I can see health

Chapter 12 Different Skills Tests

The middle-aged man stood on the podium, looked around, and said loudly: "Everyone should have seen the rules of the skill test."

"This time, we will not test cardiopulmonary resuscitation, electrical defibrillation, or the four major puncture tests."

"This clinical skills test returns to the most primitive healing process!"

"All candidates will face the four most real patients, from the most basic physical examination, consultation, to diagnosis, treatment, and prognosis, all completed by everyone independently."

"The examiner invigilated the whole process, recorded all the process, and gave a grade evaluation. The highest is A and the lowest is D!"

Speaking of this, the middle-aged man on the stage paused for a moment, and then continued in a deep voice: "There are four patients in total. As long as they get a D-level evaluation, they will be rejected directly and withdraw from this re-examination!"

As soon as the words fell, everyone in the audience was in an uproar.

As long as you get a D-level evaluation, it means that you will be banned, and the whole year's hard work will be in vain.

For medical students, how many years can be wasted!
"Teacher, isn't this too unfair?"

A girl suddenly stood up and said loudly.

"We have been in the clinic for a short time and have never seen many diseases. Isn't it ridiculous for us to go to the doctor now?"

This girl speaks for everyone.

Do case questions, everyone will.

But when it comes to clinical practice, even the simplest cold may not be diagnosed and treated.

"You said that the clinical time is short?" The middle-aged man smiled instead of anger, "I remember that in medical school, I started my internship in my senior year, and I would practice for a whole year in my fifth year. If you think the time is short, then Everyone's situation is the same, I think it's fair!"

As soon as this was said, everyone present no longer questioned.

But everyone is ashamed.

Although the school arranges a whole year of internship time, but because of the postgraduate entrance examination, few students complete the entire internship plan.

Most people end their internships ahead of schedule a few months before the postgraduate entrance examination and prepare for the postgraduate entrance examination at school.

The format of this skills test at Kyoto University was a wake-up call for everyone.

Compared with high scores in the test, if the basic clinical skills are not up to standard, then it is a one-vote veto!
"The students in the first group came out with me, and everyone else handed in the communication equipment and waited in the demonstration classroom."

After the middle-aged man finished speaking, the four students in the first group followed him and walked out of the demonstration classroom one by one.

All the remaining candidates handed in their mobile phones and waited to be called.

……

Kyoto University Graduate School, Dean's Office.

"You guys are just fooling around! How dare you use real patients as exam questions?"

Dean Xu Feng sat on the office chair with a dark face.

"President Xu, this is what Vice President Yang meant." The secretary whispered, "Our school, as a pilot for the reform of the postgraduate entrance examination, needs to innovate. The previous exams can no longer reflect the gap between candidates, so Vice President Yang This innovative screening model has long been proposed."

"Hmph." Xu Feng snorted coldly, "Don't think that I don't know the nasty things in the re-examination. Now make a fuss about the pilot reform, don't get caught by me!"

"President Xu and Vice President Yang are also doing it for the good of the hospital."

The secretary dare not speak ill of Vice President Yang.

Xu Feng is just the dean of graduate students, but Yang Feng is the vice dean of the whole school
Xu Feng said in a deep voice: "Take a step back, once the patient suddenly becomes ill during the exam, it will be difficult to deal with!"

"Principal Xu, don't worry, the patients who are used as the test questions this time are all relatively stable."

"Hey, I hope there will be no mistakes!"

……

This side of the examination room.

The first group of exams is over.

The four candidates in the first group were taken to an adjoining classroom to prevent them from divulging the exam questions.

"The second group, Lu Chen, Jin Miao, Jiang Qingyan, Yu Bo, these four students come with me, the third group of students get ready!"

The girl is number seven, which means her real name is Jiang Qingyan.

The four candidates in the second group followed the examiner to the outside of the cardiology ward.

"Everyone, there are four wards here, and the corresponding numbers are posted on the doors."

"Every ward has a patient, and this patient is everyone's exam questions!"

"Each room is limited to 8 minutes. Candidates need to conduct consultations and physical examinations on patients. During this period, I will ask various questions."

According to the lottery number, Lu Chen came to Ward No. [-].

Afterwards, and so on, Jiang Qingyan entered Room No. [-].

Go into Ward One.

A middle-aged man was lying on the hospital bed in the middle.

He is obese, about two hundred catties.

With a slight movement of the body, one could see the fat on the face trembling.

Lu Chen noticed that he was closing his eyes. Apart from his scary body shape, there seemed to be no other abnormalities.

It's just that he is connected to a monitor, which indicates that his condition is not simple.

Lu Chen concentrated and saw that the color on his head was red!
"It's actually a real patient!" Lu Chen was shocked.

He thought that the hospital would let normal people pretend to be patients and let them take the exam.

I didn't expect the hospital to be so ruthless and let real patients be the test questions!

"Student, you can start the consultation and physical examination." There was also a female examiner in a white coat standing in the ward.

Lu Chen nodded slightly, walked to the right hand side of the hospital bed, and began to ask and check.

……

The consultation is over.

The female examiner asked in a deep voice: "Please briefly describe the patient's chief complaint and current medical history."

Lu Chen thought for a while and organized his words.

"Male patient, 47 years old. Chief complaint: severe chest pain for 3 hours."

"History of present illness: The patient had chest pain without obvious inducement 3 hours before admission, the pain was located in the middle and lower part of the sternum, the range was the size of a palm, and it was tearing pain, accompanied by radiating pain in the back, nausea, dizziness, paleness, and profuse sweating. Urgent call 120 was sent to our hospital, and the blood pressure was measured at 260/130mmHg in the emergency department, and he was admitted to the cardiology department with "chest pain" in the emergency department."

"What's unusual about the physical examination?"

"The blood pressure of both upper extremities is different, and there is mild pressure pain under the xiphoid process, and the rest are negative."

"Current diagnosis and next step of treatment?"

"The cause of the chest pain is yet to be investigated: aortic dissection is very likely. It is recommended to give symptomatic treatment such as blood pressure reduction and pain relief temporarily; and complete aortic CTA, please consult with a vascular surgeon."

The female examiner nodded, "That's a good answer."

Lu Chen breathed a sigh of relief.

The first patient's symptoms were obvious, and he was admitted to the hospital with severe chest pain and blood pressure in both upper extremities.

It is easy to think of dangerous diseases such as aortic dissection.

But the exam is not over yet.

The female examiner handed Lu Chen a stack of test sheets and inspection sheets.

"After reading these test sheets and inspection sheets, answer the last question again."

Lu Chen opened the stack of test sheets.

The first one is the result of the patient's myocardial enzyme spectrum, and the troponin is elevated!
The second ECG, ST-segment elevation in the anterior lead!
"How could this be?" Lu Chen's eyes were full of doubts.

The results of the auxiliary examination given by the chief examiner, the increase in troponin and the changes in the electrocardiogram all pointed to the diagnosis of acute myocardial infarction!
This is completely contrary to the "aortic dissection" he just diagnosed!

The treatment of aortic dissection and acute myocardial infarction is just the opposite!

Both are very dangerous diseases.

Once misdiagnosed, the consequences will be disastrous!

Lu Chen's heart tightened. If the diagnosis was wrong, wouldn't he get a D-level evaluation?

(End of this chapter)