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1/1臨床醫(yī)學英語試題及答案3篇(精選文檔)
臨床醫(yī)學英語試題及答案1一、將下列單詞或詞組譯成漢語:
1.cardiacarrhythmia2.microalbuminuria3.epidemicinfluenza
4.immunosuppression5.hyperglycemia6.lungcompliance
7.endoscopicultrasonography8.acutecholecysstitis
9.nosocomialinfection10.spectrumofdiseases
二、將下列單詞或詞組譯成英語
1.體溫計2.呼吸頻率3.生長因子4.炎性腸病5.早產(chǎn)
6.術(shù)前分期7.膽囊結(jié)石8.慢性支氣管炎9.血管造影術(shù)10.關(guān)節(jié)炎
三、英譯中
1.Thepatientphysicianinteractionproceedsthroughmanyphasesofclinicalreasoninganddecisionmaking.Theinteractionbeginswithanelucidationofcomplaintsorconcerns,followedbyinquiriesorevaluationtoaddresstheseconcernsinincreasinglypreciseways.Theprocesscommonlyrequiresacarefulhistoryorphysicalexamination,orderingofdiagnostictests,integrationofclinicalfindingswiththetestresults,understandingoftherisksandbenefitsofthepossiblecoursesofaction,andcarefulconsultationwiththepatientandfamilytodevelopfutureplans.Physiciansincreasinglycancallonagrowingliteratureofevidencebasedmedicinetoguidetheprocesssothatbenefitismaximized,whilerespectingindividualvariationsamongdifferentpatients
2.cognitiveimpairmentincreasesinprominenceaspeopleage.Cognitiveimpairmentisariskfactorforawiderangeofadverseoutcomes,includingfalls,immobilization,dependency,institutionalization,andmortality.Cognitiveimpairmentcomplicatesdiagnosisandrequiresadditionalcaregivingtoensuresafety.
Insomepatients,cognitiveimpairmentmaymaskthesymptomsofimportantconditions.Treatmentforonediseasemayaffectanotheradversely,asintheuseofaspirintopreventstrokeinindividualswithahistoryofpepticulcerdisease.Theriskforbecomingdisabledordependentalsoincreaseswiththenumberofdiseasespresent.Specificpairsofdiseasescanincreasesynergisticallytheriskofdisability.
3.Occultbleedingisdefinedasthedetectionofasymptomaticbloodlossfromthegastrointestinaltract,generallybyroutinefecaloccultbloodtestingorthepresenceofirondeficiencyanemia.obscuregastrointestinalbleedingisdefinedasbleedingofunknownoriginthatpersistsorrecursafteranegativeinitialendoscopicevaluationofboththeupperandlowergastrointestinaltracts.Bothoftheseentitiesmaybepresentationsofrecurrentorchronicbleeding.
4.“Shortnessofbreath”,“afeelingofnotbeingabletogetenoughair”,and“l(fā)aboredbreathing”arealltermsusedbypatientstodescribethesymptomofdyspnea.
Anincreaseddrivetoventilatemayalsocausedyspnea.Suchstimuliincludehypoxia,usuallywhenarterialoxygentensionsarelessthan60mmHg,andstimulifrominflamedlungparenchyma,asoccurinbacterialpneumoniaoralveolitisandthatdrivetherespiratorycentersofthebrain.Thesestimulioftenlowertherestingcarbondioxidepressuretolessthanthenormallevelof40mmHgandcausedyspnea,especiallyonmildexertion.
5.Afterseveralyears,mostdiabeticpatientsexhibitdiffuseglomerulosclerosis,althoughaminorityhavepathognomonicKimmelsteilwilsonnodularlesions.Althoughpathologicchangescontinuetomountthroughoutthedisease,glomerulosclerosisextensiveenoughtocauseESRDdevelopsinaminorityofpatients;inthesecases,overtalbuminuriabeginsapproximatedly15yearsafterdiagnosis.Soonafter,followingavariableperiodontheorderof3to5years,theGFRbeginsarelentlessdecline,whichiseventuallyreflectedbyanincreaseinserumcreatinine.TheappearanceofmassiveproteinuriaandthenephroticsyndromeiscommoninthiscontextandoftenheraldsprogressiontoESRD.Oncetheserumcreatininerises,ESRDdevelopsinmostpatientswithin10years.Thiscourseishighlyvariable,houever,particularlyintype2diabetics,whomayexhibitmoderateproteinuriaforseveralyearswithoutasubstantialdeteriorationofrenalfunction.
6.Thefirstsignsorsymptomsofcancerarefrequentlyduetometastasestovisceralornodalsites.Inmostsuchpatients,routineclinicalevaluationwithacomprehensivehistory,physicalexamination,completebloodcellcount,screeningchemistries,anddirectedradiologicevaluationofspecificsymptomsorsignsidentifiestheprimarytumor.Patientswhohavenoprimarytumorlocatedafterthisroutineclinicalevaluationaredefinedashavingcancerofunknownprimarysite.Furtherclinicalandpathologicevaluationwillidentifytheprimarysiteinonlyasmallminorityofpatients,andabout80%willneverhaveaprimarysiteidentifiedduringtheirsubsequentclinicalcourse.
7.Inthemanagementofthepregnanttraumapatient,thecriticalpointisthatresuscitationofthefetusisaccomplishedbyresuscitationofthemother.Therefore,theinitialevaluationandtreatmentofthepregnantinjuredpatientisidenticaltothatofthenonpregnantinjuredpatient.Rapidassessmentofthematernalairway,breathing,andcirculationandensuringanadequateairwayavoidsmaternalandfetalhypoxia.Inthelaterstagesofpregnancy,asalreadydescribed,uterinecompressionofthevenacavamayresultinhypotensionfromdiminishedvenousreturn,sothepregnanttraumapatientshouldbeplacedinleftlateraldecubitusposition.Ifspinalcordinjuryissuspected,thepatientmaybesecuredtoabackboardandthentiltedtotheleft.Theincreasedbloodvolumeassociatedwithpregnancyhasimportantimplicationsinthetraumapatient.Signsofbloodlosssuchastachycardiaandhypotensionmaybedelayeduntilthepatientlosesnearly30%ofherbloodvolume.
8.Postoperativesurgicalcomplicationsrepresentoneofthemostfrustratinganddifficultoccurrencesexperiencedbysurgeonswhodoasignificantvolumeofsurgery.Regardlessofhowtechnicallygifted,bright,andcapableasurgeonis,surgicalcomplicationsareavirtuallyguaranteedaspectoflife.Thecostof
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