[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-036":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-107-2-內外科護理學-036","nurse-107-2-medical-surgical-036",107,2,36,"心臟週期的那一階段會出現第一心音？",{"A":14,"B":15,"C":16,"D":17},"房室瓣瓣膜開啟","半月瓣瓣膜關閉","心舒張期開始","心收縮期開始","D",null,[],"本題考點是心音的產生時機。第一心音(S1)來自心室收縮開始時房室瓣(二尖瓣與三尖瓣)關閉所產生的震動,標誌著心收縮期的開始,故選 D。(A)房室瓣『開啟』發生在舒張期充盈,不產生 S1;(B)半月瓣『關閉』產生的是第二心音(S2);(C)心舒張期開始伴隨半月瓣關閉即 S2,非 S1。","S1(lub)等於房室瓣關閉等於收縮期開始,聽診最響於心尖;S2(dub)等於半月瓣(主動脈瓣、肺動脈瓣)關閉等於舒張期開始,聽診最響於心底。記法:『收縮關房室(S1)、舒張關半月(S2)』。S3、S4 為額外心音,S3 見於心衰或容積過載,S4 見於心室順應性下降。",[24,27,29,31],{"term":25,"count":26},"第一心音",1,{"term":28,"count":26},"房室瓣",{"term":30,"count":26},"心收縮期",{"term":32,"count":26},"第二心音",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-037","下列何者為可抑制血管加壓素 I 轉換成血管加壓素 II 之抗高血壓藥物？",37,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-medical-surgical-053","有關連枷胸的敘述，下列何者正確？",53,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-067","有關糖尿病酮酸中毒（DKA）之處置，下列何者錯誤？",67,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-medical-surgical-025","有關急性中耳炎之敘述，下列何者正確？",25,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-medical-surgical-069","有關黏液水腫昏迷之檢查結果，下列何者錯誤？",69,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-023","有關喉癌術後放置永久性喉切除管（Laryngectomy tube）病人的出院護理指導，下列何者不適宜？",23,112,"2026-09-04",1788510725220]