Type A questions (2 points for each question, ***40 points): There is only one best answer among the alternative answers.
1. In the following cases, it is suggested that pregnant women should be transferred to higher-level hospitals for prenatal diagnosis [].
A. Older pregnant women (> 35 years old)
B. Patients with excessive or insufficient amniotic fluid
C. Fetal dysplasia
D. all of the above are needed
2. 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
3. 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
4. How many days after the newborn is discharged from hospital, should community health care doctors make home visits? [ ]
A. 2-3 days after discharge;
B. In the last 3-4 days;
C. 3-7 days after discharge;
D. 3-5 days after discharge;
E. 4-7 days after discharge.
5. The following is the time and place of the full moon visit, which is correct: []
A. 28-30 days after birth, community health service center;
B. 28-42 days after birth, community health service center;
C. 28-30 days after birth, at the maternal home;
D. 3-7 days after birth, community health service center;
E 50 days after birth, community health service center.
6. Fetal movement counting is a common method for pregnant women to monitor themselves. Under normal circumstances, the number of fetal movements in 12 hour should be _ _. [ ]
A.60 times or more
B.30 times or more
C. Less than 20 times
D. Less than 10 times
E. Less than 5 times
7. How many face-to-face follow-up visits should township hospitals, village clinics and community health service centers (stations) provide for patients with diagnosed type 2 diabetes? []
A.2 B.3 C.4 D.5 E.6
8. 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
9. The contents of follow-up 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.
When measuring the height of children over 10.3 years old, it is correct: []
A. For the vertical height meter, the calibration error of the measuring tool shall not exceed 0.1cm; ;
B the calibration error of the vertical height gauge and measuring tool shall not exceed 0.5cm;
C the calibration error of leveling instrument and measuring tool shall not exceed 0.65438 0 cm;
D the calibration error of leveling instrument and measuring tool shall not exceed 0.5cm;
E. None of the above
1 1. What caused thrush? [ ]
A. staphylococcus;
B. oral virus;
C. it is caused by neonatal hand sucking;
D. this is caused by candida albicans;
E. due to insufficient breast milk.
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.
14. Normal value of adult male hemoglobin: []
A.120-160g/l
B.110-150g/l
C.100-140g/l
D.90-130g/l
E.80-120g/l
15. In order to reduce the incidence of fetal neural tube malformation, [] should be taken from the third month before pregnancy to the third month after pregnancy.
A. Calcium agent B. Vitamin D C. Trace element D. Folic acid E. Iron agent
16. When inhaling deeply, the splenic margin exceeds the umbilical horizontal line or anterior midline, which is []
A. normal;
B. high expansion;
C. moderate swelling;
D. mild swelling;
17. 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)
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. The clients of the Code refer to patients with severe mental illness who are clearly diagnosed and live at home within their jurisdiction, mainly including [].
A. Schizophrenia, schizophrenia, paranoid psychosis, bipolar disorder, etc.
B Schizophrenia, neurosis, paranoid psychosis, bipolar disorder, etc.
C. Schizophrenia, schizoaffective mental disorder, adaptation disorder, bipolar disorder, etc.
D. Schizophrenia, schizoaffective mental disorder, paranoid psychosis, anxiety disorder, etc.
Type X 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. Newborns need referral in the following situations: []
A. body temperature >; 38.5, physical cooling for 4 hours is invalid;
B jaundice lasts too long (> 14 days), or the limbs are yellow;
C. newborns with milk overflow;
D. Breathing too fast, > 60 times/minute;
E. the body temperature is below 35 degrees.
5. Infant obesity = actual weight-standard weight calculated by body length/standard weight calculated by body length × 100%. Diagnostic criteria for overweight and obesity: []
A Obesity 10% ~ 19% people are overweight.
B.20-29% obesity is mild,
C.30-50% obesity is moderate,
D.40-50% obesity is serious.
E. Obesity over 50% is severe.
6. 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.
7. The following are family life events: []
A. Death of spouse B. Divorce C. Marriage D. Pregnant wife E. Birth of child
8. What happens to the newborn during the postpartum visit, and it needs to be transferred for diagnosis and treatment []
A. red ass
B jaundice lasts for 7- 10 days.
C. congenital diseases such as dislocation of hip joint and congenital heart disease.
D. There are problems with hearing and vision screening.
E. thrush
9. 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.
