[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-110-1-內外科護理學-055","nurse-110-1-medical-surgical-055",110,1,55,"下列何者不是闌尾炎的徵象？",{"A":14,"B":15,"C":16,"D":17},"透納氏徵象（Turner’s sign）","洛夫辛徵象（Rovsing’s sign）","腰大肌徵象（Psoa sign）","閉孔肌徵象（Obturator sign）","A",null,[],"本題考點在於區辨闌尾炎的理學檢查徵象。透納氏徵象（Turner's sign）指側腹壁瘀斑，反映後腹膜出血，典型見於急性出血性胰臟炎，與闌尾炎無關，故選A。選項B洛夫辛徵象是壓左下腹卻引發右下腹痛，反映腹膜局部刺激，為闌尾炎徵象。選項C腰大肌徵象在伸展右髖時誘發疼痛，提示發炎闌尾刺激腰大肌。選項D閉孔肌徵象在屈髖內旋時引發疼痛，提示闌尾鄰近閉孔內肌。三者皆為闌尾炎的定位徵象，唯透納氏徵象屬胰臟或後腹膜出血指標。","闌尾炎徵象可群組記憶：McBurney點壓痛（右下腹壓痛核心）、反彈痛、Rovsing徵象（左壓右痛）、Psoas徵象（伸髖誘痛，闌尾偏後位）、Obturator徵象（屈髖內旋誘痛，闌尾偏骨盆位）。Turner's sign與Cullen's sign（臍周瘀斑）皆屬後腹膜或腹腔內出血指標，最常掛在出血性胰臟炎名下。解題訣竅：看到「側腹瘀斑」直接連結胰臟炎而非闌尾炎。可連結：McBurney點、反彈痛、Cullen徵象、急性胰臟炎。",[24,27,29,31],{"term":25,"count":26},"腰大肌徵象",2,{"term":28,"count":10},"透納氏徵象",{"term":30,"count":10},"洛夫辛徵象",{"term":32,"count":10},"闌尾炎理學檢查",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-056","有關抗凝劑 Warfarin 使用的注意事項，下列何者錯誤？",56,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-medical-surgical-072","有關副甲狀腺機能亢進病人的臨床表徵，下列何者正確？①少尿 ②噁心 ③心律不整 ④骨鈣沉積",72,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-111-2-medical-surgical-006","有關巴金森氏症病人的臨床表徵，下列何者錯誤？",6,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-medical-surgical-044","有關牛皮癬之敘述，下列何者正確？",44,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-medical-surgical-018","有關高血壓的敘述，下列何者正確？",18,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-012","有關不同關節炎之比較，下列何者正確？",12,115,"2026-09-04",1788510721305]