (纤维肌痛) and severe allergies.In addition to helping people recharge their batteries，salt therapy may be beneficial for a whole host of health issues.These include sinus problems，asthma，chronic pneumonia and bronchitis，and skin conditions.Gajewski suffered from( )
A.sinus problems and asthma
B.fibromyalgia and severe allergies
C.chronic pneumonia and bronchitis
正确答案：B
2). Medical Record Review■A detailed， current medical record can be an invaluable asset for patient evaluation.The patient’s“old”medical records should be thoroughly reviewed at the time of admission to develop a “framework”for the( )…………medical history and history of present illness.Often this information is vital in understanding the patient’s immediate condition.■Detailed daily progress notes recorded in the patient’s medical record are valuable for patient assessment.Such a record is helpful for( )…………attending physicians and：nurses as it enables them to ascertain the patient’s progress.When writing progress notes，it’s helpful to follow the SOAP format.■S=subjective.This section usually includes a description of patient complaints and ( )…………These should be recorded in the patient’s own words.O=objective.This section records the patient’s physical exam findings including vital signs as well as ( )…………recent X-ray， lab and( )…………data.Avoid the notation“vital signs are stable”.A blood pressure of 100/60 in a patient with a history of hypertension may represent relative“( )…………”with signifcant hemodynamie (血流动力学)consequences.A-assessment.This section is often the most ( )…………in the progress note.However， it is perhaps the most important as decisions regarding selection of diagnostic test and treatment plans are based upon the assessment.P=plan.In this section is recorded the treatment plan including ( )…………length of treatment， and discharge plans.■When a patient is re-admitted， the old chart should be immediately obtained from the medical records department， even while the patient is still in the ER.Often the clue to the patient’s current diagnosis may be related to prior illnesses recorded in the old chart.Each physician or consultant involved in the patient’s care must review the old chart taking special note of the( )…………summary.The prior medical record is also valuable for( )…………of current data with previous data.( )
A.prevalent
B.defense
C.pertinent
D.comparison
E.consultants
F.symptoms
G.hypotension
H.neglected
I.current
J.estimated
A.biopsy
A.discharge
正确答案：E
3). How to Make Nursing Care Plans■Nursing care plans help track a patient’s progress through the recovery process.These plans give nurses a specific set of goals to measure the patient’s progress leading to the eventual patient discharge.Care plans provide a thorough accounting of the patient and his care from beginning to end.■Instructions：■1.( )This includes all the objective information，such as age，date，sex and vital signs.It also includes subjective patient information，such as symptoms and medical history.■2.Create a problem list that includes the medical diagnoses and all issues affecting treatment and patient’s care，such as family problems，eating habits and disabilities.■3.( )These goals should be measurable and realistic for the Patient-i.e.，being able to keep down solid foods，ability to walk a certain distance and ability to formulate sentences.All of these goals will be dependent on a ) the type of patients and b ) the course of care.■4.( ).This will be done by the different nurses caring for the patient and reporting all the evaluations of the patient’s progress.This evaluation consists of any progress or decline in the patient’s status.■5.( ).These drugs and the times given can affect how the patient responds to various treatments.Adjust the schedule，as necessary，to allow for unfavorable drug interactions.■6.( ).As assessments are updated，goals need to be modified to accommodate for the increasing or decreasing abilities of the patient.( )
A.Take a comprehensive patient assessment
B.Evaluate the patient per shift
C.Date and sign the plan
D.Document all the drug and fluid requirements of the patient
E.Write a plan of care，including specific goals and instructions for patient care
F.Reevaluate the goals，as necessary
正确答案：F
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