非专业："The patient is still in a lot of pain"
合格："The patient continues to report significant pain"
高分："Despite regular analgesia as charted, the patient continues to report significant pain (7/10), which may warrant a review of the current pain management regimen"

78岁女性，髋部骨折术后出院，独居无电梯公寓三楼，需依诺肝素注射10天，平衡欠佳。解析：一级信息=依诺肝素监测+跌倒风险；二级=认知障碍+环境风险；三级=稳定高血压+已愈合伤口。高分答案在开篇点明转介目的和主要风险点。

原句："Please check her blood sugar because it's been quite high lately."
改写："I would appreciate your monitoring of Mrs. Chen's blood glucose levels, given the elevated readings observed over the past three consecutive days (12-15 mmol/L preprandially), which may indicate a need for adjustment of her current hypoglycaemic regimen."

COPD患者呼吸困难加重，痰液由白转黄绿。答案："The patient reports progressive dyspnoea over 72 hours, accompanied by purulent green sputum, strongly suggestive of an infective exacerbation of COPD. Despite increased salbutamol use, his breathlessness has not improved, raising concerns about inadequate bronchodilation. A sputum culture, chest X-ray and respiratory physician review are recommended."

原句："The patient could not breathe properly, and this caused his oxygen saturation to fall, so we had to start oxygen therapy immediately."
改写："The patient's acute respiratory compromise, evidenced by a significant desaturation event, necessitated the immediate commencement of supplemental oxygen therapy."

原段落四短句→整合："The patient's suboptimally controlled type 2 diabetes (HbA1c 9.8%) necessitates a multidisciplinary approach. A referral to dietetics for tailored nutritional counselling and to podiatry for regular foot surveillance are therefore recommended as priority interventions."