First, multiple choice questions
(2 points for each question, ***40 points): There is only one best answer among the alternative answers.
1. According to the unified national standards, the health records of urban and rural residents are established on 20 1 1, as follows []
A the standardized rate of health records is over 30% in rural pastoral areas and over 50% in cities;
B the standardized filing rate of pregnant women and children aged 0-36 months is over 85%;
C. The standardized filing rate of elderly people in urban communities and people with chronic diseases such as hypertension and diabetes has reached over 85%;
D. all of the above;
2. The following correct statement is []
The filing rate of a standardized health record = the number of people who have established standardized health records/the number of permanent residents in the jurisdiction ×100%;
B. Health management rate of elderly residents aged 65 and above = number of people receiving health management in that year/number of permanent residents aged 65 and above in the jurisdiction ×100%;
C. Complete rate of health examination forms for elderly residents aged 65 and above = number of health examination forms completed/number of health examination forms sampled ×100%;
D. all of the above;
3. The following correct statement is []
A. Health management rate of patients with hypertension = number of patients with hypertension managed in that year/total number of patients with hypertension in that year ×100%;
B. Standardized management rate of hypertensive patients = the number of hypertensive patients who have completed 4 follow-up management every year/the number of hypertensive patients who should be followed up every year ×100%;
C. Blood pressure measurement rate of first-visit patients over 35 years old = number of first-visit patients over 35 years old/total number of first-visit patients over 35 years old ×100%;
D. Health check-up rate of hypertension patients = number of health check-ups of hypertension patients/number of management of hypertension patients ×100%;
E. Blood pressure control rate of management population = number of people whose blood pressure reached the standard in the latest follow-up/number of people whose blood pressure has been managed × 100%, and blood pressure control standard: blood pressure of patients diagnosed with hypertension in the latest follow-up, systolic blood pressure < < 140mmHg and/or diastolic blood pressure < < 90mmHg；;
F. all of the above;
4. The following correct statement is []
A. Health management rate of patients with type 2 diabetes mellitus = number of patients with type 2 diabetes mellitus managed in that year/total number of patients with type 2 diabetes mellitus in that year ×100%;
B. Standardized management rate of patients with type 2 diabetes = number of patients with type 2 diabetes who have completed 4 follow-up management every year/number of patients with type 2 diabetes who should be followed up every year ×100%;
C. Health check-up rate of patients with type 2 diabetes = number of health check-ups of patients with type 2 diabetes/number of managers of patients with type 2 diabetes ×100%;
D. The blood sugar control rate of managed type 2 diabetic patients = the number of patients with fasting blood sugar reaching the standard at the last follow-up/the number of managed type 2 diabetic patients × 100%, and the blood sugar control standard: the fasting blood sugar value at the last follow-up.
E. all of the above;
5. The diagnostic criteria of hypertension are correct: []
A. Hypertension refers to systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmhg after at least three different daily blood pressure measurements without taking antihypertensive drugs;
B Three times on the same day, which generally means 1 time every two weeks, not the same day today, tomorrow and the day after tomorrow;
C. The patient has a history of hypertension in the past and is currently taking antihypertensive drugs. Although the blood pressure is lower than 140/90 mm Hg, it should also be diagnosed as hypertension;
D according to whether the cause is clear, hypertension can be divided into secondary hypertension and primary hypertension;
E. all of the above;
6. Diabetes Branch of Chinese Medical Association suggested that WHO (1999) diagnostic criteria should be adopted in China population: diagnosis should be based on clinical symptoms, fasting, blood glucose level at any time or 2-hour blood glucose value of oral glucose tolerance test (OGTT). The following diagnostic criteria for diabetes are correct: []
A. If there are symptoms of diabetes such as excessive drinking, overeating, excessive urination and weight loss, and the blood sugar level at any time is11.1mmol/L, it can be diagnosed as diabetes.
B. If the fasting plasma glucose (FPG) level is ≥7.0mmol/l, or the 2-hour blood glucose (PG) level in oral glucose tolerance test (OGTT) is ≥1.1mmol/L, diabetes can also be diagnosed.
