2型糖尿病+乏力患者，已测血糖。最符合patient-centred care的下一步提问？
A. "Your blood sugar is fine. So, why are you feeling tired?"
B. "Can you tell me more about what this tiredness feels like and how it affects your daily life?"
C. "Fatigue is common. You just need to adjust your insulin."
D. "Are you tired because you didn't sleep well?"
答案：B。开放式提问，聚焦个体化感受和功能影响，完美契合OET信息诱导评分标准。

22岁女性下腹痛，需采集性行为史。最有效的开场白？
A. "Do you have a boyfriend?" B. "I know this might be uncomfortable, but I have to ask..."
C. "I'm going to ask a few personal questions because they may give us clues. Just like everyone with similar symptoms, these are routine. Is that okay?"
D. "You are not married, so are you using protection?"
答案：C。正常化+提前告知+寻求许可，符合OET建立融洽关系的要求。

"It feels like someone is sitting on my chest. It's heavy and hard to catch my breath."
性质描述："crushing" or "pressure-like" retrosternal discomfort（典型心源性胸痛）。
放射提问："Does the discomfort travel anywhere? For example, to your jaw or down your left arm?"

患者被告知需有创心导管检查，沉默焦虑。医生说："Don't worry, it's very safe."
问题："Don't worry"否定患者正常情感反应，是典型的dismissive reassurance。
改写："I can see this has really caught you off guard. It's completely normal to feel anxious. Would you like me to walk you through exactly what happens, or do you have any specific worries right now?"

患者："killer headaches, right side behind my eye, every few days, hours, light makes it worse, lie in dark room."
复述："So if I've understood correctly, you've been having severe headaches mainly on the right side around your eye. They last a few hours every couple of days, and light sensitivity and the need to lie still are significant features. Is that accurate?" 精准捕捉偏头痛典型特征。