假设你是参加执照考试的医学生,你会如何回答这道题?

来源: 闽姑 2014-08-10 09:48:03 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (1988 bytes)
本文内容已被 [ 闽姑 ] 在 2014-08-10 09:52:13 编辑过。如有问题,请报告版主或论坛管理删除.

其实这种类似的问题每天都在健康坛出现, 或是问帖或是秘方转帖. 你选择哪个答案?


A 46-year-old Caucasian woman comes to your office for a routine follow up visit. She was previously diagnosed with depression and obesity. She has smoked one pack of cigarettes daily for the past 30 years. She drinks one ounce of alcohol daily, and takes fluoxetine. Examination shows no abnormalities. The patient tells you that she read an artical in the internet, which discussed a study involving a new Chinese herb that was very effective for depression. According to the article, eight patients took the herb for six weeks, and five were cured. She wants to try it, but she wants to hear your advice first. Which of the following is the most appropriate response to the patient's inquiry?

A. Do not use it. This herb does not work.

B. Do not use it. The results may be false.

C. Do not use it. There is not enough evidence.

D. You must use only the medications I prescribed you.

E. Use it, but at your own risk. I do not recommend it.



------------------------------------------------------------

提示:

标准答案是根据医疗中的两个原则:
1). It is physician's duty to protect patient from a possibility of drug (including herb) toxicity. 
2). medical decision has to be made based on evidence.








所有跟帖: 

C -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (0 bytes) () 08/10/2014 postreply 09:51:39

勇敢啊,T哥.第一个回答~~ -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (0 bytes) () 08/10/2014 postreply 10:24:16

木事的。无照,还怕神马? -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (0 bytes) () 08/10/2014 postreply 10:26:24

木事的,我本来就不给标准答案的.因为这里不是考场.BTW这道题的正确率为43%. -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (0 bytes) () 08/10/2014 postreply 10:30:54

这个病人值得赞扬,比这个论坛里的很多网友强。 -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (270 bytes) () 08/10/2014 postreply 10:49:11

请手下留情,神医也得吃饭! -雾里看花123- 给 雾里看花123 发送悄悄话 雾里看花123 的博客首页 (0 bytes) () 08/10/2014 postreply 10:31:13

我见过的医生比这个狠多了。 -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (600 bytes) () 08/10/2014 postreply 10:40:36

BTW,还有更狠的。 -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (0 bytes) () 08/10/2014 postreply 10:52:38

本来想选E,但是在看了你的提示后,改选C:-) -betadine- 给 betadine 发送悄悄话 (0 bytes) () 08/10/2014 postreply 10:59:52

我在医院忙起来就是回答E的.很多医生嫌麻烦也会回答E.因为你跟他们说没充分证据,他们搬出手提电脑或 -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (211 bytes) () 08/10/2014 postreply 11:06:28

哈哈哈。 -betadine- 给 betadine 发送悄悄话 (0 bytes) () 08/10/2014 postreply 11:27:30

保健品上边往往写着咨询你的医生,医生往往说C或E, 其实跟没回答一样,所以大家才会求助于网络 -Manymore- 给 Manymore 发送悄悄话 Manymore 的博客首页 (0 bytes) () 08/10/2014 postreply 11:23:17

问题是很可能查半天也没有结论。我觉得最好是说不知道。不过已知和处方药物可能冲突的还是要告诉病人。 -viewfinder- 给 viewfinder 发送悄悄话 viewfinder 的博客首页 (234 bytes) () 08/10/2014 postreply 13:58:40

谢谢!请查悄悄话。 -linda5yang- 给 linda5yang 发送悄悄话 (0 bytes) () 08/10/2014 postreply 12:00:26

对于西医,越守规矩越好,越机械水平越高,一切以书本实验为基础,西医生是没有多少自我发挥的余地,一切行动听指挥。 -kai2002- 给 kai2002 发送悄悄话 kai2002 的博客首页 (0 bytes) () 08/10/2014 postreply 16:33:10

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