2022年上半年贵州省医护英语水平考试METS二级模拟真题

2022年上半年贵州省医护英语水平考试METS二级模拟练习题第一部分：听力理解（共20小题；每小题1分，满分20分）第一节：短对话（共10小题）听下面10段短对话，每段对话后有一个小题，从题中所给的A、B、C三个选项中选出最佳选项。每段对话仅读一遍。1.女：医生，我家孩子最近总说肚子疼，尤其是吃完饭后更明显。需要做B超吗？男：先别急着做影像检查。孩子最近有腹泻或呕吐吗？女：昨天吐了一次，今天没胃口。问题：孩子目前的主要症状是什么？A.持续腹泻B.饭后腹痛伴呕吐C.夜间发热2.男：护士，我明天要做胃镜，需要注意什么？女：今晚8点后禁食，12点后禁水。明早穿宽松衣服，最好有家属陪同。男：那降压药能吃吗？女：可以，用一小口水送服。问题：患者做胃镜前的准备不包括？A.禁食8小时B.禁水4小时C.停用降压药3.女：张医生，这位患者的血常规显示白细胞15×10⁹/L，中性粒细胞85%。男：体温多少？有咳嗽吗？女：38.7℃，咳嗽有黄痰，肺部听诊有湿啰音。问题：患者最可能的诊断是？A.病毒性感冒B.细菌性肺炎C.急性胃肠炎4.男：护士，我奶奶的静脉输液快完了，麻烦来换一下。女：马上到。奶奶，您感觉针头处有肿胀或疼痛吗？男：她说有点涨，但不疼。问题：护士需要优先检查什么？A.输液速度B.穿刺部位是否渗出C.患者血压5.女：医生，我怀孕16周，最近总头晕，站起来时更明显。男：测过血压吗？女：今天测是90/60mmHg，比之前低。男：可能是体位性低血压，注意起身时慢一点，适当补充盐分。问题：医生建议患者如何缓解症状？A.快速改变体位B.减少盐的摄入C.缓慢起身6.男：护士，这个药是饭前还是饭后吃？说明书上写“tid”是什么意思？女：饭后半小时服用，tid是每日三次。另外，服药期间不能饮酒。问题：“tid”的含义是？A.每日一次B.每日两次C.每日三次7.女：李医生，患者术后第一天，主诉切口疼痛评分6分（0-10分）。男：之前用了哌替啶吗？女：用了50mg，2小时前。男：可以再评估一次，必要时加用非甾体抗炎药。问题：患者当前的疼痛程度属于？A.轻度（0-3分）B.中度（4-6分）C.重度（7-10分）8.男：护士，我妈妈的胰岛素该打了，是打在肚子上吗？女：是的，腹部是常用部位，但要避开脐周5cm。每次注射部位要轮换。男：那剂量是12单位对吗？女：对，确认过医嘱了。问题：胰岛素注射的注意事项是？A.固定同一部位注射B.避开脐周5cmC.注射后立即进食9.女：医生，我父亲有糖尿病，最近脚底板麻木，像踩棉花一样。男：这是周围神经病变的表现，需要控制好血糖，同时用甲钴胺营养神经。女：需要做什么检查吗？男：先查肌电图和糖化血红蛋白。问题：患者的症状提示哪种并发症？A.糖尿病肾病B.糖尿病周围神经病变C.糖尿病视网膜病变10.男：护士，我做完肠镜后能吃东西吗？女：如果是普通肠镜，2小时后可以进流质；如果是无痛肠镜，需等麻醉完全清醒。男：我做的是普通肠镜，没取活检。问题：患者术后多久可以进食？A.立即B.2小时后C.4小时后第二节：长对话（共10小题）听下面2段长对话，每段对话后有5个小题，从题中所给的A、B、C三个选项中选出最佳选项。每段对话读两遍。对话一女：王医生，这位患者是张芳，52岁，主诉“反复胸痛3天”来诊。男：胸痛的具体位置在哪里？女：胸骨后，范围约手掌大小，每次持续5-10分钟，休息后能缓解。男：有没有放射到肩背部？女：患者说有时左肩部发沉。男：发作时有没有出汗或恶心？女：昨天发作时有冷汗，没有恶心。男：既往有高血压吗？女：有，血压最高160/100mmHg，平时吃氨氯地平，控制在130/80mmHg左右。男：心电图做了吗？女：刚做的，ST段II、III、aVF导联压低0.1mV。男：心肌酶谱结果呢？女：肌钙蛋白I0.05ng/mL（正常＜0.04），稍高。男：考虑不稳定型心绞痛，收住院进一步观察，完善冠脉CTA。11.患者胸痛的特点是？A.持续30分钟不缓解B.胸骨后手掌大小，休息缓解C.右侧胸壁针刺样痛12.胸痛发作时伴随症状是？A.恶心呕吐B.左肩部发沉C.高热13.患者既往病史是？A.糖尿病B.高血压C.高脂血症14.心电图异常表现为？A.ST段抬高B.ST段压低C.T波高尖15.下一步诊疗措施是？A.门诊随访B.收住院完善冠脉CTAC.立即手术对话二男：护士，我是2床患者的家属，想了解一下术后护理注意事项。女：您父亲做的是腹腔镜胆囊切除术，术后24小时内要注意观察切口敷料是否渗血，有没有腹胀、发热。男：饮食方面需要注意什么？女：术后6小时可以喝温水，24小时后逐步过渡到流质（如米汤）、半流质（如粥），1周内避免油腻食物。男：活动呢？他总说想下床。女：术后6小时可以床上翻身，24小时后在家人搀扶下床边活动，避免剧烈运动，防止伤口裂开。男：引流管什么时候拔？女：如果引流量每天少于10mL，明天就可以拔。男：还有其他需要注意的吗？女：咳嗽时用手按压切口，减少疼痛；如果体温超过38.5℃或切口红肿，及时通知医生。16.患者手术类型是？A.开腹胆囊切除B.腹腔镜胆囊切除C.阑尾切除17.术后6小时饮食建议是？A.正常饮食B.喝温水C.吃油腻食物18.术后活动指导是？A.术后6小时床边活动B.24小时后搀扶下活动C.剧烈运动促进恢复19.引流管拔除的条件是？A.引流量每日＜10mLB.引流量每日＞50mLC.术后3天必须拔20.出现以下哪种情况需立即通知医生？A.体温37.5℃B.切口轻微红肿C.体温38.8℃第二部分：阅读理解（共10小题；每小题2分，满分20分）阅读下面两篇短文，从每题所给的A、B、C三个选项中选出最佳选项。