[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"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-109-2-內外科護理學-024","nurse-109-2-medical-surgical-024",109,2,24,"有關美尼爾氏症之敘述，下列何者正確？①可能原因是外耳淋巴液過多 ②症狀為雙側傳導性聽力減退 ③使用血管擴張劑減輕耳鳴症狀 ④藥物治療無效時，可採迷路切除術",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","D",null,[],"本題考點在於美尼爾氏症的病因與治療，屬組合選擇題。藥物治療無效時可採迷路切除術（④）以消除病側前庭功能來止暈，屬正確處置；使用血管擴張劑改善內耳循環以減輕耳鳴等症狀（③）亦為常見處理，故選 D（③④）。①錯在病因部位，美尼爾氏症是「內耳」內淋巴液過多（內淋巴水腫），而非外耳淋巴液過多。②錯在聽損性質，其聽力障礙為「單側感覺神經性」聽力減退，而非雙側傳導性。故正確組合為③④。","美尼爾氏症的病理為內淋巴水腫（endolymphatic hydrops），典型三聯症：陣發性眩暈、耳鳴、波動性感覺神經性聽力減退，常伴耳脹感，且多為單側。治療階梯：低鹽飲食與利尿劑減少內淋巴液、抗眩暈與止吐藥控制急性發作、血管擴張劑或倍他histine 改善循環；藥物無效之嚴重個案才考慮手術（內淋巴囊減壓、前庭神經切除或迷路切除）。迷路切除會犧牲該側聽力，屬破壞性手術，故保留給重度失能者。",[24,27,30,33,36],{"term":25,"count":26},"美尼爾氏症",7,{"term":28,"count":29},"內淋巴水腫",6,{"term":31,"count":32},"感覺神經性聽損",3,{"term":34,"count":35},"低鹽利尿治療",1,{"term":37,"count":35},"迷路切除術",[39,43,48,52,57,61],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-109-2-medical-surgical-025","有關白內障之敘述，下列何者錯誤？",25,{"webId":44,"stem":45,"number":46,"year":47,"session":35},"nurse-110-1-medical-surgical-041","有關骨髓移植後病人產生移植物抗宿主疾病（Graft-versus-host Disease; GVHD）症狀，下列何者錯誤？",41,110,{"webId":49,"stem":50,"number":51,"year":47,"session":10},"nurse-110-2-medical-surgical-055","下列何者為肺炎病人最可能出現的臨床表徵？",55,{"webId":53,"stem":54,"number":55,"year":56,"session":35},"nurse-112-1-medical-surgical-013","有關迴腸造瘻口的護理指導，下列何者正確？",13,112,{"webId":58,"stem":59,"number":26,"year":60,"session":35},"nurse-113-1-medical-surgical-007","承上題，關於陳先生的護理措施，下列何者正確？①限制水分與蛋白質的攝取 ②每天測量體重與腹圍，記錄輸出入量 ③給與利尿劑後，儘快補充Albumin ④使用Lactulose以減少細菌分解蛋白質所產生大量氨",113,{"webId":62,"stem":63,"number":35,"year":64,"session":10},"nurse-114-2-medical-surgical-001","有關巴金森氏症（Parkinson’s disease）的主要典型症狀，下列敘述何者正確？①震顫 ②吞嚥困難 ③僵硬 ④運動遲緩 ⑤腹瀉",114,"2026-09-04",1788510716471]