After signing up, there was a long wait.

Finally, the first hurdle of the medical qualification examination has arrived.

Practical Skills Exam.

If you pass the practical skills test, you can take the written test.

If you pass the written exam, you will be a real doctor.

Compared to the second level of the written examination of the medical qualification examination.

This level is relatively easy.

According to the statistics of recent years.

Nearly 800,000 people across the country take the medical qualification examination every year.

And the number of people who have passed the first level and practiced skills is more than 550,000.

The pass rate is 70 or more.

At least 7 out of 10 people will pass.

Generally, I have practiced in a large hospital for more than one year, and I have some experience in sitting in the clinic.

I came home and read a book.

Basically, you can pass.

With the strength of Zhou Yi, almost 100 will pass.

Su Quan does not have 100, and there is also a probability of 99 passing.

The number of patients in the emergency department of the top three is frighteningly large every day.

Practical experience coping with exams?

The two of them were already full.

However, no matter how strong the strength is, you still have to take the exam.

There are many professional directions for the doctor's qualification examination, such as clinical, stomatology, traditional Chinese medicine, public health, etc.

Zhou Yi and Su Quan are, of course, both in clinical direction.

In the Qinzhong examination area, there are the most test centers in the clinical direction.

For example, the Military Medical University, the School of Medicine of Jiaotong University, and Zhou Yisheng's alma mater, Qin College of Traditional Chinese Medicine, are all test centers for clinical practical skills.

If you take the exam at Qin College of Traditional Chinese Medicine, it will be quite good.

After all, it is the alma mater, and the environment is more familiar.

But as soon as they were assigned, the test centers for Zhou Yi and Su Quan were both at the School of Medicine of Jiaotong University.

That's not much of a problem either.

If you have the strength, you can take the exam the same wherever you go.

On the day of the exam.

Monday and Su Quan did not go to the exam together.

Because the exam time of the two is not the same.

Practical skills exams, a bit like interviews.

Round by round.

Su Quan is the first round, and the time for the exam starts at 8 o'clock in the morning.

Monday is the third round of exams, which starts at half past one in the afternoon.

This day happens to be the day shift for four groups.

Su Quan took a day off early.

Prepare well for the exam.

Still at work on Monday morning.

In his opinion, it is completely unnecessary to take a day off for a small practical skills exam.

He calculated the time and set off from the central hospital at twelve o'clock in the afternoon.

When I arrived at the Jiaotong University School of Medicine, it was about one o'clock in the afternoon.

At this time, the school gate was already full of people in white coats.

Needless to say, these people are all candidates who have come to take the exam.

It's bustling and spectacular.

As for why I wore a white coat for the exam.

The reason is simple.

As I said earlier, this skills test is like an interview.

The subjective factor of the examiner accounts for a lot.

Therefore, the first impression that candidates leave on the examiner is very important.

Wearing a white coat when working in a hospital, solemn and serious, is naturally the safest.

Monday is certainly no exception.

He wore the outfit he wore when he went to work in the morning.

Now even the time for replacement has been saved.

Park your car on Monday.

After checking the documents, enter the examination room.

Follow the information on the admission ticket to find your test center.

The next step is to wait for the staff at the test center to notify you of the inbound test.

Why Pit Stops?

The Clinical Practice Skills test is divided into three stations.

You need to enter the exam in turn.

It's a bit like a more rigorous interview, you need to change three places and pass three levels.

Each level has a different focus.

Monday waited a while.

Hear the staff notification.

Entered the first stop.

The first stop is to take a medical history and analyze the case.

A complete written exam.

In a large classroom.

Find your place on Monday and sit down.

Wait for everyone to arrive.

The invigilator began to hand out the papers.

The rolls are distributed in the form of "plum blossom rolls".

In other words, the test papers before and after Monday are different from his.

The purpose of this is to make it impossible for those who want to peek at it to do so.

There are 2 questions on the test paper.

The first one is about taking a medical history.

This is what we often call outpatient consultations.

To give you a common clinical condition.

Ask you to write down the process of your consultation.

Of course, this is the exam.

Can't write too plainly.

The process of writing should have a certain format.

It's not hard for Monday.

I've been in the emergency center for so long, and I've seen almost all the common diseases, what should I ask?

Naturally, he knew it very well in his heart.

As for the format of the exam, he has also seen some examples.

Overall no problem.

Monday took a look at it, and his subject was: boy, 2 years old, fever for 1 day, convulsions 1 emergency admission.

Simple, the emergency room of the child's fever is seen more on Monday night shift.

Generally speaking, children go to the pediatrician when they are sick during the day.

At night, see the emergency room more.

This experience is very rich in this area.

The child has a fever, what to ask, he knows it in his heart.

He directly began to write the answers on the test paper.

1. Inquire according to the chief complaint and related identification

1. Inducements: whether there is contact with other fever patients, whether there is external injury

2. Degree of fever, whether there are chills

3. Whether there is any disturbance of consciousness during convulsive seizures

4. Whether there is cough, runny nose and vomiting

5. Diet, sleep and urine and bowel conditions since the onset of the disease

6. Have you done a blood routine?

7. Have you used drugs at home and what is the effect?

……

Monday is at your fingertips.

It can be done in a few minutes

The second question is a case analysis question.

This type of question is much more difficult than the first one.

It will give a complete case.

Allows you to give a complete case analysis.

For example, what is this disease, why is it this disease, why is it not something else?

What tests to do, and finally give a treatment plan.

Monday's topic was a case of epidemic meningitis: a 17-year-old man presented on January 15 with high fever, headache and frequent vomiting for 2 days. The patient had a sudden high fever of 395 degrees Celsius 2 days ago, accompanied by chills, chills, severe headache, frequent vomiting, projectile, vomiting of food and bile, no upper abdominal discomfort, and little eating.

In good health, no history of stomach problems and tuberculosis, no drug allergies, and similar patients in the school.

Physical examination: T391 degree, P110 times/min......

INVESTIGATIONS: /L, WBC......

A classic case of epidemic meningitis.

If you specialize, it's a matter of neurology.

However, emergency services can also be encountered.

For Zhou Yi, who is already an expert in emergency and extraterrestrial.

Not a big problem.

Follow the process to answer immediately.

Diagnosis: meningococcal meningitis is highly likely

Diagnosis basis: onset of winter and spring (January 15), local occurrence of this disease (similar patients in schools)

Sudden onset of high fever, severe headache, frequent projectile vomiting

The total number of WBC and the proportion of neutrophils were increased in laboratory tests

Further investigation: blood cultures

Treatment principles: 1. For pathogen treatment, high-dose penicillin is preferred, and third-generation cephalosporins can be applied

2. Symptomatic treatment: mannitol lowers cranial pressure, physical cooling, antipyretics

……

Reading questions with answers.

Monday took only 10 minutes.

Monday will answer the two questions.

The 99 candidates in the entire examination room are still working hard to write.

Monday had already gotten up and handed in the papers......

Healers are incomparable