[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-008":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":26},"nurse-107-1-內外科護理學-008","nurse-107-1-medical-surgical-008",107,1,8,"Tensilon（Edrophonium）test 是下列那一種疾病最具代表性的檢查？",{"A":14,"B":15,"C":16,"D":17},"巴金森氏症","多發性硬化症","重症肌無力症","阿茲海默氏症","C",null,[],"本題考點為 Tensilon(Edrophonium)試驗的診斷用途。依重症肌無力症的病理是神經肌肉接合處的乙醯膽鹼受體被自體抗體破壞，Edrophonium 為短效乙醯膽鹼酯酶抑制劑，可暫時提高接合處乙醯膽鹼濃度，注射後肌力短暫明顯改善即支持診斷，故最具代表性的疾病為重症肌無力症，選C。A巴金森氏症屬多巴胺不足、B多發性硬化症屬中樞去髓鞘、D阿茲海默氏症屬皮質退化，機轉均與神經肌肉接合處無關，故皆錯。","重症肌無力的核心是「用進廢退式」肌無力:活動後加重、休息後改善,尤以眼瞼下垂、複視、吞嚥與呼吸肌無力為著。Tensilon 試驗因 Edrophonium 作用僅數分鐘,施測時須備 atropine 以防膽鹼激性危象(心搏過緩、分泌物增加)。須與「膽鹼激性危象」鑑別:兩者都無力,但後者是抗膽鹼酯酶藥過量所致,Tensilon 反而使症狀惡化。現今診斷多輔以 anti-AChR 抗體與重複電刺激。口訣:Tensilon「一針見力」者即重症肌無力。",[24,27,29,31],{"term":25,"count":26},"神經肌肉接合處",4,{"term":28,"count":10},"Tensilon 試驗",{"term":30,"count":10},"Edrophonium 乙醯膽鹼酯酶抑制劑",{"term":16,"count":10},[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-009","引起急性感染性腹瀉後可能出現關節炎合併症之微生物，下列何者正確？",9,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-medical-surgical-025","有關白內障摘除術後預防眼壓上升的護理指導，下列何者正確？",25,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-039","有關癌症常見的腫瘤標記之敘述，下列何者錯誤？",39,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-medical-surgical-077","乳癌病人手術後的病理報告：乳房惡性腫瘤為 3 公分，腋下有 2 顆淋巴結轉移。依癌症 TNM 分期，下列何者正確？",77,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-medical-surgical-041","有關頭頸部放射線治療的敘述，下列何者錯誤？",41,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-medical-surgical-075","下列何者在副甲狀腺功能低下病人會呈現陽性反應？",75,111,"2026-09-04",1788510702489]