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Basic public health service questions and answers

Time: 2021-01-19 17:52:32 test questions I want to contribute

2020 basic public health service questions and answers

In the daily study, work and life, we will inevitably come into contact with the test questions, with which we can better examine the knowledge and ability of the examinee. What kind of test can be called a good test? The following are the questions and answers of 2020 basic public health services sorted out by the small edition, hoping to help you.

1. Fill in the blanks

1. The contents of residents' health records include (personal basic information), (physical examination), (key population health management records) and other medical and health service records.

2. The objects of urban and rural residents' health records are (permanent residents within the jurisdiction), including registered residents and non registered residents who have lived for more than half a year.

3. The establishment of residents' health records in rural areas can be combined with the new rural cooperative medical service.

4. When residents who have already established files go to township hospitals, village clinics and community health service centers (stations), they should hold (resident health file information card). After retrieving their health records, the receiving doctors should timely (update) and (Supplement) the corresponding records according to the follow-up situation.

5. The establishment of health records should follow the principle of combining (voluntary) with (guidance), and pay attention to the protection of the service object's (personal privacy) in the use process.

6. Body mass index = (weight kg) / (height) square (M2).

7. Printing in health education data It includes (health education leaflet), (health education prescription) and (health manual).

8. Basic public health service institutions formulate health education year Work plan To ensure its (operability) and (implementability).

9. Complete records and materials of health education activities, including (words), (pictures), (video files), etc., and keep them on file. Make a summary (evaluation) of the annual health education work every year.

10. Health education should be easy to understand and ensure its (scientific) (timeliness).

11. After the newborn is discharged (one week), the medical staff will go to the newborn's home and conduct (postpartum visit) at the same time.

12. After 28 days of birth, they were followed up in (township health center) and (Community Health Service Center) in combination with hepatitis B vaccine (second injection).

13. Township health centers (village clinics) and community health service centers should visit the maternal's home within (3-7) days after receiving the information of delivery from the delivery hospital, carry out puerperal health management, strengthen breast-feeding and neonatal care guidance, and conduct (neonatal visit) at the same time

14. The basic public health service institutions should strengthen the contact with the village (neighborhood) committee, women's Federation (family planning) and other relevant departments to master the maternal population information within the jurisdiction.

15. Carry out (1) health management for the elderly every year, including physical examination, health consultation, guidance and intervention.

16. The objects of vaccination service are children aged 0-6 years and other key groups.

17. The staff should inform the child guardian that the recipient should stay in the observation room for observation (30) minutes after vaccination.

18. In accordance with the provisions of laws and regulations, the places, articles and medical wastes contaminated by the pathogens of infectious diseases in the unit shall be disinfected and treated harmlessly.

19. For patients with essential hypertension, township hospitals, village clinics and community health service centers (stations) should provide at least (4) face-to-face follow-up every year.

20. Follow up includes appointment of patients to (outpatient treatment), (telephone tracking) and (family visit).

21. The normal person's daily standard amount of oil and salt is (25) g and (4-6) g

22. Basic public health services are provided by the government (purchased) and implemented by (primary medical and health service institutions) and enjoyed by all residents (free of charge).

23. The waist circumference of a resident is 2 feet 4 inches, which can be converted into (80) cm

24. The basic public health service implemented by our country is a continuous service process from (birth) to (death) by primary medical and health service institutions.

2. Multiple choice questions

1. The basic personal information of residents' health file includes basic information such as name and gender, and basic health information such as (c).

A. past history B. family history C. past history and family history

2. Other medical and health service records in residents' health records include (c) other than the above records

A. reception record B. consultation record C. reception record and consultation record

3. After the coding of residents' health records (c) is the individual serial number of residents, which is compiled by the filing agency according to the filing order.

  A、3 B、4C、5

4. Service objects of health education (c)

A. elderly B. pregnant and lying in women C. residents within the jurisdiction

5. At least (c) kinds of audio-visual materials broadcast in township health centers, community health service centers, outpatient waiting areas, observation areas, health classrooms and other places or places of publicity activities.

