2021年臨床執(zhí)業(yè)醫(yī)師實踐技能考試病例分析實戰(zhàn)模擬7（2型糖尿?。?/title> <meta name="description" content="關(guān)于“2021年臨床執(zhí)業(yè)醫(yī)師實踐技能考試病例分析實戰(zhàn)模擬（2型糖尿?。钡膬?nèi)容，相信很多考生都在關(guān)注，2021年全國臨床執(zhí)業(yè)醫(yī)師實踐技能考試在即，為了幫助廣大考生順利通過實踐技能考試，醫(yī)學(xué)教育網(wǎng)特整理了?？荚嚲?，具體如下：【實戰(zhàn)模擬7】女性，45歲。煩渴、多飲2個月?；颊?個月前開始，無明顯誘因出現(xiàn)煩渴、多飲，日" /> <meta name="keywords" content="2型糖尿病,病例分析題" /> <link rel="stylesheet" type="text/css" href="http://thedailypurge.net/css/news/2018news2.css?v=20210802"/> <meta name="applicable-device" content="pc"> <style> table.borderVisible td,table.borderVisible th,table.borderVisible caption{border:1px solid } </style> <style> a.hotLink{color:inherit !important;}a.hotLink:hover{text-decoration:underline !important;}a.hotLink::selection{background:#ffeb3b;} </style> <meta http-equiv="Cache-Control" content="no-transform" /> <meta http-equiv="Cache-Control" content="no-siteapp" /> <script>var V_PATH="/";window.onerror=function(){ return true; };</script> </head> <body 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class="crumbs fl">您的位置：<a href='/'>醫(yī)學(xué)教育網(wǎng)</a> > <a href='/linchuangyishi/'>臨床執(zhí)業(yè)醫(yī)師</a> > <a href='/linchuangyishi/shijianjineng/'>實踐技能</a> > <a href='/linchuangyishi/jinengfudaopeixun/'>輔導(dǎo)精華</a></div> </div> <div id="cssvtvc" class="layout clearfix msf new-wrap"> <div id="8imr594" class="new_left fl"> <div id="wakqhlq" class="news_mian"> <div id="dabftfy" class="tit"> <h1>2021年臨床執(zhí)業(yè)醫(yī)師實踐技能考試病例分析實戰(zhàn)模擬7（2型糖尿病）</h1> <div id="mzkokit" class="mark clearfix"> <div id="pgafh0t" class="fl"> <span id="4dlj69o" class="time">2021-06-07 15:22</span> <a href="http://thedailypurge.net" title="醫(yī)學(xué)教育網(wǎng)" class="a1">醫(yī)學(xué)教育網(wǎng)</a> </div> <a href="javascript:void(0)" onclick="window.external.AddFavorite(location.href,document.title);" target="_self" class="collection ico fr"></a>  <div id="ct1rhvt" class="fen fr">|</div> <div id="8sun6hl" class="font_size fr ico"><a href="javascript:void(0);" target="_self" class="big lan ico">大</a><a 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background="/template/listDetailGgw/" border="1" bor=""> <tbody align="center"> <tr class="firstRow"> <th style="border-top: 1px solid rgb(255, 255, 255); border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-right-color: rgb(255, 255, 255); border-bottom-color: rgb(255, 255, 255); border-left-color: rgb(255, 255, 255); color: rgb(51, 51, 51); background-color: rgb(222, 245, 255); padding: 6px 5px;" rowspan="1" colspan="3"> <span style="color: #C00000;">——●●●聚焦熱點●●●——</span> </th> </tr> </tbody> <tbody align="center"> <tr><td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/yishizigekaoshi/baoming/li2412107427.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">報名預(yù)約>></span></a> </td> <td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/yishizigekaoshi/kaoshijingyan/ha2412111216.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">有問必答>></span></a> </td> <td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/OtherItem/baomingpingce/index2.