[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-106-2-內外科護理學-008","nurse-106-2-medical-surgical-008",106,2,8,"下列何者為重症肌無力病人最早出現的症狀？",{"A":14,"B":15,"C":16,"D":17},"眼瞼下垂","吞嚥困難","呼吸困難","四肢無力","A",null,[],"本題考點為重症肌無力(myasthenia gravis)的初期症狀順序。此病為神經肌肉接合處乙醯膽鹼受體受自體抗體攻擊,最早、最常受影響的是眼外肌與提上眼瞼肌,故臨床上最早出現的症狀多為眼瞼下垂(ptosis)與複視,答案為A。B吞嚥困難、C呼吸困難屬延髓肌與呼吸肌受累的較後期表現,尤其呼吸困難可進展為肌無力危象,是嚴重階段。D四肢無力屬全身型肌肉受累,通常在眼部症狀之後才逐漸出現。依症狀進展由眼部先起的規律,最早者為眼瞼下垂,選A。","重症肌無力典型病程:多自眼肌起(眼瞼下垂、複視),部分侷限為眼肌型,部分進展為全身型,依序波及延髓肌(咀嚼、吞嚥、構音)、四肢近端肌與呼吸肌。特徵為「晨輕暮重、活動後加劇、休息後改善」的易疲勞性無力。診斷可用抗乙醯膽鹼酯酶藥(Tensilon test)、抗體檢測與重複神經電刺激。記憶主軸:「眼先、疲勞性、越用越無力」,故最早症狀落在眼瞼下垂。",[24,27,30,32],{"term":25,"count":26},"重症肌無力",7,{"term":28,"count":29},"眼瞼下垂(ptosis)",1,{"term":31,"count":29},"眼外肌先受累",{"term":33,"count":29},"易疲勞性無力",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-medical-surgical-009","有關肝硬化病人會出現手掌紅斑之原因，下列何者正確？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-medical-surgical-025","有關左心室肥大評估結果之敘述，下列何者錯誤？",25,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-medical-surgical-039","有關白血病檢查與治療之敘述，下列何者錯誤？",39,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-2-medical-surgical-077","2015 年修改「成人生存之鏈」，其中醫院內心臟停止的照護途徑不包括下列何者？",77,108,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-110-1-medical-surgical-041","有關骨髓移植後病人產生移植物抗宿主疾病（Graft-versus-host Disease; GVHD）症狀，下列何者錯誤？",41,110,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-111-1-medical-surgical-075","有關使用 Spironolactone（Aldactone）藥物指導之敘述，下列何者正確？①須注意鉀離子濃度 ②須注意鎂離子濃度 ③鼓勵多食用柑橘類食物 ④不宜食用芭樂",75,111,"2026-09-04",1788510698269]