[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-106-1-內外科護理學-077","nurse-106-1-medical-surgical-077",106,1,77,"有關食物中毒後有腦部神經症狀，包括複視、眼瞼下垂、視力模糊、吞嚥困難是屬於下列那一類食物中毒？",{"A":14,"B":15,"C":16,"D":17},"沙門氏桿菌","葡萄球菌","大腸桿菌","肉毒桿菌","D",null,[],"本題考點為以神經學症狀鑑別食物中毒的類型。肉毒桿菌毒素會阻斷神經肌肉接合處乙醯膽鹼的釋放，造成對稱性下行性麻痺，典型表現為複視、眼瞼下垂、視力模糊與吞嚥困難等腦神經症狀，故選 D。A 沙門氏桿菌與 C 大腸桿菌以腹瀉、腹痛等腸胃道症狀為主;B 葡萄球菌腸毒素以快速發作的噁心嘔吐為主，皆不以腦神經麻痺為表現，故不選。","鑑別口訣:出現眼瞼下垂、複視、吞嚥困難等下行性神經麻痺,想到肉毒桿菌(Clostridium botulinum),常見於保存不當的罐頭、真空包裝食品。機轉為抑制乙醯膽鹼釋放;治療靠抗毒素與呼吸支持,嚴重可致呼吸肌麻痺。",[24,26,28,30],{"term":25,"count":10},"肉毒桿菌中毒",{"term":27,"count":10},"乙醯膽鹼阻斷",{"term":29,"count":10},"下行性麻痺",{"term":31,"count":10},"腦神經症狀",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-medical-surgical-078","有關大量傷患事故檢傷分類 START（Simple Triage and Rapid Treatment）之敘述，下列何者錯誤？",78,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-107-1-medical-surgical-014","有關 C 型肝炎的治療，下列何者正確？",14,107,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-107-2-medical-surgical-028","病人主訴常有心悸的感覺，心尖脈速率 98 次\u002F分鐘，節律不規則，橈動脈脈搏次數為 80 次\u002F分鐘。下列何者為其最可能之診斷？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-medical-surgical-066","有關腎盂腎炎的敘述，下列何者錯誤？",66,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-medical-surgical-030","預防靜脈曲張的護理指導，下列何者最適當？①避免外傷 ②下肢不宜抬高 ③不需特別控制體重 ④應規律運動",30,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-medical-surgical-064","梁太太規律接受血液透析，因腎性貧血服用葉酸，其最恰當的服用時間為何？",64,111,"2026-09-04",1788510693456]