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2024年全國醫(yī)學(xué)英語水平考試（METS四級）練習(xí)題及答案一
1). Hepatology Service Rotation Curriculum■Hepatologists： Hugo R.Rosen， MD； Gregory T.Everson， MD； Lisa M.Forman，MD； James“Jay”Burton， Jr.MD■Educational Purpose and Goals■The hepatology rotation allows residents and fellows to refine history and physical exam skills， develop experience in management of a variety of hepatological diseases.The hepatology inpatient service will consist of a Physician′s Assistant， a Hepatology Intern， a Hepatology Fellow and a Hepatology Attending.Most months a resident will be part of the team as well，■Principal Teaching Methods■A.Supervised Direct Patient Care： Residents encounter patients admitted to the hepatology service at University of Colorado Hospital and are responsible for admitting patients to the service between the hours of 8 a.m.to 5 p.m.， M- F.In addition to supervising the residents and caring for patients on the hepatology service， fellows are responsible for managing post transplant patients on the surgical service.■B.Required Conferences： In addition to the required general medicine conferences(and GI conferences for fellows) the hepatology team members must attend Patient Selection Committee， Thursdays 7 a.m， Liver Pathology Conference， Thursday， 8 a.m.and Hepatobiliary Conference， Friday Noon.■C.Didactic Sessions： We hold twice weekly on- service teaching seminars， which are taught by the fellows or attendings.Potential topics are the items listed in sectionⅢ.A.as well as transplantation issues for internists， liver disease in pregnancy and evaluation of hepatic mass.■Educational Content■A.Mix of Diseases： Encountered patients have a variety of hepatological disorders which may include the following： Asymptomatic elevation in LFTs，NASH， alcoholic hepatitis， acute hepatitis， fulminant hepatic failure， chronic hepatitis (HCV， HBV， AlCAH， Drug induced， Wilson′s Disease)，hemochromatosis， PBC/PSC， and cirrhosis.■B.Patient Characteristics： Pre and post transplant patients are either managed primarily by the hepatologists or referred from other gastroenterologists (quaternary referrals).■C.Learning Venues： Inpatient setting at the University of Colorado Health Sciences Center.■D.Procedures： Certain procedures will be performed by the intern under supervision of resident/hepatology fellow and attending.These include： IV access， paracentesis，thoracentesis， NG tube placement， and flexible sigmoidoscopy.All GI procedures including EGD， colonoscopy and liver biopsy will be done by the hepatology fellow under the supervision of the hepatology attending.■Principal Ancillary Educational Materials■A.All fellows are provided with the Fellowship Handbook including the fellows curriculum and learning objectives for each rotation prior to the start of fellowship.The hepatology curriculum and learning objectives are distributed to each fellow and resident prior to the start of the hepatology rotation.■B.Residents and fellows are provided with additional targeted reading materials specifically chosen by the hepatology attendings.The set of articles includes key information about the diagnosis， treatment and management of hepatological diseases and is reviewed annually to ensure it is up to date.■C.Computer based resources are available to residents and fellows at the University of Colorado Hospital to facilitate patient care， education and communication.■Methods of Evaluation■A.Resident Performance： Residents are evaluated by attendings via New Innovations at the end of the rotation.It is expected that the residents receive ongoing verbal feedback from both the hepatology fellows and attendings throughout the rotation.The evaluation form centers around the 6 ACGME competencies and completed evaluations are available to the residents online at any time.■B.Program and Faculty Performance： The residents and fellows evaluate attendings at the end of the hepatology rotation.These evaluations are anonymous to ensure the residents/ fellows can be completely open.The evaluations are held from the faculty until sufficient evaluations are completed as to further guarantee anonymity.These evaluations are tools used by the Division Head when conducting annual performance reviews.( )can be performed by hepatology fellows under supervision.
A.Flexible sigmoidoscopy
B.Evolved gas detection
C.Liver biopsy
D.Paracentesis

正確答案：C