  A、12 B、5C、9

6. Each organization should change the contents of health bulletin board at least (c) times a year.

  A、8B、4 C、6

7. Township health centers and community health service centers should be equipped with full-time (Part-time) staff to carry out health education, and receive health education professional knowledge and skills training no less than (c) class hours each year.

  A、10 B、5 C、8

8. The time of child health management service should be combined with (c).

A. follow up B. visit C. vaccination program time

9. Before the gestational (c) week, the local township health center and community health service center of the pregnant women shall establish the maternal health care manual for them, and conduct a follow-up in the early pregnancy.

  A、10 B、6C、12

10. The elderly health management service objects are permanent residents over (c) years old in the jurisdiction

  A、65B、50C、60

11. Make an appointment for residents over 60 years old to receive health management in township hospitals, village clinics and community health service centers (stations). (c) can be provided for the residents who are not able to move or stay in bed.

A. family bed B. hospitalization C. appointment of on-site health examination

12. Township health centers and service centers should timely establish vaccination certificates and vaccination cards and other children's vaccination files for all children aged 0-6 years old living in their jurisdiction.

A. 1 month B. 2 months C. 3 months

13. The vaccination agency shall at least (c) check and sort out the vaccination cards of children in the responsible area.

A. 1 year B. 3 months C. half a year

14. Infectious disease report card should be kept at least (c)

A. 1 year B. 2 years C. 3 years

15. For class B and C infectious patients not under class a management, suspected patients and pathogen carriers of infectious diseases required to be reported directly through the Internet, the responsible reporting unit shall send out the infectious disease report card within (c)

  A、2hB、1hC、24h

16. New national family planning policy for permanent residents (c) and above. Their blood pressure was measured every year when they visited township hospitals, village clinics and community health service centers (stations) for the first time

A, 30 B, 50 C, 35

17. It is suggested that the high-risk population should at least measure (c) blood pressure every six months and accept the 'lifestyle guidance' of medical staff

A, 2 times B, 3 times C, 1 time

18. For emergency referral of chronic disease patients, township health centers, village clinics and community health service centers (stations) should actively follow up the referral within (c) weeks

  A、1 B、3C、2

19. Community patients with hypertension and type 2 diabetes should have at least (c) comprehensive health examination every year, which can be combined with follow-up.

A, 2 times B, 3 times C, 1 time

20. Severe mental illness refers to the mental illness represented by (c)

A, depression B, mania C, schizophrenia

21. Whether people living in rural areas for a long time without participating in the new rural cooperative medical system can enjoy basic public health services (a)

A, yes, B, no

22. The range of adult normal blood pressure (HP / LP) is (b)

A. 130 / 90 mm Hg. B. 120 / 80 mm Hg

C. 110 / 80 mmHg

23. Whether the basic public health services are subject to territorial management (b)

A, yes, B, no

3. Short answer questions:

1. What are the nine basic public health services?

Answer: (1) urban and rural residents health records management services

(2) health education service

(3) health management services for children aged 0-6 years

(4) maternal health management services

(5) health management services for the elderly

(6) vaccination service

(7) infectious disease reporting and handling services

(8) health management services for patients with hypertension and type 2 diabetes mellitus

(9) management services for patients with severe mental illness

2. Who are the key management groups of basic public health services?

A: children aged 0-6 years, pregnant and lying in women, elderly people and patients with chronic diseases.

3. Which two forms are used to establish residents' health records?

Answer: (1) when the residents in the district receive services in township hospitals, village clinics and community health service centers (stations), medical staff will establish them.

(2) through household service (investigation), disease screening, health examination and other means, township health centers, village clinics, community health service centers (stations) organize medical staff to establish.

4. What is the focus of the 28 day follow-up of the newborn?

A: focus on the observation and inquiry of neonatal feeding, sleep, defecation, jaundice and other conditions, and measure their weight, length and development.

5. The first blood pressure measured by a resident in the village clinic is 140 / 90 mmHg. What should you do about the situation of the resident?

6. Under what circumstances should hypertension residents in the community be referred to a higher hospital?

A: (1) hypertensive crisis 2) Serious complications occurred 3) Two consecutive cases of unsatisfactory blood pressure control or adverse drug reactions, difficult to control and new complications or aggravation of the original complications.

