Chapter 262: High Difficulty Round 2
In the afternoon, the second round of the provincial preliminary competition officially began.
This time, there were only fifty contestants.
Only the top ten in the second round were eligible to enter the third round of the final provincial competition and compete for the opportunity to enter the national competition.
The rules of the second round of the exam were different from those of the first round.
This time, the exam questions were divided into compulsory questions and optional questions.
There were a total of twenty compulsory questions, each worth three points.
There were a total of ten optional questions.
The contestants selected four questions from the ten questions and answered them.
In order to increase the difficulty, the second round of the competition was not multiple-choice questions.
Instead, the contestants wrote out the electrocardiogram diagnosis results themselves.
If you can do it, you can do it!
If you can't do it, you really can't write a single word.
In this way, the influence of luck on the results is reduced to the greatest extent, ensuring the fairness of the competition.
...
At 1:30 p.m.
Lu Chen entered the exam platform early.
After several days of intensive training, Lu Chen has mastered all the basic contents of electrocardiogram.
The knowledge of related electrophysiology has also been improved.
Last time, Lu Chen was ranked eleventh.
This time, as long as he performs stably, the possibility of advancing is very high!
Lu Chen took a deep breath and exhaled slowly.
He stared at the computer screen, and various electrophysiological knowledge emerged in his mind.
…
Compared with the first round of competition, there are many more people paying attention to the second round of competition!
The senior management of Jinghua Electrophysiology is basically paying attention to this competition.
According to the practice of the past few years, after the second round of competition, the candidates who advance to the national competition are basically determined.
In the third round of competition, there will be almost no changes in the ranking!
Li Yao made an exception and did not go to the laboratory, but sat in her office in the eighth area of the heart.
She turned on the computer and went to the examination platform.
On the examination platform page this time, there is a real-time ranking of scores.
As long as you enter the examination platform website, you can see the real-time ranking of the second round of competition.
For each correct answer of the contestant, the corresponding score will be added.
The audience can see the ranking, but the contestants cannot see it.
"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 in this competition.
If it was a competition between people of the same age, Li Yao would definitely support Lu Chen unconditionally.
But this time was different. Lu Chen was competing with a senior doctor with rich clinical experience.
Many things cannot be compensated by talent and intelligence!
For something like electrocardiogram, even if the theoretical knowledge is rich, it is difficult to interpret some difficult electrocardiograms without practical clinical experience.
There is often a big gap between the standard knowledge in the book and the actual clinical situation!
…
Jinghua Electrophysiology WeChat Exchange Group.
Since everyone knew that Lu Chen and Fan Zhiping both participated in this electrocardiogram competition and were shortlisted.
Everyone in the group paid more attention to this competition.
Many people even started the "text live broadcast" of the second round of the competition.
"There are five minutes left, and the exam is about to start!"
"I hope Professor Lu and Comrade Lao Fan will win the first battle!"
"There is a real-time ranking this time, I will 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 30 seconds in their hearts.
At 2 o'clock, all the contestants entered the test website at the same time.
…
First question.
The patient is a 55-year-old female. After pacemaker surgery, the electrocardiogram is as follows. What is the diagnosis?
When Lu Chen saw the first picture, his brows began to frown.
This first picture determines the patient's paced rhythm.
This kind of paced rhythm judgment is very difficult.
Unexpectedly, at the beginning, it directly gave everyone a blow!
Lu Chen calmed down and was not anxious.
He called up the tool ruler in the computer and began to carefully analyze this paced rhythm.
About five minutes later, Lu Chen wrote his diagnosis.
"Paced rhythm, pacing mode dddd, atrial pacing function is normal, complete right bundle branch block, ventricular sensing delay and poor activity."
After filling in his diagnosis, Lu Chen immediately started the next question.
…
At this time, Fan Zhiping's forehead was sweating!
The first question was a tough one.
I finally finished the first question, but I still didn't know whether it was right or wrong.
The second question was another difficult question related to electrophysiology.
In the first round of the competition, there were still a few questions related to electrophysiology, and most of them were routine questions.
But in this second round, more and more knowledge about electrophysiology was tested, and the difficulty of the exam was directly increased by several levels!
…
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 increased.
However, his clinical experience was much richer than Lu Chen.
And he had spent several years studying abroad, and he had seen a lot more electrocardiograms than ordinary people.
For Min Xiaobo, he only needed to spend a little time analyzing, and he could answer all these questions one by one.
However, the top ten was not Min Xiaobo's ultimate goal.
What he wanted was to enter the top three, or even get the first place in the provincial competition!
…
In the real-time ranking of the exam website.
After completing the first question, Lu Chen ranked 24th!
Almost half of the people were faster than Lu Chen in judging the image!
At this time, the first place was Min Xiaobo, whose score had reached 6 points.
In other words, Min Xiaobo had surpassed Lu Chen's time for one question.
"Come on! Lu Chen."
Li Yao stared at the real-time ranking list closely, and her eyes almost never left her sight.
…
In Jinghua Electrophysiology's WeChat.
Some people began to release the latest ranking situation.
"Damn, Professor Lu is in the top 20, and Director Fan is only 46th!"
"Yeah, if Director Fan continues like this, there is basically no hope."
"There are still many ruthless people. I thought Professor Lu was already very powerful before, but there is really a world beyond the sky."
"Don't worry, everyone, I believe in Professor Lu Chen, he will definitely work hard later. But as for Comrade Fan, he will fend for himself!"
"…"
Time passed slowly.
The exam time is already halfway through.
Lu Chen's answering speed was not fast, and his ranking has been hovering around 20th.
Fan Zhiping was in a worse situation, and his ranking has always been in the bottom few.
On the contrary, Min Xiaobo's ranking was very stable and he never fell out of the top three.
...
Lu Chen's must-do questions only had the last three questions left.
Question 18: The patient underwent esophageal pacing, and the s1s1 stimulation lasted for 60 seconds. According to the following figure, make a diagnosis!
This question already involves electrophysiological examination - esophageal pacing.
Lu Chen had never seen real esophageal pacing, but fortunately the figure for this question was not difficult.
He thought for a moment and immediately made a diagnosis.
"Snrt is secondary to prolongation, consider sick sinus syndrome."
After answering this question, Lu Chen's ranking rose slightly and came to 18th place!
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