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">報考測評>></span></a> </td> </tr> </tbody> </table> <p></p> </span> </div>  <div id="ilo3gv0" class="news_con"> <div id="4j6qu6g" class="jxbox clearfix"> <p style="text-align: left;"><span style="font-family: inherit;">關(guān)于“2021年臨床執(zhí)業(yè)醫(yī)師實踐技能考試病例分析實戰(zhàn)模擬（2型<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>）”的內(nèi)容，相信很多考生都在關(guān)注，2021年全國臨床執(zhí)業(yè)醫(yī)師實踐技能考試在即，為了幫助廣大考生順利通過實踐技能考試，醫(yī)學(xué)教育網(wǎng)特整理了模考試卷，具體如下：</span><br/></p><p style="text-align: center;"><span style="color: rgb(192, 0, 0); font-size: 18px;"><strong>【實戰(zhàn)模擬7】</strong></span><br/></p><section data-id="1750" style="white-space: normal; color: rgb(51, 51, 51);"><blockquote style="margin: 0px; padding: 15px; border-radius: 7px; border: 2px solid rgb(255, 85, 95); text-align: left;"><p style="white-space: normal;"><strong>女性，45歲。煩渴、多飲2個月。</strong></p><p style="white-space: normal;">患者2個月前開始，無明顯誘因出現(xiàn)煩渴、多飲，日尿量近4000ml，夜尿由0次增加至2～3次，日飲水量明顯增加，約4000ml，易感疲勞，無明顯易饑、多食及怕熱多汗，未予重視。發(fā)病以來精神、睡眠無明顯變化，大便正常，體重下降約3kg。30歲初孕，妊娠7個月時診斷為妊娠期<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>，予胰島素治療，<a href="http://thedailypurge.net/jibing/fenmian/" target="_blank" title="分娩" class="hotLink">分娩</a>后停用胰島素，此后為復(fù)查血糖。無煙酒嗜好，有一個弟弟患有“<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>”。</p><p style="white-space: normal;">查體：T36.0℃，P72次/分，R18次/分，BP120/80mmHg。身高156cm，體重60kg，雙肺呼吸音清，未聞及干濕性啰音。心界不大，心率72次/分，律齊，各瓣膜聽診區(qū)未聞及雜音。腹平軟，無壓痛，肝脾肋下未觸及，移動性濁音（-）。雙下肢無水腫。</p><p style="white-space: normal;">實驗室檢查：血常規(guī)：Hb127g/L，WBC6.8×109/L，PLT180×109/L。尿常規(guī)：尿糖（++），尿酮體（-）、尿蛋白（-）。隨機血糖15.8mmol/L。肝腎功能、血電解質(zhì)正常。總膽固醇6.1mmol/L，甘油三酯2.7mmol/L，低密度脂蛋白膽固醇4.2mmol/L。</p><p style="white-space: normal;">要求：根據(jù)以上病歷摘要，請將初步診斷、診斷依據(jù)（如有兩個或以上診斷，應(yīng)分別列出各自診斷依據(jù)）、鑒別診斷、進一步檢查與治療原則寫在答題紙上。</p><p style="white-space: normal;"><strong>評分標準</strong><br/></p><p style="white-space: normal;"><strong>1.初步診斷（3分）</strong><br/></p><p style="white-space: normal;">（1）2型<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>（答“<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>”得1分，答“1型<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>”不得分）。（2分）</p><p style="white-space: normal;">（2）血脂異常。（1分）</p><p style="white-space: normal;">2.診斷依據(jù)（初步診斷錯誤，診斷依據(jù)不得分。未分別列出各自診斷依據(jù)，扣1分）（5分）</p><p style="white-space: normal;"><strong>（1）2型<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a></strong><br/></p><p style="white-space: normal;">①中年女性，有<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>家族史。（1分）</p><p style="white-space: normal;">②多飲伴多尿，夜尿增多，易疲乏，體重下降。（1分）</p><p style="white-space: normal;">③體重超重。（0.5分）</p><p style="white-space: normal;">④實驗室檢查：尿糖（++），隨機血糖＞11.1mmol/L。（1分）</p><p style="white-space: normal;">⑤妊娠期<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>病史。（0.5分）</p><p style="white-space: normal;">（2）血脂異常：實驗室檢查：總膽固醇、甘油三酯、低密度脂蛋白膽固醇均升高。（1分）</p><p style="white-space: normal;"><strong>3.鑒別診斷（3分）</strong><br/></p><p style="white-space: normal;">①1型<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>。（2分）</p><p style="white-space: normal;"><strong>②腎性糖尿。（1分）</strong><br/></p><p style="white-space: normal;">4.進一步檢查（6分）</p><p style="white-space: normal;">①空腹血糖和餐后2小時血糖（或答“OGTT”）。（2分）</p><p style="white-space: normal;">②糖化血紅蛋白。（2分）</p><p style="white-space: normal;">③胰島素釋放試驗（或答“C肽釋放試驗”）。（2分）</p><p style="white-space: normal;"><strong>5.治療原則（5分）</strong><br/></p><p style="white-space: normal;">①藥物治療，首選二甲雙胍。（2分）</p><p style="white-space: normal;">②醫(yī)學(xué)營養(yǎng)治療（或答“飲食治療”）。（1分）</p><p style="white-space: normal;">③體育鍛煉（或答“運動治療”）。（1分）</p><p style="white-space: normal;">④病情監(jiān)測。（0.5分）</p><p style="white-space: normal;">⑤健康教育。（0.5分）</p></blockquote></section><p style="text-align: left;">編輯推薦：</p><p><a href="/linchuangyishi/fudaopeixun/mu2106046341.shtml" articlerela="4490278" 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