I Can See Health

   Chapter 266 The difficult second round (the third IceTW reward plus more)

   In the afternoon, the second round of the provincial preliminary round officially started.

   This time, there were only fifty participants.

  The top ten in the second round are eligible to enter the final third round of the provincial competition for a chance to enter the national competition.

   The rules of the second round of exams are different from the first round.

   This time the exam questions are divided into mandatory questions and optional questions.

   There are 20 must-do questions in total, and each question is worth three points.

   There are ten optional questions in total.

   Contestants choose four questions out of ten questions and answer them.

   In order to increase the difficulty, the second round of the competition is not a multiple-choice question.

   Instead, the contestants write down the electrocardiogram diagnosis results themselves.

   Can do is do!

   can't do it, it really can't even write a word.

   In this way, to the greatest extent, the influence of luck factors on the results is reduced, and the fairness of the game is guaranteed.

  …

   1.30pm.

  Lu Chen entered the exam platform early in the morning.

   After a few days of intensive training, Lu Chen has mastered all the basic contents of the electrocardiogram.

The knowledge of    related electrophysiology is also one step closer.

  Last time, Lu Chen was the eleventh.

   This time, as long as you play stably, the possibility of promotion is very high!

  Lu Chen took a deep breath and let it out slowly.

   He stared at the computer screen, and various electrophysiological knowledge emerged in his mind.

  …

   Compared with the first round, there are many more people who follow the second round!

   The entire senior management of Jinghua Electrophysiology is basically paying attention to this game.

  According to the practice of the past few years, after the second round of competition, the candidates to advance to the national competition are basically determined.

   In the third round, the ranking will hardly change!

  Li Yao made an exception and did not go to the laboratory, but sat in the office of the eighth district in his heart.

   She turned on the computer and took the exam platform.

   This time, there is a real-time ranking list of results on the page of the test platform.

   As long as you enter the website of the test platform, you can see the real-time ranking of the second round.

   Contestants will add corresponding points for each correct answer.

  This ranking, the audience can see the ranking, but the contestants cannot.

   "I hope Lu Chen can enter the third round." Li Yao muttered to himself.

   To be honest, Li Yao didn't have much confidence in Lu Chen this time around.

   If it is a competition of peers, Li Yao will definitely support Lu Chen unconditionally.

   But this time is different, Lu Chen is competing with a senior doctor with so much clinical experience.

  Many things cannot be compensated with talent and intelligence!

   ECG, even if the theoretical knowledge is rich, if there is no actual clinical experience, it is difficult to interpret some difficult ECGs.

   There is often a big gap between the standard knowledge in books and the real clinical situation!

  …

   Jinghua Electrophysiology WeChat exchange group.

   Since everyone knew that both Lu Chen and Fan Zhiping participated in this electrocardiogram competition, and both were shortlisted.

Everyone in the    group paid more attention to this competition.

   Many people even started the "text live broadcast" of the second round.

   "Five minutes, the exam is about to start!"

   "I hope Professor Lu and Comrade Lao Fan will win!"

   "This time there are real-time rankings, I'll start the text live broadcast later!"

  The WeChat group is quite lively.

   At this time, Lu Chen and Fan Zhiping had turned off their phones.

   They focused all their attention and counted down thirty seconds in their hearts.

  Arrived at exactly two o'clock, and all the contestants entered the exam website.

  …

first question.

   The patient is a 55-year-old female patient. The electrocardiogram is as follows. What is the diagnosis?

   When Lu Chen saw the first picture, his brows began to wrinkle.

  This first picture, judge the patient's paced heart rhythm.

   It is very difficult to judge this kind of paced heart rhythm.

  I didn't expect that at the beginning, it gave everyone a slap in the face!

  Lu Chen calmed down and was not impatient.

   He called up the tool ruler in the computer and began to carefully analyze this paced heart rhythm.

   After about five minutes, Lu Chen wrote his diagnosis.

   "Pacing rhythm, pacing mode DDDD, no abnormal atrial pacing function, complete right bundle branch block, and poor ventricular sensing delay."

   Filled in his diagnosis, and Lu Chen immediately started the next question.

  …

   At this time, Fan Zhiping was sweating on his forehead!

   The first question is a tough nut to crack.

   After finally finishing the first question, I still don’t know if it’s right or wrong.

   The second question I encountered was another difficult subject related to electrophysiology.

   In the first round of the competition, there were still a few questions related to electrophysiology, and most of them were regular questions.

   But this second round, the knowledge of electrophysiology test is more and more, and the difficulty of the test has directly increased several grades!

  …

  Jinghua Central Hospital, Department of Cardiology.

  Min Xiaobo analyzed the electrocardiogram in front of him without changing his expression.

   He could feel that the difficulty of the question had risen.

   However, his clinical experience is much richer than that of Lu Chen.

   In addition, there are still several years of overseas study, and the electrocardiogram of the experience is also a lot more than ordinary people.

   For Min Xiaobo, it only takes a little time to analyze, he can answer all these questions one by one.

   However, the top ten is not Min Xiaobo's ultimate goal.

   What he wants is to be in the top three, or even get the first provincial championship!

  …

   in the real-time ranking of the exam website.

   After completing the first question, Lu Chen ranked 24th!

   About half of the people were faster than Lu Chen's judging!

   The first place at this time is Min Xiaobo, and his score has reached 6 points.

   In other words, Min Xiaobo has already surpassed the time for Lu Chen's question.

   "Come on! Lu Chen."

  Li Yao stared at the real-time ranking list, her eyes almost never left her sight.

  …

   Jinghua Electrophysiology's WeChat.

   Someone started posting the latest rankings.

   "Damn it, Professor Lu has more than 20, and Director Fan is only 46!"

   "Yes, Director Fan is going to continue like this, there's basically no drama."

   "There are still a lot of ruthless people. I thought that Professor Lu was already very powerful. This is really a heaven."

   "Don't worry, everyone, I believe Professor Lu Chen, he will definitely exert his strength in the future. But as for Comrade Fan, he will fend for himself!"

  “…”

   Time passed slowly.

   The exam time is half over.

  Lu Chen's answering speed is not fast, and his ranking has been hovering around 20.

  Fan Zhiping is worse, and his ranking has been in the bottom.

   On the contrary, Min Xiaobo's ranking is very stable, never falling out of the top three.

  …

   Lu Chen's must-do questions, only the last three questions remain.

  Question 18, the patient performs esophagus pacing, S1S1 stimulation for 60s continuously, according to the figure below, make a diagnosis!

   This question has already involved the electrophysiological examination - esophageal pacing.

  Lu Chen has never seen a real esophagus maneuvering. Fortunately, the picture of this problem is not difficult.

   He thought for a moment and made a diagnosis immediately.

   "Secondary prolongation of SNRT, consider sick sinus syndrome."

   After answering this question, Lu Chen's ranking rose slightly to the eighteenth place!

   (end of this chapter)