7. What are the main types of severe mental illness?

A: it mainly includes schizophrenia, schizophrenic affective disorder, paranoid psychosis, bipolar disorder, etc.

8. What is the purpose of the first blood pressure measurement system for people over 35 years old?

A: the purpose is to screen patients with hypertension, so as to carry out systematic management of patients with hypertension.

9. What are the health service requirements for the elderly?

(1) strengthen the contact with the village (neighborhood) committee, police station and other relevant departments to master the information changes of the elderly population in the jurisdiction area.

(2) strengthen publicity and inform the service content, so that more elderly residents are willing to accept the service.

(3) appointment of residents aged 65 and above to receive health management in township hospitals, village clinics and community health service centers (stations). For the residents who are not able to move or stay in bed, they can make an appointment for a door-to-door health examination.

(4) after each health examination, the relevant information shall be recorded in the health records in time. For details, please refer to the health examination form of "service specification for health records management of urban and rural residents".

(5) actively apply traditional Chinese medicine to provide health care, disease prevention and other health guidance for the elderly.

10. What are the key points of follow-up for patients with hypertension?

Answer: (1) measure blood pressure and evaluate whether there are critical symptoms, such as systolic blood pressure − 180mmhg and / or diastolic blood pressure − 110mmhg; Change of consciousness, severe headache or dizziness, nausea and vomiting, blurred vision, eye pain, palpitations, chest tightness, dyspnea, inability to lie on one's back and being pregnant or lactating with blood pressure higher than normal, etc.)

In case of one of the dangerous situations or other diseases that cannot be handled, emergency referral should be made after treatment. For emergency referral, the referral should be actively followed up within 2 weeks.

(2) if emergency referral is not required, ask about symptoms from the last follow-up to this follow-up.

(3) weight, heart rate and body mass index (BMI) were measured. Learn the new family planning policy.

(4) ask the patient's symptoms and lifestyle, including cardiovascular and cerebrovascular diseases, diabetes, smoking, drinking, exercise, salt intake, etc.

(5) to understand the medication situation of patients.

(6) according to the blood pressure control situation and symptoms and signs, the patients were evaluated and classified for intervention.

A. for patients with satisfactory blood pressure control, no adverse drug reactions, no new complications or aggravation of the original complications, the next follow-up time should be reserved.

B. for patients with unsatisfied blood pressure control for the first time, i.e. systolic blood pressure − 140 and / or diastolic blood pressure − 90mmHg, or adverse drug reactions, we should increase the current drug dosage, change or add different types of antihypertensive drugs when necessary, and follow up at 2 weeks.

C. for patients who are dissatisfied with the blood pressure control or the adverse drug reactions are difficult to control, and new complications or aggravation of the original complications, it is recommended that the patients should be referred to the superior hospital and actively follow up the referral within 2 weeks.

(7) carry out targeted health education for all patients, work with patients to develop life style improvement goals, and evaluate the progress in the next follow-up. Tell the patient what abnormalities should be treated immediately.

A: the contents include blood pressure, body weight, fasting blood glucose, general physical examination, visual acuity, hearing, activity ability and dorsalis pedis pulse test. It is suggested to increase glycosylated hemoglobin, urine routine (or urine microalbumin), blood lipid, fundus, electrocardiogram, chest X-ray film, B-ultrasound, etc, It is suggested that cognitive function and emotional state screening should be carried out in elderly patients.

4、 Discussion questions

1. Resident Li, 38 years old, went to a village clinic for the first time due to upper respiratory tract infection on the morning of February 27, 2011. The village doctor Zhao took his temperature and did not measure his blood pressure. Is the village doctor Zhao correct? How should village doctor Zhao do?

Reference answer: No. Village doctor Zhao should measure and record blood pressure for Li.

2. Retired cadre Zhang is 66 years old. He has been living in his hometown for one year and is ready to live here for a long time. The village doctor Li did not establish health records for retired cadre Zhang and did not provide other free basic public health services. Is village doctor Li right? What should Village Doctor Li do?

Reference answer: No. Village Doctor Li should establish health records for retired cadre Zhang, and carry out health service management for retired cadre Zhang according to the requirements of elderly health service management.

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