C. all of the above;
7. According to the classification of diabetes prevention, avoiding the onset of diabetes, promoting healthy diet and avoiding obesity belong to []
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Four-level prevention
E. Five-level prevention
8. Family self-measured blood pressure is generally different from clinical blood pressure. Family self-measured blood pressure 135/85mmHg is equivalent to clinical blood pressure: []
a . 130/80 mmhg b . 130/90 mmhg c . 140/90 mmhg d . 145/90 mmhg e . 145/95 mmhg
9. How many face-to-face follow-up visits should township hospitals, village clinics and community health service centers (stations) provide for patients with type 2 diabetes or hypertension? []
A.2 B.3 C.4 D.5 E.6
10. Regarding the expiration date of insulin, the bottled insulin that has been opened can be stored at 2-8℃: []
A.30 months
B.60 months
C.90 months
D. 120 month
E.3 months
1 1. The follow-up contents of hypertension patients are: []
A. The dynamic changes of blood pressure guide patients to measure blood pressure regularly, encourage and guide patients to measure and record blood pressure, and analyze and evaluate the recent blood pressure control.
B. Changes in health behaviors: Health guidance and intervention are provided according to patients' unhealthy lifestyles and risk factors.
C. drug treatment to understand the drug use and adverse reactions, evaluate the drug treatment effect, adjust the treatment plan in time, and improve the treatment compliance of patients.
D. urge patients to carry out relevant laboratory tests regularly. Supervise patients to carry out relevant examinations regularly according to management requirements, find target organ damage and coexisting diseases in time, and refer them in time.
E. all of the above.
12. Long-standing unsolved or unsolvable problems in health records should be recorded in [].
A. Temporary problem list B. Main problem list C. Long-term problem list
D. List of short-term problems E. List of serious problems
13. Fasting means not eating calories for at least how long: []
A.6 hours B.8 hours C. 10 hours D. 12 hours E. 14 hours.
13. Early detection and treatment of hypertension is []
A. Opportunistic screening: finding or diagnosing hypertensive patients by measuring blood pressure during medical treatment;
B. Screening of key populations: hypertensive patients (35 years old and above) first diagnosed and found by pressure measurement in medical institutions at all levels, and hypertensive patients registered and diagnosed in high-risk groups;
C. Health check-up: employees and employees will be found with hypertension during health check-up;
D. Residents' health filing: for patients with hypertension found in the establishment of residents' health files, family visits and other opportunities are used to collect undiagnosed patients in the community;
E. all of the above;
14. The standard of satisfactory blood pressure control in patients with hypertension is []
A. Blood pressure is normal, and there are no drug side effects and complications;
B. Blood pressure is normal and there are side effects of drugs;
C. Blood pressure is normal, and new symptoms or original complications are aggravated;
D. all of the above;
15. The discovery channel of diabetic patients is [].
A. Opportunistic screening: through consultation and blood sugar test, diabetic patients are found or diagnosed;
B. Screening for high-risk groups: screening for blood sugar for those who meet the conditions of high-risk groups;
C, establishing a health file: collecting diabetic patients through the previously established population health file;
D. Health check-up: diabetes patients are detected through the health check-ups of employees and employees;
E. Active detection: through health education, residents are encouraged to take the initiative to detect blood sugar and find diabetic patients;
F. Collecting information of patients diagnosed in the community: collecting undiagnosed diabetic patients in the community by family visits and other opportunities;
G. all of the above;
16. Male, 68 years old, blood pressure 150/80mmHg, smoking, regular exercise, physical examination found TC: 6.9mmol/L. It should be diagnosed as: []
A. hypertension 1 (low risk) B. hypertension 1 (medium risk) C. hypertension 1 (high risk)
D. Hypertension 1 (very high risk) E. Hypertension 2 (moderate risk)
17. Patients with type II diabetes are satisfied with blood sugar control (fasting blood sugar
A. Blood sugar is normal, and there are no drug side effects and complications;
B. Blood sugar is normal and there are side effects of drugs;
C. Blood sugar is normal, and there are new or abnormal complications;
D. all of the above;
18. Which of the following is hepatitis B big three positive []
A.HBsAg (+) HBeAb (+) anti -HBc(-)
B.HBsAg (+) HBeAb (-) anti -HBc(+)
C. Hepatitis B surface antigen (+)
D.HBsAg (+) HBeAb (+) anti -HBc(+)
E.HBsAg (+) HBeAg (+) anti-HBc(+)
19. In developed countries, how to define the elderly as the elderly []
A.60 years old
B.65 years old
C.70 years old
D.75 years old
E.80 years old
20. In developed countries, how to define the elderly as the elderly []
A.60 years old
B.65 years old
C.70 years old
D.75 years old
E.80 years old
Second, multiple choice questions
(2 points for each question, ***40 points): At least two of the alternative answers are correct.
