[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-006":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-108-1-內外科護理學-006","nurse-108-1-medical-surgical-006",108,1,6,"病人突然左側肢體無力，由家屬送入急診，目前肌肉力量右側肢體 5 分、左手 3 分、左腳 1 分，請問最有可能是那一條腦血管的阻塞？",{"A":14,"B":15,"C":16,"D":17},"右邊的大腦前動脈","右邊的大腦中動脈","左邊的大腦前動脈","左邊的大腦中動脈","A",null,[],"本題考點是依肢體無力分布定位腦血管阻塞的部位。依運動皮質的血管分布，大腦前動脈（ACA）供應內側皮質、對應下肢運動區，大腦中動脈（MCA）供應外側皮質、對應上肢與臉部；本例左腳僅 1 分、左手 3 分，下肢無力明顯重於上肢，符合 ACA 缺血型態，且左側肢體無力對應右側大腦病灶，故正解為 A 右邊的大腦前動脈。B 右邊 MCA 會以上肢與臉部無力為主、下肢相對輕，與本例下肢較重不符。C 左邊 ACA 與 D 左邊 MCA 皆屬左側病灶，會造成右側（而非左側）肢體無力，方向相反故排除。判斷關鍵在於「無力側對側定位＋下肢重於上肢指向 ACA」。","運動小人（homunculus）分布：下肢在大腦半球內側（ACA 供應），上肢與臉在外側（MCA 供應）。故 ACA 中風以對側『下肢重、上肢輕』為特徵；MCA 中風以對側『上肢與臉重、下肢輕』並常合併失語（優勢半球）。定位兩步：先看無力側→定對側半球；再比上下肢輕重→分 ACA 或 MCA。可連結中風分型與 NIHSS 評估複習。",[24,26,28,30,32],{"term":25,"count":10},"腦血管定位",{"term":27,"count":10},"大腦前動脈",{"term":29,"count":10},"大腦中動脈",{"term":31,"count":10},"運動皮質分布",{"term":33,"count":10},"中風",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-medical-surgical-007","有關阿茲海默氏症的敘述，下列何者錯誤？",7,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-108-2-medical-surgical-023","有關中心靜脈壓升高之原因，下列何者錯誤？",23,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-medical-surgical-037","有關癌症病人血鈣之敘述，下列何者錯誤？",37,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-medical-surgical-075","承上題，下列處置何者錯誤？",75,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-medical-surgical-039","有關補充鐵劑的敘述，下列何者正確？",39,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-medical-surgical-073","有關第 1 型糖尿病之敘述，下列何者錯誤？",73,112,"2026-09-04",1788510709498]