[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-004":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":11},"nurse-107-2-內外科護理學-004","nurse-107-2-medical-surgical-004",107,2,4,"腦膜受刺激會出現下列何種現象？",{"A":14,"B":15,"C":16,"D":17},"布魯辛斯基氏徵象（Brudzinski’s sign）陽性反應","隆伯氏測驗（Romberg’s test）陽性反應","洋娃娃眼（Doll’s eye）陰性反應","韋伯氏測驗（Weber’s test）陰性反應","A",null,[],"本題考點是腦膜刺激徵象的辨識。當腦膜受刺激(如腦膜炎、蜘蛛膜下腔出血)時,會出現腦膜刺激徵象,布魯辛斯基氏徵象(Brudzinski's sign)陽性即為其一——被動屈曲頸部時會引發髖與膝不自主屈曲,故選 A。隆伯氏測驗(B,Romberg's test)評估本體感覺與平衡功能(後索、前庭),陽性反映的是姿勢性協調障礙,與腦膜刺激無關。洋娃娃眼(C,Doll's eye,眼頭反射)用於評估昏迷病人的腦幹功能,反射消失(陰性)才代表腦幹受損,非腦膜刺激。韋伯氏測驗(D,Weber's test)以音叉檢查聽力傳導,鑑別傳導性或感音性聽損,與腦膜無涉。故唯 A 為腦膜刺激的表徵。","腦膜刺激三大徵象:頸部僵硬(nuchal rigidity)、Kernig's sign(屈髖 90 度後伸膝受阻並疼痛)、Brudzinski's sign(屈頸引發髖膝屈曲),機轉皆為發炎腦膜受牽張而反射性保護。將各測驗以「檢查標的」分類記憶:Brudzinski\u002FKernig=腦膜、Romberg=本體感覺平衡、Doll's eye=腦幹、Weber=聽力,即可避開誘答混淆。",[24,26,29,31],{"term":25,"count":11},"腦膜刺激徵象",{"term":27,"count":28},"Brudzinski徵象",1,{"term":30,"count":28},"Kernig徵象",{"term":32,"count":28},"腦膜炎",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-005","有關抗癲癇藥物 dilantin 之敘述，下列何者正確？",5,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-medical-surgical-021","與引起聽力問題有關之疾病，下列何者最不可能？",21,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-035","有關急性骨髓性白血病病人在接受異體骨髓移植後 3 週，出現全身紅疹與腹瀉症狀，下列敘述何者錯誤？",35,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-medical-surgical-073","下列何者為高血糖高滲透壓狀態（HHS）病人出現脫水的最常見原因？",73,109,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-111-1-medical-surgical-037","有關白血病病人接受異體骨髓移植後出現合併症之敘述，下列何者錯誤？",37,111,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-112-1-medical-surgical-071","承上題，陳小姐近期藥物治療反應不佳而入院接受甲狀腺切除術，有關甲狀腺切除手術，下列何者正確？①為維持正常的甲狀腺功能，一般採用次全甲狀腺切除 ②出血、聲門水腫、急性呼吸道阻塞為常見的術後合併症 ③術後聲音沙啞是因雙側喉返神經受傷所致 ④術後需評估病人有無肌肉抽搐之甲狀腺功能低下表徵",71,112,"2026-09-04",1788510724931]