"Oh, hello, who are you?"

Naturally, Tanglou didn't know Director Huang, and originally thought that the examiner was here for Ling Xiao.

"Director Tang, it's normal if you don't recognize me. I'm Huang Yixing, director of the Department of Cardiovascular Medicine at the Third City Hospital."

Director Huang introduced himself.

"Director Huang, I have admired you for a long time."

Tanglou was polite for a moment, but then he had no intention of continuing.

After all, candidates and examiners are in a remote corner and can easily be misunderstood.

Director Huang naturally realized that Tanglou was here for the exam.

Normally speaking, the examiner would say some words of encouragement at this time, such as performing well, not being nervous, working hard, etc. But of course he couldn't say it in front of Tang Lou.

One of the two people didn't want to say anything, and the other didn't know what to say.

The air suddenly fell silent.

Director Huang laughed dryly and said as if a junior was asking for instructions from a boss: "Then Director Tang, I'm going to invigilate the exam first?"

"go Go."

Tanglou waved his hand, as if the director had approved the little doctor's request.

Both of them were relieved.

It wasn't until Director Huang walked away that Ling Xiao swallowed his saliva and looked at Tanglou, his whole face flushed.

"What's wrong with this world? The examiner is so respectful to the candidates when he sees them."

"Can't afford to offend, can't afford to offend."

Ling Xiao directly rubbed oil on the soles of his feet. How dare he pretend to be thirteen in front of Tanglou? He is a cruel person!

At half past nine, the practical skills exam officially begins.

The number of the tenement building was No. 35, and soon it was his turn to enter the corresponding examination room.

As soon as I walked in, I saw Director Huang, the examiner, and his two younger brothers sitting there.

One of the boys came over to verify the identity of Tanglou, and even pretended to lecture him about the order of the examination room in Tanglou.

"Director Tang?"

As the examiner, Director Huang would normally sit on top and let the younger brothers below do the specific work. But when he saw the tenement building, he stood up from his chair, walked around the table, and walked away.

come over.

"Director Tang, come on, come on, sit here."

Seeing the enthusiastic Director Huang and the young man who was checking the identity of the tenement building, the serious expression on his face immediately softened. After all, he had been dealing with patients all year round and had a strong ability to observe people's emotions.

All he needs to do is write the word "dog licking" on his face.

"Director Tang, please come this way."

The younger brother quickly guided Tanglou to his seat, and then several people got busy serving Tanglou.

"Director Tang, should we start collecting cases first, physical examination or electrocardiogram?"

Director Huang certainly understands that participating in the assessment at Tanglou's level is just a formality. Under normal circumstances, they designate the assessment questions and then the candidates answer the questions. However, the examiner and invigilator also adjust the questions on the spot.

Type of permissions.

Therefore, when they arrived at Tanglou, they directly gave the options and chose according to Tanglou's mood. After all, Dr. Huang also said that if Dr. Tang had a blind spot on a certain question type and prevented him from passing the practicing certificate, then he would

That's tragic.

After all, everyone now knows Dr. Tang's potential and future status in Hecheng's medical circle.

You have to pick up your thighs as early as possible, otherwise when the tenement building becomes developed, you may not even be able to pick up the hair on your legs.

Make it convenient for others and make it convenient for yourself.

After hearing what Director Huang said, Tang thought about it and chose the medical history collection category.

"Okay, medical history collection type questions."

Director Huang's younger brother immediately picked out this type of question.

"Title: Ask the doctor to discuss the content of the current medical history? The content of the diagnosis and treatment process? The content of the past medical history?"

Having diagnosed so many patients, Tanglou is naturally experienced in collecting medical history and began to answer in a very organized manner:

History of current illness: Based on the patient’s chief complaint and related identification inquiries:

1)Cause, trigger?

2) What are the characteristics of the main symptoms?

3) Are there any accompanying symptoms?

4) General state: that is, the general state after the onset of the disease (eating, sleeping, urine and feces and weight changes since the onset of the disease)?

After hearing Tanglou's answer, Director Huang nodded with satisfaction.

Tanglou continued to explain: the patient’s diagnosis and treatment process:

1) Have you been to the hospital? What examinations have you had?

2) What treatments have been done and what is the effect?

Past history (relevant medical history):

1. Relevant medical history: Have you smoked or drank alcohol in the past, have similar attacks and family history, etc.??

