Chapter 14: Examination (Part II)

To receive such a level of favor from a clinical Attending Professor as a newly arrived Pre-service Trainee, it seems they are quite remarkable.

In years past, Zhao Yuanzhang would surely have listened to Mo with great interest, or perhaps even gone to see this remarkable Standardized Training Student with his own eyes.

But this year his own son was also here; although there was no competitive relationship between the two, that sour feeling of seeing someone else's child succeed made Zhao Yuanzhang extremely uncomfortable.

This was different from his own infighting with others in the hospital; that was his own flesh and blood!

He could retreat, he could wait ten years for a gentleman's revenge.

But!

His son could not be wronged!

"Let's go outside to talk, the students are taking an exam."

Seeing Zhao Yuanzhang's face turn dark, Sun hurriedly pulled Mo away.

"How long has the exam been going on? Did you start the exam before you even started work?" Mo asked, feeling unreconciled.

"Less than fifteen minutes."

"..."

Mo broke free from Sun's grip, turned back to take Ji Xiang's test paper, and did not forget to give Zhao Yuanzhang a fawning smile before walking out.

Zhao Yuanzhang thought for a moment and followed them out.

Zhao Yuanzhang had seen many doctors who were skilled with their hands but whose basic knowledge was a complete mess; many of the older generation of doctors had basic knowledge that was just so-so.

He reckoned this child named Ji Xiang was the same.

Walking out of the exam room, Mo began to look at Ji Xiang's exam paper with an impatience like that of a wedding night.

Zhao Yuanzhang was not in a hurry, instead, he composed his attitude.

A Vice President should not lose his composure over a Standardized Training Student.

As for the written exam being failed, and Mo's plan to go to the Department of Science and Education to get this child named Ji Xiang admitted... Zhao Yuanzhang believed it should be handled according to official procedure, so as not to be unfair to other students.

A few dozen seconds later, Zhao Yuanzhang made up his mind, intending to speak subtly to Sun when he left.

During this time, Mo's expression changed again and again.

It must be that the answers were written randomly; Mo could not bear to look anymore, and the expression on Zhao Yuanzhang's face brightened significantly.

"Impossible," Mo muttered.

"Exams must be serious; we act with an attitude of fairness, justice, and openness to measure the basic quality of students," Zhao Yuanzhang said leisurely.

That was enough to say; Sun would certainly understand.

"Handed in the paper in less than 15 minutes? Are you sure, Sun?" Mo asked.

"What is there to be unsure about."

"Impossible." Mo took a hurried look, mainly at the final case analysis, and after finishing, said with absolute certainty.

"How is it impossible?"

"Even if our Chief Resident came to do this, they might not be able to answer it correctly, and you're telling me Ji Yisheng Xiang finished it and left in less than 15 minutes?!" Mo asked.

"..."

"..."

"..."

It was as if everyone had water in their brains; they didn't understand what Mo meant for a moment.

"Mo, are you saying student Ji answered correctly?"

"Yes, handed in at 15 minutes... never mind the time, just this last question, I think he's good enough to lead a team in Internal Medicine right now."

Zhao Yuanzhang raised an eyebrow.

Letting a Pre-service Trainee lead a team directly, wasn't that a joke.

"If it were me, I'd definitely give him a zero," the staff member from the Department of Science and Education glanced at Ji Xiang's answers, then at Zhao Yuanzhang's expression, and chimed in with disdain.

"Where is your answer key? Bring it here and let's see."

"Let's go to the conference room," Zhao Yuanzhang said blandly.

The others didn't know why Zhao Yuanzhang was so concerned, but since the Dean had given an order, everyone quickly arrived at the conference room, and the staff member from the Department of Science and Education brought the answer key.

The multiple-choice questions at the beginning were of average difficulty and could be guessed.

Things like "if three are long and one is short, pick the shortest; if three are short and one is long, pick the longest," and the most extreme, picking C for everything.

Mnemonics like these were not rare.

But as Sun checked them one by one against the answer key, his expression underwent subtle changes as time passed.

All the answers were correct, not a single one wrong!

There wasn't a single one wrong!

This was impossible, absolutely impossible!

When Sun finished checking all the multiple-choice answers, he was quite puzzled.

He subconsciously thought it was impossible for them all to be correct; there must be something wrong somewhere.

He had written the questions himself, and the difficulty was extreme.

This was also a way to dampen their spirits, to let this group of Pre-service Trainees know their own worth.

After they were all reduced to tears by the exam, their attitudes would be much more humble when they went to the clinical departments.

However, whether it was single-choice or multiple-choice, Ji Xiang did not have a single wrong answer.

How could this be!

Sun was somewhat dazed; he took off his glasses and rubbed his eyes hard.

"Sun, what's going on?" Zhao Yuanzhang asked.

"The answers are all correct."

Zhao Yuanzhang did not speak; he was even more curious about the dazzling performance of this young man named Ji Xiang.

"Look at what I said," Mo Jiaoshou said, rubbing his hands as if he had found a treasure.

"He guessed it," Department Head Sun said firmly.

"Can one really guess all of these multiple-choice questions correctly?" Mo Jiaoshou replied unhappily, as if Department Head Sun had thrown his own child into a well.

"There is still a probability," Department Head Sun said. "I estimate the average score for this paper is only around 30, and that's just from the easy single-choice questions at the beginning. Starting from the multiple-choice section, it's harder than the postgraduate entrance exam."

