[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-108-2-內外科護理學-054","nurse-108-2-medical-surgical-054",108,2,54,"當進行肺部聽診時，可經由聽診器清楚的聽到病人所說的話，下列何者為此項檢查之結果？",{"A":14,"B":15,"C":16,"D":17},"羊語音","支氣管語音","耳語樣的胸語音","摩擦音","B",null,[],"本題考點為肺部聽診中聲音傳導異常的辨識。當肺實質實變(consolidation)時聲音傳導增強，若聽診器可清楚聽到病人說話的完整字句，稱為支氣管語音(bronchophony)，故選 B。選項 A 羊語音(egophony)指令病人發「ee」音時聽起來變成鼻音「ay」的特殊音質改變，並非清楚聽到原句。選項 C 耳語樣胸語音(whispered pectoriloquy)是病人以耳語發聲卻能清晰聽見，強調的是「耳語」被放大，與本題「清楚聽到說話」的描述層次不同。選項 D 摩擦音(friction rub)是肋膜發炎兩層摩擦的粗糙聲，屬附加音而非語音傳導，故不符。","三種語音傳導異常皆源自實變使高頻聲音傳導增強：bronchophony(正常話語變清晰)、egophony(e→a 音變)、whispered pectoriloquy(耳語變清晰)。三者常同時出現於肺炎實變、肺塌陷伴通暢支氣管。對比正常肺因含氣會衰減聲音，故話語模糊。friction rub 與語音無關，屬肋膜病變的附加呼吸音。",[24,27,29,31,33],{"term":25,"count":26},"支氣管語音 bronchophony",1,{"term":28,"count":26},"肺實變",{"term":30,"count":26},"羊語音 egophony",{"term":32,"count":26},"耳語胸語音",{"term":34,"count":26},"聲音傳導增強",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-medical-surgical-055","右肺葉切除術後病人的姿勢擺位，下列何者最適當？",55,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-medical-surgical-071","有關高血磷病人的護理指導，下列何者正確？①少吃堅果類與糙米飯 ②多補充維生素 D ③監測小便量與肝功能 ④注意下床活動安全 ⑤服用磷結合劑",71,109,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-110-1-medical-surgical-005","會影響吞嚥動作之腦神經，下列何者正確？①CN III ②CN VII ③CN IX ④CN X ⑤CN XI",5,110,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-111-1-medical-surgical-043","有關前列腺癌之敘述，下列何者正確？",43,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-medical-surgical-007","關於腦瘤伽馬刀（gamma knife）立體定位放射線手術之敘述，下列何者正確？①適用於直徑小於 3 公分腫瘤 ②不會有手術切開傷口 ③治療時間約需半小時 ④使用碘放射線射入腫瘤以破壞腫瘤細胞",7,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-medical-surgical-021","有關惡性貧血的敘述，下列何者錯誤？①與自體免疫有關 ②曾接受胃切除手術者較易罹患 ③可以進行骨髓切片檢查確定診斷 ④須終生補充維生素 B 12",21,113,"2026-09-04",1788510706650]