[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"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-106-2-精神科與社區衛生護理學-068","nurse-106-2-psychiatric-community-068",106,2,68,"小李食用真空包裝豆乾，半天後出現噁心、嘔吐、吞嚥困難及口乾、看不清楚、呼吸漸喘等症狀，最有可能是下列何種狀況？",{"A":14,"B":15,"C":16,"D":17},"金黃色葡萄球菌食物中毒","沙門氏桿菌食物中毒","吃到基因改良食物造成不適","肉毒桿菌食物中毒","D",null,[],"本題考點在辨識食物中毒的病原與症狀特徵。真空(厭氧)包裝豆乾若滅菌不全,利於肉毒桿菌(Clostridium botulinum)繁殖並產生神經毒素,此毒素抑制乙醯膽鹼釋放,造成吞嚥困難、口乾、視力模糊(複視)、眼瞼下垂及進行性呼吸肌麻痺,與題幹症狀完全吻合,故選D。A金黃色葡萄球菌以劇烈嘔吐為主、潛伏期短且無神經麻痺;B沙門氏桿菌以發燒、腹瀉、腹痛等腸胃炎為主,亦無神經症狀;C基改食物不具此類急性神經毒性表現。故正解為D肉毒桿菌食物中毒。","肉毒桿菌毒素為阻斷神經肌肉接合處乙醯膽鹼釋放的神經毒素,臨床呈對稱性下行性麻痺,由顱神經(複視、構音吞嚥困難)往下延伸至呼吸衰竭,病人意識清楚且無發燒為辨識重點。危險食品:真空包裝、罐頭、自製醃漬等厭氧環境低酸食品。口訣:厭氧包裝+複視口乾+下行麻痺=肉毒桿菌。對比金黃色葡萄球菌(腸毒素、快吐)與沙門氏(發燒腹瀉),可整理成食物中毒鑑別表。治療靠抗毒素,預防靠充分加熱(毒素不耐熱)。",[24,26,29,31],{"term":25,"count":10},"肉毒桿菌毒素",{"term":27,"count":28},"神經肌肉接合處乙醯膽鹼",1,{"term":30,"count":28},"厭氧真空包裝食品",{"term":32,"count":28},"食物中毒鑑別",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-069","衛生福利部為改善山地離島地區醫療不足與就醫不便問題，規劃有能力、有意願的醫療院所，至山地離島地區提供定點或巡迴醫療服務，此計畫名稱為何？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-psychiatric-community-005","羅太太為酒精物質使用障礙症，終日飲酒，住院後出現戒斷症狀，有交感神經興奮症狀，並已出現肝硬化之系統性合併症，下列說明何者正確？",5,107,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-2-psychiatric-community-019","有關阿茲海默症的敘述，下列何者正確？",19,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-057","有關食品安全衛生管理法規定，食品及食品原料之容器或外包裝，何者不需要強制性標示？",57,109,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-111-1-psychiatric-community-021","李小姐因強迫症住院，今日母親探視時又因李小姐的強迫症狀而有爭執，母親離去後李小姐顯得焦躁不安。下列何種說法最有助於協助病人覺察自己的焦慮與行為間的關聯性？",21,111,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-112-1-psychiatric-community-055","下列何者屬於家庭情境性危機？①失業 ②事故傷害 ③中頭彩 ④空巢期",55,112,"2026-09-04",1788510700623]