[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-014":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-108-1-內外科護理學-014","nurse-108-1-medical-surgical-014",108,1,14,"有關橫膈食道裂孔疝氣的臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"心口灼熱感","吞嚥困難","多在飽餐 1 小時後才出現症狀","胸頸部、背部出現緊迫感","C",null,[],"本題考點為橫膈食道裂孔疝氣的臨床表徵辨識，屬選錯誤題。依其病生理，胃經裂孔上移使賁門抗逆流功能失效，症狀多在飽餐後平躺或彎腰時立即加重，而非飽餐1小時後才出現，故錯誤者為C。A心口灼熱感為胃酸逆流的典型症狀，正確；B吞嚥困難因胃上移壓迫食道，正確；D胸頸背緊迫感為疝氣壓迫縱膈的表現，正確。故C的時間描述與實際不符為本題答案。","裂孔疝氣分滑動型與翻滾型，前者最常見並以胃食道逆流症狀為主。症狀誘因記憶：平躺、彎腰、飽食、腹壓上升皆使逆流加重，故衛教採少量多餐、餐後勿平躺、床頭抬高。與消化性潰瘍相比，後者疼痛與空腹相關，可作鑑別。",[24,27,29,31],{"term":25,"count":26},"胃食道逆流",6,{"term":28,"count":10},"食道裂孔疝氣",{"term":30,"count":10},"賁門功能",{"term":32,"count":10},"腹內壓",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-medical-surgical-015","有關迴腸造口手術後造瘻口的正常顏色，下列何者正確？",15,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-medical-surgical-031","有關干擾素治療之敘述，下列何者正確？",31,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-medical-surgical-045","一位 30 歲女性主訴最近出現皮膚對光敏感、對稱性關節疼痛、口腔潰瘍，另補體 C 3 及 C 4 減少、抗核抗體（ANA）呈現陽性、紅血球沉降速率（ESR）明顯上升、血小板減少，下列何者為其最可能之診斷？",45,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-medical-surgical-003","腦下垂體腫瘤（pituitary tumor）病人出現雙顳側視野及視力變差，下列何者為其腫瘤壓迫部位？",3,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-medical-surgical-047","有關燒傷的病生理變化，下列何者錯誤？",47,111,{"webId":59,"stem":60,"number":10,"year":61,"session":51},"nurse-112-3-medical-surgical-001","陳先生因車禍造成頸椎第 5～6 節完全損傷，已度過脊髓休克期，目前進行膀胱訓練，下列敘述何者正確？ ①屬於痙攣型神經性膀胱 ②只要薦神經受到刺激，即會反射排尿 ③可以利用 Crede’s method 以手握拳，壓在膀胱，協助排空 ④當自解：餘尿量＝2：1，且餘尿小於 100 mL 表示膀胱訓練成功",112,"2026-09-04",1788510709595]