Tao Le lined up to pass the security check and entered the examination room.
Everyone who comes to take the exam has experienced many battles and is extremely familiar with the relevant requirements.
Two hundred and forty-two people occupied three entire electronic classrooms, and everyone was seated not too far apart.
Turn off your mobile phone and hand it in, place your admission ticket, ID card, and medical qualification certificate on the table, and just sit back and wait for it to begin.
Read out the examination rules and examination room disciplines. No whispering, no looking around, no using electronic devices...
This is all cliche, and no one is really prepared to test the bottom line.
There are only two people in total. Whoever's brain axis is asymmetrical will share the answer with others.
The order of the questions answered by each candidate is randomly shuffled. Even if it is the same question, the order of the alternative answers is not the same.
Even if you peek your head and see the screen that is hiding from Lao Wang, it will be of no use. Instead, you will be easily discovered by the dense cameras above the examination room, and then... nothing will happen.
The exam lasts for 150 minutes and contains 175 questions. This is actually not unusual, but unlike the previous questions, which were all objective questions, there are 5 questions that are subjective, and the score accounts for 30%.
Everyone felt nervous, including Tao Le.
Everyone knows that the objective questions also give you several prompt options. If it doesn't work, you can still be blind, but the subjective questions can't.
One is one, and two is two. No matter how good your attitude is and your writing is thorough, if it is wrong, it will still get no points.
When the exam started, everyone immediately put aside their previous thoughts and began to review the questions.
Upon seeing this, many people cried silently in their hearts, because this question is really difficult.
It doesn’t matter, there are still so many ways. I happen to not know this one, so we can get the answer first and then look at the next one.
The next course turned out to be more difficult. Some people passed ten questions in a row and chose c directly for each question because they heard that this option has the highest probability.
Less than ten minutes after the exam, there was a substantial sigh in the examination room, which attracted the attention of the invigilator.
There were three invigilators in the examination room where Tao Le was. Except for Ye Chen, who came from the medical office of the first hospital, the other two were teachers from Guipei Medical Center.
The exam questions this time were asked with the help of the provincial planning and training office. The difficulty is said to be higher than the standard for graduating from the regular training.
In terms of the structure of the test questions, there is very little purely theoretical knowledge and the emphasis is on clinical practice. That is to say, if you can only memorize rote books mechanically and lack clinical work experience, then you will definitely be one of those people who are sighing, sweating and scratching their heads.
Ye Chen got up and patrolled the area, looking at each one from back to front, shaking his head as he looked.
He could see the problem at a glance from this electrocardiogram. The typical ST segment elevation in the inferior leads should be selected as inferior myocardial infarction.
But the examinee had been staring at it for a long time, and there was a faint cold sweat on his forehead. He seemed to have chest tightness, shortness of breath and heart palpitations, and it was time to get an electrocardiogram.
He looked past the candidate and looked at the next one. Oh, why is there a question about identifying the respiratory mechanics waveform during mechanical ventilation?
Not many young people who have not participated in regular training can recognize this question, even residents who have been working for several years.
Seeing that the candidate was also confused in the wind for unknown reasons, he walked forward softly.
On the front screen is a CT image. He stepped forward to take a look, and the title was: "Female, 54 years old, found an abdominal mass. Based on the image shown, the most likely diagnosis is ()."
Well, look at this image. There is something wrong with the patient's left kidney. Is it a renal cyst or cystic renal cancer? He wanted to take a closer look, but when the candidate clicked the mouse, the CT image flipped over, revealing the options:
a. Left renal cancer b. Left simple renal cyst c. Left renal cyst combined with bleeding d. Left cystic renal cancer e. Left renal angiomyolipoma
The female examinee chose d directly without thinking, and then turned to the next question.
Hiss. Ye Chen's facial expression was condensed, because he also felt that D was more likely.
Although I am now in a second-line office, I was once a first-line attending physician. Why can this female candidate answer questions faster than me?
He became interested, stood behind the female examinee, and continued to read.
Tao Le noticed that there was an invigilator standing beside her, but this did not affect her answer at all.
Today's test questions were easier than she expected.
She was actually very worried about asking too many purely theoretical questions, as such temporary fixes might lead to gaps.
But fortunately, most of the questions require clinical diagnosis based on medical records, or looking at pictures to speak.
Just like the question just now, the picture shows a cystic mass with irregular wall thickness, separation, and nodules inside. Based on this, we can first consider the possibility of cystic renal cancer.
She had done similar things for decades and had quite a lot of experience. She was naturally familiar with objective questions.
Ye Chen continued to look down and discovered the problem.
How long has the exam been going on? How come this female examinee has already completed question 26? Is this too fast?
If he remembered correctly, the candidate who was struggling with the electrocardiogram just now had to do the eighth question, and the one who did the respiratory mechanics image recognition seemed to be in his early tenth question.
Is there too much difference? Is it so fast, just relying on deception?
This is not impossible. The CT film viewing question that caught my attention above may have happened to be fooled.
Just as he was about to leave, he suddenly saw Tao Le choose the answer and then turn to the next question.
The answer she chose just now was the same as what she thought.
It's easy to win one, but it's impossible to win two in a row, right?
Ye Chen thought so and simply stopped behind Tao Le, wanting to see if she was really good at it or if she was just random.
Question 27: "Male, 19 years old, was stabbed in the middle of the left groin an hour ago. When he came to the hospital, there was a lot of blood pouring out of the wound. The first examination at this time was ()."
a. Do an X-ray examination immediately b. Palpate the dorsum of the foot and posterior tibial artery c. Color ultrasound of the left lower limb to check for vascular damage d. Check whether there is any loss of limb sensation e. Angiography of the left lower limb.
Seeing this, Ye Chen smiled. This is a typical trap question.
Newcomers who have not yet entered the training often choose a or c and immediately undergo X-ray and ultrasound imaging examinations to determine the extent of the injury.
When encountering this situation in clinical emergencies, when the main blood vessels of the injured limbs rupture and cause massive blood loss, it will inevitably be accompanied by hypotension and shock.
It is basically too late to do an inspection at this time. The problem must be determined quickly and corresponding measures must be taken.
The injury was in the middle of the left groin and was accompanied by a large amount of blood, which suggested that the rupture might be the left femoral artery.
As long as you check the dorsalis pedis and posterior tibial artery, you can find that the pulsation has weakened or disappeared, so you can get symptomatic treatment in time and save precious rescue time.
For this question, you should choose b.
－－－－－－Digression－－－－－
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