临床诊断学问诊课后习题

临床诊断学问诊课后习题

一、单选题：

1、以下哪项不是问诊的内容

A．起病情况与患病时间 B. 诊治经过 C. 月经史 D. 伴随症状 E.腹部肌紧张

2、以下哪项不是个人史的问诊内容

A. 社会经历

B. 习惯与嗜好

C.大小便情况

D.职业

E. 出生地

答案：1.E 2.C

二、简答题：

1、试述现病史问诊的内容？

现病史：是病史中的总体部分，它记述患者病后的全过程，即发生、发展、演变和诊治经过。现病史问诊内容包括：

1．起病情况与患病时间；2。主要症状的特点；3。病因与诱因；4。病情的演变与发展；5．伴随症状； 6。诊治经过； 7。病程中的一般情况；

Inquisition

1. What should be asked when you make inquisition?

1.General data: such as name, sex, age，native, birth place, profession, marital

status, source of history and estimate of reliability etc.

2.Chief complaints: It should constitute in a few simple words the main reasons

why the patient consulted his physician, which usually includes symptoms or sign the patient is suffering.

3.History of present illness: It should be a well-organized, sequentially developed

elaboration of patient’s chief complaint or complaints. A good history will reflect the facts that your diagnosis or impression is going to be made.

4. Past history: Health condition and disease which the patient suffered before

the present illness. Infectious disease, surgery, allergy are essential part of the case history.

5. Systems review:

The purpose of this review is twofold:

(1): A thorough evaluation of the past and present status of each body system.

(2): A double check to prevent omission of significant data relative to the

present illness.

6. Personal history: It includes those relating to smoking and alcoholic beverages (duration and amount), sedatives, social history, profession and working condition.

1.Marital history: This review includes data concerning the health of the mate, the number of children and their physical status.

2.Menstrual history

3.Childbearing history

4.Family history: Inquire the disease of patient’s first relative which might be hereditary, such as heart disease, hypertension, diabetes etc.

2. How to ask the patient for his present history of illness?