Saji first took the exam in January and scored 99.99 but, because he was not satisfied, he sat for the test again in April
However, Italy has far fewer confirmed cases - 41,035 as of Thursday against 80,907 in China.
Officials and experts believe the total number of infections here is significantly higher, with testing largely limited to those arriving for hospital care. The country's large, elderly population, who are particularly vulnerable to the virus, is also seen as factor for the high number of fatalities.
"We're working in a state of very high stress and tension," said Daniela Confalonieri, a nurse at a hospital in Milan, the capital of the wealthy northern region of Lombardy, which has been the epicentre of the epidemic.
"Unfortunately we can't contain the situation in Lombardy. There's a high level of contagion and we're not even counting the dead any more," she said.
"Look at the news that's coming out of Italy and take note of what the situation really is like. It's unimaginable," said the Milan nurse, Confalonieri.
Saji first took the exam in January and scored 99.99 but, because he was not satisfied, he sat for the test again in April
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