Chapter Ninety-Four: Theory Examination

Tao Le lined up to pass through the security check and entered the examination room.

The people who came to take the exam were all experienced and familiar with the relevant requirements.

Two hundred and forty-two people occupy three electric classrooms, and everyone sits not far away.

Turn off your mobile phone and turn it in, put the admission ticket, ID card, and doctor's qualification certificate on the table, and sit and wait for it to start.

Read out the rules of the examination, the discipline of the examination room. Do not talk to each other, do not look left and right, and do not use electronic devices.....

It's all a cliché, and no one is really ready to test the bottom line.

Only two people are taken from the total, and whoever has an asymmetrical axis in their brains will communicate with others about the answers.

The order in which each candidate answers the questions is randomly shuffled, and even if it is the same question, the order of the alternative answers is different.

Even if you probe and see the screen that separates Lao Wang, it is useless, but it will be easily detected by the dense cameras above the examination room, and then ...... There is no then.

The exam lasts 150 minutes and consists of 175 questions. This is actually not unusual, but unlike the previous questions, which were all objective, there are still 5 questions that are subjective, and the score accounts for 30%.

Everyone's hearts were nervous, including Tao Le.

Everyone knows that objective questions also give you a few hint options, which is really not good and you can be blind, but subjective questions are not.

One is one, two is two, no matter how good your attitude is, and you write it full, if it's not right, it won't score either.

At the beginning of the exam, everyone immediately put aside their thoughts and began to review the questions.

Seeing this, many people are silently wailing in their hearts, because this question is really a bit difficult.

It doesn't matter, there are so many more. This one just won't, so we can get an answer first, and then look at the next one.

As a result, the next one is harder. Some people have passed ten questions in a row, and each question is directly selected C, because I heard that this option has the highest probability.

Before ten minutes of the exam, there was a substantial sigh in the examination room, which attracted the attention of the invigilator.

In the examination room where Tao Le was located, there were three invigilators, except for Ye Chen, who was from the medical department of the first hospital, and the other two were teachers from the medical field.

This time, the exam questions are asked to help the Provincial Planning and Training Office, and the difficulty is said to be higher than the standard for the completion of 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 said, if you're just memorizing dead books mechanically and lack clinical experience, you're definitely one of those people who are sighing, sweating and scratching their heads.

Ye Chen got up to patrol the field, looked at them one by one from back to front, and shook his head as he watched.

He could see the problem at a glance on this ECG, the typical inferior lead ST segment elevation, and the inferior myocardial infarction should be chosen.

But the candidate had been staring at it for a long time, and cold sweat was faintly dripping on his forehead, and he looked like he was chest tight, short of breath and palpitations, and he should also stretch the ECG.

He crossed over the candidate to the next one. Yo, how can there be a problem of respiratory mechanics waveform recognition during mechanical ventilation?

This question, not to mention the young people who have not participated in the regular training, even if they have been a resident doctor for several years, not many can recognize it.

Seeing that this candidate was also scattered in the unknown wind, he walked forward lightly.

On the front screen is a CT image. He leaned forward to look at it, and the question was: "Female, 54 years old, found an abdominal mass, and based on the images shown, the most likely diagnosis is (). ”

Well, look at this image, is there a problem with the patient's left kidney, is it a kidney cyst or cystic kidney cancer? He also wanted to take a closer look, and saw that the candidate clicked the mouse, and the CT image flipped over, revealing the options:

A, left-sided renal cancer B, left-sided simple renal cyst C, left-sided renal cyst with hemorrhage D, left-sided cystic kidney cancer E, left-sided renal vascular leiomyolipoma

The female candidate didn't think twice about it, so she chose D directly, and then turned to the next question.

Sizzle. Ye Chen's facial expression was condensed, because he also felt that D was a little more likely.

Although she is now in the second-line office, she was also the first-line attending doctor, why did this female candidate answer faster than herself?

He was interested, so he stood behind the female examinee and continued to watch.

Tao Le noticed that there was an invigilator standing beside her, but this did not affect her answer in the slightest.

Today's exam questions were simpler than she expected.

In fact, she is very worried about coming up with a lot of purely theoretical questions, so that there are likely to be gaps in the temporary remedy.

But fortunately, most of the questions are clinical combined with medical records to ask yourself to make a diagnosis, or to look at pictures to speak.

Just like the question above, the diagram shows that the cystic mass has irregular wall thickness, partitions, and nodules, so the possibility of cystic kidney cancer can be considered first.

She has also done similar things for decades back then, and she has quite a lot of experience, so she is naturally familiar with objective questions.

Ye Chen continued to look down and found a problem.

How long has the exam been going on, how can this female candidate already do the twenty-sixth question, is this speed too fast?

If he remembered correctly, the candidate who was looking at the ECG just now did the eighth question, the one who recognized the image of respiratory mechanics, seems to be in his early tens.

That's too much in between, isn't it? So fast, is it purely relying on Meng?

It's not impossible, the CT movie question above that caught my attention may also happen to be blind.

As soon as he wanted to leave, he suddenly saw Tao Le choose the answer, and then turned to the next question.

The answer she chose just now was the same as what she thought.

It's easy to get one in this way, but it's impossible to have two in a row, right?

Thinking so, Ye Chen simply stopped behind Tao Le, intent on seeing if she really knew it or if she was messy.

Question 27: "A 19-year-old man was stabbed in the middle of his left groin 1 hour ago, and when he came to the hospital, a large amount of blood gushed from the wound. The first test to be done at this point is (). ”

A. Immediately do X examination B. Palpate the dorsum of the foot and posterior tibial artery C. Examine the vascular injury with color ultrasound of the left lower limb D. Check whether there is any loss of sensation in the limb E. Angiography of the left lower limb.

Seeing this, Ye Chen smiled. This is a classic trap problem.

Newcomers who have not yet entered the training will often choose A or C, and X-ray and ultrasound imaging examinations will be done immediately to determine the injury.

In the case of rupture of the main blood vessels of the injured limb and massive blood loss, it will inevitably be accompanied by hypotension and shock.

At this time, it is basically too late to do an inspection, and it is necessary to quickly identify the problem and take corresponding measures.

The wound was in the middle of the left groin, accompanied by a large amount of blood, which suggests that the ruptured left femoral artery may be rupture.

As long as the dorsum of the foot and the posterior tibial artery are examined, it can be found that the pulsation is weakened or disappeared, so as to provide timely symptomatic treatment and save valuable rescue time.

For this question, you should choose B.

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