[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"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-精神科與社區衛生護理學-071","nurse-109-2-psychiatric-community-071",109,2,71,"長期暴露於何種物質的工作環境中，最容易導致罹患帕金森氏症候群？",{"A":14,"B":15,"C":16,"D":17},"錳","鉛","鎘","砷","A",null,[],"本題考點是職業性重金屬暴露與神經毒性疾病的對應。依職業醫學，長期暴露於「錳(Mn)」的作業環境(如電焊、採礦、乾電池製造)會侵犯基底核，導致類似帕金森氏症候群的錐體外症狀，故正解為 A。考點在於連結特定重金屬與其標的器官毒性。B「鉛」主要造成貧血、周邊神經病變與兒童智能損害，非典型帕金森症候群故排除。C「鎘」主要傷害腎臟與骨骼(如痛痛病),非中樞神經運動症狀故排除。D「砷」以皮膚病變、周邊神經病變與烏腳病、致癌為主，非帕金森氏症候群故排除。因此錳中毒是造成帕金森樣症候群的典型職業暴露。","重金屬靶器官記憶:錳→基底核(帕金森樣、面具臉、齒輪僵直);鉛→血液(貧血)、神經(垂腕)、兒童腦部;鎘→腎臟與骨(痛痛病);砷→皮膚、烏腳病、致癌;汞→中樞神經(水俁病、顫抖、性格改變)。錳與汞皆傷中樞但錳偏運動系統。此類題以「一金屬一標的」對應記憶最有效。",[24,27,29,31],{"term":25,"count":26},"職業性重金屬中毒",1,{"term":28,"count":26},"錳中毒",{"term":30,"count":26},"帕金森氏症候群",{"term":32,"count":26},"基底核毒性",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-072","根據勞工健康保護規則，有關勞工健康檢查的敘述，下列何者正確？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-psychiatric-community-008","有關抗精神病藥物的敘述，下列何者藥理作用最能歸屬於「第二型及第三型多巴胺特別性接受器阻斷劑（specific D 2 \u002FD 3 antagonist）」？",8,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-psychiatric-community-022","根據 DSM-5 診斷準則，有關反社會人格（Antisocial Personality Disorder）的敘述，下列何者最不適當？",22,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-psychiatric-community-060","社區舉辦長者用餐活動，希望參與者自備餐具。是符合 5R 廢棄物處理的何項原則？",60,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-psychiatric-community-004","精神衛生工作的三級預防概念，下列何者屬於三級預防的工作內容？",4,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-048","下列何者不屬於老人衰弱評估量表（Fried Frail Index）的內容？",48,114,"2026-09-04",1788510718482]