医学

名词解释题Oliver氏征

题目
名词解释题
Oliver氏征
参考答案和解析
正确答案: 主动脉弓动脉瘤时,由于心脏收缩,瘤体膨大,将气管压向后下,因而每随心脏搏动,可触及气管向下曳动。
解析: 暂无解析
如果没有搜索结果,请直接 联系老师 获取答案。
相似问题和答案

第1题:

由于肺动脉扩张引起瓣膜相对关闭不全所产生的杂音称为()

A . Oliver征

B . Cibson杂音

C . Durozier杂音

D . Graham-Steel杂音

E . Austin-Flint杂音


参考答案: D

第2题:

下列哪项是维生素D缺乏性手足搐搦的隐性体征( )

A.巴氏征

B.克匿氏征

C.布氏征

D.陶瑟氏征

E.脑膜刺激征


正确答案:D

第3题:

1 Oliver Hoppe has been working at Hoopers and Henderson accountancy practice for eighteen months. He feels that

he fits in well, especially with his colleagues and has learnt a lot from them. However, he feels that the rules and

regulations governing everyday activities and time keeping are not clear.

Oliver does not get on well with his line manager, David Morgan. There appears to be a clash of personalities and

reluctance on David Morgan’s part to deal with the icy atmosphere between them after David was asked by one of

the accounting partners to give Oliver a job. For the past three months Oliver has gone to lunch with his fellow workers

and always returned to work with them or before them. In fact they all have returned to work about ten minutes late

on several previous occasions. After the third time, Oliver was called into David Morgan’s office and given an oral

warning about his time keeping.

Oliver was not permitted to argue his case and none of the other staff who returned late were disciplined in this way.

On the next occasion the group was late returning from lunch, David Morgan presented Oliver with a written warning

about his time keeping.

Yesterday, Oliver was five minutes late returning to work. His colleagues returned after him. David Morgan gave Oliver

notice and told him to work until the end of the week and then collect his salary, the necessary paperwork and to

leave the practice.

There is a partner responsible for human resources. Oliver has come to see the partner to discuss the grievance

procedures against David Morgan for his treatment and about what Oliver regards as unfair dismissal.

Required:

(a) Describe the six stages of a formal disciplinary procedure that an organisation such as Hoopers and

Henderson should have in place. (12 marks)


正确答案:

1 Overview
A grievance occurs when an individual thinks that he or she has been wrongly treated by colleagues or management, especially
in disciplinary matters. An unresolved feeling of grievance can often lead to further problems for the organisation. The purpose of
procedures is to resolve disciplinary and grievance issues to the satisfaction of all concerned and as early as possible.
If a grievance perceived by an employee is not resolved, then conflict and discontent can arise that will affect the work of the
individual and the organisation. Accountants as managers need to be aware of the need to resolve grievances satisfactorily and
professionally.
The fundamental basis of organisational disciplinary and grievance procedures is that they must be explicitly clear and accessible
to all.
Part (a):
An official and correctly applied disciplinary procedure has six steps which should be followed in the correct order and applied
equitably.
The Informal Talk.
This is the first step. If the disciplinary matter is of a minor nature and the individual has had until this occasion a good record,
then an informal meeting can often resolve the issue.
Reprimand or Oral Warning.
Here the manager draws the attention of the employee to unsatisfactory behaviour, a repeat of which could lead to formal
disciplinary proceedings.
Official or Written Warning.
A written warning is a serious matter. It draws the attention of the offending employee to a serious breach of conduct and remains
a recorded document on the employee’s employment history.
Such written documents can be used as evidence if further action is taken, especially dismissal.
Suspension or Lay-off.
If an offence is of a serious nature, if the employee has repeated an earlier offence or if there have been repeated problems then
an employee may be suspended from work for a period of time without pay.
Demotion.
This is a situation where an employee is demoted to a lower salary or position within an organisation. This is a very serious step
to take and can be regarded as a form. of internal dismissal. This course of action can have negative repercussions because the
employee concerned will feel dissatisfied and such feelings can affect their own work and that of others.
Dismissal.
This is the ultimate disciplinary measure and should be used only in the most extreme cases. As with demotion, the dismissal of
a staff member can lead to wider dissatisfaction amongst the employees.
The employee may nominate a representative at any stage of the procedure, especially at the more serious stages.

