[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-005":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":10},"nurse-109-2-內外科護理學-005","nurse-109-2-medical-surgical-005",109,2,5,"檢查時用手壓病人中指的遠心端，然後迅速彈開，病人會有大拇指的屈曲運動，此種現象稱為？",{"A":14,"B":15,"C":16,"D":17},"特魯索氏徵象（Trousseau’s sign）陽性","霍夫曼氏反射（Hoffman’s reflex）陽性","克爾尼格氏徵象（Kernig’s sign）陽性","不對稱反射（asymmetrical reflex）陽性","B",null,[],"本題考點在於辨識上運動神經元病變的病理反射。題幹描述彈壓中指遠端指節後引發拇指屈曲，正是霍夫曼氏反射陽性的操作與表現，代表皮質脊髓束（上運動神經元）受損，選 B。A 特魯索氏徵象是以血壓計壓迫上臂使前臂與手抽搐，用於檢測低血鈣，操作與部位皆不符。C 克爾尼格氏徵象是屈髖後伸膝受阻並疼痛，屬腦膜刺激徵象，與手指無關。D 不對稱反射泛指兩側反射強度不等，並非此特定手指誘發動作的專有名稱。故正確者為霍夫曼氏反射陽性。","霍夫曼氏反射與巴賓斯基氏反射（Babinski）同屬上運動神經元受損的病理反射：前者在上肢、後者在下肢（劃足底外緣出現大腳趾背屈、其餘趾張開）。機轉是皮質脊髓束對脊髓反射弧的抑制解除，使反射亢進。對比記憶：Trousseau 與 Chvostek 皆測低血鈣（低血鈣使神經肌肉興奮性增高）；Kernig 與 Brudzinski 皆測腦膜刺激。把「病理反射（錐體束徵象）」與「低血鈣徵象」「腦膜刺激徵象」三組分開歸類，可快速排除干擾選項。",[24,26,28,31,33],{"term":25,"count":10},"皮質脊髓束",{"term":27,"count":10},"特魯索氏徵象",{"term":29,"count":30},"霍夫曼氏反射",1,{"term":32,"count":30},"上運動神經元病變",{"term":34,"count":30},"克爾尼格氏徵象",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-medical-surgical-006","腦中風病人使用 Aspirin 100 mg 1# P. O. Q. D.治療的目的，下列何者正確？",6,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-110-1-medical-surgical-022","為了避免白內障手術病人植入之水晶體移位，返家後活動限制的護理指導，下列何者錯誤？",22,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-medical-surgical-036","有關 BUN 與 Serum Creatinite 比值的敘述，下列何者正確？",36,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-2-medical-surgical-074","有關糖化血色素的敘述，下列何者正確？",74,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-medical-surgical-038","下列何者為細菌性肺炎病人必要的診斷檢查？①胸部電腦斷層 ②胸部 X 光攝影 ③肺功能檢查 ④痰液檢查",38,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-114-1-medical-surgical-032","病人因車禍送到急診，身體評估出現下列何者時，應懷疑可能有氣胸？",32,114,"2026-09-04",1788510716291]