2. History of drug allergy and surgery?

After hearing Tanglou's answer, Director Huang and the two invigilators couldn't help but admire him. He was indeed Dr. Tang. He was very experienced at first sight. His answers were not only well-organized, but also comprehensive and concise. They were exactly the same as the standard answers.

.

The invigilator directly started asking the second question: "Please explain the content of the medical history collection of jaundice patients."

Tanglou answered in an orderly manner:

1. Causes and incentives:

2. Main symptoms and characteristics: onset, course (progressive, fluctuating, intermittent, recurring?), degree and color of yellowing of the skin and sclera? Is it accompanied by clay-like stool? Is it accompanied by strong tea-colored or soy sauce-colored urine?

3. Accompanying symptoms: Is it accompanied by chills and high fever, abdominal pain, bloating, loss of appetite, nausea, vomiting and fatigue? Is there weight loss? Is there spider nevus or subcutaneous bleeding?

4. General condition: changes in weight, sleep, and urine and feces since the onset of disease

5. Diagnosis and treatment process: Have you been to the hospital for examination since the onset of the disease? What examinations and treatments have been done? Is the treatment effective?

6. Relevant medical history: Are there any similar medical histories in the past? Is there a history of hepatitis or contact with hepatitis patients? Is there a history of hepatobiliary system diseases or digestive system diseases?

7. History of drug allergy

...

After hearing Tanglou's answer, Director Huang and the two invigilators' eyes lit up. Doctor Tang is really amazing. Many candidates can tell the general content, but he can be as concise, comprehensive, and logical as Tanglou.

Very little is strong.

This kind of medical history collection answer is enough to show that Tanglou has accumulated countless experiences, as if he has been practicing medicine for many years.

After Director Huang and the invigilator finished scoring Tanglou's answers, Director Huang continued to test: "Doctor Tang, shall we conduct a practical skills assessment?"

"OK."

Tanglou nodded.

The two invigilators on the side looked a little strange when they saw that Director Huang, the examiner, was so humble.

"Candidates please answer: Why do we have to wait between two iodine tincture disinfections? What is the waiting time?"

Of course, Tanglou could easily solve this kind of question. After all, he had basic skills in emergency medicine, debridement, suturing, etc., and had mastered various surgical techniques. He quickly gave the correct answer:

"The reason for the interval between two iodine tincture disinfections is to fully sterilize and wait for the first disinfection to dry slightly before performing the second disinfection. Generally, wait for 1 minute."

The invigilator continued to ask: "How many seconds should the carotid artery not be held? How many seconds should the hand be removed? How to palpate the carotid artery pulse?"

Tanglou's face was calm: "Do not press on both sides at the same time. Press on one side for no more than 10 seconds, and release for no more than 1 second. Carotid artery palpation: The examiner places the thumb on the pulsation point of the carotid artery (at the level of the thyroid cartilage, the sternocleidomastoid process)

(inside the muscle) and compare the carotid pulses on both sides. Do not palpate both sides at the same time to avoid syncope."

"Why debridement first and then suturing?"

"The purpose of debridement is to remove foreign matter, necrotic objects, etc., create a good environment for tissue regeneration, and then suture. Debridement first and then suturing is to avoid infection. If suturing without debridement will aggravate the infection and prevent healing."

...

...

“Why does the belly button need to be disinfected repeatedly?”

"The navel is a blind area of ​​the human body that contains a lot of bacteria and dirt, so it needs to be disinfected repeatedly."

"What is the function of the humidification bottle?"

"Medical oxygen is pure oxygen, but dry oxygen has no moisture and does not contain a certain amount of moisture in the natural air. Dry oxygen will irritate people's upper respiratory tract and cause discomfort. Therefore, when inhaling oxygen, you must first

Oxygen humidification. Of course, you can also observe the amount of oxygen from the humidification bottle for easy adjustment."

...

...

As soon as the invigilator finished asking the question, Tanglou gave the correct answer. Every question and answer was like a master's challenge. No matter how difficult or biased the question was, Tanglou always made no mistakes or mistakes.

“What a solid basic skill and comprehensive knowledge!”

The more the examination went on, the more impressed the several invigilators were. Tanglou's level and ability were definitely much higher than those of ordinary doctors.

"So far, everything seems to be perfect."
Chapter completed!