解答つき内科外科看護：循環器と呼吸器ワークシート

What is a "barrel chest"?

1. AA wider front-to-back chest diameter from air trapping
2. BA sunken breastbone that has been present since birth
3. CA curved spine that bends to one side and twists the ribs
4. DA chest that moves inward on breathing in

Which chest X-ray finding is classic for sarcoidosis?

1. AA completely white lung on one side
2. BA visible edge of collapsed lung
3. CA single round mass in one apex
4. DEnlarged lymph nodes at both lung hila

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

1. AWeak heart muscle
2. BLow haemoglobin
3. CNormal lung function
4. DObstruction to airflow

アピキサバンやリバーロキサバンなどの直接作用型経口抗凝固薬（DOAC）について正しい記述はどれですか？

1. Aワルファリンと同様に、毎週のINR検査が必要である
2. BビタミンKを投与すると作用が打ち消される
3. C定期的なINR検査は不要だが、用量は腎機能に依存する
4. D数週間作用するため、飲み忘れても問題ない

A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?

1. AIt raises statin levels and the risk of muscle damage
2. BIt stops the statin from being absorbed from the gut at all
3. CIt causes the cholesterol level to rise sharply
4. DIt turns the statin into a blood thinner

Rheumatic heart disease most often follows which infection?

1. AA group A streptococcal throat infection
2. BStaphylococcal infection of the skin
3. CA fungal infection of the lungs
4. DA viral infection of the upper airway

A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?

1. AST-elevation myocardial infarction (STEMI)
2. BStable angina
3. CNon-ST-elevation myocardial infarction
4. DAcute pericarditis

喘息の患者に、アスピリンの服用後に喘鳴を起こした既往があります。術後の痛みに対してイブプロフェンが処方されました。看護師はどうすべきですか？

1. A投与を保留し、代替薬を依頼する
2. B発作時用の吸入薬と同時に投与する
3. C痛みスコアが8/10を超える場合にだけ投与する
4. Dイブプロフェンはアスピリンと関係がないので、投与する