[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-107-2-內外科護理學-003","nurse-107-2-medical-surgical-003",107,2,3,"鍾先生自工地 10 公尺高處落下，造成 C3～C5 完全性脊髓損傷，經 119 送達急診，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"四肢癱瘓","無法自行呼吸","心搏過速（>100 次\u002F分）、高血壓","受傷部位以下的所有運動、感覺及反射均消失","C",null,[],"本題考點是高位頸髓(C3–C5)完全損傷的臨床表現,要選出錯誤者。頸髓損傷會阻斷交感神經傳出而副交感相對優勢,引發神經性休克,表現為心搏過緩與低血壓,故 C「心搏過速、高血壓」錯誤,實際應為心搏過緩、低血壓。A 正確:C3–C5 損傷會造成四肢癱瘓(quadriplegia)。B 正確:膈神經源自 C3–C5,受損將影響橫膈運動,病人無法自行呼吸、須仰賴呼吸器。D 正確:完全性脊髓損傷會使受傷平面以下所有運動、感覺與反射消失。唯 C 的心血管描述與神經性休克的生理相反,故為錯誤。","記憶口訣「C3、4、5 keep the diaphragm alive」——膈神經來自 C3–C5,故此高位損傷需機械通氣。神經性休克(neurogenic shock)因 T6 以上交感輸出中斷,血管張力喪失、心臟失去交感刺激,呈現低血壓、心搏過緩、皮膚溫暖乾燥的「暖休克」,與大量出血的低血容性休克(心搏過速、皮膚濕冷)恰成對比。誘答常把休克類型的心跳方向寫反,務必辨明。",[24,27,29,32],{"term":25,"count":26},"神經性休克",5,{"term":28,"count":10},"心搏過緩低血壓",{"term":30,"count":31},"頸髓完全損傷",1,{"term":33,"count":31},"膈神經C3-C5",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-004","腦膜受刺激會出現下列何種現象？",4,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-108-1-medical-surgical-020","有關骨質疏鬆症與骨密度檢查的敘述，下列何者錯誤？",20,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-medical-surgical-034","有關多發性骨髓瘤的臨床症狀，下列何者錯誤？",34,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-medical-surgical-072","有關糖尿病的敘述，下列何者正確？",72,109,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-111-1-medical-surgical-036","林先生接受骨髓移植後 2 週出現黃疸、腹水、體重增加，下列何者為最可能發生之合併症？",36,111,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-112-1-medical-surgical-070","陳小姐因甲狀腺機能亢進，接受抗甲狀腺藥物硫醯胺類（thioamides）與碘製劑（iodine）治療，有關其藥物治療之敘述，下列何者正確？",70,112,"2026-09-04",1788510724912]