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

All the people who came to take the exam were experienced, and all of them were very familiar with the relevant requirements.

There are 240 people, occupying a whole three classrooms, and the distance between each person is not too far.

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

Read out the test rules and discipline in the test room.No whispering, no looking left and right, no use of electronic devices.
These are all clichés, and no one is really ready to test the bottom line.

There are only two people in total, and the one whose brain axis is asymmetrical will exchange answers with others.

The order of the questions answered by each candidate is randomly shuffled, even if it is the same test question, the order of the alternative answers is not the same.

Even if you poke your head and see Lao Wang's screen next door, it's useless, but you will be easily spotted by the densely packed cameras above the examination room, and then... there will be no more.

The exam is 150 minutes long with 175 questions.This is actually not unusual, but unlike the past, which were all objective questions, there are 5 more subjective questions here, and the score will account for 30.00%.

Everyone felt nervous, including Tao Le.

Everyone knows that objective questions also give you a few prompt options.

One is one, two is two, no matter how good your attitude is, and the writing is full, if you are wrong, it will not score.

When the exam started, everyone immediately put aside their previous thoughts and began to examine the questions.

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

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

As a result, the next one was more difficult.Some people have passed ten questions in a row, and they choose C directly for each question, because they heard that this option has the highest probability.

Not even 10 minutes into the exam, there was a substantive sigh in the exam room, which caught the attention of the invigilator.

There were three invigilators in the examination room where Tao Le was located. Except for Ye Chen from the medical department of the first hospital, the other two were teachers from the regular training medical field.

The exam questions this time were asked to help the Provincial Training Office. The difficulty is said to be higher than the standard for the completion of the training.

In terms of the structure of the test questions, there is very little purely theoretical knowledge, and it is more clinical.That is to say, if you can only memorize 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 to patrol the arena, looking at them one by one from the back to the front, shaking his head while watching.

He could see the problem at a glance in this ECG. The typical ST-segment elevation in the inferior wall leads should be selected for inferior wall myocardial infarction.

But the examinee had been staring at it for a long time, and there was still a faint cold sweat on his forehead. He seemed to have chest tightness, shortness of breath and palpitations. He should also take an electrocardiogram.

He passed the candidate to the next one.Yo, how come there is a question about respiratory mechanics waveform recognition during mechanical ventilation?
This question, not to mention young people who have not participated in the regular training, even a resident doctor who has been working for several years, not many can understand it.

Seeing that the examinee was also fluttering in the wind for unknown reasons, he walked forward lightly again.

On the front screen is a CT image.He leaned forward to look, and the title was: "Female, 54 years old, found a mass in the abdomen. According to the image shown, the most likely diagnosis is ()."

Well, look at this image, the patient's left kidney has a problem, is it renal cyst or cystic renal cell carcinoma?He wanted to take a closer look, but when the examinee clicked the mouse, the CT image flipped over, revealing options:

A. Left renal carcinoma B. Left simple renal cyst C. Left renal cyst with hemorrhage D. Left cystic renal carcinoma E. Left renal angiomyolipoma

The female examinee chose D without thinking at all, and then turned to the next question.

Hiss.Ye Chen's facial expression was congealed, because he also felt that D was more likely.

Although I am now in the second-line department, I used to be the first-line attending doctor. Why is this female candidate answering faster than me?
When he became interested, 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 answering the questions at all.

Today's exam questions were easier than she expected.

In fact, she was very worried about asking a lot of purely theoretical questions, so there might be gaps in the temporary supplementary work.

But fortunately, most of the questions are clinically combined with medical records and require you to make a diagnosis by yourself, or look at pictures and talk.

Just like the question just now, the cystic mass shown in the picture has irregular wall thickness, septation, and nodules inside. Based on this, the possibility of cystic renal cell carcinoma can be considered first.

She had done similar things for decades back then, and she had quite a lot of experience. Naturally, she was familiar with objective questions.

Ye Chen continued to look down and found the problem.

How long has it been since the exam? This female examinee has already completed six questions of No. 20. Is this speed too fast?
If he remembered correctly, the examinee who was looking at the electrocardiogram just now did not get to the eighth question, and the one on the image recognition of respiratory mechanics seemed to be in his early tenth question.

Is there too much difference between this?So fast, is it purely by deception?
This is not impossible. The above CT film viewing question that caught my attention may also happen to be right.

Just as he was about to leave, he suddenly saw Tao Le had chosen the answer, and then turned to the next question.

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

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

Thinking of this, Ye Chen simply stopped behind Tao Le, wanting to see if she really knew it, or just being random.

No.20 Question 19: "Male, 1 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 gushing from the wound. The first examination at this time was ()."

A. Immediately do X-examination B. Palpate dorsalis pedis and posterior tibial artery C. Color Doppler ultrasound of left lower extremity to check vascular injury D. Check for loss of limb sensation E. Angiography of left lower extremity.

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 do X-ray and ultrasound imaging to confirm the injury.

When encountering this kind of situation in clinical emergency, when the main blood vessels of the injured limbs are ruptured and the blood loss is massive, it is bound to be accompanied by hypotension and shock.

At this time, it is basically too late to do an inspection, and the problem must be quickly determined and corresponding measures taken.

The injury was in the middle of the left groin, accompanied by a large amount of blood, which suggested that the rupture might be the left femoral artery.

As long as the dorsalis pedis and posterior tibial artery are checked, it can be found that the pulsation weakens or disappears, so that timely symptomatic treatment can save precious rescue time.

For this question, you should choose B.

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