"That's what you think," Mo Jiaoshou muttered. "I saw the case analysis at the end."

Zhao Yuanzhang leaned in, and several Department Heads and Mo Jiaoshou all understood the rules and stood to the side, clearing a space for Zhao Yuanzhang.

Zhao Yuanzhang picked up Ji Xiang's test paper; he did not look at the multiple-choice questions, but went straight to the final big question—the most difficult case analysis.

An MRI image appeared before his eyes, and after seeing this image, the corners of Zhao Yuanzhang's eyes and brows twitched slightly.

This was an MRI of a lower leg, yet the problematic area was not the bone, muscle, or ligaments.

A massive abscess was clearly visible.

Damn it!

Is Department Head Sun crazy, actually using this case to test a Standardized Training Student? Zhao Yuanzhang cursed inwardly.

But in a flash, Zhao Yuanzhang thought of the concise answer on his WeChat and immediately understood what Department Head Sun meant.

The expression on his face did not change; he only nodded slightly.

This was the data of a patient admitted to the Second Affiliated Hospital two years ago.

At that time, this patient nearly died in the ICU, and after five full-hospital consultations, the problem was solved by the skin of their teeth.

Let alone a Standardized Training Student, there was no one who could answer this case correctly on the first try, even among Clinical Attending Professors.

This was a fact; Zhao Yuanzhang took a deep breath.

He did not comment on Department Head Sun's actions but began to read the prompt.

Patient, 46-year-old male, admitted due to "redness, swelling, heat, and pain in the left lower leg for 22 days."

The subsequent description was simple yet detailed, almost a reenactment of what had caused every department such a splitting headache back then.

Performing a puncture and drainage after completing relevant examinations to extract pus was standard procedure.

But the problem arose after the puncture.

Theoretically, the patient should have improved day by day after the pus was drained, and local irrigation would suffice. However, on the second day after the procedure, the patient developed extremely dangerous electrolyte disturbances, with sodium ions dropping to 2.2 mmol/L.

The sodium ion level dropped to a critical value, and no matter how they supplemented it, it wouldn't rise; back then, this incident stumped the Experts and Professors of every department.

The events Zhao Yuanzhang had personally experienced now seemed so familiar and vivid.

He read word by word, and upon reaching the end, the case analysis question posed the problem—what treatment should be given to the patient.

And below, the Thin Gold Script penmanship was simple and beautiful, so simple that it made Zhao Yuanzhang's hair stand on end.

Human serum albumin 10g once daily intravenous drip + furosemide 20mg three times daily intravenous push.

This was Ji Xiang's answer, and it was also the answer given by numerous Experts, Professors, and Directors back then after several failures.

Zhao Yuanzhang looked at Ji Xiang's answer carefully three times.

He couldn't even believe his own eyes; like Department Head Sun, he rubbed his eyes hard to confirm that what he saw was not an illusion.

The concise answer was just like the medical orders given back then, and it was exactly the answer Department Head Sun had sent him via WeChat.

For a moment, Zhao Yuanzhang even suspected that Department Head Sun had sent the answer to two people: himself and this student who handed in the paper early!

The answer given by this student named Ji Xiang was correct.

But the difference was that back then, after the medical orders were given, no one knew if it would work until the patient's blood sodium returned to normal the next day, and everyone's heart was finally at ease.

Yet, in the Standardized Residency Training entrance exam two years later, Ji Xiang's answer was just sitting there.

Not one word more, not one word less; it was exactly the standard answer.

If Department Head Sun hadn't written the questions himself and never asked anyone, he would have suspected that Ji Xiang knew what would be on the test long ago.

But!

Even if he knew what would be on the test, it wouldn't matter; this question was impossibly difficult.

Don't look at how simple the answer is; back then, countless Experts and Professors pulled out countless hairs over this.

"I know about this; these are the medical orders from back then," Mo Jiaoshou said, rubbing his hands excitedly.

His voice trembled slightly; even the dullest person could realize they had found a treasure, and before anyone else had noticed.

"It's impossible for him to have answered correctly," Department Head Sun remained stubborn.

"This isn't a multiple-choice question where you can guess," Mo Jiaoshou said. "He clearly wrote out the treatment orders, yet you still won't admit it."

"A Standardized Training Student, how could he possibly..."

Department Head Sun's words were the same as what everyone else was thinking: how could a Standardized Training Student solve such a complex case?

As for how much time Ji Xiang took, that wasn't important; the most critical point was—Department Head Sun hadn't provided all the conditions!

Even with all the data, the various Experts and big shots at the Second Affiliated Hospital couldn't guarantee the patient would recover. Yet a Standardized Training Student gave the correct answer using incomplete data!

Don't joke around, okay!

There are indeed geniuses in this world, but there is absolutely no genius of this level!!

If Ji Xiang were this awesome, why would he even need Standardized Residency Training?

"He definitely didn't guess," Mo Jiaoshou said decisively. "Yesterday, Ji Xiang... Doctor Xiao Ji assisted me with 12 surgeries. No, I assisted him. At the time, I thought his level was very high, no worse than mine."

Everyone was stunned.

Mo Jiaoshou's level was already extremely high; they didn't expect him to give Ji Xiang such a high evaluation!

"But I thought about it carefully last night and called each patient one by one; I believe his surgeries were performed better than mine."

"!!!"

"!!!"

"!!!"

Glasses shattered all over the floor.

Whose monster of a child is this!

(End of this chapter)