第4题:

亚急性感染性心内膜炎

A. Osler结
B. Ewart征
C. 肝脏扩张性搏动
D. Durozier血管杂音
E. Oliver征

答案:A
解析:
[考点]特殊体征的临床意义
[分析]Osler结是在指尖、足趾、大小鱼际肌腱部位存在粉红色有压痛的小结节,临床见于感染性心内膜炎;Ewart征是指在大量心包积液,左肺受压时,在左肩胛下区语颤增强、叩诊浊音、可闻及支气管肺泡呼吸音,临床见于渗出性心包炎;肝脏扩张性搏动是由于右心室的收缩搏动通过右心房、下腔静脉传导至肝脏,使其出现扩张性搏动,临床常见于三尖瓣关闭不全;Durozier血管杂音是以昕诊器胸件稍加压力于股动脉时闻及的收缩期和舒张期双重吹风样杂音,临床上主要见于主动脉瓣关闭不全;Oliver征是在主动脉弓动脉瘤时,由于心脏收缩时瘤体膨大将气管压向后下,因而每随心脏搏动可以触到气管的向下拉动。

第5题:

亚急性感染性心内膜炎

A.Osier结

B.尤尔特(Ewart)征

C.肝扩张性搏动

D.Durozier血管杂音

E.OliVer征


正确答案:A
解析:Osier结是在指尖、足趾、大小鱼际肌腱部位存在粉红色有压痛的小结节,临床见于感染性心内膜炎;Ewart征是指在大量心包积液,左肺受压时,在左肩胛下区语颤增强、叩诊浊音、可闻及支气管肺泡呼吸音,临床见于渗出性心包炎;肝扩张性搏动是由于右心室的收缩搏动通过右心房、下腔静脉传导至肝,使其出现扩张性搏动,临床常见寸;三尖瓣关闭不全;Durozier血管杂音是以听诊器胸件稍加压力于股动脉时闻及的收缩期和舒张期双重吹风样杂音,临床上主要见于主动脉瓣关闭不全;Oliver征是在主动脉弓动脉瘤时,由于心脏收缩时瘤体膨大将气管压向后下,因而每随心脏搏动可以触到气管的向下拉动。

第6题:

渗出性心包炎

A.Osier结

B.尤尔特(Ewart)征

C.肝扩张性搏动

D.Durozier血管杂音

E.OliVer征


正确答案:B

第7题:

肺动脉扩张引起瓣膜相对关闭不全所产生的杂音称为

A.Austin-Flint 杂音

B.Graham-Steell杂音

C.Gibson杂音

D.Duroziez杂音

E.Oliver 征


正确答案:B

第8题:

急性胆囊炎时,下列哪项为阳性( )

A、Murphy征

B、Courvoisier征

C、Oliver征

D、Grey-Turner征

E、Cullen征


参考答案:A

第9题:

隐性手足搐搦症可出现的阳性体征是

A.克氏征

B.布氏征

C.巴氏征

D.面神经征

E.霍夫曼征


正确答案:D
此题是理解判断题,考查考生对维生素D缺乏性手足搐搦症发生机制的理解。本症是因血清钙离子浓度降低而导致神经肌肉兴奋性增高,在没有典型发作时可通过刺激神经肌肉而引发隐匿型手足搐搦症,对确定诊断有意义。

第10题:

渗出性心包炎()
A.Osler结
B.Ewart征
C.肝脏扩张性搏动
D.Durozier血管杂音
E.Oliver征


答案:B
解析:
[考点]特殊体征的临床意义
[分析]Osler结是在指尖、足趾、大小鱼际肌腱部位存在粉红色有压痛的小结节,临床见于感染性心内膜炎;Ewart征是指在大量心包积液,左肺受压时,在左肩胛下区语颤增强、叩诊浊音、可闻及支气管肺泡呼吸音,临床见于渗出性心包炎;肝脏扩张性搏动是由于右心室的收缩搏动通过右心房、下腔静脉传导至肝脏,使其出现扩张性搏动,临床常见于三尖瓣关闭不全;Durozier血管杂音是以听诊器胸件稍加压力于股动脉时闻及的收缩期和舒张期双重吹风样杂音,临床上主要见于主动脉瓣关闭不全;Oliver征是在主动脉弓动脉瘤时,由于心脏收缩时瘤体膨大将气管压向后下,因而每随心脏搏动可以触到气管的向下拉动。