Doctor Peerless

Chapter 583 Practical Skills Exam
After signing up, there was a long wait.

Finally arrived at the first level of the medical qualification examination.

Practical skills test.

After passing the practical skills test, you can take the written test.

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

Compared with the second written test of the medical qualification examination.

This level is relatively easy.

According to statistics in recent years.

Nearly 80 people across the country take the medical qualification examination every year.

And the number of people who passed the first test and practiced their skills was more than 55.

The pass rate is over 70%.

At least 10 out of 7 people will pass.

Generally, those who have earnestly practiced in a large hospital for more than one year, have some experience in clinical practice.

Go home and read a book.

Basically pass.

With Zhou Sheng's strength, almost 100% will pass.

Su Quan is not 100%, but also has a 99% probability of passing.

The number of patients that the top three emergency departments come into contact with every day is frighteningly large.

Practical experience for exams?
The two of them were already full.

But no matter how strong you are, you still have to take the exam.

There are many professional directions for the doctor qualification examination, such as clinical, stomatology, traditional Chinese medicine, public health and so on.

Of course, both Zhou Sheng and Su Quan are clinically oriented.

The Qinzhong test area has the most clinical test sites.

For example, the Military Medical University, the School of Medicine of Jiaotong University, and Qin College of Traditional Chinese Medicine, Zhou’s alma mater, are all test sites for clinical practice skills.

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

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

But once the assignment was made, Zhou Sheng and Su Quan's test centers were both at Jiaotong University School of Medicine.

This is not much of a problem.

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

the day of the exam.

Zhou Sheng and Su Quan did not go to the exam together.

Because the test time of the two is different.

A practical skills test, a bit like an interview.

Round by round.

Su Quan was in the first round, and the exam started at [-] o'clock in the morning.

The exam time for students on Monday is the third round, which starts at 01:30 pm.

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

Su Quan asked for a day off early.

Prepare well for the exam.

Zhou Sheng was still at work in the morning.

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

He calculated the time and set off from the Central Hospital at twelve noon.

When we arrived at Jiaotong University School of Medicine, it happened to be around 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 candidates for the exam.

Bustling and bustling, it is truly spectacular.

As for why you wear a white coat for the exam.

the reason is simple.

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

The examiner's subjective factors accounted for a lot.

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

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

Of course Zhou Sheng is no exception.

His outfit was worn when he went to work in the morning.

Now even the time for changing is saved.

Zhou Sheng parked the car.

After checking the documents, enter the examination room.

Find your test center according to the information on the admission ticket.

The next step is to wait for the staff in the examination room to notify you to enter the station for the examination.

Why a pit test?

This clinical practice skills test is divided into three stations.

Need to enter the exam sequentially.

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

Each level has a different focus.

Zhou Sheng waited for a while.

Hear from staff.

Entered the first stop.

The first stop is medical history collection and case analysis.

Completely written test.

In a big classroom.

Zhou Sheng found his seat and sat down.

Wait for everyone to arrive.

The invigilator began to distribute the papers.

Papers are issued in the form of "plum-blossom rolls".

In other words, Zhou Sheng's test papers were different from his.

The purpose of doing this is to make it impossible for those who want to peek.

There are only 2 questions on the test paper.

The first one is about history taking.

That is what we often call outpatient consultation.

Give you a common clinical condition.

Let you write down the process of the consultation.

Of course, this is an exam.

Can not write too vernacular.

The writing process must have a certain format.

This is not difficult for Zhou Sheng.

After staying in the emergency center for so long, I have seen almost all common diseases, so what should I ask.

He was naturally very clear.

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

Overall no problem.

Zhou Sheng glanced at it, and his topic was: boy, 2 years old, had a fever for 1 day, and was admitted to the emergency department for 1 convulsion.

It's simple, and there are many night shifts in the emergency department for children with fever.

Generally speaking, children who are sick during the day go to the pediatrician for medical treatment.

At night, go to the emergency department more often.

Zhou Sheng has a lot of experience in this area.

The child had a fever, so he knew exactly what to ask.

He directly started writing the answers on the test paper.

1. According to the main complaint and relevant identification inquiries
1. The cause of the onset: whether there is contact with other febrile patients, whether there is trauma

2. Fever degree, with or without chills
3. Whether there is disturbance of consciousness during convulsions
4. With or without cough, runny nose, vomiting

5. Diet, sleep and defecation since the onset
6. Have you done blood routine
7. Have you ever used medicine at home, and how effective is it?

……

Zhou Sheng came at his fingertips.

in a few minutes
The second question is a case analysis question.

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

It will give a complete case.

Let you give a complete case analysis.

For example: what disease is this?Why this disease, why not other diseases.

What to check, and finally give a treatment plan.

Zhou Sheng's topic was a case of epidemic meningitis: male, 17 years old, came to the clinic on January 2 because of high fever, headache, and frequent vomiting for 1 days.The patient suddenly had a high fever of 15 degrees 2 days ago, accompanied by chills, chills, severe headache, frequent vomiting, projectile, vomited food and bile, no upper abdominal discomfort, and less food intake.

He was healthy in the past, had no history of stomach problems and tuberculosis, and had no drug allergies. There were similar patients in his school.

Physical examination: T 39.1 degrees, P110 beats/min...

Auxiliary examination: Hb 124g/l, WBC...

A typical case of meningitis.

If it is specialized, it belongs to neurology.

But emergencies can happen too.

For Zhou Sheng, who is already a master of emergency and supernatural.

The problem is not big.

Answer immediately according to the process.

Diagnosis: High possibility of meningitis
Diagnosis basis: Onset in winter and spring (January 1), the disease occurred locally (there were similar patients in the school)

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

The total number of WBC and the proportion of neutrophils in blood tests increased
Further investigations: blood cultures
Principles of treatment: 1. Pathogen treatment, high-dose penicillin is the first choice, and third-generation cephalosporins can be used
2. Symptomatic treatment: Mannitol lowers intracranial pressure, physical cooling, antipyretics
……

Read questions with answers.

Zhou Sheng only took 10 minutes.

Zhou Sheng finished answering two questions.

99% of the candidates in the entire examination room are still writing hard.

Zhou Sheng has already got up and handed in the paper...

(End of this chapter)