10. Postpartum depression is the most common psychological problem in the puerperium. Which of the following are risk factors for postpartum depression: []
A. Age
B. There is little social support, especially from husbands and parents.
C. History of adverse fertility
D. Poor health during pregnancy
E. Dissatisfied with the quality of maternal health care services
1 1. The transmission routes of AIDS are: []
A. sexual contact transmission;
B. blood transmission;
C. airborne:
D. mother-to-child transmission;
E. working together.
12. 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
13. What questions should be consulted immediately in the process of maternal health care services: []
A. reproductive tract malformations and gynecological tumors were found in early pregnancy.
B. Paroxysmal abdominal pain, vaginal bleeding, low back pain and other symptoms occurred in the first trimester.
C. Abdominal pain and vaginal bleeding in the third trimester of pregnancy.
D. Chest tightness, shortness of breath, inability to lie flat, opening windows in the middle of the night for ventilation, etc.
Hypertension, edema and a small amount of proteinuria occurred 20 weeks ago.
14. 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.
15. The types of infant malnutrition are: []
A. light weight;
B. short stature;
C. growth retardation;
D. emaciation;
E. severe chronic malnutrition.
16. The service requirements in this specification include []
(a) equipped with full-time (part-time) staff who have received relevant training in the management of severe mental illness to carry out relevant health management work.
B.(2) Strengthen contact with relevant departments, establish health records for newly discovered patients with severe mental illness within the jurisdiction and update them on time.
C (3) Follow-up includes making an appointment for outpatient service, telephone tracing and home visit.
D (4) Strengthen publicity, encourage and help patients to carry out rehabilitation training of life function, and guide patients to participate in social activities and receive vocational training.
17. During the second trimester health care, doctors should evaluate the health status of pregnant women and the growth and development of the fetus, and determine the key pregnant women who need prenatal diagnosis and referral. In any of the following circumstances, it should be suggested to transfer to a higher-level hospital for prenatal diagnosis: []
A. Older pregnant women (> 35 years old); Too much or too little amniotic fluid
B. Fetal dysplasia
C. people who are exposed to substances that may cause birth defects in the first trimester of pregnancy.
D having a family history of genetic diseases or having given birth to a child with serious birth defects.
There are more than two unexplained abortions, stillbirths or neonatal deaths.
18. Which of the following situations occurred during or after vaccination should be reported as suspected vaccination adverse reactions: []
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 occurs after vaccination.
19. Which of the following statements about contraception during lactation is correct: []
A. there is no need to take contraceptive measures during lactation.
B. tools can be used for contraception during lactation.
C. IUD can be placed 3 months after normal vaginal delivery.
D. intrauterine devices can be placed 6 months after cesarean section.
E. you can use contraceptives during lactation.
20. Self-knowledge refers to the ability of patients to understand their mental state. Generally, patients with schizophrenia have different degrees of insight disorder, which can be divided into the following categories: []
A. lack of insight
B. Incomplete self-awareness
C. Full self-knowledge
D. Poor self-control ability
Second, fill in the blanks (one point for each blank, ***20 points)
1, the best food for a baby within 6 months after birth is.
2. According to medical practice and analysis of a large number of data, it is generally believed that 20 years old is the best childbearing age for women. Avoid premature delivery and late childbirth before and after the age of 20.
3. The diagnostic criteria of diabetes are: patients with diabetes symptoms, such as random blood sugar, fasting blood sugar, or blood sugar 2 hours after 75g glucose load, can be diagnosed as diabetes.
Children aged 4.0-36 months, pregnant women, the elderly and patients with severe mental illness are the key groups to establish health records.
5. The normal blood pressure of pregnant women is zero or higher than the basic blood pressure.
6, measles patients should be closely isolated, try to reduce contact with others at home, generally isolated to _ _ days after the eruption, with pneumonia extended to _ _ _ days; Close contacts were vaccinated with measles vaccine within _ _ _ days, and the vaccination rate reached _ _%, and were observed for _ _ _ weeks.
7. Newborns should be vaccinated within 24 hours after birth.
8. Fetal movement counting is a common method for pregnant women to monitor themselves. The normal value of fetal movement count 12 hour should be. If the fetal movement count is less than 12 hours, it means that the fetus may be abnormal in the uterus; If it is less than twice, it means that the fetus is obviously deprived of oxygen in the uterus.
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