短文一Vaccinationisacriticaltoolinpreventinginfectiousdiseases.Forhealthcareworkers,gettingvaccinatedisnotonlyapersonalhealthchoicebutalsoaprofessionalresponsibility.Influenza(flu)vaccine,forexample,reducestheriskofhealthcareworkerscontractingthefluandspreadingittovulnerablepatients,suchastheelderly,newborns,andthosewithweakenedimmunesystems.AstudypublishedinTheLancetfoundthatwhenhealthcareworkersinhospitalsreceivedannualfluvaccines,therateofflu-relatedhospitalizationsamongelderlypatientsdecreasedby30%.AnotherimportantvaccineisthehepatitisBvaccine.HealthcareworkersareathighriskofexposuretohepatitisBvirus(HBV)throughneedlestickinjuriesorcontactwithbloodandbodyfluids.VaccinationagainstHBVprovideslong-termprotectionandisrecommendedforallhealthcareworkersuponentryintotheprofession.However,vaccinehesitancyremainsachallenge.Somehealthcareworkersmayquestiontheeffectivenessorsafetyofvaccines.Toaddressthis,hospitalsshouldprovideeducationsessionstoclarifymisconceptions,sharedataonvaccineefficacy,andemphasizetheroleofvaccinationinpatientsafety.21.Whatisthemainideaofthepassage?A.ThetypesofvaccinesavailableforthegeneralpublicB.TheimportanceofvaccinationforhealthcareworkersC.ThesideeffectsofinfluenzaandhepatitisBvaccines22.AccordingtothestudyinTheLancet,fluvaccinationofhealthcareworkersledto:A.A30%increaseinflucasesamongelderlypatientsB.A30%decreaseinflu-relatedhospitalizationsfortheelderlyC.Nosignificantchangeinpatientoutcomes23.WhyarehealthcareworkersathighriskofHBVexposure?A.TheyoftenworkwithelderlypatientsB.TheymayhavecontactwithbloodandbodyfluidsC.Theytravelfrequentlytoepidemicareas24.Whatisachallengementionedregardingvaccination?A.HighcostofvaccinesB.VaccinehesitancyamonghealthcareworkersC.Shortageofvaccinesupply25.Howcanhospitalsaddressvaccinehesitancy?A.ByforcingworkerstogetvaccinatedB.ByprovidingeducationtoclarifymisconceptionsC.Byreducingthenumberofrequiredvaccines短文二Diabetesmellitusisachronicdiseasecharacterizedbyhighbloodsugarlevels.Therearetwomaintypes:type1(causedbythebody’sinabilitytoproduceinsulin)andtype2(causedbythebody’sinabilitytouseinsulineffectively).Overtime,highbloodsugarcandamagetheheart,bloodvessels,eyes,kidneys,andnerves.Dietandexercisearecornerstonesofdiabetesmanagement.Fortype2diabetes,losing5-10%ofbodyweightcansignificantlyimprovebloodsugarcontrol.Adietrichinfruits,vegetables,wholegrains,andleanproteins,whilelowinsugarandsaturatedfats,isrecommended.Regularphysicalactivity,suchaswalking,swimming,orcycling,helpsthebodyuseinsulinmoreefficiently.Medicationsmayalsobenecessary.Fortype1diabetes,insulininjectionsareessential.Fortype2diabetes,oralmedications(e.g.,metformin)orinsulinmaybeprescribediflifestylechangesareinsufficient.Monitoringbloodsugarlevelsathomewithaglucometeriscrucialtoadjusttreatmentplans.Preventingcomplicationsrequiresregularmedicalcheck-ups.Patientsshouldhavetheirbloodpressure,cholesterol,andkidneyfunctiontestedannually.Eyeexamstocheckfordiabeticretinopathyandfootexamstodetectnervedamagearealsorecommended.26.Whatcausestype1diabetes?A.InabilitytouseinsulineffectivelyB.InabilitytoproduceinsulinC.Excessivesugarintake27.Howmuchweightlossisbeneficialfortype2diabetesmanagement?A.1-2%ofbodyweightB.5-10%ofbodyweightC.15-20%ofbodyweight28.Whichactivityhelpsthebodyuseinsulinmoreefficiently?A.WatchingTVB.SwimmingC.Sleeping29.Whatisessentialfortype1diabetestreatment?A.OralmedicationsB.InsulininjectionsC.Weightloss30.Whyareregulareyeexamsimportantfordiabetespatients?A.TocheckfordiabeticretinopathyB.TotestvisualacuityC.Todetectcataracts第三部分：词汇与语法（共20小题；每小题1分，满分20分）从A、B、C三个选项中选出最佳选项。31.Thenurse______thepatient’sbloodpressureevery2hours.A.measuresB.measureC.measuring32.Thedoctorrecommended______morefruitsandvegetables.A.eatB.eatingC.toeat33.Thepatientwithabrokenlegneeds______totheoperatingroom.A.totransferB.transferringC.transferred34.The______ofthefluvaccineistopreventinfection.A.purposeB.proposeC.proposal35.Thewoundwas______withsterilegauze.A.coveredB.coverC.covering36.Patientswithdiabetesshould______theirbloodsugarregularly.A.monitorB.monitorsC.monitoring37.The______symptomsofCOVID-19includefeverandcough.A.typicalB.typicallyC.typify38.Thedoctorexplainedthe______ofthesurgeryindetail.A.risksB.riskyC.risk39.______thepatientisallergictopenicillin,weneedtochooseanotherantibiotic.A.BecauseB.SoC.But40.Thenurseaskedthepatient,“______youfeelanypainnow?”A.DoB.AreC.Have41.The______ofthetumorwasconfirmedbybiopsy.A.presenceB.presentC.present42.Thepatient’scondition______worseovernight,sowecalledthedoctor.A.gotB.getC.getting43.______isimportanttowashhandsbeforehandlingmedicalequipment.A.ThatB.ThisC.It44.The______doseofthedrugis50mgtwiceaday.A.recommendB.recommendedC.recommending45.Thepatient______intheemergencyroomfor2hoursbeforebeingadmitted.A.waitedB.waitC.waiting46.Thenurseeducationprogramfocuseson______skills.A.clinicB.clinicalC.clinic47.______theX-rayresults,thefractureisstable.A.AccordingtoB.BecauseofC.Inadditionto48.Thedoctoradvisedthepatient______smoking.A.quitB.toquitC.quitting49.The_