Soon, one thunderous group of expert group members after another appeared.

Zhou Tianbo didn't leave, he followed behind She Yong with a dead face, greeting every member of the expert group, but he was always thinking about Ji Xiang who could make the system sound an alarm.

It should be that there is a problem with the electronic review system, and Zhou Tianbo is biased towards this.

"Professor Zhou, don't you really come to see the results of that Gui Peisheng named Ji Xiang?" She Yong asked when he found no one.

"Young Master, I'm really here to see his results." Zhou Tianbo admitted, "I knew that he could score at least 480 points or more, but I didn't expect it to be a perfect score."

"There must be something wrong with the system, just the questions in the current medical practitioner exam, there are a lot of multiple-choice questions in the back, and the answers are ambiguous, not to mention the regular training doctor, even if you are asked to answer it again, it is difficult to say whether it can reach 550." She Yongdao.

Zhou Tianbo took a deep breath.

Soon, the twelve experts sat down in the small conference room of the National Health Commission.

"Teachers, the system called the police, so I have to ask all teachers to review, I'm really embarrassed." She Yong said politely first.

"How many points?" One asked.

"Perfect marks."

「！！！」

「！！！」

The room full of old experts all stared at She Yong with wide eyes.

"So I'm sorry for you, teachers." She Yong said, "According to the standard answer, I doubled it, and it is indeed correct, teachers take a look at it first."

The old experts are not unhappy, life is dull, and such major events as today rarely occur.

They begin to review the questions and finalize the correct answers.

In Zhou Tianbo's view, there is no difficulty in the front multiple-choice questions, and there should be ambiguity in the multiple-choice questions in the back.

But!

Question 38 The expert group began to talk about it.

"Who came up with the thirty-eighth question?" An old expert said dissatisfied.

Zhou Tianbo hurriedly found the thirty-eighth question on the young master's computer.

The stem is a medical history - female, 38, the patient was treated locally for sudden epigastric pain seven days ago, the blood amylase was significantly increased at the time of admission, the urine amylase was elevated, and the urine was less for 2 days after being transferred to our hospital.

Urine protein (+), increased glucose in urine is marked, and there is no pyuria. (Clinically required to fast water, the patient has a special situation, and has not drunk contrast agent) Supplement: the kidney volume is about 12x7x5CM3.

This is followed by CT images of the upper abdomen.

The answers selected include cerebral infarction, sudden cardiac death, acute pancreatitis, etc.

Isn't this a grading question? Zhou Tianbo saw the answer, combined with the patient's medical history, and thought in his heart.

Blood urine amylase is high, not acute pancreatitis what it is.

He is not a doctor in gastroenterology or hepatobiliary and pancreatic surgery, and he can't understand the CT scan of the upper abdomen, so he didn't see it.

If he were to answer the question, he would definitely choose acute pancreatitis directly.

"Let me tell you what I think." An old man with a white beard knocked on the table.

The others looked up at this one.

Zhou Tianbo knew that this was the retired director of the Department of Hepatobiliary and Pancreatic Surgery of the Imperial Capital Cancer Hospital, and his speech should be representative.

"The patient's abdominal pain symptoms, combined with elevated amylase, have a high probability of pancreatitis.

CT of the abdomen should note that the pancreatic tail is full, the space between the head of the pancreas is unclear, and the kidneys adjacent to the pancreas are enlarged;

It should be noted that the patient has enlargement on CT of both kidneys, which is the cause of oliguria; The patient's gallbladder is full, and the presence of stones is not excluded; may be a cause of pancreatitis; There appears to be mucosal thickening of the posterior abdominal wall near the pylorus, except for chronic gastritis.

Consider the possibility of chronic bile reflux in conjunction with the history; In addition, acute pancreatitis is more likely to cause renal failure than systemic inflammatory response syndrome, and this patient is considered to have pancreatic lesions involving the kidneys. The patient has thickened the inferior vena cava and whether there is concomitant cardiac insufficiency."

"So." The old man paused for a moment and said in an accentuated tone, "If."

If I had to choose, I would choose sudden cardiac death."

"Boom~~~" There was a commotion in the classroom.

Zhou Tianbo was a little confused.

If you change this question, pancreatitis is the first option, renal insufficiency is the second option, and sudden cardiac death will not be chosen in any case.

But the head of the old expert's analysis is the Tao, and Zhou Tianbo can't be allowed to say the word "no".

"Elder Sun, the standard answer is sudden cardiac death, do you think it's right?" Another asked.

"Well, I've seen similar patients." The old man was a little unhappy, and he said in a deep voice, "I didn't give all the medical records, just a film with a brief medical history, is this an exam?" It's embarrassing!"

"This kind of question, I show my doctoral students, and the probability of choosing the wrong question is more than 80%."

「！！！」

"Forget it." The old man shook his head, "The answer on the rechecked test paper is correct, and what I said is that there is a problem with this question. It's too difficult, the difficulty has exceeded the outline, and the clinical ...... Hey, if you don't believe it, let the directors of the large tertiary hospitals in the imperial capital take a look, I guess few can answer correctly."

Indeed, he was right.

"This candidate is right." One smiled, "Since the answer is okay, let's continue."

Zhou Tianbo's heart was pounding, and he vaguely felt that this matter seemed to be different from what he thought.

He knew that Ji Xiang was definitely not right.

The young man...... Why is the clinical experience so rich!

The attitude of the expert group is obviously rigorous and serious.

If it weren't for Elder Sun's detailed explanation of the question just now, everyone here would have been misled.

It's really boring who is the person who came up with the question.

Because the expert group is all top experts, they became serious, and some of the "digging hole" questions quickly got the correct answers.

The answers are no different from the standard answers of the exam papers, and the Jixiang exam paper review is also passed little by little.

No matter how difficult the question maker finds in the question bank, or how many traps he digs in the question stem, Ji Xiang can find the correct answer.

Soon, come to the big question at the back.

Soon, the argument arose again.

This is an essay question, and a patient who is considering cerebral infarction is admitted to the hospital, and the patient's family refuses thrombolysis and misses the best time.

The patient's left upper limb muscle strength level was 0, and the left lower limb muscle strength level

At that time, aspirin, atorvastatin, low molecular weight heparin, edaravone and other drugs were given, and after 2 days of treatment, the patient's limb muscle strength improved for a time, and the muscle strength of the left upper and lower limbs reached a level.

After the disease recurred, low-molecular-weight heparin was discontinued, and clopidogrel dual antiplatelet was added.

CTA of the neck + brain showed occlusion of the right carotid artery and right vertebral artery, occlusion of the beginning of the left internal carotid artery, and severe stenosis at the beginning of the left vertebral artery.

However, during carotid artery stent surgery, the patient had a sudden severe allergic reaction.

The patient suffered respiratory and cardiac arrest and was successfully resuscitated.

The question arises – the patient's allergic reaction is considered to be caused by the drug or procedure.

(End of chapter)

Source: /txt/45149/30733750 Previous Chapter 340 Candidates who crashed the system in the next Chapter 342 Review Exam Papers