The annual college entrance exams and midterm exams are coming up. There are two disorders that often interfere with the performance of candidates. These two diseases, which are highly prevalent among adolescents, are often referred to as “exam nemesis” because emotional stress is one of their main triggering factors. These two “exam nemeses” are “spontaneous pneumothorax” and “primary hand sweating”. “Spontaneous pneumothorax” is a condition in which gas enters the pleural cavity, causing pneumatization. Pneumothorax can be divided into spontaneous pneumothorax and secondary pneumothorax. Spontaneous pneumothorax refers to the pneumothorax that occurs in healthy people whose lungs are not found to have obvious lesions by routine X-ray examination; secondary pneumothorax is mostly caused by lung diseases or external forces that rupture lung tissues and pleura, or rupture of fine pneumothorax bubbles near the lung surface, resulting in air entering the pleural cavity in the lungs and bronchi. If the pneumothorax lung compression is less than 30% and the symptoms are not obvious, conservative treatment is usually interviewed, i.e., the patient is allowed to rest absolutely in bed with adequate oxygen and minimal speech so that the lung activity is reduced, thus facilitating gas absorption and lung reopening. This is usually indicated in patients with a first episode and without respiratory distress. If the patient has significant dyspnea and severe lung compression, pleural puncture and aspiration or closed chest drainage is usually used. Wounds from closed chest drains usually heal on their own, but usually require observation for 1 to 2 weeks. Often, the exam is missed. Or the exam is held in a “separate exam room” with a chest tube in place. Therefore, patients with serious conditions, or seeking a quick recovery need surgery to solve. “Primary hand sweating” is one of the most common causes of hand sweating, and it often blurs the handwriting on completed papers. Hand sweating is divided into primary hand sweating and secondary hand sweating. In general, primary hand sweating, mainly due to sympathetic overexcitation, leads to abnormal sweating of the small sweat glands in the palm of the hand. “Therefore, when patients are nervous, excited, stressed or in the summer heat, it can lead to an abnormal increase in sweating of the palms of the hands. So, when it’s exam season, patients can be very distressed.” Secondary hand sweating, on the other hand, has several causes: 1. endocrine diseases such as hyperthyroidism and diabetes; 2. the use of certain medications; 3. neurological diseases; and 4. certain tumors. Hand sweating is easily misdiagnosed, and patients have many misconceptions about this disease. For example, some patients mistakenly believe that they are sweating because of physical weakness, and therefore take Chinese medicine for a long time in order to enhance their physical fitness. As a result, instead of relief, their immune function is destroyed. Some patients mistakenly think they have a skin disease and use topical ointments to treat it. As a result, instead of relieving the symptoms, the normal physiological barrier function of the skin is damaged and other diseases of the skin of the hands are even induced. How exactly is hand sweating diagnosed? Hand sweating disorder has the following characteristics: 1. prolonged dampness of the palms; 2. unexplained profuse sweating of the palms. “Usually, bilateral hand sweating is mostly primary and unilateral is mostly secondary.” Surgery is the most effective way to quickly resolve primary hand sweating. The most important thing to know is that a Hong Kong celebrity once “wet” a few microphones with sweaty palms while hosting a show, but not necessarily that many students have lost their exams because of sweaty palms and blurred handwriting. The “killer app” to deal with these two “examination nemeses” is non-tracheal intubation with minimally invasive thoracoscopic surgery. Most patients are discharged on the third day after surgery. Some patients can even be discharged on the same day of surgery. Moreover, the procedure can be performed “without chest tube, tracheal tube and urinary tube”.