[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-001":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-107-1-內外科護理學-001","nurse-107-1-medical-surgical-001",107,1,"有關小腦病變之評估結果，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"隆伯氏測驗（Romberg’s test）呈陽性反應","無法完成足跟對腳尖一直線縱走","無法維持單腳站立 5 秒以上","布魯辛斯基氏徵象（Brudzinski’s sign）呈陽性反應","D",null,[],"本題考點在於區分小腦協調評估與腦膜刺激徵象。依小腦主司平衡與動作協調，其病變會表現出平衡與協調障礙：閉眼站立不穩的隆伯氏測驗陽性(A)、無法沿直線做足跟對腳尖縱走(B)、無法單腳站立維持穩定(C)，皆屬小腦或本體感覺失調的評估結果，故非錯誤。D的布魯辛斯基氏徵象是頸部前屈時髖膝反射性屈曲，屬腦膜炎的腦膜刺激徵象，與小腦功能無關，因此為評估結果錯誤的選項，選D。","小腦失調的核心是「協調」而非「肌力」。可對比三大測驗：Romberg 測睜眼穩、閉眼倒(本體感覺\u002F前庭)，指鼻試驗與快速輪替動作測辨距不良(dysmetria)與輪替障礙(dysdiadochokinesia)，縱走(tandem gait)測步態協調。腦膜刺激徵象則是另一組：頸部僵硬、克尼格氏徵象(Kernig)、布魯辛斯基氏徵象，用於懷疑腦膜炎或蜘蛛膜下腔出血。記憶法:Brudzinski 有個「頸(neck)」的動作連動下肢，聯想到腦膜(meninges)而非小腦(cerebellum)。",[23,26,29,31],{"term":24,"count":25},"腦膜刺激徵象",4,{"term":27,"count":28},"布魯辛斯基氏徵象",2,{"term":30,"count":10},"小腦協調功能評估",{"term":32,"count":10},"隆伯氏測驗",[34,37,41,46,51,56],{"webId":35,"stem":36,"number":28,"year":9,"session":10},"nurse-107-1-medical-surgical-002","林先生因置有腦室外引流系統而造成細菌感染，其腦脊髓液的實驗室檢查結果，下列何者正確？",{"webId":38,"stem":39,"number":40,"year":9,"session":28},"nurse-107-2-medical-surgical-018","有關骨性關節炎照護的病人敘述，下列何者顯示需要進一步的護理指導？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-108-1-medical-surgical-032","有關高血壓病人的護理指導，下列何者最不適當？",32,108,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-109-1-medical-surgical-070","有關格雷氏病（Grave’s disease）之敘述，下列何者正確？",70,109,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-110-2-medical-surgical-034","有關心包膜積水的主要症狀，下列何者錯誤？",34,110,{"webId":57,"stem":58,"number":59,"year":60,"session":28},"nurse-111-2-medical-surgical-068","有關甲狀腺風暴的敘述，下列何者錯誤？",68,111,"2026-09-04",1788510702418]