First stop audit time/content
It is necessary to deal with the evaluation of 57 diseases in the syllabus, but in fact, four bone and joint diseases such as lower radius fracture, shoulder dislocation, cervical spondylosis and lumbar disc herniation should be excluded.
Preparation time: about 20 days, repeated study, repeated drills, missing and missing.
Second, the second stop review time/review content
The examination content includes four parts: four diagnoses of traditional Chinese medicine, physical examination, acupuncture and massage, and western medicine operation.
Preparation time: one week before the exam 10 days, you can practice repeatedly and get started quickly.
Sample question: describe and demonstrate the operation method of tongue diagnosis. (10)
1. The patient takes a sitting position or supine position, and the doctor's posture is slightly higher than that of the patient. (2 points)
2. Facing the natural light, the patient raises his head slightly, naturally sticks his tongue out of his mouth, relaxes his tongue body, makes his tongue flat and the tip of his tongue slightly low, and tries to open his mouth to fully expose his tongue body. (3 points)
3. The order of looking at the tongue is to look at the tongue quality (tongue spirit, tongue color, tongue shape and tongue state) first, and then look at the tongue coating (coating color, coating quality and coating distribution); Look at the tip of the tongue first, then at the middle and edge of the tongue, and finally at the base of the tongue. (3 points)
Look at the tongue quickly, quickly, comprehensively and accurately, and not for too long. If the judgment of looking at the tongue once is not accurate, the patient can rest for 3 ~ 5 minutes and look at the tongue again.
4. If necessary, you can cooperate with tongue scraping or tongue wiping. (2 points)
Third, the third stop review time/review content
The third stop doesn't need deliberate preparation, just be familiar with the exam questions. There is no need to delay precious review time on a topic.
Example question:
Topic: Patient, male, 35 years old, coughed and coughed yellow phlegm for 5 days. (10)
Answer requirements: around the above chief complaint, dictate the patient's current medical history and related medical history.
Answers and scores
(a) the content of the current medical history (7 points)
(1) Etiology, inducement and emergency degree.
(2) the characteristics of cough, whether there is discomfort when expectoration.
(3) Symptoms such as cold and heat, yellow nose, headache, hoarseness and cough, sore throat, thirst, excessive sweating, bad wind and dry throat.
(4) Whether there is any change in diet and defecation.
(5) Whether there are other discomforts.
(6) How about diagnosis and treatment?
(two) the content of the relevant medical history (2 points)
(1) Whether the above diseases have a history of recurrent attacks.
(2) Whether there is a history of drug or food allergy.
(3) Whether family members have similar medical history.
The integrity of consultation is 1.
2. Sample questions of Chinese medicine defense
How to choose menstrual drugs for headache?
Scoring points: 5 standard answers.
1. Sun has a headache and chooses Notopterygium Rhizoma and Vitex negundo;
2. Shaoyang headache, choose Chuanxiong and Bupleurum;
3. Yangming has a headache, choose Angelica dahurica and Pueraria lobata;
4. Jueyin headache, choose Evodia rutaecarpa and Artemisia;
5. Shaoyin headache, choose asarum;
6. Taiyin headache, choose Atractylodes.
3. Double diagnosis sample questions
Tian, male, 68 years old, married, worker. First visit on October 22nd, 2009/KLOC-0 +65438. Since the morning, the joint activity of both hands has been unfavorable 10 years. The joints of both hands are tingling, stiff, swollen and deformed, which is unfavorable for flexion and extension for 3 years. Joint skin is dark purple, swollen, hard to press, stiff limbs, dull complexion, eyelid edema, chest tightness and excessive phlegm.
Physical examination: T38℃, P 100 times/min, R 18 times/min, BP 120/80mmHg. Many proximal phalangeal joints and metacarpophalangeal joints of both hands are painful, tender and swollen, which are mostly symmetrical and accompanied by joint dysfunction. The tongue is purple and dark, with ecchymosis, white and greasy fur and astringent pulse.
Auxiliary examination: blood routine: white blood cell 5.5× 109/L, neutrophil 68%, hemoglobin 102g/L, erythrocyte sedimentation rate12mm/h, RF40-80IU/mL, X-ray film of both hands: both hands.
Diagnosis of diseases and syndromes in traditional Chinese medicine and diseases in western medicine.
Answers and scores
Diagnosis of TCM diseases and syndromes: arthralgia syndrome (3 points)
Phlegm and blood stasis syndrome (2 points)
Western medicine disease diagnosis: rheumatoid arthritis (5 points)
Require a complete diagnosis, incomplete, score points.
4. Clinical interpretation
grade scale
Ventricular premature beats (2 points) (3 points)
Skills clearance skills
1. skills attitude towards exams-we should recognize the importance of skills and put an end to fluky psychology.
2. The examination room is decent-surgery, acupuncture.
3. Grasp the review time of skills.