解答つき内科外科看護：循環器と呼吸器ワークシート

Which coronary artery mainly supplies the front (anterior) wall of the left ventricle?

1. AThe circumflex artery only
2. BThe left anterior descending artery
3. CThe pulmonary artery
4. DThe right coronary artery and its marginal branch

On spirometry, what does a reduced FEV₁/FVC ratio indicate?

1. AObstruction to airflow
2. BLow haemoglobin
3. CWeak heart muscle
4. DNormal lung function

Legionnaires' disease is usually acquired from which source?

1. AMosquito bites when travelling in warm, humid countries
2. BEating undercooked chicken or eggs bought from a market stall
3. CContact with cats' litter trays while cleaning them at home
4. DContaminated water systems such as cooling towers and showers

虚血性心疾患の患者で、β遮断薬を急に中止してはいけないのはなぜですか？

1. Aその後、心拍数が恒久的に遅くなるから
2. B急に中止すると、重度で長引く低血糖を起こすから
3. Cリバウンドの頻脈と高血圧が、狭心症や心筋梗塞の引き金になりうるから
4. D薬が数か月間組織にたまったままになるから

COPDにおける呼吸リハビリテーションとは何ですか？

1. A息切れを和らげる、監督下の運動と教育
2. B6か月ごとに繰り返す肺機能検査
3. C毎年冬に自宅で行う、経口ステロイドと抗菌薬の投与
4. D肺の最も障害された部分を切除する手術

Where is the V1 electrode placed for a 12-lead ECG?

1. AOver the left nipple
2. BThe fourth intercostal space just right of the sternum
3. CThe fifth intercostal space in the mid-axillary line
4. DJust below the left collarbone

A frightened young woman is breathing fast and has tingling fingers. Her blood gas shows pH 7.50 and a low PaCO₂. SpO₂ is 99% on air. What does this show?

1. AMetabolic acidosis from kidney failure
2. BMetabolic alkalosis from vomiting
3. CRespiratory acidosis from hypoventilation
4. DRespiratory alkalosis from hyperventilation

A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?

1. AStart a full six-month course of TB drugs at once without any tests
2. BReport it so occupational health can arrange follow-up screening
3. CTake no action, as healthcare workers are immune to TB
4. DStay off work for six months in case symptoms develop