[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-109-2-內外科護理學-009","nurse-109-2-medical-surgical-009",109,2,9,"有關闌尾炎身體評估檢查的結果，下列何者正確？①墨菲氏徵象（Murphy’s sign） ②麥氏點（McBurney’s point）壓痛 ③普氏徵象（Psoas sign） ④閉孔肌徵象（obturator sign）",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點在於闌尾炎的身體評估徵象，屬組合選擇題。麥氏點壓痛（②）反映右下腹闌尾投影處的局部發炎；普氏徵象（③，腰大肌徵象）於伸展右髖時誘發疼痛，提示發炎闌尾刺激腰大肌；閉孔肌徵象（④）於屈髖並內旋時疼痛，提示闌尾靠近閉孔內肌，三者皆屬闌尾炎評估，故選 D（②③④）。墨菲氏徵象（①）是深吸氣時右上腹觸診引發疼痛而中止吸氣，屬膽囊炎的評估徵象，與闌尾炎無關，故凡含①的選項皆排除。因此正確組合為②③④。","闌尾炎評估三徵象的機轉在於發炎闌尾與鄰近肌肉的位置關係：腰大肌徵象陽性提示闌尾偏後（retrocecal），閉孔肌徵象陽性提示闌尾偏骨盆（pelvic）。另有反彈痛與 Rovsing 徵象（壓左下腹引發右下腹痛）。麥氏點位於右髂前上棘與肚臍連線外三分之一處。墨菲氏徵象專屬膽囊炎，記憶對比：Murphy＝膽囊、McBurney＝闌尾。臨床診斷仍須結合白血球上升、發燒與病史，影像（超音波\u002FCT）可輔助定位。",[24,27,29,31,34],{"term":25,"count":26},"墨菲氏徵象",5,{"term":28,"count":10},"腰大肌徵象",{"term":30,"count":10},"閉孔肌徵象",{"term":32,"count":33},"闌尾炎",1,{"term":35,"count":33},"麥氏點壓痛",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-010","有關引起水瀉與血樣黏液糞便等特徵的腸道感染原，下列何者錯誤？",10,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-110-1-medical-surgical-026","有關心肌病變（cardiomyopathy）的敘述，下列何者正確？",26,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-medical-surgical-040","有關瀕死病人護理的敘述，下列何者正確？①出現瀕死前的嘎嘎聲是因為喉嚨有痰，要給予抽痰 ②肛門附近周圍皮膚傷口可使用氧化鋅 ③要鼓勵病人進食，以增加舒適感 ④瀕死病人對刺激無反應時，其聽力也會喪失 ⑤意識不清病人宜採側臥，以利分泌物流出",40,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-111-2-medical-surgical-078","有關矯正休克病人低血壓的護理措施，下列何者錯誤？",78,111,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-112-3-medical-surgical-042","有關腎臟移植發生排斥時的主要處置，下列敘述何者錯誤？",42,112,3,{"webId":62,"stem":63,"number":64,"year":65,"session":33},"nurse-114-1-medical-surgical-036","有關肺膿瘍病人的護理評估，下列何者最可能出現？",36,114,"2026-09-04",1788510716324]