[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-016","nurse-107-1-medical-surgical-016",107,1,16,"急性心肌梗塞最典型的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胸痛持續時間小於 20 分鐘","血壓上升","服用 Nitroglycerin（NTG）可以緩解胸痛","休息無法緩解胸痛","D",null,[],"本題考點是急性心肌梗塞的典型胸痛特徵。依心肌梗塞為冠狀動脈完全阻塞造成心肌壞死，其胸痛劇烈且持久，休息與含服硝化甘油(NTG)均無法完全緩解，故D正確。A心肌梗塞胸痛多持續超過 20–30 分鐘，非小於 20 分鐘，錯;B心肌受損泵血下降常伴血壓下降或休克，非血壓上升，錯;C NTG 能緩解者多為穩定型心絞痛，心肌梗塞使用 NTG 通常無法緩解，正是鑑別重點，故錯。","以「休息與 NTG 能否緩解」區分心絞痛與心肌梗塞是核心考點:穩定型心絞痛的痛因暫時性缺血,休息或舌下 NTG 數分鐘內可緩解;心肌梗塞是持續性壞死,兩者皆無效,且常伴冷汗、噁心、瀕死感、轉移痛(左肩、下顎)。診斷靠三腳架:典型胸痛、心電圖(ST 上升或新發左束支傳導阻滯)、心肌酶(troponin 最具特異性,約 3-4 小時開始上升)。記憶:心絞痛「休息+NTG=緩解」,心梗「PQRST 拖過 20 分、什麼都壓不下」。",[24,27,29,31],{"term":25,"count":26},"急性心肌梗塞",5,{"term":28,"count":10},"胸痛持續時間",{"term":30,"count":10},"硝化甘油 NTG 反應",{"term":32,"count":10},"心絞痛與心肌梗塞鑑別",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-017","有關骨髓炎常見之症狀，下列何者錯誤？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-medical-surgical-033","有關降低心衰竭病人心臟後負荷之措施，下列何者正確？",33,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-047","針對 HIV 感染或 HIV 感染狀況不明者的相關防範措施之敘述，下列何者錯誤？",47,108,{"webId":49,"stem":50,"number":26,"year":51,"session":42},"nurse-109-2-medical-surgical-005","檢查時用手壓病人中指的遠心端，然後迅速彈開，病人會有大拇指的屈曲運動，此種現象稱為？",109,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-110-2-medical-surgical-049","下列何者為初級免疫反應最先合成的免疫球蛋白？",49,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-003","有關多發性硬化症病人的自我照顧之護理指導，下列敘述何者錯誤？",3,112,"2026-09-04",1788510702560]