[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-033":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":26},"nurse-110-2-內外科護理學-033","nurse-110-2-medical-surgical-033",110,2,33,"評估時請病人快速彎曲足背，如果出現小腿疼痛，表示為下列何種徵象？",{"A":14,"B":15,"C":16,"D":17},"霍夫曼徵象（Hoffmann’s sign）","霍克尼氏徵象（Hochne’s sign）","霍伯氏徵象（Hope’s sign）","霍曼氏徵象（Homan’s sign）","D",null,[],"本題考點在於深部靜脈栓塞的理學檢查徵象。請病人快速將足部背屈(dorsiflexion)，若牽扯到小腿深部靜脈與肌肉而引發小腿疼痛，即為霍曼氏徵象(Homan's sign)陽性，提示可能有深部靜脈栓塞，故正確答案為D。霍夫曼徵象(Hoffmann's sign，A)是彈壓中指甲觀察其他手指屈曲，用於評估上運動神經元病變，與本題無關。B、C選項所列徵象名稱在臨床上並非深部靜脈栓塞的標準理學檢查徵象，屬混淆用干擾選項。故正確為霍曼氏徵象D。","Homan's sign為足背屈誘發小腿痛，但敏感度與特異度皆低，不能單靠它確診或排除深部靜脈栓塞，須配合都卜勒超音波與D-dimer。深部靜脈栓塞其他表現：單側小腿腫脹、發熱、壓痛、Pratt's sign。最大風險為血栓脫落造成肺栓塞。記憶口訣「Homan足背屈、小腿痛、想DVT」。可連結概念：Virchow三要素(血流滯緩、內皮損傷、高凝狀態)、肺栓塞、抗凝治療。",[24,27,30,33],{"term":25,"count":26},"深部靜脈栓塞",6,{"term":28,"count":29},"霍曼氏徵象",4,{"term":31,"count":32},"足部背屈",1,{"term":34,"count":32},"理學檢查",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-034","有關心包膜積水的主要症狀，下列何者錯誤？",34,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-medical-surgical-050","有關類風濕性關節炎之敘述，下列何者正確？①手部關節會出現尺側偏斜 ②活動後有僵硬的現象 ③關節 X 光變化呈現關節腔變窄 ④關節腫脹呈現不對稱性",50,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-medical-surgical-064","有關腎臟癌的敘述，下列何者正確？",64,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-112-3-medical-surgical-022","有關冠狀動脈繞道手術後護理，下列敘述何者錯誤？",22,112,3,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-114-1-medical-surgical-026","有關致癌因子及其相關癌症的敘述，下列何者需進一步提供護理指導以澄清誤解？",26,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-medical-surgical-020","有關下肢深部靜脈栓塞之症狀與評估，下列何者正確？",20,115,"2026-09-04",1788510729105]