[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-109-1-內外科護理學-004","nurse-109-1-medical-surgical-004",109,1,4,"關於多發性硬化症的敘述，下列何者正確？①為中樞神經系統髓鞘脫失而影響神經傳導 ②吞嚥困難為早期出現臨床表徵 ③腦脊髓液檢查發現 IgG 抗體增加 ④感染會引發疾病惡化",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於多發性硬化症(MS)的病理與臨床特徵。MS 為中樞神經系統髓鞘脫失、影響神經傳導的自體免疫疾病(①正確);腦脊髓液檢查可見免疫球蛋白 IgG 增加、出現寡株帶(③正確);感染、發燒等會誘發疾病復發或惡化(④正確)。至於吞嚥困難屬病程後期腦幹侵犯才出現的表徵,並非早期症狀(②錯誤),MS 早期多為視力障礙、感覺異常與肢體無力。故正確組合為①③④,答案為 C。考點在於掌握 MS 的脫髓鞘機轉、CSF IgG 上升與復發緩解的病程特性。","MS 是中樞神經(腦、脊髓、視神經)髓鞘脫失的自體免疫疾病,呈復發—緩解病程。早期常以視神經炎(視力模糊)、感覺異常、肢體無力、複視表現;吞嚥困難、構音障礙等腦幹或延髓症狀屬較晚期。診斷佐證:CSF 出現寡株 IgG 帶。惡化誘因包括感染、發燒、過熱(Uhthoff 現象)、壓力。記憶要點:MS 早期看眼睛與感覺,晚期才吞嚥;熱與感染會加重,故照護強調避免體溫升高。",[24,27,30,32],{"term":25,"count":26},"多發性硬化症",7,{"term":28,"count":29},"復發緩解病程",2,{"term":31,"count":10},"髓鞘脫失",{"term":33,"count":10},"腦脊髓液 IgG",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-005","指導重症肌無力病人之護理措施，下列何者錯誤？",5,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-021","病人右大腿骨折上石膏 3 個月，拆除石膏時，不會看到下列那種現象？",21,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-035","有關貧血病因的敘述，下列何者正確？",35,110,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-111-1-medical-surgical-073","有關甲狀腺功能低下症之護理措施，下列何者正確？",73,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-medical-surgical-037","下列何項處置最能減緩因接受化學治療而發生口腔黏膜損傷所造成的疼痛？",37,112,{"webId":59,"stem":60,"number":10,"year":61,"session":62},"nurse-113-3-medical-surgical-001","下列診斷檢查敘述何者錯誤？",113,3,"2026-09-04",1788510712342]