[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-內外科護理學-029","nurse-109-1-medical-surgical-029",109,1,29,"有關冠狀動脈疾病病人接受鉈-201 之檢查目的，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"監測僧帽瓣及主動脈瓣的功能","觀察心室收縮及舒張的情形","確定心肌受傷的部位與範圍","判定心臟電氣傳導的狀態","C",null,[],"本題考點在於鉈-201（Thallium-201）心肌灌流掃描的檢查目的。鉈-201為鉀離子類似物，會被灌流良好且存活的心肌細胞攝取；缺血或梗塞的心肌攝取減少呈現「冷區」，故此檢查用於「確定心肌受傷（缺血或壞死）的部位與範圍」，選C。選項A評估瓣膜功能屬心臟超音波；選項B觀察心室收縮舒張情形屬心室攝影或超音波；選項D判定心臟電氣傳導狀態屬心電圖或電生理檢查。鉈-201反映的是心肌灌流與存活，故用於定位心肌損傷。","鉈-201因與鉀相似，經Na-K幫浦被存活心肌主動攝取。運動或藥物（dipyridamole）負荷下，缺血區攝取下降呈冷區，休息再顯影若「再分布（redistribution）」則為可逆性缺血，若持續冷區則為梗塞疤痕。此可區分存活心肌與壞死組織，指引是否需血管重建。與冠狀動脈攝影（看血管解剖）互補：一看灌流功能、一看血管狹窄。",[24,26,28,30],{"term":25,"count":10},"鉈-201心肌灌流掃描",{"term":27,"count":10},"鉀離子類似物攝取",{"term":29,"count":10},"缺血冷區與再分布",{"term":31,"count":10},"心肌存活評估",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-030","有關二尖瓣閉鎖不全或逆流所產生之心雜音，在心動周期出現的時間，下列何者正確？",30,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-046","針對右髖關節嚴重燒傷病人，為維持其關節最大功能之姿位，下列何者正確？",46,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-060","當慢性阻塞性肺疾病（COPD）病人出現下列何種評估結果時，護理師須優先採取因應措施？",60,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-018","有關骨性關節炎病人適合的運動類型，下列何者錯誤？",18,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-062","有關腎病症候群之臨床表徵，下列何者正確？①高白蛋白血症 ②出現蛋白尿 ③高血脂症 ④血中膠體滲透壓上升",62,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-026","相較於何杰金氏病，有關非何杰金氏淋巴瘤之敘述，下列何者錯誤？",26,113,3,"2026-09-04",1788510712570]