Is there a full score for Chapter 15?
The diagnosis result represents the pathological diagnosis given by the attending doctor, and the subsequent treatment plan will also be based on the diagnosis result. If misdiagnosed, it is very easy to cause medical accidents.
In the spirit of being responsible to the patient, if you have doubts, you should not fill in the diagnosis.
He felt it necessary to find out whether the patient had any medical history.
"Medical history check."
After entering four words, the patient's medical history information pops up.
"The patient has no history of heart disease, and his family members within three generations also have no history of heart disease."
This means there is no such thing as family inheritance.
The patient's heart should have been healthy before.
"How the disease occurred."
He typed four more words.
This information should have appeared in the physical examination section. But it didn't.
Only targeted queries will display that information.
Zhou Can vaguely realized that this was probably because the examiner deliberately concealed some information, or thought that the information was unimportant and therefore omitted it.
"The patient lost his job and divorced his wife before he became ill. When he was living alone, he suddenly developed chest pain and difficulty breathing."
When Zhou Can saw the patient's information, his eyes lit up slightly.
I always feel like something is wrong.
Now that I think about it, the patient’s medical history and the course of the illness were not displayed.
Losing your job is bad enough and it's bound to make you feel low.
Instead of getting any comfort at this time, his wife divorced him, which was like adding insult to injury.
The greatest sorrow is a dead heart.
When a person is extremely sad and in pain, he or she is likely to experience symptoms such as chest pain and difficulty breathing.
Zhou Can's eyes became more and more determined, and his wisdom shone brightly.
"Emergency room, chest pain, dyspnea, elevated troponin, electrocardiogram showing signs of myocardial infarction. From the very beginning, the candidates were preconceived and walked into the misunderstanding of acute myocardial infarction."
Looking at those candidates who were so proud of themselves after filling out the diagnosis results, Zhou Can couldn't help but shake his head slightly.
I’m afraid these candidates will lose points.
If you want to find out whether a patient has a myocardial infarction, the most authoritative test is not an electrocardiogram or an X-ray, but coronary angiography.
X-rays cannot detect blood clots.
Coronary angiography is the only authoritative and effective detection method.
This test is usually performed by an experienced cardiothoracic physician. It requires an injection into the femoral artery at the base of the patient's thigh and then the insertion of a guide wire.
Keep pushing the guide wire deeper into the blood vessel until it reaches the abdominal aorta, then continue pushing it until it reaches the thoracic aorta, passes through the aortic arch, and finally enters the coronary artery.
Once the guidewire is successfully placed, a catheter can be placed over the guidewire.
What are you doing?
Contrast agent is injected into the catheter, which allows it to reach the coronary artery smoothly.
At this time, if you do an X-ray again, it will be able to develop.
You can clearly see whether the coronary artery is blocked, and even where the narrowing is.
Zhou Can decisively exited the diagnosis filling page and returned to the medical examination application page.
"Request a coronary angiography."
He decisively submitted a new inspection application.
"Congratulations on getting extra points for the supplemental inspection."
The examiner is really mean.
Layer upon layer of confusing fog is set up for the candidates, requiring them to have extremely strong concentration, high-level diagnostic ability, meticulous observation ability, and a rigorous and responsible attitude to uncover all the fog and seek the truth.
No matter how much people curse at him, it is undeniable that the questions set by the examiner are of high standard.
It can identify the real elites from more than 1,500 outstanding candidates to the greatest extent.
Recruit the most promising talents for Tuya Hospital.
"Okay, I believe many candidates have already filled out their diagnosis results. Now please give your treatment plans."
The examiner showed a barely perceptible sly smile at the corner of his mouth.
It was obvious that his evil plan had succeeded. He showed a smug smile as he watched the candidates fall into the deep pit he had dug.
Zhou Can ignored the examiner's urging and carefully checked the coronary angiography results.
Angiography results showed that the patient's coronary arteries were normal.
There was no myocardial infarction.
