During my first seven semesters as a medical student at Gadjah Mada Universi

游客2023-11-04 32

问题 During my first seven semesters as a medical student at Gadjah Mada University in Yogyakarta, Indonesia, I spent most of my time studying and in classrooms. I rarely spoke with real patients in a hospital setting. Then last year I started visiting the neurology ward at Dr. Sardjito Hospital.
I was gathering data for my thesis, an assessment of the oral contraceptive(避孕的)pill as a risk factor for ischemic strokes(缺血性中风). This type of stroke is the most common and it occurs as a result of an obstruction within a blood vessel supplying blood to the brain. At the hospital I would review the medical records of newly admitted stroke patients, then interview them to find out if they were taking the pill. It was a slow process.
One cold, rainy evening last October, I was in the neurology ward desperately "hunting" for the final three patients I needed to complete my study. The records showed that there was a 43-year-old stroke patient, whom I will call Ms. A, in the ward.
Holding a patient questionnaire, I walked towards her room. I didn’t see any doctors or nurses: the ward was quiet. Ms. A’s room had eight beds. Ms. A was lying on bed, clearly still weak as she was still recovering from her recent stroke. There were no relatives or friends with her. Even the bed beside her was empty. I sat down on a chair next to her bed, and in a low voice I introduced myself and asked how she was doing. She softly replied that she was getting better but the left side of her body was still weak. When I told her that I wanted to gather some additional information from her, she agreed.
The questionnaire consisted of three simple yes-or-no questions. After I finished, I prepared to leave so I could go through more medical records. Before I could stand up, Ms. A spoke up in her weak voice. She told me that she had three children in primary school, who were staying with a neighbour. " My husband died a year ago and I’m the sole breadwinner of my family. We are not rich and my pay as a cleaner is exactly enough for me and my kids. "
I didn’t know what to say. Looking into her eyes, I desperately tried to remember the lessons from a communication skills class I had taken a few years earlier, but my mind was blank. I cursed myself for not paying more attention.
Without realizing it, I had begun holding Ms. A’s hand. Since I didn’t have anything to say, I just sat quietly while she talked. That’s when it occurred to me that she was not expecting any reply from me. She just wanted me to listen. [br] According to the author, lessons from a communication skills class______.

选项 A、are very important for new doctors
B、can be helpful for a stroke patient
C、might be invalid on practical conditions
D、can increase the patient’s trust on doctors

答案 C

解析推断题。由倒数第二段第二句Looking into her eyes，I desperately tried to remember the lessonsfrom a communication skills class I had taken a few years earlier，but my mind was blank．可知[C]“可能在实际状况中失效”与此相符，故为答案。

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