[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":10},"nurse-107-1-內外科護理學-031","nurse-107-1-medical-surgical-031",107,1,31,"有關心動週期（Cardiac Cycle）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"主動脈與肺動脈瓣關閉會造成第一心音","正常心率下，收縮期時間較舒張期長","第一心音與第二心音間為收縮期","正常人的第二心音分裂音於呼氣期較明顯","C",null,[],"本題考點在心動週期各時相與兩個心音的對應。第一心音（S1）源於房室瓣（二尖瓣、三尖瓣）關閉，標記收縮期開始；第二心音（S2）源於半月瓣（主動脈瓣、肺動脈瓣）關閉，標記舒張期開始，故 S1 到 S2 之間即為收縮期，選 C。A 錯在主動脈瓣與肺動脈瓣關閉造成的是 S2 而非 S1。B 錯在正常心率下舒張期長於收縮期，心室才有足夠時間充盈。D 錯在生理性 S2 分裂於吸氣期較明顯，因吸氣增加右心回流、延遲肺動脈瓣關閉，並非呼氣期。","口訣：S1 關房室瓣（收縮起點）、S2 關半月瓣（舒張起點），心音關的都是「即將靜止那一側」的瓣膜。心率愈快，被壓縮的主要是舒張期，故心搏過速者冠狀動脈灌流（發生於舒張期）易受損。生理性分裂：吸氣使胸內壓下降、右心回血增加，肺動脈瓣（P2）關閉延後，A2 與 P2 分開變明顯；呼氣時兩者靠攏。可對比固定分裂（心房中膈缺損）與反常分裂（主動脈瓣狹窄、左束支傳導阻滯）。",[24,26,28,30,32],{"term":25,"count":10},"心動週期",{"term":27,"count":10},"第一心音 S1 房室瓣",{"term":29,"count":10},"第二心音 S2 半月瓣",{"term":31,"count":10},"收縮期與舒張期時比",{"term":33,"count":10},"生理性心音分裂",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-032","針對長期口服 Warfarin（Coumadin）病人，應定期監測下列何項檢驗值？",32,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-048","有關大面積重度燒傷初期（48 小時內）對於腎臟系統的影響，下列何者錯誤？",48,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-062","有關病人血清鉀為 7.0 mEq\u002FL 之處置，下列何者錯誤？",62,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-020","右側下肢無力需要使用手杖之病人，下列使用方法何者最正確？",20,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-064","下列何種疾病的常見臨床症狀不包括血尿？",64,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-018","有關不同關節炎病人的照護措施，下列何者錯誤？",18,112,"2026-09-04",1788510702714]