Zhou Can smiled knowingly.
"It is true."
The next step is simple. Go to the diagnosis result page and write "The patient's myocardium is normal, and the symptoms similar to myocardial infarction are caused by severe emotional fluctuations."
After submitting the diagnosis results, the treatment plan page will pop up.
He cursed in his heart that the examiner was a cunning one.
After the previous check items are submitted, the score will pop up immediately to tell the candidates that the check items are correct.
When it comes to submitting the diagnosis results, there is no prompt and it jumps directly to the treatment plan page.
I believe that many candidates will be kept in the dark.
I was definitely tricked by the examiner.
Students and examiners are natural enemies. This is the conclusion Zhou Can came to.
In the treatment plan column, he filled in "psychological counseling is recommended."
Then submit .
The next step is to wait patiently for the examiner to announce the results.
"Luckily, I upgraded my pathology diagnosis to level three, otherwise I might have failed the first stage of the interview."
His eyes swept over the other candidates, some of whom were still filling out their forms carefully with their heads down.
Needless to say, nine out of ten of these people who addict to their phones have fallen into this trap.
The treatment plan for acute myocardial infarction is very long and it will take at least ten or twenty minutes to write it.
From a medical perspective, if the diagnosis is wrong, no matter how sophisticated the subsequent treatment plan is, it will be wrong.
This is somewhat similar to the multiplication rule.
As long as the multiplier is zero, it doesn’t matter how many or how big the multiplicand is, the result will still be zero.
He was bored and looked towards the nursing candidate recruitment section.
Each of these young and beautiful girls is very pleasing to the eye.
It made him feel happy and he had the urge to fall in love.
They have also reached the interview stage and are competing in basic skills such as giving injections.
When I was seeing a doctor, I met a nurse who was not good at giving injections. It was really painful.
To draw blood, she can give you dozens of injections because she can't find a vein. For the simplest intramuscular injection, she can inject a needle into your bone, which is guaranteed to make you feel like you are in heaven or death.
When you want to curse, you see that the other person is a young and beautiful girl, and you feel a little bit reluctant to do so. You swallow the words back just when they are on your lips.
"Candidates who have not yet submitted their diagnosis results and treatment plans, please hurry up, there are only 60 seconds left."
The examiner's voice drew Zhou Can's attention back.
After the deadline was given, the candidates filled the forms faster.
"Time's up! Now you can check your pathology diagnosis scores."
The candidates couldn't wait to check the answers.
"Ah... why did I only score 2 points?"
"Examiner, is there something wrong with the scoring system? All my examination items were correct, and the subsequent diagnosis results and treatment plan were also correct. Why did I only get 5 points?"
"I got 5 points too. There must be a mistake in the scoring."
…
The candidates complained and the examination room was in chaos.
Candidates for nursing and medical technology training also turned their heads to look over here .
Want to know what happened?
"What are you yelling about? What are you yelling about? Keep quiet."
The examiner shouted angrily, but no one dared to challenge his authority, and the candidates who were complaining became quiet.
Only the anger on their faces expressed their strong dissatisfaction.
If the examination center does not give a reasonable explanation, they will definitely make trouble again.
"Do you know why your scores are low? The total score for pathological diagnosis is 30 points. Most of the candidates who scored below 10 points only answered some of the first few examination items correctly."
When these words were spoken, everyone in the audience was shocked.
Those candidates who scored below 10 points began to re-examine the questions, trying to find possible mistakes.
"This, this can't be wrong! The patient has low blood pressure, elevated troponin, and an electrocardiogram that looks like a heart attack. Isn't this an acute myocardial infarction?"
Candidates who answered incorrectly were confused.
The examiner smiled and said, "Pathological diagnosis cannot be based on appearance alone. It is possible that what we see and hear may deceive us. This requires us to carefully distinguish and separate the true from the false, so as to avoid misdiagnosis in the end. Did any candidate get full marks for this question just now?"