1. The following statement is correct: []
A filing rate of health records = number of filing persons/registered population in the jurisdiction × 100%.
B utilization rate of health records = number of files with dynamic records in spot check/total number of files × 100%.
C filing rate of health records = number of filing persons/number of permanent residents in the jurisdiction × 100%.
D. The qualified rate of health files = the number of qualified files filled in/the total number of random files × 100%.
E. utilization rate of health records = number of files with dynamic records in the spot-check files/total number of spot-check files × 100%.
2. The subjective data of personal health records includes which of the following []
A. Chief complaint B. Current medical history C. Laboratory examination results D. Past history E. Physical examination results
3. The goal of obese diabetic patients is: []
A. The body mass index reaches or approaches 22 BC, and the body mass index reaches or approaches 24 BC.
C. The body mass index reaches or approaches 26 d, and the body weight is reduced by at least 5%-10%;
E. lose at least 10%- 15%.
4. The antihypertensive goal of hypertension patients in the Guidelines for the Prevention and Treatment of Hypertension in China (revised in 2005) is: []
A. the blood pressure of common hypertensive patients decreased to < < 140/90 mmHg.
B. the blood pressure of common hypertensive patients decreased to < 150/90 mmHg.
C patients with diabetic nephropathy decreased to < < 130/80 mmHg.
D patients with diabetic nephropathy decreased to < < 120/80 mmHg.
E. the systolic blood pressure of the elderly is reduced to < 150mmhg, which can be further reduced if it can be tolerated.
5. The following events belong to family life: []
A. Death of spouse B. Divorce C. Marriage D. Pregnant wife E. Birth of child
6. The tertiary prevention of diabetes is []
The goal of primary prevention is to correct the controllable risk factors of diabetes and reduce the incidence of diabetes. Improve the detection rate of diabetes and find and treat diabetes as soon as possible;
B. The secondary prevention of diabetes is to prevent diabetic complications, mainly chronic complications, for patients with diabetes who have been diagnosed. The key to prevent and treat diabetic complications is to control the blood sugar and blood pressure of patients as soon as possible, correct dyslipidemia and obesity, quit smoking and other risk factors leading to complications;
C. The tertiary prevention of diabetes is to reduce the disability rate and mortality rate of diabetes and improve the quality of life of diabetic patients;
7. Contraindications for vaccination are: []
A. acute infectious diseases;
B. allergic constitution;
C. serious chronic diseases;
D. nervous system diseases and mental diseases;
E. severe malnutrition, especially 1 infant.
8. AIDS can be spread through []
A. sexual contact transmission;
B. blood transmission;
C. airborne:
D. mother-to-child transmission;
E. working together.
9. Which of the following people are at high risk of hypertension: []
A.& gt55-year-old male B. Immediate family members of hypertensive patients C. Long-term heavy drinkers
D. overweight people, that is, people who seldom exercise
10. Which of the following conditions indicates that secondary hypertension may exist: []
A. the onset age is less than 30 years old;
B. Elevated blood pressure with limb weakness or paralysis, often accompanied by periodic attacks;
C. Nocturnal urine increases, urine foam increases or there is a history of kidney disease;
D. Paroxysmal hypertension, accompanied by headache, palpitation, pale skin and hyperhidrosis;
E. The blood pressure of lower limbs is obviously lower than that of upper limbs, the blood pressure difference between the two upper limbs is more than 20mmHg, and the pulsation of abdominal aorta, femoral artery and other arteries is weakened or blocked.
1 1. Which of the following situations occurs during or after vaccination, which should be reported as a suspected vaccination adverse reaction: []
A within 24 hours after inoculation: anaphylactic shock, allergic skin rash (urticaria, erythema multiforme), syncope, hysteria, etc.
B within 5 days after inoculation: fever (axillary temperature ≥ 38.6), angioedema, systemic purulent infection (toxemia, septicemia, septicemia), swelling and swelling of inoculation site (diameter >; 2.5), induration, suppurative infection (local abscess, lymphangitis, lymphadenitis, cellulitis), etc. ;
C allergic skin rash (measles, scarlet fever-like rash), allergic purpura, thrombocytopenic purpura, local allergic reaction (Arthus reaction), febrile convulsion, epilepsy, polyneuritis, encephalopathy, encephalitis and meningitis, aseptic abscess at inoculation site, etc. Occurs within 15 days after inoculation;
D within 3 months after inoculation: brachial plexus neuritis, vaccine-related paralytic polio, etc. ;
E. Pneumonia after vaccination