[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-106-1-內外科護理學-014","nurse-106-1-medical-surgical-014",106,1,14,"有關急性膽囊炎相關的臨床評估，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"巴賓斯基氏徵象（Babinski’s Sign）","布魯辛斯氏徵象（Brudzinski’s Sign）","格林－巴利症候群（Guillain-Barre Syndrome）","墨菲氏徵象（Murphy’s Sign）","D",null,[],"本題考點為急性膽囊炎的理學評估徵象。依墨菲氏徵象(Murphy's Sign)的檢查原理,於右上腹肋緣下深按並請病人吸氣,發炎的膽囊下移觸及指尖引發疼痛而使吸氣中止,為膽囊炎的特徵性表現,故選D。A巴賓斯基氏徵象測錐體束功能;B布魯辛斯氏徵象是腦膜刺激徵象,見於腦膜炎;C格林—巴利症候群是急性去髓鞘性多發性神經病變,皆與膽囊炎無關,故僅D正確。","Murphy's sign 陽性即『吸氣中止痛』,對膽囊炎具高特異性;搭配右上腹痛、發燒與白血球上升及超音波所見更可確診。膽絞痛常放射至右肩胛,因膈神經支配交會之故。要與腦膜刺激徵象(Kernig、Brudzinski)區分,後者定位在腦膜而非腹部。",[24,27,30],{"term":25,"count":26},"墨菲氏徵象",5,{"term":28,"count":29},"急性膽囊炎",4,{"term":31,"count":32},"理學檢查徵象",2,[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-medical-surgical-015","有關消化性潰瘍主要包括的病變部位，下列何者正確？①口腔潰瘍 ②食道潰瘍 ③胃潰瘍 ④十二指腸潰瘍",15,{"webId":39,"stem":40,"number":41,"year":9,"session":32},"nurse-106-2-medical-surgical-031","心肌梗塞後病人所出現的心電圖變化，下列何者一旦出現最有可能永遠不會消失？",31,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-medical-surgical-045","有關燒傷病人植皮前後之護理措施，下列何者錯誤？",45,107,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-108-2-medical-surgical-003","腦腫瘤病人進行外科手術移除腫瘤後，顱內壓仍非常高，下列何種方式可以協助降低顱內壓？",3,108,{"webId":53,"stem":54,"number":55,"year":56,"session":32},"nurse-109-2-medical-surgical-047","有關遲發型過敏反應之敘述，下列何者錯誤？",47,109,{"webId":58,"stem":59,"number":10,"year":60,"session":10},"nurse-111-1-medical-surgical-001","有關病人心智狀態評估內容的敘述，下列何者錯誤？",111,"2026-09-04",1788510692742]